1 2 3 4 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 • www.healthychildcarenc.org • 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.