Information from the School Nurse 

Hello! My name is Sue White, and I am the school nurse at Cranberry Station Elementary. The following information may help you to know when to send your child to school during or after an illness.

Acute Illnesses:
Per CCPS policy, if your child exhibits vomiting, diarrhea, or a fever 100 degrees or higher in school, they must be sent home. In addition, he/she cannot return to school the next day. The student must have a temperature below 100 degrees for 24 hours before returning to school without the use of fever-reducing medication.

For instance, if your son or daughter has a temperature of less than 100 because you have given Tylenol to bring the temperature down, you must start counting the 24 hours after the Tylenol has worn off, approximately 4-6 hours later.

If your child was sent home because of vomiting and/or diarrhea, it is also important that you wait 24 hours after the last episode before returning him/her to school. If they vomit in the night but "feel better" in the morning, please do not send them to school. 24 hours must pass without vomiting before their return.

Lice:
Unfortunately, lice are a fact of life among school-aged children. If you discover lice on your child, please notify me as soon as possible. Keep your child home and treat with a medicated shampoo to kill the lice, and comb all of the nits out of his/her hair. (CCPS no longer has a "nit-free policy" regarding lice as long as a lice shampoo was used, however the removal of all nits will help to prevent re-infestation.) The morning that your child returns to school, an adult must bring the child to the health room and show the nurse an empty lice treatment shampoo bottle as proof that the student was treated for lice. At that time I will examine your child for any live lice.  (If a homeopathic remedy for lice was used, the student may not return to school unless his/her hair is completely free of both lice and nits.)

 
Health and Care Items:
Students are allowed to bring items to school that may help them to feel better during mild illnesses. Non-medicated cough drops are allowed, as well as lip balm and individual bottles of hand sanitizer. The students are NOT allowed to share any of the above with other students. Please send in lip balm if your child gets severely chapped lips in the winter so that he/she does not miss class time coming to see the nurse for chapped lips.

Absence/Sick Notes:
Please send in a note to the school regarding every absence. If you can provide a specific reason for the absence, that is very helpful. In other words, instead of just writing: "Bobby was sick", give us a little more information, such as: "Bobby saw a doctor, has an ear infection, and is now on an antibiotic." This gives me the information that I need to treat him here in school if Bobby should come to see me during the day.  You may also report an absence by emailing absence notes to CSEattendance@carrollk12.org, or by calling the front office at 410-386-4440.

Restrictions related to Physical Education
If your child is injured and cannot participate in PE for 3 days or less, a parent letter to the school will be sufficient. However, if the injury is serious or the activity restriction is longer than 3 days, a letter from the health care provider must be provided to school. If the letter does not include a return to full activity date, then the child will need a release note from the doctor in order for him/her to return to physical education classes.

Medications at School:
If at all possible, it is best for the student not to have to interrupt their school day to go to the nurse for a dosage of medication. If the doctor is starting a new medication for your child, ask if it is possible to time it outside of the school day. (For example: If a medicine is due three times a day: Give one dose in the morning before school, one directly after school, and one at night.) If that is not possible, a medication consent form must be filled out, signed by both parent and health care provider, and the medication must be brought to school by the parent in a box/bottle with the Rx label on it, listing dosage, child's name, and the time it is to be administered.

In addition, if your child is on a routine medication for ADHD, and the medication is changed….please do NOT start the new medication on a school day. Some medications have serious side effects, and it is best for the child to start a new med on the weekend, so that you as a parent are able to observe closely for any adverse effects caused by the medication. If you cannot wait for the weekend, please keep the child home and just call me to let me know that you are starting a new medication and that you are observing your child at home that day.

The only medications that can be given without an official order/signature are Acetaminophen (Tylenol) or Ibuprofen in appropriate children's dosages. All other medications, including homeopathic products, must have a health care provider's signature for administration.

Extra Clothes 
Please send a change of weather-appropriate clothes for your child to keep in their locker or cubby. Children often have spills, bathroom accidents, slips in the mud, etc. and need to change their clothing. We have a limited supply of clothing to loan in the nurse's office, but may not have your child's size. Providing extra clothes may prevent you having to make a trip into school to bring some to your child.   

If your child has a serious illness such as asthma or a food allergy that may result in an anaphylactic reaction, please supply me with the needed medication here at school to treat your child in an emergency.

If you have any questions or want to talk to me about any health issues that need to be addressed, please call me at Cranberry Station Elementary.  I am available Monday through Friday, from 8:45 a.m. to 4:00 p.m. You can also email me at any time at SMWhite@carrollk12.org. Thank you!   Sue White RN