Student Health


The school has the heath care of all students and staff among its higher priorities. There are several important health care protocols under which the school operates.


Procedures for dealing with sick children.


Would all parents please note the following operating procedure?


1. Children who are under medication:

If a child is under medication the following procedures will apply:

- A parent must bring the medication to the school and see the nurse so formal approval to store and administer the medication can be given. This is done by completing a special form for this purpose.

- Only the nurse has authority to administer medications to students.

- The nurse will be responsible for storing the medication.

 

2. Children who show symptoms of sickness while at school:

- When a teacher observes a child has symptoms of being sick, the teacher may take an initial temperature check using the classroom thermometer, if the temperature is elevated or if there is still concern about the symptoms, the child will be escorted by an adult (TA or nanny) to the nurse.

- The nurse will examine the symptoms further and then decide on course of action. The parents will be informed by the nurse by phone of what action is recommended. This could be:

Observation

Pick up child to go home

Pick up child, then see a doctor

- When the nurse recommends that a child should be taken home or to a doctor, the school is transferring responsibility for that course of action to the parents and requires the child to be picked up as soon as possible.

- All details will be kept in an official log book.

- Parents always informed when a child sees the nurse.

- A record of the child’s visit to the nurse is make for all visits to the medical room.

 

3. When there is an accident at school:

- Teachers and TA s will attend to minor abrasions, using the class first aid kits (Our teachers are trained in first aid)

- The teacher will inform the nurse immediately if there is any concern about bumps, sprains or more serious wounds, dizziness or other effects of an accident.

- The nurse will attend to the child promptly and take over the care of the child.

- There will be a call to parents and the nurse will recommend action. This could be:

Continue observation,

Pick up child to go home,

Pick up child, then see a doctor.

- For all accidents, a detailed report is made and a record kept on file.


4. Sick or injured children are never left alone – they will always be accompanied by the nurse or another member of the school staff.


5. When there is an outbreak of a contagious illness in a class or throughout the school, the nurse will recommend a course of action to the director. This could be:

- Inform teachers and parents of symptoms to observe and treatments to use.

- Recommend actions for classroom or whole school.

- Recommend medical support.

- May involve period of quarantine or closure or a class or in extreme situation, the whole school.

- Any decision to close a class or the school for a period will be made by the Director based on medical advice and in consultation with the School Board.


6. Information about various childhood illnesses, seasonal illnesses and epidemics are placed on the health and medical section of the school website.



Introducing our School Nurse – Mrs Rini Elizabeth


My name is Rini Elizabeth. I am a graduate registered nurse with over 10 years’ experience in the health sector as nursing educator, company nurse, staff nurse and school nurse. I did one of my specializations in the UK. I live in Bangkok with my husband and two children. I love working with little ones. I have passion for cooking, reading, music and socializing. I love taking up new challenges as well. I’m a hard working systematic person and dedicate myself to the work I’m doing. I joined AISB as a school nurse.


I am a people person and a team player who likes to have a lot friends, talk to people and join groups. I am good at understanding people, organizing, communicating and caring for other’s needs. I work very well with all kinds of people, and understand that everyone has different perspective about projects and work tasks – so when I work with others I realize that everyone comes to the table with different priorities and objectives. I keep this in mind when I communicate tasks that need to be accomplished with positive reinforcement and awareness of what others are working on.


Based on recommendations of the Australian Health and Medical Research Council the school has produced an information table providing advice to parents of students suffering from an infectious disease. Parents are often uncertain about how long they should keep their child at home or the impact a particular infectious disease may have on siblings and other family members. AISB will now use this document as a guide to the most appropriate exclusion period in each case.


Some important documents:


1. Action we take to reduce mosquito bite

2. Nurse operating procedures

3. Information about hand, food, and mouth disease

4. Information about Gastroenteritis in children

5. First aid for seizures Epilepsy action (video)

6. Cleaning and hygiene – classrooms, dining area and food preparation area.

7. Hand, Foot and Mouth disease


School exclusion periods for students suffering infectious conditions

(Based on Recommendations of the Australian Health and Medical Research Council)


