Sickness and emergency protocols are crucial in running an early years setting, where managing the unpredictable, especially illness and emergencies, is a constant challenge. Young children are particularly susceptible to illnesses, and accidents can happen at any time. Ensuring you have robust policies and procedures in place will help protect children, staff, and parents while maintaining a safe and efficient environment. In this article, we will explore some essential emergency protocols to follow.
Clear sickness policies and exclusion periods
One of the most effective ways to prevent the spread of illness is by having clear exclusion policies. By this, we mean that it is essential to ensure parents and staff are aware of the guidelines regarding common childhood illnesses. For example:
- Fever: Children with a temperature above 38°C should be sent home and remain off until they are fever-free for 24 hours without medication
- Diarrhoea and vomiting: A strict 48-hour exclusion policy after the last episode prevents the spread of infections such as norovirus
- Chickenpox: Children should stay home until all spots have crusted over, typically five days from the onset of the rash
- Respiratory infections (including COVID-19): Follow current UKHSA guidelines on isolation and testing where necessary
Top tip: Display these sickness and emergency policies prominently and communicate them regularly to parents to minimise disputes and misunderstandings.
Emergency protocols and contact procedures
It is crucial to have up-to-date emergency contact details for every child. To ensure smooth communication during emergencies:
- Parents must provide at least two emergency contacts
- You must review and update contact details every term
- Have a protocol in place for contacting parents swiftly, whether via phone, text, or your nursery app
In cases where a parent cannot be reached, ensure staff know the next steps, such as escalating to a secondary contact or seeking medical assistance if necessary.
Emergency Protocols such as first aid readiness
Having well-trained staff and adequate first aid resources can make all the difference in an emergency. Your setting should:
- Ensure all staff hold a paediatric first aid qualification, as required by the EYFS framework
- Regularly check and restock first aid kits
- Have clear guidance on dealing with minor injuries, head bumps, and more serious incidents
- Display emergency numbers, including 999, NHS 111, and local medical services, in key areas
Managing medication safely
Administering medication is a serious responsibility. Follow these steps to ensure safe and accurate handling:
- Obtain written parental consent before giving any medication
- Keep a medication log, detailing the name, dosage, time administered, and the staff member responsible
- Store all medication securely and out of children’s reach, following manufacturer guidelines
- Regularly review any long-term medication plans for children with conditions such as asthma or allergies|
Handling allergies and medical conditions
With the rise in food allergies and medical conditions, it is vital to have clear protocols in place:
- Create an individual health plan (IHP) for any child with a medical condition
- Train staff to recognise allergic reactions and how to administer EpiPens if required
- Have a strict no-sharing food policy to prevent cross-contamination
- Keep emergency medication, such as antihistamines and inhalers, in an easily accessible but secure location
Accident and incident reporting
Of course, accidents happen, but accurate reporting ensures that patterns can be identified and addressed. Your setting should:
- Have an accident book to log all incidents, including minor bumps and bruises
- Require staff to complete reports with details of the incident, how it was managed, and any follow-up actions
- Inform parents promptly and provide them with a copy of the report
- Regularly review incidents to identify any recurring hazards or trends
Emergency protocols must include fire and evacuation procedures
In the event of a fire or other emergency, a well-rehearsed plan is essential. Make sure you:
- Conduct regular fire drills to ensure all children and staff are familiar with evacuation routes
- Clearly display evacuation procedures and ensure fire exits are always accessible
- Assign roles to staff members (e.g., headcount, leading evacuation, first aid support)
- Keep a grab bag with key documents, contact lists, and emergency supplies
Staff training on all sickness and emergency protocols
Regular training ensures all staff know what to do in an emergency. Consider:
- Annual refresher courses on first aid, safeguarding, and emergency procedures
- Clear internal communication channels (e.g., walkie-talkies, apps, or intercoms)
- New staff inductions that cover sickness and emergency protocols thoroughly
- Scenario-based training to prepare for real-life situations
Communicating with parents
Transparent communication builds trust with parents and helps reinforce your policies. Ensure you:
- Provide a parent handbook detailing your sickness and emergency protocols
- Send reminders about exclusion policies, especially during peak illness seasons
- Use nursery apps or emails to inform parents of any health concerns affecting the setting
- Encourage parents to report illnesses promptly so that you can take necessary precautions
Reviewing and updating sickness and emergency protocols
Sickness and emergency protocols should evolve to meet changing needs and regulations. Schedule regular policy reviews by:
- Checking compliance with EYFS and Ofsted requirements
- Seeking feedback from staff and parents to identify any areas for improvement
- Updating documentation to reflect best practices and ensure all staff are informed of changes
Conclusion
Sickness and emergencies are inevitable in early years settings, but with the right protocols in place, you can ensure a safe and well-managed environment for children and staff. By keeping policies clear, ensuring staff are trained, and maintaining open communication with parents, you can minimise risks and respond effectively when issues arise. Proactive preparation is key to handling the unexpected with confidence and professionalism.
