Fractured Skull- When to Return to Daycare

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  • amberrose3dg
    Daycare.com Member
    • Feb 2017
    • 1343

    #16
    Originally posted by MomBoss
    I asked to see discharge/aftercare papers. Hopefully the papers will have more info for me
    I would probably make him stay home until it is healed. So many what if's and I would hate for you to be responsible for it.

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    • Blackcat31
      • Oct 2010
      • 36124

      #17
      I would contact licensing. Just so there is documentation. Let them know what the situation is, maybe even share the doctor's discharge info and what if any other info you have required from the family.

      I do agree with waiting atleast a week before re-admittance to care. Just to be on the safe side. I would also require detailed info from the doctor as far as diagnosis, care plan and what to watch for afterwards or what special precautions are necessary.
      ALL in writing of course from the doctor not the parent.

      It sounds scary and while I'm sure it's not completely uncommon I would be most concerned about covering my butt in regards to liability.

      The best tool providers have to do that is through documentation.

      Comment

      • MomBoss
        Daycare.com Member
        • Sep 2017
        • 788

        #18
        They wanted him to return today but after i asked if he could play outside/run around..they found someone to watch him the rest of the week
        Personally as a parent, i would be taking off at least a week or until my childs follow up appaointment. This isnt something i would take lightly with a child so young

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        • Ariana
          Advanced Daycare.com Member
          • Jun 2011
          • 8969

          #19
          Here a CT scan wouldnรขโ‚ฌโ„ขt even be ordered for a fall less than 5ft. This seems crazy for such a small fall in my opinion!!

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          • MomBoss
            Daycare.com Member
            • Sep 2017
            • 788

            #20
            Originally posted by Ariana
            Here a CT scan wouldnรขโ‚ฌโ„ขt even be ordered for a fall less than 5ft. This seems crazy for such a small fall in my opinion!!
            He was standing on a chair, fell backwards, and hit his head on tile floor. What i dont understand is how a 3.5yr old didnt brace himself while he fell or try to put his arms out or anything:confused:

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            • Annalee
              Daycare.com Member
              • Jul 2012
              • 5864

              #21
              Originally posted by Ariana
              Here a CT scan wouldnโ€™t even be ordered for a fall less than 5ft. This seems crazy for such a small fall in my opinion!!
              My son didn't fall, he bumped heads full-force running with another basketball player and they run a CT scan. He had slurred speech for days afterwards.

              Comment

              • Ariana
                Advanced Daycare.com Member
                • Jun 2011
                • 8969

                #22
                Originally posted by Annalee
                My son didn't fall, he bumped heads full-force running with another basketball player and they run a CT scan. He had slurred speech for days afterwards.
                Thats not a fall and has much more force than a fall from a chair. I am just thinking a fall from a chair is what? A foot maybe? Not very high. Just seems odd to me!

                My daughter fell and the DRs were very concerned with how high up the fall was. They said anything 5ft and above could result in a fracture, less than that it is less likely. Maybe there were other factors involved. She did not lose consciousness.

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                • MomBoss
                  Daycare.com Member
                  • Sep 2017
                  • 788

                  #23
                  Originally posted by Ariana
                  Thats not a fall and has much more force than a fall from a chair. I am just thinking a fall from a chair is what? A foot maybe? Not very high. Just seems odd to me!

                  My daughter fell and the DRs were very concerned with how high up the fall was. They said anything 5ft and above could result in a fracture, less than that it is less likely. Maybe there were other factors involved. She did not lose consciousness.
                  It was definitely more than a foot. He was making cupcakes at the counter. So an adult chair or maybe even a bar stool. For young kids falling any height could cause a head injury depending on force or the surface the head hits. Seems odd a Dr would say that.

                  Comment

                  • Cat Herder
                    Advanced Daycare.com Member
                    • Dec 2010
                    • 13744

                    #24
                    Head injuries are unpredictable. My DH once worked a case of a 22-year-old, healthy/fit, guy who was stopped on his bicycle talking to a neighbor. Somehow he fell over and died. At first, they thought aneurysm caused the fall, but in the end, it was the fall that caused the bleed that killed him. Just a freak accident. Of course, kids are more resilient by design.
                    - Unless otherwise stated, all my posts are personal opinion and worth what you paid for them.

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                    • Annalee
                      Daycare.com Member
                      • Jul 2012
                      • 5864

                      #25
                      Originally posted by Cat Herder
                      Head injuries are unpredictable. My DH once worked a case of a 22-year-old, healthy/fit, guy who was stopped on his bicycle talking to a neighbor. Somehow he fell over and died. At first, they thought aneurysm caused the fall, but in the end, it was the fall that caused the bleed that killed him. Just a freak accident. Of course, kids are more resilient by design.
                      True! Wasn't it Natasha Richardson that had a fall then felt fine then later died from her fall hitting her head. You just never know....better be safe than sorry for sure!

                      Comment

                      • Ariana
                        Advanced Daycare.com Member
                        • Jun 2011
                        • 8969

                        #26
                        Originally posted by MomBoss
                        It was definitely more than a foot. He was making cupcakes at the counter. So an adult chair or maybe even a bar stool. For young kids falling any height could cause a head injury depending on force or the surface the head hits. Seems odd a Dr would say that.
                        A head injury possibly but not always a fracture. I guess my DRs were specifically talking about a fractured skull being more likely from a height over 5ft. These were paediatric specialists in one of the best Childrens hospitals in the country so I dunno!! I have had kids fall on cement from a chair height and barely even cried! I guess I am the only one that thinks a fractured skull from that fall is weird

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