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Chapter Two: Indoor Safety
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Indoor Safety Policies
Indoor Child Care Environments Indoor Equipment Safety Toy Safety
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Interpersonal Safety Poison Control Fire and Burn Prevention
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Indoor Child Care Environments
Examine for hazards Falls Choking Burns Drowning Poisoning
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Environmental hazards in child care
Ventilation Pets or animals Cleaning supplies Safety devices needed
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Developmental level Infants Toddlers Relatively helpless choking
Group with most potential for unsafe practices poisons
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Preschoolers School Age
Greater physical and cognitive abilities falls School Age Relatively safe indoors, but firearms may be risk
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Space Recommended indoor space is 35 square feet per child
Does not include kitchen, bathroom, closets, laundry facilities, or staff space Usually translates to 50 square feet when furnishings are considered Adequate floor space essential for prevention of injury
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Shared Space Multiple-use facilities need thoughtful anticipation for risk Screening checklist Remove Replace
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Indoor Safety Equipment
Equipment should be Sturdy Free of sharp points or corners, splinters, protruding nails or bolts Free of loose, rusty parts, hazardous small parts, or paint that contains lead Durable
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Easy to clean Child-sized, where appropriate Equipment should allow flow of movement Comply with standards Cribs, high chairs, strollers, safety gates
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Preventing falls Indoor water safety Checklist (Table 2-3) Toilets
Standing water Hot water heaters (less than 120 degrees F)
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Toy Safety Choking and suffocation hazards
Toys, food, and small objects Examine for age appropriateness Developmental level, safety precautions Appropriate toys (Table 2-6)
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Toy Safety Checklist (Table 2-7)
Art supplies Federal Arts Materials Act of 1990 Hazard free art materials label AP or CP Common household products Toy Safety Checklist (Table 2-7)
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Interpersonal Safety Injuries from biting, kicking, scratching, and fighting common Caregivers should Be prepared to intervene Understand behavior Know strategies for eliminating and preventing behavior Know how to use conflict resolution
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Exposure to violence Television, street, neighborhoods, homes
High degree of exposure can cause post-traumatic stress disorder Can cause a child to relive violence in play Caregiver needs to observe, communicate, and redirect
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Poison Control Most common emergency involving children
Children under four are most likely to ingest poison Examining the environment First order of prevention is caregiver vigilance in monitoring Room by room inspection
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Understanding risk Ingestion swallowing
Contact absorbed through skin Inhalation breathing fumes Animal, insect, or reptile bites Injection puncture wound
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Strategies for Promoting Poison Control
Table 2-11 Plants that pose risk Common indoor plant risk (Table 2-12)
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Fire and Burn Prevention
Injuries from fires and burns are 2nd leading cause of death in children in U.S. 35% of all burn injuries happen to children Scalding is chief cause of burns to preschool children Playing with matches and lighters #1 cause of fire deaths in young children
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Environmental Hazards
Scalding Electrical Contact Chemical
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Strategies for Fire and Burn Prevention
Teach child fire and burn prevention Avoid matches and lighters Regular fire drills Stop, Drop, and Roll
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Safety devices should be present
Fire extinguishers Smoke alarms Model safe behavior
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Implications for Caregivers
Observation Accessories, behaviors, conditions Knowledge of hazards Equipment, toys, art supplies, poisons Awareness of unsafe interpersonal behaviors
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Supervision Education Constant monitoring environment
Safe practices, methods of prevention, promotion Check for compliance with licensing, fire safety guidelines Communication to all caregivers to ensure safe practices Education Parents, caregivers, and children
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Reality Check: SIDS Safe Practices can prevent more than half of the cases Put babies to sleep on their backs Do not expose babies to secondhand smoke Remove all soft sleeping materials such as pillows, foam pads, etc. Do not let baby get overheated
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Reality Check: Kids and Guns
Serious safety issue 1.2 million children have access to guns in their homes 1 in 5 high school students carry guns or other weapons to school Children exposed to violence may carry guns to feel safe
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Children’s curiosity Encouraged by exposure via television/movies
Toys available to play with Even if they have been cautioned not to touch them, most children will anyway
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How does child caregiver help protect children from guns?
Family child caregivers ensure that any firearm present is kept out of sight, locked away, and kept separate from ammunition They can provide alternate forms of handling conflict in prosocial ways by conflict resolution Not allow guns in child care environment Including “substitute” gun play with other items
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Strategies to promote positive interaction
Educate parents about dangers of guns Monitor programming of television, if used in child care Strategies to promote positive interaction Table 2-10
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