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Keeping Children Safe From Injuries in Early Care and Education Settings

Medication Safety and Poison Prevention. Keeping Children Safe From Injuries. in Early Care and Education Settings . Welcome. Date. Location. PRESENTER INFORMATION HERE. Learning Objectives. Explain why children are at risk for medication poisonings .

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Keeping Children Safe From Injuries in Early Care and Education Settings

Presentation on theme: "Keeping Children Safe From Injuries in Early Care and Education Settings"— Presentation transcript:


Keeping Children Safe From Injuries in Early Care and Education Settings

Medication Safety and Poison PreventionSlide2

Keeping Children Safe From Injuriesin Early Care and Education Settings Welcome


Learning ObjectivesExplain why children are at risk for medication poisonings Identify ways to prevent poisonings in early care and education settings

Learn what to do when a poisoning has occurred or is suspected in early education and child care settingsSlide4

Medication Administration TrainingToday’s presentation is focused on medication safetyCheck state regulations around medication administration requirements for early care and education providers

Medication Administration trainings are available Slide5

“If a disease were killing our children in the proportions that injuries are, people would be outraged and demand that this killer be stopped.”C. Everett Koop, MD

Former US Surgeon GeneralSlide6

Injury Deaths Compared to Other Leading Causes of Death

(Ages 1–44, United States, 2013)Slide7


Injuries Among Children

Leading cause of death and disability10% of injuries in preschoolers happen in early care and education settingsNot accidentsPreventable and predictableSlide9


Caring for Our Children

StandardsCaring for Our Children: National Health and Safety Performance Standards—Guidelines for Early Care and Education Programs (CFOC)3rd editionAvailable at http://cfoc.nrckids.org (free download and purchase options)Slide11

InjuriesPediatric first aid kit Pediatric CPR and first aid trainingCommunication device for emergencies (911)

Document and notify parents and state licensing agencyReport serious injuries to appropriate authoritiesSlide12

The Early Care and Education Provider

Relationship with family and childModel safety for children and familiesSlide13

The problemSlide14

How Busy Is Poison Control?Of the 1.34 MILLION calls made to Poison Control Centers for children, what percentage were medicine related?


How Busy Are Poison Control Centers?


Poisonings in the Emergency DepartmentOn average, how many young children are treated in the emergency department every day?


Medication Safety


The Facts: WhoGreater than 50% of calls for poisonings were for what age group?

0–12 months1–2 years3–4 years4–5 yearsSlide19

High Risk: What Age?

0–12 months1–2 years3–4 years4–5 years Slide20

Whose Medicine?Of the medication poisonings, what percentage of the medicine belonged to someone the child knew?


Whose Medicine?

Children can get into early care and education providers’ medications, too!10%20%50%>75%Slide22

Why are children at risk for poisonings?Slide23

Children and Medication RiskDevelopmentalCurious

explorersEverything goes in mouth PhysicalMedication weight basedOne pill can killSlide24

Look-a-Like MedicationsChildren don’t know difference between pills and candy Provider should be familiar with look-a-like medications and packagingSlide25

Mistaken IdentitySlide26

Mistaken IdentitySlide27

Mistaken IdentitySlide28

What Children Are Getting Into

Younger than age 1: Diaper care/rash productsAges 1‒4: Ibuprofen, vitamins, and diaper care/rash productsSlide29

Methods of Poisoning

Ingestion (eating or drinking) ~ 85% of poisonings Absorption (skin or eyes)Inhalation (breathing) Animal and insect bitesInjection (skin puncture)Slide30

Most Serious Household PoisonsDrain openers and toilet bowl cleaners (chemical burns)Nail glue removers (cyanide poisoning) Windshield washer solution

(blindness and death)Carbon monoxide (death)Slide31

Latest TrendsLaundry packetsLiquid nicotineButton batteriesSlide32

Medications to Avoid Aspirin: NOT FOR CHILDREN Cough and cold medications

Side effectsDon’t work in young childrenHoney (younger than age 1)Teething medicationsHomeopathic or herbalRisk: Combination medicationSlide33


Child’s nameOriginal labelPharmacy nameDose and instructionsOver-the-counter medicationsOriginal containersAdd child’s nameSlide34

Child-Resistant Packaging Slide35

Child Safety CapsPrevent/delay access: Layer of protection Re-secure after useCaps are NOT childproof

They are child resistantSlide36

Flow RestrictorsUsed with child safety capsLayer of protectionAdded to necks of liquid medication

