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Found 9 results

  1. ohiobobcat

    3rd Party Lice Reports

    The following situations have happened to me over the years (I work in a high school): I have had student A (along with friends student B, C and D) come in to my office and tell me they are positive student E has lice. I have had student L's parent call me telling me that student L saw lice on student M and they just thought I would like to know so I can check student M. (Yep-for real) Today I had a teacher email me about student Q, R, S, and T concerned about student X's head lice that they all saw crawling in her hair. Teacher does not have student X as a student, but thought I might like to know. What do you do when you get a 3rd party report of head lice? Do you call the "affected" student down for a check? What do you tell the student? Sometimes it feels a bit like a witch hunt to me, but I am curious what other nurses do.
  2. GdBSN

    Eyelash Lice

    Yes, it's real! Saw a story on the news this morning. People are getting lice on their eyelash extensions. Just thought I would warn you, so now you can be on the lookout for those crafty buggers!
  3. jeastridge

    Nurses and Lice: Practical Tips

    The Dreaded Diagnosis: Lice As Chris, RN, took report for the day shift in the Pediatrics ICU, she overheard the dreaded words: lice. Tuning in, she paid attention as the staff discussed a 3 year old being treated for RSV who was improving but began vigorously scratching her head, to the point of leaving marks along her hairline and around the base of her neck. When the night nurse leaned in to examine her head, she noticed the lice moving. Drawing back, she motioned for the doctor who was nearby to step over. Together, they confirmed the unpleasant diagnosis: lice infestation. Pediculous humanous capitis or head lice, are “ 2.1–3.3 mm in length. Head lice infest the head and neck and attach their eggs to the base of the hair shaft. Lice move by crawling; they cannot hop or fly.” - Parasites - Lice - CDC They feed on human blood and lay their eggs, called nits. Who Gets Lice? Almost on cue, all the staff felt their scalps crawling and began to have the urge to scratch. While lice are not a health hazard, per se, there is a strong stigma attached to having lice. The truth is, however, that the infestation affects all socioeconomic levels and all ages but primarily children in crowded conditions, especially Caucasians. “Head lice are more common in girls than in boys and are more common in Caucasians than in African-Americans. Anyone can get head lice. It is not a sign that a person is unclean.” - Head Lice - Cleveland Clinic Chris said, “It is unfair to equate lice with poor hygiene. At times, they do go together as families who live in conditions where there is no running water or access to lice treatment, can have significant problems. These issues will often become apparent at admission during the history-taking process. Sometimes we see red flags that alert us to check. But sometimes, we miss the infestation as we are busy prioritizing other needs that are more life-critical and it is only after they are stabilized and doing better that we detect lice. Lice is an equal opportunity infestation.” Chris elaborated that the detection of lice almost always fills everyone with dread because lice can be so hard to eradicate. It takes a concerted effort, treatment of the whole family, cleaning of all linens, car seats, upholstery—it’s a job! How do you diagnose lice? Scratching When people have lice, they usually scratch vigorously, so hard, in fact, that they sometimes have scratches along the hairline and around the ears and at the base of their necks, where the lice are most likely to take up residence. Children will employ a “two-handed scratch” where they get both hands up to their heads. Their hair will often be tangled and messy because of the scratching. Visualize In the hospital, to diagnose it, you have to see a louse and have it confirmed by a second person, usually the doctor. Also, sometimes the nits, little white eggs that cling tightly to the hair shaft, are the first sign. So what do nurses need to know? And how do we best help ourselves and our patients? Getting Rid of Lice Getting rid of lice is not always easy. It requires dedication and persistence but it can be done. By encouraging our patients and their families in a straightforward, professional manner, we can maximize their confidence and their potential success. Reading about it on the internet can sometimes raise unreasonable fears of “super lice” and persistent infestations. It might be helpful for us to give our patients guidelines from trusted sources such as the CDC and Cleveland Clinic. The CDC.gov site has thorough and practical recommendations. Treatment with lice/egg killing pyrethrins is the beginning of the process. Some pediculocides are ovicidal and some are not. Sold over the counter in kits, the shampoos are generally effective in eliminating the lice. Following up with dedicated hair combing for nits is critical. Otherwise, the eggs will hatch and the infestation will return. Some sources advise treatment of the head, treatment of the environment, daily nit removal and then a repeat treatment in 7-10 days with continued combing after that if nits are found. If treatment with over the counter kits is not effective, patients can follow up by contacting their primary care provider for perscriptions which go by brand names such as Sklice, Ulesfia, Ovide and Natroba. Practical tips on combing it out: Wearing gloves, brush the hair first to get the snarls out (then clean the brush). Treat the hair as per directions on the box. Divide the hair into very small segments. Using a nit comb from kit, comb through thoroughly, using detangle spray. (Sometimes provided in kit) After each pass of the comb, wipe it off on a paper towel or toilet paper and discard into a prepared trash bag. Wash all combs, brushes, towels, hats, etc. after each treatment. After initial linen and pillow wash, consider changing pillowcases and washing favorite blankets or stuffed animals daily throughout duration of the process. Internet solutions are plentiful. Some of them have merit such as the “goop” that helps make the hair slick and easier to comb through after the initial treatment. Additionally, parents can find community and support online, when sometimes talking with family or other parents is hard. Prevention? The usual recommendations involve keeping hair pulled up and back off the face, not sharing brushes, combs or hats and prompt treatment when problems are discovered. Lice treatments can be expensive for parents on a limited budget. It is important that we be sensitive to this and try to help parents find funding for treatment kits as well as for the laundry a lice infestation generates. Working together in hospitals, schools and daycares, we can help promote prompt treatment and fewer cases of head lice. Are you itching yet????
  4. RNKT

