Chapter 9: Administration
9.2.4 Emergency/Security Policies and Plans
220.127.116.11: Review of Written Plan for Urgent Care
The facility’s written plan for urgent medical care and threatening incidents should be reviewed and updated annually or as needed. It should be reviewed with each employee upon employment and yearly thereafter in the facility to ensure that policies and procedures are understood and followed in the event of such an occurrence. The plan and associated procedures should be reviewed with a child care health consultant once a year, signed and dated.
In the event that there is an urgent medical care or threatening incident, the facility should plan to review the process within one to two months after the incident to determine opportunities for improvement and any changes that need to be made to the plan for future incidents.
The care plan for a child with special health care needs should cover emergency care needs and be shared with and discussed between parents/guardians and caregivers/teachers prior to an emergency situation (1).
RATIONALEEmergency situations are not conducive to calm and composed thinking. Developing a written plan and reviewing it in pre-service meetings with new employees and annually thereafter, provides the opportunity to prepare and to prevent poor judgments made under the stress of an emergency.
An organized, comprehensive approach to injury prevention and control based on current practice and evidence is necessary to ensure that a safe environment is provided to children in child care. Such an approach requires written plans, policies, procedures, and record-keeping so that there is consistency over time and across staff and an understanding between parents/guardians and caregivers/teachers about concerns for, and attention to, the safety of children.
TYPE OF FACILITYCenter, Large Family Child Care Home
RELATED STANDARDS18.104.22.168 Medical Emergency Procedures
22.214.171.124 Use of Fire Extinguishers
126.96.36.199 Response to Fire and Burns
188.8.131.52 Care Plan for Children with Special Health Care Needs
184.108.40.206 Disaster Planning, Training, and Communication
Appendix CC: Incident Report Form
Appendix KK: Authorization for Emergency Medical/Dental Care
Appendix P: Situations that Require Medical Attention Right Away
Appendix O: Care Plan for Children with Special Health Care Needs
- American Academy of Pediatrics, Committee on Pediatric Emergency Medicine. 2008. Policy statement: Emergency preparedness for children with special health care needs. Pediatrics 122:450.