The Plague! WWYD

[Cradle2crayons]

Yes, but be careful how you word this. The Dr. doesn't get the final ok, YOU do.

I once had a parent get a doctor to write a return to care note with a diagnosis of strep after receiving a whopping penicillin shot, with a fever, and lethargic.

He actually wrote...X CHILD MAY RETURN TO CHILDCARE ON SAME DAY OF VISIT. DIAGNOSIS POSITIVE STREP, X UNITS OF PENICILLIN GIVEN IM. ALLOW PLENTY OF REST AND LOTS OF FLUIDS. ADMINISTER X AMOUNT OF TYLENOL OR X AMOUNT OF IBUPROFEN ALTERNATIVE FOR FEVER OR PAIN"

[My3cents]

This is my policy. Note the last part. I would call and send home and make sure this additional part is in your policy as well. You cannot reasonably meet the needs of the other children in your care if he is so unwell that he can't let go of you or stop crying.

**Sick Child. Maryland law prohibits me from caring for sick children. Therefore, you may NOT bring your sick child to my Home for care. If you give your Child medication to reduce a fever or mask symptoms of illness and bring the sick Child to my Home without telling me about the medication, you will be violating this Agreement, and I will have the right to terminate it immediately. If your child becomes sick while in my care, I will call you, and you must pick up your child promptly. I will keep your sick Child separated from the other children in my care until you arrive. After any illness, your Child must be free of all symptoms (not just fever and vomiting) for at least twenty-four (24) hours before returning to my Home. After a serious illness, your Child will be allowed to return to my Home only with written permission from the Childs’ physician. If your child is put on antibiotics they must wait 24 hours before returning to care. It is your responsibility to find alternate care for your sick Child and to notify me when your sick Child will not be present in my Home on a scheduled Child Care Day. Please inform me of any contagious illness so I may alert the parents of other children exposed to you Child. The definition of a sick child for the purpose of this Agreement shall be a child who has a fever (100 degrees F. or above), vomiting, diarrhea, a runny nose with thick, discolored discharge, a rash of unknown cause, severe pain, extreme listlessness or other dramatic personality change indicating the child is not well, or any other symptom of acute illness, serious transmissible infection or communicable disease.
Your Child should be able to participate in the normal activities of the day. When having to care for sick children, it keeps me from providing quality care to the other children in my Child Care Home. Therefore, you will have one (1) hour to pick up your sick child/ren.

[nannyde]

Okay. Mom says let him nap Dr said he needs rest... well IMO that drew a red flag as well he shouldn't be here as I can't sit and tend to his "extra" needs when I have 5 others today! It's disruptive to our routine... nap time isn't generally until about 11 but I am trying it now because he is sooooo ready.

She's lying.

She doped him this morning and she didn't call the dr. She's just giving you what words it takes to get him to nap time on your clock. Everything she has said to you has been a marker to get more time.

She knew he was too sick to come and she knew you would call. She just wants him there so she can be at work and you can do what she believes she pays you to do. She paid yesterday for your "day off" so she wants some service. She doesn't have ANY problem with him being at your house sick. She knows it's better for her if you care for him sick.

[williams2008]

She's lying.

She doped him this morning and she didn't call the dr. She's just giving you what words it takes to get him to nap time on your clock. Everything she has said to you has been a marker to get more time.

She knew he was too sick to come and she knew you would call. She just wants him there so she can be at work and you can do what she believes she pays you to do. She paid yesterday for your "day off" so she wants some service. She doesn't have ANY problem with him being at your house sick. She knows it's better for her if you care for him sick.

[nannyde]

He actually wrote...X CHILD MAY RETURN TO CHILDCARE ON SAME DAY OF VISIT. DIAGNOSIS POSITIVE STREP, X UNITS OF PENICILLIN GIVEN IM. ALLOW PLENTY OF REST AND LOTS OF FLUIDS. ADMINISTER X AMOUNT OF TYLENOL OR X AMOUNT OF IBUPROFEN ALTERNATIVE FOR FEVER OR PAIN"

Never allow a doctor to decide readmission to child care. The Doctor's client is the parents not you. They make money when they do what their client wants them to do.

