Attendance After Vaccines

[Meyou]

Not many for those that are required by law, however, what about those that are volunterly ?
I also have children that get allergy shots? Do you exclude for those too.

Allergy shots are a totally different matter IMO. I took them weekly for 13 years when I was a child/teenager. You're being injected with a weakened form of the allergens to help your body build a tolerance. It's not "medicine".

For immunizations I require they stay out the rest of that day but can come back in the morning if they're behaving normally. It's personal reasons for me. I don't vaccinate and I don't know what to look for. I just tell the parents that I don't feel comfortable looking for symptoms for something I don't have much exposure to or experience with.

[Sunshine44]

I completely agree with JoJo. I get that you are trying to keep yourself from some liability issue, but in my opinion, you are adding one rule on top of another and that just gets old to parents. I think it is trying to micromanage in some way. I think at some point as providers we have to be able to let things go.

[littlemissmuffet]

Silver- I think you assumed I was uptight and loud with my answer. I simply stated my position, you took it in a nasty manner. Plain and simple, I don't exclude and I gave my reasons. Just because my opinion is different from yours doesn't mean it was stated in a nasty way.

I have never had kids be so cranky and inconsolable after shots that they have had to go home. Even my own kids have been great after shots, both my kids sleep much of the rest of the day. Lucky maybe.

My question is, if a parent doesn't bring in the slip stating they got imms on the actual day they got them how are you to know they got them? Couldn't a parent bring in an imms form (with the dates they got the shots) a week later and say "oh yea, we got some shots." By then its too late for you to worry about it. Lots of posts on here are devoted to parents trying to break the system, or covering up symptoms to make their lives easier and drop off at care. The same thing will happen with imms IF they think you are going to exclude b/c of receiveing shots. Quite simply I have parents who CAN NOT do it on Fridays. I have kids who are at the MD all the time for speech, developmental screenings, hearing tests, ear issues, gross motor (pt) appointments, so a parent telling me they have a dr appt or dropping off after an appointment wouldn't immediately signal to me they had shots.

I would rather have a kid immunized, know about it, and care for them appropriately than have to explain this whole situation (and possibly scare someone out of getting shots in the first place).

And BTW, this entire post was typed with a smile, no nastiness here.

My current clients don't lie to me - they have watched me term parents for lying to me and trying to find loopholes in my policies - quite frankly, I don't have time for crap like that and I don't tolerate it. The parents who will try and break one rule, typically have tried to break others... I do three strikes you're out. Bringing me a slip a week later that informed me they had their shots last week would be a strike.

My policy is NOT that they have to take their children on Friday... I recommend it, but they can do it whenever they like - just don't expect to drop your kid off after It could be any time of day or NIGHT (our clinics are open until 9pm) Monday through Friday... they just can't drop their child off for the remainder of the day.

[Blackcat31]

Not many for those that are required by law, however, what about those that are volunterly ?
I also have children that get allergy shots? Do you exclude for those too.

The only imms I exclude for are those that have the risks involved...I don't think allergy shots are included in that. (Exclusion after imms is a new policy for me)

Kids with allergies that require a shot haven't come into the picture yet....and if they do, I guess I will educate myself about the risks involved (if any) for those and then act accordingly.

I am unaware of any imms we get around here that are voluntary so I can't answer that. I mean, here kids either get the full course of imms or they don't get them at all. I haven't had anyone yet who picks and chooses only certain imms. I do have one family who doesn't get any imms at all.

[daycare]

The only imms I exclude for are those that have the risks involved...I don't think allergy shots are included in that. (Exclusion after imms is a new policy for me)

Kids with allergies that require a shot haven't come into the picture yet....and if they do, I guess I will educate myself about the risks involved (if any) for those and then act accordingly.

I am unaware of any imms we get around here that are voluntary so I can't answer that. I mean, here kids either get the full course of imms or they don't get them at all. I haven't had anyone yet who picks and chooses only certain imms. I do have one family who doesn't get any imms at all.

I see. thanks for sharing this with me. Had really opened my eyes.

When I was caring for my son before his adoption, I did not understand immunizations at all. In my country there is no such thing when I was a child. I tired to deny them for religious beliefs, but because his mother already started them, he had to have them finished.

Same with my daughter. In fact she could not start kindergarten because my husband refused to let her have certain ones. After research, he found that two of the vacs that she needed were linked to seizures in those who have a family history of epilepsy, my mother in law has it. The school said that unless a doctor stated otherwise we had to have them completed. We didnt fight the school too much and ended up getting the shots done so that she could attend school.

I am really thinking about adopting a policy like this, have been thinking about this for a long time.

I like the Friday recommended appointments. I think that if I were to tell Parents that I would exclude for 48 hours after an immunization, I would have a hard time finding families or the currents ones would leave. I have a very tough crowd to please....

[Unregistered doctor]

why not ask a professional?

I don't suppose anybody ever considered asking an expert authority such as the American Academy of Pediatrics or the CDC?

