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					                             Exclusion Policy
Scope
   This policy outlines the Bulimba Child Care Centre’s exclusion procedures for sick
     children and staff
   The National Health and Medical Research Council (NHMRC) advises that all children
     and staff who are unwell should stay home from child care
   Recommended periods of exclusions for children with symptoms of infectious illnesses.
     (Staying healthy in Child care 4th ed. Page 7)
   This centre follows the National Childcare Accreditation Council’s policy on the exclusion
     of children who are not immunised when a particular disease is present or suspected at
     the Centre
   This policy is to be read in conjunction with the Illness, Injury and Medical Emergency
     Policy and the Immunisation Policy

Aim
      As per the National Health and Medical Research Council’s recommendation it is the
       policy of Bulimba Child Care Centre that children who appear to be unwell or suffering
       from a potentially infectious ailment will be excluded from the centre.
      This policy gives guidance as to how to implement these recommendations into daily
       practice.
      This policy provides guidelines as to when a staff member should be excluded.


Actions
Explanation of policy to parents on Enrolment

Upon enrolment parents will be provided with a copy of the major points outlined in this policy in
the centre Handbook. As this policy tends to cause concern when enforced, the Director will
ensure parents are informed of the reasons for and the ramifications of this policy.

It is the right of the Centre to determine if a child is to be excluded

A child who appears unwell will be excluded from the Centre. It is the right of the Director or in
their absence the Assistant Director or a senior Group Leader, to make the decision that a child
appears unwell and should be excluded. This may occur on arrival at the centre or during the
course of the day.

A child will be considered unwell if they are displaying any of the symptoms that could indicate
they have any of the excludable illnesses outlined in the NHMRC’s Minimum Exclusion Period
Schedule. (Refer to Appendix). These symptoms may include a temperature over 38 degrees,
vomiting, diarrhoea or flu like symptoms.

Exclusion may also apply where no specific diagnosis has been made. A child may be
considered unwell if they show signs of listlessness, lethargy, a green runny nose, if they need
constant one to one attention, are crying constantly as a result of an illness, or if they are

                                       Bulimba Child Care Centre
                                            Exclusion Policy
                                      Rev March 07, May 08, Apr 10
                                                   1
considered not well enough to fully participate in centre activities. This is not an exhaustive list
and a child may be excluded for display of other symptoms.

Children not immunised or not fully immunised will be excluded from care at the discretion of the
Director or the person in charge if there is an outbreak of a disease listed on the schedule. This
protects the unimmunised child and helps prevent further spread of the infection in the Centre

   Exclusion may continue while there are reported cases of the disease within the Centre.

 Parents will be notified of diseases listed on the schedule within the Centre as cases arise.

 A medical clearance of a child having been excluded with a disease listed on the schedule is
  required before returning to the Centre.


When is a staff member excluded?
If the staff member believes that they themselves could be potentially infectious and the
infection cannot be controlled through normal hygiene procedures, then the staff member must
remove themselves from the centre. Staff are aware of symptoms to be aware of so they can
make informed decisions about removing themselves from the centre.

How long are children and staff excluded
If an illness is diagnosed the Director will refer to the National Health and Medical Research
Council’s (NHMRC) Recommended Minimum Exclusion Schedule table to find the
recommended minimum exclusion period. If a child’s illness is undiagnosed then they will be
excluded for 24 hours after the cessation of symptoms.

Full fees will still be payable for any child who is excluded under this policy.


                                            References

    1. National Health and Medical Research Council. 2005. Staying Healthy in Child care – 4th
       Edition

    2. Worksafe Western Australia Commission. (2003). Reducing the Risk of Infectious
       Diseases in Child Care Workplaces.

    3. National Childcare Accreditation Council. (2006) Infection Control in Outside School
       Hours Care. Fact Sheet #6

    4. National Childcare Accreditation Council. Putting Children First .(2003). Infectious
       diseases.

    This policy was developed and revised in consultation with the Parent Management
    Committee, Staff and Parents of Bulimba Child Care Centre through our policy review
    feedback system.

