This online professional development opportunity is for directors and administrative staff in centers that serve 25 or more children and who are new users (subscribers) using the WellCareTrackerTM Internet application software, available from ECELS. The professional development experience involves working with the user-friendly internet application on any computer connected to the Internet to review children's health records, identify and track gaps in the children's required preventive health services. WellCareTrackerTM software uses the dates of preventive health care services entered for each child at any time thereafter to report whether the child is currently up to date, overdue or will be due in the next three months for specific services. In addition to reports for individual children that can be given to parents, the system produces a report for all the children entered. This report makes it easy to  track needed services and follow-up with families. Currently, the PA Department of Health is doing random audits of the immunization records that state regulations require child care programs keep on file to show children are up to date. The health reports should give information about screening tests and special needs too. WellCareTrackerTM lets staff make sure children have received all the services that they need to be healthy and ready to learn. In addition to being protected against vaccine preventable infectious disease, they need to be free of treatable conditions such as hearing and vision problems, anemia or lead poisoning. Look for the detailed description of the self-learning module on the left pane of the WellCareTracker(TM) home page at www.wellcaretracker.org under "ECELS - Self Learning Module." PA child care practitioners may submit completed work for review for credit by scanning the pages and attaching them to an e-mail, sending them by fax or by surface mail to ECELS. Be sure to follow the instructions in the “Important Reminders” box next to the list of self-learning modules on this webpage. (ECERS-ITERS: Personal Care Routines, Program Structure. K7-C3-78 or K8-C3-91. 6/2017

In August of 2013, ECELS received a 3-year federal quality improvement grant. The purpose of the grant is to show how to improve the care of infants and toddlers in child care centers.  ECELS staff and expert consultants developed an observation tool. The tool measures 13 selected standards in Caring for Our Children: National Health and Safety Performance Standards, 3rd edition (CFOC3).

Early care and education and before and after school child care providers may adapt this model letter to send to heatlh professionls to explain the need for the health professionals to complete required health forms. It one of the documents posted on the WellCareTrackerTM website. WellCareTrackerTM is a secure Internet software application developed and maintained by ECELS to evaluate and track health service reports to be sure that children are up-to-date with vaccines and screeniings. On the WellCareTrackerTM website, select the letter from the left pane under "Sample Letters." Reviewed and reaffirmed 5/2019. 

Many children who are enrolled in early education and child care programs have chronic health problems or special health needs.  In the United States, 14% of all children have such conditions. The American Academy of Pediatrics (AAP) published Managing Chronic Health Needs in Child Care and Schools to help teachers and caregivers understand these conditions and work with health care professionals to be sure children who have them stay well. The book explains how to develop specific Care Plans for educational settings. One section offers information about types of health professionals who might be involved in a child's care. Half the book is devoted to condition-specific Quick Reference Sheets and sample forms.  To order this book, go to the AAP bookstore at www.aap.org. Reviewed and reaffirmed 6/2018.

Extra Credit is available for users of the workshop about Medication Administration and the AAP Healthy Futures e-learning on this topic. For an additional hour of credit, participants who successfully complete the Medication Administration Workshop or the AAP e-learning may arrange for a licensed health professional to observe their performance of medication administration skills using a checklist provided by ECELS.

For an additional hour of credit, participants who successfully complete the Medication Administration Workshop or the AAP e-learning self-learning module about Medication Administration may arrange for a licensed health professional to observe their performance of medication administration skills using this checklist provided by ECELS. Download the checklist and the instructions for how to request the extra credit. 

This workshop draws on the curriculum published  by the American Academy of Pediatrics in 2010 to teach how to manage the risks involved in giving medication in group care settings using the 5 Rights: the right child receives the right medication in the right dose, by the right method at the right time.  Participants practice skills and discuss scenarios to identify gaps in practice.  Key elements that should be in documentation of medication, policies and procedures are reviewed. Demonstrations and discussions include tips for giving a variety of different types of medication: liquids and pills, eye, ear, nose, topical medications such as diaper cream and sunscreen, inhalers and emergency medicines.

Many children's medicines come in liquid form. Household spoons may be handy for giving children liquid medicines, but using them is not a good way to give the correct dose. Parents and educators should use a syringe, special medicine cup, special dosing spoon or dropper. These devices are marked in milliliters (mL).

