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Babysitter’s Manual
Name: __________________________________________
Copyright © 2016 The Canadian Red Cross Society
All rights reserved. No part of this publication may be reproduced, stored in a retrieval
system, or transmitted, in any form or by any means—electronic, mechanical, photocopying,
recording, or otherwise—without prior written permission from The Canadian Red Cross
Society.
The Canadian Red Cross Society (CRCS) has made reasonable efforts to ensure the contents
of this publication are accurate and reflect the latest scientific research available on the topic
as of the date published. The information contained in this publication may change as new
scientific research becomes available. Certain techniques described in this publication are
designed for use in lifesaving situations. However, the CRCS cannot guarantee that the use
of such techniques will prevent personal injury or loss of life.
Photos by Matt Bork, Charlene Cook, Tara Hillyer, and Lisa Petrole
Photo Credits:
Page 17, baby in diaper; © Shutterstock.com/Gelpi
Page 18, toddler; © Shutterstock.com/Oksana Kuzmina
Page 18, preschooler; © Shutterstock.com/ProStockStudio
Page 19, school-aged girl; © Shutterstock.com/Monkey Business Images
Page 19, boy using wheelchair; © Shutterstock.com/Jaren Jai Wicklund
Page 20, girl doing puzzle; © Shutterstock.com/Eleonora_os
Page 20, girl giving thumbs up; © Shutterstock.com/Denis Kuvaev
Page 20, boy using walker; © Shutterstock.com/Jaren Jai Wicklund
Page 24, medication dangers; © Shutterstock.com/Thomas M Perkins
Page 29, child standing on table; © Shutterstock.com/Image Point Fr
Page 31, children on bicycles; © Shutterstock.com/Mat Hayward
Page 36, boy at desk; © Shutterstock.com/Monkey Business Images
Page 42, diaper change, ready; © Shutterstock.com/Yzoa
Page 42, diaper change, removing diaper; © Shutterstock.com/Yzoa
Page 43, diaper change, cleaning; © Shutterstock.com/Yzoa
Page 43, diaper change, closing diaper; © Shutterstock.com/Yzoa
Page 43, diaper change, completing; © Shutterstock.com/Yzoa
Page 50, spoon-feeding baby; © Shutterstock.com/Mita Stock Images
Page 51, toddler self-feeding; © Shutterstock.com/Romrodphoto
Page 54, sleeping baby; © Shutterstock.com/Mita Stock Images
Page 58, playing with preschooler; © Shutterstock.com/Duplass
Page 62, crying girl; © Shutterstock.com/Mita Stock Images
Page 86, bruise; © Shutterstock.com/Stephane Bidouze
ISBN: 978-1-58480-670-7
19 20 21 / 5 4 3
2
TABLE OF CONTENTS
CHAPTER 1 Sleeping.......................................... 52
Welcome to the Canadian Playing ........................................... 56
Red Cross............................................ 5 Comforting..................................... 59
Our Mission.................................... 5 Safe vs. Unsafe Touching............... 60
Our Values...................................... 5 Misbehaviour................................. 62
Our Volunteers............................... 5
How We Help................................. 5 CHAPTER 6
Red Cross Fundamental First Aid: Check, Call, Care................ 67
Principles..................................... 8 Handling Emergencies................... 67
First Aid Kit..................................... 67
CHAPTER 2 Check, Call, Care............................ 68
Being a Responsible Leader.............. 9 Illness.............................................. 73
I’m in Charge.................................. 9 Choking.......................................... 73
How to Be a Leader....................... 9 CPR.................................................. 77
Leadership Skills............................. 11 Asthma........................................... 78
Recognizing Child Abuse and Anaphylaxis.................................... 81
Neglect........................................ 16 Minor Cuts and Scrapes................. 83
Splinters.......................................... 84
CHAPTER 3 Life-Threatening External
Childhood Characteristics and Bleeding...................................... 84
Behaviour........................................... 17 Nosebleeds..................................... 86
Stages for Babies............................ 17 Bumps and Bruises......................... 86
Stages for Toddlers........................ 18 Burns............................................... 87
Stages for Preschoolers.................. 18 Head, Neck, and Back Injuries....... 89
Stages for School-Aged Children... 19 Broken Bones................................. 89
Babysitting Children With Seizures........................................... 90
Disabilities................................... 19 Poisons............................................ 91
Insect Stings.................................... 91
CHAPTER 4
Injury Is No Accident: Creating Safe CHAPTER 7
Environments..................................... 22 The Business of Babysitting.............. 93
Safety Begins With Me.................. 22 Finding Work.................................. 93
Precautions for All Developmental Your Resumé.................................. 93
Stages.......................................... 23 Before Your First Babysitting Job... 95
Personal Safety and Security......... 34 Safety Tips for You......................... 96
Online Safety.................................. 35 Expectations of the Families
Bullying Behaviours....................... 36 Who Hire You.............................. 97
Children’s Expectations.................. 97
CHAPTER 5 Self-Evaluation After the Job........ 98
Caring for Children........................... 37 Your Own Family’s Expectations... 98
Care of Children............................. 37
Holding........................................... 37 Summary of What You’ve
Lowering the Risk of Infections.... 39 Learned........................................... 99
Diapers and Toileting..................... 42
Dressing.......................................... 46 Resources
Feeding........................................... 48 First Aid and CPR Training..........101
Acknowledgements
Each time a program is revised, it is built on the great work completed in the
previous revisions. The Canadian Red Cross would like to recognize everyone who
worked on developing these programs in the past; their work set the foundation
for our success.
We would like to thank our Training Partners, Master Instructor Trainers, Instructor
Trainers, and Instructors who provided the feedback that helped guide this revision
and shape our new programs and products.
This revision required the hard work and dedication of many teams who put in
countless hours to contribute to its success. The Canadian Red Cross would like to
thank the Canadian Council for First Aid Education (CCFAE) in particular for its
overall leadership, dedication, and direction. CCFAE members include:
Our Values
Our actions and decisions are
based on:
• Humanitarian values,
as expressed in our
Fundamental Principles;
• Respect, dignity, and care for one another within and outside
the Canadian Red Cross; and
• Integrity, accountability, effectiveness, and transparency.
Our Volunteers
The Canadian Red Cross relies on more than 25,000 volunteers across the
country to fulfill its mission. Red Cross volunteer opportunities are dynamic
and varied, with engagement levels varying by geographic location and
program. Go to redcross.ca/volunteer for more details.
How We Help
The Canadian Red Cross is dedicated to helping make families and
communities safer at home and around the world.
5
Disaster Management
The Canadian Red Cross provides
aid to individuals and families across
Canada following emergencies such
as house fires, flooding, ice storms,
and even chemical spills.
International Operations
The Canadian Red Cross works
around the world to protect and
promote the rights of all people
affected by armed conflict, and also
provides aid following emergencies
such as natural disasters and disease
outbreaks.
6
Respect Education
The Canadian Red Cross offers
programs to teach children,
youth and adults about healthy
relationships, signs of abuse,
dating violence, personal safety,
and bullying prevention.
7
Red Cross Fundamental Principles
There are Red Cross or Red Crescent Societies in more than 190 countries
around the world. In every country, our programs and activities are guided by
seven Fundamental Principles.
Here’s how the Red Cross Fundamental Principles apply to you as a babysitter:
ACTIVITY
Putting the Seven Fundamental Principles Into Action
The guardian of the children you’re babysitting gave you permission to make
dinner. You ask the children to help you set the table. You ask the oldest child
to bring the glasses to the table and pour the cold drinks and the youngest to
place napkins on the table. Once the table is set, you all have dinner together.
List all the fundamental principles that are used in this scenario.
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________
8
2
I’m in Charge
Being a Responsible
Leader
My Babysitting Kit
Creating a babysitting kit ahead of
time is a great way to make sure you
are prepared to do your job well.
Fill a backpack with a first aid kit,
your Babysitter’s Manual, any
important forms, a flashlight, a
mobile phone (if you have one),
a change of clothes, toys that match
the children’s ages and developmental
stages, and anything else you may
need. Then you’re all set!
How to Be a Leader
A leader is a person who guides and
motivates others toward a common
goal. In babysitting, the people you’ll
be motivating will be the children in
your care. The common goals will be:
• Keeping everyone safe.
