Being new to school nursing, I would like to know what is the current practice for managing students with head injury at school, in particular the students that get their head hit while playing on the slide, swing etc. Neuro checks are all within normal limits. I personally will request for parents to pick the student up if he/she exhibits any s/s of head injury e.g. altered neuro status, altered vision and abnormal gait or even has a visible bruise or bump. I recently took over an elementary school and the school staff has adopted the practice of sending home all kids with head injuries. I think staying at school is important if one is fine, but the other hand, the liability aspect of head injuries is making me having second thoughts. Any insights would be appreciated and helpful! Thanks.