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Teton County School District

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Health Services

Purpose Statement

The purpose of TCSD #1 Health Services is to support and promote lifelong learning through advocacy of healthful behavior so all students can reach their optimal state of wellness.  Registered professional nurses collaborate with families, students, teachers, counselors, administrators, and community service agencies to enhance and strengthen our healthy learning school communities.

Commitment of TCSD #1 Registered Professional Nurses

School nursing, a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential. Adopted by the NASN Board of Directors February 2017.

 

Head Lice

Head lice are small parasitic insects that live by biting the host which can cause an itchy scalp. Lice are gray, brown or black and can be difficult to see.  They do not leave the human host on their own; they must be physically dislodged.  They do not infest pets, furniture, carpeting or toys.  The female louse lays eggs (nits) which are tiny, smooth, and oval in shape. The eggs range in color from white to yellowish-white to dark-brown; they are glued firmly at an angle to the side of the hair shaft. Nits are easier to spot at the nape of the neck, or behind the ears.

Prevention

Children should be taught not to share combs, brushes & hats.  Regular head inspections by parents is an excellent way to detect any early infestations.

When inspecting your child for head lice, part the hair into sections. Make sure the room is well-lit. The nits stick to the hair shaft and must be pulled off with a fingernail to remove (or a lice comb can be used). That is one way to tell the difference between a nit and a dandruff flake. Dandruff can be easily flicked with your finger. Nits cannot be flicked or washed away. Although head lice are a nuisance, head lice do not spread disease.

TCSD #1 procedures about managing head lice are based on recommended guidelines by the Centers of Disease Control (CDC), American Academy of Pediatrics, National Association of School Nurses and the Harvard School of Public Health.

Lice spread from person to person when people are in close contact or when they share clothing or personal items that have been in contact with the head or neck. Lice do not fly or jump: they crawl. Lice can infest anyone–young, old, rich, poor, clean or dirty. Avoid sharing personal items such as hats, coats, brushes, combs and pillows.

Parent/Guardian Responsibility

  • Contact the school nurse if you know or suspect that your child has lice. The school nurse is a resource to answer your questions and provide information on how to remove and prevent head lice.
  • Examine all household members and treat anyone infested.
  • Notify the school nurse when the child has received treatment for head lice.
  • Inform family and friends so they can check their children.
  • Disinfect clothing and bedding by machine washing and drying using the hot cycle.
  • Soak brushes, combs and hair clips in hot water above 120 degrees for 10 minutes.
  • Vacuum all rugs, carpet, furniture, car, car seats and stroller. Discard the vacuum bag. If using a bagless vacuum, securely bag vacuum contents immediately after vacuuming and place in the trash.

The use of environmental sprays is NOT recommended due to their toxicity. Be sure to follow the instructions on any lice treatment shampoos, so your child & family are not over treated.

TCSD #1 is committed to following current evidence-based practices recommended by the American Academy of Pediatrics and the Centers for Disease Control. This means some strategies used in the past are outdated will not be used anymore. These strategies include:

  • Routine or periodic classroom and school-wide screenings for the presence of head lice-data shows this is a labor- intensive task, with little return.
  • Immediately sending home a student with head lice –this is denying a student access to their education. Head lice are not a health hazard and are not responsible for the spread of any disease.

Resources

A guide to help parents and guardians know when to keep students home

Students are expected to come to school; however, if your student is at risk of getting others sick, they should recover at home.

FEVER  temperature of 100.4 degrees Fahrenheit (38 degrees C) or higher. Before returning to school, students need to be fever-free for 24 hours WITHOUT medications to reduce the fever.

SORE THROAT – pain, scratchiness, irritation of the throat, often worsens when student swallows, accompanied by other cold-like symptoms.  A diagnosis of strep throat may return to school after 24 hours of antibiotics.     

COUGH  persistent or productive cough, new or worsening.

STUFFY/RUNNY NOSE – frequent sniffling or mouth breathing, accompanied by other cold-like symptoms.

EYES  eyes crusty, bright red and/or discharging yellow or green fluid.

DIARRHEA  unexplained watery stool.  Students should stay home for 24 hours after the last watery stool.

VOMITING  if your student is vomiting, they need to stay home.  The student should stay home for 24 hours after the last time they vomited. 

RASH  bothersome body rash, especially with fever or itching.

INJURY/SURGERY  if students are unable to concentrate due to pain or side effects from medication, they should stay home. Letting the school nurse know in advance of any planned surgery is helpful.

STILL HAVE QUESTIONS about whether or not your student is healthy enough to come to school?  Contact the school nurse.  

Keeping ill students at home, encouraging frequent hand washing, and covering coughs protects everyone.

Meet the Nurses

Esther Ellis, BSN, RN, NBSN, School Nurse
Lead Nurse for TCSD#1

Alta, Kelly, Moran, and Wilson Elementary Schools
307-733-3077 (WES)
307-203-5404 (Work Cell)

Andrea Mazer, BSN, RN, School Nurse
Jackson Elementary School
307-733-5302 (JES)

Laura Callari, BSN, RN, School Nurse
Colter Elementary School
307-733-9651 (CES)

Kristin Wright APRN, MSN, FNP-C, RN, NBSN, School Nurse
Munger Mountain Elementary School, District
307-733-3020 (MMES)

Christine Houlton, BSN, RN, School Nurse
Munger Mountain Elementary School
307-733-3020 (MMES)

Beth Shidner, BSN, RN, NBSN, School Nurse     
Jackson Hole High School/Summit Innovations School
307-732-3716 (JHHS)

Maddie Pitts, BSN, RN, NBSN, School Nurse
Jackson Hole Middle School
307-733-4234 (JHMS)