{"id":675,"date":"2021-07-05T06:00:11","date_gmt":"2021-07-05T14:00:11","guid":{"rendered":"https:\/\/thenannysolution.ca\/?p=675"},"modified":"2024-09-03T04:56:27","modified_gmt":"2024-09-03T12:56:27","slug":"quand-dire-non-a-la-demande-dun-parent","status":"publish","type":"post","link":"https:\/\/thenannysolution.ca\/fr\/when-to-say-no-to-a-parents-request\/","title":{"rendered":"Quand dire \u201c non \u201d \u00e0 la demande d'un parent"},"content":{"rendered":"

 <\/p>\n

En tant que Sp\u00e9cialiste en soins n\u00e9onatals<\/a>, vous \u00eates embauch\u00e9 pour assurer les soins et le bien-\u00eatre du nouveau-n\u00e9, et pour rendre la transition des nouveaux parents vers la parentalit\u00e9 aussi facile que possible. Dans ce r\u00f4le, vous souhaitez toujours respecter les d\u00e9cisions des parents concernant la mani\u00e8re dont ils souhaitent prendre soin de leur enfant et l'\u00e9lever, et soutenir leurs valeurs, m\u00eame si elles diff\u00e8rent des v\u00f4tres. Dans cet esprit, les douanes\/gardes d'enfants (NCS) peuvent avoir l'impression de devoir dire \u2019 oui \u2019 \u00e0 chaque demande formul\u00e9e par les parents, ce qui n'est cependant pas le cas. Il existe certaines situations o\u00f9 il est appropri\u00e9, voire essentiel, de dire \u201c non \u201d \u00e0 la demande d'un parent. Nous avons r\u00e9pertori\u00e9 <\/span>certains<\/span> de ces cas ci-dessous.<\/span><\/p>\n

M\u00eame si un parent le demande, il y a des choses que vous ne devriez pas faire en tant que nounou :<\/strong><\/p>\n

Fournir des conseils m\u00e9dicaux<\/h2>\n

Vous avez \u00e9t\u00e9 embauch\u00e9 en tant que sp\u00e9cialiste et, \u00e0 ce titre, les parents s'attendent \u00e0 ce que vous sachiez tout ce qu'il y a \u00e0 savoir sur les soins \u00e0 apporter \u00e0 un nouveau-n\u00e9. Les parents demandent souvent conseil aux gardes d'enfants de nuit (NCS) concernant des proc\u00e9dures m\u00e9dicales, y compris pour prendre des d\u00e9cisions concernant la vaccination des nourrissons. Vous poss\u00e9dez peut-\u00eatre une mine de connaissances et d'exp\u00e9rience, mais vous n'\u00eates pas un professionnel de la sant\u00e9. Vous devez donc \u00e9viter de donner des conseils m\u00e9dicaux aux parents, sous peine de vous exposer \u00e0 des risques de responsabilit\u00e9. Si un parent tente de vous engager dans une telle conversation, il est tout \u00e0 fait acceptable de dire \u201c Je ne suis pas un professionnel de la sant\u00e9, je ne peux donc pas vous conseiller dans un sens ou dans l'autre \u201d et d'en rester l\u00e0.<\/p>\n

Poser un diagnostic m\u00e9dical<\/h2>\n

Encore une fois, vous n'\u00eates pas un professionnel de la sant\u00e9, vous n'\u00eates donc pas en mesure de poser des diagnostics. M\u00eame si vous avez d\u00e9j\u00e0 vu quelque chose de similaire auparavant, et que vous \u00eates s\u00fbr \u00e0 99% que c'est ce que ressent le nourrisson dans ce cas, il est toujours pr\u00e9f\u00e9rable de faire preuve de prudence et de conseiller au parent de consulter un m\u00e9decin plut\u00f4t que de poser un diagnostic vous-m\u00eame. Par exemple, ce qui ressemble \u00e0 une \u00e9ruption cutan\u00e9e courante chez un nourrisson pourrait en fait \u00eatre le signe d'une r\u00e9action allergique grave chez un autre. Vous pourriez dire quelque chose du genre : \u201c J'ai d\u00e9j\u00e0 vu quelque chose comme \u00e7a et c'\u00e9tait __________, mais vous devriez consulter un m\u00e9decin pour plus de s\u00e9curit\u00e9 \u201d.<\/p>\n

Pr\u00e9paration d'une formule alternative \/ non traditionnelle<\/h2>\n

Pour les nourrissons nourris au biberon, il existe des pr\u00e9parations alternatives ou non traditionnelles qui peuvent leur fournir une nutrition ad\u00e9quate. Cependant, en tant que gardienne d'enfants sp\u00e9cialis\u00e9e (NCS), vous ne devriez pas \u00eatre celle qui pr\u00e9pare ces pr\u00e9parations pour le nourrisson. Les pr\u00e9parations fabriqu\u00e9es en usine contiennent des nutriments sp\u00e9cifiques et comportent des instructions explicites sur la mani\u00e8re de les pr\u00e9parer correctement, il est donc acceptable que vous vous en chargiez dans ce cas. En revanche, les pr\u00e9parations alternatives ou non traditionnelles ne sont pas fournies avec les m\u00eames informations nutritionnelles et instructions, et il existe un risque qu'elles ne soient pas pr\u00e9par\u00e9es correctement et\/ou qu'elles ne fournissent pas une nutrition ad\u00e9quate au nourrisson en croissance. Si les parents choisissent de nourrir leur nourrisson avec des pr\u00e9parations alternatives ou non traditionnelles, c'est leur d\u00e9cision et vous devez la respecter, mais vous ne devez pas \u00eatre celle qui pr\u00e9pare la formule, car cela vous expose \u00e9galement \u00e0 un risque de responsabilit\u00e9.<\/p>\n

