ChildCare Conversations with Kate and Carrie
Kate and Carrie have over 62 years in the childcare business industry and bring that background to their conversations. Having worked with over 5000 childcare programs across the country in the last 30 years together they are a fun and powerful team - ready to help you tackle your problems with practical solutions.
ChildCare Conversations with Kate and Carrie
Episode 116: Ooops: When a Teacher Gets Hurt
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Accidents and Injuries happen, but how do you know if you are prepared? In this three-part series Carrie and Kate discuss what to do next, best practices, and how to resolve the situation.
In this week's episode, they will go over what to do if something happens to one of your teachers. How to cover for their class, be aware of next steps, and everything to do when they come back.
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Welcome back to the colorful clipboard, Carrie, and I are so glad that you are joining us today. Today, we are going to talk about whoops. So basically, we are going to introduce a three-week series of what to do when somebody Falls when you have that child staff or even yourself, who perhaps, maybe has died more than a cut more than a cut a Injury more, that more than a Band-Aid.
And so Carrie, why don't you share with us a scenario related to a kid? I've got a couple in my back pocket unfortunately but let's go ahead and start with a scenario and that you've worked with that. Perhaps, maybe your staff. Let's start with a great one. Let's start with one that your staff handled exactly. The way they were, I've been remarkably lucky. Considering how many years I've been in the industry.
So the two that popped into my head. Both have to do with infants and so the one I want to talk about is a child brought back from the playground, a leaf which they failed to disclose to the teachers. And so the kid had, I don't know, stuck it in there overalls or something like that. And so they wash their hands and then put them immediately in the high chair for snack or lunch. And the child is sitting there, while the teacher's back is turned to get food together. The child takes the leaf out and puts it in their mouth and again, the teacher didn't. I mean, we're presuming, that's what happened because nobody was watching, right? And the child didn't have the leaf in their mouth when they came inside.
And so they're feeding this child spoon food. You know, mushed up bananas, mushed up peas and the child started to not be able to swallow and ended up that the leaf was blocking their airway. And so when the teacher saw that the child wasn't swallowing and then the teacher then was like, wait, this child is not breathing. And then they took the child out of the high chair. Flip them upside down and do a nice little thump on the back.
That's how we know that. That's what the problem was and the child starts screaming and then the child immediately wants to eat because they're hungry and they're mad and teachers. Like, I'm not giving this child food right now. They need to be checked out by a doctor. So They went and gave the child. A bottle of milk would be okay to help the child calm down and get something in their tummy while they waited for the squad to come.
Great, great. So I love that example. And I love how you shared what the teacher did. So what are the other bits and pieces that were left after that? So we've got the squad came, what else kind of happened at the same time. So the teacher went with the baby in the squad because that's what you do. And this was way back in the Dark Ages when everybody didn't have a cell phone. So when they got to the hospital, the teacher called the school to say we've arrived, this is the hospital we are at and you know, we're good.
This is the update and then parents were called and said this is where the child was back at the center the next day. All right. And so are there stipulations to letting regulators? Agencies know how that works? Well, here in Texas licensing would have to be notified within 48 Hours of that happening.
Okay, well, I think it's two business days but I just put it in everybody's head is 48 hours because I've known centers to get cited because they're closed for, you know, Memorial Day or whatever and something happened on a Friday and they didn't notify within two days. Well, it's two business days, but some Licensing reps, get a little wound up. So I just tell everybody 48 hours, I think that's a great safety caution. So to that I'm going to give, okay, but I was going to say one of the things that I know there's probably, you know, a couple of people listening to this going. Wait, why were the parents not called until the kid got to the emergency room one? This was back in the days when not everybody had a cell phone. So you couldn't text but I definitely wouldn't text your child's in an ambulance either. And, you know, I live in a metro area where there are multiple hospitals, and until you know which hospital that ambulance is going to land at I don't think you should call. If you know that the child is going to go in an ambulance, don't call the parents until you know where the ambulance has landed.
We know that first day and PR is not mandatory for every teacher in the building. However, I disagree on a personal level. I understand why? Perhaps, not everybody does have it but I think it's a, it's easier because then you always know, you've got somebody who's on staff, it makes it. Yeah, so much easier from a staff perspective because then you can have anybody in the classroom by themselves. When the numbers
go down as opposed to, I'm sorry, you can't go home early today because
you're the first date or This classroom exam. So yeah II. Again
I would say best practices is everyone on staff. I don't care if they're that your cook, their
your bus driver. Maybe. Not your janitorial staff. If you have Janet
Orioles down but the janitorial staff ever have in common contact with kids. Yes
I would rather just have everybody get the training because you never
know when they're going to be the closest person. To the person who's injured.
I'm going to just do a complete one not 180, I don't know. 87
degree turn, I don't know. And talk about a place
where my daughter worked and there was a lot of
child supervision and only the only people who had first aid
and CPR were the managers. And
because that's all that was legally required. Are you talking about the place that Marie also worked? Yes.
Okay, so it was after Marie left because when Mary was there, she was actually the the highest trained
staff person at 14. And so my
daughter was the office manager and she
had, she was a girl scout all the way through and so did all the different levels of Dade.
