Diapering Procedure_1_

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                                                       CARRY CHILD TO                                                                                               REMOVE
                   GET ORGANIZED                       DIAPERING AREA                                   CLEAN     THE   CHILD                                       SOILED DIAPER

Wash your hands.                     Avoid contact with clothing                       • Remove stool and urine from                     IMMEDIATELY put disposable
Gather what you need:                soiled with urine or stool                          front to back.                                  diaper in a plastic-lined,
                                     (germs).                                          • Use fresh wipe or dampened                      hands-free, covered trash
✔ non-absorbent, disposable                                                                                                              receptacle.
  paper (recommended)                 • Gently place child on                            paper towel with each front
  or pad                                diapering surface.                               to back cleaning.                                  Put soiled reusable diaper
                                                                                                                                            and/or soiled clothes in a
✔ fresh diaper                       Always keep a hand on                             • Place soiled wipe or paper
                                                                                                                                            plastic bag, close securely,
                                     the child.                                          towel in plastic-lined,
✔ clean clothes (if necessary)                                                           hands-free, covered                                for sending home.
                                      • Remove child’s clothes,                                                                             Do not rinse.
✔ plastic bag for soiled items          shoes and socks as needed.                       trash receptacle.
                                                                                                                                         Remove gloves.
✔ disposable wipes                    • Place soiled clothes in
✔ gloves (recommended)                  plastic bag. Close securely                                                                      Dispose of immediately.
                                        for sending home.                                                                                Clean your hands with a
✔ diaper cream, removed from
                                        Do not rinse.                                                                                    disposable wipe.
  container and placed on a
  disposable tissue                                                                                                                      Clean the child’s hands with
                                                                                                                                         a fresh disposable wipe.
Put on disposable gloves.
                                                                                                                                         If disposable paper is used,
                                                                                                                                         fold from the feet over any spills
                                   Diapering                               Procedure                                                     under the child.

                   PUT A
                         5                                 6                 CLEAN,     RINSE,
                                                                                      DIAPERING AREA
                                                                                                       SANITIZE         7                                                8
                   CLEAN DIAPER                        WASH CHILD’S                                                                                                 WASH
                   ON THE CHILD                        HANDS                                                                                                        YOUR HANDS

                                                                                       • If paper liner is used, dispose
  • Slide fresh diaper                Take child to the sink. Hold child                 of paper liner in a plastic-                       • Put cleaning and sanitizing
    under child.                      and wash child’s hands with                        lined, hands-free, covered                           solutions away.
                                      soap and water.                                    trash receptacle.                                  • Wash your hands.
                                      If child can stand, wash your                    • Spray and wipe entire                           Record diaper change, diaper’s
  • Use tissue to apply needed
                                      hands in the adult hand washing                    diapering area with                             contents, and any problems in
    diapering cream. Discard
                                      sink and then assist child as                      detergent solution.                             daily log.
    tissue in plastic-lined,
                                      necessary to wash their hands in                 • Rinse with water.
    hands-free, covered trash
                                      the child handwashing sink.
    receptacle.                                                                        • Spray entire diapering area
                                      If you are unable to hold the                      with sanitizing solution.
  • Adjust and fasten diaper.         child for handwashing and the
                                      child cannot stand at the sink,                    If a pad is used, spray both
  • Finish clothing child.
                                      use commercial disposable wipe                     sides of the pad and the
                                      to clean child’s hands: between                    changing table surface with            North Carolina Child Care Health & Safety Resource Center •

                                      fingers, and both sides to the                     detergent solution. Rinse with                 1.800.367.2229 • •
                                                                                                                                 The development, translation, and mailing of the Diapering
                                      wrist. OR use the three paper                      water. Spray both sides of the           Procedure Poster are supported by funding from the Child
                                                                                                                                 Care and Development Fund Block Grant of the Child Care
                                      towel method: the first damp                       pad and the changing table               Bureau, Administration on Children and Families, USDHHS,
                                      and soapy for washing, the                         surface with sanitizing solu-               through a contract between the NC Division of Child
                                                                                                                                  Development, NCDHHS, and the Department of Maternal
                                      second damp for rinsing and                        tion.                                             and Child Health, School of Public Health,
                                                                                                                                         The University of North Carolina at Chapel Hill.
                                      the third to dry hands.                         Let sanitizing solution sit for
                                     Return child to supervised area.                 2 minutes. Air-dry or wipe dry.

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