1, must strictly implement the Ministry of health promulgated the "nursery, kindergarten health care system" and the relevant provincial, municipal and district health care systems.
2. Make a reasonable daily routine. Pay attention to food hygiene, and the interval between meals is not less than 3 hours; Daily physical activity is not less than 1 hour; No less than 2 hours of outdoor activities every day.
3. Have a comprehensive physical examination once every semester, measure height and weight once every two months, measure vision once every semester, and measure amblyopia children once every two months; Blood pigment is tested once every semester; Analyze the healthy development of children every 2 months; Establish a system of registration and statistics of infant health records.
4, adhere to the system of morning check-up, afternoon check-up, timely treatment of diseases found, and make records.
5, freshmen and new staff to do physical examination first, after half a year to check the blood, found that hepatitis and other infectious diseases immediately leave the park isolation and treatment.
6, cooperate with the health department to do a good job of vaccination.
7. Provide reasonable meals for young children, make recipes every week, calculate the nutritional intake regularly, and hold a dietary committee every month.
8. Make sure to supply enough boiled water with moderate temperature every day, remind children to drink water after getting up every day, between classes and after exercise, and cultivate children's habit of consciously drinking water.
9. Cultivate children's good habit of defecation and remind them to defecate once a day.
10, establish files of frail children, check and analyze frail children regularly, and put forward health care measures.
1 1, pay attention to wiping sweat, changing clothes, bathing, washing hair and feet for children in summer; Pay attention to cold protection for children in winter.
12, teachers must pay attention to cultivate children's good hygiene and living habits, carry out safety education for children, enhance self-protection awareness, and develop correct sitting, standing, walking and walking postures, so as to lay a good foundation for children's growth.
2. Kindergarten health examination system
1 Before children enter the park or transfer to the park, they must hold a health check-up certificate from the maternal and child health care station or the county epidemic prevention station before entering the park. Children who have been away from the park for more than one month must have a new physical check-up and establish a health file for children entering the park.
2. Children in the kindergarten should have a physical examination once a year by the Maternal and Child Health Station or the county-level hospital, and make a good evaluation of their growth and development. Health care doctors should measure their height, weight and vision once a quarter, and make records, analysis, evaluation and correction.
3. Insist on doing morning and afternoon inspections and safety observation, and do a good job: whether there is a fever; Second, look: spirit, skin and five senses (appearance); Three questions: diet, sleep, defecation and illness; Four checks: Do you have any unsafe articles with you, and handle the problems in time if found.
4, the personnel on duty to fill in all kinds of records (morning check-up, afternoon check-up, medication records, handover-shift records, weak child observation records).
5. All the teaching and administrative staff shall have a physical examination every year as required, and only after passing the physical examination can they take up their posts. Those who find that there are infectious diseases that are not suitable for working in kindergartens should leave their posts in time for treatment. After being cured, you can only take up your post with the certificate of health station.
6, the cook in the epidemic prevention station physical examination twice a year, and handle the health certificate, food hygiene license.
3, disease vaccination system
1, according to the age and season to complete the planned immunization and vaccination work, and establish a child vaccination registration card, timely record the vaccination situation.
2, infectious disease epidemic season, strengthen the morning and noon inspection, it is strictly prohibited to infectious disease children into the park. During the epidemic period, the procedures for entering the park and transferring to the park are not handled.
3. Observe and understand the epidemic situation in this area in time, and report to children with infectious diseases in time, so as to achieve early prevention, early reporting, early diagnosis, early treatment, early isolation and early treatment, disinfect their classes, and take immediate preventive measures for children exposed to infectious diseases to control the spread of diseases.
4. Take preventive medicine and insect repellent medicine for children regularly, and take medicine for children with medicine regularly every day. And carefully observe the situation of young children.
5, during the epidemic of infectious diseases, do not take children to public places to participate in various activities.
6. Strengthen physical exercise, enhance children's physique and improve their resistance to diseases.
7. Take effective preventive measures according to the seasonal characteristics.
4, kindergarten health disinfection and isolation system
I. Environmental sanitation:
1, clean, safe and pollution-free indoor and outdoor environment. Piece-by-piece responsibility, with a person in charge, a small sweep every day and a big sweep every Monday. Wet cleaning should be done to eliminate mosquitoes, flies, cockroaches and mice.
2, indoor air circulation, sunny. Open the window for ventilation in winter, at least twice a day for 30 minutes each time.
3, the bathroom should be clean and ventilated, regularly cleaned and disinfected, the bathroom should be free of dirt and odor, and the urinal should be washed frequently. Handrails and wall tiles should be scrubbed with disinfectant, and the foot of urinal and toilet frame should be disinfected twice a day. The floor of the toilet is mopped with disinfectant. The bedpans for infants and young children should be dumped immediately, scrubbed clean and soaked with disinfectant.
