Note my first comment in post #4, I completely understand and agree she should stand by her policy but I don't want newer providers to think "OMG I should do this too for the seizure risk!" Or something. This isn't the "norm" in my area. I honestly don't know anyone who excludes for vaccines. It's been discussed before and I had the same stance. Obviously this parent either forgot or didn't know what they meant. I don't know! But I wouldn't be slamming the term hammer down over it personally because to "me" it's not a big deal that I exclude for, obviously that's not the case with OP. I think there are other things that should be excluded for before shots but that's simply my opinion. The chances of a child having a seizure in your home is really in the 2-5% range period due to febrile seizures. Kids can be running around fine all morning and spike a fever during nap. Give parents 30 mins to get to your home and you're opening yourself up to the liability there. Parents work an hour away in the city and you have a worse situation. But we're more worried about recovery, comfort and contagiousness not seizures.
OMG My Parent Did NOT Tell Me About Shots And Brought Them Anyway!! WWYD??!!
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It doesn't matter if the risk is low or not.
The provider had a rule. The parent didn't follow it.
Also, even though the risk is considered low, I still had it happen. Once is enough for me.
I also do not base my policies on what anyone else in my area does or doesn't do. I base my policies on MY experiences and preferences.
I also require 24 hour exclusion and recommend that they be done on a Friday so that no one misses work or care during the recovery time.- Flag
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Excluding/not excluding for shots is irrelevant. What's in the contract is.
If a provider has it in her contract that she excludes for a week and charges a $1000 fine for blinking while wearing blue and the parent SIGNS IT.....then it stands.
That's all that matters. Follow the contract.- Flag
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Excluding/not excluding for shots is irrelevant. What's in the contract is.
If a provider has it in her contract that she excludes for a week and charges a $1000 fine for blinking while wearing blue and the parent SIGNS IT.....then it stands.
That's all that matters. Follow the contract.
I would do as others stated, call for pick up. I would explain that per our policies, _______________________so xxx can come back on Monday. Please understand that I am bypassing this policy this time with a warning, next time I will terminate.- Flag
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I'd be calling the parent asap and giving them a written warning if they fessed up.
I'd love to call and say something like this ...
"Hi Susan, you need to come get little Johny right away! He has a big red hot spot on his thigh and it seems to be very painful. He cringes every time I touch it. You need to take him to the Dr.'s right away to have it checked out! I'll need a note with a diagnosis! Come get him immediately!!"
Maybe she'd fess up, if not I'd require her to bring me a Dr's note before letting him back in. For me this would be grounds for termination. Policies are policies, if you don't agree with a policy ... DON'T SIGN THEM AND KEEP LOOKING!- Flag
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What is the difference between a "live" immunization and regular immunization?
I have had all of my kids immunized and never heard this term.
Are you talking about a live polio by mouth immunization?
I didn't think they did that anymore.
It is included in a shot now.
What's a live immunization?
:confused:- Flag
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I exclude for shots just like I exclude for "medication". I think these are along the lines of the same thing.
For those providers that exclude for 24 hrs when a child is on medication, why not for shots too?
I'm not saying that one way or another is wrong. Just another prospective.
It's something that goes into their bodies.....I need the parent home with them to make sure there are no reactions.- Flag
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I exclude for shots just like I exclude for "medication". I think these are along the lines of the same thing.
For those providers that exclude for 24 hrs when a child is on medication, why not for shots too?
I'm not saying that one way or another is wrong. Just another prospective.
It's something that goes into their bodies.....I need the parent home with them to make sure there are no reactions.
Did you call or just let it go?- Flag
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I'm a big believer in open, simple communication. I would just call DCM and say- hey Sally, I noticed Billy's legs had a couple of marks on them. Did he happen to get any shots at his doctor's appointment? Oh he did? Oh, I'm so sorry, I try to make it very clear in the contract to let parents know to always get shots on Fridays because I can't take them after they have had their shots. When something foreign goes into their bodies, I just can't take the risk of a reaction. Unfortunately you will need to come pick up Billy and he cannot come back until Monday.
I always give people the benefit of the doubt and never come AT them if I can avoid it. It usually makes for smaller or no waves.- Flag
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Mom then says "Um... I'm not sure, you are gonna have to call DCD."
So I hang up and then call DCD
I say the same thing to him that I said to mom.
He says, "Oh, um yes. I was leaving the doctors yesterday when they said he was due for two shots so we ran back in and he got them. I totally forgot to tell you, I'm so sorry. He wasn't supposed to get shots that day".
I then say, "You know my policy, they are to be excluded for 48 hours. It's one thing that he got shots, but another that you didn't tell me. It's something that went into his body, and if something were to happen while he was here I wouldn't have any idea why. What would I tell 911 when I call?"
He said he was very sorry, he wasn't trying to hide the fact that DCB got shots. He said it will never happen again.
I told him I would have to think about what is going to happen for breaking one of my policies, and that I would have to think about it and get back to him. I told him I am not happy at all.
Mom came to get the kids later and said she was sorry and that it will never happen again. She said from now on she will take off work and stay home when they get shots.
She said they are still trying to learn all of my policies.
(they started in middle of September, and they came from another provider)- Flag
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It is simply what you are comfortable with, you don't have to do anything that scares you.- Unless otherwise stated, all my posts are personal opinion and worth what you paid for them.- Flag
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For me, personally, I know how to monitor for reactions and treat seizures or anaphylactic shock until EMS arrives to transport. Few of my clients do. I keep my emergency transport permission forms updated and go with the flow..
It is simply what you are comfortable with, you don't have to do anything that scares you.
I don't like kids being here on advil or Tylenol.- Flag
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- Flag
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I don't take medicated kids unless for serious medical issues and I don't administer medications and I exclude for vaccinations.
I personally don't want to be in BC's situation if anything went wrong and I don't have the experience or the confidence to handle a situation like that if I can avoid it.
The children are usually grouchy for me after getting shots anyway and like when they are sick, should be home and comfortable where an adult can care for them better than I can at daycare (I can't do that much one-on-one). Usually shots are in the legs on the upper thigh and if they're diapered it's a sore spot to avoid and if they're squirmers it's just hard to to that. If they're babies they're hard to hold because the shots are where I place my hands when I hold them. Even if they are in the arm it's hard not to be bumped.
Also I've had some clients use the "some kids get a fever after vaccines" excuse to sneak they're sick kids into daycare by saying that they're kids got shots so I had to start excluding for vaccines also. I had my suspicions after some of the other daycare kids got sick after "someone got a shot" and I noticed that someone was getting a lot of shots (parent's said that they were breaking up the shots individually and didn't want the "****tails" that had two or more shots in it, they were good at the excuses and very convincing) but didn't confirm it until I updated the immunization records and the days that they "got shots" weren't on the card.
I also exclude because fevers are common after shots and I personally don't know why the child has a fever so I just exclude for fevers period, no matter what reason. The only shot I don't exclude for is the flu shot but if they get a fever, they do stay home anyway.
Not saying that everyone should exclude, just giving my reasons as to why I do what I do for those that wonder why others exclude.- Flag
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I don't exclude for vaccinations either. I have a 1yo here today that got 6 shots yesterday at his 1yr check-up, never had any problems with after effects.- Flag
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