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Nurse Kathy's Rx

Welcome to School Health Services!

Kathy Obara RN

Should My Child Go To School Today?

How do you decide to keep your child home from school if you think that they might be sick? This is not always clear. It is not possible to cover all the scenarios but here are a few guidelines.

  • Fever - 100.0 degrees F or higher. Your child should remain at home until he/she has been fever free for a full 24 hours without giving Tylenol or ibuprofen.
  • Vomting and/or Diarrhea . Your child should remain at home until he/she has been without any episodes of vomiting or diarrhea for a full 24 hours and has resumed a typical diet.
  • Cold symptoms . Runny noses ara a fact of life with little ones. However if the drainage is thick and green or if your child has a persistent or productive cough please have your child stay home and consult with your child's doctor.
  • Redness or discharge in the eyes . Redness of the white part of the eye, burning or itching, yellow or white matter or crusted eyelashes are the signs of pink eye or conjunctivitis. This is very contagious. Your child should remain at home until he/she have seen the doctor and has been on medication for 24 hours.
  • Sore throat . If your child has a persistent or severe sore throat they should remain at home. You should consider contacting your doctor if there is fever, white patches on the tonsils, swollen tender glands, headache, or stomach ache. These could indicate possible strep infection. If that is the case, your child should remain at home until he/she has had an 24 hours of antibiotics.
  • Rashes. Rashes can be difficult to evaluate. Skin rashes of unknown origin should be evaluated by a doctor before your child is sent to school.

These guidelines are for the benefit of your child as well as other students in the class. If you have any questions please contact me.


Medication Administration

Medication shall be administered when the student's health requires that it be given during school hours. Medications will not be administered without appropriate authorization and documentation. Please review the Medications Policy and Medication Administration Form before send medications to school. The medication must be brought to school by a responsible adult and may not be transported on the bus. Inhalers and Epi-Pens may be carried by the student for self administration with parental and physician authorization.


Head Lice Protocol

                                                                    Bedford County Schools  6.4031.1 Adm. Procedure

Head Lice Procedures

  • 1. Primary and Intermediate Schools will not do scheduled school wide head checks during the school year. If a teacher or staff member detects head lice infestation of a student, he/she will be confidentially referred to the office to be checked by the nurse or trained personnel.


  •  2. Upon reasonable confirmation of live lice, the student's parent and/ or guardian shall be notified. The student shall not be isolated. The student will not go home until the end of the school day.


  • 3. Bus privileges will not be denied. The child will not be isolated or singled out on the bus.


  •  4. The parent and /or guardian shall be given a copy of administrative procedures on head lice and instructed to on how to proper treatment of infestation


  • 5. Treatment includes use of an effective preparation for head lice, this may be obtained by referral to the Health Dept., a licensed health care provider, OR the use of an over- the -counter treatment.


  •  6. The student may return to school the next day with verification of treatment such as a prescription label or receipt for over -the- counter treatment. They must also be inspected and cleared by a Bedford County School Nurse or a trained representative. If the student has live lice they will be required to retreat with appropriate treatment as instructed by school nurse. ALL LIVE LICE must be removed.


  •   7. The student readmitted after treatment for head lice will be rechecked after one week to rule out reinfestation/ treatment failure. In case of reinfestation, the same treatment procedure must be followed.


  •  8. The School Social Workers will be notified upon the second infestation to educate the parents and reduce the amount of time absent from school.


  •  9. Chronic or continual head lice infestation, and/or failure to follow instructions for re-admittance to school may be reported to the Director of Health Services, Department of Human Services and/or juvenile authorities.

 Revised  2012

Tennessee Immunization Requirements

It is the policy of Bedford County Schools, that all students enrolled in their schools must be in compliance with the Tennessee Immunization Requirements or they may be excluded from school. Students, Parents or Guardians must submit a valid Certificate of Immunization to the school in which the student is enrolling.

Tennessee Immunization Requirements effective October 2010

  • There will now be only one official TDOH Certificate of Immunization that must be completed by medical providers for delivery to schools prior to entry of their child into kindergarten, 7th grade or as a new student. This form will only be available from a private healthcare provider or local health department.


  Kindergarten Requrements 7th grade Requirements  
DTP/DTaP XXX   3 doses required, last dose must be on or after the 4th birthday
Polio (OPV and/or IPV) XXX   3 doses required, last dose must be on or after the 4th birthday
Hepatitis B XXX XXX 3 doses required
Hepatitis A XX   2 doses required (effective July 2011)
MMR XX   2 doses required
Varicella XX XX 2 doses required or history of chicken pox
Tdap   X Required for 7th grade entry.



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