Tag: child health

Sickness etiquette

It’s a fact of life that people get ill, and those in contact with small children more often than most. One of the advantages of a nanny is that they will care for poorly children, but an oft cited disadvantage is that you rely on one person for your childcare, as you do with a childminder, and if they are sick you have no childcare. The sooner everyone knows about any sickness, the easier it is to deal with the disruption.

Tips for parents:

Sick children: As we said a nanny will normally care for sick children as part of their job, but it’s always good to give your nanny a heads up before they arrive. If your nanny is female and your children have an illness which could be dangerous in pregnancy you should warn your nanny in case they are in the early stages and haven’t told you.

Sick parents: There’s no reason your nanny shouldn’t come to work but they might need to adjust their plans slightly to give you the peace and quiet you need to recuperate.

Sick nannies: Before employing a nanny it’s a good idea to have a backup plan in place. Local nanny agencies should have temporary nannies available to work in your area or your employer may offer emergency childcare solutions. Most nannies will only take time off when they’re absolutely incapable of coming to work so even if it’s a day when you have a really important meeting try not to make them feel worse than they already do.

Tips for nannies:

Sick children: Your charges may want Mummy or Daddy, and many more cuddles than usual. Make sure your employers understand that your priority is your poorly charge and the usual jobs might not get done.

Sick parents: It can be hard having parents at home, especially when the children don’t understand that they need to rest. Don’t feel too awkward though – chances are they’re too busy feeling rubbish to listen to your out of tune renditions of head, shoulders, knees and toes at nappy change time.

Sick nannies: Call, rather than text, if you know the night before that you won’t be in the next day. Send a text between 10pm and 6am and follow it up with a phone call to make sure your employers know you won’t be in. If you can suggest any nanny friends who might be happy to cover all or part of the day, and it’s a good idea to have a list in the nanny diary at your boss’s house, then your employers will probably be very grateful.

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.

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.