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Friendly reminders from the Montague Elementary School

 

Nurse’s Office

 

If your student will be absent or arrive late, please notify the Main Office by calling the absentee line at 973-293-7131, prompt #1.  You can leave a message there 24 hrs a day, 7 days a week, even at 3:00 AM if need be.  If your student will be absent 2 days or more, missed work may be obtained by: checking the teacher’s website, contacting the teachers via their email, or a phone message can be left on the teacher’s mailbox number.  Requests should be made prior to 9 am so that teachers have time to gather material.  You may request that work be sent home with another student or placed in the Main Office for pickup between 3-4 pm.

 

Staying Home Sick from School 

Please consult the Montague Elementary School Nurse’s website page for general guidelines for keeping students home sick from school.  The number one rule is that students with fevers (temperature of 100 degrees or higher) must stay home from school and they are not permitted to return to school until they have been fever free for 24 hours without fever reducing medication  (acetaminophen, ibuprofen or aspirin).  Medication may help your student feel better by reducing their temperature, but this is temporary and they are still considered contagious.  Please keep them home.

 

Medication at School 

The school nurse may not give any medication to your child without a doctor’s prescription and your signature.  Forms may be downloaded from the Health Office website link.  Exceptions are cough drops and/or throat lozenges.  They might be kept in your child’s teacher’s desk, in a bag with your child’s name on it.  

 

Medication should not be sent to school with students.  Medication should be dropped off and picked up by a parent or other adult. It should be in the original packaging and prescriptions should have the pharmacy label attached.  Students are not permitted to carry medications to or from school or in their classroom or back pack (except for inhalers or Epi pens with a doctor completed Self Administration order on file.)  All prescribed and over-the-counter medications including inhalers, Epi Pens, insulin, etc. are to be kept in the Health Office unless the student is proficient in using the inhaler or Epi pen and they have a doctor completed 

self-administration order on file in the Health Office.    

 

Medications for asthma (inhalers, nebulizer treatments) and for allergy related conditions (Epi pens and Benedryl for food, bee stings, environmental or medications) have Action Plans which can be downloaded from the Health Office website link and completed by your student’s doctor.  They should be brought to the Health Office by the parent/guardian or other adult along with the medication.                                                                       

 

Emergency Contact Information 

Please remember to notify the Main Office when any of your contact information changes.  This is very important in case your student is sick or has a medical emergency.                                                                                                

 

Sport Physicals 

Grades 6th-8th sports physicals must be completed and signed on the 4 page NJ State form available on the school website link: http://www.montagueschool.org.   Sport physicals are good for one year from the date of the exam, not from the date the form was filled out or handed in.  Physicals must be current on the first day of practice.  Because our school physician must review and approve each physical, deadlines are at least a week prior to the first day of practice.  Parents are encouraged to keep informed about deadlines and keep copies of the physical for their records and future questions.

 

New Students 

In accordance with NJ State Law, all new students entering our school from outside of NJ are required to present documentation of having had a physical examination and received proper immunizations.  Physicals must be completed within 365 days prior to beginning school.  Otherwise,  you will need to schedule a new exam and notify us of the appointment date.  Please have your doctor provide a copy or record exam results on the appropriate form.  Students transferring to Montague Elementary School from within the State of NJ do not need new physical examinations.  Health records need to be requested from the old school and mailed or faxed to the school nurse. (Fax:  973-293-3391)

 

Guidelines for Keeping Sick Children Home From School 

  • Fever above 100° Fahrenheit or more, they should stay home for 24 hours after their temperature returns to normal 
  • If your child has vomited or had diarrhea, they should stay home until 24 hours after the last episode.
  • If your child has any rash that might be disease related or you don’t know the cause, check with your primary physician before sending your child to school.
  • If your child is ill, please call the school daily to report the illness.  You can access the attendance line at 973-293-7131, prompt #1 any time of the day or night and leave a message for the school nurse. 
  • If your child has started on antibiotics for any reason, keep them at home until they’ve had a full 24 hours of medication.
  • Purulent (pus-like) eye drainage
  • Symptoms of severe illness such as unusual fatigue, uncontrolled cough, difficulty breathing

 

 

DISEASE

 

SYMPTOMS

 

INCUBATION

PERIOD

 

STUDENT SHOULD STAY HOME UNTIL . . .

 

CHICKENPOX

Fever, itchy rash with red bumps, blisters, pustules and scabs

10 to 21 days

6 days after rash began

 

COMMON COLD

Watery eyes, sneezing runny nose, fatigue

1 to 3 days

OK to come to school unless child has other symptoms requiring exclusion

FIFTH’S DISEASE

Bright red rash to both cheeks of the face (slapped cheek) Lacy rash to trunk & extremities

6-14 days

When the rash appears, children are no longer contagious and may return to school.

