Anytime you are unsure about the seriousness of a child’s condition alert the parents, call the child’s pediatrician or call 911 for immediate help.
The seriousness of the child’s condition will dictate who you call first for help. For example, if a child falls off a play structure and is unconscious, after attending to the child and following proper protocol you should call 911 first and then call the parents once the child and situation is stabilized.
According to the American Academy of Pediatrics, anytime a baby younger than three months old has a fever of 100.4 degrees Fahrenheit or higher or if any child has a fever greater than 104, the child’s doctor should be contacted right away. If a child has a fever and looks very ill, is unusually drowsy or is very fussy, has been in a very hot place like an overheated car, has other symptoms with a fever, has had a seizure, or has immune system problems or is taking steroids, the American Academy of Pediatrics advises that the child’s doctor should be contacted right away. If the child still acts sick once his fever is down, seems to be getting worse, or the fever is persistent, the child’s doctor should be called.
Nannies should work with parents to establish protocols for seeking medical advice, especially for when the parents are not reachable.