5th Edition Staying Healthy

5th Edition

Staying Healthy

Preventing infectious diseases in early childhood education and care services

(updated June 2013)

Staying Healthy

Preventing infectious diseases in early childhood education and care services

FIFTH EDITION 2012

(Updated June 2013)

? Commonwealth of Australia 2012

Paper-based publication This work is copyright. You may reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Requests and enquiries concerning reproduction and rights are to be sent to Strategic Communications, National Health and Medical Research Council, GPO Box 1421, Canberra ACT 2600 or via email to nhmrc.publications@.au.

ISBN Print: 1864965541

? Commonwealth of Australia 2012

Electronic document This work is copyright. You may download, display, print and reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Requests and enquiries concerning reproduction and rights are to be sent to Strategic Communications, National Health and Medical Research Council, GPO Box 1421, Canberra ACT 2600 or via email to nhmrc.publications@.au.

ISBN Online: 1864965568

Acknowledgements Queensland Health Dr Andrew Langley; Debbie Neucom (RN) Sunshine Coast Public Health Unit, Central Regional Services, Office of the Chief Health Officer

NHMRC Project Team Cathy Connor; Tanja Farmer; Marion Carey

Expert Reviewers Dr Ann Koehler, Communicable Diseases Control Branch, SA Health Dr Kim Drever, Centre Of Community Child Health, Royal Children's Hospital, Melbourne Ms Judy Radich, Early Childhood Australia Dr Celia Cooper, Microbiology and Infectious Diseases Department, Women's and Children's Hospital South Australia Ms Elise Davis Associate Director, Child Mental Health Promotion, The Jack Brockhoff Child Health and Wellbeing Program, VicHealth Public Health Research Fellow, The McCaughey Centre, Melbourne School of Population Health, The University of Melbourne Ms Irene Passaris, Director, Communicable Disease Control Section, Health Protection Service, ACT Health Directorate Ms Paula Spokes, A/Manager, Surveillance, Communicable Diseases Branch, Centre for Health Protection, NSW Ministry of Health

Technical Writers Biotext, Canberra

To obtain information regarding NHMRC publications contact: Email: nhmrc.publications@.au Phone: Toll free 13 000 NHMRC (13 000 64672) or call (02) 6217 9000 Internet:

NHMRC Publication reference: CH55

Published: November 2012

Updated and reprinted: June 2013

Staying Healthy 5th Edition ? updated June 2013

The June 2013 update of Staying Healthy 5th Edition includes fact sheets on croup and warts, which were omitted in the first edition. NHMRC has also taken this opportunity to make minor amendments to the publication, which are underlined below.

Page 5th Edition version

41

Infants need their hands washed as often and as thoroughly as older children:

? If the infant can stand at a small hand basin, wash their hands the same way you wash your own hands.

? If the infant cannot stand at a hand basin, wash their hands with pre-moistened disposable wipes; make sure their hands are rinsed with water to remove any soap, then dry thoroughly.

45 PREPARATION

CHANGING

CLEANING

1. Wash your hands

2. Place paper on the change table

3. Put disposable gloves on both hands

4. Remove the child's nappy and put in a hands-free lidded bin. Place any soiled clothes in a plastic bag

5. Clean the child's bottom

6. Remove the paper and put it in a hands-free lidded bin

7. Remove your gloves and put them in the bin

8. Place a clean nappy on the child

9. Dress the child

10. Take the child away from the change table

11. Wash your hands and the child's hands

12. Clean the change table with detergent and warm water after each nappy change

13. Wash your hands

5th Edition updated version June 2013

Infants need their hands washed as often and as thoroughly as older children: ? If the infant can stand at a small hand basin, wash their hands the same way you wash your own hands. ? If the infant cannot stand at a hand basin, wash their hands with pre-moistened disposable wipes,

then dry thoroughly.

PREPARATION

CHANGING

CLEANING

1. Wash your hands

4. Remove the child's nappy and put any disposable nappy in a hands-free lidded bin. Place any soiled clothes (including any cloth nappy) in a plastic bag

12. After each nappy change, clean the change table with detergent and warm water, then rinse and dry

2. Place paper on the change table

5. Clean the child's bottom

13. Wash your hands

3. Put disposable

6. Remove the paper and put it in a

gloves on both hands

hands-free lidded bin

7. Remove your gloves and put them in the bin

8. Place a clean nappy on the child

9. Dress the child

10. Take the child away from the change table

11. Wash your hands and the child's hands

47

This is the best method to keep the nappy change table clean:

This is the best method to keep the nappy change table cleana:

? After each nappy change and at the end of each day, wash the surface well with detergent and warm water, rubbing with paper towel or a cloth as you wash. Put the paper towel in the bin, or put the cloth aside for washing after each nappy change-- there will be many germs on this cloth, and it cannot be used again until it has been washed. Leave the change surface to dry. See Section 3.3 for information on how to clean the nappy change table if the child had diarrhoea.

? After each nappy change and at the end of each day, wash the surface well with detergent and warm water, rubbing with paper towel or a cloth as you wash. Put the paper towel in the bin, or put the cloth aside for washing after each nappy change-- there will be many germs on this cloth, and it cannot be used again until it has been washed. Leave the change surface to dry. See Section 3.3 for information on how to clean the nappy change table if the child had diarrhoea.

? If faeces or urine spill onto the change surface, clean the surface with detergent and warm water and leave it to dry.

? If faeces or urine spill onto the change surface, clean the surface with detergent and warm water and leave it to dry.

? Halfway through the day, remove the morning change mat or waterproof sheet, clean it with detergent and water and leave it to dry, preferably outside in the sun. Use the fresh mat for the afternoon.

? Halfway through the day, remove the morning change mat or waterproof sheet, clean it with detergent and water and leave it to dry, preferably outside in the sun. Use the fresh mat for the afternoon.

? Always wash your hands after cleaning the nappy change area.

? Always wash your hands after cleaning the nappy change area.

Staying Healthy 5th Edition

60

1.2.2 Celebration cakes and blowing out candles

a To ensure the nappy change table is cleaned correctly, follow the process on page 45 (table 3.3).

3.6.2 Celebration cakes and blowing out candles

iii

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