The model child care manual is as follows: Chapter I General Provisions
Article 1 In order to strengthen the management of health care in nurseries and kindergartens, improve the level of health care in nurseries and kindergartens, prevent and reduce the occurrence of diseases, and ensure the physical and mental health of children, these detailed rules are formulated in accordance with the Measures for the Management of Health Care in Nurseries and Kindergartens (Order No.76) issued by the Ministry of Health and the Ministry of Education on 20 10, combined with the actual situation in our province.
Article 2 These Detailed Rules shall apply to all kinds of nurseries and kindergartens (hereinafter referred to as nurseries and kindergartens) that recruit children aged 0-6 in the whole province.
Article 3 Child care institutions shall implement the policy of combining education with health care and putting prevention first, and implement the health care work of child care institutions in accordance with the Measures for the Administration of Health Care in Nurseries and Kindergartens and the Standards for Health Care Work in Child Care Institutions.
Chapter II Management Responsibilities
Article 4 The health administrative departments of the people's governments at all levels shall be responsible for the health care management of child care institutions, supervise and urge the implementation of children's health care systems and norms, and strengthen supervision, inspection and guidance.
The education administrative departments of the people's governments at all levels shall assist the health administrative departments to inspect and guide the health care work of kindergartens, and incorporate the quality of health care work into the annual assessment and classified management of kindergartens.
Article 5 Maternal and child health care institutions shall, according to the principle of territorial management, be responsible for the professional guidance of health care work in nurseries and kindergartens within their jurisdiction, including: dietary nutrition, physical exercise, health examination, health education, injury accident prevention, etc.
Disease prevention and control institutions shall regularly provide disease prevention and control consulting services and guidance for child care institutions within their jurisdiction, including disease prevention and control, sanitation and disinfection, etc.
Health supervision and law enforcement agencies shall, in accordance with the law, supervise and inspect the drinking water hygiene and the prevention and treatment of infectious diseases in nurseries and kindergartens within their jurisdiction.
Food and drug supervision and management departments and other departments responsible for the supervision and management of catering services shall strengthen the guidance, supervision and inspection of food safety in kindergartens according to law.
Article 6 The legal representative or person in charge of a child-care institution is the first person in charge of the health care work of the institution, and is responsible for organizing, implementing and managing the health care work of the institution.
Chapter III Health Care Work
Seventh child care institutions should carry out health care work in strict accordance with the health care standards of nurseries and kindergartens.
Kindergarten health care work includes the following contents:
(a) according to the different physiological and psychological characteristics and seasonal changes of children of all ages, establish a scientific and reasonable one-day living system and cultivate children's good living habits.
(two) to provide children with a reasonable nutritious diet, scientifically formulate quantitative recipes, and ensure a balanced diet. There are various kinds of food and reasonable collocation. Diets should be changed every 1-2 weeks, and dietary survey and nutritional evaluation should be conducted at least once every semester.
(3) Make a physical exercise plan suitable for children's physiological characteristics, carry out games and sports activities according to children's age characteristics, ensure children's proper amount of exercise and enough outdoor activities time, and improve children's physical and mental health. Gradually carry out physical fitness tests for children aged 3-6, and guide children's physical exercise according to their physical fitness.
(four) the establishment of health examination system, regular health examination of children, the establishment of health records. Adhere to the morning check-up and all-day health observation, do a good job in the prevention of common diseases, and deal with problems in time when found. Strictly implement the infectious disease management system and do a good job in the prevention and control of infectious diseases. Follow up the children who are absent from class by telephone in time and make records.
(five) strictly implement the system of sanitation and disinfection, do a good job in indoor and outdoor environment and personal hygiene. Strengthen food hygiene management to ensure food safety.
(six) to assist in the implementation of the national immunization plan, and to complete the immunization of children according to the immunization procedures and requirements. When children start kindergarten, they should check their vaccination certificates. Children who are not vaccinated according to the regulations should inform their guardians and urge them to take their children to the local vaccination unit for replanting.
(seven) to strengthen the daily nursing work, project management of frail children and obese children. Cooperate with maternal and child health care institutions to regularly carry out children's eye, ear and oral health care and carry out children's psychological health care.
(eight) the establishment of health and safety inspection system, the implementation of various health and safety protection work and measures to prevent child injury accidents, to prevent the occurrence of injury accidents.
(nine) to formulate health education plans and carry out various forms of health education activities for children and their parents. The contents of health education include dietary nutrition, mental health, disease prevention, children's safety and the cultivation of good behavior habits.
(ten) do a good job in the collection, summary and reporting of health monitoring records and information. Regularly analyze and summarize the data to master the health status of children.
Article 8 Nursery institutions shall, under the guidance of disease prevention and control institutions, do a good job in the prevention, control and management of infectious diseases.
Kindergartens shall report to local disease prevention and control institutions in a timely manner in accordance with laws and regulations and the provisions of the Ministry of Health, and timely transfer suspected infectious disease patients to medical and health institutions for further diagnosis. Under the guidance of disease prevention and control institutions, the environment is strictly disinfected.
