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    Default Child care student needs help! Re: Nappy changing, what is side changing?

    Hi there,
    I'm a child care student and am doing my homework and there is a question that has stumped me.

    The question is to do with the risks associated with nappy changing in infants and toddlers and when it comes to Side changing- the pressure on staff/care provider bodies.

    What is side changing?

    Thanks!

  2. #2
    mummabec's Avatar
    mummabec is offline I could hold you for a million years, to make you feel my love
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    I'm guessing it's when your standing facing the side of the baby rather than having the babies legs facing you? And risks would be twisting reaching? Could be totally wrong though!

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    That makes sense. The most obvious answer is usually the one. Did not even think of that! Thanks

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    Lack of maneuverability, takes longer, risk of the child rolling sideways off the table, puts pressure on one side of the carer's hips/back.
    I used to work in ECL, and I never could have changed 15 toddlers comfortably in 20 minutes from side on!

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    Yeah what they said.

    Twisting body, also lifting baby up and down from the change table it's not really a natural movement from side on.

    And if baby/toddler did somehow fall off the table, they're more likely to hit their head - whereas if they slide off feet first, though don't see how that could happen though with a carer standing there, but I can imagine a toddler thrashing enough it would be hard to keep them on the table safely & change their nappy, without risking injury to carer or the toddler.

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    ^yes, twisting while lifting is murder on your back!

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    It's asking you about OH&S here have a look through your notes it should have the answer there

    But these lovely ladies have given you awesome advise!!!


    Sent from my iPhone using Bub Hub app

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    Thanks a lot- that's really helpful Don't suppose you could help with this one- What nappy changing resources are available for a larger child or a preschool aged child with additional needs? How do you ensure the safety of yourself and the child as well as respecting the rights of the child eg: the child's privacy and dignity?

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    Slide out stairs makes it safer for carer and child, as it's unsafe to lift a child over 25kg. If the child is less than 25kg and slide out stairs aren't available, bending your knees and lifting the child under the armpits without bending or twisting is the safest lifting procedure.
    To protect the child's privacy, ensure that you have all the materials needed to make the nappy change as quick as possible. Talking to the child in a normal voice and not belittling them for 'still' wearing a nappy or having accidents respects the child's dignity.
    Last edited by Berrie; 11-02-2012 at 23:13.

  10. #10
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    With a larger/older child the use of stairs is very important (with you holding their hand as they ascend/descend) Also, encouraging the child to assist (encouraging their autonomy and self help skills) by asking them to take off their shoes, lifting their bottom, holding the nappy for you etc....

    To protect their privacy, you would behave as you would with any other child (all children's privacy & dignity should be respected) I don't necessarily agree that changing nappies quickly is a good thing...nappy changing is a time for one to one interaction, a chance to engage with a child. PP who claimed to change fifteen nappies in twenty minutes..........wow, where's the quality interactions there? (sounds like a production line.....certainly not best practice)

    Finally, the washing of your and the child's hands (obviously after cleaning the nappy change area) is another important component of the OH&S factors you need to consider.

    Good luck with your assignment


 

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