A reasonable living system is an important factor to ensure children's physical and mental health. According to the physiological characteristics of children of this month, we should arrange their daily life content reasonably. According to children's different age characteristics and seasonal characteristics, a specific daily routine system should be worked out, and attention should be paid to the combination of static and dynamic activities, sufficient outdoor activities time and the contents of various activities, and quality indicators should be put forward. Require to do:
1, the interval between meals for children shall not be less than 3.5 hours.
2, children's outdoor activities, under normal circumstances, not less than 3 hours a day.
3, children sleep day and night * * * meter shall not be less than or more than 12 hours to 12 hours and a half.
4. Strictly implement the routine of one-day life. Health care personnel should patrol and observe the implementation of classes every day, and correct problems in time to ensure the importance and stability of children's life in kindergartens.
Attachment: Our garden strictly follows the "Work Standard" in the "Measures for the Management of Health Care in Nurseries and Kindergartens"
Carry out the system of arranging children's daily life according to the actual situation in our park.
Second, the food management system
(a) children's nutrition management requirements:
1, children's food should have a special person in charge, democratic management to establish a food management Committee (garden leaders, cooks, health care personnel, teachers) to meet regularly to study food problems.
2. Formulate the purchasing acceptance system and establish the warehousing accounts.
3, adults and children's food accounts and items are strictly separated.
4, every shift statistics attendance, report to the kitchen, in order to cook according to the quantity, do less leftovers, don't waste.
5. Start meals on time, with the interval between meals not less than three and a half hours.
6, meals earmarked, planned expenses, warehousing accounts clear, monthly settlement, annual meals profit and loss does not exceed 2%.
7. Change recipes every two weeks, and make appropriate recipes according to the age characteristics of children, so that children can eat a variety of foods to ensure that they get various nutrients and enough calories.
8, recipes should be scientific:
(1) Pay attention to the complementary role of protein, and make full use of bean food.
(2) There should be dishes for lunch and dinner, and cooking should be done according to the recipe. If you can't buy the ordered food, you can replace it with similar food, and you should change the recipe.
(3) Pay attention to the combination of dry and thin, meat and vegetables, and eat less fried and sweet food.
(2) Food hygiene:
1, canteen staff must have a physical examination before taking part in the work, and then have a physical examination once a year. Cooks should wash their hair frequently, change clothes frequently, and often cut their nails without wearing bracelets and rings. Wash your hands with soap before going to work and after going to the toilet. Take off your work clothes before going to the toilet and keep them clean. Do not smoke during operation.
2, the kitchen should be clean and sanitary, ventilation and fly prevention equipment, kitchen utensils (knives, chopping boards, pots, baskets, rags, etc.) should be cooked separately and washed clean.
3. Wash and disinfect the tableware after each meal. The disinfection method refers to the requirements of the county health supervision office. 4, do not buy, do not process rotten food, buy cooked food to be heated before eating. Fruit should be washed with food detergent first, then rinsed with clear water, or washed and peeled before eating. Prevent food poisoning and intestinal infectious diseases.
(three) actively do a good job in children's meal care:
1, children should not do strenuous activities before meals to avoid excessive excitement.
2. Organize children to wash water with flowing water before meals, and eat with it. Young and weak children and children who eat slowly should wash and eat first, and someone should take care of them when washing their hands and eating.
3, master the amount of food: the meal time is not less than 20 minutes, to ensure that every meal is full and eat well. Do not rush meals, and take care of children with poor appetite by analyzing the reasons.
4. For 1 1/2 years old children, they began to cultivate their own spoons, learned to eat independently at the age of two, separated meals at the age of two and a half, and learned to eat with chopsticks at the age of four and above to cultivate their ability to eat independently.
5, correct partial eclipse, cultivate a good habit of not picky eaters.
6. Do not wipe the floor, sweep the floor or make the bed during eating to ensure the hygiene during eating.
Attachment: strictly enforced by our park? Food hygiene law? In the laws and regulations, and to carry out the training of faculty and staff.
Work, especially the professional training of kitchen staff. The responsibilities of the kitchen staff and the operation flow of food processing are also formulated.
Third, the physical exercise system
1, organize and regularly carry out games and physical activities suitable for children, and children do gymnastics or activity games 1-2 times a day.
2, in normal weather, have enough time for outdoor activities, insist on outdoor activities for more than two hours every day, boarding children not less than three hours, and strengthen physical exercise in winter.
3. Make full use of the environmental conditions of the park and use natural factors such as sunlight, air and water to exercise children's physique in a planned way.