4, cleaning utensils per shift dedicated and keep clean.
Second, personal hygiene:
1, children's daily necessities should be used by special personnel, and cleaning and disinfection work should be done well.
2. Children should wash their hands with soap and running water before and after meals.
3. Children over three years old should brush their teeth in the right way in the morning and evening, and rinse their mouths after meals.
4. Boarding children should wash their hair and bathe regularly, and wash their feet and buttocks every day. Wash their feet and buttocks separately, and disinfect towels after each use. Cut your nails once a week and your toenails once every two weeks.
5, baby diapers should be changed frequently, washed with boiling water or exposed to sunlight.
6, children's clothing should be kept clean, clothes, sheets should be washed frequently, bedding once every two weeks, once a month. Mats used in summer are wiped with special dishcloth and warm water every day, then dried, and scrubbed regularly with disinfectant.
7, protect children's eyesight, pay attention to indoor lighting, lighting to meet the requirements. When watching TV, the distance between children and the TV should be 5-7 times the diagonal of the TV, and the time should not exceed 30 minutes at a time. It is advisable that the height of the TV is parallel to the line of sight.
8. Cultivate children's good hygiene habits, such as not urinating and spitting, and not littering. Take off your coat and shoes when taking a nap, and correct bad sleep habits such as covering your head, eating your hands and biting your quilt.
9, the staff should keep the instrument clean and tidy, without long nails, and wash their hands with soap and running water before meals and snacks for children. No ring, long earrings, no makeup, no high heels and no smoking at work.
Third, disinfection and isolation:
1, tableware, towels, toys, toilets and indoor and outdoor air in kindergartens must be disinfected regularly according to regulations.
2, kindergarten children's activity room, bedroom, toilet, nutrition room, isolation room, observation room, chlorine, iodine and other disinfectants should be used once a day for preventive disinfection.
3. When infectious diseases occur in kindergartens or during medical observation, disinfection and isolation should be done in a timely and strict manner according to different diseases, and the disinfection method should be carried out according to the requirements of "disinfection and isolation routine".
4. The swimming pool should be kept clean, and all the water should be changed every day, and the water quality meets the hygiene standards.
5, children one towel a cup of tableware, one with one disinfection.
6, kindergarten environment, surface, air disinfection should meet the hygiene standards.
5, the kindergarten physical exercise system
1, we should regularly and systematically carry out games and sports activities suitable for children's characteristics. Do gymnastics or activity games once or twice a day.
2. In normal weather, you should have enough time for outdoor activities, insist on outdoor activities for more than two hours every day, and strengthen winter exercise.
3, to create conditions, make full use of natural factors such as sunlight, air and water, and exercise children's physique in a planned way.
4. Exercise should be persistent, persistent and step by step. Sports events and amount of exercise should be suitable for the characteristics of all ages.
5, according to the specific situation, pay attention to individual differences, and give special care to individual weak and special children.
6. Observe and record children's reaction to exercise and adjust it in time.
6, weak child management system
Kindergartens have the obligation to carry out special management on children with poor physique, mental retardation, physical defects, developmental retardation or nutritional iron deficiency anemia and congenital heart disease. Parents of young children are also obliged to inform kindergarten teachers of their children's diseases in advance, so that teachers can take care of them in teaching or activities.
1, according to the results of health examination, register weak children, establish special files, and carry out special management under the guidance of health care doctors.
2. The staff of each class should always pay attention to the careful observation and careful care of the frail children, and make records, and handle the problems in time when found.
3. Take appropriate corrective measures for frail children, adhere to the principle of gradual progress, and enhance the physical fitness of young children on the original basis.
4. The teaching staff patiently guide the various educational and game activities of the frail children, and create opportunities for the frail children as much as possible, so that they can get physical and psychological satisfaction in the activities.
5, teachers should often talk with parents of frail children, mutual understanding of children's homes, so as to be more thoughtful and reasonable education and management of children.
7, food hygiene and safety management system
1 Kindergartens should establish a perfect leading group for food hygiene, strengthen the management of food hygiene in our school, and put the responsibility on people to prevent food poisoning or other food-borne diseases in our school.
2, kindergarten food production and business premises should be in accordance with the requirements of the "Food Sanitation Law" to the local health and epidemic prevention station to apply for a "food hygiene license", and annual review. To keep the internal and external environment clean and tidy, there are corresponding facilities for preventing flies, rodents, dust, detoxification, changing clothes, washing, sewage discharge and storing garbage and waste.
