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Old 07-14-2016, 01:51 PM
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Hand washing procedures are exhausting. Probably impossible. I would love to see one of the trainers do this with a mixed age group in their home. Just once. While meeting the curriculum goals we are supposed to.

"Providers should wash before: Upon arrival for the day, when moving from one child care group to another. When hands are visibly dirty. Before going home.

Providers should wash before and after: Food/beverage preparation, handling food. Serving food. Bottle feeding, feeding a child. Giving medications. Playing in water used by more than one person. Eating food.

Providers should was after: Using the toilet, diapering and
toileting. Handling body fluids:• nasal mucus• blood• saliva
• vomit. Handling animals or animal waste. Playing in
sandboxes. Being outdoors. Removing disposable gloves. Handling garbage. Cleaning.

Wash children's hands: Immediately upon arrival for care. When moving from one child care group to another. Upon re-entering the child care area after outside play. Before and after: eating meals and snacks. handling or touching food. playing in water. After: toileting and diapering. playing in sand. touching animals or pets. contact with bodily fluids such as, but not limited to, mucus, saliva, vomit or blood. contamination by any other means.

How to wash hands: Get paper towel ready for drying. Wet hands with clear, warm water. Apply soap. Wash palm to palm. Back of hands. Ring. Back of fingers. Thumbs, Fingertips.Wash hands including wrists following steps below. Wash for 20 seconds (sing Happy Birthday TWICE). Rinse with clear, running water. Dry thoroughly with clean
paper towel. Turn off water with paper towel. Open rest room door with paper towel. Dispose of paper towel in a
hands-free trash can.

Infants: Prepare for Diapering Before Bringing Child to the Table Change the table paper (if used) to cover the table from the child's shoulders to feet (in case it becomes soiled and must be folded over to create a clean surface during the change).

Obtain enough wipes for the diaper change (including cleaning the child's bottom and the child's and teacher's hands after taking the soiled diaper away from the child's skin). Get a clean diaper, plastic bag for soiled clothes and clean clothes (if soiled clothing is anticipated).

Gather your non-porous gloves (if they will be used), and a dab of diaper cream on a disposable paper towel, if cream is being used. Supplies should be removed from their containers and placed near, but not directly on, the diapering surface before starting the diaper change.

Avoid Contact with Soiled Items and Always Keep a Hand on the Child Wash your hands with liquid soap and warm running water. Place the child on diapering table. Remove clothing to access diaper. If soiled, place clothes into a plastic bag. Remove soiled diaper and place into a lined, hands-free trash container. (To limit odor, seal in a plastic bag before placing into trash container.)

Clean the Child’s Diaper Area Use wipes to clean child's bottom from front to back. Use a wipe to remove soil from adult's hands. Use another wipe to remove soil from child's hands. Throw soiled wipes into lined, hands-free trash container.

Put on a clean diaper and redress child.

Clean and Disinfect the Diapering Area. Clean any visible soil from the diapering table. Spray the diapering surface with bleach-water solution and wait more than 10 seconds before wiping with a disposable towel or allow to air dry.
The recommended practice is to wait for 2 minutes to allow the solution to kill germs. However, if there is a delay of more than 10 seconds before the solution is wiped from the surface, this is considered adequate. The surface cannot be sprayed and immediately wiped.

The diapering surface must be sanitized after each diaper change with a bleach-water or other approved sanitizing solution.

Wash Your Hands and Record in the Child’s Daily Log.

Adult washes hands using the proper hand washing procedure without contaminating any other surfaces.

Additional precautions
All surfaces must be able to be sanitized- e.g., no quilted pads or safety straps, no containers that are stored on the diapering surface.

Toys that are played with or objects that are touched while children's diapers are changed must be put aside to be sanitized."
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