Safety

  • Hands are washed with soap and water after using a tissue or covering with the hands, following CDC guidance.
  • The trash can has a lid and opens without the hands where licensing requires it, and it does not pinch fingers when the lid closes.

Presentation

  1. 1

    Cover your own coughs and sneezes in front of the children every time, and say what you did: 'I sneezed into my elbow.'

  2. 2

    For the lesson, sit with one or two children in front of the low mirror.

  3. 3

    Say 'Ah… ah…' slowly and turn your head away from the children. Lift your elbow and cover your nose and mouth with the inside of it.

  4. 4

    Say 'Choo!' into your elbow. Lower your arm. Turning away and covering is the point of interest.

  5. 5

    Invite the child to do a pretend sneeze into their elbow while looking in the mirror.

  6. 6

    On another day, show the tissue: take one, cover your nose and mouth, pretend to cough, put the tissue in the trash can, and wash hands at the sink.

  7. 7

    When a child coughs or sneezes during the day, say: 'Elbow,' and lift your own elbow. Help them wash hands if they used their hands or a tissue.

Extensions, easiest to hardest

  1. Take a tissue from the box and wipe the nose after a sneeze
  2. Remind a doll to sneeze into its elbow in play
  3. Cover a cough into the elbow at the snack table without a reminder

Control of error

Droplets on the hand, the mirror, or the table show the cough was not covered; a tissue left on the table shows it was not thrown away.

Ready to move on when the child…

  • Turns the head away and covers a cough or sneeze with the elbow or a tissue some of the time without a reminder
  • Puts a used tissue in the trash can
  • Goes to wash hands after using a tissue, with a reminder

Try “pink tower”, “tummy”, “diaper”, “grace and courtesy”, or “October”.