Triage decisions in child care for sick children

B. W. Desguin and D. L. Murray
Department of Pediatrics and Human Development, Michigan State University, East Lansing 48824.

Child-care centers for children with mild, acute communicable, and noncommunicable illnesses are beginning to evolve. Few states have enacted regulations concerning the policies and procedures under which child-care centers for sick children operate. These centers should have policies regarding the triage and care of ill children that promote the safety of all children and staff at the center. As part of the establishment of regulations for the Michigan Department of Social Services, Lansing, a triage model has been developed that provides a means of standardizing the screening process used to admit mildly ill children to such centers. We present pilot guidelines for use by center personnel, discuss considerations inherent in formulating triage policy for child-care centers for sick children, and provide a starting point for those attempting to standardize regulations governing child-care centers for sick children.