The nurses in our district have gotten together with our local Pediatrician and have gathered information from the American Academy of Pediatrics to come up with a few guidelines to help keep kids in school this year.
A few big changes are lice, pink eye, fever, vomiting and diarrhea:
Lice: If a student has lice, the nurse will call and let that parent know about situation. The student DOES NOT need to be sent home. “ Most cases of head lice are acquired outside of school. The AAP continues to recommend that a healthy child should not be restricted from attending school because of head lice or nits (eggs). Pediatricians are encouraged to educate schools and communities that no-nit policies are unjust and should be abandoned. Children can finish the school day, be treated and return to school.” American Academy of Pediatrics
Pink eye or conjunctivitis: We no longer will be sending student’s home with pink eye. Parents will be notified of student having pink eye and again you may choose to pick your child up from school, but does not require being sent home. “ it is helpful to think of pinkeye like the common cold. Both conditions may be passed on to other children but resolve without treatment. We do not exclude for the common cold. Pinkeye generally results in less symptoms of illness than the common cold.The best method for preventing spread is good hand hygiene.” American Academy of Pediatrics
Student will be excluded from school if the following occur with pink eye:
“ The child is unable to participate and staff members determine that they cannot care for the child without compromising their ability to care for the health and safety of the other children in the group.”
“The child meets other exclusion criteria, such as fever with behavior change.”
“ There is a recommendation of the health department or the child’s health professional.” American Academy of Pediatrics.
Please practice good hand washing at home.
Fever: Student is able to stay at school with a fever up to 101. We use to send home student’s with temp of 100.0 even if they had no other symptoms or feeling ill. If student is lethargic, pale, vomiting with fever or diarrhea with fever student will be sent home. If they are sent home, they need to remain home until they are fever free for 24 hrs without Tylenol or Ibuprofen masking a fever.
Vomiting: If student vomits once they may remain in class and not sent home. If they vomit more than once with fever or behavioral changes they will be sent home at that time. This is to be assessed on a case to case basis.
Diarrhea: If student has diarrhea once at school they may stay. If they have to use the bathroom every few minutes or a couple times during a class period they will be sent home. Also, if diarrhea is accompanied by fever and behavioral changes, student will be sent home. This also, like vomiting, will be assessed on a case to case basis.
Exclusion Criteria From School:
- Student unable to participate in regular activity for a full day.
- Student is requiring care that staff is unable to provide.
- Severely ill appearance:
* lethargy or lack of responsiveness
* persistent crying
* difficulty breathing
* quick spreading rash
- Abdominal pain
* lasts over 2 hours
* intermittent associated with fever or other signs and symptoms
- Mouth sores with uncontrolled drooling
- Rash with fever or behavioral changes
- Skin sores that are weeping and cannot be covered
- Vomiting more than once with fever or behavioral changes. To be assessed on a case by case basis.
- Diarrhea more than once with fever or behavioral changes. To be assessed on a case by case basis.
- Fever greater than 101 F
(American Academy of Pediatrics)
Emergencies, illnesses, or any accident occurring on the way to, from, or at school should be reported to the office as soon as possible. If an accident does occur, the school nurse will be called. If further treatment is needed, the parent/guardian will be notified. In the event of a serious accident and the parent or guardian cannot be reached, the principal or designee will follow the most appropriate course of action. It is for this reason that it is mandatory for a child's emergency information to be updated as personal circumstances change during the course of the year.
If a student becomes too ill to remain in class, parents or the emergency contact person will be called and asked to come to school and pick up the ill child. We have some temporary facilities to help comfort the sick child while he/she is waiting. However, transportation cannot be provided for children.
Seasonal Influenza information - Information from the CDC about the latest flu patterns with tips for treatment, prevention and where to go with questions.
Please don’t hesitate to call your school nurse with any questions and concerns you have about your child’s health. I am here to help you and to help keep your student happy and healthy this school year!!!
Courtney Kuball, R.N. School Nurse
Wyoming K-12 Immunization Requirements
Minimum Immunization Requirements:
Parents/guardians must provide proof of immunization or provide documentation of medical or religious exemption from mandatory immunizations.
Diphtheria/tetanus/acellular pertussis (DtaP) or Diphtheria/tetanus/pertussis (DTP) or Diphtheria/tetanus (DT):
5 doses | n/a
Haemophilus influenza type b (Hib):
1-4 doses | n/a
Hepatitis B (hep b):
3 doses | 2-3 doses
Tentanus/diphtheria/acellular Pertussis (Tdap):
n/a | 1 doses
2 doses (or documented history of disease)