A Doctors note should just say
day seen
diagnosis
treatment
is child contagious?

That's it. You don't need anything else but that. Do NOT accept a treatment plan that includes good handwashing and sanitation to halt spread. That line of use good handwashing is the docs get out of jail free card if an epidemic hits.

[Cradle2crayons]

Never allow a doctor to decide readmission to child care. The Doctor's client is the parents not you. They make money when they do what their client wants them to do.

A Doctors note should just say
day seen
diagnosis
treatment
is child contagious?

That's it. You don't need anything else but that. Do NOT accept a treatment plan that includes good handwashing and sanitation to halt spread. That line of use good handwashing is the docs get out of jail free card if an epidemic hits.

Amen .... I didn't allow it and I have a specific policy. When mom read that note to me on the phone after the md visit, I laughed at her and told her see you in 48 hours .

[Laurel]

Yes, but be careful how you word this. The Dr. doesn't get the final ok, YOU do.

Very good point. I agree.

I don't have a policy per se about this. I just decide and they can take it or leave it. My whole contract is only 2 pages and I don't have a handbook. I don't feel I need it. I try to choose good parents and I am reasonable with what I will and won't accept and if they don't like it they can leave. No one ever has left because they were upset about something. The only time they leave is if they are moving out of town or going to kindergarten.

But you are definitely right. The doctor doesn't know my exact situation. I guess I could say "I will 'consider' taking him back tomorrow if you bring a doctor's note." That way I'm covered. But in some ways not having a handbook really gives me more leeway in all my decisions. I don't have them coming back to me saying "Well that isn't what your handbook says...."

I feel I'm flexible and reasonable and if they need to know how I handle every little thing that hasn't actually happened yet then they can hit the road. ::

Laurel

[Laurel]

I once had a parent get a doctor to write a return to care note with a diagnosis of strep after receiving a whopping penicillin shot, with a fever, and lethargic.

He actually wrote...X CHILD MAY RETURN TO CHILDCARE ON SAME DAY OF VISIT. DIAGNOSIS POSITIVE STREP, X UNITS OF PENICILLIN GIVEN IM. ALLOW PLENTY OF REST AND LOTS OF FLUIDS. ADMINISTER X AMOUNT OF TYLENOL OR X AMOUNT OF IBUPROFEN ALTERNATIVE FOR FEVER OR PAIN"

Wow, just wow!

Laurel

[Familycare71]

I've had a mom who has been in my program for years laugh as she handed me the note saying: yes I know it means nothing! They know what I except- but are ok with it most times because I say: well... Would you like someone else's kid here w the same symptoms next to your healthy kid?!

[lflick]

I was starting to think it was a dope and drop... he was here 4 hrs so it would make sense.... either that or the mom is just oblivious to how illnesses work!

[EntropyControlSpecialist]

I was starting to think it was a dope and drop... he was here 4 hrs so it would make sense.... either that or the mom is just oblivious to how illnesses work!

Give Mom more credit than not knowing how illnesses work.

[lflick]

Give Mom more credit than not knowing how illnesses work.

I meant that in the manner he hasn't been ill much and she is a first time parent and very diligent. I think perhaps she is not as seasoned in how illness runs its nasty course in children... I have 5 of my own and have seen it all haha.

[daycare]

I have something like this...

regardless of doctors note of diagnosis, it is at the sole discretion of the provider to determine if she can still provide adequate care for every child in the daycare.

Parents must understand that the care of one CHILD can not take away the providers ability to be able to care for all children in attendance.


THe other thing that I have is symptom exclusion statement.

Please understand that because I do not have a degree in medicine, I cannot diagnose any child with any illness. It is for this reason that if your child displays any of the following symptoms, they must be excluded from care.