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Health & Wellness Links

Allergies & Anaphylaxis Asthma Diabetes Epilepsy & Seizures Community Resources Immunizations Kindergarten Immunization Information Insurance Medication Taken At School Pink Eye -Conjunctivitis Illness Guidelines

School Medication Authorization Form Allergies & Anaphylaxis Asthma Independent Diabetes Form Diabetes Pump Plan Diabetes No-Pump Plan Epilepsy & Seizures Emergency Healthcare Plan Record Release Religious Exemption Medical Exemption Conditional Attendance Conditional Enrollment

OTC Medication Authorization Form Prescription Administration Authorization Form Allergies & Anaphylaxis Asthma Independent Diabetes Form Diabetes Medical Management Plan Epilepsy & Seizures Emergency Healthcare Plan Record Release Religious Exemption Medical Exemption Conditional Attendance Conditional Enrollment

Lincoln County School District #2

Nurse Health Services

When to Stay Home Sick

How Sick is Too Sick? When to stay home from school

When your child is feeling unwell, it can be challenging to determine whether they should go to school. Generally, unless they are significantly ill, it’s best for them to attend.

However, there are certain situations where it’s advisable to keep them home:

Persistent fever (temperature over 100.4 degrees Fahrenheit)
Severe sore throat lasting more than 48 hours, especially with fever
Significant rash, especially if accompanied by other symptoms
Excessive discolored nasal drainage
Severe ear pain
Uncontrolled cough
Vomiting or diarrhea
Severe headache, especially with fever

LCSD2 Health Services follows guidelines from the American Academy of Pediatrics to prevent the spread of contagious illnesses among students and staff. They enforce the following policies:

Students must be fever-free without medication for 24 hours before returning to class or events.

Students shouldn’t return until 24 hours after vomiting stops unless it’s deemed non-communicable.

Medicating a feverish child before sending them to school is not advised, as you will likely get a call to pick up your student once the medication wears off. All students must be fever-free for 24 hours before returning to school in order to minimize the spread of illnesses.

If your child frequently wants to stay home from school, is falling behind, or appears anxious about attending, it’s wise to reach out to the school and healthcare provider to address your concerns.

Please remember to inform the school office if your child will be absent.

LCSD2 Illness Guidelines

Special Health Consideration

If your child has a medical need that might require special consideration at school during the day or during extra curricular activities, please contact your child’s school nurse to see about creating a health plan if needed.

For example:

Carrying medication
Medical alerts
Limitations to strenuous activities
Etc

Special Health Consideration

For example:

Carrying medication
Medical alerts
Limitations to strenuous activities
Etc

OUR MISSION

The school health team empowers students to thrive by providing compassionate care, promoting wellness, and fostering a safe and healthy learning environment.

YOUR ROLE AS PARENT/GUARDIAN

The parent/guardian makes decisions about their children. Lincoln Country School District #2 (LCSD2) values the knowlege and cooperation of parents/guardians regarding their children. Health services collaborate with parents/guardians so that any child with a health need can access public education. Nothing should be construed in our practices that would prohibit communication from school personnel to the parent/guardian or inhibit the parent/guardian from making decisions regarding their child's mental health during the school day unless otherwise stated in the law.

SCHOOL NURSING DEFINED

School nursing is a specialized field dedicated to safeguarding and promoting student health, fostering optimal growth, and supporting academic success. Guided by ethical and evidence-based principals, school nurses champion student-focused quality care and serve as the link between healthcare and education. The school nurse coordinates care by collaborating with students, parents/guardian, school staff an the healthcare team. LCSD2 School Nurses are licensed by the Wyoming State Board of Nursing and subject to Wyoming Statutes

MEET OUR NURSES

Nurse Health Services and Parental Rights in Education

Here are some of the key responsibilities and services the school nurse provides:

Medical Care:

The health office provides basic medical for injuries illnesses during the school day. We always strive to communicate with parents/gaurdians when necessary. The following are examples but not an exhaustive list.

Illness Assessment

Vital signs, review of symptoms, physical assessment, chronic disease care, communicable disease assessment.

Injury Assessment

Vital signs, review of symptoms, physical assessment.

Wellness Assessment

Bedbugs, lice, dental hygiene, incontinence, spills, nutrition, clothing, menstrual supplies, help with the repair of broken personal items (glasses, shoes, etc).

Mental Health

Vital signs, panic attacks, self-harm, bullying, physical assessment, mental health assessment. Nurses may be the first to see and assess. Our practice would still be to get a student to a counselor in the school as soon as possible.