Except for the last one because we couldn't find anybody who met our councils
criteria, the year that she wanted to do it. And so, she
was very comfortable with first aid. She also is a somewhat
klutzy person and has had multiple concussions. So, she has that
knowledge also, and there was a kid who was playing,
so it's an indoor gym kind of a place and And there was a kid playing and they got
a head Lac. What is that in real /? People words. What's a head Lac? Laughs?
Hmm, laceration, laceration, cut scrape. Yeah,
they were bleeding a lot from their forehead and the two
staff members who were supervising literally froze, you know, there's three things
that happen when you're in a dangerous situation. You Flee
fight or freeze and they both froze. My
daughter is in the other room sees this and is like, and
goes in and it like, okay, where are the gloves? Somebody get
me some gauze, you know, it's just like right on it and
doesn't understand why the parents of the child aren't doing anything and
neither are the supervisors. Of that group of children and be
aware that if you only have one staff person for that group of children,
who has the first aid and CPR training, they might be a freeze person, they
freeze in a crisis, and then the other person in that group, maybe
doesn't have the training. So while they might be, you know, an action taker in a crisis.
They don't know what to do. So, and in each of those there, Some parts
that went wrong. So you as a school leader, use
these as examples of things to not copy. I
I don't know how what all should have been maybe changed in the infant one other
than, you know, have your infant staff look in babies mouths before,
you know, when they come in from a playground, just in case they have stuck a A leaf in there because
leaves are choking hazards. You won't choke to death. An adult, wouldn't choke
to death. An older kid, wouldn't choke to death, but little babies and young toddlers.
Don't have as much blood volume. So they it's a problem. Anyway,
and it's funny when you were telling that story I kept waiting for you to tell me. It was a poison ivy leaf and that
what happened was an elm leaf. So when they did so, this is back when they taught us to swipe
which no longer your Longer supposed to swipe, this was when you're supposed to swipe and they
couldn't get it because it's an elm leaf. And elm leaves are little. If it had been an oak leaf, this
kid would have had a much less traumatic day so
I mean, maybe don't plant only Elm trees around here. Infant playground. I don't know. I don't
because kids will find stuff to stick in their mouth. They could do the same thing with a thick piece of construction
paper, right? I'm thinking all those little rocks. Kids stuck in different
places. Well, that was another story. I thought about that was the other one that immediately popped in my head was the kid who
put a bean in the nose and nobody knew that they put a bead in the
nose until the little piece of green started showing at the nostril a couple days later. Because
the bean was grow way. That
was that was fun, so that was another trip to the doctor's
office. But you know, in
each of those situations you've got different steps that needed to be followed when
a child is bleeding profusely. Wrapping a really tight
band aid on it. And then not telling anyone that had happened because
you're like, I messed up. I wasn't supervising and I don't want to get in trouble.
Well that's obviously what that teacher did right? They wrap the Band-Aid up really tight.
So as to restrict blood flow and then didn't tell anybody
until the end of the day because they were afraid they were going to get in trouble and then in addition
to that, the staff being afraid for their job which you had in both of your
situations and in addition to that, you had a
director who win notified that you guys took the I'll two
men seek medical care, didn't file, the appropriate Report with licensing
and in the other situation you had people who weren't trained in how to do the paperwork. And again, we're
afraid of losing their jobs. So we need to help
our staff. Understand that. A child, getting hurt is not going to mean your
job. Unless you lie about it and
if you lie about it I'm firing you. So I think one thing that's really great
about all these scenarios that we can kind of use and kind of our wrap-up is take
these three scenarios to a staff meeting. We have a lot of directors who
call us who are often stuck on what to do or you know, what kind of staff meeting
or training, should they be doing? And if you have not
sat down, With all of your staff to review, how to document
an injury and illness, some sort of episode that's happened on a playground. This
is a great time to use one of our examples. Even if you have
examples that your program, I really discourage you from using your own programs examples because
you don't want somebody to feel like they've been called out. You don't want somebody to feel like they
know who you're talking about who maybe didn't do something right. Or make up
your own scenarios, just make sure they don't match ones that have ever happened at your program and
it's a great opportunity to walk through. I know that
there are programs out there who their accident report. Forms
are literally nothing but check marks and fill in the blanks and like no narrative.
I don't know how that works for my insurance standpoint that probably wouldn't have necessarily helped us any, but at least it
takes the staff to fill in all the blanks. They know
that they aren't putting any emotion into what happened, right? It's what time
and it's who, what where when why and how you know, it's what time we're to
whom by whom if there was a there was another person involved you know
just make sure that they actually really have a Clue on what they're writing. If you need examples
are ideas reach out to us at Kate and carry at Texas. Kate or Kerry
had a pleasure to different emails and texts director or carry a Texas director.
We may have to make one that's Caton carry at Texas director but we don't want to,
we have enough email to check so but feel free to reach out to us. Let us
know what it is that you need help with were happy to help you. Come up with some additional scenarios and if
you want some of those Live seven year olds or they might be 10 or 11, that can
just play a seven-year-old on TV anyway. So let us know if there's anything we can do to help
have a great week and we'll see you later.
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