EMERGENCY/ DISASTER PREPAREDNESS FOR CHILD CARE PROGRAMS Applicable Standards from: CARING FOR OUR CHILDREN National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Second Edition A Joint Collaborative Project of American Academy of Pediatrics 141 Northwest Point Blvd. Elk Grove Village, IL 60007-1098 American Public Health Association 8001 I Street, N.W. Washington, DC 20001-3710 National Resource Center for Health and Safety in Child Care University of Colorado Health Sciences Center at Fitzsimons Campus Mail Stop F541, PO Box 6508 Aurora, CO 80045-0508 Support for this project was provided by the Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services (Cooperative Agreement # U93 MC 00098) VERSO Adapted from Caring for Our Children, National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care, Second Edition Copyright 2004 by American Academy of Pediatrics American Public Health Association National Resource Center for Health and Safety in Child Care All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilized by any information storage and retrieval system without the prior written permission of the publisher. For reprint requests, please contact the Permissions Editor at the American Academy of Pediatrics by fax 847-434-8780 or mail American Academy of Pediatrics, PO Box 927, Elk Grove Village, IL 60006-0927 The National Standards are for reference purposes only and shall not be used as a substitute for medical consultation, nor be used to authorize actions beyond a person’s licensing, training, or ability. Emergency/Disaster Preparedness Table of Contents TABLE OF CONTENTS INTRODUCTION.............................................................................................................iv PLAN...................................................................................................................................1 PREPARE............................................................................................................................9 EMERGENCY PROCEDURES ...................................................................9 SUPERVISION ...........................................................................................10 EQUIPMENT AND SUPPLIES ................................................................13 FIRST AID/EMERGENCY TRAINING ....................................................18 EVACUATION/EXITS..............................................................................22 SPECIAL MEDICAL CONDITIONS .......................................................24 PRACTICE........................................................................................................................30 APPENDIX M: SPECIAL CARE PLAN FOR A CHILD WITH ASTHMA.................34 APPENDIX N: SITUATIONS THAT REQUIRE MEDICAL ATTENTION RIGHT AWAY ...............................................36 APPENDIX X: EMERGENCY INFORMATION FORM FOR CHILDREN WITH SPECIAL NEEDS .....................................................37 APPENDIX Y: INCIDENT REPORT FORM.................................................................39 APPENDIX BB: CONTACT INFORMATION.............................................................40 INDEX...............................................................................................................................42 iii Table of Contents Introduction Emergency/Disaster Preparedness INTRODUCTION INTRODUCTION Child care providers need to be trained on appropriate procedures depending on the emergency and children and staff need to regularly Caring for Our Children: National Health and Safety participate in evacuation drills. This guide is to Performance Standards for Out-of--Home Child Care help the following audiences in developing Programs, 2nd Edition (CFOC, 2nd Ed.)was released appropriate plans, procedures, policies and drills: by the American Academy of Pediatrics (AAP), American Public Health Association (APHA), the INTENDED AUDIENCES Maternal and Child Health Bureau (MCHB), and the National Resource Center for Health and The intended audiences for this document are: Safety in Child Care (NRC) in January 2002. The • child care providers who need to have full edition of CFOC, 2nd Ed. contains 707 appropriate emergency/disaster standards and recommendations on all aspects procedures and plans in place and regarding the health and safety of children in child practiced regularly; care settings. These standards were developed by • state regulators and policy makers who leading health and safety experts over a period of are formulating or changing state four years. Each standard includes rationale behind regulations in the area of emergency plans the need for such practices. The full edition is for child care programs; available on the NRC web site at http:// • health consultants and trainers who can nrc.uchsc.edu/CFOC/index.html. Print copies can promote and teach appropriate be purchased from the American Academy of emergency/disaster procedures and Pediatrics (www.aap.org)and the American Public policies; Health Association (www.apha.org). • parents who need to understand and participate in the emergency plan and In an effort to make select subject areas more policies of their child’s early care and accessible to intended users, the National education program. Resource Center for Health and Safety in Child Care (NRC) is developing smaller documents on Throughout this document there will be specific subject areas. This document is a references to other standards contained in the full compilation of the standards on child care edition of Caring for Our Children, 2nd Ed. that are emergency preparedness and disaster planning. not present in this document. For example, comments in Standard 3.061 regarding the training Parents and society expect their children to be in a for staff to handle seizures refers to other safe environment while in the care of child care standards which are not in this document but ARE programs. However emergencies and disasters do found in the full edition of Caring for Our Children, occur in these settings and child care providers 2nd Ed. The full edition of CFOC can be found at need to plan and be prepared when such events http://nrc.uchsc.edu/CFOC/index.html. Also, happen. A variety of emergencies can take place. standards in this compilation are not necessarily in Medical emergencies can vary from an injury on numerical order because similar topics were the playground to choking on a piece of food. brought together from different sections in the Natural disasters can occur without warning such larger Caring for Our Children. as an earth quake or can quickly become dangerous such as a flood. And there is the Since the publication of Caring for Our Children, 2nd human- or faulty equipment-initiated emergency Ed. in January 2002, many new issues have surfaced such as a fire or a missing child. Emergencies can in preparing for emergencies that were not also happen while in route to a field trip or play included in the standards. Examples of these activity and appropriate measures and procedures emerging points for providers, parents and need to be in place. regulators to consider as they work on emergency preparedness issues are: Introduction iv Emergency/Disaster Preparedness Introduction • the need for children and the programs Head Start Disaster Preparedness Workbook they spend time in to be included in the http://www.cphd.ucla.edu/headstart/ state emergency response plans from how Final%20Workbook/Complete%20Workbook.pdf first responders best work with children to minimize the trauma and stress, to National Association of Child Care Resource and being listed as a vulnerable population that Referral Agencies central agencies are designated to find and http://www.nrex.org/ assist during a disaster; • the need for multiple, compatible National Child Care Information Center communication systems accessible in a http://nccic.org/cctopics/cope.html disaster (e.g. land lines, cell phones, battery operated radios); National Resource Center for Health and Safety in • the need for alternative contacts if Child Care standard communication systems are http://nrc.uchsc.edu/RESOURCES/list.htm#E inoperable; and • the need for programs to be aware of the Protecting Our Kids from Disaster procedure for access to the Strategic Institute for Business and Home Safety National Stockpile (SNS) of emergency http://www.ibhs.org/docs/childcare.pdf drugs and vaccines. US Department of Homeland Security We would like to give special thanks to R. Lorraine http://www.dhs.gov/dhspublic/ Brown, RN, BS, Steven B. Eng, MPH, and Anne B. Keith, DrPH, RN, C-PNP for reviewing this For questions or assistance on these standards or compilation of standards on emergency Caring for Our Children, 2nd Edition, please contact: preparedness. We would also like to thank all National Resource Center for Health and Safety in those individuals who contributed to CFOC, 2nd Child Care Ed. A listing can be viewed at: http://nrc.uchsc.edu/ 1-800-598-5437 CFOC/PDFVersion/Acknowledgments.pdf http://nrc.uchsc.edu [email protected] The following organizations/web sites provide additional resources on emergency planning/ preparedness and/or helping children cope with disasters: American Academy of Pediatrics http://www.aap.org/terrorism/index.html/ American Public