Next planned review date: April 2012




                                      Bulimba Child Care Centre
                                           Exclusion Policy
                                     Rev March 07, May 08, Apr 10
                                                  2
                                           APPENDIX

National Health and Medical Research Council’s Minimum Exclusion Schedule

    To be read in conjunction with the fact sheets that are available at the centre

               Condition                                            Exclusion of Case
                                        Exclude until all blisters have dried. This is usually at least 5 days after
 Chickenpox (Varicella)                 the rash first appeared in unimmunised children and less in immunised
                                        children
 CMV
                                        Exclusion is NOT necessary
 (Cytomegalovirus infection)
 Diarrhoea                              Exclude until there has not been a loose bowel motion for 24 hours
                                        Exclude until medical certificate of recovery is received following at
                                        least 2 negative throat swabs, the first swab not less than 24 hours
 Diphtheria
                                        after finishing a course of antibiotics followed by another swab 48
                                        hours later
 Giardiasis                             Exclude until there has not been a loose bowel motion for 24 hours
 Hand, foot and mouth disease           Exclude until all blisters have dried
 Haemophilus influenzae type b          Exclude until the person has received appropriate antibiotic treatment
 (Hib)                                  for at least 4 days
                                        Exclusion is NOT necessary if effective treatment is commented prior
 Head lice (Pediculosis)
                                        to the next day at child care
                                        Exclude until a medical certificate of recovery is received, but not
 Hepatitis A
                                        before 7 days after the onset of jaundice
 Hepatitis B & C                        Exclusion is NOT necessary
                                        Exclusion is not necessary if the person is developmentally capable of
                                        maintaining hygiene practices to minimise the risk of transmission. If
 Herpes simplex (cold sores, fever,
                                        the person is unable to comply with these practices they should be
 blisters)
                                        excluded until the sores are dry. Sores should be covered by a
                                        dressing where possible.
 Human Immunodeficiency Virus           Exclusion is NOT necessary. If the person is severely immuno-
 (HIV)                                  compromised, they will be vulnerable to other people’s illnesses
                                        Exclude until appropriate antibiotic treatment has commenced. Any
 Impetigo (school sores)
                                        sores on exposed skin should be covered with a watertight dressing
 Influenza and influenza-like
                                        Exclude until well
 illnesses
 Measles                                Exclude for 4 days after the onset of the rash
 Meningitis (bacterial)                 Exclude until well and has received appropriate antibiotics
 Meningitis (viral)                     Exclude until well
 Meningococcal infection                Exclude until appropriate antibiotic treatment has been completed
 Parvovirus (fifth disease, slapped
                                        Exclusion is NOT necessary
 cheek syndrome)
                                        Exclude until the day after appropriate antifungal treatment has
 Ringworm / Tinea
                                        commenced
 Roseola                                Exclusion is NOT necessary
                                        Children are to be excluded from the centre until there has not been a
 Rotavirus infection
                                        loose bowel motion or vomiting for 24 hours
                                        Exclude until fully recovered or for at least 4 days after the onset of the
 Rubella (German measles)
                                        rash
 Salmonella infection                   Exclude until there has not been a loose bowel motion for 24 hours
 Scabies                                Exclude until the day after appropriate treatment has commenced
 Streptococcal sore throat (including   Exclude until the person has received antibiotic treatment for at least
 scarlet fever)                         24 hours and feels well
 Viral gastroenteritis                  Children are to be excluded from the centre until there has not been a
 (viral diarrhoea)                      loose bowel motion or vomiting for 24 hours
 Warts                                  Exclusion is NOT necessary
                                        Exclude until 5 days after starting appropriate antibiotic treatment or
 Whooping cough (pertussis)
                                        for 21 days from the onset of coughing
 Worms                                  Exclude if loose bowel motions present




                                         Bulimba Child Care Centre
                                              Exclusion Policy
                                        Rev March 07, May 08, Apr 10
                                                     3

				
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