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UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
RED Reregistration Eligibility Decision LADD Lifetime Average Daily Dose LC50 Median Lethal Concentration Statistically derived concentration of a substance expected to cause death in 50 of test animals, usually expressed as the weight of substance per weight or volume of water, air or feed, e g , mg/l, mg/kg or ppm LCO Lawn Care Operator
RED A CRAYON S TORY THERE S MORE TO ME THAN YOU CAN SEE
The book Red: A Crayon’s Story by Michael Hall follows Red, a crayon with a bright red label, who is in fact blue Red’s teacher, mother, and classmates all try to help him be red But Red is miserable He just can’t be red, no matter how hard he tries Finally, a brand-new friend
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American Red Cross Babysitter’s Training Handbook
The American Red Cross Babysitter’s Training program and supporting materials were developed through the dedication of both employees and volunteers Their commitment to excellence made this program possible The American Red Cross and StayWell thank Kristin Atwell, Michael Atwell, David Baker, Elina Berglund, Charles Boyce Brooks III, Juliet
THE AMERICAN NATIONAL RED CROSS
The American National Red Cross (the Organization) was established by an Act of the United States Congress on January 5, 1905 for the primary purposes of furnishing volunteer aid to the sick and wounded of the Armed Forces in time of war and to carry on a system of national and international
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What You Need to Know About the Markers on the Water
“Red, Right, Returning” You may have heard the phrase, “Red, Right, Returning ” This expression refers to the fact that when returning (entering a channel from the open sea or proceeding upstream), a boater must keep the red Aids on the right (starboard) side of the boat These Aids
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American Red Cross
Babysitter"s Training
HandbookThe following organizations provided review of the materials and/orsupport for the American Red Cross Babysitter"s Training program:BST_FM_i-vi.indd iBST_FM_i-vi.indd i2/20/08 8:03:00 AM2/20/08 8:03:00 AM
Copyright © 2008 by The American National Red Cross All rights reserved. No part of this publication may be reproduced, stor ed in a retrieval system or transmitted in any form or by any means, electronic, mechanica l, photocopying, recording or otherwise, without prior permission from American Red CrossNational
Headquarters, Preparedness and Health and Safety Services. Content refl ects the 2005 Consensus on Science for CPR and Emergency CardiovascularCare (ECC) and the 2005 Guidelines for First Aid.
American Red Cross certifi cates may be issued upon successful completion of a training program, which uses this manual as an integral part of a course. By itse lf, the material in this handbook does not constitute comprehensive Red Cross training. In o rder to issue Red Cross certifi cates, your instructor must be authorized by the American Red Cross, and must follow prescribed policies and procedures. Make certain that you ha ve attended a course authorized by the Red Cross. Contact your local American Red Cros s chapter (www.redcross.org) for more information. The emergency care procedures outlined in this manual refl ect the standard of knowledge and accepted emergency practices in the United States at the time this m anual was published. It is the reader"s responsibility to stay informed of changes in the emergency care procedures.Printed in the United States of America
Printing/Binding by RR Donnelly
StayWell
780 Township Line Rd.
Yardley, PA 19067
ISBN: 978-1-58480-313-3
08 09 10 11 12 9 8 7 6 5 4 3 2 1
BST_FM_i-vi.indd iiBST_FM_i-vi.indd ii2/20/08 8:03:05 AM2/20/08 8:03:05 AM The American Red Cross Babysitter"s Training program and supporting materials were developed through the dedication of both employees and volunteers. Their commitment to excellence made this program possible. The American Red Cross and StayWell thank Kristin Atwell, Michael Atwell, David Baker, Elina Berglund, Charles Boyce Brooks III, Juliet Chukwu, Meghan Gordineer, Julionna Hackett, Kylee Anne Hackett, Audrey Heller, Anne Mammel, Ashley Radley, Juliana Saucedo and Natalie Scalabrino for their guidance and review. The American Red Cross and StayWell also thank Vincent Knaus, photographer, and Tamara Lazarus, producer, for their efforts. American Red Cross Advisory Council on First Aid, Aquatics, Safety a ndPreparedness