D\u00e9livrance de m\u00e9dicaments sans l'avis d'un m\u00e9decin et sans formulaire de d\u00e9charge de responsabilit\u00e9 sign\u00e9<\/h2>\n

Tous les m\u00e9dicaments que vous donnez \u00e0 un nourrisson doivent \u00eatre prescrits par un m\u00e9decin, en respectant exactement la posologie et le mode d'administration prescrits, et ce, uniquement apr\u00e8s que vous et les parents avez sign\u00e9 un formulaire de d\u00e9charge de responsabilit\u00e9. \u00c0 moins que ces conditions ne soient r\u00e9unies, vous ne devez jamais donner de m\u00e9dicaments \u00e0 un nourrisson, car cela pourrait pr\u00e9senter un risque physique pour l'enfant et un risque de responsabilit\u00e9 pour vous.<\/p>\n

Prendre la temp\u00e9rature rectale d'un nourrisson sans la surveillance du parent<\/h2>\n

C'est un fait av\u00e9r\u00e9 que la m\u00e9thode la plus pr\u00e9cise pour mesurer la temp\u00e9rature d'un nourrisson est d'utiliser un thermom\u00e8tre rectal. Cependant, vous ne devez jamais prendre la temp\u00e9rature du nourrisson de cette mani\u00e8re \u00e0 moins d'\u00eatre supervis\u00e9 par le parent, car cela implique d'ins\u00e9rer un objet dans le corps du nourrisson, ce qui peut pr\u00e9senter de multiples risques. Si le parent n'est pas disponible pour superviser, il est pr\u00e9f\u00e9rable de v\u00e9rifier la temp\u00e9rature du nourrisson par d'autres moyens, comme en utilisant un thermom\u00e8tre art\u00e8re temporale sur le front, ou en pla\u00e7ant le thermom\u00e8tre sous l'aisselle du nourrisson pour obtenir une mesure. Dans le cas o\u00f9 le parent est pr\u00e9sent, il est raisonnable de lui demander de v\u00e9rifier lui-m\u00eame la temp\u00e9rature rectale du nourrisson.<\/p>\n

Couper les ongles d'un nourrisson<\/h2>\n

Cela peut sembler moins \u00e9vident que les autres exemples, mais il est important de refuser lorsqu'un parent vous demande de couper les ongles des mains ou des pieds de son b\u00e9b\u00e9. Couper les ongles implique d'utiliser un objet tranchant (un coupe-ongles) pr\u00e8s d'une peau tr\u00e8s douce et fragile, ce coup peut accidentellement entra\u00eener des coupures et\/ou des infections. Il est pr\u00e9f\u00e9rable d'\u00e9viter tout risque de responsabilit\u00e9 dans ce cas et de laisser le parent couper les ongles du nourrisson lui-m\u00eame.<\/p>\n

Installation d'un si\u00e8ge auto<\/h2>\n

\u00c0 moins d'\u00eatre certifi\u00e9 Technicien(ne) en s\u00e9curit\u00e9 des enfants passagers<\/a>, vous ne devriez pas \u00eatre celui ou celle qui installe le si\u00e8ge auto dans le v\u00e9hicule des parents ou dans votre propre v\u00e9hicule. Les si\u00e8ges auto doivent \u00eatre install\u00e9s d'une mani\u00e8re tr\u00e8s sp\u00e9cifique afin de garantir la s\u00e9curit\u00e9 du nourrisson pendant le trajet. Si vous n'\u00eates pas form\u00e9 \u00e0 l'installation correcte d'un si\u00e8ge auto, ou si vous n'\u00eates pas supervis\u00e9 par un technicien certifi\u00e9 en s\u00e9curit\u00e9 des si\u00e8ges auto (CPST) lors de cette op\u00e9ration, vous ne devez jamais installer un si\u00e8ge auto par vous-m\u00eame. Encore une fois, cela repr\u00e9sente un risque de responsabilit\u00e9 en cas d'accident survenant au nourrisson alors qu'il se trouve dans un si\u00e8ge auto mal install\u00e9.<\/p>","protected":false},"excerpt":{"rendered":"

  As a Newborn Care Specialist, you are hired to ensure the care and well-being of the newborn infant, and to make new parents\u2019 transition into parenthood as easy as possible. In this role, you always want to respect the parents\u2019 decisions regarding how they want to care for and raise their child, and to […]<\/p>\n","protected":false},"author":3,"featured_media":676,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,65],"tags":[50,51],"class_list":["post-675","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-for-nannies","category-newborn-care-specialist","tag-ncs","tag-newborn-care-specialist"],"yoast_head":"\nWhen to Say "no" to a Parent's Request – The Nanny Solution<\/title>\n<meta name=\"description\" content=\"Here are things not to do as a nanny. 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