When To Keep Your Child Home

  • Each day many parents face a difficult decision as to whether their child is ill enough to keep at home.
    We hope the following guidelines will assist parents in making that decision.

    Please note that these are guidelines only.
    Your child’s physician should always be contacted with any medical concerns.

    • FEVER- We consider a temperature of 100 degrees or higher a fever. Children should remain at home until fever-free for 24 hours without taking Tylenol or Motrin.
    • VOMITING/DIARRHEA- Children should remain at home until symptom-free for 24 hours and able to ingest fluids and food comfortably.
    • COUGHS/COLDS- If your child has discomfort from their cold symptoms consider keeping them home. A continuous cough and/or continuous or green nasal drainage may need to be evaluated by your child’s physician.
    • CONJUNCTIVITIS- Your child must be on an antibiotic for 24 hours after the first dose before returning to school. Good hand-washing for the entire family is essential to prevent its spread.
    • STREP THROAT- Children cannot return to school until 24 hours after the first dose of antibiotic is taken. They should feel well enough to return to school. Some children feel ill for several days with strep infections.
    • SUSPICIOUS RASH- Children with rashes that are suspicious should have them evaluated by a physician and be cleared to return to school.
    • MONONUCLEOSIS- Please contact the school nurse if your child is diagnosed with mono. Your child’s physician will most likely place restrictions on their physical activity and temporary accommodations can be arranged at school.
    • HEAD LICE- Please refer to our link section for specific information on treating head lice. Children must be treated with a pediculocide (such as Nix) before returning to school. Please contact your child’s physician for advice on which product he recommends. You should accompany your child to school and the nurse will check them before they return to the classroom.
    • FIFTH’S DISEASE- Children are no longer contagious by the time symptoms appear with this viral illness. Fifth’s disease is of concern to pregnant women and should be reported to the school nurse.
    • CHICKENPOX- Your child should remain at home five days or until all areas are crusted over, completely dry and no new areas are breaking out.
    • IMPETIGO- Your child must remain at home until 24 hours after the first dose of antibiotic. Again, good hand washing is essential for the whole family.

    Middleborough school nurses follow Massachusetts Department of Public Health regulations with regards to all communicable diseases and infections.