Chapter 3: Health Promotion and Protection
3.2.3 Exposure to Body Fluids
188.8.131.52: Cough and Sneeze Etiquette
Staff members and children should be taught to cover their mouths and noses with a tissue when they cough or sneeze. Staff members and children should also be taught to cough or sneeze into their inner elbow/upper sleeve and to avoid covering the nose or mouth with bare hands. Hand hygiene, as specified in Standards 184.108.40.206 and 220.127.116.11, should follow a cough or sneeze that could result in the spread of respiratory droplets to the skin.
RATIONALEProper respiratory etiquette can prevent transmission of respiratory pathogens (1).
COMMENTSMulti-lingual videos, posters, and handouts should be part of an active educational effort of caregivers/teachers and children to reinforce this practice. For free downloadable posters and flyers in multiple languages, go to http://www.cdc.gov/flu/protect/covercough.htm.
TYPE OF FACILITYCenter, Early Head Start, Head Start, Large Family Child Care Home, Small Family Child Care Home
RELATED STANDARDS18.104.22.168 Situations that Require Hand Hygiene
22.214.171.124 Handwashing Procedure
126.96.36.199 Assisting Children with Hand Hygiene
188.8.131.52 Hand Sanitizers
- Centers for Disease Control and Prevention. 2010. Seasonal flu: Cover your cough. http://www.cdc.gov/flu/protect/covercough.htm.