    Head lice

    I was wondering if there are any laws prohibiting school districts from sending home a letter to parents when lice is found in the classroom. Obviously, confidentiality would be protected. Is there anything that states we need to have 3 or more students with lice before a letter can be sent? I am located in the state of WI, btw. I get both sides- parents want and should be alerted with cases of head lice, but also, confidentiality should always be a priority. Any help from school nurses about laws/policies regarding this would be greatly appreciated.
  5. pennyeary

    Lice, Lice and more Lice...

    I'm over it.... How do you handle reoccurring cases in the same family?
  6. MHDNURSE

    When will the lice drama end???

    I got an email late last night from one of our third grade teachers, telling me she had just gotten a message from a parent of one of her students that "she has lice and since none of her cousins have it it must have come from school". I emailed the teacher back this morning and just said "Thanks for letting me know". The teacher replied "can you please come check the whole class? I don't want it to spread. I emailed our DSO and she told me you would come do that". I about spit my coffee out as my DSO knows I won't do whole class checks. She is also away, so I can't talk to her in person. I emailed the teacher back with the CDC, AAP and BOH recs of not doing head checks or sending out letters to entire class and told her I would not be doing either. Also offered to discuss in person if she had concerns. I emailed my DSO as well to remind her of the recs. I long for the day when LICE will be no big deal to teachers and parents. I get it, it's a PITA. My DD had lice for the first time the first day of Summer Vacation this year and I wanted to cry (she has loooooong, wavy hair), but other than the inconvenience of having to comb for so many days, it was NBD.
  7. scout mom

    Lice checks

    When I started working for our district, we were doing lice checks every other week for K-8 and a firm no nit policy. I provided information and did manage to decrease checks once a month for K-8 and a still firm no nit policy. I'm beginning my 6th year here. We have a new principal this year and I've tried talking to her about lice checks, but she said she's read it and we're still doing checks. She states she has discussed with our superintendent. This is ridiculous especially for 6-8 students. Anyone have an ideas on any other ways I go can with this?
  8. Amethya

    Lice... why lice?

    Basically put, I got told that a Kinder student had lice. So I had to check that class, which is fine. But the teacher was demanding I check 1st grade and such because they were together ONCE outside. I tried to explain that lice don't jump or fly to anyone, only if the children jump on themselves and rub each other's head or share jackets, no way it can happen. She got on my case and told me it's my job and I should do it. I'm like, it's my job, but I'm not going to check all the classes just because of ONE student. As OD said, you are not going to check for fevers just because of one student having a fever.Then I'm told this student had a sibling in 4th grade, so guess who has to check ALL of 4th grade now? THIS ONE! It's like, HOW CAN I PUT IT IN THEIR TINY HEADS, I DO NOT NEED TO CHECK EVERY CHILD FOR LICE!?!?! Rant over.
  9. BrisketRN

    Lice Policies

    Today one of my classes is having their fourth case of lice this year. Per school policy I check the whole class whenever we have a confirmed case. This is my first year at the school, and the former nurse left me her parent illness notes which state that parents must provide an "all clear" note from a lice treatment center or pediatrician. I checked our handbook and it only says proof of treatment and children can return to school when no live lice are present, so I changed our parent illness note. I also told admin that the CDC says to not send kids home for lice and their reaction was a shoulder shrug and "ok sounds good." What are your lice policies?
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