student wellness

1. Illness

• Unable to participate in routine activities or needs more care than can be provided by the school staff.
• Under no circumstances may a parent/guardian send a sick child to school. Sick children can expose other children and school staff.
• If a child becomes ill and needs to be picked up, the parent/guardian will be called and is expected to pick the child up within one hour (60 minutes).
• If the parent/guardian cannot be reached, or has not arrived within an hour, the emergency contact will be notified.

2. Fever

• Children will be excluded from school with a temperature of 100.0 degrees. Child must remain at home until fever free without the use of medications

for at least 24 hours.

3. Diarrhea

• Increased number of loose stools compared to normal pattern.
• The stool could be watery, bloody, or contain mucus.
• Child must be free of diarrhea for at least 24 hours.

4. Vomiting

• One or more times in the previous 24 hours
• No child should be sent to school if they vomited throughout the night.
• Child must be free of vomiting for at least 24 hours.

5. Eye Drainage

• When an eye is draining and/or fever or eye pain is present, the child will remain out of school until a medical exam releases the child to return to school.

6. Rash

• Children will be excluded from school until a medical exam indicates these symptoms are not those of a communicable disease that requires exclusion.
• If the child has a chronic medical condition, please file a doctor’s note in the child’s medical file.

7. COVID-19

1. If a child has four or more of the following symptoms present and refuses testing, child must self-quarantine for 14 days or longer and may return to school once clinically released through health department consultation.
2. Symptoms:
3. Fever of 100.0 or higher (or student states they have felt feverish)
4. Cough
5. Congestion
6. Runny Nose
7. Shortness of Breath
8. Sore Throat
9. Muscle Aches
10. Chills
11. Nausea
12. Vomiting
13. Diarrhea
14. New loss of taste or smell
15. In lieu of 14-day quarantine, child may return to school with a negative COVID-19 test and is symptom free for 48 hours without the use of fever reducing medications.

8. Other Highly Infectious Diseases

a. Please follow the guidelines outlined in either of the following manuals:

Prevention and Control of Communicable Diseases https://health.mo.gov/living/families/schoolhealth/pdf/Communicable_Disease.pdf

School Nurse Resource Manual: A Guide to Practice.