Month: February 2014

First Aid for childcarers

One of the most common requirements for childcarers is a valid paediatric first aid certificate. All registered child minders have to hold this, as well as OFSTED registered nannies. Nurseries only have to have one member of staff trained but it’s good practice for most, if not all, staff to have done a course.

Accidents can happen at any time and frighteningly quickly. One of the biggest risks for small children is choking. The leading First Aid organizations in the UK have just published new guidance for managing choking in a baby. Instead of lying the baby along your arm and giving back slaps to dislodge the blockage they now recommend putting the child face down across your lap to administer back slaps. Changes like this are part of the reason a First Aid certificate should always be within date and fully renewed every 3 years.

It’s important to make sure the certificate specifically covers paediatric first aid as some treatment is different for children that won’t have been covered on an adult course.

Thorough First Aid training means a childcarer should feel confident about handling an incident and this will help them stay calm and remember what to do. A course should also involve hands on practice to ensure the techniques are correctly understood. No amount of reading can replace this practical component.

We urge parents to ensure their nannies and babysitters are trained in First Aid and support this petition to make it a legal requirement for all nursery worker to hold a First Aid certificate too. Please take a moment to read and sign.

First Aid courses are available through organisations such as the Red Cross and St John’s Ambulance, private providers and many nanny agencies.

Emergency planning

If you’re in the UK right now you won’t have been able to escape the weather forescats and the news reports of severe flooding, high winds and power outages, but how many nannies have an emergency plan agreed with the parents in case of disaster?

 

Imagine this:
Your workplace is on a flood plain and you start to notice water coming up through the drains. The river has flooded nearby fields and the road outside has started to flood. You start to worry that if you stay put you won’t be able to get your car out and will be trapped by the water. What do you do?

Or maybe you’ve been out for the day and as you return to your bosses’s house you find that the road is so flooded you can’t get by. Where do you go?

Obviously remaining in your charge’s home, where you employers expect you to be isn’t an option in either of those scenarios, but in the thick of an emergency situation it may be difficult to keep parents informed every step of the way. This is why a pre-agreed emergency plan that both nanny and parents are aware of is so important. Even if you don’t live on a flood plain you never know what might happen!

 

1. Agree a safe place, or two safe places in case one is also affected
If parents return home to find you gone and can’t get in touch with you they will know where to look. This might be your own home, your charge’s grandparents or a nanny friend’s. The idea is that you have somewhere to go away from the disaster, so the next street over probably won’t cut it. Make sure you know several alternative routes to get there too, and take natural obstacles like rivers into account.
 

2. Make a list of what to take with you

When you evacuate a house you need to assume that you won’t be back for a while. Some things, like a change of clothes and any special cuddly toys, you’ll take automatically, but your employer might want you to also take important documents with you too. Ask them if they have a file they would like you to grab on the way out, and if they don’t suggest they put one together.

 

3. Know how to secure the house before you leave

Obviously you and your charges are a priority but knowing how to switch the gas/electricity/water off (especially if it’s a gas leak or a plumbing disaster) could save time later.

 

4. Set an emergency contact

If you can’t check in with your employers for some reason, or they can’t reach you, designate a third party contact. That way if you have to leave your charge’s house and go to your agreed safe place you can leave a message with your employers and another person.

 

5. Have a waterproof emergency kit

Nannies nowadays usually have contact numbers on their mobile phone, and that’s fine until the network gets overloaded or your phone slips out of your pocket into the rising floodwaters. First item in your waterproof kit is laminated contact details for the parents and emergency contact. You should also laminate all your emergency information: your safe place, your ‘to-take’ list and instructions on how to secure the house. You should also have food and water, including baby milk if necessary (you can buy pre-sterilised, pre-made bottles), a first aid kit, and a torch and batteries.

 

It might seem extreme, and we hope you’ll never need to use it, but when it comes to you and your charge’s safety better safe than sorry!

Attachment childcare

Most people have heard of attachment parenting, if only in sensationalised form, also known as the Sears method. The idea is that an infant is kept as close its mother, or other caregiver, as possible by breastfeeding, using a sling, bed-sharing, responding sensitively to cries and, as the child grows, ensuring that any separation is child led as far as possible. It must be said that many parents follow some of these principles without defining themselves as attachment parents but when parents openly say they follow attachment parenting some childcarers start to panic.