4, exercise should be suitable for the characteristics of the age group, step by step, and consider the sports and the amount of exercise, to give special care to the weak children.
Fourth, the sanitation and disinfection system
(1) Environmental sanitation
1, establish and improve the indoor and outdoor environment cleaning system, with a small sweep every day, a big sweep every Monday, a thorough sweep every month, a lump sum, a person, a fixed point, regular garbage removal, and monthly inspection and evaluation items.
2, children teach toys, to keep clean, health care doctors and assistant teachers do disinfection and cleaning work every Friday afternoon.
3. Always keep the indoor air circulating and sunny, and open the window regularly for ventilation in winter. There are anti-mosquito and heatstroke prevention equipment indoors.
4. The toilet is clean and ventilated, and the assistant teacher cleans and disinfects it twice a day (at noon and once before school).
(2) Personal hygiene
1, each child has a towel and a cup, and the daily necessities are used by special personnel, so do a good job of disinfection.
2. Children should wash their hands before and after meals, wash their hands and faces with running water or clean water, and always keep them clean.
3. Rinse your mouth after meals and educate children to develop the habit of brushing their teeth in the morning and evening.
4. Boarding children wash their hair 1 time every week, take a bath regularly according to the season, wash every day in summer, wash every other day in late spring and early autumn 1 time, and twice a week in winter.
5. Children are required to cut their nails 1 time every week and bring clean handkerchiefs every day.
6. Boarding children wash their feet and bottoms every day.
7. Children's clothes are required to be neat. Boarding children's underwear should be changed every other day 1 time, vests and trouser forks should be changed every day in summer, bedding should be aired frequently, and sheets should be washed once a month.
8, to protect children's eyesight, indoor lighting should be paid attention to, damaged lamps and lanterns should be repaired in time, and TV programs unrelated to children should not be watched, each time for no more than 20 minutes, and the distance between children and TV sets should be more than 2 meters.
9. Staff should be neat and tidy, wash their hair frequently, take a bath, and cut their nails, so as to wash their hands four times (after entering the garden, before and after meals, before meals and fruit peeling for children, after emptying urine buckets and paper baskets).
Five, admission and regular health examination system
(1) Admission inspection
1, freshmen must go to the county maternity hospital for a general physical examination (including liver function test and hemoglobin test) before entering the park. If you have a history of contact with infectious diseases, you must wait until the quarantine period is asymptomatic before you can enter the park. At the same time, you should know the history of childhood diseases, infectious diseases, allergies, family history and living habits.
2. Before taking part in the work, the park staff must have a physical examination, including chest X-ray fluoroscopy, liver function and routine examination. Only those who pass the health examination and have no serious physical defects can take office.
(2) Regular physical examination
1, children have a physical examination once a year, measure their height and weight once every six months and make records, conduct health analysis, evaluation, morbidity statistics, and correct defects, and establish a health record for each kindergarten child.
2, staff comprehensive physical examination once a year, found that hepatitis or other infectious diseases must leave immediately for treatment, after being cured, holding a health certificate of medical and health care units at or above the county level can resume work. Teachers suffering from chronic dysentery, hepatitis B surface antigen positive, trichomonal vaginitis, suppurative dermatosis, leprosy, tuberculosis, mental illness, etc. should be transferred from their jobs.
3, adhere to the morning check-up and full-day health observation, carefully touch (with or without fever), second look (throat, skin, spirit), third ask (diet, sleep, defecation), fourth check (with or without unsafe items), and handle problems in time when found.
Six, infectious disease management system
1, children and staff suffering from infectious diseases should be immediately isolated and treated, and their classes should be thoroughly disinfected. After the isolation period expires, patients can return to the park only after being certified by doctors.
2, special care for children, careful observation, medication and feeding on time.
3. Quarantine, isolate and observe the children who are in the class with infectious diseases and those who have come into contact with patients with infectious diseases. No new children will be admitted during the quarantine period, and children will not be in mixed classes or in shifts. Only those who have no symptoms can be released after the quarantine period expires.
4, staff home and children's home found infectious patients should report to the park leadership, take necessary measures.
Seven, common disease prevention and management system
1, implement the policy of "prevention first" and do a good job in regular disease prevention.
2, urge parents to complete the vaccination work arranged by the epidemic prevention department according to age and season.