During the epidemic of infectious diseases, nurseries and kindergartens should strengthen preventive and control measures. When an epidemic of infectious diseases occurs, targeted prevention and control measures should be taken in time. In line with the conditions for suspension of classes, the disease prevention and control department shall promptly issue opinions on suspension of classes.
Article 9 Disease prevention and control institutions shall collect, analyze, investigate and verify the epidemic situation of infectious diseases in nurseries and kindergartens, inform nurseries and kindergartens in time when problems are found, and report to the administrative departments of health and education.
Article 10 Where a child-care institution has a canteen to provide catering services, it shall conscientiously implement all food safety requirements in accordance with the Food Safety Law, the Regulations for the Implementation of the Food Safety Law and relevant regulations.
Eleventh county-level maternal and child health care institutions are responsible for organizing and convening regular meetings on health care work in nurseries and kindergartens within their respective jurisdictions, and urging the implementation of health care work. The working meeting shall be held at least once every semester.
Twelfth disease prevention and control institutions and child care institutions to establish a linkage mechanism to implement the management of key infectious diseases, the implementation of the responsible person, the responsible person to conduct regular inspections of child care institutions.
Thirteenth maternal and child health care institutions at higher levels shall be responsible for the business training, technical guidance, supervision and inspection of kindergarten health care work carried out by maternal and child health care institutions at lower levels.
Chapter IV Kindergarten Organization and Personnel Management
Article 14 The buildings, facilities, equipment, environment, food and drinking water of nurseries and kindergartens shall meet the requirements of relevant national hygiene standards and norms.
Article 15 Before enrolling students, newly-built nurseries and kindergartens shall apply to the health department for health assessment of nurseries and kindergartens, and only after obtaining a health assessment report that meets the health care standards of nurseries and kindergartens can they formally enroll students.
The health administrative department at the county level shall organize the establishment of a kindergarten health care evaluation organization, and the members of the evaluation team shall include professionals in maternal and child health care management, child health care, dietary nutrition, disease prevention, sanitation and disinfection, etc.
The county-level health administrative department entrusts the maternal and child health care institutions to undertake the health evaluation work, and the maternal and child health care institutions receive the reports submitted by the child care institutions? Application for health assessment of child care institutions? /kloc-after 0/5 working days, organize an evaluation team to conduct on-site evaluation of child care institutions and issue an A? Kindergarten health assessment report? .
Article 16 County-level maternal and child health care institutions shall conduct annual inspection and evaluation on the quality of health care in kindergartens (institutes) within their jurisdiction, and the inspection and evaluation results shall be fed back to the county-level education department through the county-level health administrative department as one of the bases for the annual assessment and classified management of kindergartens.
Seventeenth child care institutions should set up corresponding health rooms or health care rooms according to the scale and the number of children they receive, and be responsible for health care.
Clinics should meet the basic standards of medical institutions and obtain the Practice License of Medical Institutions issued by the administrative department of health.
The clinic shall not carry out medical activities, and its configuration shall meet the basic requirements for the establishment of the clinic.
Eighteenth child care institutions should employ health care personnel in line with state regulations. Health care personnel include doctors, nurses and health workers.
Doctors working in the health room shall obtain the practicing certificate of doctors issued by the administrative department of health, and nurses shall obtain the practicing certificate of nurses.
Health care personnel working in the health care room should have a high school education or above, have been trained in health care professional knowledge, have basic knowledge of kindergarten health care, and master skills such as disinfection, infectious disease management and nutritious diet management.
Article 19 Nurseries and kindergartens shall have at least 1 full-time health care personnel according to the proportion of receiving 150 children. /kloc-children under 0/50 should be equipped with full-time or part-time health care personnel.
Article 20 Health care workers in nurseries and kindergartens shall regularly receive health care professional knowledge training and professional guidance organized by local maternal and child health care institutions, receive knowledge training on the prevention and treatment of infectious diseases, and attend regular working meetings convened by maternal and child health care institutions as required.
Health care personnel in nurseries and kindergartens shall give specific guidance to the staff in the institutions on health knowledge publicity and education, disease prevention, sanitation and disinfection, dietary nutrition, food hygiene and drinking water hygiene.
Article 21 Pre-job health examination and requirements:
(1) Before taking up their posts, the staff of nurseries and kindergartens must undergo health examination in accordance with the items specified in the Measures for the Administration of Health Care in Nurseries and Kindergartens and obtain the Health Certificate for Nurseries and Kindergartens before taking up their posts.
(2) A mentally ill person or a person with a history of mental illness may not work in a child care institution.
Twenty-second regular health examination and management requirements:
(a) nurseries and kindergartens shall, in accordance with the provisions of the "measures for the administration of health care in nurseries and kindergartens", organize on-the-job personnel to conduct a health examination every year;
(two) the on-the-job personnel suffering from mental illness, should immediately leave the post of child care institutions;
(3) Anyone suffering from vulvovaginal candidiasis (vulvovaginal candidiasis) should be treated in time;
(4) Anyone who suffers from the following diseases and needs to leave his post for treatment can return to work in a child care institution only with a rehabilitation certificate issued by a medical and health institution at or above the county level.
