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HEALTH, SAFETY & SANITATION HEALTH, SAFETY & SANITATION

Self-assessment Preventing injuries Preventing spread of disease Self-assessment Orientation: Health, Safety & Sanitation Revised Self-assessment Preventing injuries Preventing spread of disease Self-assessment Orientation: Health, Safety & Sanitation Revised 3/10 HSS 0. 4

Early care and education professionals will take appropriate actions to keep children healthy and Early care and education professionals will take appropriate actions to keep children healthy and safe. By the end of the session, you will: ØIdentify actions you can take to prevent injuries. ØGenerate a list of potential safety hazards and appropriate steps to remove or limit the hazards. ØDescribe recommended procedures and documentation for administering medication. ØIdentify appropriate actions to minimize spread of infectious diseases. ØDemonstrate or describe proper hand washing techniques. ØDistinguish between cleaning and sanitizing. Orientation: Health, Safety & Sanitation HSS 0. 5 Revised 3/10 3

Check Your Knowledge 1. Circle answers in “Before Session” column. Will not be graded Check Your Knowledge 1. Circle answers in “Before Session” column. Will not be graded or shared. 2. When finished, put away for use at the end of the session. Orientation: Health, Safety & Sanitation Revised 3/10 HSS 1. 1

The Big Picture… juries ent in ev Pr ead of t spr reven P The Big Picture… juries ent in ev Pr ead of t spr reven P isease d 4 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 1. 2

Unintentional injuries are leading cause of death. Without precautions, children in child care more Unintentional injuries are leading cause of death. Without precautions, children in child care more likely to get sick. 4 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 1. 3

Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 5 Orientation: Health, Safety & Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 5 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 0

Child to Staff Ratio Age Range 6 weeks Toddlers 2 - 3 years 3 Child to Staff Ratio Age Range 6 weeks Toddlers 2 - 3 years 3 - 4 years 4 - 5 years 5 - 7 years and older Ratios for Center Based Care in Kentucky State (5: 1) (6: 1) (10: 1) (12: 1) (14: 1) (15: 1) (25: 1) 1 staff for 25 children (for before and after school) - 1 staff for 20 children (full day of care) Orientation; Health, Safety & Sanitation

Use your to CLOSELY SUPERVISE Know where children are. They should be within your Use your to CLOSELY SUPERVISE Know where children are. They should be within your scope of vision. Position self strategically. Circulate throughout room. Be close enough to intervene. Establish positive safety rules. Children should be within range of voice. Maintain ratios (Appendix A, p. 39). 5 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 1

Check Your Knowledge: Supervision 1. Read each scenario. 2. Look at corresponding picture. 3. Check Your Knowledge: Supervision 1. Read each scenario. 2. Look at corresponding picture. 3. Circle the correct answer. Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 1 a

Which set of safety rules is more appropriate? Why? Orientation: Health, Safety & Sanitation Which set of safety rules is more appropriate? Why? Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 1 b

What is wrong with this picture? Staged picture Orientation: Health, Safety & Sanitation Revised What is wrong with this picture? Staged picture Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 1 c

What is wrong with this picture? Orientation: Health, Safety & Sanitation Revised 3/10 Staged What is wrong with this picture? Orientation: Health, Safety & Sanitation Revised 3/10 Staged picture HSS 2. 1 d

What is wrong with this picture? Orientation: Health, Safety & Sanitation Revised 3/10 Staged What is wrong with this picture? Orientation: Health, Safety & Sanitation Revised 3/10 Staged picture HSS 2. 1 e

What is wrong with this picture? Orientation: Health, Safety & Sanitation Revised 3/10 Staged What is wrong with this picture? Orientation: Health, Safety & Sanitation Revised 3/10 Staged picture HSS 2. 1 f

Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 7 Orientation: Health, Safety & Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 7 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 a