• Respecting rules and routines.
• Having fun.
You may find that some leadership styles come more naturally to you than
others. It’s okay if you don’t remember the names of the styles. Usually, the
leadership style you use will depend on the situation.
9
ACTIVITY
What to Keep in Your Babysitting Kit
You’ve been called at the last minute to babysit two preschoolers for a few
hours. What should you take with you?
Rank each of the following items in order of importance, with 1 being the
most important and 10 being the least important.
When to use it: The kids are trying to make a decision that affects everyone
but doesn’t involve safety.
When to use it: The children are getting along, and no important decisions
need to be made.
When to use it: You need to make an important decision quickly. Safety is at
risk, and you need to take immediate action.
Leadership Skills
Anyone can learn to be a leader. As with other skills, the more you practise
leadership skills, the better and more comfortable you will become with them.
Leadership skills can be broken down into four areas:
• Role modelling
• Respecting household rules and diversity
• Taking action
• Decision-making
Role Modelling
As a babysitter, you are a role model, which means you are a leader in setting
good examples for children to follow. For example, always washing your hands
before preparing or eating food will encourage the children to wash their
hands. You can be a good role model by:
• Following household rules.
• Following the instructions from the child’s parent or guardian.
• Focusing on safety.
• Having a positive attitude.
• Making the best out of difficult situations.
Respect
Respecting Household Rules
An important part of being a good leader is knowing what is expected of
you. The parents or guardians of the children you babysit will have specific
instructions for how they want you to handle certain situations. Respect and
follow all the household rules. The children will be happier, feel more secure,
and behave better if you follow their usual routines.
11
ACTIVITY
What Type of Leadership Style Should You Use?
Read the following scenarios. What type of leadership style should you use in
each scenario to reach a fair solution?
Scenario 1: You are babysitting two children and have plans to take them
to the park. It begins raining outside, so you let the children watch a movie
instead. You let the children pick from a few age-appropriate movies, but each
child wants to watch a different movie.
_________________________________________________________________________
Scenario 2: You are caring for three small children when the power in the
house goes out. You turn on the flashlight you have in your babysitting kit
and give the children some colouring books that you also brought along with
you. However, the youngest of the children is afraid of the dark and begins to
panic. As you are comforting her, the other two children also get scared.
_________________________________________________________________________
Scenario 3: The father of the children you are babysitting has given you
permission to let the kids use the backyard playset. While supervising the
children, you notice that one of the older children is about to jump off the
top of the slide.
_________________________________________________________________________
Scenario 4: The two sisters you are babysitting are colouring in their colouring
books and are happily sharing a set of crayons. After a few minutes, they
decide that they both want to use the green crayon, and there is only one.
_________________________________________________________________________
12
Respecting Diversity
People have a lot in common, but every person is also unique. People look
different, act differently, and believe different things. This is called diversity.
Respecting diversity is a great way to model respect.
You may find that the children you babysit are diverse in the following ways:
Age: Children look, think, and behave differently as they get older. For
example, an 8-year-old boy does not play the same way he did when he was
4 years old. Having interests that change is a part of growing up.
Developmental stages: Children of the same age have usually reached the
same types of milestones. These are called developmental stages. For example,
at about 9 to 12 months old, most babies can pull themselves up into a
standing position. However, these are only rough guidelines: Even though
some children may be the same age, they may not have achieved the same
milestones yet.
Gender: Don’t assume that the children you babysit will act certain ways or like
certain things just because of their genders. Traditional ideas of “toys for girls”
or “how boys behave” are based on stereotypes that often aren’t true. Instead
of making assumptions, take the time to discover the interests of the children
as individuals.
Cultural differences: If you babysit for a child whose family is from a different
country or is of a different culture than your own, the family might speak
another language and eat certain foods or dress in clothes that are unfamiliar
to you. Be respectful of these differences and don’t be afraid to ask questions.
Religious beliefs: You may care for children with religious beliefs that are
different from your own. For example, the child’s parent or guardian might
give special instructions, such as making sure the child says his or her prayers or
that the child doesn’t eat certain foods. Be respectful of all families and their
religious beliefs.
Family members: Each family is different in some way. You might care for
children who live with both parents, or with only one parent. Other children
may live with a step-parent, a guardian, or other relatives who are not the
child’s birth parents. Be respectful of all family members of the children you
babysit.
13
Family lifestyle: You may notice that some families have different types of
homes and cars and the children have different types of clothing or toys. It’s
your job to do your best on each babysitting job and give the same care to all
children, no matter how many or what kind of things they have.
Taking Action
People look to leaders to take action when no one else will. In difficult
situations, it’s easy to think that someone else will handle things. But if no
one takes responsibility, no one will act. A leader will risk sounding foolish or
standing out to make the right choice in a difficult situation. There are three
steps to taking action in a difficult situation:
1. Notice that action is needed. Be alert and notice any changes in the
children’s behaviour or in your situation that might lead to problems.
2. Take responsibility. Ask yourself if action is needed and then take
responsibility for the situation.
3. Act. Take action to fix the situation. Remember, only do what you are
trained to do and what you can do safely.
Decision-Making
Deciding how to handle challenging situations is part of your job as a
babysitter. Parents and guardians rely on you to make good decisions when
they can’t. When you are faced with a tough situation, use the FIND Decision-
Making Model to help you decide what to do.
14
ACTIVITY
What Should You Do?
You are babysitting three children aged 3, 5, and 7 years. Their mother gave
you permission to take the children to the park across the street, so you take
the kids for an hour before lunch. After 15 minutes at the park, the oldest
child decides that she wants to go home. She keeps saying, “If we don’t leave,
I’ll go home without you!” What should you do? Using the FIND Decision-
Making Model, try to find a solution.
F
Figure out the problem.
________________________________________________________
________________________________________________________
________________________________________________________
I
Identify possible solutions.
________________________________________________________
________________________________________________________
________________________________________________________
N
Name pros and cons for each solution.
________________________________________________________
________________________________________________________
________________________________________________________
D
Decide which solution is best, then act on it.
________________________________________________________
________________________________________________________
________________________________________________________
15
Recognizing Child Abuse and Neglect
Ensuring children are safe is the most important role of a babysitter. If you see
or hear things that make you question children’s well-being or think they are
being abused or neglected, it is very important that you talk to a trusted adult,
no matter what the possible consequences may be.
Physically abused children may be afraid of physical contact. They may try to
hide their bruises and scars or make many excuses for them.
You may have children demonstrate signs of emotional distress. Any of the
following signs are serious and should not be ignored:
• Cutting themselves
• Suicidal statements or gestures
• Any intentions or statements of self-harm
16
3
Childhood
Characteristics
and Behaviour
Stages for Babies
Communication is important to a baby’s development.
While they can’t yet talk, babies (0 to 12 months old)
are sensitive to your voice and touch. Speaking to
them often and holding them gently lets babies know
that they are not alone and helps them feel secure.
17
Stages for Toddlers
Most toddlers (1 to 3 years old) like walking,
climbing, and exploring. They may understand
what you say, but they may say only a few
words, or words that only their parents or
guardians understand. This can be challenging
for you and frustrating for the toddler.
18
Stages for School-Aged Children
School-aged children (5 years of age and older) are used
to being around people. They admire “big kids” and
teenagers and like to show off. School-aged children are
likely to be more cooperative if you show an interest in
them and what they like to do.
Types of Disabilities
Motor and physical: The child may have challenges performing certain muscle
movements, either small or big.
Vision: The child may be blind or partially sighted and may use special devices
when walking, such as a cane. Be careful not to leave items around that can be
tripped over or run into.
19
Hearing: Children may be completely or partially deaf. Children who are
partially deaf often use hearing aids to assist with hearing sounds.
Assistive Devices
Some children require special
equipment to help them with daily
tasks. Remember, assistive devices are
tools, not toys. The child’s parent or
guardian should always explain when
and how to use an assistive device,
what the child can do independently,
and what the child will need your
help with. Assistive devices should be
treated carefully so they do not get lost
or broken. Always use the device the
way it was designed to be used.
If you are not clear on how to use an assistive device or you are not comfortable
helping the child use his or her assistive device, make sure you let the child’s
parent or guardian know.