It is well established that these authorities do not recommend exclusion for the reason of immunization what so ever. Further, excluding these children is 1) an unnecessary burden on the family and 2) a barrier to immunization.

I would personally want my children to attend a daycare center that promotes complete immunization.

Having been on the board of a preschool and having practiced medicine for over 20 years, it always surprises how little professional input goes in to daycare exclusion policies.

Just a thought.

[TheGoodLife]

I don't suppose anybody ever considered asking an expert authority such as the American Academy of Pediatrics or the CDC?

It is well established that these authorities do not recommend exclusion for the reason of immunization what so ever. Further, excluding these children is 1) an unnecessary burden on the family and 2) a barrier to immunization.

I would personally want my children to attend a daycare center that promotes complete immunization.

Having been on the board of a preschool and having practiced medicine for over 20 years, it always surprises how little professional input goes in to daycare exclusion policies.

Just a thought.

How much professional input goes into doctor recommendations, from professional day care providers? There's more than just the medical aspect to our policies, there's also what is best for the provider and the other families/children involved.

[Leigh]

I don't suppose anybody ever considered asking an expert authority such as the American Academy of Pediatrics or the CDC?

It is well established that these authorities do not recommend exclusion for the reason of immunization what so ever. Further, excluding these children is 1) an unnecessary burden on the family and 2) a barrier to immunization.

I would personally want my children to attend a daycare center that promotes complete immunization.

Having been on the board of a preschool and having practiced medicine for over 20 years, it always surprises how little professional input goes in to daycare exclusion policies.

Just a thought.

Having been on the board of a daycare center, I'm sure that you have plenty of experience with children being misdiagnosed and sent in to daycare to infect other children, too. I know that MANY a sick person has been told they're not sick or not contagious only to discover a couple of days later that it is not the case. If a child gets ME sick, then NONE of my kids get daycare. I'm much more comfortable excluding one based on actual symptoms than allowing a professional guess make that decision for me. While I DO allow kids to attend after immunization, the providers that don't have very valid reasons for that.

[Blackcat31]

I don't suppose anybody ever considered asking an expert authority such as the American Academy of Pediatrics or the CDC?

It is well established that these authorities do not recommend exclusion for the reason of immunization what so ever. Further, excluding these children is 1) an unnecessary burden on the family and 2) a barrier to immunization.

I would personally want my children to attend a daycare center that promotes complete immunization.

Having been on the board of a preschool and having practiced medicine for over 20 years, it always surprises how little professional input goes in to daycare exclusion policies.

Just a thought.

I don't give a hoot about professional input.

I ONLY care about what happens on MY watch under MY supervision.

Your professional input is of NO concern to me.

IME experience, too many "professionals" simply pass the buck and let someone else deal with the real hands on work.

I base my policies off MY experiences and you can not negate or argue what things I have actually experienced in my child care.

The "professional" opinion of the CDC or the AAP did NOTHING to help ease the fear of those children in my care that witnessed a DCK having a seizure in their presence.

The "professional" opinion of the CDC or the AAP did NOTHING to help ease the fear and heartstopping moment my DC mom felt when I called her at work telling her what had happened.

The "professional" opinion of the CDC or the AAP did NOTHING to erase the image in my mind of my DCK having this seizure...nor did they calm my nerves and fears of the possibility of it happening again.

So in hindsight, the "professional" opinion of the CDC and the AAP bears NO weight in MY business or my daycare.

[Unregistered]

ok.

"I don't give a hoot about professional input.

I ONLY care about what happens on MY watch under MY supervision.

Your professional input is of NO concern to me. "
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ok, I can tell when I/reason is not wanted. I will sign off.

[Leigh]

"I don't give a hoot about professional input.

I ONLY care about what happens on MY watch under MY supervision.

Your professional input is of NO concern to me. "
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ok, I can tell when I/reason is not wanted. I will sign off.

If only reason came into play when it came to these policies. As providers, we just can't accept notes that simply say "OK to return to daycare". We know that it is a lot easier to get an MD to write a note saying it's OK to return to work or daycare when it's NOT "OK" than to get an MD to write a note saying it's NOT OK to return. We know that parents bully their doctors into writing notes that say a child is not contagious because they either want to keep their jobs or just keep their vacation days for themselves. Because of the fact that we can NOT rely on the opinion of a professional, we create policies that work for US, and ensure that ALL kids in our care (and ourselves!) are protected from unnecessary illness. A serious vaccine reaction is pretty rare, but crying, fever, lethargy are not. A child who needs extra care needs a PARENT, not someone who has up to 11 other kids to care for.

[Unregistered]

Any time that a child must be under observation for a reaction, they need personal care.
Personal care does not equal group care.

[daycare]

THis is post is old and it was fun to read some of my old post.

I now have the exclusion rule and the Friday suggested appts.

I have read many of the AAP exclusion guidelines and they would never work for my in-home daycare. Like the ones that read that a child with HFM can return as soon as fever is gone....Heck nooooo, I don't want a child covered in open sores in my house. But if you read their statement on when a child with HFM can return to care, it's nuts...