Compliance of child care centers in pennsylvania with national health and safety performance standards for emergency and disaster preparedness

Robert P. Olympia, Jodi Brady, Shawn Kapoor, Qasim Mahmood, Emily Way, Jeffrey R. Avner

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objectives: To determine the preparedness of child care centers in Pennsylvania to respond to emergencies and disasters based on compliance with National Health and Safety Performance Standards for Out-of-Home Child Care Programs. Methods: A questionnaire focusing on the presence of a written evacuation plan, the presence of a written plan for urgent medical care, the immediate availability of equipment and supplies, and the training of staff in first aid/cardiopulmonary resuscitation (CPR) as delineated in Caring for Our Children: National Health and Safety Performance Standards for Out-of-Home Child Care Programs, 2nd Edition, was mailed to 1000 randomly selected child care center administrators located in Pennsylvania. Results: Of the 1000 questionnaires sent, 496 questionnaires were available for analysis (54% usable response rate). Approximately 99% (95% confidence interval [CI], 99%-100%) of child care centers surveyed were compliant with recommendations to have a comprehensive written emergency plan (WEP) for urgent medical care and evacuation, and 85% (95% CI, 82%-88%) practice their WEP periodically throughout the year. More than 20% of centers did not have specific written procedures for floods, earthquakes, hurricanes, blizzards, or bomb threats, and approximately half of the centers did not have specific written procedures for urgent medical emergencies such as severe bleeding, unresponsiveness, poisoning, shock/heart or circulation failure, seizures, head injuries, anaphylaxis or allergic reactions, or severe dehydration. A minority of centers reported having medications available to treat an acute asthma attack or anaphylaxis. Also, 77% (95% CI, 73%-80%) of child care centers require first aid training for each one of its staff members, and 33% (95% CI, 29%-37%) require CPR training. Conclusions: Although many of the child care centers we surveyed are in compliance with the recommendations for emergency and disaster preparedness, specific areas for improvement include increasing the frequency of practice of the WEP, establishing specific written procedures for external disasters and urgent medical emergencies, maintaining the immediate availability of potentially life-saving medications, and ensuring that all child care center staff are trained in first aid and CPR.

Original languageEnglish (US)
Pages (from-to)239-247
Number of pages9
JournalPediatric Emergency Care
Volume26
Issue number4
DOIs
StatePublished - Apr 2010

Fingerprint

Civil Defense
Disasters
Child Care
Compliance
Safety
Emergencies
Health
First Aid
Cardiopulmonary Resuscitation
Confidence Intervals
Anaphylaxis
Home Care Services
Ambulatory Care
Bombs
Cyclonic Storms
Snow
Earthquakes
Administrative Personnel
Dehydration
Craniocerebral Trauma

Keywords

  • Care centers
  • Disaster preparedness

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Compliance of child care centers in pennsylvania with national health and safety performance standards for emergency and disaster preparedness. / Olympia, Robert P.; Brady, Jodi; Kapoor, Shawn; Mahmood, Qasim; Way, Emily; Avner, Jeffrey R.

In: Pediatric Emergency Care, Vol. 26, No. 4, 04.2010, p. 239-247.

Research output: Contribution to journalArticle

Olympia, Robert P. ; Brady, Jodi ; Kapoor, Shawn ; Mahmood, Qasim ; Way, Emily ; Avner, Jeffrey R. / Compliance of child care centers in pennsylvania with national health and safety performance standards for emergency and disaster preparedness. In: Pediatric Emergency Care. 2010 ; Vol. 26, No. 4. pp. 239-247.
@article{447c675a29884d8a81a6cea8119d76d6,
title = "Compliance of child care centers in pennsylvania with national health and safety performance standards for emergency and disaster preparedness",
abstract = "Objectives: To determine the preparedness of child care centers in Pennsylvania to respond to emergencies and disasters based on compliance with National Health and Safety Performance Standards for Out-of-Home Child Care Programs. Methods: A questionnaire focusing on the presence of a written evacuation plan, the presence of a written plan for urgent medical care, the immediate availability of equipment and supplies, and the training of staff in first aid/cardiopulmonary resuscitation (CPR) as delineated in Caring for Our Children: National Health and Safety Performance Standards for Out-of-Home Child Care Programs, 2nd Edition, was mailed to 1000 randomly selected child care center administrators located in Pennsylvania. Results: Of the 1000 questionnaires sent, 496 questionnaires were available for analysis (54{\%} usable response rate). Approximately 99{\%} (95{\%} confidence interval [CI], 99{\%}-100{\%}) of child care centers surveyed were compliant with recommendations to have a comprehensive written emergency plan (WEP) for urgent medical care and evacuation, and 85{\%} (95{\%} CI, 82{\%}-88{\%}) practice their WEP periodically throughout the year. More than 20{\%} of centers did not have specific written procedures for floods, earthquakes, hurricanes, blizzards, or bomb threats, and approximately half of the centers did not have specific written procedures for urgent medical emergencies such as severe bleeding, unresponsiveness, poisoning, shock/heart or circulation failure, seizures, head injuries, anaphylaxis or allergic reactions, or severe dehydration. A minority of centers reported having medications available to treat an acute asthma attack or anaphylaxis. Also, 77{\%} (95{\%} CI, 73{\%}-80{\%}) of child care centers require first aid training for each one of its staff members, and 33{\%} (95{\%} CI, 29{\%}-37{\%}) require CPR training. Conclusions: Although many of the child care centers we surveyed are in compliance with the recommendations for emergency and disaster preparedness, specific areas for improvement include increasing the frequency of practice of the WEP, establishing specific written procedures for external disasters and urgent medical emergencies, maintaining the immediate availability of potentially life-saving medications, and ensuring that all child care center staff are trained in first aid and CPR.",
keywords = "Care centers, Disaster preparedness",
author = "Olympia, {Robert P.} and Jodi Brady and Shawn Kapoor and Qasim Mahmood and Emily Way and Avner, {Jeffrey R.}",
year = "2010",
month = "4",
doi = "10.1097/PEC.0b013e3181d6d9c8",
language = "English (US)",
volume = "26",
pages = "239--247",
journal = "Pediatric Emergency Care",
issn = "0749-5161",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Compliance of child care centers in pennsylvania with national health and safety performance standards for emergency and disaster preparedness

