Illness & Medication Policy

Exclusion guidelines, trained medication administration, and emergency response procedures keep all children healthy and parents fully informed.

Last Updated:

Keeping Everyone Healthy

To protect all children and staff, we ask parents to follow our illness and medication procedures carefully.

When to Keep Your Child Home

Do Not Send Your Child If:

  • Temperature of 38°C (100.4°F) or higher

  • Vomiting or diarrhea in last 48 hours

  • Contagious infection (chickenpox, impetigo, conjunctivitis)

  • Heavy cold with green nasal discharge

  • Persistent cough affecting breathing

  • Unexplained rash

  • Generally unwell, lethargic, or in pain

  • Unable to participate in normal activities

Exclusion Periods

Illness

Exclusion Period

Diarrhea & vomiting

48 hours after last episode

Temperature

24 hours after fever subsides

Antibiotics

48 hours after first dose

Chickenpox

Until all spots crusted over (5 days)

Impetigo

Until lesions crusted/healed or 48 hours after antibiotics

Conjunctivitis

Until treated for 24 hours

Head lice

After first treatment

Hand, foot & mouth

While feeling unwell

If Your Child Becomes Ill at Nursery

Our Process

  1. Child isolated comfortably with familiar staff

  2. Temperature taken and symptoms assessed

  3. Parents contacted immediately

  4. Emergency contacts called if parents unavailable

  5. Child monitored closely until collection

  6. Collection within 1 hour requested

Emergency Situations:

  • Emergency services called immediately

  • Parents informed simultaneously

  • Senior staff member accompanies child to hospital

  • Child's medical records taken

  • Incident fully documented

Medication Administration

Prescription Medication:

  • Prescribed medication in original packaging

  • With pharmacy label showing child's name

  • When parent completes medication consent form

  • With clear dosage and timing instructions

  • Medication stored safely (refrigerated if needed)

Non-Prescription Medication

  • Calpol/paracetamol administered only if:

    • Prescribed by doctor OR

    • Parent brings with signed consent

    • First dose given at home

    • Never for teething or minor discomfort without prior agreement

Long-Term Medication

  • Care plan created with parents and healthcare professionals

  • Staff trained in administration

  • Two staff members witness administration

  • Recorded immediately in medication log

  • Reviewed regularly with parents

Emergency Medication

  • EpiPens, inhalers, rescue medication kept accessible

  • Care plan on display (confidentially)

  • All staff trained in use

  • Regular training updates

  • Checked monthly for expiry dates

  • Spare devices kept where possible

Managing Specific Conditions

Allergies

  • Detailed allergy care plan on file

  • All staff aware of symptoms and treatment

  • EpiPens/antihistamines readily accessible

  • Regular reviews with parents

  • Food preparation protocols strictly followed

Asthma

  • Individual asthma plan from doctor/parent

  • Inhalers kept accessible (not locked away)

  • Staff trained in inhaler use

  • Spacer devices provided by parents

  • Peak flow monitoring if required

Diabetes

  • Care plan from diabetes nurse

  • Blood sugar monitoring equipment provided

  • Hypo treatment readily available

  • Staff trained in glucose administration

  • Close monitoring during physical activity

Infectious Diseases

  • Public Health England guidance followed

  • Parents informed of outbreaks

  • Incubation periods communicated

  • Extra hygiene measures implemented

  • Vulnerable families notified privately

Accident & Injury

Minor Accidents

  • First aid administered immediately

  • Accident form completed

  • Parent informed at collection

  • Copy of form provided

Head Injuries

  • Parent contacted immediately even if minor

  • Ice pack applied

  • Close observation for 24 hours

  • Detailed accident report

  • Advice given on monitoring at home

Requiring Medical Attention

  • Emergency services called if needed

  • Parents informed immediately

  • Senior staff accompanies child to hospital

  • All relevant medical information provided

  • Incident reported to Ofsted if serious

Keeping Everyone Healthy

To protect all children and staff, we ask parents to follow our illness and medication procedures carefully.

When to Keep Your Child Home

Do Not Send Your Child If:

  • Temperature of 38°C (100.4°F) or higher

  • Vomiting or diarrhea in last 48 hours

  • Contagious infection (chickenpox, impetigo, conjunctivitis)

  • Heavy cold with green nasal discharge

  • Persistent cough affecting breathing

  • Unexplained rash

  • Generally unwell, lethargic, or in pain

  • Unable to participate in normal activities

Exclusion Periods

Illness

Exclusion Period

Diarrhea & vomiting

48 hours after last episode

Temperature

24 hours after fever subsides

Antibiotics

48 hours after first dose

Chickenpox

Until all spots crusted over (5 days)

Impetigo

Until lesions crusted/healed or 48 hours after antibiotics

Conjunctivitis

Until treated for 24 hours

Head lice

After first treatment

Hand, foot & mouth

While feeling unwell

If Your Child Becomes Ill at Nursery

Our Process

  1. Child isolated comfortably with familiar staff

  2. Temperature taken and symptoms assessed

  3. Parents contacted immediately

  4. Emergency contacts called if parents unavailable

  5. Child monitored closely until collection

  6. Collection within 1 hour requested

Emergency Situations:

  • Emergency services called immediately

  • Parents informed simultaneously

  • Senior staff member accompanies child to hospital

  • Child's medical records taken

  • Incident fully documented

Medication Administration

Prescription Medication:

  • Prescribed medication in original packaging

  • With pharmacy label showing child's name

  • When parent completes medication consent form

  • With clear dosage and timing instructions

  • Medication stored safely (refrigerated if needed)

Non-Prescription Medication

  • Calpol/paracetamol administered only if:

    • Prescribed by doctor OR

    • Parent brings with signed consent

    • First dose given at home

    • Never for teething or minor discomfort without prior agreement

Long-Term Medication

  • Care plan created with parents and healthcare professionals

  • Staff trained in administration

  • Two staff members witness administration

  • Recorded immediately in medication log

  • Reviewed regularly with parents

Emergency Medication

  • EpiPens, inhalers, rescue medication kept accessible

  • Care plan on display (confidentially)

  • All staff trained in use

  • Regular training updates

  • Checked monthly for expiry dates

  • Spare devices kept where possible

Managing Specific Conditions

Allergies

  • Detailed allergy care plan on file

  • All staff aware of symptoms and treatment

  • EpiPens/antihistamines readily accessible

  • Regular reviews with parents

  • Food preparation protocols strictly followed

Asthma

  • Individual asthma plan from doctor/parent

  • Inhalers kept accessible (not locked away)

  • Staff trained in inhaler use

  • Spacer devices provided by parents

  • Peak flow monitoring if required

Diabetes

  • Care plan from diabetes nurse

  • Blood sugar monitoring equipment provided

  • Hypo treatment readily available

  • Staff trained in glucose administration

  • Close monitoring during physical activity

Infectious Diseases

  • Public Health England guidance followed

  • Parents informed of outbreaks

  • Incubation periods communicated

  • Extra hygiene measures implemented

  • Vulnerable families notified privately

Accident & Injury

Minor Accidents

  • First aid administered immediately

  • Accident form completed

  • Parent informed at collection

  • Copy of form provided

Head Injuries

  • Parent contacted immediately even if minor

  • Ice pack applied

  • Close observation for 24 hours

  • Detailed accident report

  • Advice given on monitoring at home

Requiring Medical Attention

  • Emergency services called if needed

  • Parents informed immediately

  • Senior staff accompanies child to hospital

  • All relevant medical information provided

  • Incident reported to Ofsted if serious

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