Nurse Notes

Nurse Photo


Transportation of Medicine

Students are not permitted to transport medication to or from school. Any student that transports medication is in violation of the Drug and Alcohol Policy. Those students in violation will be reported to Administration immediately.

If your child needs to take medication at School appropriate paper work must be completed and a responsible adult must bring the medication to school in its original container. You can contact your School Nurse, Annette Cremens at or 410.751.3540 if you have any questions.

Non-medicated cough drops (i.e. Ludens) are not considered to be medication; therefore students may carry without being in violation of the Drug and Alcohol policy. We asked that you send a note with the cough drops and they can be kept with the teacher or in the Health Room. If the cough drop is medicated (i.e. Halls, Robitussin), they must be brought in by a responsible adult and kept in the Health Room.


Due to interpretation of Maryland Regulations (COMAR), all medications (prescription and over - the - counter), excluding Ibuprofen (Advil) and Acetaminophen (Tylenol) must have a Doctor's Order and Parent Permission for the medication to be administered in school. This change began with the 2000 - 2001 school year. Parents can still bring in Acetaminophen (Tylenol) and Ibuprofen (Advil) for administration in school without a Doctor's Order. Nurses will continue to administer Acetaminophen and Ibuprofen in package recommended dosage with only parent permission. We are sorry to cause this inconvenience, but Carroll County Public Schools are required to follow these State Regulations.


When To Keep Your Child Home

Should your child become sick we ask that you keep them home, as we do not want to spread germs to other students. If you are unsure whether you should keep your child home you can call the school nurse ( Mrs. Cremens at 410.751.3540). Listed below are some guidelines you may wish to following when deciding to keep your child home.

Fever - A temperature of 100 degrees or more. Due to new regulations, parents must keep children home during the course of a fever and for an additional 24 hours after the fever has passed.

Ear Infection - this is an inflammation of the middle ear. Symptoms could include pain, fever, dizziness, or headache. Hearing loss can occur if untreated, you should contact your family physician if symptoms are present.

Conjunctivitis or Pink Eye - This is highly contagious and uncomfortable. Symptoms might include eyes burning, itching, pink discoloration to the eye, and a whitish discharge. Contact your physician when symptoms are present. Your child will need to be symptom free or a doctor's certificate is required before returning to school.

Strep Throat - This is a highly contagious condition that is caused by a bacterial infection (streptococcal). Symptoms usually present are sore throat and fever. Strep can only be diagnosed by a culture so you will need to contact your physician if symptoms are present. If your child is diagnosed with strep they will need to be on antibiotics for 24 hour and may return to school with a doctor's certificate.

Cold Symptoms - Some children suffer from the common cold all winter long and a simple cold should not be a reason to miss school. However, should a fever develop, a bad cough, difficulty breathing, or your child becomes dehydrated you should contact your physician as those symptoms could indicate a more serious condition (i.e. Bronchitis, flu, or even pneumonia). If your child has one of these other conditions they should be kept home until the doctor says it is ok to return.

Diarrhea and Vomiting - This is uncomfortable, and being near a bathroom becomes a top priority. If these symptoms persist you should contact your physician.

**Remember students are not allowed to carry medication to or from school as this is a violation of Carroll County School's Drug and Alcohol policy.


Head Lice: As per CCPS Health Services Handbook 

  1. If head lice is found, the parent/guardian is contacted to remove student from school. The parent will be given information on the procedure for treatment.
  2. The school nurse will check close associates of the "source case" and notify other schools for any siblings, so that they can be checked.
  3. Parents of student, who have be screened will be informed by a health note sent home with your child.   The child will be instructed to place the note in their Cardinal Folder to share with their parent.
  4. The student will only be allowed to return to school after treatment with an appropriate pediculocide.   Upon return to school, the parent will supply proof of treatment  (such as an empty bottle/box from the pediculocidal treatment).   Since no pediculocide kills all eggs, a re-treatment in 10-14 days is usually recommended.
  5. The nurse will check the student in 10-14 days to assure that there are no signs of reinfestation.


Please feel free to contact me with questions….