 

IMPETIGO

Skin lesions with yellow discharge that dries, crusts and sticks to the skin

1 to 10 days

Until 24 hours after treatment begun

 

INFLUENZA(FLU)

Fever, muscle aches, sore throat, cough, congestion, fatigue

1 to 3 days

24 hours without fever and well enough to return to usual activities

 

MONO

 

Fever, sore throat, swollen glands, headache, fatigue

4 to 6 weeks

Until well enough to return to usual activities; Physician authorization for sports participation

       

 

PINK EYE

 

Red, itchy eyes, pus-like drainage from eyes

1 to 3 days

Until diagnosis is verified, and bacterial infection is treated for 24 hours

       

 

RINGWORM

Body: flat round lesions that clear in the center and may have a raised border;

Scalp: round scaly patch with broken off hair shaft

 

Body:

4 to 10 days

Scalp:

10 to 14 days

Until 24 hours after treatment begun

 

STREP THROAT

Fever, sore throat, headache, nausea, vomiting, a fine rash

2 to 5 days

24 hours after starting antibiotics without fever for 24 hours

 

If you have any questions about these guidelines, feel welcome to call your school nurse at 973-293-7131, ext. 214 or contact your family physician.

  

Immunization Requirements

Please note that all students enrolling in Montague Elementary School are required to show proof of meeting the minimal immunization requirements for school attendance in New Jersey.  These can be found at:  http://www.nj.gov/health/cd/documents/k12-parents.pdf.

 

Head Lice

The first thing to remember is that head lice are nothing to panic or be embarrassed about.  If you child has head lice, it just means that they were in the wrong place at the wrong time.  Lice are in no way indicative of a lack of cleanliness and once observed can be eliminated.  The key to eliminating head lice is diligence.  You should treat everyone in the home along with the appropriate bedding and clothing at the same exact time, take measures to prevent reinfestation and then continue to screen for returning signs of lice. 

 

Constant itching is a symptom of head lice infestation, but may not always occur.  A rash on the scalp is sometimes an early sign.  Lice and nits (lice eggs) are very tiny and difficult to see.  Nits are lice eggs and are shaped like tiny teardrops on the hair shaft.  Nits can be dark initially with mature ones being pearly white in color.  Nits are found within ½-1 inch from the scalp and usually are around the ears or at the back by the nape of the neck.  Dandruff will brush away easily, but nits are glued to the hair shaft and cannot be flicked away.  Lice frequently can be found on top of the head and are best spotted when they move through the hair.

 

There are a number of over-the-counter, prescription and home remedies that can be used to treat head lice.  Medications can be used to kill the lice and their eggs.  A pediculicide such as RID or NIX is available over-the-counter.  Follow  all instructions carefully.  Since they are neurotoxic, they can only be used 2X, 7 – 9 days apart.  Lice and nits will need to be combed out with that medication.  A metal lice comb works well.  The combing process can take up to several hours and may need to be repeated for several days.  Even though some treatments claim to kill 100% of lice and nits, no treatment does.  If nits or lice are not all combed out, any survivors can lay more and hatch more eggs.

 

Before a student can be allowed to re-enter school, he/she will need to be examined by the school nurse.  They may not ride the school bus until the nurse affirms that they are lice/nit free.  Our school has a “no-nit” policy.  

 

Lice and nits require the comforts of a warm head to survive.  They can only live for a few days off the head.  Nits on stray hairs are less likely to survive.  Therefore, treatment of the items in the home should focus on high contact areas: combs, hats, coats, bedding, couches, etc.  Isolate clothing and linen; wash in hot water (at least 130 degrees) and then place in a hot dryer (high heat for a min of 20 minutes).  For non-washables, dry clean or place them in a tightly sealed plastic bag for 2-3 weeks.  Furniture and carpeting may be vacuumed and/or sprayed with a lice control spray.  Allow all sprayed articles to dry before toughing.  Lice control sprays should not be used on humans or animals.  Head lice do not infect pets.

 

Head lice cannot jump or fly.  They are spread by direct or indirect close contact.  You can reduce the chances of spreading them by not sharing combs, barrettes, hats, jackets, shirts, bedding and other personal items commonly in contact with the head.  For slumber parties, your student should bring their own bedding (sleeping bag or blanket), pillow and stuffed animals.

 

If you find that the head lice continue to return, whether the treatment itself has not been sufficient or reinfestation is occurring from another source, consider very carefully that you have been diligent and thorough with treatments.  Did you treat everyone in the house on the same day?  Did you wash or isolate bedding and clothing that same day?  Are belongings kept separate?  Even jackets hanging next to each other or hats in the same bin can spread head lice.

 

Additional Resources: http://www.cdc.gov/lice/head/parents.html

 

 

FORMS