• Look at the information for Entertainment. Why is it dangerous to let children play with latex balloons? (They can accidentally inhale the balloon or pieces of the balloon and it can block their airway.) [Point out that there are excellent entertainment ideas for children in different age groups on page 18 of the Student Handbook.]
• Look at the information for snacks and meals. Why is it dangerous to play games or make children laugh while they are eating? (They can choke if they laugh or giggle with a mouthful of food.)
Fall down stairs that are not protected by a safety gate? (Toddlers.) Chew on medication thinking it is candy? (Preschoolers.)
[Some students who have younger siblings or who have some experience babysitting may have experience in changing diapers.]
VIDEO: POISONING VIDEO: DIAPER CHANGING THE EASY WAY
Poisoning is a danger for three of the four age groups. Let’s watch this Babysitter Boss video to learn more about poisoning.
Before we begin the demonstration and practice of diapering, let’s watch this Babysitter Boss video on changing a diaper.
Do any of you have an allergy or know someone who is allergic to something? Allergies are very common, and it’s important to be aware of the allergies of those around you, including friends, neighbors, and children you are babysitting. Why would you want to be aware that a friend, neighbor, or child you babysit has an allergy?
PRACTICE Let’s practice on your dolls.
[So that you can help them avoid the allergen, and therefore prevent an allergic reaction.]
[Read each of the 10 steps out loud as you demonstrate on a doll and have students practice each step along with you.]
What does an allergic reaction look like?
1. Choose a safe place to change the infant’s diaper – on the floor on a changing pad or towel.
[It could look very different, depending on the severity of the allergy: runny nose and itchy eyes, wheezing, hives, difficulty breathing, even loss of consciousness or shock.]
2. Make sure you have all the supplies you need (clean diaper, wipes, etc.) within reach first.
3. To remove the dirty diaper, undo the tabs first and gently slide the diaper from under the infant’s bottom.
[Graphic: Make Your Call]
4. Gently wipe the infant from front to back with a washcloth or wipe. Be sure to get the little folds and creases clean.
One of the most important things that you will learn today is the system that Safe Sitters use to assess an injury/illness to determine who should handle it. Safe Sitters decide who should handle any injury or health problem based on the seriousness and urgency of the problem.
5. Pat the infant dry with a clean washcloth or wipe to prevent diaper rash.
6. Gently lift the infant’s legs with one hand and slide a clean diaper under infant’s bottom with the other hand. Be sure you have the side with the adhesive tabs underneath the infant.
What does “serious” mean? (The situation is more than the sitter can handle; outside help is needed.)
What does “urgent” mean? (Help is needed right away.)
7. Before you fasten the tabs, make sure the front of the diaper is centered between the legs and pulled up to the same level as in the back – usually around the level of the belly button in the front.
8. To prevent leaks, bring the adhesive strips around the back and fasten them snugly on the front of the diaper so there are no gaps. Be careful not to stick the adhesive tape on the infant’s skin.
9. Roll up the old diaper (and wipes) onto itself in a ball – fasten the tabs to secure it. Dispose of the old diaper and wipes as directed by the employer. One option is to put the old diaper in a plastic bag and tie it closed. Then put it in the trash.
PAGE 16 | SAFE SITTER® INSTRUCTOR MANUAL
• If there is a THREAT TO LIFE, call 9-1-1 because this is both serious and urgent.
• If it is a significant injury or illness, ask a back-up adult to come help, UPDATED 2023
Page 17 of your Handbook lists the 10 steps to changing diapers. Earlier, we talked about how diapering was part of babysitting an infant. Now we get to practice that skill. Have any of you ever changed an infant’s diaper?
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