A reasonable living system is an important factor to ensure children's physical and mental health. According to the physiological characteristics of this month's children, we should arrange their daily life content reasonably. According to children's different age characteristics and seasonal characteristics, we should formulate a specific daily routine system, pay attention to the combination of static and dynamic, have enough outdoor activities time and the content of various activities, and put forward quality indicators. Ask 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 should sleep no less than or more than 12 hour to 12 hour and a half.
4. Strictly implement the routine of daily life. Health care personnel should patrol and observe the implementation of classes every day, correct problems in time when they find them, and ensure the importance and stability of children's life in kindergartens.
Attachment: Our garden strictly follows the "work norms" in the "Measures for the Management of Health Care in Nursery Institutions"
Implement 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 be handled by a special person, democratic management should be established, and food management committees (directors, chefs, health care personnel, health care personnel) should meet regularly to study food problems.
2. Formulate the purchasing acceptance system and establish the warehousing account.
3, adults and children's food accounts and items are strictly separated.
4, each class statistics attendance, report to the kitchen, in order to cook according to the quantity, do less leftovers, don't waste.
5. Eat meals on time, with an interval of not less than three and a half hours.
6. The food expenses shall be used for special purposes, planned expenses, clear warehousing accounts and monthly settlement, and the annual food expenses profit and loss shall not exceed 2%.
7. Change recipes every two weeks, and make appropriate recipes according to children's age characteristics, so that children can eat a variety of foods and ensure that they get all kinds of nutrients and enough calories.
8, recipes should be scientific:
(1) Pay attention to the complementary role of protein and make full use of legumes.
(2) Lunch and dinner should be served with dishes and cooked according to the recipe. If you can't buy some food, you can change it to a similar dish and change the menu.
(3) Pay attention to the combination of lean and vegetarian food, 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. Chefs should wash their hair frequently, change clothes frequently, cut their nails frequently, and don't wear bracelets and rings. Wash your hands with soap before going to work and after going to the toilet. Take off your work clothes and keep them clean before going to the toilet. Do not smoke during the operation.
2, the kitchen should be clean and sanitary, with ventilation and fly prevention equipment, kitchen utensils (knives, chopping boards, pots, baskets, rags, etc.). ) Cook them separately and wash them.
3. Wash and disinfect 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 heat before eating. Fruit should be washed with edible detergent first, then washed 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 dietary health 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 their hands and eat first, and someone should take care of them.
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. Don't rush meals, take care of children with bad appetite by analyzing the reasons.
4.65,438+0.5-year-old children began to cultivate their own spoons, learned to eat independently at the age of two, learned to share 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. Don't wipe the floor, sweep the floor or make the bed when eating, so as to ensure the hygiene when eating.
Attachment: strictly enforced by our park? Food hygiene law? In terms of laws and regulations, we will carry out training for faculty and staff.
Work, especially the professional training of kitchen staff. The responsibilities of kitchen staff and the operational procedures of food processing were also formulated.
Third, the physical exercise system.
1, organize and often carry out games and physical activities suitable for children, and children do gymnastics or activity games 1-2 times a day.
2, normal weather, have enough time for outdoor activities, insist on outdoor activities for more than two hours every day, boarding children for not less than three hours, and strengthen physical exercise in winter.
3. Make full use of the environmental conditions in the park and use natural factors such as sunshine, 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 sports and exercise, to give special care to weak children.
Fourth, the sanitary 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 big sweep every month, all-in, personal, fixed-point, regular garbage removal, monthly inspection and appraisal projects.
2, children teach toys, to keep clean, health care doctors and teaching assistants 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. Indoor mosquito prevention and heatstroke prevention equipment.
4. The toilet is clean and ventilated, and the teaching assistants clean and disinfect it twice a day (once at noon and once before school).
(2) Personal hygiene
1, one towel and one cup for each child, for daily necessities only. Do a good job of disinfection.
2. Children should wash their hands before and after meals, wash their hands and faces with tap water or clean water, and keep them clean at all times.
Rinse your mouth after meals and educate your children to get into the habit of brushing their teeth in the morning and evening.
4. Boarding children wash their hair 1 time a week, take a bath regularly according to the season, wash it every day in summer, wash it every other day in late spring and early autumn 1 time, and wash it twice a week in winter.
5. Ask children 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 should be neat. Boarding children's underwear should be changed every other day in winter 1 time, vest and trouser fork 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, attention should be paid to indoor lighting. Damaged lamps should be repaired in time. Don't watch TV programs unrelated to children for no more than 20 minutes at a time. The distance between children and the TV should be more than 2 meters.
9. The staff should be clean and tidy, wash their hair frequently, take a bath frequently, and cut their nails frequently, so as to wash their hands four times (after entering the park, before and after meals, before giving children food and peeling fruit, and after emptying the urine bucket and paper basket).
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 examination and hemoglobin examination) before entering the park. If you have a history of contact with infectious diseases, you must wait until the isolation period is asymptomatic before entering the park. At the same time, we should know the history of children's 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, liver function and routine examination. Only by passing the health examination can people with no serious physical defects be employed.