Service Animals
Some children may be assisted by a service animal, usually a dog. Remember,
a service animal is not a pet. When a service animal is harnessed, he or she is
working. You should avoid interacting with the animal, including talking to it
and petting it.
20
ACTIVITY
Match the Activity to the Developmental Stage
Draw a line connecting each child to the appropriate activities, depending on
his or her developmental stage. Activities may be used more than once.
21
4
Injury Is No
Accident: Creating
Safe Environments
Safety Begins With Me
Children of all ages usually have a difficult
time understanding danger and predicting
injuries. It’s up to you to anticipate any
possible hazards. Constant supervision is
the best way to prevent injuries. If the
children are behaving unsafely, suggest a
different activity. It’s a good idea to carry
a portable or mobile phone with you at all
times so you can call for help if necessary
without leaving the area. If you need to
step away for any reason, you can:
• Take the child with you.
• Secure babies, toddlers, and
preschoolers in a safe place, such as an
age-appropriate playpen, if you cannot take them with you.
(provided by your Youth Leader) with the get all the information you need to do your job right. Have the child’s parent or guardian confirm the answers to any
questions that were already asked during your phone interview. Keep track of the questions you’ve asked by checking
off the boxes. You can write down the answers or any notes to yourself in the space provided.
child’s parent or guardian. This will help you Today’s date: _____________________________________________________
collect all the information you need to do ☐ What is your family name? Ask the child's parent or guardian to confirm the spelling.
Make sure to ask the child’s parent or ☐ What is your email address? _____________________________________________________________
guardian for the following emergency ☐ What is the nearest major intersection to your home (ask the child’s parent or guardian to provide directions if
the family lives in a rural area)?___________________________________________________________
__________________________________________________________________________________
information: __________________________________________________________________________________
• The parent’s or guardian’s emergency ☐ At what phone number can I reach you during my babysitting shift? _________________________________
contact number. Keep this near the ☐ What is the name and phone number of an adult who can make decisions if you cannot be reached?
__________________________________________________________________________________
phone or save the number to your ☐ Is there a neighbour or trusted adult nearby who I can call in an emergency?
__________________________________________________________________________________
mobile phone.
22
• The family’s home escape plan.
• Any allergies or medical conditions the child may have, as well as any
medications the child may be taking.
It is a good idea to have the child there when you speak to his or her parent or
guardian about the family’s rules and routines. This will prevent conflicts with
the child later.
Home Safety
Remember these general home safety tips:
• Keep the doors locked at all times.
• Close curtains and blinds when it gets dark outside.
• Carry the house key with you at all times to ensure you don’t get
locked out.
• If possible, carry a portable or mobile phone with you at all times.
• Bring your first aid kit with you if you leave the house.
23
Poison Prevention
While the bottle caps of most
medication and poisonous materials
are childproof, the cap may be faulty
or may have not been closed properly
when last used. Make sure any harmful
substance is sealed correctly. If you
see any medicine (including vitamins),
cleaning products, or other hazardous
materials that haven’t been stored
properly, put them safely out of the
child’s reach. Tell the child’s parent or
guardian where you stored these items.
Giving Medication
If it is not taken correctly, medication can be poisonous rather than helpful.
You should never give a child medication unless you’ve been given very clear
permission and instructions by the child’s parent or guardian:
• Clear permission: The child’s parent or guardian must give you permission
in writing and include the name of the child and the medication.
• Clear instructions: The child’s parent or guardian must give you clear,
written instructions on how to give the medication. Review the instructions
with the child’s parent or guardian. If any part of the instructions is unclear
to you, always ask for more explanation.
Leader) to mark down: What the Child Did/Did Not Do What I Did
the child.
1. We received the following phone calls and visitors:
24
Identifying Hazardous Materials
The international hazard symbols on product labels make it easier to identify
harmful materials. Knowing what these symbols mean will help you keep the
children you babysit safe.
“Flammable”
These materials catch fire easily and burn quickly when
exposed to any form of ignition (such as fire or heat).
They can cause a fire or explosion.
“Toxic”
These materials can be fatal, toxic, or harmful if they are
absorbed through the skin, inhaled, or ingested.
“Explosive”
These materials can explode when exposed to heat,
flame, or pressure.
“Corrosive”
These materials can damage metal, burn skin, and cause
permanent blindness.
If you must handle a product that is labelled with any of the international
hazard symbols:
• Carefully read the warnings and follow the instructions.
• Wear protective equipment (such as eye goggles and rubber gloves).
• Ensure the product is properly sealed and stored after use.
25
ACTIVITY
Identify the Poisonous Hazard
There are potentially poisonous materials that can’t be marked with an
international hazard symbol, such as certain types of plants. See if you can
spot the possible hazards below by circling all the items that you think can
be poisonous.
26
Fire Safety
Make sure you know the layout of
the house. You should know where
the family’s fire escape routes are
and the location of their planned
outside meeting place.
Once you reach the outside meeting place, use a mobile phone to call
EMS/9-1-1 or the local fire department. Then call the child’s parent or
guardian. If you do not have a mobile phone, use the phone of a trusted
neighbour who lives a safe distance from the fire. Be sure to take the children
you are babysitting with you and keep them near you at all times.
27
Scalding and Burn Prevention
To prevent scalds and burns, always
closely watch children when in the
kitchen or bathroom, and especially
when near a stove, fireplace, radiator,
or baseboard heater.
In the Kitchen
• Never leave children alone.
• Keep children safely out of your way when preparing hot drinks or meals,
and keep these items out of their reach.
• Use back burners as much as possible and turn pot and pan handles toward
the back of the stove.
• Before giving food or a drink to a child, stir it well and test the temperature
on the inside of your wrist. It should be about the same temperature as
your wrist.
In the Bathroom
• Never leave children in the younger stages of development (babies,
toddlers, preschoolers, and early school-aged children) alone.
• When washing a child’s hands, always use lukewarm water or cool water.
Playtime Safety
Playing and learning how to behave appropriately are very important to a
child’s growth and development. As a babysitter, guiding children in playing
safely and appropriately are some of your key responsibilities.
28
Bumps, Bruises, and Blows
When babysitting, be aware of
cupboards, drawers, and doors that
can close on small hands.
Falls
Always watch the children you babysit carefully, stay with them as much as
possible, and anticipate possible falls. Make sure that children play safely and
use age-appropriate equipment. If the home is equipped with baby gates,
check that they are closed at all times.
29
ACTIVITY
Spot the Home Safety Issue
Take a look at this household. Circle all the possible home safety issues you can
find. What makes these items unsafe and what could you do to create a safe
environment?
30
Community Safety
Ask the child’s parent or guardian what public places you are allowed to bring
the child to. If you take the child you are babysitting to any public space, you
need to assess the area to make sure that it is safe for the child and yourself.
Look around and ask these questions to make sure it is a safe place:
• Are there any sharp objects or broken glass?
• Are there any dogs who are not on leashes?
• Are there any strangers who make you uneasy?
• Are there other people around who could assist you if you needed help?
Street Safety
If the child you are babysitting wants to go outside and play with friends, go
along and constantly supervise. Make sure the children walk on the sidewalk
near you or hold your hands. Stop and look carefully before crossing the
street.
Remember to ask how well the children can ride and about any specific
household rules, for example:
• Where is the child allowed to ride?
• Do you need to assist the child?
• Does the child wear other protective equipment (such as knee pads or
wrist guards) in addition to a helmet?
Sometimes, especially if the child’s friends are around, the child may forget
about riding safely. Before going out for a ride, review the safety rules with
him or her:
• Always ride single file.
• When riding, use a bike lane if possible; if not, ride in the same direction as
the cars.
• Always follow the traffic rules (for example, stop at stop signs, signal turns,
and obey traffic lights).
31
Water Safety
Drowning is a leading cause of injury
and death of babies and children.
A small child can drown in only a few
centimetres of water—just enough to
cover the mouth and nose.
Rural Babysitting
Babysitting for a family who lives in a
rural area—more than 10 km out of
town—has some safety precautions
that don’t exist when babysitting for
a family who lives in town.
As part of the emergency procedures, make sure the child’s parent or guardian
writes down the correct address and specific directions so that you can provide
clear instructions if you have to call for help.
32
ACTIVITY
Safety Search
Look for safety-related problems in the neighbourhood and circle all the safety
risks you can find. Why are these things unsafe? What can you do to make
them safe?
