If your child receives a puncture wound, the first thing you should do is wash your hands, and take a good look at the injured area. You will want to wash the injured area with water and a mild soap. Making sure you do not dig into the wound, you will want to check to make sure there is no debris left inside the wound. If you do see that there is an object or a piece of an object lodged in the wound, you probably should take them to the hospital unless you feel that the object is small enough for you to remove with tweezers or your fingernails. Naturally, if the wound is bleeding and cannot be controlled with applying pressure to the area, your toddler should go to the hospital.
If the wound looks clear of debris, apply an antibacterial cream or an ointment. Then dress the wound with a sterile bandage. If the wound was caused by an object that is rusty or dirty, you should call their doctor to have them look at it. It is possible in this case that your toddler may need antibiotics to prevent an infection.
The doctor will most likely check to see if your child has had or is in need of a tetanus shot. These shots are commonly given with the regular child vaccinations, and help to protect your child from receiving tetanus, which is a potentially fatal infection that is caused from bacteria entering the body through a wound.