Specializes in Cardiology, School Nursing, General.
In our handbook it states that we only send kids home for vomiting if it's illness related. So basically if the kid is throwing up all the time and is obviously sick, they are going home.
What I usually do is I keep them in my room for a while, watching them and see how they act. Sometimes kids who are truly sick are not wanting to talk and are visibly sick, but the ones who after throwing up feel better, they are just happily talking it up with me and such.
I do call parents for every incident and I do let them choose to pick them up or not, if they aren't vomiting anymore.
What I usually do is I keep them in my room for a while, watching them and see how they act. Sometimes kids who are truly sick are not wanting to talk and are visibly sick, but the ones who after throwing up feel better, they are just happily talking it up with me and such.
I do call parents for every incident and I do let them choose to pick them up or not, if they aren't vomiting anymore.
This is what I do too. Too many parents complain about too many things. I let them make the decision although I do make it clear if I think they should be ok to stay or not.
Not all vomiting is created equal!!!! Although. we do have a vomiting exclusion policy - we have this as a way to exclude kids that are truly contagious. If a child has reflux, car/bus sickness, anxiety, etc. I do not exclude those kids. I feel that is why schools that have full time nurses are so lucky. We have the ability to use our nursing assessment and judgement to try to keep kids in their sets learning. Teachers, administrators see vomit as a black and white issue when truthfully, there are so many shades of grey.
I rarely see a true puker, it is either unwitnessed in the bathroom or phlegm. When I do see a true vomiter - they have a certain look, a certain smell and some remains on their shirt.
I rarely see a true puker, it is either unwitnessed in the bathroom or phlegm. When I do see a true vomiter - they have a certain look, a certain smell and some remains on their shirt.
I am in a K-6 elementary. Our policy is if a child vomits they go home and remain out for 24 hours from the last time they vomited. I also, get to use my discretion too though. This actually was an issue just yesterday for me. I have been having quite a few of 5th grade boys that are "vomiting" in the bathroom. I have since investigated and found they were making themselves vomit to go home...Didn't work too well for them though, since I do not send anyone home if the vomit was not witnessed anyways.
In the OP question, I would have probably sent home the first time, then questioned the second time. If it is a "routine" vomiting, they would go on to class
Amethya
1,821 Posts
In our handbook it states that we only send kids home for vomiting if it's illness related. So basically if the kid is throwing up all the time and is obviously sick, they are going home.
What I usually do is I keep them in my room for a while, watching them and see how they act. Sometimes kids who are truly sick are not wanting to talk and are visibly sick, but the ones who after throwing up feel better, they are just happily talking it up with me and such.
I do call parents for every incident and I do let them choose to pick them up or not, if they aren't vomiting anymore.