Laura Zollinger BSN, RN, NCSN
Should I keep my child home or send him or her to school?
Do not send your child to school if any of the following symptoms or conditions were present in the last 24 hours. You may be asked to take your child home if your child:
· Has a fever of 100 degrees or higher- Your child may return to school when the temperature has been normal (98.6) for 24 hours without the help of medication.
· Has been vomiting- If your child has two or more episodes during the previous 24 hours, unless vomiting is determined to be caused by a non-communicable condition and the student is able to remain hydrated and participate in school activities
· Has diarrhea- Two or more stools above normal for student, medical evaluation required for stools with blood or mucus, readmission after diarrhea can occur after the following conditions are met:
1. Diapered children must have their stool contained by the diaper, even if the stool remains loose.
2. Toilet trained children do not have toileting accidents.
3. Healthcare provider has cleared child for readmission for all cases of bloody diarrhea and diarrhea caused by Shigella, Salmonella Yersinia, Clostridium Difficile, Cryptosporidium, Campylobacter, E. Coli, Rotavirus/Norovirus, and Giardia Intestinalis
· Rash with fever- May return to school after medical evaluation has determined not to be communicable. Rash without fever must not fit the description of communicable diseases on the Ohio Department of Health Communicable Disease Chart that require exclusion. The ODH chart will also be referenced for return to school criteria.
· Strep Throat- May return to school after taking prescribed antibiotics for 24 hours.
· Scabies or other parasite infections- May return to school following the guidelines of the Ohio Department of Health and/or after treatment and clearance by healthcare provider.
· No live lice- After treatment and upon returning to school, the child will be examined by school health staff.
· Possible Pink eye- Purulent drainage from the eye(s) does not improve when any discharge that is present is wiped from eye(s). If the child complains of eye pain with redness, has eyelid redness and/or fever, the child should see a healthcare provider. If an antibiotic is prescribed, the child must be on the medication for 24 hours before returning to school.
· Untreated infected skin patches with weeping fluid
· Mouth sores- with drooling that the child cannot control.
· Abdominal pain- that continues for more than 2 hours or intermittent pain associated with fever or other signs or symptoms.
· Has symptoms- that prevent him or her from participating in school, such as:
-excessive tiredness, pale, difficult to wake, confused or irritable, lack of appetite
-productive coughing, sneezing
-headache, body aches, earache
If you are unsure about whether or not to send your child to school, please contact the school health clinic staff with any questions you may have.
American Academy of Pediatrics (2013)
NASN School Nurse (2015)