Chapter 1: Staffing
1.4 Professional Development/Training
1.4.3 First Aid and CPR Training
220.127.116.11: Topics Covered in First Aid Training
First aid training should present an overview of Emergency Medical Services (EMS), accessing EMS, poison center services, accessing the poison center, safety at the scene, and isolation of body substances. First aid instruction should include, but not be limited to, recognition and first response of pediatric emergency management in a child care setting of the following situations:
- Management of a blocked airway and rescue breathing for infants and children with return demonstration by the learner (pediatric CPR);
- Abrasions and lacerations;
- Bleeding, including nosebleeds;
- Poisoning, including swallowed, skin or eye contact, and inhaled;
- Puncture wounds, including splinters;
- Injuries, including insect, animal, and human bites;
- Poison control;
- Seizure care;
- Musculoskeletal injury (such as sprains, fractures);
- Dental and mouth injuries/trauma;
- Head injuries, including shaken baby syndrome/abusive head trauma;
- Allergic reactions, including information about when epinephrine might be required;
- Asthmatic reactions, including information about when rescue inhalers must be used;
- Eye injuries;
- Loss of consciousness;
- Electric shock;
- Heat-related injuries, including heat exhaustion/heat stroke;
- Cold related injuries, including frostbite;
- Moving and positioning injured/ill persons;
- Illness-related emergencies (such as stiff neck, inexplicable confusion, sudden onset of blood-red or purple rash, severe pain, temperature above 101°F [38.3°C] orally, above 102°F [38.9°C] rectally, or 100°F [37.8°C] or higher taken axillary [armpit] or measured by an equivalent method, and looking/acting severely ill);
- Standard Precautions;
- Organizing and implementing a plan to meet an emergency for any child with a special health care need;
- Addressing the needs of the other children in the group while managing emergencies in a child care setting;
- Applying first aid to children with special health care needs.
RATIONALEFirst aid for children in the child care setting requires a more child-specific approach than standard adult-oriented first aid offers. To ensure the health and safety of children in a child care setting, someone who is qualified to respond to common injuries and life-threatening emergencies must be in attendance at all times. A staff trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed or modified to ensure the safety of children, can reduce the potential for death and disability. Knowledge of pediatric first aid, including the ability to demonstrate pediatric CPR skills, and the confidence to use these skills, are critically important to the outcome of an emergency situation (1).
Small family child care home caregivers/teachers often work alone and are solely responsible for the health and safety of children in care. Such caregivers/teachers must have pediatric first aid competence.
COMMENTSOther children will have to be supervised while the injury is managed. Parental notification and communication with emergency medical services must be carefully planned. First aid information can be obtained from the American Academy of Pediatrics (AAP) at http://www.aap.org and the American Heart Association (AHA) at http://www.heart.org/HEARTORG/.
TYPE OF FACILITYCenter, Large Family Child Care Home
RELATED STANDARDS18.104.22.168 First Aid and CPR Training for Staff
22.214.171.124 Thermometers for Taking Human Temperatures
126.96.36.199 First Aid and Emergency Supplies
188.8.131.52 Training Record
- Aronson, S. S., ed. 2007. Pediatric first aid for caregivers and teachers. Rev. 1st ed. Elk Grove Village, IL: American Academy of Pediatrics; Sudbury, MA: Jones and Bartlett.