Parent/Guardian Medical Guidelines for
Rolling Hills Elementary School Clinic
Safety, Respect, & Responsibility
School Accidents or Illnesses
school nurse provides emergency care and emotional support when a
student has an accident or becomes ill during school hours. However, if a
student meets the exclusions guidelines below, requires provider care
or a restful home environment, it is critical that they stay home that
day or they are picked up from the clinic as soon as possible if they
are already in school. Therefore, changes in emergency contact
information should be updated as soon as possible in the parent on-line
form located on the https://my.cherrycreekschools.org/ website.
Accurate/current phone numbers in the correct priority order are
attendance is important for a successful student. Nevertheless, the
exclusion guidelines below can help ensure a safer environment for
students. It can be difficult deciding when a child is too ill to attend
classes. Please remember,
the best way to prevent the spread of infection is through good hand
washing and avoiding touching your T zone (eyes, nose, mouth).
Exclusion Guidelines for Children and Staff
Excluding (defined as keeping a child from attending the child care or school setting) a child who has an infectious disease from attending child care or school may decrease the spread of illness to others. The decision
to exclude is typically based on the disease, and should be made in
conjunction with the school nurse or the child care health consultant,
the state or local public health agency, health care professionals,
situations in which a child does not have a diagnosed
disease/condition, but has signs or symptoms indicative of a potentially
infectious disease, exclusion may also be warranted. Generally, if any
of the following conditions apply, exclusion from child care or school
should be considered:
• The child does not feel well enough to participate comfortably in usual activities.
• The child requires more care than the child care or school personnel are able to provide.
• The child is ill with a potentially contagious illness, and exclusion is recommended by a health care provider, the state or local public health agency, or these guidelines.
• The child has signs or symptoms of a possible severe illness, such as trouble breathing.
In cases in which unvaccinated children are exposed to a vaccine preventable disease (such as measles, mumps, rubella, and pertussis), the state or local public health agency should be consulted in order to determine if exclusion of unvaccinated children is necessary.
The guidelines below lists common symptoms that could possibly be related to an infectious disease. The chart indicates whether it is recommended to exclude a child exhibiting a particular symptom from child care or school. If a child is excluded based on symptoms (and not a diagnosed illness), the child should be allowed to return to child care or school once symptoms have subsided, or a health care provider clears the child or determines the illness is not communicable, provided that the child can participate in routine activities.
is recommended if the child is experiencing severe, uncontrolled
coughing or wheezing, having difficulty breathing, becoming red or blue
in the face, making high-pitched whooping sounds after coughing, or
vomiting after coughing.
Diarrhea (defined as stools that are more frequent and looser than usual)
is recommended if any of the following conditions apply: the child has
other symptoms along with the diarrhea (such as vomiting, fever,
abdominal pain, jaundice, et.), the diarrhea cannot be contained in a
toilet, there is blood or mucous in the stool, or the child is in
No exclusion is necessary.
Fever (defined as a temperature over 101 degrees F orally)
exclusion necessary, UNLESS the child has symptoms in addition to the
fever, such as a rash, sore throat, vomiting, diarrhea, behavior
changes, stiff neck, difficulty breathing, etc.
exclusion is necessary, unless the headache is severe and accompanied
by additional symptoms (like vision problems, stiff neck, or behavioral
Jaundice or unusual color of the skin, eyes, stool, or urine
Exclusion is recommended until a medical exam indicates the child does not have hepatitis A.
Exclusion is recommended if the child is drooling uncontrollably.
is recommended if the child has symptoms in addition to the rash such
as behavior change, fever, joint pain, or bruising not associated with
injury, or if the rash is oozing or causes open wounds. Contact the
school nurse for additional information on rashes.
Stomach Ache/Abdominal Pain
is recommended if the pain is severe, if the pain appears after an
injury, or if the child had symptoms in addition to the stomach ache
(such as vomiting, fever, diarrhea, jaundice, etc.).
is recommended if the child has symptoms in addition to the swollen
glands such as difficulty breathing or swallowing, fever, etc.
is recommended if the child has vomited more than two times in 24
hours, if the vomit appears bloody, if the child has a recent head
injury, or if the child has symptoms in addition to the vomiting (such
as fever, diarrhea, etc.).
must be in the original container appropriately labeled from the
pharmacy, and should be brought to the clinic by a parent accompanied by
the prescription medication permission form. This form requires a
health provider’s signature as well as a parent’s/guardian’s signature
and should be dated. If your child needs a non-prescription medication
on a schedule, you will be responsible for providing this medication to
the clinic. Non-prescription medication must be brought in the original
container and will be administered if accompanied by an over the counter
medication form signed by a parent/guardian.
If your child has asthma, an allergy, or other medical condition, please note this when registering your child in the on-line PARENT FORMS.
If the student requires an Allergy & Anaphylaxis Action Plan Form
it must be signed and dated by a health provider and parent/guardian.
This form is required when administering an antihistamine and/or
for mild to severe symptoms. Colorado State Asthma Care Plan forms must
accompany measured dose inhalers (MDIs) for those diagnosed with
asthma. These Care Plans must be signed and dated by a healthcare
provider and a parent/guardian, too.
Medication Forms and Immunization Information
Forms can be found at www.cherrycreekschools.org ,
select “District Offices” located on the red bar, then “Health
Services”. Medical forms and immunization information can be found on
the right hand side of the Health Services page. Please contact me if
you have any questions or concerns.
5th Grade Students with Measured Dose Inhalers (MDIs)
One of the health goals for 5th grade
students with MDIs is preparing them to carry their inhalers when
entering middle school. The nurse will be happy to work with the
parents/guardians and student in order to achieve this goal.
Supporting Student Success with Innovative School-Based Health Services
Valerie J. Hines, BSN, RN, NCSN
Rolling Hills School Nurse
Direct Line: 720-886-3405