When to keep your child home from school

Dear Parents/ Guardian:

PLEASE DO NOT SEND AN ILL CHILD TO SCHOOL. There could be some serious health problems for your child and other students. If your child is ill or his/her fever is greater than 101°F, you should contact your health care provider for advice. You can send your child back to school after he/she as not had a fever for 24 hours. If you need help in finding a health care provider, you may call your local health department or State Oregon Health Plan (1-800-359-9517).

Some students may have medical conditions which can become life threatening when exposed to measles, chicken pox/shingles, fifth's disease, Rubella and hepatitis. If your child is diagnosed during the school year with any of these diseases, please call immediately to our office.

Sincerely,

Jean Butler, RN, MS, CPNP

WHEN SHOULD I KEEP MY CHILD HOME?

Student's symptoms/diagnosed illness:

Student may return to school when:

1. Fever Greater than 100° (orally)

1. Temperature below 100° (orally) for a minimum of 24 hours without use of Tylenolâ or other fever-reducing medication

2. Rash or rash with fever—new or sudden onset

2. Rash disappears. Written or phone consent* from doctor to district nurse.

3. Brown, gray, tan or yellow drainage from nose, eyes, or any other part of the body

3. Discharge must be gone or student must have been on antibiotics for 48 hours and have written or phone consent* from doctor to district nurse

4. Vomiting

4. Symptom-free for 24 hours

5. Diarrhea: 3 loose or watery stools per day, continuing for 3 days or more.

5. Symptom-free for 24 hours

6. Cough: Deep, barking, congested, or productive of colored mucous

6. Symptom-free or student must have been on antibiotics for 48 hours and have written or phone consent* from doctor to district nurse

7. White, clay colored, or bloody stool

7. Symptom-free or written/phone consent from doctor to district nurse

8. Yellow color of skin and/or eyes

8. Symptom-free or written/phone consent from doctor to district nurse

9. Brown or bloody urine

9. Symptom-free or written/phone consent from doctor to district nurse

10. Stiff neck

10. Symptom-free or written/phone consent from doctor to district nurse

11. Unusually sleepy, lethargic or grumpy

11. Symptom-free

12. Strep throat diagnosed by doctor

12. Must have been on antibiotics for 24 hours or have written/phone consent from doctor to district nurse. If no antibiotic given, call district nurse before sending child to school.

13. After an illness of two or more weeks, surgery, or other change in health status

14. Written instructions from the doctor and parent regarding medication or special health needs must be provided to the district nurse.

*The RN may consult with your physician about his recommendation to return your child to class

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