What are the regulations when changing a baby/toddlers nappy in a nursery.?

Question

I know apron but are gloves compulsory. Do you apply baby cream with a tissue or hands?

Answer 1

I used to work at a daycare. We had to wear gloves but i don't remember the cream thing. Each daycare might have different rules.

Answer 2

Yes aprons and gloves nothing else.

Answer 3

Section 407.340 Diapering and Toileting Procedures

      a) Each area serving children wearing diapers or disposable pull-ups shall have a designated diapering area which includes at least the following:

            1) An accessible hand-washing sink within the same room without barriers such as doors unless the before and school program is exempt per Section 2.09(a)(ii) of the Child Care Act.

            2) A changing surface that has an impervious, non-absorbent surface.

            3) Covered receptacles conveniently located close to the changing surfaces for the disposal of soiled diapers. These receptacles shall be washable, plastic lined and tightly covered. There shall be separate containers for disposable diapers, cloth diapers (if used) and soiled clothes and linens.

            4) A supply of disposable latex gloves.

            5) Clearly posted procedures for diaper changing, consistent with the following:

                  A) Have the following supplies ready before bringing the child to the diapering area:

                        i) Disposable wipes or fresh, wet paper towels;

                        ii) Diapers;

                        iii) Skin preparations prescribed by the child's doctor or requested by the child's parent; and

                        iv) Disinfecting solution and paper towels for cleaning up.

                  B) Lay the child on the changing surface, taking care to minimize contact with the child if his/her outer clothes are soiled.

                  C) Put on protective gloves.

                  D) Remove diaper and any soiled clothes.

                  E) Clean the child's bottom from front to back with a fresh disposable wipe or a damp paper towel. Aerosol or roll-on products shall not be used.

                  F) Dispose of disposable diapers, paper towels and diaper wipes in covered receptacle. Put soiled clothes and cloth diapers into a plastic bag to be sent home with the parent.

                  G) Remove disposable gloves. Wash hands or wipe hands with a premoistened towelette and use another towelette to clean the child's hands.

                  H) Place clean diaper on the child. Make sure child's clothing is clean and dry. If not, change child's clothing.

                  I) Wash the child's hands in accordance with the requirements of Section 407.320.

                  J) Return the child to a supervised area.

                  K) Clean visible soil from the changing table with paper towels or disposable wipes.

                  L) Clean and disinfect the diapering area.

                  M) Wash adult hands, using procedures outlined in Section 407.320.

      b) The diapering area shall be separate from any food preparation areas, and shall never be used for the temporary placement or serving of food.

      c) Changing surfaces shall be cleaned and sanitized between each diaper change.

      d) Diaper receptacles shall be cleaned and sanitized daily.

      e) Diapers shall be able to contain urine and stool and minimize fecal contamination of the child, caregivers, environmental surfaces and objects of the child care center.

      f) If cloth diapers are used, soiled cloth diapers and/or soiled training pants shall never be rinsed. The fecal content may be placed in the toilet, but the diaper shall not be rinsed.

      g) Toilet-training equipment shall be provided for children being toilet-trained.

            1) Child-sized toilets or safe and cleanable step aids and modified toilet seats shall be available.

            2) If used, the contents of potty chairs shall be dumped in the toilet, and the potty chair shall be cleaned and sanitized between each use.

            3) Toilet-training equipment shall not be counted as toilets in the toilet/child ratio.

Answer 4

Where I work, we have to wear gloves, put paper over the changing table, throw it out, and spray the table after each use. It seems like those would be the rules everywhere.

Answer 5

Best practice is to follow NAEYC's recommendations as it decreases the amount of fecal contamination in a room

naeyc.org

We tell caregivers to use a tissue not their hands, again just a sanitation issue.

Answer 6

Yes gloves are mandatory. If someone applied cream to my babies sore behind with a tissue I would be upset. It can irratate it more.

Answer 7

Hi I used to worked in 2 day care centres, and in the first one I worked in, gloves and apron was only nesscary if the child had soiled, and I was never told what to do with the cream weather with tissue or hands. Somepeople only used to use one glove to change the nappy but this needs pratice. But when I was in another nursery I was told that apron and gloves should be warn and as you dont know weather a child has soild or just in case in time for nappy change and the child has soiled, you put the apron and gloves on in advance just incase.

But with the tissue or hands thing for the cream i am not to sure. If you worried then just ask as they should tell you, I know a few people in the chlildcare industry are so busy they dont tell you things they should. so always always ask questions as it very important when working with children.

I know its stupid that I dont know the answer to the nappy cream question but I was only there for 3 months as  I didnt like the place I worked., and then the second place I worked the nursery was ran that bad I couldnt cope. Im sure a there will be some qualified nursery nurses on here that can help you out.

Answer 8

The baby can only have cream applied if you have the express wishes of the parents. This should be written consent and the parents must supply the cream. This can be applied with either tissue or hands according to Nursery policy. it is important when cleaning little girls that you clean from the front to the back so no faeces are transferred to the v***a.