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NURSES OFFICE
Mrs. Thompson, LPN is the nurse working at Delshire School. Mrs. Gilligan comes in the last hour of the school day to help in the health room. Mrs. Erwin is the District School Nurse and is in the health room weekly. We are available to provide first aid and contact parents when students become ill at school. Prescription medications can be administered during school hours when the doctor and parent sign a permission form. Mrs. Thompson and Mrs. Erwin provide vision and hearing testing during the school year. We will also be screening children for lice at various times throughout the year. School Nurses can assist students, parents and teachers by discussing any medical issues that are important during the school year. Please inform us if your child has asthma, food or bee allergies and other chronic medical conditions that you think we need to know about.
Please remind your children to wash their hands frequently and to cough or sneeze in their elbow to prevent the spread of germs and to get plenty of sleep in order to stay healthy. Eating a breakfast will provide brain energy help your student do his/her very best in school.
Hamilton County Health Department has asked schools to distribute information to families regarding Cryptosporidiosis (Crypto) . Crypto is a parasitic disease can cause loose, watery diarrhea, cramps, nausea and a slight fever. Children and pregnant women should take special care to avoid dehydration from diarrhea caused by Crypto. Additionally, for persons with weakened immune systems, Crypto may become a life- threatening illness.
Crypto can be spread by swallowing water(either from swimming or drinking) or food contaminated by feces from an infected human or animal. The Crypto parasite is microscopic and highly infectious. It can be spread from person to person, especially if proper hand washing procedures are not followed.
Please see the following information:
Click Here for the Crypto Fact Sheet
Click Here for information regarding Hand Washing
Click Here for the steps to Healthy Swimming
- Chicken Pox
- Conjunctivitis (Pink Eye)
- Diarrhea/Vomiting
- Fifth Disease
- Head Lice
- Immunization Summary for School Attendance
- Scarlet Fever/Strep Throat
- Oak Hills School District Medication Procedure
Download Oak Hills School District Medication Permission Form
Download the School Health Examination Record Form
A temperature above 100 degrees F is considered a fever. To prevent spreading illness to others, please keep your child home until the fever is below 100 degrees F for a 24 hour period (without giving a fever reducer medication).
Chicken Pox
Incubation: 10-27 days, usually 14-16 days
Symptoms: skin rash which progresses to blisters, then scabs. Eruptions occur in crops, so all three stages may be present simultaneously. Covered body areas are often most affected. Slight fever and tiredness are also typical.
Method of Transmission:
• Direct contact with drainage from sores of infected person;
• Indirect contact with items soiled with drainage from sores; respiratory droplets, airborne.
Communicable Period: 1-2 days before rash appears, through maximum of 6 days after appearance of sores/rash.
Control Measures: Student may not return to school until ALL sores are dry and scabbed over. Hand washing should be emphasized to prevent spread.
If vaccine has been given a break through case of chicken pox is still possible. Contact health care provider for further information.
Conjuctivitis (Pink Eye)
Incubation: Bacterial; 24-72 hours.
Symptoms: Redness of eye (sclera /white part of eye) or eyelid, thick discharge from eye, matted eyelashes, burning and itching or eye pain.
Method of Transmission:
• Direct contact with discharge from eye membranes or upper respiratory tract.
• Indirect contact by touching items contaminated with discharge, such as fingers, clothing, Kleenex, toys, or other articles.
Communicable Period: as long as eye discharge continues, eye lid redness, itching, burning or pain and until 24 hours of antibiotic treatment.
Control Measures: Students may not return to school with eye discharge, or eye pain, eyelid redness or fever until after 24 hours of antibiotic treatment.
Wash your hands to prevent spreading to friends. Don’t forget to wash all contaminated toys and objects.
Diarrhea/Vomiting
Diarrhea is considered 3 or more loose stools (BM’s) which are of a watery form in a 24 hour period. This may or may not include abdominal cramping, nausea, vomiting, dehydration, or fever above 100 degrees F. There are many causes of diarrhea/vomiting. Check with your health care provider if symptoms persist or if you think your child may be dehydrated.
Some methods of Transmission:
• Dirty hands
• Contaminated food or water
• Direct contact with fecal matter (i.e., from dirty diapers or the toilet).
• By touching contaminated surfaces, such as a toilet or toy, and then putting fingers in the mouth.
Viral gastroenteritis (stomach flu) can also cause nausea and vomiting. Many different viruses can be the cause and can pass through a household or school quickly because it is highly infectious. In cases of viral gastroenteritis, kids often develop fever and vomiting first, followed by diarrhea.
Communicable Period: Child should not return to school until they are fever free, (below 100 degrees F) and without diarrhea or vomiting for 24 hours.
Control Measures: Good hand washing before eating and after toileting. Do not share food, drinks with others who are showing symptoms.
Fifth Disease
Incubation: 4-14 days, but as long as 20 days after infected.
Symptoms: Bright red rash usually beginning on the face; “slapped cheek” appearance. Spreads to trunk and extremities, clears centrally, looking like a “lacy” rash. Generally clears in 1 week but can recur if person gets warm, upset, or with exercise, etc. for up to 1 month.