In late 1998, the Red Cross formed an independent panel of nationally recognized health and safety experts known as the Advisory Council on First Aid, Aquatics, Safety and Preparedness or ACFASP. Drawing on a body of collective expertise from such diverse fi elds as emergency medicine, occupational health, sports medicine, school health, emergency medical services (EMS) response and disaster mobilization, ACFASP helps establish the standard in fi rst aid care. ACFASP advises the Red Cross in areas related to the development and dissemination of audience-appropriate information and training in fi rst aid, aquatics, safety and preparedness.Acknowledgments
ACKNOWLEDGMENTS iii
BST_FM_i-vi.indd iiiBST_FM_i-vi.indd iii2/20/08 8:03:05 AM2/20/08 8:03:05 AMCHAPTER 1
Youre The Boss:
A Guide to
Leadership . . . . . . .1
How to Be a Leader . . . . . . . . . . . . . . . 2 Leadership Skills. . . . . . . . . . . . . . . . . . 3CHAPTER 2
The Business of
Babysitting. . . . . .13
What Kind of Babysitter Are You? . 13
Getting Started. . . . . . . . . . . . . . . . . . 14 Finding Work . . . . . . . . . . . . . . . . . . . . 15Interviewing the Family . . . . . . . . . . 19
Professional Behavior. . . . . . . . . . . . 22
CHAPTER 3
Safe and Sound on
the Job . . . . . . . . . .31Telephone Safety Tips. . . . . . . . . . . . 32
Personal Safety . . . . . . . . . . . . . . . . . . 33Danger from Strangers. . . . . . . . . . . 33
Other Safety Considerations. . . . . . 34
Safety Inspection Checklist. . . . . . . 35
Preventing Accidents and
Injuries. . . . . . . . . . . . . . . . . . . . . . . 39Being Prepared for Weather
Emergencies . . . . . . . . . . . . . . . . . 52
Violence or Crime. . . . . . . . . . . . . . . . 54 Play It Safe!. . . . . . . . . . . . . . . . . . . . . . 54CHAPTER 4
Understanding Kids
from 0 to 10 . . . . .58Ages, Stages and Milestones . . . . . 59
Children and Play. . . . . . . . . . . . . . . . 64Helping Children Behave. . . . . . . . . 69
ivCONTENTS
Contents
BST_FM_i-vi.indd ivBST_FM_i-vi.indd iv2/20/08 8:03:06 AM2/20/08 8:03:06 AMCHAPTER 5
From Feeding
to Bedtime:Caring for Kids. . .82
Talking to the Parents About Basic
Child Care. . . . . . . . . . . . . . . . . . . . 83Watching Out for Germs. . . . . . . . . . 83
Picking Up and Holding Children. . . 85
Feeding Children . . . . . . . . . . . . . . . . 86 Diapering . . . . . . . . . . . . . . . . . . . . . . . 88 Dressing Children. . . . . . . . . . . . . . . . 89 Bathing Toddlers. . . . . . . . . . . . . . . . . 90 Rest and Sleep. . . . . . . . . . . . . . . . . . . 91Skill Sheet: Hand Washing. . . . . . . . 93
Skill Sheet: Removing Disposable
Gloves . . . . . . . . . . . . . . . . . . . . . . . 95Skill Sheet: Picking Up Infants . . . . 97
Skill Sheet: Holding Infants"
Cradle Hold . . . . . . . . . . . . . . . . . . 98Skill Sheet: Holding Infants"
Shoulder Hold. . . . . . . . . . . . . . . . 99
Skill Sheet: Picking Up and Holding
Toddlers"Upright Carry. . . . . 100
Skill Sheet: Bottle-Feeding . . . . . . 101
Skill Sheet: Spoon-Feeding. . . . . . 103
Skill Sheet: Diapering . . . . . . . . . . . 105
Skill Sheet: Undressing Children . 108
Skill Sheet: Dressing Children in
Snap or Button Shirts . . . . . . . . 109
Skill Sheet: Dressing Children
in a T-Shirt. . . . . . . . . . . . . . . . . . . 110CHAPTER 6
Its An Emergency
Now What? . . . . .111
What Is an Emergency?. . . . . . . . . . 112
In a First Aid Emergency:
CHECK"
CALL"CARE. . . . . . . . . . . . . . . . 113
Calling for Help. . . . . . . . . . . . . . . . . 114Checking a Conscious Child or
Infant . . . . . . . . . . . . . . . . . . . . . . . 117What Is a Breathing
Emergency?. . . . . . . . . . . . . . . . . 119
Asthma . . . . . . . . . . . . . . . . . . . . . . . . 120 Choking. . . . . . . . . . . . . . . . . . . . . . . . 121Unconscious Children and
Infants . . . . . . . . . . . . . . . . . . . . . . 123Im Hot: What to do When a Child
or an Infant Has a Fever . . . . . . 124Bleeding Emergencies . . . . . . . . . . 129
Types of Wounds. . . . . . . . . . . . . . . . 129Skill Sheet: Checking a Conscious
Child or Infant. . . . . . . . . . . . . . . 132
Skill Sheet: Conscious Choking"
Child. . . . . . . . . . . . . . . . . . . . . . . . 135Skill Sheet: Conscious Choking"
Infant . . . . . . . . . . . . . . . . . . . . . . . 136Skill Sheet: Checking an
Unconscious Child or Infant . . 137
Skill Sheet: Rescue Breathing"
Child or Infant. . . . . . . . . . . . . . . 139
Skill Sheet: Controlling External
Bleeding . . . . . . . . . . . . . . . . . . . . 140CONTENTS v
BST_FM_i-vi.indd vBST_FM_i-vi.indd v2/20/08 8:03:16 AM2/20/08 8:03:16 AM vi CONTENTSCHAPTER 7
First Aid, CPR and
AED. . . . . . . . . . . .141
Good Samaritan Laws. . . . . . . . . . . 142
Obtaining Consent. . . . . . . . . . . . . . 142
Recognizing and Caring for
Shock. . . . . . . . . . . . . . . . . . . . . . . 143Moving a Child or an Infant. . . . . . 144
