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Allergies and intolerances

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DS drank milk at nursery?

42 replies

PonderLand · 31/08/2018 14:18

My son (2) started at nursery a few weeks ago, I'll start by saying the positives. He's settled in really well and has really come out of his shell around other children. I've noticed he's playing differently to how he did before, pre nursery he would just push cars back and forth all day if given the chance. Now he seems to be playing with teddies, figures etc putting them to bed, feeding, making them 'dance'. The other kids seem to love him and always come up and say hi/bye when we arrive or leave which is really nice. The age range goes from 2-4 during the holidays. His key worker gives us enough information at pick up, if he's napped, what he's eaten etc.

In his first week he scratched his leg when they went into the woodland part of the school, they gave us an incident report and my son seemed fine so no issues there. I should say that my son has a disorder which effects his blood sugars, as long as he eats an adequate amount of food then he is fine. It is important that the staff ring me to get him if he doesn't eat or he seems off colour as it can lead to dangerously low sugar levels and require a hospital admission if not sorted quickly. He also has a dairy intolerance, we've done the milk ladder 4 times and he's never got past the first stage. We provide his lunch and snacks for him.

This week the usual staff weren't there when I picked him up but the manager was in and another staff member id never met. The manager said 'it's best we make you aware that ds drank another child's milk at lunch today he said 'yuck' then gave it back to the little girl' then she said 'before ds nap I noticed he had a rash on his forehead which must be from the milk' I asked her how much he had and she said she couldn't be sure, i've never known him get a rash on his forehead from milk or say 'yuck'. When we got home I had a look at ds and the 'rash' was actually a bruise about 2 inches big. We didn't get any kind of accident report about either issue. I'm worried now that they just let the children take each others food, not keeping a close eye on kids with food intolerance or kids who need food like its medication. It must of been quite a knock to his head to cause such a big angry bruise and they had no idea. It's worth noting that this nursery thought dairy allergy included egg and stopped ds from doing numerous activities due to this. They did eventually mention it in passing to me and I told them egg is fine. They said 'so it's not dairy then, just milk?' I'm really struggling now with the lack of competence. I feel that the staff didn't hand over correctly when my son had milk and they are just covering up the fact they gave him it because they didn't get information from his key worker. He isn't a very good eater and I can't imagine him grabbing another child's cup and drinking an unknown substance. Anyway now my ds is not well, has diarrhoea and he is refusing to eat which is probably going to set off his hypoglycaemia.

Sorry I know that's long. I'm just not sure what to expect from this nursery. An apology or something would of nice, maybe a suggestion on how to stop it happening again. Sit him next to a child who drinks water, I don't know. We've had no contact from the nursery since regarding this.

OP posts:
Willow2017 · 01/09/2018 13:55

Ponder
That is an extreme reaction to just a sip of milk. I would be wondering just what he had.

I would also be alerting dietician and gp as this seems to be a stronger reaction than normal. Reactions can increase without warning and you need to be prepared to deal.with it with proper advice from dr.

Tbh after this reaction i wouldnt believe much of what nursery said now.

Toomuchsplother · 01/09/2018 14:02

I would definitely be asking for a meeting.
Could you provide a visual support for the nursery that they can put up some where ? Something with all his RED ( as in absolutely) no way foods on it?
I would also be asking them to complete a food diary each day. I do this for several children in my care.

nocutsnobuttsnococonuts · 01/09/2018 14:18

That sounds like a v extreme reaction, I would ring dietician for advice. Sounds more like they messed up the milk and he drank someone else's or possibly had something from another child's lunch that they may not have seen, it's hard as we teach children to share but with allergies that obviously can't happen. I would imagine they were uncertain but didn't want to say that so told you a story. Where I work we always sit children with allergies with a staff member for lunch.

I agree there should be a photo of him with his allergies where food/snack is prepped so anyone who is in is immediately aware. Some nurseries use bank staff and have college students doing their childcare course so they should be made aware too.

The bruise is another matter and you should have been made aware before pick up and definitely been given an accident form.

I would request a meeting with the manager and key worker to draw up a health care plan (they should already have one in place), and to discuss your concerns. And to ask what they are going to put in place to ensure this doesn't happen again.

PonderLand · 01/09/2018 14:33

They told me they do food diaries online so you can check it, it will say what things he did that day and have photos etc but as it's the summer holidays they don't use it until term starts which is when I'll get the log in details.

I emailed the dietician and told her what's happened. I explained that the staff don't seem to understand what it is or which foods are involved so some information I could pass on to them would be helpful.

