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When to Keep Students Home
When to Keep Students Home
Below are some guidelines and resources to help you decide when to keep your child home from school. The recommendations are based on the guidelines provided by the Oregon Health Authority and the Oregon Department of Education, which were developed to help prevent the spread of potentially contagious disease.
This list is school instructions, not medical advice. Please contact your health care provider with health concerns.
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SYMPTOM OF ILLNESS – FEVER
Temperature equal to or greater than 100.4 °F orally.
STUDENT MAY RETURN WHEN…
The student is fever-free for 24 hours without taking fever-reducing medication. -
SYMPTOM OF ILLNESS – COUGH
Persistent cough that is not yet diagnosed and cleared by a licensed healthcare provider OR any acute (non-chronic) cough illness that is frequent or severe enough to interfere with participation in usual school activities.
STUDENT MAY RETURN WHEN…
symptoms improving for 24 hours (no cough or cough well-controlled). -
SYMPTOM OF ILLNESS – DIFFICULTY BREATHING OR SHORTNESS OF BREATH
Not explained by situation such as exercise; feeling unable to catch their breath, gasping for air, breathing too fast or too shallow, breathing with extra effort such as using muscles of the stomach, chest, or neck.
STUDENT MAY RETURN WHEN…
Symptoms are improving for 24 hours. This symptom is likely to require immediate medical attention. -
SYMPTOMS OF ILLNESS – HEADACHE WITH STIFF NECK AND FEVER
Not explained by situation such as exercise; feeling unable to catch their breath, gasping for air, breathing too fast or too shallow, breathing with extra effort such as using muscles of the stomach, chest, or neck.
STUDENT MAY RETURN WHEN…
The student has been fever-free for 24 hours without taking fever-reducing medicine, and symptoms have resolved. This combination of symptoms may indicate a serious condition. The student is advised to seek medical attention. -
SYMPTOMS OF ILLNESS – DIARRHEA
Three or more watery or loose stools in 24 hours OR sudden onset of loose stools OR student unable to control bowel function when previously able.
STUDENT MAY RETURN WHEN…
24 hours after diarrhea resolves, OR after being seen and cleared by a licensed healthcare provider, OR LPHA for specific diarrheal diagnoses. -
SYMPTOMS OF ILLNESS – VOMITING
At least 1 episode that is unexplained.
STUDENT MAY RETURN WHEN…
24 hours after the last episode of vomiting OR after being seen and cleared by a licensed healthcare provider. -
SYMPTOMS OF ILLNESS – SKIN RASH OR SORES
New rash not previously diagnosed by a health care provider OR if rash is increasing in size OR if new sores or wounds are developing day-to-day OR if rash, sores, or wounds are draining and cannot be completely covered with a bandage.
STUDENT MAY RETURN WHEN…
Rash is resolved OR until sores and wounds are dry or can be completely covered with a bandage OR after being seen and cleared by a licensed healthcare provider. -
SYMPTOMS OF ILLNESS – EYE REDNESS AND DRAINAGE
Unexplained redness of one or both eyes OR colored drainage from the eyes OR eye irritation accompanied by vision changes OR symptoms such as eye irritation, pain, redness, swelling or excessive tear production that prevent active participation in usual school activities.
STUDENT MAY RETURN WHEN…Symptoms resolve OR after being seen by a licensed healthcare provider and indicated therapy has been started. Eye redness alone, with no colored drainage, may be considered for attendance per CDC guidelines and school nurse assessment.
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SYMPTOMS OF ILLNESS – JAUNDICE
Yellowing of the eyes or skin that is new or uncharacteristic.
STUDENT MAY RETURN WHEN…
The student is seen and cleared by a licensed healthcare provider. -
SYMPTOMS OF ILLNESS – BEHAVIOR CHANGE
May include uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities.
STUDENT MAY RETURN WHEN…
Symptoms resolve; return to normal behavior OR after being seen and cleared by a licensed healthcare provider. This symptom can indicate a serious condition. Medical attention is strongly recommended. -
SYMPTOMS OF ILLNESS – MAJOR HEALTH EVENT or STUDENT REQUIRING MORE CARE THAN SCHOOL STAFF CAN SAFELY PROVIDE
May include an illness lasting more than 2 weeks; an emergency room treatment or hospital stay; a surgical procedure with potential to affect vital signs or active participation in school activities; or a new or changed health condition for which school staff is not adequately informed, trained, or licensed to provide care.
STUDENT MAY RETURN WHEN…
Health and safety are addressed. Medical attention strongly recommended. Written instructions from a licensed healthcare provider are likely to be required.Schools must comply with state and federal regulations such as the Americans with Disabilities Act ensuring free and appropriate public education (FAPE). School staff should follow appropriate process to address reasonable accommodations and school health service provision in accordance with applicable laws. -
SYMPTOMS OF ILLNESS – LICE (LIVE BUGS)
STUDENT MAY RETURN WHEN…
A pediculicide lice treatment shampoo has been applied (per manufacturer or physician instruction) and there are no live bugs. Read our policy here. -
SYMPTOMS OF ILLNESS – STREP THROAT
STUDENT MAY RETURN WHEN…
The student has completed 24 hours on antibiotics. -