Unit 3 Learning Outcomes: 1.Recognise early signs and symptoms of illness 2.Recognise triggers to illness 3.Be able to correctly respond and report an ill child 4.Know when to notify an illness to Public Health

Unexplained/unusual crying or screaming Sensitivity to noise Altered consciousness levels Raised temp Coughing Poor appetite Tiredness Dark rings under eyes Paler skin Irritability Runny Stools Vomiting Ear rubbing Sneezing Runny nose Breathing difficulties Rash Flushed cheeks

Babies Under 3 months temp over 38/over 3 months temp over 39 Fever with cold hands and feet Unusual crying Convulsions Floppy and unresponsive Pale,blotchy skin Blueness of skin Drowsiness Refusal of food Vomiting Vomit that contains blood Fast or difficult breathing Children Temp over 40 Fever with cold hands and feet Headache Painful eyes Unresponsive Child screams and dislikes light Pale blotchy skin Blueness of skin Stiff neck Violent and prolonged vomiting Vomit that contains blood Fast of difficult breathing

Altered Consciousness Level vomiting before or at presentation headache before or at presentation fever before or at presentation convulsions before or at presentation alternating periods of consciousness trauma ingestion of medications or recreational drugs any previous infant deaths in the family Non-accidental injury or other child protection issues may be behind the cause of reduced consciousness in children. Breathing Difficulty Laryngomalacia. Foreign body ingestion. Laryngeal oedema: anaphylaxis, inhalation injury. Upper respiratory tract infection: epiglottitis, croup. Lower respiratory tract causes: asthma, bronchiolitis and bronchitis, pneumonia

Know your Settings policy Be alert and report concerns immediately Know who to contact – parents maybe a doctor Date, time, symptoms and actions taken Temperature? Diarrhoea? Vomited?

Public Health England (PHE) aims to detect possible outbreaks of disease and epidemics as rapidly as possible. Accuracy of diagnosis is secondary, and since 1968 clinical suspicion of a notifiable infection is all that’s required. ‘Notification of infectious diseases’ is the term used to refer to the statutory duties for reporting notifiable diseases in the Public Health (Control of Disease) Act 1984 and the Health Protection (Notification) Regulations 2010.

Working in groups research the following: A fever strip A digital thermometer in the mouth/under the armpit A digital thermometer in the ear A traditional thermometer in the mouth/under the armpit

Working in three groups develop a hand-out for staff on one of the following: 1. How to support children who are unwell 2. Preventing the spread of infection 3. Procedures for giving Medicine

Make them feel comfortable. Give them lots of reassurance. Be calm and positive Keep the room airy without being draughty. Give the child a drink. – sips may be best. Try to give the child time for quiet games, stories, company and comfort. Observe closely particularly for any changes

Chicken pox Diarrhoea and/or vomiting Flu Impetigo Measles Mumps Whooping cough Five days from start of rash 48 hours after last episode When recovered Until lesions are crusted/48hrs after start of antibiotics 4 days from start of rash 5 days from start of swelling 5 days from commencing antibiotics

Isolate Ventilate PPE Disinfect Wash Hands

Parents/guardians who bring medication into the childcare setting should be asked to leave the complete packaging with clear instructions. Medication to be taken by a child must be clearly labelled with the child’s name, the dosage to be taken and the time it is to be taken. Medications should never be shared with other children. Children should only be given medication that has been prescribed by a doctor. Non-prescribed medication should only be given with parental/guardian consent.