The School Nurse shall use the following in addition to a thorough nursing assessment to determine when a student should be excluded from school:

Temperature of 100.4 degrees or more- Student must be fever free for at least 24 hours before return
Diarrhea-Student must be free of diarrhea for at least 24 hours or medical exam indicates may return
Vomiting-Student must be free of vomiting for at least 24 hours before return. If a student vomits two or more times in the previous 24 hours unless determined to be caused by a non-communicable condition (e.g. cough, running exertion etc.) they will be excluded
Mouth sores with drooling-until a medical exam indicates may return
Rash only with fever or behavior change-until a medical exam indicates may return
Eye drainage-when purulent (pus) drainage and/or fever or eye pain is present with red or pink conjunctiva, until a medical exam indicates a child may return
Unusual color of skin, eyes-until a medical exam indicates may return
Unable to participate in routine activities or needs more care than can be provided by school staff- i.e. Uncontrolled coughing, unexplained irritability, unusually tired, difficulty breathing, wheezing, persistent crying.

Students will NOT be excluded (may stay at school) with:

Common cold
Fever without signs and symptoms of illness
Watery eyes without fever, eye pain, or eyelid redness
Yellow and white eye drainage, not associated with red or pink conjunctiva
Rash without fever or behavioral changes
Lice or nits (may delay treatment until end of school day)
Ringworm (may delay treatment until end of school day)

Immunizations
You will hear from me if your child will need any immunizations before they can start school according to Missouri State Laws. Occasionally your child may need an immunization during the school year, I will contact you ahead of time in this case so we can ensure your child does not miss any school.

Health Concerns
If your child has a specific health concern, please be sure to let me know. I will be glad to work with you to make a plan to keep them healthy and ensure their success at school.

Medication Administration
Specifically, if your child takes daily medication and will need to take that medication at school, please have medication to school ASAP. A parent/or guardian needs to bring the medication, not the student. A permission form will need to be filled out at that time. The medication needs to be in the original box, with a prescription label that has your child’s name on it. No over-the-counter medication will be administered without a note from your child’s doctor.

Asthma
If your child has a current asthma diagnosis,I would like your child to have an inhaler in the school clinic.Inhalers, like any other medication must be in the original box and a permission form must be filled out. Additionally, it is helpful to have a copy of your child’s Asthma Treatment Plan from their physician so I can have a better idea of when your child may need their inhaler while at school

Indian Creek Elementary