How Sick is Too Sick? When to stay home from school
When your child is feeling unwell, it can be challenging to determine whether they should go to school. Generally, unless they are significantly ill, it’s best for them to attend.
However, there are certain situations where it’s advisable to keep them home:
Persistent fever (temperature over 100.4 degrees Fahrenheit)
Severe sore throat lasting more than 48 hours, especially with fever
Significant rash, especially if accompanied by other symptoms
Excessive discolored nasal drainage
Severe ear pain
Uncontrolled cough
Vomiting or diarrhea
Severe headache, especially with fever
UCSD 6 Health Services follows guidelines from the American Academy of Pediatrics to prevent the spread of contagious illnesses among students and staff. They enforce the following policies:
Students must be fever-free without medication for 24 hours before returning to class or events.
Students shouldn’t return until 24 hours after vomiting stops unless it’s deemed non-communicable.
Medicating a feverish child before sending them to school is not advised, as you will likely get a call to pick up your student once the medication wears off. All students must be fever-free for 24 hours before returning to school in order to minimize the spread of illnesses.
If your child frequently wants to stay home from school, is falling behind, or appears anxious about attending, it’s wise to reach out to the school and healthcare provider to address your concerns.
Please remember to inform the school office if your child will be absent.
UCSD 6 Illness Guidelines
Lyman High School
Mon- Th 7:45 am- 12:00 pm
Phone: 307-786- 4100,
ext. 5143
Lyman Intermediate School
Mon- Th 12:00 pm- 4:15 pm
Phone: 307-786- 4100,
ext. 6105
hawsk@lymanschools.orgLyman High School
Mon-Th 7:45 am - 4:15 pm
Phone: 307-786-4100,
ext. 5143
behunint@lymanschools.org
Urie Elementary School
Mon- Th 9:00 am- 3:30 pm
Phone: 307-786-4100,
ext. 3103
hilld@lymanschools.orgHere are some of the key responsibilities and services the school nurse provides:
Medical Care
The health office provides basic medical for injuries illnesses during the school day. We always strive to communicate with parents/guardians when necessary. The following are examples but not an exhaustive list.
Illness Assessment: Vital signs, review of symptoms, physical assessment, chronic disease care, communicable disease assessment.
Injury Assessment: Vital signs, review of symptoms, physical assessment.
Wellness Assessment: Bedbugs, lice, dental hygiene, incontinence, spills, nutrition, clothing, menstrual supplies, help with the repair of broken personal items (glasses, shoes, etc).
Mental Health: Vital signs, panic attacks, self-harm, bullying, physical assessment, mental health assessment. Nurses may be the first to see and assess. Our practice would still be to get a student to a counselor in the school as soon as possible.
First Aid: Rendering First Aid and, as appropriate, summoning emergency responders.
Chronic Health Management
For students with chronic health conditions such as asthma, diabetes, allergies, or epilepsy, the school nurse works closely with families and healthcare providers to develop individualized healthcare plans. These plans ensure students can access necessary medications, accommodations, and support to manage their conditions effectively. Please see the plans listed on this health site as well as the description of parental consent below.
Health Education
The school nurse provides information on maintaining good health, including education about nutrition, hygiene, puberty, mental health, and disease prevention. For maturation and sexual health classes, parents/guardians are notified at least one day in advance and may provide written requests for student exclusion from these classes.
Health Screenings
During the school year, the school nurses organize vision and hearing screenings for students to identify potential health issues that may impact students’ learning. Early detection and intervention are crucial for addressing these concerns and ensuring that students receive the support they need to succeed.
*Parents may opt-out of any or all specific services in writing to their child's/children's school. This must be done annually. First aid and summoning of emergency responders in case of sudden need will still be given to those students whose parents have exercised their right to withhold consent for routine healthcare services under district policy KB: Parental Rights.
The school nurses value open communication and partnership with parents and guardians. If your child has a health condition or if you have any questions or concerns about your child’s health and well-being, please don’t hesitate to reach out to the school nurse. Your input and involvement are essential for ensuring the best possible outcomes for your child.
Parental Consent
Here are some of the various ways that parents/guardians are involved in decision-making and providing consent to receive health services:
Individual Education Program (IEP)
American with Disabilities Act (ADA)/ 504 Plan
Health Plan
Medication Authorization
Consent to Obtain / Receive Information from Outside Health Provide / Family Health Provider
In the context of medical or school nurse services, having a cut on the finger or a complaint of feeling nauseous typically would not constitute a significant change in behavior under state Parental Rights Rules. These are generally considered routine or minor health issues that do not significantly impact a child’s overall well-being, education, or social interactions in a lasting manner. Here’s how these situations are generally viewed:
Nature of Injury: A cut on the finger is a common minor injury that a school nurse can quickly treat.
Parental Rights: While parents might be informed of the injury, it does not usually trigger specific parental rights related to significant changes in behavior or health.
Implication: Such minor injuries are part of everyday occurrences and do not indicate a broader issue requiring parental intervention or rights activation.
Nature of Symptom: A complaint of feeling nauseous can be a temporary and common symptom that may resolve on its own or with minimal intervention.
Parental Rights: If the nausea is a one-time or infrequent occurrence, it does not typically constitute a significant change in behavior or health that would require notifying parents under specific parental rights rules.
Implication: Temporary symptoms like nausea are generally monitored by the school nurse, and parents may be informed as a precaution but are not seen as a significant change requiring further action.
Recurring Symptoms: If a child frequently complains of nausea or has multiple instances of minor injuries, it might indicate an underlying issue that could be considered a change in health behavior, warranting parental notification and possible further investigation.
Severe Injuries or Illnesses: Any severe injury or serious illness would be considered a significant change and would typically require immediate parental notification and possibly activating specific parental rights regarding the child’s care and medical decisions.
In summary, routine minor injuries and temporary symptoms do not typically constitute a change in behavior under state Parental Rights Rules unless they are part of a recurring or severe pattern.
Definition: Routine activities are those that are performed regularly and follow a set pattern or schedule.
Characteristics:
Predictable: They occur at regular intervals and are expected.
Structured: These activities often have a clear procedure or method.
Repetitive: They are done frequently, often daily or weekly.
Low Uncertainty: There is little variation in how these activities are performed.
Examples:
Administering Medication: Requires parental consent.
Following Health Plan (e.g. daily management of diabetes): Requires parent participation and consent.
Annual Hearing / Vision Screening (Grade Specific): Parental consent is not required, parents may opt out in writing to their child’s / children’s school.
Definition: Non-routine activities are those that do not occur regularly and may not follow a set pattern or schedule.
Characteristics:
Unpredictable: They happen irregularly and are not always expected.
Unstructured: These activities may not have a predefined procedure or method.
Varied: They are performed infrequently and can differ each time.
High Uncertainty: There is more variation and potential for unexpected elements in how these activities are performed.
Examples:
Emergency situations
Non-routine Office Visit: injury, illness, onset of undiagnosed symptoms, etc.
The UCSD #6 Nursing Team wants to reassure you that we are here to support your child’s health and well-being. Please feel free to contact us if you have any questions or concerns or if you would like to schedule a meeting to discuss your child’s health needs.