Plz Help! I Need To Add Shots, Group Care, And Pickups At Nap To phb!

[LaLa1923]

I need to add a section regarding shots and drop-off/pick-up at nap. I also need to add something about preparing your child for group care.

I have a mom who told me dcg was getting shots Thursday so she won't be in until 12-1
Her drop off time is 8:00 normally..... She said I'm sure she'll be fussy and upset. Well I'm not ok with this.

I currently don't have anything in my phb regarding shots, nap time pick up/ drop off, and preparing your child for group care.

[Blackcat31]

The immunization section of my handbook says:

Immunizations:

Children receiving immunizations will be automatically excluded from child care for a minimum of 48 hours. Please arrange for your child to receive his/her immunizations on a Friday or a day when he/she is scheduled to be absent from care for the required 48 hours. There are absolutely NO exceptions to this rule. Failure to follow this rule will result in immediate termination of services.

[wdmmom]

I don't require exclusion for any extended period after immunizations but I don't allow arrivals after 9am.

I would respectfully tell dcm that she must make appointments early in the morning or later in the afternoon as you don't allow late arrivals.

[NeedaVaca]

I never excluded for immunizations either but do now. I had a DCG that had immunizations one day, the next day she woke with a fever (thank goodness DCM noticed & didn't bring her). Well, she ended up having 4 febrile seizures that day and spent several days in the ICU. Very scary!

I would think about telling mom she can't be dropped off during nap time as it would be disruptive to the other DCK's,will she have had lunch? Just tell mom she can bring her when nap time is over...I do not allow drop offs or pickups during nap time.

[Little Star75]

I agree with both, you must put that section into your contract. However not all parents go by that rule. I have the hardest time with a couple of parents that bring their kids sick, fuzzy and honestly I don't know what to do anymore. I call them during the day, they get upset and they come get their child. I totally understand they don't want to miss work but who does, right? I have a sign next to the sign-in section to please don't bring your child sick or with any other symptoms, to please arrange Childcare. To my luck...... It never happens!
Good luck!

[Blackcat31]

I agree with both, you must put that section into your contract. However not all parents go by that rule. I have the hardest time with a couple of parents that bring their kids sick, fuzzy and honestly I don't know what to do anymore. I call them during the day, they get upset and they come get their child. I totally understand they don't want to miss work but who does, right? I have a sign next to the sign-in section to please don't bring your child sick or with any other symptoms, to please arrange Childcare. To my luck...... It never happens!
Good luck!

Honey you need the 24/48 hour rule. 100% guaranteed that it will solve the illness issue.

[mamac]

The immunization section of my handbook says:

Immunizations:

Children receiving immunizations will be automatically excluded from child care for a minimum of 48 hours. Please arrange for your child to receive his/her immunizations on a Friday or a day when he/she is scheduled to be absent from care for the required 48 hours. There are absolutely NO exceptions to this rule. Failure to follow this rule will result in immediate termination of services.

Do you do this because of possible crankiness or reactions to the shots or is there another reason? When I first read that in your handbook I thought it was a little crazy because I have always taken my kids to get their immunizations and brought them directly back to daycare. They've also never reacted differently afterwards so maybe I was lucky. Is it just precautionary? And wouldn't 24 hours be sufficient? I would think any symptoms would show by then.

Have you ever had parents that have had them immunized after pickup and brought them the next day? How did you find out, if you did?

I am debating on adding this into my handbook but I want to be armed with the right answers in case I get a parent that was to question the policy. Anything to make my life easier is worth adding into my handbook!

[Blackcat31]

Do you do this because of possible crankiness or reactions to the shots or is there another reason? When I first read that in your handbook I thought it was a little crazy because I have always taken my kids to get their immunizations and brought them directly back to daycare. They've also never reacted differently afterwards so maybe I was lucky. Is it just precautionary? And wouldn't 24 hours be sufficient? I would think any symptoms would show by then.

Have you ever had parents that have had them immunized after pickup and brought them the next day? How did you find out, if you did?

I am debating on adding this into my handbook but I want to be armed with the right answers in case I get a parent that was to question the policy. Anything to make my life easier is worth adding into my handbook!

I do this as a precautionary thing. I had a kid have a bad seizure after imms a few years ago. My family physician said the biggest risk for reactions or any uncomfort seems to happen on the second day rather than the day after.

After the above child had a seizure I simply decided I would rather that kind of thing happen on the parent's watch not mine. kwim?

I don't administer any type of meds either so if a kid needed something for pain or discomfort I wouldn't be able to give them anything.

For me, it is soley a precautionary thing and any type of reaction that is a possibility is just not something I care to deal with.

ALL my parents schedule imms on Fridays.

As far as getting imms and then dropping them off before the 48 hour mark would be easy to find out since they HAVE to give me a copy of their imm records so I can see plain as day the date the imms are given.

[mamac]

As far as getting imms and then dropping them off before the 48 hour mark would be easy to find out since they HAVE to give me a copy of their imm records so I can see plain as day the date the imms are given.

I thought about that but don't they provide those papers yearly or do you require updates as they get them? I've never heard of anyone having seizures from an immunization. I'm trying to make space in my handbook to add this policy. Definitely not something I want to deal with!

[Sprouts]

A study done

CONCLUSIONS: There are significantly elevated risks of febrile seizures on the day of receipt of DTP vaccine and 8 to 14 days after the receipt of MMR vaccine, but these risks do not appear to be associated with any long-term, adverse consequences.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC320893/

[Blackcat31]

I thought about that but don't they provide those papers yearly or do you require updates as they get them? I've never heard of anyone having seizures from an immunization. I'm trying to make space in my handbook to add this policy. Definitely not something I want to deal with!

We are required to have imms updated as they get them.

A study done

CONCLUSIONS: There are significantly elevated risks of febrile seizures on the day of receipt of DTP vaccine and 8 to 14 days after the receipt of MMR vaccine, but these risks do not appear to be associated with any long-term, adverse consequences.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC320893/

There is just way too much info out there that supports both sides of the imms being ok and the imms being bad argument that having even that small amount of exclusion time (48 hours) makes ME feel better whether scientifically supported or not. kwim?

[mamac]

I did it! I made room in my handbook and squished it in. Taking your advice and changing the font made a huge difference. I am able to add info without going overboard in the total number of pages.

We are required to have imms updated as they get them.

This may be policy in my state as well. I never needed care for longer than 8 months at a time so I just gave my paperwork each time I renewed. (And they were past the infant imms ages.)

I am still figuring out what my state requires for a lot of things. I am in the process of adding an Emergency Closures policy for power outages but I'm not even sure of what the regulations are for my state. I had a bad experience over this issue with a previous provider and I want to make sure it's covered in my handbook.