Different household teaspoons hold different amounts of liquids. Tablespoons vary in size too. A spoon that gives too little medicine may keep the medicine from working. If a spoon gives too much medicine, the overdose may cause a serious problem. For example, repeatedly giving a child too much acetaminophen (Tylenol)can lead to liver failure. More than 70,000 children go to emergency rooms each year for accidental medicine overdoses. Use of the wrong measuring device causes some of these. Many liquid medicines come with a special dose measuring device calibrated to accurately measure the particular medication. Be sure to use it. If there is no device with the medication, a pharmacist can provide one. If a syringe is used, squirt the medication slowly and gently between the child's tongue and the side of the mouth. This makes it easier for the child to swallow the medicine.

The American Academy of Pediatrics urges parents, physicians and pharmacists to use only metric measurements for oral liquid medications. Metric measurements for liquids in milliliters (ml) or cubic centimeters (cc) should be on prescriptions, medication labels, and dosing devices. This helps children get the correct dose of medication. Do not measure liquid medication in teaspoons or tablespoons.

Please share this information with teachers/caregivers and families. Download and display the new poster in English and in Spanish. Copy and distribute the updated article - also available in both English and Spanish. To access the article in in Spanish, click on "en Espanol" on the page. On the same page, you can listen to the article read to you in English or Spanish.

Families and early childhood educators need to understand how much medicine to give. They should know how often and how long to give it. If they are uncertain about the instructions, they should not give the medication until they have asked the child's health care provider about how to do it. Use the forms in the Medication Administration Packet, Appendix X in Model Child Care Health Policies, 5th edition. This publication is available at www.ecels-healthychildcarepa.org.

Health professionals recommend keeping medicine out of children's reach. Use child safety caps, understanding that these are not "child-proof". They make it harder for the child to open the medicine, giving adults more time to stop the child from getting the medicine. Check labels carefully before giving two medicines together because they may have the same ingredient. Do not mix medicine with food unless the instructions on the medicine say to do so. Also, urge families to bring a list of all medicines the child is taking each time the child sees a health professional.

For medicine mistakes, call the Poison Help number at 800-222-1222. If the child is unconscious, not breathing or having seizures, call 911 first. Be careful when getting rid of unused medicines. In some places, you can drop off medicines at a police department. Make sure to remove labels with personal details. Another way to safely dispose of medicines is to mix them with coffee grounds or kitty litter in a plastic bag you can seal. Throw this sealed bag away in a trash container where children and animals can't get to it. Don't dump the medicine in the toilet or drain, unless the medicine label says it is safe to do it. If you aren't sure how to dispose of a medicine, ask a pharmacist about what to do.

Contributed by Nancy Alleman, ECELS Lead Training and Technical Assistance Coordinator, in collaboration with Ian M. Paul, M.D., M.Sc., FAAP, a member of the American Academy of Pediatrics Committee on Drugs.

The Pennsylvania Child Care Association (PACCA) and ECELS presented a webinar in June  2015 using the American Academy of Pediatrics Healthy Futures Medication Administration training. In child care, medication can be administered by child care providers to maintain the health of the child, prevent illness, or relieve symptoms. Doing this allows a child who is not acutely ill to attend out-of-home child care. To administer medication, child care providers must comply with laws, regulations, and best practice. This session is designed to educate child care providers who give children medication, but are not licensed health care professionals.
(ECERS-ITERS: Personal Care Routines, Parents and Staff. Meets STAR Level 2 Performance Standard for Health and Safety.)
CKC Code: K7.1 C1, K7.5 C1, K7.5 C2, K7.6 C1

Presenters:
• Susan S. Aronson, MD, FAAP - ECELS Founder and Pediatric Advisor
• Rosemarie Halt, RPh, MPH, BS ECELS Child Care Health Consultant
Objectives — At the conclusion of this activity, participants will be able to:
1. Meet the caregiver training requirements from Caring for Our Children: National Health and Safety Performance Standards,3rd ED.
2. Identify different types of medication, why medication is given, and how it is given.
3. Improve medication storage, preparation, administration, and documentation procedures.
4. Recognize and respond to adverse reactions to medication.
5. Develop and implement policies for medication administration.

Participants will receive 3.0 hours of professional development credit for participating in both sessions and completing an evaluation. PA Key and Act 48 credit is available.  Click here to listen to the Part One webinar recording.

Early care and education programs need a note from a licensed health care provider for over – the-counter (OTC) and prescribed medications. Prescription medicines should include clear instructions on the pharmacy label. OTC medications need a note from a health care provider in addition to the label on the medicine container. The note must specify the name of the child and medicine, when, how much and the route to give the medicine.