You're Student is sick...Here's the plan!


Often an early morning decision that parents have to make is whether their child is well enough to go to school. Not only may the child feel too sick to learn very much on those days, but they are also infecting other students and staff. Below are some guidelines, which will help you decide whether to send them or keep them home.

Fever: If a student has a temperature of 100 degrees or more, parents need to keep their children home. If they have 100 degrees or more fever at school, parents will be called to come pick up their child. Students need to be fever & medication free for 24 hours before returning to school. Tylenol, Ibuprofen, and other similar medications will bring a fever down, but it does not mean that the child is still not sick.

Often temperature rises during the day. A slight fever in the morning will get much higher by noon. Often with a borderline temperature (99-100), kids might feel quite ill. Use your judgment about sending them when their fever is less than 100.

Vomiting and diarrhea: Keep them home! Vomiting and diarrhea are not considered “normal”. Often children will feel better after vomiting, but will quickly become ill again. Keep them home until they are Vomit/Diarrhea Free for 24hrs..

Antibiotic treatment: If your child is on antibiotics for a communicable disease, such as strep throat, pink eye, etc, keep them home until they have been on the antibiotics for 24 hours. The exception would be for pertussis (whooping cough), where they need to stay home for 5 full days of antibiotic treatment before returning to school. If they are going to continue on antibiotic treatment at school, be sure to follow the school’s medication policy. Please follow your doctor’s orders for antibiotics. Stopping them when the child feels better may cause the child to become sick again. Giving them for the entire time the doctor prescribes will help insure that the infection has been treated.

Chicken pox "Varicella": Students with chicken pox need to stay home until all of the pox marks have scabbed over-generally 7 days. Promptly inform the RN or office if your student(s) have contracted varicella.

Pink eye: Students could have either viral or bacterial pink eye. Bacterial pink eye needs to be treated with antibiotics-usually eye drops-for 24 hours before returning to school. No exclusion is necessary for viral pink eye, but only a doctor can diagnosis whether it is viral or bacterial.

Head lice: The CDC and National School Nurses Association do not advise policies that state the students must go home if they are found to have head lice. We do request that the student is promptly treated and that measures to help decrease the chance of spreading are taken. If a student is found to have head lice, or a family alerts the RN their student has head lice, letters will be sent out to the students entire classroom. This letter is very generalized and unless your student tells others, no one will know who the student is that has it. This letter helps other parents be reminded on how to prevent getting head lice and if they get it how to treat it. The same letter will be sent home with the student who has head lice along with some additional information and coupons to help defray costs, when available.
Head lice are very treatable. Everyone in the family and close contacts should be checked for head lice and treated if found. Many different treatment methods are available. Pamphlets on treatment are available in the school health offices or contact the district school nurse.
Head lice are a bother, but in the scheme of things, temporary. Anyone can get head lice and despite the stigma attached lice actually prefer "clean" hair. Encourage your children not to share combs, brushes, hats, headbands, or other hair clips as this is often the cause of spread among family & friends.


Scabies: Students will need to stay home home for 24 hours after the medication lotion treatment has ben started.

Keeping healthy: Lets face it, we live in a germy world, but our bodies are ready to help us fight if you give it what it needs. Here are some tips on ways to keep your immune system ready to defend you:  HAND WASHING!! Hand washing is vital in keeping healthy and preventing the spread of germs. Adequate amounts of sleep; the Mayo Clinic recommends 9-11 hours of sleep for school age students! Are your students' getting the sleep they need? Balanced meals/nutrition, fresh fruits and vegetables help our body defend by giving them the vitamins, minerals and nutrients its needs. Keeping sick children home when they are ill, will prevent others from becoming ill. Physcial activity; the CDC recommends students aged 6-17 1 hour of physical activity.

If you are unsure whether or not to send your child, you can contact your school’s district RN.



 

Contact: Jessica Kampfer RN, BS, PHN