Recognize, remove and/or limit potential safety hazards 1. 2. Know when and where hazards Recognize, remove and/or limit potential safety hazards 1. 2. Know when and where hazards are likely to occur. 3. Know child’s abilities. 4. 7 Recognize common hazards. Remove/limit safety hazards. Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 b

Recognize common hazards Falls Drowning Burns Choking, suffocation, and strangulation Poisoning Vehicle-related injuries 7 Recognize common hazards Falls Drowning Burns Choking, suffocation, and strangulation Poisoning Vehicle-related injuries 7 -8 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 c

Instructions Brainstorm… 1. When and where are each of these hazards/injuries likely to occur Instructions Brainstorm… 1. When and where are each of these hazards/injuries likely to occur in an early care and education setting? 2. What is a child doing or learning to do that might increase the risk of these hazards/injuries? 3. How can you remove or limit the possibility of these hazards/injuries? Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 d

When and where? Falls Drowning Burns Choking, suffocation, and strangulation Poisoning Vehicle-related injuries 8 When and where? Falls Drowning Burns Choking, suffocation, and strangulation Poisoning Vehicle-related injuries 8 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 e

Individual abilities & characteristics Infants Toddlers Preschoolers Schoolagers 9 -10 Orientation: Health, Safety & Individual abilities & characteristics Infants Toddlers Preschoolers Schoolagers 9 -10 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 f

Remove and/or limit? Falls Drowning Burns Choking, suffocation, and strangulation Poisoning Vehicle-related injuries 10 Remove and/or limit? Falls Drowning Burns Choking, suffocation, and strangulation Poisoning Vehicle-related injuries 10 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 g

Prevent Infant Deaths Prevent: SIDS Suffocation Strangulation 12 Orientation: Health, Safety & Sanitation Revised Prevent Infant Deaths Prevent: SIDS Suffocation Strangulation 12 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 h

Check Your Knowledge: Hazards & injuries 1. Read each scenario while viewing corresponding picture(s). Check Your Knowledge: Hazards & injuries 1. Read each scenario while viewing corresponding picture(s). 2. Read question and circle correct answer. Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 2 i

Check Your Knowledge: Hazards & injuries 1. 2. 3. 4. First player/team: Turn over Check Your Knowledge: Hazards & injuries 1. 2. 3. 4. First player/team: Turn over any two cards. Read cards aloud. If cards are a match, pick cards up. If cards don’t match, replace in same position face-down. 5. Players/teams do not get another turn (regardless of whether or not the cards matched). 6. Next player/team: Repeat same actions described above. 7. Player/team with most cards wins. Orientation: Health, Safety & Sanitation HSS 2. 2 j Revised 3/10

Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 13 Orientation: Health, Safety & Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 13 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 a

Administer medication properly Documentation Daily written permission from parent/guardian Medication administration log • • Administer medication properly Documentation Daily written permission from parent/guardian Medication administration log • • • 13 Time Date Amount Who administered medicine Child’s name* Name of medication* Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 b

An accident waiting to happen? “…There is a tremendous chance for missing a dose, An accident waiting to happen? “…There is a tremendous chance for missing a dose, giving too many doses, giving the wrong amount, or giving the medication at the wrong time…” Dr. Poole 1999 Healthy Child Care America newsletter 14 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 c

Get it RIGHT. Ask yourself “Do I have the RIGHT____? ” ? ? ? Get it RIGHT. Ask yourself “Do I have the RIGHT____? ” ? ? ? CHILD DOSE MEDICINE Mouth ? Skin ? Ear ? Eyes? TIME 14 -15 Orientation: Health, Safety & Sanitation Revised 3/10 ROUTE HSS 2. 3 d

Get it RIGHT! Ask yourself… Do I have the RIGHT ? ? ? CHILD Get it RIGHT! Ask yourself… Do I have the RIGHT ? ? ? CHILD 14 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 e

Get it RIGHT! Ask yourself… Do I have the RIGHT MEDICINE 14 Orientation: Health, Get it RIGHT! Ask yourself… Do I have the RIGHT MEDICINE 14 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 f