The Cardiac Chain of Survival. . . . 149
CPR"Child and Infant . . . . . . . . . . 149
AED. . . . . . . . . . . . . . . . . . . . . . . . . . . . 150Unconscious Choking"Child and
Infant . . . . . . . . . . . . . . . . . . . . . . . 151Injuries to Muscles, Bones and
Joints . . . . . . . . . . . . . . . . . . . . . . . 151Head, Neck and Back Injuries . . . . 152
Sudden Illness. . . . . . . . . . . . . . . . . . 153Fainting . . . . . . . . . . . . . . . . . . . . . . . . 156Diabetic Emergencies. . . . . . . . . . . 156Seizures. . . . . . . . . . . . . . . . . . . . . . . . 156Poisoning . . . . . . . . . . . . . . . . . . . . . . 157Allergic Reaction. . . . . . . . . . . . . . . . 157Heat-Related Emergencies . . . . . . 157Cold-Related Emergencies . . . . . . 158Skill Sheet: CPR"Child. . . . . . . . . . 159Skill Sheet: CPR"Infant. . . . . . . . . 160Skill Sheet: Unconscious Choking"
Child or Infant . . . . . . . . . . . . . . 161
Skill Sheet: Applying a
Soft Splint. . . . . . . . . . . . . . . . . . . 163Skill Sheet: Applying a Sling and
Binder . . . . . . . . . . . . . . . . . . . . . . 165References. . . . . .166
BST_FM_i-vi.indd viBST_FM_i-vi.indd vi2/20/08 8:03:16 AM2/20/08 8:03:16 AMYou"re the Boss: A Guide to Leadership
Babysitting is a big
responsibility. Are you ready for the challenge?What happens if the kids dont listen
when you tell them it is time for bed?What will you do if a stranger comes to
the door? How will you handle ghting or temper tantrums? As the babysitter, youre the leader. Parents rely on you to keep their children safe when they are away. Children look up to you as the person in charge. In this chapter you will learn the leadership skills you will need to meet these challenges.CHAPTER 1
BST_Ch01_001-012.indd 1BST_Ch01_001-012.indd 12/20/08 7:38:04 AM2/20/08 7:38:04 AM 12 YOURE THE BOSS: A GUIDE TO LEADERSHIP
How to be a Leader
A leader is a person who guides and motivates others towards a common goal. In babysitting, the people youll be motivating will be the chi ldren in your care. The common goal will be keeping everyone safe, respecting the familys rules and routines and having fun. There are a lot of ways to lead children and some babysitters may " nd that some leadership styles are more natural for them than others. You may not remember the names of the styles and thats okay; knowing how and when to use each leadership style will help you while youre on t he job. In most cases, the leadership style that you use will depend on the circumstances. If the kids you are babysitting are trying to make a decision that affec ts everyone but doesnt involve safety, its best to use a democratic leadership style . For example, if the children cant decide whether to go to the park or watch a DVD, dont immediately decide for them. Instead, ask each child to say what he or she prefers to do and try to work through the decision together. Try to keep the discussion positive. This approach allows each child to feel like his or her opinions are listened to and respected.If the children are getting along very
well and no important decisions need to be made, you can probably use a hands-off leadership style.For example,
if three sisters have been playing a board game without any con" icts and a slight disagreement comes up, you dont need to step in. In a case like this, you can just let the girls work things out on their own. Using the hands-off leadership style can keep you from seemin g too bossy and it gives the children an opportunity to learn how to solve disagreements on their own. If the con" ict gets worse or the children cant resolve the problem themselves, then its time for you to step in and take action. When you are just getting to know the children or when emotions are running high, the sympathetic leadership style works well. A sympathetic leader focuses on making people feel valued and cared for. This style works best in situations where it is more important to focus on how people fee l than on how they are acting, like when you are babysitting a brother and sist er BST_Ch01_001-012.indd 2BST_Ch01_001-012.indd 22/20/08 7:38:15 AM2/20/08 7:38:15 AM 1YOURE THE BOSS: A GUIDE TO LEADERSHIP 3
who both want your attention. If they are safe and not hurting each othe r, then take your time and listen to what each child has to say and ignore their minor attention-seeking behavior. By focusing on the childrens feelings and taking the time to listen to their concerns, you can earn their trust. Sometimes a babysitter needs to make an important decision quickly and has to tell the children what to do with little or no discussion. You will need to use the directive leadership style in emergencies and when you are trying to prevent an injury. For example, if one child is about to hit another child with a stick, you must tell the child to stop and take the stick away. You dont have time to discuss the situation because immediate action is needed.Leadership Skills