3. Keep abreast of the epidemic situation and report infectious diseases in time, so as to achieve early prevention, early detection, early reporting, early diagnosis, early treatment and early isolation, implement timely and correct quarantine measures, carry out strict terminal disinfection of the class, take necessary preventive measures immediately for children exposed to infectious diseases, and conduct quarantine according to the quarantine period stipulated by various infectious diseases, and do not go through the formalities of entering and transferring to the park during the quarantine period. Actively adopt various methods to prevent and treat diseases and reduce the incidence rate.
4, strengthen physical exercise, enhance children's physique, improve the resistance to diseases, during the epidemic of infectious diseases, do not take children to public places.
Eight, injury prevention system
(1) Prevention of scald
1 Before children wash their hands, take a bath, wash their feet and wash their hair, the teacher should try the water temperature first, and then wash it after adjustment.
2, hot soup, hot porridge and other foods, the temperature is suitable for the class, and put it in a safe place, not on the children's table or near the ground, do not pass the food over the children's heads, from
Side to the front of the child.
3. The teacher suggested that the kettle or thermos bucket should be covered, and attention should be paid to the children around.
4, children are not allowed to enter and leave the kitchen, not close to the place where there is fire, electricity, gas and hot water.
(2) Prevention of trauma
1, remove the unsafe factors of the houses and sites run by the park.
2. Educate children not to fight, not to throw or beat with toys or branches, and learn to protect themselves without hurting others.
3, educate children not to use knives, glass and other dangerous goods as toys, and pay attention to find whether there are any unsafe items in children's pockets in the morning, afternoon and evening inspection.
4. Educate children not to walk with their hands behind their backs, so as not to lose their balance and hurt their faces. Don't wear hard leather shoes during physical exercise or outdoor activities.
5, children in large toys, teachers should pay attention to care and protection, outdoor activities, children should be in the eyes of teachers.
6. Educate children not to climb to the windowsill and corridor railings to play or look down, so as to avoid falling accidents.
7, monthly maintenance of large toys, found that the damage timely repair, stop using before repair.
8. Don't drag, pull, pull or drag children to prevent joint dislocation.
(3) Prevention of drug poisoning
1, corrosive items such as peracetic acid and effervescent tablets are not allowed to be stored in the class. For the above items, the health care room should soak as much as possible, and the assistant teacher should send the rest back to the health care room in time after using it.
2, children's internal medicine by the health care doctor to the class to take.
(four) to prevent foreign bodies from entering the ear, nose and tube.
1, educate children not to put paper balls, buttons, etc. into their noses and ears, and don't put buttons and pins.
Put it in your mouth.
2. Don't eat when children cry.
(5) Food poisoning:
1, strengthen food hygiene management to prevent food poisoning.
2. Before children's teeth fully erupt, whole seeds of melon seeds, peanuts, beans and foods with thorns, bones and cores should not be given.
3. Cultivate children's good eating habits, keep quiet when eating, chew slowly and prevent food from sucking people.
(six) to prevent the loss of children
1, establish a pick-up system, and teachers meet their parents when picking up children. Pay attention to close the door at any time to prevent children from running away.
2. When going out, do two counts (when leaving and returning). When going out for activities, the teacher will count the number at any time.
3, shift, pay the number of children.
4. When the day care teacher gets off work, hand over the children who have not been picked up to the teacher on duty.
IX. Health education system
1, at the beginning of the semester, use the parents' meeting of freshmen to publicize health care knowledge to parents.
2. Publicize health care knowledge to teachers and parents once a week in the window and once a fortnight on the blackboard.
3. Teach targeted health care to children once a month in the class, and effectively enhance children's awareness of health and disease prevention; Educate children to actively maintain environmental hygiene and develop good personal hygiene habits.
4. Give special lectures on health care to staff, especially canteen staff and nurses. Enhance their awareness of health and disease prevention and a high sense of professional responsibility and professional ethics.
5. Every month, the health care teacher informs some children who have missed or replanted vaccines to let parents know the benefits of vaccination and cooperate with the town epidemic prevention station to vaccinate and register.
Ten, health care data prevention management and information reporting system
1, establish and improve various recording, registration and statistical systems. Attendance registration form, infectious disease registration form, disease registration form, morning check-up, afternoon check-up and full-day health observation record form, vaccination record form, frail child management record form (statistical table and case registration form), physical examination record form, accident registration form, parent contact book, health education registration book, training record of teaching staff, health certificate of teaching staff and employment certificate of health care staff.
2. Health statistics require: physical development evaluation, dietary evaluation, attendance rate, defect correction rate, prevalence rate of common diseases, incidence rate of infectious diseases, vaccination rate, etc.
3, according to the requirements of regular reporting to the health care institutions of various statistical reports.