AU - Olympia, Robert P.

AU - Brady, Jodi

AU - Kapoor, Shawn

AU - Mahmood, Qasim

AU - Way, Emily

AU - Avner, Jeffrey R.

PY - 2010/4

Y1 - 2010/4

N2 - Objectives: To determine the preparedness of child care centers in Pennsylvania to respond to emergencies and disasters based on compliance with National Health and Safety Performance Standards for Out-of-Home Child Care Programs. Methods: A questionnaire focusing on the presence of a written evacuation plan, the presence of a written plan for urgent medical care, the immediate availability of equipment and supplies, and the training of staff in first aid/cardiopulmonary resuscitation (CPR) as delineated in Caring for Our Children: National Health and Safety Performance Standards for Out-of-Home Child Care Programs, 2nd Edition, was mailed to 1000 randomly selected child care center administrators located in Pennsylvania. Results: Of the 1000 questionnaires sent, 496 questionnaires were available for analysis (54% usable response rate). Approximately 99% (95% confidence interval [CI], 99%-100%) of child care centers surveyed were compliant with recommendations to have a comprehensive written emergency plan (WEP) for urgent medical care and evacuation, and 85% (95% CI, 82%-88%) practice their WEP periodically throughout the year. More than 20% of centers did not have specific written procedures for floods, earthquakes, hurricanes, blizzards, or bomb threats, and approximately half of the centers did not have specific written procedures for urgent medical emergencies such as severe bleeding, unresponsiveness, poisoning, shock/heart or circulation failure, seizures, head injuries, anaphylaxis or allergic reactions, or severe dehydration. A minority of centers reported having medications available to treat an acute asthma attack or anaphylaxis. Also, 77% (95% CI, 73%-80%) of child care centers require first aid training for each one of its staff members, and 33% (95% CI, 29%-37%) require CPR training. Conclusions: Although many of the child care centers we surveyed are in compliance with the recommendations for emergency and disaster preparedness, specific areas for improvement include increasing the frequency of practice of the WEP, establishing specific written procedures for external disasters and urgent medical emergencies, maintaining the immediate availability of potentially life-saving medications, and ensuring that all child care center staff are trained in first aid and CPR.

AB - Objectives: To determine the preparedness of child care centers in Pennsylvania to respond to emergencies and disasters based on compliance with National Health and Safety Performance Standards for Out-of-Home Child Care Programs. Methods: A questionnaire focusing on the presence of a written evacuation plan, the presence of a written plan for urgent medical care, the immediate availability of equipment and supplies, and the training of staff in first aid/cardiopulmonary resuscitation (CPR) as delineated in Caring for Our Children: National Health and Safety Performance Standards for Out-of-Home Child Care Programs, 2nd Edition, was mailed to 1000 randomly selected child care center administrators located in Pennsylvania. Results: Of the 1000 questionnaires sent, 496 questionnaires were available for analysis (54% usable response rate). Approximately 99% (95% confidence interval [CI], 99%-100%) of child care centers surveyed were compliant with recommendations to have a comprehensive written emergency plan (WEP) for urgent medical care and evacuation, and 85% (95% CI, 82%-88%) practice their WEP periodically throughout the year. More than 20% of centers did not have specific written procedures for floods, earthquakes, hurricanes, blizzards, or bomb threats, and approximately half of the centers did not have specific written procedures for urgent medical emergencies such as severe bleeding, unresponsiveness, poisoning, shock/heart or circulation failure, seizures, head injuries, anaphylaxis or allergic reactions, or severe dehydration. A minority of centers reported having medications available to treat an acute asthma attack or anaphylaxis. Also, 77% (95% CI, 73%-80%) of child care centers require first aid training for each one of its staff members, and 33% (95% CI, 29%-37%) require CPR training. Conclusions: Although many of the child care centers we surveyed are in compliance with the recommendations for emergency and disaster preparedness, specific areas for improvement include increasing the frequency of practice of the WEP, establishing specific written procedures for external disasters and urgent medical emergencies, maintaining the immediate availability of potentially life-saving medications, and ensuring that all child care center staff are trained in first aid and CPR.

KW - Care centers

KW - Disaster preparedness

UR - http://www.scopus.com/inward/record.url?scp=77951183646&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77951183646&partnerID=8YFLogxK

U2 - 10.1097/PEC.0b013e3181d6d9c8

DO - 10.1097/PEC.0b013e3181d6d9c8

M3 - Article

C2 - 20401968

AN - SCOPUS:77951183646

VL - 26

SP - 239

EP - 247

JO - Pediatric Emergency Care

JF - Pediatric Emergency Care

SN - 0749-5161

IS - 4

ER -