33
Personal Safety and Security
Staying safe and creating a safe environment means more than just preventing
and managing injuries. It also means being and feeling secure. All children
have a right to be respected and protected from harm. The children you
babysit need to know they can trust you and depend on you to provide that
protection and respect.
Never go, or allow the children to go, anywhere with a stranger for any
reason. Stay where there are a lot of other people around. Never approach
a stranger who is in a vehicle (for example, someone asking for directions).
Don’t be afraid to call for help: As a babysitter, it’s part of your job.
On the Phone
Follow these simple rules when you answer
the phone while babysitting:
• Say that the child’s parent or guardian is
busy and can’t come to the phone. Offer
to take a message.
• If someone insists on speaking with the
child’s parent or guardian, take a message
and call the parent or guardian to relay
the message.
• If a caller is aggressive or threatening,
hang up. Phone the police and then the
child’s parent or guardian.
Visits
Follow these simple rules if a visitor arrives
while you are babysitting:
• Look through a window or a peephole to
see who is knocking at the door. Open the
door only for people who have permission
from the child’s parent or guardian to
come in. Before you’re left alone, ask the
child’s parent or guardian if a visitor is
expected.
34
• Don’t answer the door at all, or talk to strangers through a closed door,
chained door, or closed window. Say the child’s parent or guardian is busy
and can’t come to the door. Offer to take a message.
• If a stranger is aggressive and won’t leave, call the police. Don’t go outside.
Online Safety
Online safety is about protecting the
identities and managing the online
activities of the kids you babysit. Ask
the children’s parents or guardians
what devices the children are allowed
to use and what the rules are for them.
Always monitor the children when they
use a device that has Internet access,
including devices such as video game
consoles and smart TVs.
35
Social Media and Images
• Take pictures while you are babysitting only if the child’s parent or
guardian has given you permission to do so.
• Pictures should never be taken with a child in a vulnerable position
(for example, when the child is using the washroom or undressing).
• Pictures taken while babysitting must never be posted to social media,
ever! This not only puts you at risk while you are babysitting but also
exposes the children to online predators.
Bullying Behaviours
Bullying is repeated, unwanted, and
aggressive behaviour. This behaviour
can be physical, verbal, or social, or it
can occur as cyberbullying.
36
5
Care of Children
Caring for Children
Holding
Babies
Cradle Hold
Most babies like being held, although
some may not. Respect individual
differences. Remember, a small baby
cannot support his or her own head or
neck until the age of about 6 months.
Always support the head and neck when
holding small babies!
1. Slide one hand under the baby’s bottom. Spread out the fingers of your
other hand and slide it under the neck and upper shoulders.
2. Lift the baby slowly and gently and hold him or her near your body.
3. Gently lower your hand that is supporting the baby’s head to meet the
elbow of your other arm. Carefully remove your hand, so that the head is
now supported by your elbow.
4. Hold the baby close to your body, with the baby’s back straight and
protected.
Your arms
sh
for the bab ould form a cozy ham
y, mo
near the in with the head resting ck
side of you
r elbow.
37
Shoulder Hold
1. Slide one hand under the baby’s
bottom. Spread out the fingers of
your other hand and slide it under
the neck and upper shoulders.
2. While supporting the baby’s head
and neck, gently lift the baby while
holding him or her near your body.
Lift the baby so that he or she is in
an upright position and can look
over your shoulder.
port
h ip to help sup er the
r n d
Use you hat is placed u ottom.
t b
your arm or preschooler’s
toddler’s
38
Lowering the Risk of Infections
To keep germs from spreading and to lower the risk of infections, you and the
children you babysit should take preventative steps, such as:
• Covering small cuts with adhesive bandages.
• Using the arm to cover the mouth when sneezing.
Handwashing
When to Wash
Wearing gloves helps protect you from infection, but it does not replace the
need for proper hygiene, such as handwashing. You should always wash your
hands thoroughly:
• Before and after giving any kind of first aid care (even if you wear gloves).
• Before preparing any food or drinks.
• Before and after changing diapers or training pants.
To wash a baby’s
hands, use a washcloth
soap, and lukewarm or co,
water, rather than putt ol
ing
his or her hands directly
under the faucet.
39
How to Wash Hands
1. Remove any jewellery from the 2. Wet the hands with water and
hands and wrists and turn on apply some mild soap.
the faucet to run warm water.
5. Dry with a paper towel or clean 6. If you are in a public washroom,
towel. turn off the faucet using a
paper towel and use the paper
towel to open the door. Then
throw the paper towel away.
40
Gloves
Removing Disposable Gloves
You should remove disposable gloves without letting your skin touch the
outside of the gloves (where harmful germs and bacteria may sit). Always
discard used gloves appropriately, and wash your hands when you are finished.
1. With one hand, pinch the glove 2. Pull the glove down and off
at the wrist of your other hand, your hand, form it into a ball,
being careful to touch only the and hold it in the palm of your
glove’s outer surface. gloved hand.
41
Diapers and Toileting
Diapers—Babies and Toddlers
There are two common types of diapers: cloth diapers and disposable diapers.
The styles can vary, so it’s a good idea to ask the baby’s or toddler’s parent or
guardian to show you how to change the child’s diaper.
When changing diapers for toddlers, be sure to tell toddlers what you are
going to do to get their cooperation. They probably even know how to get a
clean diaper for you!
1. Gather the supplies you’ll need and set up the diaper changing surface
before doing anything else.
2. Wash your hands and put on disposable gloves.
42
5. Lift the baby’s or toddler’s ankles
to raise the legs and hips. Clean
the diaper area with a baby wipe
or warm, damp cloth. Wipe the
baby or toddler from front to
back to prevent infections.
6. Apply cream or powder if the
child’s parent or guardian has told
you to use some when changing
diapers.
8. T
he sticky or Velcro® tabs should
be on either side of the child’s
hips. Use the tabs to securely close
the diaper.
9. Follow the instructions the child’s
parent or guardian gave you for
taking care of dirty diapers and
then wash your hands.
When changing
keep him covere a boy,
a clean baby wip d with
as much as poss e or diaper
ible to
being sprayed. avoid
43
Toilet Learning and Training Pants—Preschoolers
The preschooler you’re babysitting will probably wear training pants and/or
use the toilet, but he or she may need your help. Ask the preschooler’s parent
or guardian what the toilet routine is and how the preschooler tells people he
or she “has to go.” Some toddlers use a special “potty” that must be emptied
and rinsed after each use, and others may use an insert that fits onto a regular
toilet seat. Remember, girls should wipe from front to back to prevent infections.
Encourage the preschoolers you babysit to use the toilet before you go out,
before meals, and before bed. You’ll probably have better luck if you say,
“Okay, let’s go to the toilet!” than if you ask, “Do you need to go to the
toilet?” If you ask, the answer will almost always be “No.”
Most preschoolers can put on and take off their training pants by
themselves. However, if the child has an accident, he or she will need your
help to clean up.
1. Don’t make a fuss if there is an accident. The child will probably feel bad
about it. Let him or her know it’s okay.
2. Clean the preschooler and change the soiled training pants the same way
you would change a diaper for a toddler.
3. Once you’ve finished, remember to encourage the child to try again next
time.
44
ACTIVITY
What Should You Do?
Jody has just learned how to use the toilet. She feels pretty confident about
knowing when she has to go to the bathroom. While playing a game she really
loves, she forgets to use the washroom and has an accident. She knows that
she did not make it to the toilet and starts to cry. What should you do? Using
the FIND Decision-Making Model, try to find a solution.
F
Figure out the problem.
________________________________________________________
________________________________________________________
________________________________________________________
I
Identify possible solutions.
________________________________________________________
________________________________________________________
________________________________________________________
N
Name pros and cons for each solution.
________________________________________________________
________________________________________________________
________________________________________________________
D
Decide which solution is best, then act on it.
________________________________________________________
________________________________________________________
________________________________________________________
45
Dressing
Babies
Babies can be messy and often need their clothes changed several times a day.
If the baby’s parent or guardian hasn’t left clothing out, find something that
is easy to put on and comfortable for the baby to wear, such as a sleeper with
snaps or a zipper. When undressing or dressing a baby, always support the
head and neck. Never leave a baby alone on the changing surface.
