Caring for Our Childen (CFOC)

Chapter 3: Health Promotion and Protection

3.4 Health Protection in Child Care

3.4.3 Emergency Procedures

3.4.3.1: Emergency Procedures


When an immediate emergency medical response is required, the following emergency procedures should be utilized:

  1. First aid should be employed and an emergency medical response team should be called such as 9-1-1 and/or the poison center if a poison emergency (1-800-222-1222);
  2. The program should implement a plan for emergency transportation to a local emergency medical facility;
  3. The parent/guardian or parent/guardian’s emergency contact person should be called as soon as practical;
  4. A staff member should accompany the child to the hospital and will stay with the child until the parent/guardian or emergency contact person arrives. Child to staff ratio must be maintained, so staff may need to be called in to maintain the required ratio.

Programs should develop contingency plans for emergencies or disaster situations when it may not be possible or feasible to follow standard or previously agreed upon emergency procedures (see also Standard 9.2.4.3, Disaster Planning, Training, and Communication). Children with known medical conditions that might involve emergent care require a Care Plan created by the child’s primary care provider. All staff need to be trained to manage an emergency until emergency medical care becomes available.

RATIONALE
The staff must know how to carry out the written disaster and emergency plans as described in Standard 9.2.4.3 to help prevent or minimize severe injury to children and other staff. The staff should review and practice the emergency plan regularly (1).
COMMENTS
First aid instructions are available from the American Academy of Pediatrics (AAP) and the American Red Cross.
TYPE OF FACILITY
Center, Large Family Child Care Home
RELATED STANDARDS
9.2.4.3 Disaster Planning, Training, and Communication
Appendix P: Situations that Require Medical Attention Right Away
REFERENCES
  1. Aronson, S. 2005. Pediatric first aid for caregivers and teachers. Sudbury, MA: Jones and Bartlett; Elk Grove Village, IL: American Academy of Pediatrics.