Get it RIGHT! Ask yourself… Do I have the RIGHT DOSE 14 Orientation: Health, Get it RIGHT! Ask yourself… Do I have the RIGHT DOSE 14 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 g

Which is more accurate? 1. Fill spoon with water. (e. g. , teaspoon, measuring, Which is more accurate? 1. Fill spoon with water. (e. g. , teaspoon, measuring, plastic) 2. Use syringe to pull 1 teaspoon from spoon with water. • Was there exactly 1 teaspoon in the spoon? 3. Repeat with other types of spoons. Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 h

Get it RIGHT! Ask yourself… Do I have the RIGHT Mouth ? Skin ? Get it RIGHT! Ask yourself… Do I have the RIGHT Mouth ? Skin ? Ear ? Eye? ROUTE 15 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 i

Get it RIGHT! Ask yourself… Do I have the RIGHT TIME 15 Orientation: Health, Get it RIGHT! Ask yourself… Do I have the RIGHT TIME 15 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 j

Medication Safety Administer medicine in well-lighted room Ensure child gets entire dose of medicine Medication Safety Administer medicine in well-lighted room Ensure child gets entire dose of medicine If only partial dose taken, call parent and ask to contact doctor Observe child for side effects Ask parent to sign documentation when pick up child Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 k

Medication Storage Locked place Out of child’s reach Refrigerated medicines must be in locked Medication Storage Locked place Out of child’s reach Refrigerated medicines must be in locked box Original bottle Properly labeled 15 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 l

Check Your Knowledge Medication Administration 1. Read each scenario. 2. Identify which “right” the Check Your Knowledge Medication Administration 1. Read each scenario. 2. Identify which “right” the teacher did not follow. 3. What should the teacher do to avoid endangering children? Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 m

Medication Administration - Do It Right! ? ? ? Mouth ? Skin ? Ear Medication Administration - Do It Right! ? ? ? Mouth ? Skin ? Ear ? Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 3 n

Medication Administration Crossword Puzzle Answers Down 1. labeled 2. rights 5. record 6. medicine Medication Administration Crossword Puzzle Answers Down 1. labeled 2. rights 5. record 6. medicine 8. daily 10. poisonous Orientation: Health, Safety & Sanitation Revised 3/10 Across 3. route 4. original 7. dose 9. child 11. time HSS 2. 3 o

Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 17 Orientation: Health, Safety & Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 17 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 4 a

Allergies What could children be allergic to? What are some reactions they may have? Allergies What could children be allergic to? What are some reactions they may have? Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 4 b

Take Precautions Be aware of allergies and intolerances reported by parents and documented by Take Precautions Be aware of allergies and intolerances reported by parents and documented by physician. Post allergies with written parent permission; if no permission, post on inside of cabinet door or under a blank sheet of paper. Monitor child and be alert to unexpected encounters with the allergic substances. Obtain written instructions from physician for responding to an allergic reaction & how/when to administer medication/emergency treatment (including use of Epi. Pen®). 17 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 4 c

Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 17 Orientation: Health, Safety & Prevent Injuries Supervision Safety hazards Medication Allergies Emergency situations 17 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 5 a

Emergency Situations What types of emergencies might happen? Fire Tornado/Wind storm/Ice storm Flood Earthquake Emergency Situations What types of emergencies might happen? Fire Tornado/Wind storm/Ice storm Flood Earthquake Electrical outage Man-made disasters Other Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 5 b

Prepare for emergency situations 1. Keep calm. 2. Be prepared for injuries and emergency Prepare for emergency situations 1. Keep calm. 2. Be prepared for injuries and emergency situations. #1 -4 CPR & First Aid certification #5 -6 First aid supplies #7 Emergency numbers Current emergency contact info #8 17 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 5 c

3. If child is injured: Provide CPR/First Aid OR call 911/local emergency #. q 3. If child is injured: Provide CPR/First Aid OR call 911/local emergency #. q Corded, non-battery, land-line telephone must be available. #9 Inform supervisor. Notify parents. Document injury. 18 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 5 d

