Anonymous wrote:I guess I am "effing" insane, because that is a special need in my book if I have to do something unique for a child that is not a typical childcare duty that other childcare jobs require.
And even more so that if I neglect to do this duty, the child will have medical consequences.
Anyone who disagrees with this statement is just in denial.
However I am not an M.D. so take this with a grain of salt everyone....
I disagree and I really don't think I'm in denial. Lots of infants drool all day or spit up after feeding. We owned about 40 bibs and every picture of my daughter up to the age of about 8 months has her in one! If we had to change clothes every time she got wet we'd have gone bankrupt buying onesies and doing laundry, but whatever the preferred approach to dealing with it, the fact is the baby needs to stay dry. A lot of parents I have spoken with have said they had the same issue. As it is quite common, it seems part of normal childcare to me to change bibs (or clothes) for a child who drools or spits up a lot - like changing diapers ... except actually easier! Also, if you neglect to change diapers, a child may also get diaper rash, which is a medical consequence that can be much more severe than a rash from drooling, so is it just because not every child drools that this is a 'special need'? I don't think so when it's something that is so easy to deal with, i.e. it doesn't require any special training or skills to simply change a bib regularly.
Regardless, I think this nanny is negligent. You have asked her to do something quite simple and she has not complied, and your child is suffering as a result (the rash can't be comfortable). Also as your employee she should follow your requests about how to care for your child. The fact that the rash lessens on the weekend and gets worse during the week indicates that she is wrong in her approach anyway. If I had given several warnings then yes, I would most likely fire her.