 

There is no need to worry. Although the label might sound off-putting, by entering into a dialogue with parents about how they practice attachment parenting will help you understand and accommodate their child’s needs.

 

1. Breastfeeding

This is obviously a logistical problem when any breastfeeding mother goes back to work. Make sure you and your setting are supportive of continued breastfeeding; know the value of expressed breast milk and how to handle it, talk to the mother about feeding times and whether she would prefer you to feed the baby just before collection or her to feed on arrival/at home to fit in with her pumping schedule, and try attachment bottle feeding.

 

2. Using a sling

If a baby is accustomed to being held and soothed by their caregiver it’s very important to continue this in some way during the transition to childcare and the easiest way to do this is to use a sling. Slings are a very individual decision but try asking the parents for their input if you don’t have one of your own that fits you comfortably.

 

3. Bed-sharing

This is often the trickiest adjustment. It isn’t advised for anyone but breastfeeding mothers to bedshare with their infants so as a childcarer, potentially caring for other children at the same time, it’s not practical. Make the sleeping area as familiar as possible. Consider asking the parents to provide a pillowcase and blanket that they have slept with to provide a familiar smell and commit to stroking or patting the  baby to replace the comforting contact of their mother’s body or suggest naps in the sling. Above all don’t judge the parents for continuing to bedshare at home – it’s valuable time for them to reconnect and may allow the mother to rest while breastfeeding a baby who refuses milk during the day.

 

4. Responding to cries

One of the key principles of attachment parenting is a belief that cries are genuine attempts to communicate and should not be ignored. As any attachment parent of two or more will tell you this doesn’t mean running at the first whimper if you have another child to attend to, but
it does mean responding and trying to figure out what is wrong rather than leaving a baby to cry it out, or seeing whether he will settle after a few minutes crying by himself.

 

5. Child-led separation

Attachment parents may request a longer settling in period to gradually accustom their child to you and your setting. Use this time to observe and learn how the parents and child interact so you can provide consistency. It doesn’t mean that they don’t trust you or are hanging around to be difficult!

Chickenpox

Springtime is often chickenpox time. This common childhood disease, usually found in children aged 4-10, causes itchy spots to appear all over the body and is highly contagious, but unfortunately has a 10-21 day incubation period and a 1-2 day period where there are no symtoms, meaning it spreads very easily. The virus can be airborne, in droplets from coughs and sneezes, and found in the liquid that fills the blisters of the characteristic rash. Signs usually appear 10 days after exposure but it can be as long as 3 weeks.

 

Children may feel unwell or irritable, have a fever or achy muscles and lose their appetite. The rash usually appears first on the inside of the mouth and at the back of the throat before covering the head and body. It starts as small red pinpicks which turn to fluid filled blisters within 10-12 hours. The itchy blisters then scab over but more may appear for up to 5 days.

 

There is no cure for chickenpox, although there is a vaccine available, but most parents prefer to let their children catch it. The only thing you can do is try to relieve itching and prevent complications such as infection that come from scratching. The most common remedy is calamine lotion which is applied to the spots. It’s a good idea to cut nails short or wear gloves to make it difficult to scratch. Other remedies are filling a sock or pair of tights with porridge oats and putting it in the bath or adding sodium bicarbonate to the bathwater. If the rash doesn’t heal after a week or some spots appear to be growing an infection may have set in such as impetigo. Children often don’t feel like eating or drinking because the inside of their mouth is sore so offer plain or fruit ice lollies to soothe and combat dehydration.

 

It’s unusual for adults to catch chicken pox as most people have had it in childhood, but the virus can cause shingles so good hygiene is vital. Wash your hands frequently and bleach surfaces

 

The frustrating thing about chickenpox is often being cooped up indoors. It is very contagious and although often mild in children it can be serious in pregnant women and the elderly so going out and about is not advised. Children often feel perfectly well apart from the itching and find being kept inside frustrating. Sensory play can be a great way to distract children from the itching and incorporate treatment. Why not try body art with calamine lotion or water play in a soothing bath? Keeping hands busy gives them less chance to scratch and as it’s springtime get a head start on Easter with 9 nifty Easter activities or check out some previous suggestions for rainy day play.