Nurse / Health Matters

Kennedy School Health Care Professionals: 

Email: nurse@kennedy.edu.hk

 

Arrangement on Drug Administration

To better manage our medical service to your child, the following procedures regarding medication being brought to and administrated in school are in place. Medication refers to routine medicines administrated orally (tablets or liquid), ointments/creams or sprays.

We encourage parents and physicians to minimise the prescribing of medication to be taken during the school day. Medications will be expected to be given before and after school hours when possible.

However, if your child requires medication in school please adhere to the following guidelines:

1.         A request must be received from the parent or guardian in writing.      

2.         If the medication was prescribed by a doctor, a note should be received to the effect that it is necessary for the child to take medication during school hours. The note should give clear instructions concerning the required dosage.

3.         Any medication should be brought to school by the parent or parent’s representative. It should be delivered personally to the school nurse/school health professional, class teacher or welfare (or medical) assistant. The medication should not be given to the bus escort.

4.         Medications must be clearly labelled with contents, owner’s name and dosage.

5.         A completed Medical Authorization Form must be submitted to the school before the medication can be administered. 

6.         Medication will not be sent home with a child. Where there is an excess of medication sent, these must be collected from the school by an adult.

7.         The school does not assume responsibility for any reactions that may occur following administration of medication sent from home, nor can there be any responsibility assumed if the parent does not send sufficient medication.

To protect your child, we will NOT prescribe/provide drug/medication to your child.

Medical Authorization Form

 

SOME COMMON MEDICAL ISSUES IN SCHOOLS INCLUDE:

Gastroenteritis 

Symptoms are: Tummy ache, nausea, food aversion, vomiting, lethargy and back and neck aches. No fever.

Please keep your child home for one or two days following vomiting. Children will be listless, tired and have no energy. Food or drink will cause them to vomit. Observe them for signs of dehydration. (Irritable, sleepy, dry skin and mucous membranes- the smaller the child the more you should worry.) Following the illness to rest the stomach follow the BRAT diet: Bananas, Rice, Apples, Toast - until the illness is over and child requests more food. Then start with plain yoghurt and honey.

Make sure the child and all carers wash their hands after treating the vomiting child. Wash all areas/vomit bowls/cups and utensils with a weak bleach solution (1/2 tsp per small bucket). Soiled clothing, linen and towels should be washed in a weak bleach as well. Dry in sunshine.

 

Intestinal Parasites

Intestinal parasites (or worms) are common in childhood. They can live in your body for about 6 months before detection. There are three types: hookworms, pinworms or threadworms. They can be cured by taking some medicine prescibed by a doctor or Pharmacist so are cheap and easy to treat. It is easy to prevent them: WASH YOUR HANDS WITH SOAP AND WATER before you eat and keep your fingers out of your mouth.

Please click on www.childrenfirst.nhs.uk/kids/health/ask_doc/bodybits/worms.html for more information.

 

Nut Allergies - NO NUTS & NO SHARING POLICY AT KENNEDY SCHOOL

Nut allergies can be life-threatening. Children may have an anaphylactic reaction to food containing nuts or nut products. This may be ingested, inhaled as vapour or by skin contact, e.g. peanut butter smeared on the skin.

Symptoms of a severe reaction are:

  • itchy red rash and swelling around the mouth and tongue
  • hives on body, itching all over
  • difficulty speaking or swallowing
  • severe asthma
  • nausea, fast heart rate, anxiety
  • weakness and collapse

Treatment involves the rapid injection of epinephrine and immediate transfer to hospital. Peanuts may be obvious, as in a muesli bar or cookie, or hidden as peanut oil, crushed or cooked into food. 

Several children in our school have severe nut allergies, therefore we ask that you DO NOT send nuts, peanut butter or other food containing nut products in your child's lunch or snack.

The children in the class know that it is a Kennedy School Rule that food is not shared in school.

Please discuss this with your child and contact the nurse if you have any further queries.

 

Slapped Cheek Syndrome

Also known as Fifth Disease or erythema infectiosum. It is caused by the parvovirus B19. Slapped Cheek Syndrome is a mild illness spread from person to person by sneezing and coughing, and presents with with low fever, sore throat and fatigue.