I'm worried that this meeting is not going to go well as it'll be the manager who gave him milk. She really didn't seem to care when I picked him up. She chose not to ring me. I wonder if she was ever going to tell me, then she saw the bruise/rash and decided to say it in case that was a reaction. If I was in her shoes I'd ring up the parents immediately and let them make the call. The idea that she just left it without knowing how he'll react makes me feel sick.

OP posts:
seven201 · 01/09/2018 15:23

My did is also at nursery and has a milk allergy (haven't passed step 1 of the ladder). She's 2 and a bit and been at nursery since she was 10 months. They've not once accidentally let her have milk. At home she got a spoonful of milk from my cereal bowl once and I felt awful. If nursery did it I'd be ok as long as they were transparent with me. They should have called you straight away.

The milk/dairy/egg thing is a common misconception. I've said In restaurants before that my dd can't have milk and then tried to order something and been told I can't have it because of the egg?! I didn't even use the word dairy! For some reason people lump eggs in with dairy. My friends do it too. Weird.

Arrange a meeting and discuss your concerns and action plan.

nocutsnobuttsnococonuts · 01/09/2018 15:41

The meeting will be informative one way or another. If the manager is dismissive and anything other than apologetic and willing to work with you to make sure this doesn't happen again I would look into other nurseries.

The online food diary sounds more like an online learning journal and not a way for you to view his food. That should be evident by what's left in his lunch box and by verbal communication at the end of session. And I would question why it starts in September surely it should start when the child starts.

CuriousaboutSamphire · 01/09/2018 15:57

The dairy/egg thing is really common - think about fridge door shelves and the egg racks!

I did some nutrition research about 10 years ago using the food mat game. Very few people of any age (we asked 6 - 80+ year olds to play) put eggs anywhere else, everyone plonked them in with butter and milk.

It might be useful to remember that when you have to explain his allergy... just add a cheery "so eggs are fine"

And yes, I agree with others, swollen lips would make me think about getting some medical attention, it may be anaphylaxis, it may be a sign of worsening allergy. Best safe than sorry.

Monny1 · 01/09/2018 16:15

Hopefully the manager will have a change of attitude, when you next see her.If not, then l wouldn’t leave my dc there.

PonderLand · 03/09/2018 13:36

I did what was suggested and went to see the gp. He confirmed it's an allergic reaction, he's still covered in the rash but all other symptoms have gone and he's back to his happy self. He's given us some piriton for home and for nursery as well as some more neocate that I can give to nursery.

I'm waiting for a call back from the manager about a meeting. I spoke to one of my friends who has a child in the nursery and she told me not many people are keen on the manager and quite a few people have had issues with her in the past. I'm hoping she'll be helpful and we can put things in place to make nursery safer for my son. I've not heard back from the dietician yet.

OP posts:
Monny1 · 03/09/2018 14:51

Thanks for the up-date. Hopefully the Manager will get back to you today.Also, hope that the dietician gets in contact too.

Monny1 · 03/09/2018 19:12

Did the Manager phone you bacl today?

Monny1 · 03/09/2018 19:13

Back

PonderLand · 03/09/2018 22:01

@Monny1 she did! I wasn't expecting it lol. She seemed genuinely concerned/worried about ds.

She's invited me to talk to her tomorrow where I'll ask about the lack of an incident report and why she didn't ring me. I'm trusting them with my ds not just on the allergy aspect but also on the ketotic hypoglycaemia. They have no medication or means of checking his sugars or fixing them, I'm just trusting that they will ring me and I can go get him. Now though I'm going to have to send him with medication and information on when to administer it in case something happens that they fail to act upon straight away.

OP posts:
Monny1 · 03/09/2018 22:33

I am glad that they are taking it seriously. Good luck for your talk tomorrow, l hope it goes well.

JiltedJohnsJulie · 04/09/2018 08:29

Let us know how you get on Ponder.

PonderLand · 04/09/2018 16:24

It was really positive this morning.

They'd already thought of loads of ideas and things to implement to stop it happening again. They're going to keep a food diary for ds so whoever mentioned that thank you! They've put photos and labels up in the kitchen. The manager is going to try and contact the doctor through the HV to get them moving on an emergency regime. I feel a lot better about things now, I wasn't sure what response I was going to get.

Thank you everyone for your help and advice

OP posts:
Monny1 · 05/09/2018 17:13

I am so pleased for you,that the meeting went well.

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