1. Don’t Get Flushed – Proper Toileting/Diapering Procedures
A companion to support the ECERS-3
Don’t Get Flushed by forgetting important steps in the toileting and diapering procedure. Learn and review the proper procedures for toileting and diapering in the preschool classroom

2. In This Segment: You will: Review the ECERS-3 #9: Toileting/Diapering
Identify what you need to have available
Identify the appropriate supervision needed
Identify the procedures for appropriate toileting
When you finish this segment, you will be able to identify the procedures for toileting and diapering in the preschool classroom

3. Basic Sanitary Procedures
Hand hygiene (see Hand Hygiene PPT)
Flushing toilets after each use
Keeping diapering/toileting sinks separate from other uses OR sanitizing sinks used for multiple purposes
Maintaining sanitary conditions in bathroom area
There are 4 critical procedures that occur during toileting – can you name all 4?
Have just the title up, then after a few seconds, click for each procedure to come up.
Did you get all 4? We are going to talk specifically about some of these procedures so you won’t be caught off guard during this routine with your children.

4. Basic Provisions
Disposable paper towels
Toilet Paper
Non-antibacterial soap
Running water
What are 4 things that must be accessible for proper toileting/procedures?
The title comes up on this page –
Click and the question will come up.
Ask participants what 4 things must be accessible for proper toileting procedures. Take a second and jot them down. Then after a break. Click each item on the screen.
How did you do? Remember that accessible means that there is sufficient materials for students and teachers to use. You may have an additional roll of toilet paper and paper towels in a cabinet close by, in case you run low.

5. Staff must ensure basic sanitary procedures are followed and basic provisions are accessible at all times
When toileting and diapering is considered – both the procedures and the provisions are very important to ensure that the environment and the children are safe and clean.

6. Supervision 3.4: Staff should be near students to assist with
toileting, if needed
Staff may talk through door to children to remind to flush
toilet or wipe; staff may observe hand washing, if washed in sink
within classroom
5.3 Supervision is pleasant and ensures children
carry out procedures correctly
7.3 Supervision is responsive to children’s individual
needs
As children use proper procedures for toileting, supervision may be more intermittent
You will notice that at minimum staff should be close in proximity to offer assistance and guidance whenever toileting is occurring.

7. Sanitizing the Sink
Sanitize the sink, using an EPA approved sanitizer and following the manufacturer’s procedures
**To learn more about EPA approved sanitizers,
view our segment on table sanitizing or Caring
for Our Children
Sink sanitation is critical. Because the majority of germs are passed through touch, it is important to take action to ensure that the sink area is as clean and sanitized as possible. On the next few slides we will talk about this process.

8. Sanitizing Sink Process
Step 1:
Clean the sink and faucet with soap and water
Step 2:
Spray generously with an EPA Approved
Sanitizer and allow to sit the time required
by the manufacturer before wiping
**Wipe with a clean new towel for each surface
Sanitizing is a 2 step process
Step 1:
Step 2:
Remember to use a clean new towel for each surface that you wipe. 1. 2.
Soap
and Water
EPA Approved Sanitizer

9. When do you sanitize the sink?
1 sink accessible:
2 sinks accessible
Sanitize at the beginning of the day Sanitize after toileting and anytime before meals or general use **Hands free sinks should be sanitized at the beginning of the day and before general hand washing
If two sinks are accessible and one is designated for toileting and the other is designated for general use: Sanitize at the beginning of the day
Every classroom is set up differently. Some classrooms have one sink inside the classroom, while others may have an adjacent bathroom with a sink, as well as a sink in the classroom. Take a moment to review the criteria for sanitizing sinks.
Wait
Regardless of the number or types of sinks you have – you should always disinfect your sink at the beginning of each day.

10. To Review
Watch this quick video to review important information regarding sink sanitation
Click HERE
Click on the link to view this brief video about sink sanitation. It has several good suggestions.

11. Convenient
A convenient toileting area is defined as being adjacent or in the same space as the classroom
To receive credit for 7.1, the restroom must be located within the classroom
In the ECERS-3, Item 9, toileting and diapering refers to having the restroom convenient. Convenient means that the restroom must be within the classroom or adjacent to the classroom.

12. Posted Displays to Support Toileting/Diapering
Toileting procedure
Laminate and post at eye-level near toilet
Hand washing procedure
Laminate and post at eye-level near sink(s)
A great way to assist children in understanding and remembering the steps for toileting and handwashing is to post the steps at eye level near the space. You can refer to the pictures and words to remind students of the steps as you are teaching self-help skills.

13. Diapering
If the classroom has children who wear diapers or pull-ups, the diapering procedures described in Caring For Our Children must be followed
Link for printable diapering procedure
Caring for Our Children provides detailed steps for the diapering process. You can find the process in printable form on the link at the bottom of this page.
Standard Procedure for Changing Children’s Soiled Underwear/Pull-Ups and Clothing. Caring For Our Children: National Health and Safety Performance Standards Guidelines for Early Care and Education Programs, 3rd Edition.

14. Diapering Procedures Decide if the child will stand or lay down
Prepare the changing pad, ensuring it is sanitized
Gather necessary materials (pull-up/diaper, clean clothes, wipes, plastic bag for soiled items, gloves )
Remove child’s clothes and soiled diaper
If child’s clothes are soiled, place in a plastic
bag and send home
Here are the 8 steps of the diapering procedure

15. Diapering Procedure Continued
Clean the child
If gloves were used, remove using proper procedure
Re-dress child
Wash child’s hands
Sanitize changing area
Wash your hands
Once the child’s clothes are removed, you will clean up the child and redress the child. If you wear gloves, be sure to remove the gloves taking care to remove them wrong-side out where the contamination is contained within the gloves.
Assist the child in washing his/her hands, following the appropriate procedure and allow the child to return to the activity that he or she was participating in. Finally, you will sanitize the diapering area and wash your hands.

16. To Review
Watch this quick video to review important information regarding toileting and diapering
Click HERE
Click on this link to watch a short video recapping the toileting and diapering procedures.

17. Resources: Caring For Our Children
A video resource and Quick Reference for Toileting and Diapering
A video resource and Quick Reference for Sink Disinfecting
Environment Rating Scale-3 Notes and Additional Information
Additional resources may be accessed through these links.

18. For Additional Information
Contact your Simpson County RTC (270)
For any questions or further information, please feel free to contact your Simpson Regional Training Center.