Managing Children, who are sick, 

infectious or with allergies Policy 

(including reporting notifiable diseases)

Registered Charity No.: 1021287

Ofsted URN No.: EY340143

Policy: P6.02

Procedures for children who are sick or infectious

• If children become unwell during the day – have a temperature, sickness, diarrhoea or pains, particularly in the head or stomach – their key person or the manager calls the parents and asks them to collect the child, or send a known carer to collect on their behalf.

• A child’s temperature is taken using a digital thermometer, kept in the first aid box in the nappy room.

• With parental consent, a single dose of calpol may be administered; however, the parent/carer must collect their child ASAP. The calpol is only administered in an attempt to soothe the symptoms and not as a solution to keep the child at preschool.

• Parents are asked to take their child to the doctor before returning them to nursery; the nursery will refuse admittance to children who have a temperature, sickness and diarrhoea or a contagious infection or disease.

• Children who have suffered a febrile convulsion, or an epileptic fit are to be kept at home for 48 hours recovery before returning to preschool.

• Where children have been prescribed antibiotics, parents are asked to keep them at home for 48 hours after their first dose of medicine, before returning to the setting. This is so that any allergic reaction is known before the child is back in the setting.

• After diarrhoea, parents are asked to keep children home for 48 hours after the final loose movement.

• In extreme cases of emergency, an ambulance will be called and the parent informed.

• Children will not be allowed into preschool if they have received medicine such as Calpol prior to arriving at preschool. These children are obviously ill and need to be at home.

• The setting has a list of excludable diseases and current exclusion times. The full list is obtainable from:

https://patient.info/doctor/Notifiable-Diseases#nav-1

and includes common childhood diseases such as measles.


Reporting of ‘notifiable diseases’

• If a child or adult is diagnosed suffering from a notifiable disease under the Health Protection (Notification) Regulations 2010, the GP will report this to the Health Protection Agency.

• When the setting becomes aware, or is informed of the notifiable disease, the Preschool Manager informs Ofsted and acts on any advice given by the Health Protection Agency.


Universal Hygiene

Many illnesses are spread through lack of hygiene, so at Preschool we take the following precautions:

• Hygiene precautions for dealing with body fluids are the same for all children and adults.

• Single use vinyl gloves are worn when changing children’s nappies, pants and clothing that are soiled with urine, faeces or vomit. In cases of blood, gloves are put on as soon as possible, ideally before caring for a child.

• Soiled clothing is bagged for parents to collect.

• Spills of blood, urine, faeces or vomit are cleared using mild disinfectant solution and mops; cloths used are disposed of.

• Tables and other furniture, furnishings or toys affected by blood, urine, faeces or vomit are cleaned using a disinfectant.

• Soft furnishings and toys are put through a washing cycle


Nits and head lice

• On identifying cases of head lice, parent(s) will be informed and required to treat their child and all the family if they are found to have head lice. Treatment must have started before the child may return to Preschool.


Procedures for Children with Allergies:

• When parents start their children at the setting they are asked if their child suffers from any known allergies.

• If a parent has informed us their child has an allergy, the details will be recorded in the child’s file and in severe cases a risk assessment may be carried out.

• No nuts or nut products are used within the setting or permitted in children’s or staff lunches.

• Parents are made aware so that no nut or nut products are accidentally brought in, for example to a party.


Oral medication

• Oral medications must be prescribed by a GP and within date. No medications will be administered if they are considered too old or prescribed for another child.

• The setting must be provided with clear written instructions on how to administer such medication.

• All risk assessment procedures need to be adhered to for the correct storage and administration of the medication.

• The setting must have the parents or guardians prior written consent.