Jump to content

Need help with wording.

Posted

Specializes in School Nurse. Having conversations with littles.. Has 35 years experience.

OK friends. My admin. and secretary has asked me to put a message together to parents, to be posted to our Facebook page. Probably will send a note home as well.

This is the situation- We are trying to get a terrible cycle of illness stopped at one of my schools that has been hit very hard with many different sick bugs. We have had numerous kids come to school. Looking sick, but not enough temp./ acting sick enough to send home. When we ask them if they have had medicine before school...already this morning. Many of them have said yes. And, after asking a few more questions. Pretty sure its Tylenol/Ibuprofen.

Soooo... I have been asked to put a message together asking parents NOT to give Tylenol/Ibuprofen to their kids and send them to school sick. Anyone got a good suggestion of how to word it?

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

Dear parents,

We have seen a sharp increase in the incidence of illness over the past several weeks. Unfortunately, we have had several students come to the health office with symptoms of illness stating that they have been given a fever-reducing medication prior to coming to school. While we of course want students to miss the least amount of school as possible, we understand that students best recover from illness at home. In addition, coming to school while ill with a fever spreads the illness to other students. Our current outbreak cannot be contained unless we have the cooperation of all parents and students. I would like to reiterate that all students must remain home until they have been FEVER FREE FOR 24 HOURS WITHOUT THE USE OF FEVER-REDUCING MEDICATIONS (Motrin, Advil, Tylenol, acetamiophen, ibuprofen, Tylenol cold, Pedia Care). in addition, if your child has vomited within the last 24 hours, or has diarrhea, they must stay home. We thank you for your help in keeping as many illnesses as possible out of our school.

Flare, ASN, BSN

Specializes in school nursing, ortho, trauma.

Students must be fever free without the use of any medications or fever reducers for 24 hours before returning to school - ha posted the capsule version as MHD- who was just a whole lot more eloquent about it!!

Edited by Flare
:)

Cattz, ADN

Specializes in School Nurse. Having conversations with littles.. Has 35 years experience.

MHD. I love it. Thanks for your help. Happy Thursday!

Cattz, ADN

Specializes in School Nurse. Having conversations with littles.. Has 35 years experience.

Students must be fever free without the use of any medications or fever reducers for 24 hours before returning to school

I love this too Flare. I am thinking about a tattoo with that on it. :)

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

The frustrating thing is, how many times have we all said over and over in newsletters, in person, etc. the rules for returning to school and they STILL don't cooperate. I just had a K kid this morning complaining of a sore throat and stomach ache. Her throat is ugly! I have several kids out with +Strep right now. As I am entering her info into the computer and getting ready to call mom, she casually mentions "I threw up twice this morning before I left for school and mommy said I still had to come". Believe me, it was very satisfying to call Mom and make her come pick the kid up.

Cattz, ADN

Specializes in School Nurse. Having conversations with littles.. Has 35 years experience.

The frustrating thing is, how many times have we all said over and over in newsletters, in person, etc. the rules for returning to school and they STILL don't cooperate. I just had a K kid this morning complaining of a sore throat and stomach ache. Her throat is ugly! I have several kids out with +Strep right now. As I am entering her info into the computer and getting ready to call mom, she casually mentions "I threw up twice this morning before I left for school and mommy said I still had to come". Believe me, it was very satisfying to call Mom and make her come pick the kid up.

:no: :nurse: :banghead:

JenTheSchoolRN, BSN, RN

Specializes in School nursing.

The frustrating thing is, how many times have we all said over and over in newsletters, in person, etc. the rules for returning to school and they STILL don't cooperate. I just had a K kid this morning complaining of a sore throat and stomach ache. Her throat is ugly! I have several kids out with +Strep right now. As I am entering her info into the computer and getting ready to call mom, she casually mentions "I threw up twice this morning before I left for school and mommy said I still had to come". Believe me, it was very satisfying to call Mom and make her come pick the kid up.

:banghead::banghead::banghead::banghead::banghead::banghead::banghead::banghead::banghead::banghead::banghead:

I also love the kids that don't take a fever reducer, temp was 100 at home, now 101+ at school. Reports parent was aware and even took their temp and was like "just go see the nurse if you still don't feel well."

OldDude

Specializes in Pediatrics Retired.

I'm not saying to do nothing but we all know a reminder isn't going to have any affect on the target recipients of the message. The single biggest thing a school district could do to decrease illness and increase attendance is to eliminate perfect attendance awards. But that "ain't" happening. I launched an effort to do that one time...we still have perfect attendance awards.