Method of Transmission: Direct or indirect contact with respiratory secretions of infected person.
Communicable Period: Up to 5 days BEFORE, and to lesser extent, for 2 days after appearance of rash.
Control Measures: Students are not excluded once diagnosis is known, unless child has a fever or is uncomfortable. Hands should be washed each time, after contact with secretions, soiled Kleenex, etc. Pregnant women should notify physician if exposed; most are immune, but those who are not have a small risk of an ill effect on the fetus, particularly in the first half of the pregnancy.
“Check with health care provider whenever there is an undiagnosed rash.”
Head Lice
Oak Hills School District policy is that students will be excluded from school until treated with lice shampoo, and all nits (eggs) and live lice are removed. Students must be accompanied by an adult and checked by nurse BEFORE returning to school. Please check with the Health Room for time to be seen to insure the nurse is available.
As the school year progresses, please be aware that it will not be unusual to have periodic reported cases of head lice. Although lice infestation causes a great deal of concern among families, understand that it is fairly common among school-age children and should not be associated with poor sanitation; nor is it necessarily transmitted at school.
The key to control of lice infestation is prompt identification and treatment of infested individuals. Head lice are smaller than this “o”. They are gray-brown in color and move rapidly. Their nits (eggs) are about the size of this “.” dot and are attached firmly to the hairs, especially at the neck and around the ears. Nits look similar to dandruff but can’t be knocked off.
The most common symptom is persistent itching, often with scratches or rash on the scalp. In checking for lice, particular attention should be paid to the hair shaft near the scalp, the back of the neck and behind the ears. Head lice are gray-brown parasites that deposit their eggs (nits) with a sticky substance to the hair shaft near the scalp. A louse can live up to 10 days off the human host. People get head lice from direct contact with others who are infested, wearing infested clothing, using infested combs and brushes, lying on infested carpets and beds, and from resting the head against upholstered furniture formerly used by infested persons.
Head lice do not fly, but are highly transmittable Head lice come from another person who has them. They are passed by direct contact between children while playing, sleeping in the same bed, wearing each other’s hats or scarves, or using each other’s combs or brushes. Keeping your child’s head clean by frequent washing is important but will not guarantee that your child will not get them. Regular shampoo does not kill lice or their nits. Treatment involves over the counter lice shampoo such as Rid, Nix, etc., or a medically prescribed shampoo from your doctor. The students may return to school only after shampooing with the lice shampoo and after removal of all nits (eggs). The school nurse can provide information regarding necessary steps to prevent re-infestation.
The most important control measure is communication; informing the school, friends, neighbors, and relatives if lice infestation occurs in your family. Remember, head lice can happen to anyone. Inspect your child’s head at least once and week. If your child has lice or nits, treatment should be started immediately. This will assist in controlling the spread to others.
“Further Information for preventative measures or re-infestation”
In addition to the treatment with lice shampoos it has been found that QUEEN HELENE CHOLESTEROL HAIR CONDITIONING CRÈME works quite well to prevent re-infestation. This product contains SODIUM LAURYL SULFATE, (coconut oil) which has been found deadly to adult lice. It has the consistency of cold crème, washes out of the hair easily, and costs $3.00-$4.00 for a large jar. You must totally saturate the hair with the crème, cover the head with a shower cap or plastic wrap, and leave on the hair for 8 hours. Next, rinse out the crème, blow dry hair and REMOVE ALL THE NITS.
Follow up by shampooing DAILY with a coconut oil based shampoo and hot hair drying. Some shampoos that contain (coconut oil) SODIUM LAURYL SULFATE are Herbal Essence, Suavé, and White Rain. TO BE SURE, READ THE LABEL INGREDIENTS. QUEEN HELENE CHOLESTEROL CONDITIONER can be found at Walgreens, CVS, Meier’s, and Sally’s Beauty Supply.
“The Oak Hills nurses are not endorsing these products but found the information interestingand hope it can be of use.”
Immunization Requirements
State of Ohio Requirements are updated every year.
Click Here, for the updated requirements
***The State of Ohio Compulsory Immunization Law states that all children who enter Ohio Schools MUST have received the following immunizations:***
A shot clinic is available at the Green Township Administration Bldg. 6303 Harrison Avenue. Vaccines given the 1st Wednesday of each month from 1:30-3:30 p.m. To call for questions: phone (513)946-7882
Scarlet Fever/Strep Throat
Incubation: 1-3 days, may be longer.
Symptoms:
- Strep throat—fever, head ache, red throat, may or may not have pus spots in throat, tender and swollen neck glands, symptoms can be variable.
- Scarlet fever—all of the above symptoms, plus sandpaper-like rash on skin and inside of mouth, “strawberry tongue”. High fever, nausea and vomiting may or may not occur.
Communicable/Control Measures: Spread by direct contact with nose and throat secretions or respiratory droplets of infected person or carrier, casual or indirect contact through objects or hands contamination is rare. Student is considered contagious and may not return to school until 24 hours of appropriate antibiotic therapy is completed.
Ask your health care provider for specific information.
Oak Hills Local School District Medication Policy