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Diapering and Toileting Use diaper changing as a time for relaxed, one-on-one interaction with children. Don't communicate disgust or disapproval. Handle children gently as you go about cleaning them up and diapering them. Talk to the child constantly. There should be lots of eye contact, smiles, and social games. Pleasant and stimulating diaper changing times are especially important for younger infants, whose range of activities is so limited. 1 Healthy Practices: Nutrition and Fitness
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Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

Apr 16, 2018

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Page 1: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToiletingUsediaperchangingasatimeforrelaxed,one-on-oneinteractionwithchildren.

Don'tcommunicatedisgustordisapproval.Handlechildrengentlyasyougoaboutcleaningthemupanddiaperingthem.Talktothechildconstantly.Thereshouldbelotsofeyecontact,smiles,andsocialgames.Pleasantandstimulatingdiaperchangingtimesareespeciallyimportantforyoungerinfants,whoserangeofactivitiesissolimited.

1Healthy Practices: Nutrition and Fitness

Page 2: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToiletingDiaperRash

Germslovewarm,damp,darkplaces,andthereisnoplacewarmer,damper,anddarkerthanasoileddiaper.Youngchildrenindiapersaresubjecttobacterialrashesandyeastinfections,whichlookterribleandarepainfulforthechild. Ifayoungchild'sbottomisstartingtolookirritated,thereareanumberofstepsyoucantaketoclearuptheinfection.

2Healthy Practices: Nutrition and Fitness

Page 3: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToiletingDiaperRash

Keeptheareaasdryaspossible.Changethechildfrequently,cleanthoroughly,andletthebottomdrybeforeputtingonanewdiaper.Iftheparentsgivewrittenauthorization,youcanuseanointmentontheredareatoformamoisturebarrierfortheskin.Iftheconditionpersists,theparentsmayneedtogetaprescriptionantibiotictoclearuptheinfection.

3Healthy Practices: Nutrition and Fitness

Page 4: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToiletingDocumentingDiaperChanges

Mostinfantroomcaregiversmarkdiaperchangesonachart.Chartingisausefultool,althoughitisnotrequired.

Therearemanyadvantagestochartinginfants'routineactivitiesthroughoutthedayincludingtheirsleepschedule,diaperchanges,andfeedingtimes.

4Healthy Practices: Nutrition and Fitness

Page 5: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToiletingDocumentingDiaperChanges

Chartsarehelpfulto:• Informparentsabouttheirchild'sdayandactivities• Serveasamemoryaidforstaffaboutwhenan

infantwaslastchangedorfed• Providestaffinformationaboutchangesininfant's

routinebehavior,whichmayindicatetheyaresickornotfeelingwell

5Healthy Practices: Nutrition and Fitness

Page 6: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToileting

Toileting

Waitforchildren'sphysicaldevelopmentandforthemtodecidetousethetoiletlikethe"bigkids".Thedecisiontostartencouragingachildtousethetoiletshouldoccurwiththechild'sparents.

Basedontheirknowledgeofchildren'shabits,caregiverscanscheduleregulartripstothetoilet.

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Page 7: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToileting

Toileting

Praisechildrenwhentheyhaveasuccessful"event",butdonotcriticizethemifnothinghappensorinsisttheysitlonger.

Helpwipechildrenaftertheyusethetoiletandthenassisttheminwashingtheirhands.

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Page 8: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToiletingEncouragechildrentodecideforthemselveswhethertheyneedtousethebathroom.

Scheduleregularremindersforbathroomtimesduringtheday.Ifyouorparentsexpectchildrentostartusingthetoiletbythemselves,itisimportantthatchildrenweartrainingpantsratherthandiapersorpull-ups.

Theyshouldalsowearclothingthattheycanpulldownandpullupthemselves.Thismakesitphysicallypossibleforthemtosuccessfullyusethetoilet.Italsopromotesindependence,self-confidenceandself-esteem.

8Healthy Practices: Nutrition and Fitness

Page 9: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToiletingToilet training must be initiated in consultation with parents:

• Usingpositivereinforcement• Culturalsensitivity• Notusingfoodsasareinforcement• Followingaroutineestablishedbetweentheparentandyou

9Healthy Practices: Nutrition and Fitness

Page 10: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToileting

Diaperingandtheuseofpottychairscarrydistinctriskstothechildcareenvironment.Sincethechangingareaisoneoftheplaceswheregermswhichcausediseasearemostlikelytoliveandspread,theseactivitiesmustbehandledwithextremecareandattentiontosanitation.

10Healthy Practices: Nutrition and Fitness

Page 11: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToileting

Youshouldneverwashorrinsediapersorclothessoiledwithstoolinthechildcaresetting.Becauseoftheriskofsplashingandgrosscontaminationofhands,sinks,andbathroomsurfaces,rinsingincreasestheriskthatyou,otherprovidersandthechildrenwouldbeexposedtogermsthatcauseinfection.

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Page 12: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

DiaperingandToileting

Allsoiledclothingshouldbeputinaplasticbag,securelyclosed,andsenthomewiththechildwithoutrinsing.(Youmaydumpsolidstoolintoatoilet.)Youneedtotellparentsaboutthisprocedureandwhyitisimportant.Theyoftenrequestthatdiapersandtrainingpantsberinsedouttoavoidstaining.

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Page 13: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

ImportantRulesAboutDiapering• Usetheareaonlyfordiapering.• Setupthediaperingareaasfaraspossiblefromanyfoodhandlingarea.• Providerunningwatersohandscanbewashedimmediatelyafteradiaperischanged.• Constructadiaperingsurfacewhichisflat,safeandpreferablyatleastthreefeetabovethefloor.• Besurethissurfaceisclean,waterproofandfreeofcracksandcrevices.Coveritwithadisposable

cover.Usecheapmaterialssuchaspaperbags,usedcomputerpaper(onthe“wrong”side),rollsofpaper,etc.,orbuydisposablesquaresfromdiscountmedicalsupplycompanies.

• Keepallcreams,lotionsandcleaningitemsoutofreachofchildren.• Nevergiveachildanyofthesetoplaywithwhilebeingdiaperedsinceshe/hecouldbepoisoned.• Useaguardrailorrecessedareaasanextrasafetymeasure.• Alwayskeepahandonthechild.

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Page 14: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

Stepswhenchangingadiaper:1. Washhands.2. Gathernecessarymaterial.3. Putdisposableglovesonhands.4. Placechildgentlyontableandremovediaper.5. Disposeofdiaperinahands-freegarbagecanwithalid.6. Cleanthechild’sdiaperareafromfronttoback,usingaclean,dampwipeforeachwipe.7. Applytopicalcream/ointment/lotionwhenwrittenconsentisonfile.8. Removegloves.9. Washhandsorusewetwipe(ifnofecalmatteronhands).10. Putoncleandiaperanddressthechild.11. Washchild’shandswithsoapandrunningwaterorwithwetwipeanddryhandswithpapertowel.12. Placechildinsafeplace.13. Cleananddisinfectdiaperingareaandanyequipmenttouched.14. Washhands.Eachdiaperchangingareaisrequiredtohavepostedinstructionsonthisprocedure.

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Page 15: Diapering and Toileting - STARS Child Care Basics€¦ · Diapering and Toileting Encourage children to decide for themselves whether they need to use the bathroom. Schedule regular

ImportantRulesAboutDiapering

NEVERLEAVETHECHILDUNATTENDED

EVENFORASECOND

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