I was a secretary at a K-8 school for 15 years, and I have seen all sorts of "abuse" of sending the child to see the nurse. Which oftentimes she was so overworked, no seats left in the nurses office that the duties fell to me. Our school district implemented a charting system, each child had a chart created, which was a piece of cardstock, labeled with demographics and then filed alphabetically in the nurses office, this record followed the child, if they changed school within the district, went to jr. high and high school, hence a complete record of their nurse office visits. We charted when they came in, the problem, our action, followup and time they left. When there was a problem with a certain child's constant office visits, we could inform the teacher with a verificable record of how many times they were sending a child to the office for frivolous things. Oftentimes when we informed and showed the parent, the parents were flabbergasted at how many times their child kept going to the nurses office, often times it was attention seeking, not all, but oftentimes. Of course there were true emergencies, med dispensing, etc. and these were obviously warranted. What I found a lot of the times though is that a child had a stomach ache during math class or right before PE. Also, what we found is that if a child came in for headache, stomachache which are very subjective symptoms, I would keep the child to "rest in the office" through their recess time. Once the word got out, if you went to the office you might miss recess, that cut the visits enormously for those reasons. If a child was truly ill, they didn't mind resting in the office through their recess anyway! Good luck!