North Carolina Division of Child Development and Early Education has different forms for all sorts of medical conditions, medication administration, and medical action forms. As and early educator in NC, it is dire that we all understand the differences in these forms and how to properly fill them out. Below are a few links from https://ncchildcare.ncdhhs.gov and a brief descriiption of each. Please open and review each link and descriiption, then read each of the three scenarios and answer the corresponding questions.
Immunization Record – Immunization records are crucial to have in childcare. Administration should have documentation of a children immunization records within 30 days of attendance. Each center will be mandated to submit records of children’s immunizations once a year.
Communicable Diseases and Exclusion from Child Care – This is a list of the state requirements for exclusion due to communicable diseases. Keep in mind, childcare centers have the ability to set their own standards and requirements for when to exclude children from care.
Medication Administration Permission – This form must be filled out COMPLETELY for all PRESCRIBED medications that a center must administer to a child while in their care. All forms must be kept with the medication at all times. It is also very important to remember that medications should be in their ORIGINAL container with the prescriiption label attached. Forms must be filled out according to what is on the prescriiption label and not per the parent’s request. These forms must be completed and updated every 6-months if long term.
Medication Administration Permission for Over-the-Counter Topical Medications – This form is for OVER-THE-COUNTER TOPICAL MEDICATIONS such as diaper creams, topical teething ointment or gel, insect repellents, lotions, creams, powders, fluoridated toothpaste and sunscreen. Important notes: If there is a PRESCRIBED diaper cream, it must be filled out on the form for prescriiption medication. Also, “AS NEEDED” is not allowed on this form. It must be very specific, such as, “pee size,” or “quarter sized”. These forms must be completed and updated every 12-months.
Child Medical Action Plan – This is a general action plan for children who have special medical conditions such as Down Syndrome, Cerebral Palsy, Autism, etc. Those children with seizure, asthma, diabetes, and anaphylaxis allergy (food and non-food) have medical action plans specific for those disorders and must be filled out and completed by the doctor caring for that specific disorder. These forms must be completed and updated every 6-months.
Medical Action Plan – Seizure
Medical Action Plan – Asthma
Medical Action Plan – Food Allergy
Medical Action Plan – Allergy and Anaphylaxis (non-food)
Medical Action Plan – Diabetes
Brock is a delightful 4-year-old who has Down syndrome. During the first weeks of the preschool session, he seemed to listen carefully, tried hard to complete tasks, and got along well with his classmates. Yesterday, your assistant teacher was concerned that Brock was ill. His nose ran almost continuously and he had a productive cough, but she recognizes that these symptoms are fairly common among children who have Down syndrome. However, you both observed that Brock was noticeably more listless than usual, his cough was more frequent, and he began to rub his right ear. Today, Brock did not show up at school.
Eve, a 3-year-old, comes to class and you note that Eve has a runny nose, a few hives on her face, and coughed several times but that her skin did not feel warm. You suspect that Eve’s symptoms may be associated with allergies. You ask Eve’s mother to step in the hallway for a moment and you describe your observations and concerns, and ask if Eve has been ill. Her mother informs you that Eve has food and respiratory allergies that have become more severe lately, and that her doctor has ordered daily nebulizer breathing treatments. Eve’s mother asks if you or any of the other teachers know how to administer nebulizer treatments, and if anyone is prepared to respond to an anaphylactic emergency if one should occur.
Today, the children were playing outdoors and about ready to come in when you heard several of them calling your name. You quickly turned and saw that the children had gathered around Eve, who was sitting on the ground. You ask what happened, and the children explain that they were playing tag when Eve suddenly sat down and began coughing and gasping for air. You don’t recall that Eve has ever experienced a breathing episode like this one while she was at school. You quickly examine her and note that she is apprehensive and has a noticeable wheeze when she breathes. You calmly pick Eve up, carry her inside, and begin administrating a nebulizer treatment. After several minutes, Eve is breathing more easily.
Mom and dad are graduate students and the proud parents of 14-month-old Keegan who has Cerebral Palsy. They enrolled their son in the campus child care center when they arrived in August. Keegan’s parents are pleased with the progress he has made since enrolling in the program, but he has had five respiratory infections over the 3 months he has been attending the center. You, his teacher, suspect that Keegan may be coming down with yet another. He seemed fine this morning when you checked him in, but he was crying, quite congested, and rubbing his left ear when he woke up from his nap.
Mom was studying for an exam in the campus library when you called to ask her to pick Keegan up as soon as possible. She was upset when she arrived at the child care center and demanded to talk with the director. Mom explained that she and her husband were frustrated by Keegan’s frequent illnesses and that he had not been this sick at his last child care program. They don’t believe that you and the other teachers are doing enough to protect their son from communicable illnesses.
**You must answer all questions to all three scenarios**
1. What forms from the DCDEE, listed on page 1 of this document, should you have on Brock?
2. Using the Communicable Diseases and Exclusion from Child Care form, what might could Brock have based on the symptoms listed in the scenario? What are the exclusions, if any, for each of your suggested communicable diseases? Please provide at least 3 possible communicable diseases.
3. Brock’s doctor gave him a prescriiption antibiotic to be given around lunch time for the next 5 days. Which form should you have mom fill out? What are 3 important factors to know and pay attention to on this form?
4. What forms from the DCDEE, listed on page 1 of this document, should you have on Eve?
5. Based on your readings from Chapter 4, name 4 triggers you should know in relation to Eve’s condition and explain how you will help prevent triggers from entering the classroom/center.
6. We know that Eve has food and respiratory allergies. Which medical action plan(s) should you have on file for Eve? What are 3 important factors to know and pay attention to on this form(s)?
7. What forms from the DCDEE, listed on page 1 of this document, should you have on Keegan?
8. Based on your readings from Chapter 5, list the 4 methods of transmission that communicable diseases are spread. For each transmission, list at least 3 ways that you as a teacher can help prevent diseases from being transmitted this way.
9. How would you confront Keegan’s mother? Would you defend your center or suggest Keegan’s frequent illnesses are based off his medical condition? Or, would you say something different? Why?
10. Write a 4 – 5 sentence paragraph on what you learned in Chapter 4, 5 and 6, and how you will implement this new knowledge in your classroom/center.
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