Everyone can learn to be a leader. As with other
skills, the more you practice leadership skills, the better leader you will be. Practice the following to improve your leadership skills: Role modeling Respect Communication Motivation Taking action Decision makingRole Modeling
A role model sets an example for others to follow. Modeling good behavior is important because the children you babysit will look up to you and follow the example you set. Role modeling is also one of the simplest wa ys to lead. For example, always washing your hands before preparing or eati ng food will help you encourage the children to wash their hands. You can be a good role model by" Following household rules. Following the parents instructions. Having a positive attitude. Making the best out of di cult situations. Leading by example. Focusing on safety. Showing enthusiasm. BST_Ch01_001-012.indd 3BST_Ch01_001-012.indd 32/20/08 7:38:19 AM2/20/08 7:38:19 AM 14 YOURE THE BOSS: A GUIDE TO LEADERSHIP
Respect
Respecting Household Rules
An important part of being a good leader is knowing what is expected of you. The parents for whom you babysit will have speci" c instructions for how they want you to handle certain situations. Respect and follow all t he household rules, even if they are different from your own. The children will be happier, feel more secure and behave better if you follow their usual routines.Respecting Diversity
People are alike in many ways. In other ways,
people are very different. These differences are called diversity. Diversity is a good thing.Without diversity, everyone would be exactly
the same and that would make the world a very boring place. Accept each child as someone special. Being respectful of others diversity also means recognizing how your own culture and beliefs might affect how you get along with children who are different from you. Respecting diversity is a great way to model respect and courtesy and will help you become a better communicator. Respect each familys and childs diversity. You may " nd that the children you babysit are diverse in the following ways: Age and developmental stage. Even though children typically go through certain stages and reach di erent milestones at predictable ages, many children act in di erent ways, even at the same age and stage. Gender. While boys and girls are physically di erent and tend to have some di erent interests, dont assume that all boys or all girls act a certain way or like the same things. Some girls may enjoy playing with cars and climbing trees while others dont. Some boys may not like to play sports. Also, keep in mind that there are many activities, such as reading books and playing games, that most kids like to do regardless of their gender.Temperament. Kids can vary in their responses to the same situation. Some do not seem bothered by anything, while others become upset or cry very easily.
BST_Ch01_001-012.indd 4BST_Ch01_001-012.indd 42/20/08 7:38:23 AM2/20/08 7:38:23 AM 1YOURE THE BOSS: A GUIDE TO LEADERSHIP 5
Cultural di erences. If you babysit for a child whose family is from a di erent country or culture than your own, the family might speak with an accent, look di erent than you or dress in clothes that are unfamiliar. They might have di erent customs and ways of doing things. You can learn a lot from these families"all about new foods, customs and holidays. This is also a fun way to learn new words. Religious beliefs. You may care for kids with religious beliefs di erent from your own. The parents might give special instructions, such as Make sure Johnnie says his prayersŽ or Make sure Suzy doesnt eat meat.Ž Family members. You might care for children living with one parent, a step-parent, a guardian or other relatives who are not the childs parents.Children with special needs. Some children with special needs may use equipment, like a wheelchair, or may not be able to eat certain foods because they are allergic. If you care for children who have special needs, then its very important to follow their parents instructions. Remember to be patient with them; their bodies and minds may work di erently from yours.
Family income. All families do not have the same amount of money to spend and every family is di erent in how they choose to spend their
money. The children you babysit will have di erent kinds of toys and clothes and live in di erent homes and neighborhoods. Children can grow up happy and healthy no matter how much the family spends on clothes, toys, food and other things.