4. Know/practice emergency policies and evacuation procedures. #10 -12 5. During emergency evacuation: #13 4. Know/practice emergency policies and evacuation procedures. #10 -12 5. During emergency evacuation: #13 -21 Sound alarm. Evacuate. • • Nearest exit Hiding children Attendance sheet Emergency contact info Meet at designated location. Take head count. 18 Orientation: Health, Safety & Sanitation Revised 3/10 HSS 2. 5 e

The Big Picture… juries ent in ev Pr ead of t spr reven P The Big Picture… juries ent in ev Pr ead of t spr reven P isease d 21 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 a

Infectious Disease “…children in child care settings are specifically prone to infectious diseases because Infectious Disease “…children in child care settings are specifically prone to infectious diseases because they are in close quarters while being fed and diapered, and they share toys, blankets and sniffles. Add to this the fact that children this age constantly put everything in their mouths, and you’ve got an ideal setup for the spread of disease. ” Dr. Pickering Healthy Child Care America Newsletter Winter 2001 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 b

How Disease Spreads Sick/infected 21 Orientation: Health, Safety & Sanitation Revised 3/10 Healthy HHS How Disease Spreads Sick/infected 21 Orientation: Health, Safety & Sanitation Revised 3/10 Healthy HHS 3. 0 c

4 ways germs leave sick body: Respiratory spray Body fluids & discharge Feces Body 4 ways germs leave sick body: Respiratory spray Body fluids & discharge Feces Body contact Sick/infected 21 Orientation: Health, Safety & Sanitation Revised 3/10 Healthy HHS 3. 0 d

Respiratory Spray 21 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 e Respiratory Spray 21 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 e

Body fluids & discharge Vomit Blood Tears & eye discharge Nasal discharge 21 Orientation: Body fluids & discharge Vomit Blood Tears & eye discharge Nasal discharge 21 Orientation: Health, Safety & Sanitation Revised 3/10 Urine HHS 3. 0 f

Feces 21 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 g Feces 21 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 g

Body Contact 21 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 h Body Contact 21 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 0 h

How germs find a healthy body Direct contact Indirectly via contaminated objects Sick/infected 21 How germs find a healthy body Direct contact Indirectly via contaminated objects Sick/infected 21 Orientation: Health, Safety & Sanitation Revised 3/10 Sick/infected HHS 3. 0 i

the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. Wash hands. 4. Handle formula properly. 5. Use proper diapering/toileting procedures. 6. Clean and sanitize. 7. Prevent food contamination and spoilage. 22 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 1 a

1. Ensure up-to-date immunizations. 23 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 1. Ensure up-to-date immunizations. 23 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 1 b

the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. Wash hands. 4. Handle formula properly. 5. Use proper diapering/toileting procedures. 6. Clean and sanitize. 7. Prevent food contamination and spoilage. 24 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 2 a

2. Perform a daily health check. Check for symptoms of illness. 24 Orientation: Health, 2. Perform a daily health check. Check for symptoms of illness. 24 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 2 b

If symptoms are present, decide: Immediate medical attention (e. g. , allergic reaction or If symptoms are present, decide: Immediate medical attention (e. g. , allergic reaction or asthma attack)? Isolation/exclusion (e. g. , vomiting)? Extra precautions (e. g. , listless or head lice)? Keep written record of concerns identified for each child during health checks for at least 3 months. Caring for Our Children, 2002, Section 3. 1 24 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 2 c

Exclusion Criteria 1. Using pages 25 -27 of your handout, determine if the child Exclusion Criteria 1. Using pages 25 -27 of your handout, determine if the child in each scenario should be excluded. 25 -27 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 2 d

Check Your Knowledge: Exclusion Criteria 1. Determine if the child in each scenario should Check Your Knowledge: Exclusion Criteria 1. Determine if the child in each scenario should be excluded. 2. After answering all questions, check your answers using pages 25 -27 of your handout. 25 -27 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 2 e

