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Policy On Nappy Changing/ Clothes


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He, he. Am I that sad!?!


Changing Policy


Excreta, blood and body fluids are potentially infectious and precautions are necessary to prevent exposure. Bleach, disposable gloves, towels and plastic bags are essential items for dealing with emergencies and accidents.


Children’s rights to privacy are respected. Staff respond to toileting accidents in a low key way. There is the minimum amount of fuss and any explanations given to other children are similarly calm, such as ‘Oh, she’s spilled her drink’ etc. used if necessary.


Children who are able to toilet themselves are allowed to do so, as long as they tell a member of staff that they are going so that we know where they are, and to avoid other children entering the room whilst they are on the toilet. Children who need help with fastenings, or with the small toilet seat are assisted with those things that they need, whilst encouraging independence as far as possible.


 A disposable apron and gloves should always be worn when dealing with blood, urine, vomit and faeces.

 Nappies and pull-ups should only be changed by CRB checked staff members or by the child’s parent/carer if present.

 When attending to children with diarrhoea, special care must be taken with clothing and other contaminated articles.

 Spillages should be cleaned up as quickly as possible and other children must be kept away.

 Liquid bleach should be used to clean and disinfect after all spillages except for urine, which should be cleared up with paper towels before washing the area with detergent solution.

 If possible, diluted bleach should be poured directly over a blood spill, covered with paper towels and mopped up after two minutes with more disposable towels, which are then plastic bagged and disposed of. The site of the spillage should then be disinfected again after the gross spillage has been cleared.

 All used wet wipes, aprons and gloves should be disposed of with the nappy in a tied plastic bag.

 Hands should be washed after contact with spillages (even when gloves are worn) and anti-bacterial spray applied.


The following would need to be reported to the Manager and Parent:

 Any change in colour, frequency or consistency of stools

 Watery stools with an unpleasant smell

 Passing blood

 Passing urine less frequently

 Urine which is dark in colour (may be due to dehydration)

 Difficulty in opening the bowels and stools which are small and hard

 Rash

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