The other really effective thing you could do is check every kid in the affected grade level's temperature at 1:30 pm and exclude those with fever from school the next day. Repeat that for 3 days and you might be able to knock it out.

shark_nurse14, BSN, RN

Specializes in school nursing. Has 6 years experience.

I like to remind parents that there have been instances of schools closing for a few days due to increased incidence of illness....as in, keeping your kid home for one day is WAYYYY better than trying to find a babysitter for several days in a row because your kid helped spread disease. But, that's for the parent's I know have a hard time understanding the aspect of "for the greater good"

MrNurse(x2), ADN

Specializes in IMC, school nursing. Has 28 years experience.

Thankfully we don't acknowledge perfect attendance. Best thing ever!

ohiobobcat

Specializes in ED, School Nurse.

I had a high school student come in after vomiting twice at home and once at school. Wanna know why she came in? So she could take her CPR certification class at CNA school. Yep. I'm not even kidding. "We all got sick from the nursing home where we do clinicals. One girl even left in the middle of CPR so she could go throw up and then she came back." Awesome. :banghead: :banghead: :banghead:

Worse than the perfect attendance award is giving the school their county/state/federal money based on how their attendance looks for the day/week/month/six weeks/semester.

The child is sick. Fever, vomiting, the whole 9 yards. No, my office is not a holding area until the attendance bell rings 3 hours into the school day. We have health policies for a reason, too. :nurse:

tonih79, LPN

Has 18 years experience.

Seattle Public Schools

Is My Child Too Sick To Go To School?

A Guide for Parents

APPEARANCE/ BEHAVIOR– unusually tired,

pale, no appetite, hard to wake, or confused.

EYES– If there is drainage, vision change, and/or

redness of the eyelid, itching, pain or sensitivity to

light. This may be a sign of pink eye”

(conjunctivitis) and the student should be checked by

a health care provider.

FEVER– temperature of 100 degrees

Fahrenheit (38 degrees C) or higher.

Students need to be fever free for 24 hours

before returning to school WITHOUT

medications to reduce the fever.

BAD COLD AND/OR COUGH – Students need

to be able to cover their cough to be at school. If a

cough or cold persists for more than 2 weeks, the

student may need to be seen by a health care

provider.

DIARRHEA– 2 or more watery stools in 24

hours, especially if the student acts or looks ill.

Students should stay home for 24 hours after the

last watery stool.

VOMITING– vomiting 2 or more times in 24

hours. Student should stay home for 24 hours after

the last time they vomited.

RASH– Bothersome body rash, especially with

fever or itching. Some rashes may spread to others

and should be checked by a health care provider.

INJURY/SURGERY – if students are

unable to concentrate due to pain or pain

medication, they should stay home. Please

have your health care provider contact the

school nurse to help your child safely return

to school. Letting the school nurse know in

advance of any planned surgery will be

helpful.

STILL HAVE QUESTIONS about whether

or not your student is healthy enough to come

to school? Contact the school nurse or your

child's health care provider.

Keeping ill students at home, encouraging

frequent hand washing, and covering coughs

protects everyone, including those with

fragile immune systems.

Students are expected to participate in all

parts of the school day including recess or

PE. If your doctor has restricted activity please

send a doctor's note, for example: No contact

sports x 1 week.”

Thank you for your support to keep students safe & healthy.

http://gatewoodes.seattleschools.org/UserFiles/Servers/Server_8619/File/Too%20Sick%20for%20School.pdf

tonih79, LPN

Has 18 years experience.

lol i know i never use them its a great reference my school is 85% non english speaking at home so my letters are short and sweet just the way my translator likes it

tonih79, LPN

Has 18 years experience.

[h=3]REMINDER** KEEP YOUR CHILD HOME FROM SCHOOL IF:[/h][h=3][/h][h=3]1. The oral temperature exceeds 100 F or 1 to 2 degrees above his/her normal temperature. A child with such fever should remain home for 24 hours after the temperature returns to normal.[/h][h=3]2. Your child vomits and continues to experience nausea and/or vomiting and/or diarrhea.[/h][h=3]3. Your child shows signs of upper respiratory infection (cold symptoms) serious enough to interfere with his/her ability to learn.[/h][h=3]4. Your child has a rash or open sores that have not been evaluated by a physician.[/h][h=3]5. Your child complains of severe persistent pain. You should contact a physician for evaluation.[/h][h=3]6. There are signs of conjunctivitis ("pink eye") with symptoms such as secretions from one or both eyes, itching, and crusts on eyelids.[/h][h=3]7. Check with Pleasant Hill Health Office regarding district policies on head lice.[/h][h=3][/h][h=3]***If you're not sure whether to send your child to school, you may call the school nurse for consultation. Still in doubt? Call or visit your family physician.[/h]