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Nash-Rocky Mount Public Schools Student Health Services Communicable Diseases Prevention, Control, and Exclusion Criteria Students are excluded from school in cases of communicable diseases. When a student is suspected of having one of the following communicable diseases, it is the responsibility of the parent to take the child to the local health department or the student’s healthcare provider for verification and treatment before that student can return to school. Condition Chickenpox Conjunctivitis (Pink Eye) Impetigo Measles (Rubeola/Rubella) MRSA Pediculosis (Head Lice) Scabies Streptococcal Infection (Strep) Staphylococcal Infections (Staph) Exclusion Criteria Student is excluded for at least five (5) days after the rash appears or until all blisters have formed scabs. Student is excluded from school if: Eye(s) is (are) severely red and somewhat swollen. There is a yellow (purulent) discharge/drainage. Child excessively rubs the itching eye(s). Condition is suspected to be a bacterial or viral infection. Condition has lasted more than three (3) days. There is an epidemic in the school or it appears that cases are being transmitted from one student to another. Student is excluded from school if he/she has more than three to four sores and until seen by a physician and treated with a prescription antibiotic for 24 hours. Student is excluded until physician’s approval is given and student is no longer contagious. Student is excluded from school until treated with a prescription antibiotic for 24 hours. Any student found with live lice will be excluded until they have shown proof of treatment and are rechecked and found to be lice free. Student is excluded until one (1) treatment with prescription medication is completed. Authorization Note Required from Health Department or Healthcare Provider No Yes, if condition determined to be a bacterial infection. Also, must show proof of treatment with prescription antibiotic eye drops for a minimum of 24 hours. Note: Viral infections often improve without medical intervention; however, remain contagious when eye drainage or discharge is present. Yes Yes Yes. Draining lesions must be covered. Provider note is not required; however, must be rechecked and found to be free of live lice and show proof of treatment. Provider note is not required; however, must show proof that one full treatment was received. Student is excluded from school until treated with a prescription antibiotic for 24 hours. Student is excluded from school until treated with a prescription antibiotic for 24 hours. Yes Yes Management of Communicable Diseases and Conditions The objective of the district’s communicable diseases prevention and control program is to be aware of communicable diseases occurring in the school environment in order to ensure prompt treatment and institute measures to prevent spread. General Guidelines for Case Management 1. The school nurse and Nash County Health Department Communicable Disease Program staff will serve as consultants to school personnel on questions regarding communicable disease. 2. The school nurse will provide communicable disease follow-up in school as directed by Nash County Health Department’s Nurse Coordinator for Communicable Diseases. 3. The school nurse and/or school staff will notify parents and arrange for children to go home when they have one or more of the following symptoms: Fever of 100.4or higher (The student must remain at home until fever-free for 24 hours without fever-reducing medicine such as Tylenol, Motrin, or Advil.); Vomiting; Diarrhea; Severe headache; Red, watery eyes with yellow drainage; Undiagnosed rash; or General malaise/discomfort such that student cannot participate in class. 4. The school nurse will advise the principal and refer immediately any suspected cases of highly infectious and/or reportable communicable disease to the Nash County Health Department. 5. The principal/school nurse will notify other parents regarding a confirmed communicable disease if determined necessary by the Nash County Health Department. 6. School personnel should consult with the nurse regarding a suspected communicable condition or skin infection and refer the child to the nurse for assessment and evaluation. 7. The school nurse and school staff will implement measures to control spread of the communicable disease as directed by the Nash County Health Department. 8. The school nurse and school staff will educate students in the prevention of disease spread through personal hygiene measures, especially good hand-washing techniques. 9. The school nurse, when made aware of a student with a chronic illness that alters the immune system or causes anemia (i.e., cancer, leukemia, sickle-cell anemia), should alert the student’s parent in the event that highly contagious illness occurs in the student’s classroom. 10. The school principal and administrative staff will assure that soap and paper towels are maintained in all restrooms and other hand-washing areas. Revised 10/2014