Application Week 3 Kristie Davenport Child, Health, Safety and Nutrition Walden University June 26, 2011/Week 3 Professor Sachs Application Week 3 The first scenario is during lunch time in a childcare preschool class. There are 14 children from ages 3-5 with a lead teacher and an assistant. During the course of the meal the children alert me to the fact that Joey, a four-year-old little boy, is grabbing his throat and making strange sounds. When I see that Joey cannot breathe or talk I pick him up and remove him from the table. I tell the assistant to alert the director and call 911 as a backup. I then tell her to return to the class to deal with the other children who are getting worried and anxious. I then check Joey’s mouth for any food and turn his back to me with my arms around him. I placed my right fist in the center of his diaphragm, cover with my left hand and pull upward with quick jerky moves. (The Heimlich) All during this time I talk to Joey in a calm reassuring voice and reassure him that everything is going to be okay. Hopefully after few jerks the piece of debris would be dislodged from his throat and he has never lost consciousness. If this is not the case then the emergency paramedics have been called. If the food has indeed been dislodged I then call the parents and explain the situation and see how and what they want to address the issue. If the child is still choking I continue to try to dislodge the material until help arrives. I then tell the assistant to call the parents and tell them what is happening and where the child will go for treatment. The next scenario is staged on the playground of a childcare center where there are about 12 children ages 3-5 are playing. There are 2 adults on the grounds supervising the children when a 5 year-old little girl falls from one of the pieces of equipment and is lying on her back and not breathing. Again I alert the other teacher to call 911 and begin the assessment of the little girl’s condition. I take a quick look at her from head to toe for any open or bleeding wounds. After checking for breathing and a pulse, if both are absent, I then sweep her mouth out, tip her head back and take two puffs to begin CPR. After the 2 puffs I then do 30 chest compressions, talking to the child and reassuring the others that may be observing and not understanding what is going on. The parents must be called and informed of the situation and include them in the decision making process. I know that the chances of me restarting her heart are not good at least I am keeping the brain alive with the blood flow from the compressions until the paramedics arrive. Unforeseen situations are always a risk when working with young children in a childcare environment. As early childhood professionals, we need to train ourselves for these emergencies not only for the injured child but for the other children who may need reassurance that the situation is under control and the injured child will be looked after and taken care of. If you have training you are able to keep a more level head and you have an idea of how to handle the crisis and can follow the steps. In the State of Washington, childcare personal are required to have current CPR and first aid training. Advance preparation for emergencies is key when in the childcare field. This preparation may include CPR and first aid training by a certified instructor. There should be a central location for the emergency numbers of all the children and teachers need to realize the importance of informing the parents when emergencies occur. Our state also requires that all childcare centers have a well stocked first aid kit although we are only allowed to clean wounds with antibacterial soap and apply band aids. We all hope that these types of events never happen but there is always the chance that they will and for the sake of the children we need to be prepared to react in an effective way for our actions may mean the difference between life and death.
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