When do you send them home for pink eye? I'm fighting it out with a Dad this morning about coming to get his daughter (who graduates in four weeks, but whatever).
Sudden onset of redness, tearing, itching/burning, and some mild purluent drainage this am (was fine when she woke up). Other eye is perfect. She does an internship in the main office, so she deals with the phone a lot, and could have easily picked up a virus or bacteria that way.
I had a student with the other thing the other day and was sent back with a dx of allergies (which it probably was since it was improving the next day). I would think that if it were allergies, it would affect both eyes?
I feel like a doofus since pink eye seems like such a simple thing. I'm playing it safe with all of these and sending them to the doctor. I don't feel like it's my call to say "well, that's allergies" or not in this case, b/c it just isn't clear to me! (I have had some that were super clear- runny nose, itchy/watery eyes bilaterally, strong history of seasonal allergies).
What would you do? What do you think?
Yes, it can affect only one eye at first and that is why I tell them to medicate both eyes if it is truly pinkeye bc it usu. goes to the other one. I usu. wash the eye and have them come back to see if it clears up if they think it is allergies. I have a pre-printed Pink Eye letter that I give the parent/student that says in a nutshell that " I don't diagnosis but if the student has 3 symptoms out of 5, due to the severe contagiiousness of pinkeye we have to send the child home. Someteimes, it could be allergies but when there is pus-like substance in the eyelids along with other signs we have no choic but send them home. We have been wrong about pinkeye but sometimes it is a hard thing to call between allergies and pink eye. All we can do is tell you what we see. We are obligated to send the child home if we think he/she has the above symptoms and could possibly be contagious. It is up to your doctor to diagnose. If he/she feels the student is contagious, then we need a written note from the doctor to let your child return. (the 5 symptoms listed on the letter is red eyes, tearing, itching, burning and pus-like substance in the corners of the eyes, sometimes making them stick shut in the morning). Thank you, School Nurse_____________ Date___________ ISD Health Services
Last edit by glolilly on May 13, '09
: Reason: added info.