Children with Chronic Health Problems Asthma Allergies Cancer Cystic Fibrosis Diabetes Heart Problems Hemophilia Children with Chronic Health Problems Asthma Allergies Cancer Cystic Fibrosis Diabetes Heart Problems Hemophilia Rheumatoid Arthritis Obesity Sickle-Cell Seizure Disorder Orientation; Health, Safety & Sanitation HHS 3. 2 f

Got a question? Call your Child Care Health Consultant (formerly Healthy Start Consultant). 41 Got a question? Call your Child Care Health Consultant (formerly Healthy Start Consultant). 41 Orientation: Health, Safety & Sanitation Revised 8/10 HHS 3. 2 g

the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. Wash hands. 4. Handle formula properly. 5. Use proper diapering/toileting procedures. 6. Clean and sanitize. 7. Prevent food contamination and spoilage. 28 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 a

3. Wash hands. ÑHow? ÑWhen? 28 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. Wash hands. ÑHow? ÑWhen? 28 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 b

Effective hand washing requires: Warm water Soap lather Vigorous friction for 20 seconds Thorough Effective hand washing requires: Warm water Soap lather Vigorous friction for 20 seconds Thorough rinsing 28 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 c

Incorrect Order Wet hands. Dry hands. Rinse hands. Clean “easy-tomiss” areas. Throw towel away. Incorrect Order Wet hands. Dry hands. Rinse hands. Clean “easy-tomiss” areas. Throw towel away. Rub hands with soap. Turn faucet off. Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 d

Sequencing Cards 1. Spread the 7 cards out on the table. 2. Place the Sequencing Cards 1. Spread the 7 cards out on the table. 2. Place the cards in the correct sequence without referring to your handout. Orientation; Health, Safety & Sanitation HHS 3. 3 e

Washing Hands the Wrong Way Orientation; Health, Safety & Sanitation HHS 3. 3 f Washing Hands the Wrong Way Orientation; Health, Safety & Sanitation HHS 3. 3 f

Steps to clean hands include: Place hands under running water. Rub hands with liquid Steps to clean hands include: Place hands under running water. Rub hands with liquid soap. Clean “easy-tomiss” areas. Dry hands. Turn faucet off with paper towel. Throw towel away. Rinse hands. 28 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 g

ÑHow? ÑWhen? 29 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 h ÑHow? ÑWhen? 29 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 h

When? 1. Brainstorm all the times you should wash your hands during the day, When? 1. Brainstorm all the times you should wash your hands during the day, beginning the moment you walk in the door of the child care facility. 2. When finished, compare your list to the list on page 29 of the participant handout. 3. Circle any items on page 29 that you did NOT include when brainstorming. 29 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 i

Check Your Knowledge Hand Washing 1. Using the activity sheet, identify the correct sequence Check Your Knowledge Hand Washing 1. Using the activity sheet, identify the correct sequence of the hand washing steps by numbering each step 1 -7. 2. Use your handout to check your answers. Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 3 j

the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. Wash hands. 4. Handle formula properly. 5. Use proper diapering/toileting procedures. 6. Clean and sanitize. 7. Prevent food contamination and spoilage. 31 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 4 a

4. Handle Formula/ Infant Milk Properly To prevent illness or spread of germs, infant 4. Handle Formula/ Infant Milk Properly To prevent illness or spread of germs, infant milk/formula should be: Individually labeled and covered when not in use. Refrigerated promptly. For safety reasons, a bottle should not be: Heated in a microwave. Propped up for an infant. Left in the mouth of a sleeping infant. Carried around by an older infant. 31 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 4 b

the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. Wash hands. 4. Handle formula properly. 5. Use proper diapering/toileting procedures. 6. Clean and sanitize. 7. Prevent food contamination and spoilage. 31 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 a

