Department of Defense Education Activity

Nurse Best Practices

While the education of your child is important, there are certain medical illnesses that require for your child to either be sent home or remain home from school. These are as follows:

Fever: Elevated temperature of 100°F or greater. The student should be fever free (oral temperature below 99°F), without the use of fever-reducing medicines, for a complete school day (24 hours) before returning to school.

Flu Symptoms: Fever over 100°F or greater with cough and/or sore throat.
Other flu symptoms can include fatigue, body aches, vomiting and/or diarrhea. A student must remain home for at least 24 hours after there is no longer a fever, without the use of fever-reducing medicines.

Coughing: Severe uncontrolled coughing or wheezing; rapid or difficult breathing; coughing lasting longer than five-seven days.

Vomiting: Two or more episodes of vomiting in the past 24 hours. A student must remain home until vomiting resolves (no further vomiting for 24 hours).

Diarrhea: Frequent, loose or watery stools compared to child's normal pattern; not caused by diet or medication. A student must remain home if a) he/she looks or acts ill; b) he/she has diarrhea with temperature elevation of 100°F or greater; c) he/she has diarrhea and vomiting.

Rash WITH Fever: A body rash without fever or behavior changes usually does not require exclusion from school; seek medical advice.

Conjunctivitis: Conjunctivitis: Pink/reddish color to white part of the eye and thick discharge may be yellow or greenish in color. Students should seek the advice of a primary care provider for symptoms which are impacting the ability to participate in class, such as: fever, severe pain, swelling, or any persistent discharge.

Head lice or scabies: Head lice or scabies: Parents will be notified if lice or nits are detected during the school day. For treatment questions, please contact the school nurse or primary care provider. Note: Strict adherence to product directions is essential for successful eradication of parasites.

Impetigo: (Including streptococci, staphylococcus, and methicillin-resistant staphylococcus aureus [“MRSA”] infections). Blister-like lesions which develop into pustules. May "weep" and crust. A student must remain home for 24 hours after medical treatment initiated.
Note : Lesions must be covered for school attendance.

Ringworm: While a student may attend school with ringworm, l esions must be covered for school attendance.

Vaccine Preventable Diseases: Measles, mumps, rubella, (German measles), chicken pox, pertussis (whooping cough), and influenza. A student must remain home until determined not infectious by medical care provider.

Please visit the DoDEA Student Health Services Web site for further instruction based on your situation or discuss with an administrator at your student’s school.