1. Gather all the clothes you’ll need before you start dressing the baby.
It depends on the weather, of course, but the baby will likely need an
undershirt, a shirt, overalls or pants, socks, and maybe a sweater.
2. Be gentle as you slip the baby into his or her clothes: A baby’s arms
and legs are very flexible.
Toddlers
Use the following tips when dressing
or undressing a toddler:
• Avoid brand new clothes if
possible: Toddlers are very messy.
• Be gentle and let the child help you
as much as possible.
• Toddlers who are toilet training
should wear pants that are easy to
pull off and on.
• When pulling a shirt over a child’s
head, pull it first over the back of
the head and then down over the
face.
Preschoolers
Most preschoolers will be able to dress themselves, and they will probably
have strong opinions about which outfit they want to wear. It’s okay to let
the child pick out the outfit he or she wants to wear or let the child choose
between two outfits, but make sure it is suitable for the weather and activity
that you have planned.
46
ACTIVITY
What Should You Do?
Eighteen-month-old Samuel just woke up from his afternoon nap. You tell
him, “Since it’s such a nice day outside, we are going to play in the backyard!”
As you try to help him put his pants on, he kicks his legs so that the pants fall
on the floor. He seems pleased with his actions, and he runs around the room
refusing to get dressed. What should you do? Using the FIND Decision-Making
Model, try to find a solution.
F
Figure out the problem.
________________________________________________________
________________________________________________________
________________________________________________________
I
Identify possible solutions.
________________________________________________________
________________________________________________________
________________________________________________________
N
Name pros and cons for each solution.
________________________________________________________
________________________________________________________
________________________________________________________
D
Decide which solution is best, then act on it.
________________________________________________________
________________________________________________________
________________________________________________________
47
Feeding
Rules and Routines for Mealtimes
If the parents or guardians of the children you babysit ask you to feed the kids
during your babysitting shift, you should ask about any rules and routines for
snacks and meals. Some questions to ask include:
• Does the child have any allergies?
• When should he or she eat?
• What foods are okay for him or her to eat?
• What are his or her favourite meals and snacks?
Read all the ingredients on all food package labels when preparing and
cooking food.
Babies
If you are expected to feed a small baby, make sure you have clear instructions
before the baby’s parent or guardian leaves. Babies have very specific diets, so
only give the foods the baby’s parent or guardian tells you to give.
48
Bottle-Feeding
1. Wash your hands before handling
any part of a baby’s bottle.
2. Prepare the bottle by following the
instructions from the baby’s parent
or guardian.
3. Carefully shake the bottle to make
sure it is evenly heated and test the
temperature by sprinkling a few
drops on the inside of your wrist.
It should be lukewarm.
4. Sit down with the baby in your arms.
Keep the baby’s head higher than
his or her shoulders to prevent
choking.
5. Tilt the bottle so that the nipple is
full of milk and free of air bubbles.
Put the nipple in the baby’s mouth.
6. Never leave a baby alone with a bottle! The baby could throw up and
choke on the vomit!
49
Burping
urp the baby when he or she has
B
finished a third of the bottle:
• Place the baby upright with his or
her head on your shoulder. Warning:
Place a cloth between you and the
baby. The baby may spit up and
things could get messy!
• Pat or rub the baby’s back gently
until you hear a burp.
• After burping the baby, give the
bottle to the baby again. Repeat the
burping process when the bottle is
two-thirds done and again when the
baby has finished the bottle.
y by
burp the bab
You can also her on your lap and
r
sitting him otly on the back. Make
e n
patting g
u p p o rt h is or her head.
sure you s
Spoon-Feeding
1. Gather the supplies, such as a bib, a
cloth for spills (there will be many),
and the baby’s feeding spoon.
2. Prepare the food by following the
instructions from the baby’s parent
or guardian.
3. Stir the food to make sure it is
heated evenly. Test the temperature
on the inside of your wrist; it should
be lukewarm.
4. Put the baby in the high chair and
secure the straps. Never leave the
baby alone in the high chair.
5. Place a bib around the baby’s neck.
Have the cloth handy.
6. Put a small amount of food on the
spoon at a time, and feed the baby.
50
A baby’s parent or guardian may ask
you to use a booster seat for feeding,
rather than a high chair. Before you
are left alone with the baby, ask the
parent or guardian to show you how
to attach the booster seat and strap in
the child. Always secure the seat to an
adult dining chair first, and then place
the child in the seat and strap him or
her in securely.
Don’t expect th
baby to eat all of th e
you provide, and do e food
n’t
baby to eat more thforce the
an he
or she wants.
Toddlers
Toddlers may be able to eat by themselves in a high chair or booster seat.
Toddlers still need to wear bibs! They will need their food cut into tiny pieces
or mashed a little bit. They especially like finger foods that they can hold.
51
Preschoolers
A preschooler may have strong ideas about the foods he or she eats. Don’t
argue, but encourage the preschooler to eat what is on his or her plate. Most
preschoolers eat with their fingers, although some will use a small fork or
spoon. Eating is fun for most children. Don’t worry if they are messy.
Some preschoolers need booster seats to sit at the table. You may have to push
the chair toward the table so the child can reach the food easily.
School-Aged Children
School-aged children like being treated like big kids. Get them involved with
snacks and mealtimes by having them help plan, prepare, and create their
food.
Sleeping
Bedtime Rules and Routines
Before the child’s parent or guardian leaves, ask him or her to walk you through
the child’s bedtime routine. If you’re babysitting a toddler, preschooler, or
school-aged child, make sure he or she hears the parent or guardian explain
the bedtime routine and rules to you. Some questions to ask the child’s parent
or guardian include:
• What time does the child go to sleep?
• Does the child take a soother or a favourite toy or blanket to bed?
• Should I leave the lights on or off?
• If the child wakes up or the baby cries, should I go in right away? If not,
how long should I wait?
Stick to the child’s bedtime routine and be firm if the child doesn’t want to go
to sleep or stay in bed. If you’re babysitting a toddler or preschooler, tell him
or her that you’re close by, and say goodnight. If you’re babysitting a school-
aged child and he or she says, “I can’t sleep,” let him or her look at books or
play quietly in bed for 10 minutes. Tell the child that when the 10 minutes are
up, it’s time to sleep.
52
ACTIVITY
What Should You Do?
It’s time for lunch, so you help 4-year-old Colter wash his hands and climb
into his booster seat at the table. You’ve made Colter’s favourite—macaroni
and cheese—but he doesn’t seem to want to eat. Instead, he plays with the
macaroni and is starting to make a mess. What should you do? Using the
FIND Decision-Making Model, try to find a solution.
F
Figure out the problem.
________________________________________________________
________________________________________________________
________________________________________________________
I
Identify possible solutions.
________________________________________________________
________________________________________________________
________________________________________________________
N
Name pros and cons for each solution.
________________________________________________________
________________________________________________________
________________________________________________________
D
Decide which solution is best, then act on it.
________________________________________________________
________________________________________________________
________________________________________________________
53
Give advance warning about naptime or bedtime so that the child can finish
what he or she is doing. Don’t hurry the child. Bedtime should be a quiet,
relaxing time. To help relax the child before bedtime, do quiet activities such
as reading. Noisy play may overexcite the child rather than tire him or her out.
When children are sleepy, they may rub their eyes or suck their thumbs. They
may also be fussy or cranky. As you get to know a child you will begin to
notice the signs that he or she is getting tired.
Bedwetting
At any developmental stage, children can occasionally wet the bed. If this
happens, don’t make a big deal about it. Let the child know that it’s okay.
Change the child’s clothes and then change the bedsheets and blankets. Tell
the child’s parent or guardian what happened.
Nightmares
If you think a child has had a nightmare, go to him or her right away. Hold,
comfort, reassure, and listen to the child. Stay with him or her and gradually
shift the conversation to pleasant things. When the child is calm and relaxed,
tuck him or her back into bed. Explain that you are close by.
Babies
Have the baby’s parent or guardian
show you ahead of time how the crib
works.
54
ACTIVITY
What Should You Do?
It’s naptime for 6-month-old Lily, so you gently place her on her back in the
crib. As soon as you put her down, she begins to cry. As you pick her up again
to try to soothe her, she stops crying. After a few moments of quiet, you lay
her down in the crib again. She lets out a wail. What should you do? Using the
FIND Decision-Making Model, try to find a solution.