1, canteen staff and faculty members have symptoms such as fever and diarrhea;
2. Respiratory infectious diseases such as influenza and active tuberculosis;
3, dysentery, typhoid fever, viral hepatitis A, viral hepatitis E and other digestive tract infectious diseases;
4. Gonorrhea, syphilis, trichomonal vaginitis, suppurative or exudative dermatosis;
5, other infectious diseases stipulated by the Ministry of health.
Chapter V Children's Health Management
Twenty-third children in the park (Institute) health examination and requirements:
(a) before children enter the park (the institute), they must have a health check-up in the county-level maternal and child health care institutions under their jurisdiction. Maternal and child health care institutions shall carry out health examination in accordance with the items specified in the Measures for the Administration of Health Care in Nurseries and Kindergartens, and fill in unified norms? Health checklist for children entering the park? .
(2) When children enter the park (institute), should the child care institutions check? Health checklist for children entering the park? 、? Children's health handbook? 、? Vaccination certificate? Only those who pass the health examination can enter the park. The validity period of the entrance health examination results is 3 months.
(three) children leave the park (Institute) for more than 3 months and need to re-enter the park (Institute) according to the physical examination items before they can re-enter the park (Institute).
(4) Children transferred to kindergartens are provided by the original kindergartens? Health certificate of the child's transfer to the park (institute)? 、? Children's health handbook? You can transfer directly to the park. ? Health certificate of the child's transfer to the park (institute)? Valid for 3 months.
Twenty-fourth children's morning check-up and all-day health observation requirements:
(a) the health care personnel in nurseries and kindergartens should do a good job in the inspection of children entering the park every morning. The contents of the morning check-up include asking the child about the situation at home, observing the child's mental state, whether there is fever and abnormal skin, and checking whether there are any unsafe items. , found that the problem in a timely manner. During the epidemic period of infectious diseases, children should be asked if they have any contact history with similar symptoms of related infectious diseases.
(2) The teaching and administrative staff shall conduct all-day health observation on children, including diet, sleep, defecation, mental state, emotional behavior, etc. , and make observation and processing records.
(three) health care personnel patrol the class twice a day, found that sick children should contact their parents as soon as possible, and go to the hospital for treatment in time.
(four) sick children in principle should leave the park (the) rest and treatment. The medical staff or class teacher who accepts the drugs entrusted by the parents of convalescent or mild children should hand over and register the drugs with their parents and ask them to sign for confirmation.
Twenty-fifth child care institutions found in the park (station) children suffering from suspected infectious diseases, it shall promptly notify their guardians to take the children out of the park (station) for treatment. After children suffering from infectious diseases are cured, they can enter the park (institute) only with the health certificate issued by medical and health institutions at or above the county level.
Twenty-sixth children's regular health examination and management requirements:
(a) child care institutions should establish health records for each child. Children's routine health examination items include: measuring height and weight, examining throat, mouth, skin, heart and lung, liver and spleen, spine, limbs and so on. , detect hemoglobin, measure vision and hearing.
(2) 1 ~ 3-year-old children have a physical examination every six months, children over 3 years old have a physical examination every year, and children over 3 years old have their height, weight, vision and oral cavity checked every six months. All children have a hearing test and a hemoglobin test every year.
(3) Records should be made during physical examination, and health assessment and analysis should be made. After the physical examination, the results of the physical examination should be fed back to parents in time, and the diseases found in the physical examination should be treated in time.
Chapter VI Reward and Punishment
Twenty-seventh child care institutions in any of the following circumstances, the health administrative department shall order it to make corrections within a time limit, informed criticism; If it fails to change within the time limit, it shall be given a warning; If the circumstances are serious, the administrative department of education shall give administrative punishment according to law:
(a) failing to set up a health room or health care room as required and equipped with health care personnel;
(two) to employ staff who have not passed the health examination or failed the health examination;
(3) Failing to organize employee health examination on a regular basis;
(four) to recruit children who have not passed the health examination or failed the health examination to enter the child care institutions;
(five) failing to carry out health care work in accordance with the standards for health care in nurseries and kindergartens.
The administrative department of health shall inform the administrative department of education of the results in time, and the administrative department of education shall take it as the basis for the annual assessment, classified management and quality evaluation of kindergartens.
Twenty-eighth child care institutions without obtaining the "practice license of medical institutions" to set up clinics to carry out diagnosis and treatment activities, shall be punished in accordance with the relevant provisions of the Regulations on the Administration of Medical Institutions.
Article 29 If a child care institution fails to perform its health care duties in accordance with the provisions, resulting in public health emergencies such as epidemic of infectious diseases and food poisoning, the administrative department of health and the administrative department of education shall punish it according to relevant laws and regulations.
Medical and health institutions at or above the county level fail to perform their duties in accordance with the provisions of these measures, resulting in public health emergencies in kindergartens, and the administrative department of health shall punish them in accordance with relevant laws and regulations.
Thirtieth units and individuals that have made remarkable achievements in kindergarten health care work shall be commended and rewarded by the administrative departments of health and education of the people's governments at all levels.
Chapter VII Supplementary Provisions
Thirty-first primary school preschool, preschool set up separately with reference to these measures.