(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, incidence statistics and defect correction, and establish a health file for each child entering the park.
2. Employees shall have a comprehensive physical examination once a year. If they find hepatitis or other infectious diseases, they must leave their posts for treatment immediately. After being cured, they can resume their work with the health certificate of the medical and health care unit at or above the county level. Teachers suffering from chronic dysentery, hepatitis B surface antigen positive, trichomonal vaginitis, suppurative dermatosis, leprosy, tuberculosis, psychosis, etc. Should be transferred from work.
3, adhere to the morning check-up and health observation throughout the day, carefully touch (with or without fever), second look (throat, skin, spirit), third ask (diet, sleep, defecation), fourth check (with or without safe items), and handle problems in time when found.
Six, infectious disease management system
1, children and staff suffering from infectious diseases are immediately isolated for treatment, and their classes are thoroughly disinfected. After the expiration of the isolation period, the patient can return to the park only after being certified by a doctor.
2, special care for children, careful observation, medication and feeding on time.
3. Quarantine, isolate and observe children in the same class as infectious diseases and children who have had contact with patients with infectious diseases. During the period of isolation, no new children shall be admitted, and children shall not be mixed or shift. Only those who have no symptoms can be released after the quarantine period.
4. Employees' homes and Children's Home should report infectious patients to the leaders of the park and 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. Grasp the epidemic situation in time, report infectious diseases in time, and achieve early prevention, early detection, early reporting, early diagnosis, early treatment and early isolation, implement timely and correct isolation measures, carry out strict disinfection at the end of the class, take necessary preventive measures immediately for children exposed to infectious diseases, and isolate them according to the isolation period stipulated by various infectious diseases, and do not go through the formalities of entering or transferring to the park during the isolation period. Actively adopt various methods to prevent and treat diseases and reduce the incidence.
4. Strengthen physical exercise, strengthen children's physique and improve their resistance to diseases. Don't take children to public places during the epidemic of infectious diseases.
Eight, injury prevention system
(1) Prevent burns
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 adjust it before washing.
2, hot soup, hot porridge and other foods, the temperature is suitable for class, and placed in a safe place, not on the children's table or near the ground, do not pass the food from the children's head, from
Side to the child.
3. The teacher suggested to cover the kettle or thermos bucket and pay attention to the children around.
4. Children are not allowed to go in and out of the kitchen, and don't go near places with 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. Teach children not to fight, don't throw toys or branches, and learn to protect themselves and not hurt others.
3. Educate children not to use knives, glass and other dangerous items as toys, and pay attention to whether there are any unsafe items in children's pockets during morning, afternoon and evening inspections.
4. Educate children not to walk with their hands behind their backs, so as not to lose 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 placed in the eyes of teachers.
6. Educate children not to climb to the window sill, corridor railing to play or look down 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, drag or drag children to prevent joint dislocation.
(3) Prevention of drug poisoning
1, peracetic acid, effervescent tablets and other corrosive substances are not allowed to be stored in class. The above items should be soaked in the health care room as much as possible, and the teaching assistants should send the rest back to the health care room in time after using them.
2, children's internal medicine by health care doctors to the class.
(four) to prevent foreign bodies from entering the ear, nose and tube.
1, educate children not to put paper balls, buttons, etc. Stuff them in their noses and ears. Don't put buttons and pins.
Put it in your mouth.
Don't eat when the child is crying.
(5) Food poisoning:
1, strengthen food hygiene management and prevent food poisoning.
2. Before the child's teeth are completely erupted, the whole seeds of melon seeds, peanuts and beans, as well as foods with thorns, bones and nuclei, should not be given.
3. Cultivate children's good eating habits, keep quiet when eating, chew slowly to prevent food from sucking people.
(6) Preventing children from getting lost
1. Establish a pick-up system so that teachers can meet their parents when picking up their children. Pay attention to close the door at any time to prevent the child from running away.
2. When going out, do two counts (when leaving and returning). When going out for activities, the teacher will always count the number of people.
3, shift, the number of children.
4. When the day care teacher gets off work, give the missed children to the teacher on duty.
Nine. Health education system
1, parents will be used to promote health care knowledge to parents at the beginning of school.
2. Publicize health care knowledge to teachers and parents once a week in the window and once every two weeks on the blackboard.
3. Teach the children targeted health care knowledge once a month in the class to effectively enhance their 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 employees, especially canteen staff and nurses. Enhance their awareness of health and disease prevention and a high sense of professional responsibility and ethics.
5. Every month, the health teacher will inform some children who missed or replanted the vaccine, let parents know the benefits of vaccination, and cooperate with the town epidemic prevention station to register for vaccination.
X. 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 physical examination, afternoon physical examination and all-day health observation record form, vaccination record form, weak child management record form (statistical table and case registration form), physical examination record form, accident registration form, parent contact book, health education registration book, teaching staff training record, teaching staff health certificate, medical staff employment certificate.
2. Health statistics requirements: 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 the medical and health institutions regularly report all kinds of statistical reports.