F
Figure out the problem.
________________________________________________________
________________________________________________________
________________________________________________________
I
Identify possible solutions.
________________________________________________________
________________________________________________________
________________________________________________________
N
Name pros and cons for each solution.
________________________________________________________
________________________________________________________
________________________________________________________
D
Decide which solution is best, then act on it.
________________________________________________________
________________________________________________________
________________________________________________________
55
Playing
Why Is Play Important for Children?
Play is an essential part of children’s development. Through play, children
are able to:
• Develop physically. Running, colouring, and other activities that get the
small or big muscles moving help children to grow.
• Improve their learning skills. Learning rhymes, counting, and doing
puzzles all help children learn.
• Understand and control their feelings. Playing make-believe, asking “what
if” questions, and playing fairly with others all help children learn about
and sort through their feelings.
• Develop socially. Following rules, acting out stories, and playing in bands
all help improve children’s social skills.
The best way to get along with children is to be positive. If you keep kids busy
and happy, you will all enjoy the time you spend together.
56
Toys and Games, Getting Along, and Having Fun
When playing with children, it is important to match the toys, games, and
activities with the children’s ages and developmental stages. This will help to
not only avoid frustration, but also, more importantly, to keep the children
safe.
Babies
Babies love faces, voices, and music.
Younger babies tend to like anything
that appeals to their senses of sound,
sight, and touch. It is important to
keep babies busy since they can get
bored and fussy quite quickly. If the
baby is restless or wants to move, place
a blanket on the floor where he or she
can wiggle and move around more
safely. Babies usually enjoy games
like patty cake, this little piggy, and
peekaboo.
Babies can play safely by themselves in a crib or playpen with some toys—
but you should supervise closely at all times.
Toys that are suitable for babies up to 1 year old include the following:
• Brightly coloured soft toys
• Musical toys and rattles
• Cloth or board books
• Filling and dumping toys
• Big blocks
Toddlers
What toddler doesn’t love surprises?
Surprise the toddler you babysit by
packing toys and games that would
interest him or her in your babysitting
kit. Be sure that the items you bring
are safe for a toddler to use. Be clear
with the children that these are your
things for sharing and that you are
taking them home with you.
Toys that are suitable for toddlers up to 2 years old include the following:
• Toy cars and trucks
• Picture books
• Playdough
• Puzzles with large pieces
• Large blocks and stacking blocks (knocking them down is often
the best part)
Preschoolers
Preschoolers have more independence,
and they can be more involved in
deciding how they want to play. They
have lots of energy, so active play
is very important. They also enjoy
imagination games, especially if you
are playing too! Preschoolers often
enjoy guessing games, simple board
games, and active games like follow-
the-leader.
School-Aged Children
School-aged children have specific
interests. Ask the child you are
babysitting what he or she likes to do.
Really listen and show an interest, and
try to do things that the child enjoys.
Ask the child what he or she would like
to do. School-aged children may enjoy
listening to music, playing a sport or
musical instrument, or baking.
58
If the child prefers to play independently, that’s okay too, just make sure that
you are aware of what he or she is doing. School-aged children may also have
homework or school projects to complete. Be available to assist if necessary.
Comforting
Crying—Babies
Crying is the only way small babies
can tell the world around them that
something is wrong or that they need
something. Ask the baby’s parent or
guardian what is normally done when
the baby cries.
1. Things to check:
• Did the baby’s favourite blanket or soother fall out of the crib?
• Is the baby’s diaper clean and dry?
• Is the baby tired?
• Is the baby hungry?
• Does the baby need to burp?
There are many situations in which you will have to touch the children
you babysit. Babies will need to have their diapers changed, and younger
children may need help going to the bathroom or getting dressed. Respect
their feelings and give them only the help they need. If they are old enough
to understand, always tell them what you need to do and ask for their
permission.
Remember, a child’s body belongs to the child. Their bodies, like their feelings,
need care, gentleness, and respect. There are many examples of appropriate
and inappropriate actions:
61
Misbehaviour
A child who is misbehaving may be tired, hungry, or bored, or he or she may
be trying to get your attention. Try to find the underlying reason for the
behaviour.
Types of Misbehaviour
Examples of some of the more challenging but common types of misbehaviour
are sibling rivalries and temper tantrums.
Sibling Rivalry
Sibling rivalry is the jealousy,
competition, and fighting that breaks
out between brothers or sisters
(siblings).
Temper Tantrums
A temper tantrum is a strong outburst
of challenging behaviour, such as
whining, crying, screaming, kicking,
hitting, or breath-holding.
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62
Preventing Misbehaviour
The best way to deal with misbehaviour is to prevent it from happening in the
first place. Some tips are:
• Move forbidden items out of the child’s sight and reach.
• Don’t let the child get too tired, hungry, or bored.
• Follow the family’s rules and routines. Changes often cause anxiety, stress,
and misbehaviour.
• If the child’s parent or guardian does not have rules in place for a
situation, set fair and simple rules that the child can understand. Let the
child’s parent or guardian know what you decided.
• Give the child the chance to make simple choices.
• Give children time to prepare for a change. For example, “In 5 minutes, it
will be time to turn off the computer to have dinner.”
• Be consistent with your expectations.
The following are ways you can handle misbehaviour if you’re babysitting a
toddler, preschooler, or school-aged child:
Gentle touch: If the child begins to lose control, put your arm around him or
her. If holding makes the child angrier, let go, remain calm, and wait until the
child calms down.
Generally, a
longer than th time out should be no
For example, ife child’s age in minutes.
12-year- old, th you are babysitting a
e time
no more than out should last
12 minutes.
Remind: Gently remind the young child you’re babysitting about the rules to
help him or her learn.
Redirect: If the child is frustrated and unable to solve a problem, try a different
activity.
64
School-Aged Children
If you’re babysitting a school-aged child
who begins to misbehave, you can handle
the situation by giving the child choices or
helping the child with his or her problem-
solving skills.
65
ACTIVITY
What Should You Do?
Three-year-old Olivia is usually very well behaved and hardly gives you any
trouble, but today she is acting up. She knows that she is not supposed to get
into her mother’s makeup, and when you tell her “No” as she reaches for a
tube of lipstick, she grabs your arm and bites you. What should you do? Using
the FIND Decision-Making Model, try to find a solution.
F
Figure out the problem.
________________________________________________________
________________________________________________________
________________________________________________________
I
Identify possible solutions.
________________________________________________________
________________________________________________________
________________________________________________________
N
Name pros and cons for each solution.
________________________________________________________
________________________________________________________
________________________________________________________
D
Decide which solution is best, then act on it.
________________________________________________________
________________________________________________________
________________________________________________________
66
6
Handling
First Aid:
Check, Call, Care
Emergencies
The most important part of
being a babysitter is making
sure the children in your care
are safe.
67
Check, Call, Care
There are three steps you should always follow when providing first aid:
1. CHECK the scene and the child.
2. CALL for help and/or call EMS/9-1-1.
3. CARE for the child.
Check
1.
Check if the child is responsive.
68
2. Check the child’s ABCs:
B = CHECK BREATHING
Check for normal breathing for
5 to 10 seconds. Put your cheek close
to the child’s face so that you can hear
and feel air coming out of the child’s
nose and mouth while you watch the
chest rise and fall.
C = CHECK CIRCULATION
Checking circulation means quickly
looking at the child from head to toe
for signs of life-threatening bleeding.
69
Call
When to Call EMS/9-1-1
Call EMS/9-1-1 if there is a danger to you or
others or if the ill or injured child has any of
the following conditions:
• Unresponsiveness
• Difficulty breathing or no signs of breathing
• Life-threatening bleeding
• Seizures
• A suspected broken bone
• Suspected poisoning
Trust your instincts. When in doubt, make the call. If you think that an
emergency exists, it probably does, and you should call EMS/9-1-1 immediately.
The dispatcher is there to help you and guide you through what to do until
help arrives. Do not hang up the phone until the dispatcher tells you to.
70
Care
Get a first aid kit if one is available. If the child has a life-threatening
condition, always care for that condition first. Provide the care that you
have been trained to give, and follow these general guidelines:
• Monitor the child’s condition.