Children may also have headache, nausea and runny nose. Adults may get aching joints and maybe some brain and heart abnormalities. However it is so mild that in some people there are no symptoms at all.

At the end of the infectious period - about 4-20 days - there is a distinctive blotchy red rash covering the cheeks and then a fine lacy rash on arms and legs. Then you are no longer contagious and may return to work or school. The rash may come and go, last up to 7-10 days, and may be mildly itchy.

There is a small chance if you are pregnant and not immune to the virus that it may affect your baby - please let the doctor know that you have been exposed to the virus.

The teacher and School Nurse should be informed if your child is diagnosed with the virus.

 

Chicken Pox

Otherwise known as varicella zoster. This virus is spread by coughing, sneezing or by direct contact. Symptoms begin 10-21 days after contact with the virus.

SYMPTOMS: Low fever, slight cough, runny nose, loss of appetite, headache, fatigue. After 24 - 48 hours spots or blisters appear on chest, back and face and quickly spread to all other areas of the body including mouth and ears.

DURATION: 7-10 days after spots appear. After 5-7 days blisters begin to crust over. Children with chicken pox should stay home for at least a week, or longer if some blisters have not crusted over. Please let the teacher and school nurse know.

TREATMENT: Cool baths with a tablespoon of baking powder dissolved in it. Calamine lotion to spots. Lots of rest and sleep. Paracetamol or nurofen for fever and pain. The doctor may prescribe antihistamines for itch. Saltwater mouthwashes if spots in mouth. Small yummy meals.

See a doctor if you are worried, or if you are pregnant, have eczema or are taking immuno-supressants.

 

Hand foot and mouth disease

Caused by the Coxsackie virus and Enterovirus 71. There is an incubation period of 3-6 days.

Signs and symptoms include: Low grade fever, malaise, loss of appetite during the 1-2 day 'prodrome' period. Then lesions like blisters appear in mouth, hands, feet and sometimes on buttocks. Blisters are yellow with red 'halos'. They are not painful but may be uncomfortable and last about 3-6 days.

Most children who have the disease are under 5 years of age. The infections peak in summer and autumn, and it tends to be a trivial illness.

Please see a doctor if there is a pregnant woman in the household. Please also notify the teacher and school nurse if your child has been diagnosed with HF&M.

 

Have a look at this GREAT kids website - tells you all about impetigo, norovirus, chickenpox, sprains, colds, vaccinations and more....    www.cyh.com

 

Influenza

Symptoms are: cough, sneezing, runny nose, muscle aches, chills and fever>37 C. Children with any combination of these symptoms should stay home from school. They should be taken to see the doctor if symptoms persist. They should remain at home until TWO days after the fever subsides. To prevent the flu keep washing your hands especially after coughing and sneezing. Use tissues and dispose of the used ones in a garbage bin.

Children who are present at school with fever and/or flu symptoms will be sent home.

 

Headlice

Head lice is an ongoing problem in schools and we always inform affected classes when a case is reported. We strongly advise parents to regularly check their child’s hair and tie up their child’s long hair (boys as well as girls). To avoid spreading, please do not send your child to school if any lice are found.

Some useful tips: Head lice can be difficult to treat due to the time-consuming and precise nature of treatment and high re-infestation rate. After a head lice infestation has been confirmed you can treat the lice at home by wet combing the hair with a head lice comb or by using a lotion or spray that's designed to kill head lice. However, neither will protect against re-infestation if head-to-head contact is made with someone with head lice during the treatment period.

Wet combing - The wet combing method involves removing the head lice by systematically combing the hair using a special fine-toothed comb. The comb's teeth should be spaced 0.2-0.3mm apart. However, to be effective, wet combing needs to be carried out regularly and thoroughly. The method you should use is described below.

  • Wash the hair using ordinary shampoo and apply plenty of conditioner, before using a wide-toothed comb to straighten and untangle the hair.
  • Once the comb moves freely through the hair without dragging, switch to the louse detection comb. Make sure the teeth of the comb slot into the hair at the roots, with the bevel-edge of the teeth lightly touching the scalp.
  • Draw the comb down to the ends of the hair with every stroke, and check the comb for lice.
  • Remove lice by wiping or rinsing the comb.
  • Work methodically through the hair, section by section, so that the whole head is combed through.
  • Rinse out conditioner and repeat the combing procedure.
  • Repeat the procedure on days three, six, nine, 12 and 15, so that you clear young lice as they hatch, before they have time to reach maturity.