Condition Exclusion of Case Exclusion of Contacts
Amoebiasis (Entamoeba histolytica) Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Campylobacter Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Candidiasis See ‘Thrush’
Chickenpox (Varicella) Exclude until all blisters have dried. This is usually at least 5 days after the rash first appeared in unimmunised children and less in immunised children. Any child with an immune deficiency (for example, leukaemia) or receiving chemotherapy should be excluded for their own protection. Otherwise, not excluded.
CMV (Cytomegalovirus infection) Exclusion is NOT necessary Not excluded
Conjunctivitis Exclude until the discharge from the eyes has stopped unless doctor has diagnosed a non-infectious conjunctivitis Not excluded
Cryptosporidium infection Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Diarrhoea (No organism identified) Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Diphtheria Exclude until medical certificate of recovery is received following at least 2 negative throat swabs, the first swab not less than 24 hours after finishing a course of antibiotics followed by another swab 48 hours later. Exclude contacts that live in the same house until cleared to return by an appropriate health authority.
German measles See ‘Rubella’
Giardiasis Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Glandular fever (Mononucleosis, EBV infection) Exclusion is NOT necessary Not excluded
Hand, Foot and Mouth disease Exclude until all blisters have dried. Not excluded
Haemophilus influenza Type B (HIB) Exclude until the person has received appropriate antibiotic treatment for at least 4 days. Not excluded
Head lice (Pediculosis) Exclusion is NOT necessary if effective treatment is commenced prior to the next day at child care (i.e. the child doesn’t need to be sent home immediately if head lice are detected). Not excluded
Hepatitis A Exclude until a medical certificate of recovery is received, but not before seven days after the onset of jaundice. Not excluded
Hepatitis B Exclusion is NOT necessary Not excluded
Hepatitis C Exclusion is NOT necessary Not excluded
Herpes simplex (cold sores, fever blisters) Exclusion is not necessary if the person is developmentally capable of maintaining hygiene practices to minimise the risk of transmission. If the person is unable to comply with these practices they should be excluded until the sores are dry. Sores should be covered by a dressing where possible. Not excluded
Human Immunodeficiency Virus (HIV/AIDS) Exclusion is NOT necessary. If the person is severely immune-compromised, they will be vulnerable to other people’s illnesses. Not excluded
Hydatid disease Exclusion is NOT necessary Not excluded
Impetigo (school sores) Exclude until appropriate antibiotic treatment has commenced. Any sores on exposed skin should be covered with a watertight dressing. Not excluded
Influenza and influenza like illnesses Exclude until well Not excluded
Legionnaires’ disease Exclusion is NOT necessary Not excluded
Leprosy Exclude until approval to return has been given by an appropriate health authority Not excluded
Measles Exclude for 4 days after the onset of the rash Immunised and immune contacts are not excluded. Non-immunised contacts of a case are to be excluded until 14 days after the first day of appearance of rash in the last case, unless immunised within 72 hours of first contact during the infectious period with the first case. All immune-compromised children should be excluded until 14 days after the first day of appearance of rash in the last case.
Meningitis (bacterial) Exclude until well and has received appropriate antibiotics Not excluded
Meningitis (viral) Exclude until well Not excluded
Meningococcal infection Exclude until appropriate antibiotic treatment has been completed Not excluded
Molluscum contagiosum Exclusion is NOT necessary Not excluded
Mumps Exclude for nine days after onset of swelling Not excluded
Norovirus Exclude until there has not been a loose bowel motion or vomiting for 48 hours Not excluded
Parvovirus infection (slapped cheek syndrome) Exclusion is NOT necessary Not excluded
Pertussis See ‘Whooping Cough’
Respiratory Syncytial virus Exclusion is NOT necessary Not excluded
Ringworm/Tinea Exclude until the day after appropriate antifungal treatment has commenced Not excluded
Roseola Exclusion is NOT necessary Not excluded
Rotavirus infection Exclude until there has not been a loose bowel motion or vomiting for 24 hours Not excluded
Rubella (German measles) Exclude until fully recovered or for at least four days after the onset of the rash Not excluded
Salmonella infection Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Scabies Exclude until the day after appropriate treatment has commenced Not excluded
Shigella infection Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Streptococcal sore throat (including scarlet fever) Exclude until the person has received antibiotic treatment for at least 24 hours and feels well Not excluded
Thrush (candidiasis) Exclusion is NOT necessary Not excluded
Toxoplasmosis Exclusion is NOT necessary Not excluded
Tuberculosis (TB) Exclude until medical certificate is produced from an appropriate health authority Not excluded
Typhoid, Paratyphoid Exclude until medical certificate is produced from appropriate health authority Not excluded unless considered necessary by public health authorities
Viral gastroenteritis (viral diarrhoea) Excluded until there has not been a loose bowel motion or vomiting for 24 hours Not excluded
Warts Exclusion is NOT necessary Not excluded