Kindergarten care and health care work is the need of preschool children's physical and psychological development, which is determined by the characteristics of children's physical and mental development. Our garden takes "all for children's development" as its purpose, insists on paying equal attention to education, starts with cultivating good habits, focuses on stimulating emotional interest, actively creates and provides a good environment and opportunities for various activities, strives to do a good job in conservation and health care, promotes children's physical and mental health, and enables children to develop physically, intellectually, morally and aesthetically. Our main experience and work are:
First, improve the organization, attach importance to management, standardize and effectively protect medical and health care.
1, set up a nursing and health care room, strengthen leadership and clarify work responsibilities.
At the beginning of 2003, a nursing and health care room was set up in our park, which was juxtaposed with the teaching and research section. The main duties of the nursing and health care room are: to make plans and summarize the nursing and health care work; Organize the preservation and health care files; Responsible for the construction of nurses and the assessment of nurses; Health inspection of the whole kindergarten; Do a good job in children's health education with health care teachers (one in each grade); Consulting and guiding new health care doctors and other kindergartens; Nurses' sick leave schedules and so on.
2, improve the daily health care system, standardize the behavior of faculty.
According to the "Regulations", the basic requirements, routine practices, working procedures and responsibilities of all kinds of personnel in the daily health care work of kindergartens are systematically stipulated, and they are fixed in the form of provisions to form a system, so that teachers and staff can follow rules in everything. For example, we have formulated several systems, such as the job responsibilities of health care doctors and nurses, children's daily routine system, physical exercise, health examination, disinfection and isolation, disease prevention, safety and so on. In particular, the working procedures and requirements of nurses for one day were formulated, and special research was carried out at the nurses' meeting, forming a standardized, scientific and orderly operating system, so that everyone can understand when and how to do what should be done, thus ensuring the smooth progress of kindergarten health care work.
3. Take the assessment as the starting point to promote the implementation of the economical medical system.
We have established a fair and reasonable evaluation standard and supervision and management mechanism. First, establish the administrative duty cycle system. The administrative duty officer checks the class every week, including whether the daily life links are orderly, whether the children's good living habits are established, whether the children's gfd is clean and tidy, and whether the class environment is clean and tidy. After the weekly inspection, there are summaries and evaluations, praising the advanced and urging the backward. Secondly, establish a nurse assessment system. This kind of assessment is all-round: once every half month, the garden Ivy team will check and quantify the health work of each class; Usually, the administrative group composed of park leaders often goes deep into the class to understand the nurses' thoughts, work attitudes, daily nursing and class allocation through various channels; At the end of each semester, the business assessment includes the written test, story telling, poetry reading, talent display, practical skill operation and on-site question and answer. According to the above comprehensive assessment results, nurses are employed at different levels, and senior nurses, intermediate nurses and ordinary nurses enjoy different bonus treatments at different levels. Unqualified nurses were also dismissed on this basis. Doing well is not the same as doing badly. The combination of assessment and appointment fully mobilized the enthusiasm of nurses and further promoted the development of conservation and health care.
Second, raise awareness, pay attention to learning, and maintain high quality and efficiency.
1, fully understand the importance of conservation work.
The Regulations on Kindergarten Work stipulates: "Kindergarten is an' institution' that provides care and education for preschool children over 3 years old". It can be seen that the kindergarten's conservation and education are closely combined and cannot be separated. To carry out the educational policy of combining nursing with education, we should attach importance to the group of nurses and fully understand the important role of nurses in the growth of young children. In the past eight years, our park has increased from 2 nurses to 19 nurses, and from 76 children to 27 children. The nature of nurses' work has also undergone fundamental changes. From the simple cleaning work before to the present, in addition to cleaning work, we must also do shift work and do a good job in the daily activities of children (including physical care and psychological care). This not only ensures the health and safety of children, but also enables children to eat well, sleep well and engage in various activities energetically in daily life. At the same time, it also promotes the cultivation of children's good living habits, thus achieving healthy physical and mental development.
2. Improve the quality of nurses through various studies.
In today's society, learning is an inexhaustible motive force for continuous progress. Most of our nurses are only junior high school students and need to learn to improve their quality. Therefore, we have established a nurse learning system and organized learning according to the characteristics of nurses.
