The Use of Manual Airway Clearance Devices in Child Care Settings
The Office of Child Development and Early Learning (OCDEL) received questions on the use of manual Airway Clearance Devices (ACD). OCDEL’s current regulation is that all child care staff employed in a child care facility are required to have training in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR). OCDEL recommends child care providers continued use of approved pediatric first-aid and CPR training.
Child care providers may wish to consult with their own legal counsel and insurance company before deciding whether to use an ACD in their facility. It is best practice for the child care provider to have policies and procedures in place to address parental consent.
Per the child care regulations, signed written parental consent is required prior to administration of minor first-aid procedures by facility staff and must be kept current. (55 Pa. Code §3270.181(b), §3270.182(5), §3280.181(b), §3280.182(5), §3290.181(b), §3290.182(5)).
If an ACD is used on a child, but the parent/guardian consent is absent from the child’s file, this will result in violation of the regulations at 55 Pa. Code §3270.181(b), §3270.182(5), §3280.181(b), §3280.182(5), §3290.181(b), §3290.182(5).
Parent/guardian are not required to provide consent if they don’t want this device used on their child while in care at the facility.