EC AT NURSERY
elimination communication/ natural infant hygiene
This article follows on from the Baby Led Potty Training Article, which describes how we toilet trained our baby from two months old. Here I will consider how providers in childcare settings could apply some of the principles. This is based on my memories of working in nurseries and reading.
“When my daughter started daycare at age two, she was pretty toilet independent,” remembers Rachel. “The staff at the nursery were delighted that they didn’t have to put any work into toilet training her, as this was quite a heavy part of their workload for the other two- to three-year-olds. They quickly grasped the concepts of EC and have said that they would happily support younger children being ECed in their care.”
It may just require a bit more time to help the caregiver understand the principle and to support them in learning. Fortunately the practice of NIH is now becoming more widespread and has received increasing media attention, so more caregivers will have heard of it. Also, childcare providers have a duty under the ‘National Standards for Under 8’s day care and childminding’ (Dept. of Education and Skills – DfES 2003) to provide equal opportunities (National Standard 9) to every child in their care, so if a parent would like to continue with NIH then the care provider should support this (National Standard 12). If you would like to view this document details can be found in the reference section.
BABY LED POTTY AND TOILET TRAINING
If there is a caregiver that your child generally responds well to, ask this person to be “in charge” of the potty training responsibilities for your child at daycare, as much as possible.This person should be the one to take your child to the potty each time, should be the one watching for your child's signals, and also paying attention to your child in case there is an accident, then calmly helping your child to potty and get cleaned-up.If there is a caregiver that your child generally responds well to, ask this person to be “in charge” of the potty training responsibilities for your child at daycare, as much as possible.This person should be the one to take your child to the potty each time, should be the one watching for your child's signals, and also paying attention to your child in case there is an accident, then calmly helping your child to potty and get cleaned-up.
paying special attention to the potty-training child for the first week or two,
initiating frequent potty breaks, (I like to suggest every hour, or whenever the teachers usually change diapers if it's not too spread apart - Andrea)
Try to ensure that your child: Knows who to ask when they need to use the potty. Knows how to ask to use the potty
Working with parents
asking parents to provide many changes of clothes, and, finally,
allowing children to use CLOTH training pants, if that is working well for the child at home. (Alternatively, some kids really need to have nothing but pants on their bums “commando” for the first 2 to 4 weeks of potty-training in order to get the hang of it. See what the center will allow.)
as Consistent as Possible- same potty as at home
Quick changable clothes advise parents familiar with the setting. Take them to the toilet when you arrive and before you leave. Let them get used to using the toilet with you there so that you both know the set-up.
This also means you’ll watch your child use the facilities and know if anything else is throwing them. Are the toilets too high? Can they reach the paper? Do they need to ask for help to wipe or will they be spotted and assisted? Are they worried about the doors? If you’re pottying and your nursery / daycare isn’t well geared up for ec, bring in your own potty or adapter seat (the same model as you have at home). Help your child to use it in the nappy changing cupboard or wherever it’s going to live. Familiarise them with the set-up so that they know what to expect. Has time at the beginning and end of the day to poo at home! arriving and leaving If you find a day care provider or nanny who has not used EC before, but is open to it, be certain to give them sufficient training before letting them potty your baby on their own. Ask your nanny or other caregiver to jot down the times your baby goes during their care. This can help you establish or better follow baby's elimination patterns and natural timing, as well as give you an indication of how well your nanny is doing with your baby and EC
Regular intervals of 20 to 30 minutes https://hintmama.com/2014/02/11/todays-hint-the-russian-secret-to-early-potty-training/
Children thrive on routine, such as reliable, scheduled potty breaks, says Wallen-Fort. Because of that routine, “most children are potty trained at day care before they are trained at home.” https://godiaperfree.com/how-to-send-your-young-toddler-to-preschool-without-diapers-daycare/I told them to take him at transition times, as if he were a 2 or 3 year old who was potty training still.
Staff ratios and turnover
Look of concentration or seriousness
Still and quiet- lets you get on with housework
Appears strangely independent and focussed on an activity
Subtle bum wiggle
Stands holding something
Hasn't gone to sleep when expected
Had a feed recently
Has been distracted when out (Baby likes to go at home)
Has just been and you think they couldn't possibly need to go again
I view working out when Baby wants the toilet as a mindfulness practice which has brought us closer overall, but at times to tears.
Privacy and safeguarding
told the teachers that he (and most kiddos) does not like when someone is sitting right next to them, holding them or protecting them on the toilet. Most prefer you to turn your back, wash your hands, talk to someone else, etc.
Ensure intimate care such as nappy changing and toileting, or changing wet clothes is carried out one-to-one by a child’s key person wherever possible, staying visible to other practitioners but maintaining a child’s privacy, for example, leaving the door ajar.
All toilets and sinks, however, are child-sized. Due to the high number of children, every classroom has squat toilets (a type of toilet that does not have seating) instead of regular toilets so it does not need to be cleaned frequently. In many classrooms for 2- to 3-year-olds, training potties are used on a regular basis. This does pose a health concern, even though staff pay great attention to health and safety practices by employing a separate assistant who is responsible for routine care like cleaning tables before and after lunch, toilets, and monitoring hand washing
having flooring surfaces that are easy to clean,
Lauren Faulkner and Jill Slader, both teachers at The Children’s House Montessori School in Wilmington, DE, include children early in the process. From changing diapers in the bathroom (to get children familiar with the environment) to encouraging children to get their own diapers and wipes, they take a child-centered approach to training. “We try to initiate independence early,” Slader says.
Breaks and bad days
Some days there is too much going on, or one of us is tired, and Baby and I fall out of sync. There have also been longer phases when we stopped understanding one another. For example, when Baby learnt to crawl they were very busy and found it hard to multi task. I had to learn to spot the signs without being in physical contact. Other phases were when baby started eating, and when we moved house.
As they have got older, Baby has had more things to say and I sometimes misinterpret the signal as asking for something else.
There was another phase where Baby only wanted me to take them to the toilet, and would simply not go if someone else tried. They may have even sat there giggling.
Sometimes Baby isn't into it. At these times it is more common that they do need to go than that they don't. They sometimes get in a flap while waiting to be brought. Here are some things I do to address this:
Offer a boob
Go myself to set an example
Change the position, ie toilet seat reducer or ec hold
Hold over a sink in front of a distracting mirror
Give up and suggest a nap instead
Accept that I misinterpreted the situation
If Baby struggles with a poo, the ec hold can be good to squeeze it out. Or I leave them to go in the nappy at their convenience.