We strictly follow requirements and guidelines for safety and sanitation from EEC and the DPH. This step-by-step procedure is posted over every changing table and must be followed without exception:
Gather necessary supplies. Place disposable paper on changing table.
Put on disposable gloves.
Place child on covered diapering surface. Clean child’s bottom from front to back with disposable wipes sent in from home.
Use ointments and/or creams as requested and authorized by the family.
Diaper and dress the child.
Place soiled diaper, wipes and gloves in plastic bag (not necessary for wet diapers). Discard in trash. Seal soiled clothing in a plastic bag and store it apart from other items to be sent home.
Prepare a paper towel for use.
Wash the child’s hands and your own, using paper towel to turn off the faucet.
Disinfect and wipe down the diapering area after each use with sanitizer solution.
Return supplies to proper storage.
Record information on the daily sheet (if applicable).
TOILETING PROCEDURES
All staff must follow these procedures when assisting children with toileting:
Create frequent group toileting times throughout the day to facilitate the process. However, allow children to use the toilet when needed.
Supervise the children at all times, while allowing them as much privacy as is appropriate.
Toddler teachers must remain in the bathroom with the children, moving to the sink area as children finish. Preschool and Pre-K teachers must remain in the bathroom area (within sight of sinks and both bathrooms).
Assist children with clothing when necessary.
Seal soiled clothing in a plastic bag and store it apart from other items to be sent home [see detailed instructions below]. Extra clothing is available if needed.
Encourage children to wipe themselves carefully from front to back. Check that the child is clean, wearing gloves and wiping the child with toilet paper when necessary. Wash your hands and apply new gloves after wiping a child.
Clean and disinfect the toilet with sanitizer solution if soiled by feces. (Put on disposable gloves whenever cleaning feces, urine, vomit or blood.)
Children should proceed to the sinks to wash hands [see Handwashing Procedure].
Primary teachers, not assistants, should bring children in to use the bathroom when outside.
Diapers with a BM should always be changed on the table
Wet Diaper Procedure
With a diaper and wipe, children wearing a dry or only wet diaper enter the bathroom, placing their diaper and wipe on the back of a toilet. Put on gloves.
Child pulls down pants. Before children have complete independence in this step, they may need both verbal and physical assistance in order to pull them down.
Child tears off diaper and disposes in trash bag (may need verbal or physical assistance with this step).
Child steps onto stepstool, if needed (feet should be touching either the floor or the stepstool).
Child sits on or stands at the toilet. Boys may need to hold the back of the toilet while standing for balance. For the most success, children should be encouraged to try the toilet for a short amount of time, such as the length of singing the “ABCs.”
Child climbs off of stepstool and rips off toilet paper. Before children have complete independence in this step, they may need both verbal and physical assistance in ripping off the appropriate amount of toilet paper.
Encourage the child to wipe themselves carefully from front to back and throw the paper in the toilet. Check that the child is clean, wearing gloves and wiping him/her with toilet paper when necessary.
Wash your hands and change gloves after helping to wipe any child.
Child flushes toilet.
Children bring their own diapers to you. After throwing away soiled gloves, strap the dry diaper onto the standing child.
Children pull up pants. Before children have complete independence in this step, they may need verbal and/or physical assistance in knowing where to put their hands on their pants in order to pull them up.
Children should proceed to the sinks to wash hands [see Handwashing Procedure].
Children Wearing Underwear Procedure
Child pulls down pants.
Child sits on or stands at the toilet. Feet should be touching a surface, either the floor or a stepstool. Boys may need to hold the back of the toilet while standing for balance.
Encourage the child to wipe him/herself carefully from front to back and throw the paper in the toilet. Check to make sure the child is clean, wearing gloves and wiping him/her with toilet paper when necessary. Wash your hands after helping to wipe any child.
Child flushes toilet.
Child pulls up pants.
Children should proceed to the sinks to wash hands [see Handwashing Procedure].
Wet Clothing Procedure
Gather dry clothing with the child from the child’s extra supply (school-provided extra clothing is available if necessary).
Provide the child with disposable paper to place on floor of the bathroom.
Child places wet clothing into a plastic bag you hold open. Seal the bag to be sent home.
Child uses wet wipes to clean all wet areas of the body, placing used wipes in a diaper bag.
Child redresses and throws disposable paper into trash bag.
With educator supervision, children proceed to sinks to wash hands [see Handwashing procedure].
Clean and disinfect the wet area with sanitizer solution.
Changing Soiled Clothing (In Bathroom) Procedure
Gather clean clothing with the child from the child’s extra supply (school-provided extra clothing is available if necessary).
Wearing gloves, bring several sheets of disposable paper, three plastic diaper bags and a box of wipes into bathroom with the child.
With child standing on disposable paper, remove child’s shoes, socks and pants, sealing any soiled clothes in one plastic bag.
Carefully remove soiled underpants from child, dumping the contents into the toilet.
To prevent it from soiling other clothing, seal soiled underwear in its own plastic bag to be sent home.
Use wipes to clean child’s body thoroughly, sealing used wipes and soiled diaper paper in separate plastic bag. Dispose of this bag in covered step can.
Clean and disinfect the soiled area with sanitizer solution.
Child redresses.
Proceed to sinks with child to wash hands [see Handwashing Procedure].
Clothes Soiled by Bowel Movement (Changing on Diaper Table)
Follow all steps of the diapering procedure, remembering to place soiled clothes in separate plastic diaper bag to be sent home.