• Stay with the child until help arrives.
• If necessary, roll the child into the recovery position.
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71
Recovery Position
A child who is unresponsive should be rolled onto his or her side, into the
recovery position. You should avoid rolling a child if it could worsen his or her
condition (for example, if the child’s leg appears to be broken). As always, you
should move the child only if it is safe to do so.
Remember these tips when rolling a child into the recovery position:
• Support and protect the head while rolling the child.
• Try to roll the child as one unit (head, back, and legs at the same time).
• Roll the child into a position where his or her body will stay safely on
its side.
• Check the ABCs after you complete the roll.
72
Illness
If the child you are babysitting seems
sick, you should call his or her parent
or guardian right away.
While waiting for the child’s parent or guardian to return, have the child rest
comfortably and monitor his or her condition. If the child’s condition becomes
serious, call EMS/9-1-1 and provide care as needed.
Choking
The airway is the passage that allows air to
move from the mouth or nose to the lungs.
Choking occurs when the airway becomes
partially or completely blocked.
What to Do
Baby (Less Than 12 Months)
Call:
Immediately begin providing care for
choking. Call EMS/9-1-1 as soon as you are
able to do so.
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Care:
1. Sit or kneel with the baby face-down along your forearm, holding the jaw
in your hand.
2. Deliver 5 firm back blows between the shoulder blades.
3. If the object does not come out, flip the baby face-up, ensuring you
support the head.
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Child (Over 12 Months)
Call:
Immediately begin providing care for choking. Call EMS/9-1-1 as soon as you
are able to do so.
Care:
1. T
ry to dislodge the object by combining any two of the following three
methods until the object comes out: back blows, abdominal thrusts, and
chest thrusts.
ck
p le fi n d a co mbination of baeasiest
Most peo be the
s a n d a bd om inal thrusts tont thing is to
blow t the importa t
to perform, buo methods you can use mos
e tw
choose th ively in the situation.
effect
BACK BLOWS
1. Stand or kneel beside or behind the child and place your arm across the
child’s chest.
2. Bend the child forward and deliver up to 5 firm back blows between the
shoulder blades.
75
ABDOMINAL THRUSTS
1. Stand or kneel behind the child.
2. Wrap your arms around the child’s waist
and place your fist just above the belly
button.
3. Cover your fist with your other hand and
give up to 5 quick, inward and upward
thrusts.
CHEST THRUSTS
1. S tand or kneel behind the child and wrap
both of your arms around the child’s
chest.
2. Place your fist in the middle of the child’s
chest with your thumb facing inward, and
place your other hand over your fist.
3. Give up to 5 chest thrusts by pulling
straight back toward you.
76
CPR
CPR, or cardiopulmonary resuscitation, is used when a person is unresponsive
and not breathing. CPR involves giving chest compressions to keep blood
moving in the body. If you find a child who is not breathing, you must
immediately call EMS/9-1-1 and begin CPR.
What to Do What to Do
CPR, Baby (Less Than 12 Months) CPR, Child (Over 12 Months)
Care: Care:
Continue chest compressions until EMS personnel arrive, someone takes over,
or you are too tired to continue.
ard
t pushing too h
Don’t worry abouchest compressions.
g
when performin ant thing is to push
The most im po rt
.
deep and steady
77
Asthma
Many children have asthma, a condition that can make breathing difficult.
Asthma is normally triggered by something, such as dust or exercise, and it is
usually controlled with medication.
What to Do
Call:
Call EMS/9-1-1 if the child is struggling to
breathe or the child’s breathing does not
improve after taking his or her medication.
Care:
1. If you think that something in the environment is triggering the attack,
move the child away from the trigger.
78
Using an Inhaler
79
Using an Inhaler With a Spacer
3. Put the inhaler into the spacer 4. Bring the spacer to the child’s
and press the top of the inhaler. mouth.
5. Tell the child to take slow, deep breaths, holding each breath for several
seconds.
80
Anaphylaxis
Allergies are very common among
children. While many allergic reactions
are very mild, some can be life-
threatening. Anaphylaxis is a severe
allergic reaction that can lead to death
if it is not cared for immediately.
What to Do
Call:
Call EMS/9-1-1.
Care:
1. If the child has an EpiPen® Auto-Injector, help him or her to use it.
2. Have the child rest quietly until EMS personnel arrive.
If the child’s condition does not improve 5 minutes after the initial dose of
epinephrine and EMS personnel have not yet arrived, help the child take a
second dose, if available. The second dose should be given in the leg that
you did not use for the first dose.
81
Using an EpiPen® Auto-Injector
2. Firmly push the tip of the 4. Rub the injection site for
EpiPen® Auto-Injector against 30 seconds.
the middle third of the outer 5. Give the used EpiPen® Auto-
thigh. A click should be heard. Injector to the EMS personnel
3. Hold in place for up to 10 when they arrive.
seconds.
82
Minor Cuts and Scrapes
Minor cuts and scrapes generally do
not bleed very much, and the bleeding
is typically easy to control.
What to Do
Care:
83
Splinters
A splinter (or “sliver”) is a sharp, thin piece of something that is stuck in the
surface of the skin. If the splinter is completely below the skin, do not attempt
to pull it out. Be sure to tell the child’s parent or guardian that it is there.
What to Do
Call:
Immediately begin providing care for
life-threatening external bleeding. Call
EMS/9-1-1 as soon as you are able to
do so.
for
When caring use any
u c a n
bleeding, yo pply pressure
lo th to a
clean c d (such as
a
to the woun wel).
tea to
84
Care:
3. If blood soaks through the bandage, apply another bandage on top.
85
Nosebleeds
Nosebleeds are usually not serious.
They can be caused by bumps to the
nose, dry air, or scratching the insides
of the nostrils.
What to Do
Call:
Call EMS/9-1-1 if the bleeding continues
after 15 minutes.
Care:
Large bruises, especially on the abdomen or lower back, can indicate life-
threatening internal bleeding. A child with life-threatening internal bleeding
will often also have nausea, severe thirst, or bloody saliva or vomit.
86
What to Do
Call:
Call EMS/9-1-1 immediately if you suspect life-threatening internal bleeding.
Care:
1. Wrap a cold pack with a thin 2. Remove the ice pack for 20
towel and place it on the bruise minutes and repeat the process.
for up to 20 minutes.
Burns
Burns are injuries to the skin caused by
chemicals, electricity, heat, or radiation.
What to Do
Call:
Call EMS/9-1-1 immediately if:
• The burns make it difficult for the child to breathe.
• The burns were caused by chemicals, explosions, or electricity.
• The burns have blistered or broken skin, or the burns cover the face, neck,
hands, genitals, or a larger surface area.
87
Care:
Electrical Burns
Before providing care for a burn caused by electricity, make sure that the area
is safe and that there is no risk of you being electrocuted. Check the child from
head to toe, as there may be more than one burned area (an entrance and exit
point).
88
Head, Neck, and Back Injuries
Injuries to the head, neck, and back can have long-term consequences. You
should call EMS/9-1-1 right away if you suspect a head, neck, or back injury.
You should also suspect a head injury if the child’s behaviour changes after
the injury, if the child becomes dizzy, confused, or unresponsive, or if the child
becomes nauseous or vomits.
What to Do
Call:
Call EMS/9-1-1.
Care:
1. Have the child rest quietly and keep still until EMS personnel arrive.
Broken Bones
Any bone in the body can break if it
is hit hard enough. You should always
call EMS/9-1-1 if you think a bone
might be broken.
What to Do
Call:
Call EMS/9-1-1.
89
Care:
The best thing that you can do is keep the child still and comfortable until EMS
personnel arrive. If there is any bleeding, provide care as you would for any
other open wound.
Elevate: Raise the injured area, if possible, as long as this does not hurt
the child.
Seizures
A seizure is an episode of abnormal brain activity. Seizures often involve
uncontrolled muscle movements, of either the entire body or just one part.
Seizures have many causes, including epilepsy, poisoning, and high fevers.
What to Do
Call:
Call EMS/9-1-1.
Care:
During the seizure:
1. Do not try to hold the child down or stop the seizure from happening.
2. Roll the child onto his or her side, if you are able to do so safely.
3. Protect the child from injury by:
• Moving furniture and other objects that could cause injury out of
the way.