(1) diversified learning forms. Our learning methods are various, such as self-study, collective study, master's study, discussion, knowledge contest, technical contest, experience promotion meeting, studying abroad and so on. For example, when learning Mandarin, nurses have followed the teacher word for word, forming a relaxed learning atmosphere; Learn what nurses should know, and divide nurses into three groups by way of knowledge contest. Everyone is full of enthusiasm. During the inspection, some classes are often praised, so we will hold an "experience promotion meeting" to let everyone learn excellent practical experience ... These eclectic learning forms make nurses like learning and enjoy learning, which ensures the learning effect.
(2) Diversified learning contents. Over the years, we have carried out learning activities among nurses: learning Mandarin to improve the language level; Read "Psychology of Preschool Children" and "Child Hygiene" to gain the basic knowledge of education; Try to organize simple games to learn children's songs, games and manual activities; Learn to fold the quilt, learn to clean the table and so on to improve the operation ability.
3. Standardize the work of nurses and improve the quality of nursing.
(1) Standardize the work flow of nurses in one day. "Nurses' One-day Work Procedure" is formulated according to the arrangement of kindergarten's one-day work and rest system and the principle of serving children and cooperating with the front line of education. In practice, we give the teacher's class schedule to the nurse, so that the nurse can arrange the time reasonably to do the class homework and daily health work; Give teachers and nurses a timetable, let teachers know fairly well, let conservation and education work closely together, and reduce inefficient work.
(2) Grasp the operation details. Learn various systems and disinfection methods and use them reasonably; Make clear your job requirements and achieve the "five-fixed" operation principle: "fixed point"-operate in designated places, such as rags, mops, cups, etc. "Timing"-doing things within the specified time, such as taking bowls, pots, soy milk, eating, disinfecting the desktop, etc. It should be completed within the stipulated time. "Get things done"-to do the prescribed things, we must strictly abide by the operating norms and do things well and carefully. "Assembling tools"-every tool in the classroom should be dedicated to a specific object, so don't confuse it. "Fixed requirements"-strict operation requirements, each operation has different requirements. As a nurse, we must clearly define the requirements and conscientiously implement them.
Three, strict control, pay attention to implementation, medical and health care work has achieved remarkable results.
1, strict control is the premise of children's health.
(1) Make sure to enter the park correctly.
It is stipulated that all children who enter the park and transfer classes must go to the women's health station for physical examination, and they can only enter the park after obtaining the health examination form. Freshmen should check and register vaccination cards when entering the park, and those who lack or miss seeds should promptly notify their parents to replant them. Establish a relatively complete health file for all children in the park to fully understand the health status of each child.
(2) Do a good job of morning inspection.
Adhere to the system of morning check-up and all-day health observation, conscientiously do a good job in morning check-up and strictly control infectious diseases (such as chicken pox, mumps, pink eye, etc.). ). At the same time as the morning check-up, we collect the children's medicines, register them in different classes, and give them to people regularly according to the needs of treatment. At the same time, health care doctors patrol the class twice in the morning and noon, asking nurses and teachers to pay close attention to the children's health during the day's activities. If children suspected of infectious diseases or poor mental state are found, they should contact health care doctors in time, deal with special situations in time, and report to the park leaders at the first time.
(3) Do a good job in physical examination.
Regularly measure the height, weight and vision of the children in the whole park, and cooperate with the comprehensive physical examination of each child once a year in the Women's Hospital. Record, count and summarize each inspection, conduct comprehensive analysis, and find anomalies or differences in time so as to correct and correct them as soon as possible.
2. Providing reasonable dietary nutrition is the key to children's health.
Children aged 3-6 are in a period of rapid growth and development, and their metabolism is vigorous. Therefore, when preparing a nutritionally balanced children's diet, kindergartens should ensure that children get enough nutrients necessary for their growth and development on the basis of establishing a good nutritious cooking and sanitary environment, and at the same time create a quiet, pleasant and harmonious dining environment for children to meet their psychological needs for dining. Make children not only eat well, but also eat well, thus promoting the harmonious development of children's physical and mental health. Through hard work, our canteen has become the first batch of A-level demonstration canteens.
(1) Scientifically formulate weekly recipes.