Limits liquid escapeSlide37


Medication: Where Children Find ItSlide39

Storage: Up and Away

In original containerIn designated areaOut of reach or locked/secure (except emergency medications)Home: Empty medicine cabinetsNO cubby or diaper bagRisk: Staff and guest medicationsPurses and diaper bagsVisit http://upandaway.org for more informationSlide40


Preferred: Return to parentDocument Do not dispose in sink or toiletLocal pharmacyCommunity medication disposalTrash disposal (if necessary)Slide41

Policy and ProcedureSlide42

American Academy of Pediatrics

ALL early care and education settings should have emergency protocols in place in the event of medication poisoning.Slide43

Policy and Procedure

Permission and documentation (log)Giving medications Medication error or incidentDisposalMedication policy given to ALL parentsSlide44

Medication Administration TrainingThe Medication Administration in Early Education and Child Care Settings is available from the Healthy Futures Website as a free online course!



Adult Supervision = #1 Prevention

ALL medication poisonings are PREVENTABLEPoisonings can occur in all settingsHomeFamily child care settingsEarly care and education centersSlide47

SupervisionMost poisonings occur when children are unsupervisedNever turn back to child taking medicationSlide48

Teaching kidsSlide49

Teaching KidsAn adult always gives medicine Medicine is not candy Child-free zone

Cabinets: Medicine, cleaning cabinet, kitchen, and bathroomGarage Don’t share medicineDon’t know what it is?Don’t smell, taste, or touchSlide50

Role PlayFor preschool-age children Role playWhat to do when you find a pill or medicine on the floor Slide51

Suspected or Confirmed PoisoningSlide52

Poison Control Center

1-800-222-1222 SAVE ON YOUR PHONEFree Confidential24/7Multilingual ExpertsSlide53

Poison Control CenterCall: Any potential poisoningFollow and document advice Be prepared to give information

Age and gender - SubstanceEstimated amount - Child’s conditionTime since ingestion or exposureSlide54

What If?Swallowed Call

Poison Control Center FIRSTDo not try home remedies NEVER try to make someone throw upEyes Rinse eyes with running water + callSlide55

What If?Skin Remove any clothing that poison touched + rinse skin with running water + call

InhaledProvide fresh air right away + callSlide56

Don’t Forget the Invisible PoisonCarbon monoxide – invisible, tasteless, odorless gasFaulty furnace or heaterHeadache, nausea, and drowsiness

Check detectors monthly, batteries yearlyAlarm - go outside and call 911Slide57

SummaryCurious children = Risk for poisoningNever call medicine “candy” Keep medicines in original containers

Keep medicines locked up Always read labelTeach children to ask an adult before tasting anything 1-800-222-1222: Save this number! Slide58


Safe Kids Worldwide: http://www.safekids.org Up and Away and Out of Sight: http://www.upandaway.org National Capital Poison Center: http://www.poison.orgQuills Up, Stay Away!http://www.poison.org/spike Online AAP Course—Medication Administration in Early Education and Child Care: http://www.healthychildcare.org Slide59

AcknowledgementsThis curriculum has been developed by the American Academy of Pediatrics (AAP). The authors and contributors are expert authorities in the field of pediatrics. The recommendations in this curriculum do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

Listing of resources does not imply an endorsement by the AAP. The AAP is not responsible for the content of resources mentioned in this curriculum. Web site addresses are as current as possible, but may change at any time. Support for the Heathy Futures curricula has been provided through funding from Johnson & Johnson Consumer Inc.Slide60

AcknowledgementsProject Advisor

Andrew N. Hashikawa, MD, MS, FAAP AAP Early Childhood Champion (Michigan) University of Michigan Injury Center (Assistant Professor) Curriculum Content ConsultantAmy Teddy – Child Safety & Injury Prevention Expert (University of Michigan)Steering CommitteeDanette Glassy, MD, FAAP AAP Council on Early Childhood MemberNancy Topping-Tailby, MSW, LICSW National Center on Early Childhood Health & WellnessSusan Pollack, MD, FAAP

AAP Committee, Section, Council Reviewers

Council on Early Childhood

Council on Injury, Violence, and Poison Prevention

Disaster Preparedness Advisory Council

University of Michigan Contributor/Reviewer



, MD, MPHSlide61

Copyright InformationCopyright©2016 American Academy of Pediatrics. All rights reserved. Specific permission is granted to duplicate this curriculum for distribution to child care providers for educational, noncommercial purposes.