5. Use proper diapering/toileting procedures. 31 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 5. Use proper diapering/toileting procedures. 31 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 b

Changing Diapers the Wrong Way Orientation; Health, Safety & Sanitation HHS 3. 5 c Changing Diapers the Wrong Way Orientation; Health, Safety & Sanitation HHS 3. 5 c

Diaper Changing – Sequence the Steps 1. Place the cards in the correct order. Diaper Changing – Sequence the Steps 1. Place the cards in the correct order. 2. Then, check your work using page 31 of your handout. Orientation; Health, Safety & Sanitation HHS 3. 5 d

Diaper changing steps #1 #2 #3 Check to see if all your supplies are Diaper changing steps #1 #2 #3 Check to see if all your supplies are ready. Wash hands and put Lay child on table. Never leave on gloves (latex free). unattended. #4 #5 Clean child’s bottom front to back. 31 #6 Put diaper in lined, covered trash can. Remove gloves and put in lined, covered trash can. Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 e

#7 #8 Use disposable wipes to clean your hands, then child’s hands. Diaper and #7 #8 Use disposable wipes to clean your hands, then child’s hands. Diaper and dress the child. #11 #10 Return child to a supervised area. 31 #9 Clean and sanitize diapering surface and toys/objects touched during diaper change. Orientation: Health, Safety & Sanitation Revised 3/10 Wash child’s hands with liquid soap for 20 seconds. #12 Wash YOUR hands with liquid soap for 20 seconds. HHS 3. 5 f

Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 g Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 g

Toileting Potty Chairs: Use not recommended. If used: Empty promptly. Sanitize after each use. Toileting Potty Chairs: Use not recommended. If used: Empty promptly. Sanitize after each use. Do not wash in sink used for hand washing. 32 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 h

Check Your Knowledge Diapering/Toileting 1. In the right column, indicate the correct order each Check Your Knowledge Diapering/Toileting 1. In the right column, indicate the correct order each step should be completed. 2. Read the four statements at the bottom of the page. Indicate if the statement is true (T) or false (F). Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 i

Diaper Derby 1. Review procedures and prepare to demonstrate proper diapering procedures. 2. One Diaper Derby 1. Review procedures and prepare to demonstrate proper diapering procedures. 2. One member of each team will diaper a doll while the trainer (or another volunteer) checks off items on PAS 3. 5 C in the order in which they are done. (This is NOT a race!) 3. Teams receive 1 point for each step that was completed in the correct order. Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 5 j

the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. Wash hands. 4. Handle formula properly. 5. Use proper diapering/toileting procedures. 6. Clean and sanitize. 7. Prevent food contamination and spoilage. 34 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 a

Germs get around… Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 b Germs get around… Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 b

6. Cleaning & sanitizing Cleaning does not sanitize! 34 Orientation: Health, Safety & Sanitation 6. Cleaning & sanitizing Cleaning does not sanitize! 34 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 c

Bleach it! Bleach solution ¼ cup bleach to 1 gallon water OR 1 tablespoon Bleach it! Bleach solution ¼ cup bleach to 1 gallon water OR 1 tablespoon bleach to 1 quart water OR 1 ½ teaspoons of bleach to 1 pint water Make solution daily. Put solution ratio on bottle. Additional training available through Kentucky OSHA 34 Orientation: Health, Safety & Sanitation Revised 3/10 1 T to 1 QT HHS 3. 6 d

Leave it wet! Contact time = 2 minutes (minimum) 34 Orientation: Health, Safety & Leave it wet! Contact time = 2 minutes (minimum) 34 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 e

For blood or body fluids… Take extra precautions! Wear non-porous gloves Avoid splashing Put For blood or body fluids… Take extra precautions! Wear non-porous gloves Avoid splashing Put contaminated items in a plastic bag Clean and sanitize floors & floor coverings Clean and sanitize mops and cleaning equipment Change and bag soiled clothes and wash soiled skin 35 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 f