First Aid

Rendering First Aid and, as appropriate, summoning emergency responders.

Chronic Health Management:

For students with chronic health conditions such as asthma, diabetes, allergies, or epilepsy, the school nurse works closely with families and healthcare providers to develop individualized healthcare plans. These plans ensure students can access necessary medications, accommodations, and support to manage their conditions effectively. Please see the plans listed on this health site as well as the description of parental consent below.

Health Education:

The school nurse provides information on maintaining good health, including education about nutrition, hygiene, puberty, mental health, and disease prevention.

For maturation and sexual health classes, parents/guardians are notified at least one day in advance and may provide written requests for student exclusion from these classes.

Health Screenings:

At the beginning of the school year, the school nurses and speech therapists organize vision and hearing screenings for students to identify potential health issues that may impact students’ learning. Early detection and intervention are crucial for addressing these concerns and ensuring that students receive the support they need to succeed.

Parental Involvement:

The school nurses value open communication and partnership with parents and guardians. If your child has a health condition or if you have any questions or concerns about your child’s health and well-being, please don’t hesitate to reach out to the school nurse. Your input and involvement are essential for ensuring the best possible outcomes for your child.

Parental Consent:

Here are some of the various ways that parents/guardians are involved in decision-making and providing consent to receive health services:

Individual Education Program (IEP)

American with Disabilities Act (ADA)/ 504 Plan

Health Plan

Medication Authorization

Consent to Obtain / Receive Information from Outside Health Provide / Family Health Provider

Examples to Clarify our practices to meet the spirit and letter of the new state statue W.S. 21-3-135

In the context of medical or school nurse services, having a cut on the finger or a complaint of feeling nauseous typically would not constitute a significant change in behavior under state Parental Rights Rules. These are generally considered routine or minor health issues that do not significantly impact a child’s overall well-being, education, or social interactions in a lasting manner. Here’s how these situations are generally viewed:

Minor Injuries (e.g., Cut on the Finger):

Nature of Injury: A cut on the finger is a common minor injury that a school nurse can quickly treat.

Parental Rights: While parents might be informed of the injury, it does not usually trigger specific parental rights related to significant changes in behavior or health.

Implication: Such minor injuries are part of everyday occurrences and do not indicate a broader issue requiring parental intervention or rights activation.

Minor Injuries (e.g., Cut on the Finger):

Nature of Injury: A cut on the finger is a common minor injury that a school nurse can quickly treat.

Parental Rights: While parents might be informed of the injury, it does not usually trigger specific parental rights related to significant changes in behavior or health.

Implication: Such minor injuries are part of everyday occurrences and do not indicate a broader issue requiring parental intervention or rights activation.

Temporary Symptoms (e.g., Feeling Nauseous):

Nature of Symptom: A complaint of feeling nauseous can be a temporary and common symptom that may resolve on its own or with minimal intervention.

Parental Rights: If the nausea is a one-time or infrequent occurrence, it does not typically constitute a significant change in behavior or health that would require notifying parents under specific parental rights rules.

Implication: Temporary symptoms like nausea are generally monitored by the school nurse, and parents may be informed as a precaution but are not seen as a significant change requiring further action.

Scenarios that may be viewed as requiring parental notification or concern:

Recurring Symptoms: If a child frequently complains of nausea or has multiple instances of minor injuries, it might indicate an underlying issue that could be considered a change in health behavior, warranting parental notification and possible further investigation.

Severe Injuries or Illnesses: Any severe injury or serious illness would be considered a significant change and would typically require immediate parental notification and possibly activating specific parental rights regarding the child’s care and medical decisions.

In summary, routine minor injuries and temporary symptoms do not typically constitute a change in behavior under state Parental Rights Rules unless they are part of a recurring or severe pattern.

Routine Visits

Definition: Routine activities are those that are performed regularly and follow a set pattern or schedule.

Characteristics:

Predictable: They occur at regular intervals and are expected.
Structured: These activities often have a clear procedure or method.
Repetitive: They are done frequently, often daily or weekly.
Low Uncertainty: There is little variation in how these activities are performed.

Examples:

Administering Medication: Requires parental consent.
Following Health Plan (e.g. daily management of diabetes): Requires parent participation and consent.
Annual Hearing / Vision Screening (Grade Specific): Parental consent is not required, parents may opt out in writing to their child’s / children’s school.

Non-Routine Visits

Definition: Non-routine activities are those that do not occur regularly and may not follow a set pattern or schedule.