Lotion or sprays - Using a lotion or spray is an alternative method of treating head lice. However, to be effective they need to be used correctly. Ensure you have enough lotion or spray to treat everyone in your family who's affected. Use enough to coat the scalp and the length of the hair during each application. The normal advice is to treat the hair and repeat the treatment after seven days. Some products also supply a comb for removing dead lice and eggs.

Head lice and clothing - Healthy head lice don't deliberately transfer onto clothing, bedding or soft toys. Their life span is about three weeks and when they fall from the head they're dying and unable to breed. However it is advisable to change all bed linen if your child has headlice. Promptly dispose of any lice that fall from the head on to clothing or bedding.

Head lice on combs - Inspect brushes and combs that are used during treatment and remove any lice before the next stroke. Head lice will die after a day or two if they're unable to feed on human blood. Be aware that head lice can be flicked from dry hair during vigorous combing. If they land on someone they'll try to climb up to their head.

 

Impetigo 

Impetigo is a bacterial infection of the skin, either by stapholococcal or streptococcal organisms. It can enter perfectly normal skin. It begins as a red, round area on the arms, legs or face and within 24hrs will blister, pop and spread rapidly to other areas of the body.

It can only be treated by a doctor. They will give you cream and maybe some antibiotics to take by mouth.

Make sure you don't spread it or get it by having good hygeine habits (washing your hands), reporting any rashes to an adult or school nurse and seeing a doctor straight away if you think you have it.

Check it out at www.mayoclinic.com

 

Pink Eye - Conjunctivitis

Pink Eye, or conjunctivitis, is an infection of the conjunctiva or white area of the eye. It commonly follows a bad cold, but can appear after cross infection from someone else with Pink Eye. It is highly infectious -especially in the classroom situation. Although not serious it is a very irritating and annoying infection. Eyes will be red or pink, watering, sticky (especially in the morning) and itchy.

Children should STAY AWAY FROM SCHOOL and commence treatment - eyedrops from a doctor. Once the drops have been adminstered for 24 hours they may return to school.

Children who arrive at school with Pink Eye will be sent home.

 

 

Flu Vaccine Subsidy Scheme

The Hong Kong Government is offering a Flu Vaccination Subsidy Scheme to all resident HK children. Please visit www.ivss.gov.hk or call 2125 2125 for details.

 

Flu Vaccination guidelines for 2010

The Department of Health has issued new guidelines for the 2010 Flu vaccination. It is now recommended for all children from aged 6 months to 5 years, and pregnant women.

Please visit the DOH website for information on the type of vaccination that should be given for the upcoming season. To be effective the vaccination should be administered in the months of September, October or November.

Please visit www.dh.gov.hk for more information.

 

 

Fun stuff for healthy kids 

Check out www.childrenfirst.nhs.hk for fun games and loads of information about your body.

 

FAQ'S

My child is ill - what do I do?

If your child has a fever >37.5, cough, is sneezing, has diarrhoea or vomiting, please do not send them to school. Keeping them home for a day or two will help them to recover and will help stop the spread of the virus. Please email your child's class teacher as well as nurse@kennedy.edu.hk to inform us of the reason for your child's absence.

My child has been prescribed medication - what do I do?

Please send in the 'Medical Authorisation Form' together with the medication fully labelled with your child's name, class, time to be administered and reason for prescription. Be aware that some medications, such as antihistamines, will make the child sleepy, and your child may be better off at home.

My child has asthma. Please email nurse@kennedy.edu.hk and your child's teacher to let them know. We need to be aware of the severity of the illness, medications given at home and at school. It is important to take the correct medication on school trips and camps. If there is any change in their condition or medication please update the School Nurse ASAP.

 

Useful websites: 

 

Travelling?

If both parents are out of Hong Kong for more than a few hours please let the school know. If your child becomes ill or has an accident we will need to contact you or a designated carer / guardian and it is imperative that the school knows all the contact numbers.

Please complete the 'Absence of Parents from Hong Kong' form and return it to the school office.

AttachmentSize
ESF School Health Document (March 12).pdf102.48 KB
Medical Authorisation Form (May 2015).pdf354.81 KB