Diapering and Hand washing in Child Care

Diapering Procedure

1. Before beginning the diapering procedure, clean your hands by using proper hand hygiene procedures (as detailed below).
2. To minimize contamination, prepare for diapering by getting out all of the supplies needed for the diaper change and placing them near, but not on, the diapering surface, for example:Enough wipes for the diaper change, including cleaning the child’s bottom and wiping the teacher’s hands and child’s hands before putting on the clean diaper (wipes must be taken out of their container)
   A clean diaperA plastic bag for soiled clothes and a set of clean clothes (if soiled clothing is anticipated)
   Non-porous gloves (if used)
   A dab of diaper cream on a disposable paper towel (if used)Changing table paper (if used) to cover the table from the child’s shoulders to feet (in case it becomes soiled and must be folded over to create a clean surface during the change)
3. Place the child on diapering table. Remove clothing to access diaper. If soiled, place clothes into a plastic bag.
4. Remove soiled diaper and place into a lined, covered, hands-free trash container
5. Use wipes to clean child’s bottom from front to back (one wipe per swipe) and throw away into trash container. The diaper can also be left open under the child during the cleaning step and then discarded with the soiled wipes before continuing with Step 6. If gloves are used, they must be discarded at this time.
6. Use a wipe to remove soil from your hands and throw into trash container.
7. Use another wipe to remove soil from child’s hands and throw into trash container.
8. Put on clean diaper and redress the child.
9. Wash the child’s hands following the proper handwashing procedure. Return the child tothe play area without touching any other surfaces.
10. Clean the diapering surface by spraying it with a soapy water solution and drying with apaper towel or by wiping it with a water-saturated paper towel or wipe.
11. Disinfect the diapering surface by spraying it with disinfectant-strength bleach-watersolution (1/2-3/4 cup bleach per gallon of water) and wait at least 2 minutes before wiping (or allow to air dry). A quaternary ammonia-based product, prepared in accordance with label directions, may be used in place of bleach and water.
12. Clean your hands by using proper hand hygiene (as detailed below).

Handwashing Procedure

1. Moisten hands with water and use liquid soap.
2. Rub hands together away from the flow of water for 20 seconds. 3. Rinse hands free of soap under running water.
4. Dry hands with a clean, disposable paper towel or air dry with ablower.
5. Turn off faucet using paper towel.6. Throw the used paper towel into a hands-free trashcan.