Nutrition work is an extremely important work in kindergartens, which involves the formulation of children's recipes with balanced nutrition and regular nutritional analysis. We do it from the following three aspects: a. Balanced nutrition formula. Health care doctors make a nutritional calculation once a month to find out whether the nutrition of the recipes is reasonable and balanced, and make appropriate adjustments when making recipes for next week according to the results of nutritional analysis. Check the children's diet every day to understand the cooking quality and children's preferences, so that the children's daily diet is rich in nutrients and various nutrients maintain an appropriate proportion. B These dishes are seasonal. Because of the different seasons, we will choose some suitable dishes to regulate children's diet, such as calcium-rich food in spring; In summer, fruits and fresh green leafy vegetables are refreshing; Nourishing yin and clearing dry food in autumn; Winter dishes with high calorie, spleen and blood, and heavy taste. C color diversity. Pay attention to scientific collocation, rice flour collocation, dry and wet collocation, sweet and salty collocation, vegetarian collocation, two green leafy vegetables and yellow leafy vegetables for one meal, so as to promote the balanced absorption of various nutrients and improve the nutritional value of food.
(2) Cook food reasonably.
In cooking, we should not only consider the digestive characteristics of children, but also pay attention to keeping the vitamins in food from being destroyed. Efforts should be made to diversify color, fragrance, taste, shape and species, and to make dishes suitable for children's tastes in different ways. At the same time, the food must be checked and accepted, and the purchased food must be fresh and of good quality, so as to ensure that children can get the necessary nutrition for growth and activities.
(3) Cultivate children's good eating habits.
Attach importance to children's nutrition education and cultivate children's good eating habits. Before eating every day, the class teacher introduces the names of dishes and nutrition knowledge to children, so that children can understand the main characteristics of each food, make them feel that eating everything is beneficial to their health, and emphasize that children are not partial to food and picky eaters; Play light music between meals, so that children can finish their meal happily, get enough nutrition and promote growth and development.
3. Strict implementation of disinfection system is the guarantee of children's health.
Strict implementation of disinfection system is the key to control the epidemic of infectious diseases and eliminate diseases in the park, so we require nurses to strictly use different disinfection methods for different utensils, such as: disinfection of towels as soon as they are used; The cup is disinfected every day; Disinfect the dining table once every meal; Disinfect one or two toys a week; Classroom, bathroom, toilet and corridor should be mopped and washed with disinfectant once a day; Sterilize rice vinegar every Monday (increase disinfection times in cold season); Bedding is dried twice a month; Ultraviolet radiation lasts for one hour every day. At the same time, nurses are also required to use the disinfection work registration form, and each disinfection should be recorded, and teachers are required to sign and supervise.
4. Paying attention to disease correction is the foundation of children's health.
Disease correction and case management of frail children are the focus of health care. We mainly adopt the methods of case management, family coordination, suit the remedy to the case, individual treatment and individual care, and take different measures for different sick children, specifically:
(1) obesity correction. In view of the large number of obese children in the whole park, this paper puts forward some corrective measures for obese children: First, patiently and in detail tell the children and parents about the harm of obesity, the reason of dieting and weight loss and the treatment plan in order to obtain their cooperation. Second, the family cooperates with the children to adjust their diet and control their calorie intake. Third, family cooperation increases children's exercise. In kindergarten, the health care teacher leads the children to run the stairs 15 minutes or more every day until they sweat. Fourth, monitor and compare the height and weight of children every month and adjust corrective measures in time. At the end of June, the 10 height-specific weights of10 of 3 obese infants were within two standard values, and the weights of 3 obese infants were also controlled.
(2) Dental caries correction. For the whole park 193 children with caries, we first asked parents to take their children to regular dentistry for diagnosis and treatment by questionnaire. At the same time, in the face of children's fear of caries treatment, health care doctors have helped the class teacher to do the children's ideological work many times, so that this work can be carried out smoothly. Through communication with parents during morning check-up and follow-up investigation, 124 children were corrected to varying degrees.
(3) Management of low birth weight infants. For two low birth weight infants, take the method of increasing nutrition and add a glass of milk at noon every day. After a semester, the weight has increased to varying degrees.
(4) trachoma correction. After the women's insurance institute came to the park for physical examination, the health care doctor found that there were more children suffering from trachoma, and issued 103 leaflets on the symptoms, harm and prevention of trachoma, so that the children could get regular treatment in the summer vacation.
Childcare and health care seems simple and trivial, but it is actually a complex system engineering. To do this work well, there is a lot of knowledge, which is worth studying and exploring in depth. Although our garden has made some achievements in health care and won the affirmation and praise from parents and all walks of life, there is still a certain gap from our goal. We believe that there is no best, only better. We will take this experience exchange as an opportunity to learn from the advanced experience of sister kindergartens, better carry out nursery work, and finally make our children healthier!