Unit 4:Child HealthAssignment2 – Understanding the legal requirements for reporting notifiable diseases,injury and fatality.3.

1 (D4) Identify accurately a rangeof diseases which must be notified to authorities in line with requirements.The legalrequirement for reporting notifiable diseases, injury and fatality is calledRIDDOR. This legislation is used in settings is to protect the children andstaff from dangerous occurrences such as dangerous diseases, life threatinginjuries and even death. When there has been a dangerous occurrence or anotifiable disease in the nursery, practitioners have to report it to RIDDOR sothat they can prevent the occurrence from happening again in another setting.It is a legal responsibility and it is the nursery’s responsibility to reportto RIDDOR. When a childdoes have a notifiable disease (e.

g. measles), they must be excluded whilstthey are contagious. It is best for parents to seek local advice from theirdoctor on when it best for the child to come back into the setting and tofollow the setting’s exclusion polices. NotifiableDiseasesThere aremany notifiable diseases that need to be reported to RIDDOR.

A notifiabledisease is a disease that the local health authority (LAPO) has said and havechosen to be reported to RIDDOR as they are contagious and could cause seriousharm if caught. Examples of Notifiable diseases are…1.      Mumps – This is a disease that causesswelling (Especially in the face). This disease is usually prevented with theMMR vaccine. 2.

      Whooping Cough – This is where the child has boutsof coughing which has a whooping sound.3.      Measles- This disease is highly contagious, and it is where the child developsgreyish spots on the body.4.      Acute Meningitis –  This can cause serious complications where the child’s bodyhas a red rash that does not go away.5.      Rubella – Where the child has a pink rash withswollen glands near the ears and neck.

6.      Scarlet fever – The tongue of the child can get redand swollen and their body will develop a red rash.7.

      Food Poisoning – This illness is where the child has diarrhoea and sickness as they haveeaten food that has been contaminated with bacteria such as E-Coili.8.      Diphtheria – This is where the child will get athick coating that’s white/grey on the back of their throat, this illness cancause death in babies.9.      Yellow Fever – This disease is not found in the UKbut from countries such as south America. It is where the child has been bittenby a mosquito and can make the child feel very unwell.10.

  Tuberculosis –  This is very contagious and can cause seriouscomplications to the nervous system. MumpsCase studyZach is 3years old and goes to a day nursery. Today his mother was late to work andrushed Zach into the nursery. Zach had recently just transitioned into the 3-5-year-oldroom; when Zach had told his mother that he felt a bit unwell, she thought thatZach was just a bit anxious about the transition.

The practitioners were toldto keep an eye on him to see if he is okay throughout the day. Two hourslater, one of the staff started to notice that Zach’s face was starting toswell whist he was eating his snack. When the practitioner asked if he was okay, Zach replayed and said thathis cheeks hurt when he eats. After he said that the practitioners asked Zachto come aside so that they could check he had any other symptoms. Theydiscovered that Zach also had a high temperature, his cheeks were red and thathe was having aches and pains all over his body. The practitioners agreed thathe might have a high chance that he has got mumps. Zach wasisolated from the rest of class whilst one of the practitioners called hisparents to arrange to pick him up.

When his father had got there, thepractitioner discussed that the policy at the day nursery was that childrenwith mumps are to have five days exclusion period once the symptoms begin. Thepractitioner also gave advice that Zach should have lots of sleep and fluidsand that he might need Calpol to soothe his aches and pains and lower histemperature.  She also asked if the childhas received their MMR vaccine when he was 12-13 months and that he should haveanother before he starts school.  Zachwas also told by the practitioner to wash his hands often and to sneeze into atissue to prevent the germs from spreading.

 Lastly, she told him if any of the symptomsget worse, he should call a doctor immediately. After Zachhad gone, the practitioner reported the case of Mumps in the nursery to RIDDORso that she could let the local authorities know about the infectious disease.Posters were put up on walls to inform parents that someone had been found withMumps and that they should check their child if they have any symptoms. Thetoys in the 3-5-year-old room was thoroughly washed to prevent the mumps fromspreading.Casestudy – Chicken Pox Millie is 2 years old and goes tonursery. Millie lives with her parents and hersister who has recently had the chicken pox. This morning MillyMilliehad a temper tantrum as she did not want to eat her breakfast. MillyMillie’sparents usually struggle to get her to eat breakfast but today she was worse.

MillyMillie’smother explained this to her key worker at the nursery. The key workerencouraged her to eat breakfast with the other children in the setting: MillyMillieagreed. As the key worker picked up MillyMillieshe noticed that she was quite warm. The practitioner felt MillyMillie’shead and found out she had a high temperature. As her mother was still there,the key worker told MillyMillie’smother about this. Her mother explain there has been case of chicken pox in herfamily.  The practitioners suggested that they shouldtake her into the nappy changing area and check her body for any blisters/rashes.

Millie’s mother and the practitioners found out that MillyMilliewas starting to get blisters on her chest/stomach area.  MillyMilliestarted to cry as she feared the spots on her body. The practitioners said thatMillyMillieshould have plenty of water and sleep. They alsosuggested to make sure that Millie’snails are cut short or that she should have gloves of her hands to preventscratching.

They also advised her to get creams to help withthe itching and that paracetamol isbest to help if she is in pain. The keyworker explainedthat the policy for chicken pox is thatMilly must not return to nurseryfive day after the first spots appear.  After Milly wastook home, the nursery put up postersinforming parents about the case of chickenpox and thatthey should look out the signs in their child. Thingsthat Milly had touched were cleaned to prevent the illness from spreading. 3.2 – Give a description of the processes for reportingnotifiable diseases, injury and fatality:·        In line with the setting’s policiesand procedures.·        To meet legal requirements andresponsibilities.

 When there has been a child with anotifiable disease, all settings must have policies and procedures that theyneed to follow. Settings must make sure that confidentiality is kept alwayswhilst making reports of the case. Firstly, the settings have to writedown the notifiable disease and any important details such as the date and timethe notifiable disease occurred. Secondly, after the have got in touch withlocal health authority they have to ensure that they follow all advice. All thestaff in the nursery must also be informed of the notifiable disease and tolook out for any symptoms in other children.Injury or fatality, the setting mustalso have policies and procedures.  Forexample, all nurseries must have a accident report book.

This is a book wherethe settings have to note down and record important information about thedangerous event that has occurred. (e.g. what happen, who had got injured, time and place and if there where anywitnesses during the event etc.) This document must be kept safe as it willcontain sensitive information. However, the document must also be accessible sothat all staff know where it is if there was a accident/emergency. Forms must be filled in when therehas been an incident, for example the accident form is where practitionersrecord any injuries a child has got during the time in the setting.

Forexample, if the child has fallen over and bumped his head. When this happens,the nursery will have it stored in the child’s file and parents will also begiven a copy. It usually states important information such as the kind ofinjury, time and date, any witnesses of the injury and where it may havehappened.  Another important form is formedication where the parents of the child give their permission for the nurserystaff to administer medication to their child. This form is usually signed by the parent and kept in the child personalfiles.

Another form could be needed if the parentgives the child a medication before they enter the setting. This policy is incase the child might have allergic reaction to the medicine they are given.  However, for some incidents Ofsted need to becontacted immediately if a child has died from a incident that has occurred inthe setting, or if a child has had to have had treatment from a injury that hashappened in the setting. Ofsted must also be contacted if more than one childhas had food poisoning in the setting. It is important that Ofsted know ofthese events as they help make sure that no other children are at risk of theseevents to ensure the children are safeguarded. 


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