3. Employees in the canteen should go to the local health and epidemic prevention department once a year for a health check-up and get a qualified "Health Certificate" before taking up their posts. They should maintain personal hygiene at ordinary times, wear clean work clothes and hats, and must use sales tools.
4. The food provided should be non-toxic, harmless, meet the nutritional requirements, and have corresponding sensory properties such as color, taste and beauty. It is strictly forbidden to buy food raw materials that are rotten, decayed, expired, counterfeit or other sensory properties are abnormal, which may be harmful to the health of teachers and students.
5, water must meet the national health standards for drinking water in urban and rural areas.
6, kindergarten food equipment layout and technological process should be reasonable, to prevent cross contamination of food to be processed and directly imported food, raw materials and finished products, tableware and containers containing directly imported food must be cleaned and disinfected.
7. The warehouse for storing food should be dry and ventilated, and measures should be taken to eliminate flies, rats, cockroaches and other harmful insects and their breeding conditions. The containers for storing food must be safe and harmless to prevent food pollution.
8, the canteen to implement the food procurement system and 24-hour sample retention system.
8, disease prevention and control safety management system
1. Kindergartens shall, in accordance with the Regulations on Kindergarten Health Work and relevant regulatory documents, manage kindergarten health and mass prevention and control of common diseases and infectious diseases among children according to law.
2, the implementation of group prevention and control measures for young children (except planned immunization prescribed by the state) must be approved by the county health bureau, Education Bureau, and the county health and epidemic prevention station unified organization and implementation.
3. In order to prevent accidents, the drugs for prevention and treatment of children's diseases in kindergartens are uniformly provided by the county health and epidemic prevention station, and kindergartens are not allowed to accept drugs from other routes without authorization.
4. When carrying out vaccination for the prevention and treatment of infectious diseases, vaccination professionals must strictly implement "one person, one needle and one tube", strengthen the concept of sterility, and ensure the hygiene and operation norms of medical devices. The health leaders in charge of kindergartens have the responsibility to supervise the whole process of vaccination.
5, to carry out the prevention and treatment of common diseases and infectious diseases in children, we should follow the relevant provisions of kindergarten management, properly arrange the time of vaccination and other group prevention and control measures, in order to maintain the normal education and teaching order in kindergartens.
6, without the approval of the Education Bureau, Health Bureau, health and epidemic prevention station, no unit or individual may organize children to implement group prevention and control measures without authorization. Offenders should deal with the parties seriously and hold the leaders of their units accountable; If serious consequences are caused, the legal responsibility of the relevant personnel shall be investigated according to law.
9, kindergarten infectious disease epidemic reporting system
In order to strengthen the management of infectious diseases in our park, prevent, control and eliminate the occurrence and prevalence of infectious diseases in the park, this system is formulated in accordance with the relevant provisions of the Law of the People's Republic of China on the Prevention and Control of Infectious Diseases and the Regulations of the State Council on School Health Work. First, in order to prevent the epidemic of infectious diseases from spreading in kindergartens, we set up a spokesman for the epidemic of infectious diseases in our park. Two, the kindergarten epidemic report should perform their duties according to law, once found patients with infectious diseases or suspected infectious diseases, according to the following requirements to report to the relevant departments. 1, the office is responsible for collecting, sorting out and analyzing the situation of children absent from school due to illness in each class. 2. When discovering infectious diseases, the epidemic reporter should report to the leaders of the park in the fastest way. 3. The contents of the report include: class, children's name, symptoms, disease name, onset time, isolation treatment, hospital visit and reporting time. 4, timely preventive health care and disinfection and isolation of children around sick children. Three, the kindergarten epidemic reporter (teachers of each class) found that patients with infectious diseases or suspected patients with infectious diseases, shall not conceal, lie or delay the report.
Four, once there is a problem, calmly face the media interview, received by the director, strengthen the management of the guard, not to put irrelevant personnel in kindergarten. All teaching staff must stick to their posts, and shall not release misleading information without permission, so as to maintain the stability of the kindergarten.
10, health care registration and statistical system
A, establish and improve all kinds of records, registration forms, timely statistics, generally have the following kinds of records:
1, morning and afternoon inspection record form
2, disease registration form
3. Absence tracking table
4, the number of people counting registration form
5, disinfection record
6, frail children management record
7, medication record registration form
8, infectious disease registration form
9, accident registration form
1 1, safety inspection record form
Two, health statistics requirements:
1, attendance statistics
2, physical examination registration form
3, nutrition calculation and analysis
4. Patient rate of various common diseases
5, the incidence of infectious diseases