• Protecting the child’s head with a soft object (such as a blanket).
90
Poisons
A poison is a substance that is harmful
if it enters the body. Poisons affecting
children are most often swallowed.
When providing first aid for a poisoned
child, use caution to avoid contact with
the poison.
What to Do
Call:
Call EMS/9-1-1.
Care:
1. Remove any clothing covered with the poison.
2. Wash any poison on the child’s skin away from the unaffected areas. If
the poison is on the child’s face, be sure to wash it away from the eyes.
3. The specific care for poisoning directly depends on the poison: Follow
directions from the EMS dispatcher or Poison Control Centre to provide
the right care for the situation.
Insect Stings
Insect stings usually appear as red swollen spots. Most of the time, they are
just uncomfortable, but allergic reactions and anaphylaxis are always
a concern.
What to Do
Call:
Call EMS/9-1-1 if there are any signs of anaphylaxis.
91
Care:
1. If the stinger is still in the skin, 2. Wrap a cold pack with a
remove it by scraping it away thin towel and place it on
from the skin. A plastic card the affected area to control
(such as a debit card) works swelling.
well. 3. Continue to watch the child
for signs of anaphylaxis.
92
7
Finding Work
The Business of
Babysitting
Your Resumé
Your resumé is a quick way to tell people Babysitter’s Self-Quiz
yourself. It is your chance to summarize Update the Babysitter’s Self-Quiz every six months.
skills as a babysitter, as well as some of your 0 1–3 4–6 7–10 More than 10
1 2 3 4 5 or more
you create your own babysitting resumé, 3. The youngest child I have ever cared for was a:
resumé, you may use your Babysitter’s Self- 5. My longest babysitting job lasted:
1 hour 2–3 hours 4–5 hours 6–8 hours More than 8 hours
Quiz (provided by your Youth Leader). 6. I have accepted babysitting jobs (check all that apply):
93
YOUR NAME
EDUCATION
Your School’s Name
Your Grade
Any special classes you have taken and/or awards/achievements you have received
TRAINING
List your babysitting training, followed by a brief description of the course, for example:
Canadian Red Cross Babysitting Course
Leadership, professionalism, safety, child development, basic child care, and care for
emergencies
ADDITIONAL TRAINING
List any other relevant training you have completed, for example, Canadian Red Cross Standard
First Aid & CPR.
BABYSITTING EXPERIENCE
Starting with your most recent babysitting job, briefly describe your duties and responsibilities.
Include the number and ages of the children and the hours of your babysitting job. Do not put
down any of the family’s personal contact information without the family’s permission.
OTHER EXPERIENCE
List your other volunteer, work, or leadership experience such as volunteering at a church nursery,
being a tutor, or participating in scouting.
HOBBIES
List your hobbies or interests.
REFERENCES
List up to three responsible adults you know, especially any you have worked for in the past. Make
sure those who have agreed to be your references know that you have put them down on your
resumé and understand that they may get a phone call asking about you.
Full Name Phone Number Relationship
Full Name Phone Number Relationship
Full Name Phone Number Relationship
94
Before Your First Babysitting Job
The first time someone asks you to babysit, ask lots of questions. Before taking
a job with a new family, you should first conduct a phone interview to see if
the job is a good fit, and then arrange a time to meet. This is also a chance to
meet the children. If you can’t meet ahead of the date, arrange to arrive at
least a half-hour before the child’s parent or guardian leaves so you have time
to ask all of your questions.
Parents or guardians who are looking for a babysitter will appreciate that
you are responsible and well prepared. When deciding whether to take a job,
remember that you have the right to be safe, get paid, and be respected.
95
Interview 2: In-Person Interview
The in-person interview gives you an opportunity to go through all of your
more specific questions. Ensure that your own parent or guardian is okay with
you going to meet the parent or guardian who is looking for a babysitter.
Babysitter’s Interview
Form and Checklist
Before your first babysitting job for a family, complete this form with the child’s parent or guardian to make sure you
get all the information you need to do your job right. Have the child’s parent or guardian confirm the answers to any
questions that were already asked during your phone interview. Keep track of the questions you’ve asked by checking
off the boxes. You can write down the answers or any notes to yourself in the space provided.
☐ What is your family name? Ask the child's parent or guardian to confirm the spelling.
__________________________________________________________________________________
☐ What is the nearest major intersection to your home (ask the child’s parent or guardian to provide directions if
the family lives in a rural area)?___________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Use the Babysitter’s Interview Form and ☐ At what phone number can I reach you during my babysitting shift? _________________________________
☐ What is the name and phone number of an adult who can make decisions if you cannot be reached?
If you feel uncomfortable babysitting for a family for any reason, politely tell
them that you won’t be able to babysit for them anymore. If your own safety
is at risk (physically, emotionally, or sexually), say “No,” and then get away,
phone for help, and report the incident.
96
Expectations of the Families Who Hire You
The people who hire you trust you with their children. Finding babysitters who
are professional about their work is hard. The children’s parent or guardian
has a right to expect a babysitter who has the right qualities for the job. Once
a family finds a babysitter they trust and like, they’ll usually stick with that
babysitter.
Interested in children?
Able to supervise children safely?
Honest and reliable?
In good mental and physical health?
Able to carry out instructions?
Able to think clearly in emergencies?
Able to recognize safety hazards?
Able to provide simple first aid?
Able to prepare basic meals?
Able to play with children?
Able to communicate well?
Able to discuss job responsibilities and policies?
Children’s Expectations
Children don’t know what makes a “good” and a “bad” babysitter, but they
do know the difference between a “fun” and a “boring” babysitter.
Children want to feel happy and secure. They want a babysitter who:
• Knows the household rules and routines.
• Makes them feel comfortable and secure.
• Shows an interest in them.
• Plays with them.
• Knows what to do in an emergency.
A happy child is the best advertisement for a babysitter. Keeping children safe
and happy will make your business grow.
97
Self-Evaluation After the Job
After finishing a babysitting job, ask yourself these questions:
• How do I feel about this job? Did I do well?
• Did I do everything the child’s parent or guardian asked me to do?
• How did the children respond to me?
• Were there any problems?
• Did anything happen that I did not know how to handle?
• What are some good things that happened?
• What did I like and dislike about this job?
• What would I do differently for the next babysitting job?
• What could I have done to make this babysitting job go better?
• If this family offers me another job, will I take it? Why or why not?
98
Summary of What
You’ve Learned
You have learned about providing care for babies, toddlers, preschoolers,
and school-aged children and know that they are at different developmental
stages and have different needs. You have also learned to solve problems that
may occur while you are babysitting by using leadership and decision-making
skills. You’re on your way to becoming a great babysitter!
ACTIVITY
CONCLUSION—What Did You Learn About Yourself?
Answer the following questions to see what you have learned from this
course:
What have you learned about yourself that you did not know before taking
this course?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
99
What do you feel most confident about doing as a babysitter?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
What do you feel least confident about doing as a babysitter? What would
make you feel more confident about it?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
What can you do to practise the skills you learned in this course?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
What are your next steps in becoming a babysitter after this course?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
100
Resources
As you gain experience as a professional babysitter, you should strive to
become a better babysitter. One way of becoming a better babysitter is to
get the most up-to-date information. Below are some online resources on
child safety tips:
• Canadian Red Cross: redcross.ca
• American Red Cross: redcross.org
• Health Canada: hc-sc.gc.ca
• Safe Kids Canada: safekidscanada.ca
• Parachute: parachutecanada.org
• Fire Prevention Canada: fiprecan.ca
• Kids Help Phone: kidshelpphone.ca
101
Wait! There Is More to Learn!
Congratulations on becoming a trained babysitter! And now that you
know the basics of first aid, take your training to the next level with a
Canadian Red Cross CPR/AED course.
You can be even better prepared to respond to emergencies that may
happen to babies and children—and you could even save someone’s life.
In just half a day, you can be trained in CPR and receive your first Red Cross
certification card. A CPR certification can open opportunities for great jobs,
such as a camp counsellor or lifeguard.
Learn how to prepare for emergencies with the Canadian Red Cross!
Sign up for a Canadian Red Cross CPR/AED course today.
redcross.ca/findacourse | 1-877-356-3226
Red Cross First Aid. Prepare for Life.®
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