DIAPERING STEPS TO REDUCE THE SPREAD OF DISEASE

REBECCA WEBB, RNCHILD CARE HEALTH CONSULTANT

LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT

It is up to us to keep them safe!

Germs

Rotavirus Norovirus Hepatitis

Salmonella Shigella Campylobacter

Giardia Pinworm

Diapering Guidelines

Change diapers and training pants only in the designated diapering area.

Separate diapering area from food storage, preparation & eating areas.

Dispose of soiled diapers and training pants properly.

Wash hands (staff and children) after diapering.Do not allow pacifiers, toys, baby bottles, or

food in diapering area.

Changing Surface

6 inch protective ledge on all sides

Smooth, moisture resistant, easily cleaned surface.

Convenient Height 28-32”

Positioned to allow staff to maintain constant sight and supervision of children.

Dedicated diapering surface – not used for anything other than diapering.

Changing Table Requirements

Changing tables should meet the following requirements:

1.Have impervious, nonabsorbent, smooth surfaces that do not trap soil and are easily disinfected;

2. Be sturdy and stable to prevent tipping over;3. Be at a convenient height for use by

caregivers/teachers4. Be equipped with railings or barriers that

extend at least six inches above the change surface

Hand Washing Sink & Supplies

Diapers

Disposable Gloves

Disposable Wipes

Skin Care Items

Plastic Bags

Waste Container

Covered

Plastic-lined

Hands-Free

Touching the trash can contaminates your hands.

Labeling, Cleaning, and Disposal of Waste and Diaper Containers

Each waste and diaper container should be labeled to show its intended contents.

The containers should be cleaned daily to keep them free from build-up of soil and odor.

Wastewater from these cleaning operations should be disposed of by pouring it down a toilet or floor drain.

Wastewater should not be poured onto the ground, into handwashing sinks, laundry sinks, kitchen sinks, or bathtubs.

Toilet Training

Cleaning & Sanitizing

Always a 3 Step Process!

1) Clean with soap and water solution

2) Rinse

3) Apply Sanitizing Solution (bleach and water)

STEP 1: WASH YOUR HANDS

STEP 2: GATHER SUPPLIES

Clean Diaper Disposable glovesWipes, removed from container so that

container will not be contaminated during the diaper change.

Clean clothes (if needed)Plastic bag for soiled clothes or cloth diaper.Cream or ointment (if needed) removed from

container and placed onto a disposable tissue.

STEP 3: LAY CHILD ON TABLE

To protect from falls, a hand must always remain on the child.

Remove child’s socks and shoes if they can not be kept from becoming soiled.

STEP 4: CLEAN CHILD’S DIAPER AREA

Unfasten diaper and fold inward, leaving soiled diaper under the child.

If diaper pins are used, pins must be refastened immediately after removing them.

Cleanse diaper area wiping from front-to-back, using a fresh wipe with each swipe.

STEP 5: DISPOSE OF DIRTY DIAPER

Place dirty diaper in plastic-lined, hands-free covered waste can.

Place soiled clothing into hands-free plastic bag.

     

STEP 6: DISPOSE OF GLOVES

Remove gloves and place in plastic-lined, hands-free covered waste can.

STEP 7: CLEAN HANDS WITH WIPES

Clean your hands and the hands of the child with separate disposable wipes.

Place wipes in plastic-lined, hands-free covered waste can.

STEP 8: DIAPER AND RE-DRESS CHILD

Place a clean diaper under the child.Use tissue or disposable glove to apply

creams or ointments. Dispose of in covered, plastic-lined, hands-free waste can.

Take note of any skin breakdown (redness, blisters, skin cracks, bleeding).

Fasten the diaper. If pins are used, place your hand between diaper and infant to protect the child when inserting the pin.

STEP 9: WASH CHILD’S HANDS

Wash child’s hands at sink using soap and warm running water.

STEP 10: RETURN CHILD TO SUPERVISED AREA

Return child to supervised area.

STEP 11 : CLEAN & RINSE

Clean and remove any visible soil from diapering surface with detergent, then rinse with water.

STEP 12: SANITIZE

Wet the entire changing surface with sanitizer following the manufacturer’s instructions. Bleach solution should be left on surface for 2 minutes before wiping with paper towel or leave on to air dry.

Put sanitizer away out of reach of children. (Some sanitizers require rinsing with water after use, refer to label for instructions.)

STEP 13: WASH YOUR HANDS

SOURCES

Caring For Our Children, National Health and Safety Performance Standards, 3rd edition

All About the ITERS-R, University of North Carolina at Chapel Hill, September 2004