Too Sick For School?
- First published on 05 February 2020 Posted in Health
See the attached PDF fliers for some general guidelines.
See the attached PDF fliers for some general guidelines.
Attached below are letters from the Chilton Public School District Nurse in regards to steps the whole family can take to prevent and stop the spread of illness.
Attached is a letter to parents and guardians regarding Measles from the County Nurse as well as a fact sheet.
Dear Parent or Guardian:
We are entering the time of year when we may see influenza (flu) and other respiratory viruses at school. CPS wants to let you know what steps are being taken to keep our school community healthy and how you can help.
Respiratory infections, such as the flu and common colds (colds), are spread when people come in close contact with sick people and inhale airborne droplets, or come in contact with contaminated surfaces. Flu and colds symptoms can sometimes be difficult to tell them apart, but consider this:
|How it begins||Sudden||Gradual|
|Cough||Severe||Mild to moderate|
|Muscles||Achy||None to mild aches|
|Stuffy, runny nose||Sometimes||Common|
|Fever||None to high grade||None to low grade|
If symptoms persist or worsen, make an appointment with your healthcare provider to be evaluated. The flu can be serious for children of all ages, causing them to miss school, activities, or even be hospitalized.
We take the health of our students seriously and work very hard to keep these viruses from spreading. We regularly clean frequently touched areas such as door knobs, stair rails, telephones, computer keyboards, and bathroom faucets and fixtures. We also instruct students and staff to follow the Centers for Disease Control and Prevention (CDC) Take 3 approach to fight the flu:
1. Get the flu vaccine every year
2. Take everyday preventative actions to stop the spread of germs:
3. Take flu antiviral drugs if your healthcare provider prescribes them
You can help us maintain a healthy school environment in a variety of ways:
A couple additional important points:
Important information about preventing the flu can be found at these websites:
If you have any questions, contact the school nurse, Katie Breitlow, at 849-9388. Together we can have a healthy school year!
Chilton Public School Nurse
Chilton Public School District
Anaphylaxis is a severe allergic reaction which can be life threatening. It may occur within minutes after a triggering event or up to hours later. Chilton Public School District will plan for the management of pupils attending school whom have life threatening allergies as well as plan for first-time anaphylaxis emergencies. The school district will also maintain an emergency action plan for the management of pupils attending the school who have known life-threatening allergies.
The following procedure for emergency use of stock epinephrine is to be used only by appropriately trained staff to administer epinephrine to a person (pupil, staff member, volunteer, or other) with or without previously diagnosed anaphylaxis. Stock epinephrine may be administered to a pupil or other person who the school nurse or designated school personnel believes is experiencing anaphylaxis in accordance with the following procedure which has been reviewed and approved by the District’s Medical Advisor. The person administering the epinephrine auto-injector must, as soon as practicable, dial “911” or in an area where “911” is not available, the telephone number for an emergency medical service provider.
Students with known life threatening allergies and/or anaphylaxis should provide their own prescribed epinephrine auto-injector in accordance with that pupil’s prescription consent. This anaphylaxis policy is not intended to replace student specific orders or parent provided individual medications.
Any district employee may be authorized to administer epinephrine who:
This policy has been reviewed and approved by the District Medical Advisor
The district will maintain a supply of two stock doses of 0.15mg and 0.3mg epinephrine at each school building within the district. Stock epinephrine will be located within each building’s AED. Stock epinephrine standing orders must be renewed annually and with any change in prescriber.
Epinephrine auto injector dose:
The medication will be stored in a secure but unlocked area that is clearly labeled “EpiPens” for “Severe Allergic Reactions.”
To determine JR. or Adult dose- When in doubt as to whether or not the person is 66 pounds or under, a measuring device (tape measure) with a length of 135cm would approximate the weight of 66 pounds. Measuring tape cut to the specific length of 135cm will be prepared for every health room and stored with the EpiPens. Unlicensed assistive personnel will be trained that if a student is shorter than the measuring device, the 0.15mg dose should be used. If the student is taller than the device, the 0.3mg dose should be used. Training will emphasize that if in doubt as to size/weight of the student, the higher dose should be used.
Common Triggers/Allergens and/or extreme sensitivity to one or more of the following:
For Any SEVERE SYMPTOMS after suspected or known ingestion of one or more of the following:
Or MORE than ONE MILD symptom from different body areas:
1. If student or other person in the building is suspected of having an anaphylactic reaction (see symptom list above) INJECT EPINEPHRINE IMMEDIATELY (per training instructions by the District Nurse). It is safer to give epinephrine than to delay treatment.
2. Call 911, tell rescue squad epinephrine was given; request an ambulance with epinephrine.
3. Continue monitoring.
4. Stay with the person.
5. Request that someone alert District Nurse and parent/guardian.
6. Note time when epinephrine was administered.
7. If available, a second dose of epinephrine can be given 5 minutes or more after the first if symptoms persist or recur. Inject second dose in other leg. Note the time
8. For a severe reaction, consider keeping student lying on back with legs raised.
9. Administer CPR if needed.
10. Remain with the student (or other person) and treat student even if parents cannot be reached.
11. Upon arrival of emergency medical personnel, care and responsibility of the person is then handed over. (Even if symptoms subside, 911 must still respond and individual must be evaluates by a physician. The student will not be allowed to remain at school or return to school on the day epinephrine is administered).
After epinephrine administration:
Epinephrine should be stored in a safe, unlocked and accessible location, in a dark place at room temperature (between 59-86 degrees F). The District Nurse, will assume the responsibility for maintaining a monthly schedule for tracking the medication status, contents of medication, and expiration dates as well as ordering replacement epinephrine for those expired or used. The solution should be clear; if it is discolored or contained solid particles, the unit should not be used and will get discarded.
Note- Non-student specific epinephrine may be permitted to be taken on field trips based on the Building Administrator’s discretion for that particular activity. If a student or other person is appearing to have an anaphylactic reaction on a field trip (who does not have their own prescribed epinephrine and the stock supply of epinephrine was not brought on this particular trip) immediately call “911.” Stock epinephrine and/or trained staff may not be available for administration during before or after school events (practices, games, etc.), and in this case “911” should be called if needed.
Food Allergy and Anaphylaxis Network. (2011). Food Allergy Action Plan. Available at:http://www.foodallergy.org/files/FAAP.pdf
Food Allergy and Anaphylaxis Network (FAAN). (2001). School Guidelines for Managing Students With Food Allergies. Available at:http://www.foodallergy.org/school/guidelines.html
National Association of School Nurses. (2014). Implementation of a Stock Epinephrine Protocol. Available at: http://nas.sagepub.com/content/29/6/287.full.pdf+html
National Association of School Nurses. (2011). Suggested Nursing Protocol for Students without an Emergency Care Plan. Available at:http://www.nasn.org/portals/0/resources/faat_no_ECP.pdf
Wisconsin State Legislature. (2013). 2013 WISCONSIN ACT 239. Available at:https://docs.legis.wisconsin.gov/2013/related/acts/239