Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Mono

*I been asking too much on protocols and such, sorry!*

Got a phone call from mother at the end of the day, was about to log off my computer. Mother states that she's in the doctor's office and LD is diagnosed with Mononucleosis. Wasn't sure if it's reported or not (in Texas), but I called the person in charge of me, and we are going from there today. I got the paperwork today and it says she's not allowed back until she's 24 hour free of fever, and she still hasn't, the poor thing.

What is your guys protocol for this and what do you do after?

Featured Replies

Mono is not reportable in my state.

Our school lets the student return if they are fever free and able to participate in school activities. The fatigue from mono can be long lasting and I've had some kids just wiped after a half day of school from it, so return to school can sometimes include half days at first. Some kids bounce back more quickly.

Likely spread would be through sharing water bottles, utensils, and the like. I preach to kids all year to not share water bottles - be selfish with them or be okay with swapping spit ;).

  • Author
Mono is not reportable in my state.

Our school lets the student return if they are fever free and able to participate in school activities. The fatigue from mono can be long lasting and I've had some kids just wiped after a half day of school from it, so return to school can sometimes include half days at first. Some kids bounce back more quickly.

Likely spread would be through sharing water bottles, utensils, and the like. I preach to kids all year to not share water bottles - be selfish with them or be okay with swapping spit ;).

It's not reportable in Texas either, but since that issue with the MMR, I been extra careful. (See Amethya does learn!)

I'm not sure what else to do afterwards, because all our head nurse told me is to send a letter home to students and that's it.

We would not be reporting because we did not diagnose (but it's not reportable).

The low grade fever may keep the kid out enough to rest, which is the best thing. Once the fever's gone, return to school is possible. If there is more than one reported case in a particular area (like the band room) you can suggest a deep clean. We had four kids with mono one year; all were athletes. Water bottles? Maybe. Coincidence? Possibly, but I suggested the trainers deep clean everything and they did. If it's one case it's just as likely community acquired and you can't do much.

Mono is not reportable in Illinois. Our policy is doctor's note to return to school (stating diagnosis), no exclusion, and fact sheet emailed to parents of the kids in that grade level.

I think your boundaries for the student are on point.

Even though not reportable, be aware that mono is contagious (although not as super contagious as parents think!) and I would look out for more cases.

  • Author
I think your boundaries for the student are on point.

Even though not reportable, be aware that mono is contagious (although not as super contagious as parents think!) and I would look out for more cases.

Yeah that's what I'm making sure. Symptoms usually don't appear until 4-7 weeks later, so I'll keep an eye out for any suspicious symptoms, especially from Kinder and 1st.

I had a fever for 2 weeks with Mono, kissing tonsils for a month, and didn't get over the fatigue for two months.... I came back to school after a month when my tonsils cleared up, only to spike another fever and run another fever for another week and have my tonsils swell back up for two more weeks.

I don't know if I just got a extra special experience since I was 14, or if that is typical... but I know for sure you can't rush returning to a regular routine.

We would not be reporting because we did not diagnose (but it's not reportable).

The low grade fever may keep the kid out enough to rest, which is the best thing. Once the fever's gone, return to school is possible. If there is more than one reported case in a particular area (like the band room) you can suggest a deep clean. We had four kids with mono one year; all were athletes. Water bottles? Maybe. Coincidence? Possibly, but I suggested the trainers deep clean everything and they did. If it's one case it's just as likely community acquired and you can't do much.

My whole soccer team got it except about 3 girls... we threw away our water bottles

  • Author

I had another little girl with similar symptoms and a rising fever yesterday. I sent her home and I'm waiting to hear from mom on what is going on.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.