Clean or Sanitize? Daily or Weekly? 36 Orientation: Health, Safety & Sanitation Revised 3/10 Clean or Sanitize? Daily or Weekly? 36 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 g

Check Your Knowledge Cleaning & Sanitizing 1. Circle the items that must be cleaned Check Your Knowledge Cleaning & Sanitizing 1. Circle the items that must be cleaned AND sanitized. 2. Then, check your answers using page 36 of your handout. Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 6 h

the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. the spread of infectious disease 1. Ensure immunizations. 2. Perform daily health check. 3. Wash hands. 4. Handle formula properly. 5. Use proper diapering/toileting procedures. 6. Clean and sanitize. 7. Prevent food contamination and spoilage. 37 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 7 a

Prevent Food Contamination and Spoilage Wash all fruits and vegetables before cooking and/or serving. Prevent Food Contamination and Spoilage Wash all fruits and vegetables before cooking and/or serving. Keep hot foods hot and cold foods cold prior to serving (40 -140 degrees F. is danger zone). Keep food covered before serving and protected against contamination. Meat salads, poultry salads, and creamfilled pastries must be kept refrigerated until served. 37 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 7 b

Prevent Food Contamination and Spoilage Do not serve food that has been home-canned or Prevent Food Contamination and Spoilage Do not serve food that has been home-canned or prepared at home. Discard food after it has been served. Unserved food should be covered promptly, refrigerated, and used within 24 hours. 37 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 3. 7 c

Closing Check Your Knowledge Summary Activity Evaluation Orientation: Health, Safety & Sanitation Revised 3/10 Closing Check Your Knowledge Summary Activity Evaluation Orientation: Health, Safety & Sanitation Revised 3/10 HSS 4. 0

Baseball Summary Player is “pitched” a question. Batter/team answers question. If batter/team is unable Baseball Summary Player is “pitched” a question. Batter/team answers question. If batter/team is unable to answer, or answers incorrectly, the player is “out”. If correct, player rolls die. 1=go to 1 st base 2=go to 2 nd base 3=go to 3 rd base 4=home run 5=foul (field another question) 6=player is OUT After 6 die rolls and/or 1 out, the other team comes to bat Orientation: Health, Safety & Sanitation Revised 3/10 HHS 4. 1 a

HSS BINGO! 1. Go to your assigned poster. 2. Select 16 squares from your HSS BINGO! 1. Go to your assigned poster. 2. Select 16 squares from your set of BINGO squares. 3. Randomly place one BINGO square in each square of your grid (picture showing). 4. As the trainer draws a BINGO card, if you have that card on your grid, flip it over (picture face down). 5. When all your cards are turned over (blackout) yell BINGO! Orientation; Health, Safety & Sanitation Revised 3/10 HHS 4. 1 b

Check Your Knowledge 1. Locate the “Check Your Knowledge” completed at beginning of session. Check Your Knowledge 1. Locate the “Check Your Knowledge” completed at beginning of session. 2. Circle answers in “After Session” column. Orientation: Health, Safety & Sanitation Revised 3/10 HHS 4. 2

Web Sites American Academy of Pediatrics (AAP): www. aap. org Centers for Disease Control Web Sites American Academy of Pediatrics (AAP): www. aap. org Centers for Disease Control and Prevention (CDC): www. cdc. gov National Association for the Education of Young Children (NAEYC): www. naeyc. org National Network for Child Care (NNCC): www. nncc. org National Association for Family Child Care (NAFCC): www. nafcc. org Nation School-Age Care Alliance: www. nsaca. org 37 Orientation: Health, Safety & Sanitation Revised 3/10 HHS 4. e

Evaluation Time! 1. Your feedback will help me: • identify what you found useful. Evaluation Time! 1. Your feedback will help me: • identify what you found useful. • improve this training. 2. Please thoughtfully complete your evaluation. 3. Turn in evaluation and pick up certificate. Orientation: Health, Safety & Sanitation Revised 3/10 HHS 4. 4