According to the NYS OCFS, my diapering routine must address how the diapers are discarded, how my hands are washed, and how I clean the diapering equipment. Here is my routine for changing a diaper.

  • 1. Wash your hands. Collect all supplies, but keep everything off the diapering surface except the items you will use during the diapering process. Prepare a sheet of non-absorbent paper that will cover the diaper changing surfaces from the child's chest to the child's feet. Bring a fresh diaper, as many wipes as needed for this diaper change, nonporous gloves and a plastic bag for any soiled clothes. Take the supplies out of the containers and put the containers away.

  • 2. Put on gloves. Avoid contact with soiled items. Items that come in contact with items soiled with stool or urine will have to be cleaned and sanitized. Carry the baby to the changing table, keeping soiled clothing from touching the caregiver's clothing. Bag soiled clothes and, later, securely tie the plastic bag to send the clothes home.

  • 3. Unfasten the diaper, but leave the soiled diaper under the child. Lift legs and use disposable wipes to clean the diaper area. Remove stool and urine from front to back and use a fresh wipe each time. Put the soiled wipes into the soiled diaper. Note and later report any skin problems.

  • 4. Remove the soiled diaper. Fold the diaper over and secure it with the tabs. Put it into a plastic-lined covered or lidded can and then into an outdoor receptacle or one out of reach of children. If reusable diapers are being used, put the diaper into the plastic-lined covered or lidded can for those diapers or in a separate plastic bag to be sent home for laundering. Do not rinse or handle the contents of the diaper.

  • 5. Check for spills under the baby. If there is a visible soil, remove any large amounts with a wipe, then fold the disposable paper over on itself from the end under the child's feet so that a clean paper surface is now under the child.

  • 6. Remove your gloves and put them directly into the covered or lidded can. Wipe your hands with a disposable wipe.

  • 7. Slide a clean diaper under the baby. If skin products are used, put on another glove and apply product. Remove your gloves and put them directly into the covered or lidded can. Wipe your hands with a disposable wipe.

  • 8. Clean the baby's hands, using soap and running water at a sink, if you can. If the child is too heavy to hold for hand washing and cannot stand at the sink, use disposable wipes or soap and water with disposable paper towels to clean the baby's hands. Dress the baby before removing him from the diapering surface. Take the child back to the child care area.

  • 9. Clean and disinfect the diapering area.
    • Dispose of the table liner into the covered or lidded can.
    • Clean any visible soil from the changing area.
    • Spray the table so the entire surface is wet with bleach solution or hospital-grade germicidal solution.
    • Leave the bleach on the surface for 2 minutes, then wipe the surface or allow it to air-dray.

  • 10. Wash hands thoroughly.

When using a potty chair, keep in mind that the frames should be made of a continuous-surface, smooth, nonporous material that is easily cleanable. (Wood frames are not recommended.) The waste container should be easily removable and fit securely into the chair. Also, choose one with as few crevices as possible to make cleaning and sanitizing easier. Here is my routine for cleaning potty chairs:

  • 1. Put on disposable medical gloves.
  • 2. Empty the contents into the toilet.
  • 3. Rinse the potty chair with water in a sink that is never used for food preparation purposes, and empty the water into the toilet.
  • 4. Wash all parts of the potty chair with soap and water, using paper towels.
  • 5. Empty the contents into the toilet and flush the toilet.
  • 6. Spray the potty chair with bleach solution.
  • 7. Allow to air-dry.
  • 8. Wash and sanitize the sink.
  • 9. Remove your gloves and dispose of them in a plastic-lined receptacle with a tight-fitting lid.
  • 10. Wash your hands with soap and running water.

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