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Health Services

Is my child too sick for school?

  1. If your child has vomited any time in the last 24 hours, they cannot come to school. Even if they feel fine the next morning, they cannot come to school. They are still contagious and can spread a virus to the other children.
  2. If your child has diarrhea, they cannot come to school. This is another sign of a virus and is difficult to manage in the school setting. They must be diarrhea free for 24 hours before they can return to school.
  3. If your child has a fever (100.4 or greater), they cannot come to school. This is a reliable sign of an infection or illness. They must go 24 hours without Motrin or Tylenol and no fever before they can come back to school.
  4. If your child has been up all night coughing and not feeling well, they should not come to school, they will be too tired to make it through the day.
  5. If your child has a cold where the drainage is thick, green with sneezing, coughing or fever-they cannot come to school.

If the drainage is clear, with no fever, they can come to school.

We hope this helps you to make an often difficult decision. If you have any questions, please do not hesitate to call Karen Fedora - School Nurse - at 413-267-4160

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Monson Public Schools Head Lice Protocol

Monson Public Schools Head Lice Protocol

Revised May 2015

“It is the position of the National Association of School Nurses that the management of pediculosis (infestation by head lice) should not disrupt the educational process. No disease is associated with head lice, and in-school transmission is considered to be rare. When transmission occurs, it is generally found among younger-age children with increased head-to-head contact (Frankowski & Bocchini, 2010). Children found with live head lice should remain in class, but be discouraged from close direct head contact with others. The school nurse should contact the parents to discuss treating the child at the conclusion of the school day (Frankowski & Bocchini, 2010). Students with nits only should not be excluded from school (American School Health Association, 2005, Frankowski & Bocchini, 2010, Pollack, Kiszewski & Spielman, 2000), although further monitoring for signs of re-infestation is appropriate. It may be appropriate to screen other children who have had close head-to-head contact with a student with an active infestation, such as household family members, but classroom-wide or school-wide screening is not merited (Andresen & McCarthy, 2009). In cases that involve head lice, as in all school health issues, it is vital that the school nurse prevent stigmatizing and maintain the student’s privacy as well as the family’s right to confidentiality (Gordon, 2007).

The school nurse, as a student advocate and nursing expert, should be included in school district-community planning, implementation, and evaluation of vector control programs for the school setting. School nurses are also in a pivotal position to dispel myths and stigmas regarding pediculosis by providing education on the life cycle of the louse, methods of transmission, treatment options and care of the environment to the student’s family, school and community at large.”

-NASN Position Statement on Pediculosis in the School Community, revised July 2004

1. Any student suspected of having head lice should be sent to the Health Office for inspection by the School nurse. Students diagnosed with live head lice do not need to be sent home early from school.

2. Siblings within the district will be checked by the School Nurse.

3. Students with an active case of head lice will be instructed to avoid head-to-head (hair-to-hair) contact during play and other activities

4. Parents/guardians will be contacted. Information on the treatment options will be shared with the parent/guardian. A copy of the MA DPH Head Lice Fact Sheet will be sent home with the student.

5. Once the student has received treatment, they will be inspected by the School Nurse for any signs of live lice.

6. If live lice are found, the parent/guardian will be instructed to contact their Primary Care Physician. The parent/guardian will share the new treatment plan with the School Nurse.

7. Periodic rechecks will be performed at the discretion of the School Nurse.

8. The school nurse can offer extra help to families of children who are repeatedly or chronically infested. It may be helpful to make home visits to ensure that treatment is being conducted effectively.

9. Issues related to noncompliance or neglect can be reported to Massachusetts Department of Children’s and Families (DCF)

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Classroom Celebrations

Holidays and Birthday Celebrations will not include food items of any kind. No “goody bags” that include food/candy will be allowed. Teachers will be provided with a list of nonfood celebration ideas.

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