Illness Policy:
How Sick is Too Sick?
Illness Policy: How Sick is Too Sick?
When to Keep Children at Home
When
to Keep
Children
at Home
Illness
Policy:
How
Sick is Too
Sick?
When
Children
at Home
There are three reasons
to keepto
sickKeep
children
at home:
IN CARE OF KIDS
There1.areThe
three
reasons
tofeel
keep
sick
children
at home: comfortably in usual activities, (such as;
child
does not
well
enough
to participate
extreme signs of tiredness, unexplained irritability or persistent crying).
1. The child does not feel well enough to participate comfortably in usual activities, (such as;
2. The child requires more care than program staff is able to provide, without effecting the
extreme signs of tiredness, unexplained irritability or persistent crying).
health and safety of the other children.
2. The child requires more care than program staff is able to provide, without effecting the
3. The illness is on the list of symptoms or illness for which exclusion is recommended.
health and safety of the other children.
3.Children
The illness
on following
the list of symptoms
forshould
which exclusion
is recommended.
withisthe
symptomsororillness
illness
be kept (excluded)
from school:
SYMPTOM
Child
Must Befrom
at Home?
Children with the following
symptoms or illness should be kept
(excluded)
school:
Yes – ifChild
childMust
looksBe
or acts
ill; if child has
at Home?
diarrhea with fever and behavior change; if
Yes – if child looks or acts ill; if child has
frequent, loose or watery stools compared to
Diarrhea
child has diarrhea with vomiting; if child
diarrhea with fever and behavior change; if
child’s normal pattern; not caused by diet or
has diarrhea that is not contained in the
frequent, loose or watery stools compared to
child has diarrhea with vomiting; if child
medication
diaper or the toilet
child’s normal pattern; not caused by diet or
has diarrhea that is not contained in the
medication
Fever with behavior changes or illness
diaper or the toilet
Yes - when fever is accompanied by
Note:with
An unexplained
temperature
of 100°F or
Fever
behavior changes
or illness
behavior changes or other symptoms of
- when fever is accompanied by
above is significant in infants 4 months of age or Yes
illness, such as rash, sore throat, vomiting,
Note: An unexplained temperature of 100°F or
behavior changes or other symptoms of
younger and requires immediate medical
etc.
above is significant in infants 4 months of age or illness,
such as rash, sore throat, vomiting,
attention
younger and requires immediate medical
etc.
Flu Symptoms
attention
Yes - for at least 24 hours after there is no
Fever
over 100°F with a cough or sore throat.
Flu
Symptoms
longer a fever, without the use of feverYes - for at least 24 hours after there is no
Other
flu
symptoms
can
include
fatigue,
body
Fever over 100°F with a cough or sore throat.
reducing medicine
longer a fever, without the use of feveraches, vomiting and diarrhea
Other flu symptoms can include fatigue, body
reducing medicine
Coughing
severe,
uncontrolled coughing or
aches,
vomiting
and diarrhea
wheezing, rapid or difficulty breathing
Coughing severe, uncontrolled coughing or
Yes - medical attention is necessary
Note: Children
asthmabreathing
may be cared for in
wheezing,
rapid orwith
difficulty
school with a written health care plan and
Yes - medical attention is necessary
Note: Children with asthma may be cared for in
authorization for medication/treatment
school with a written health care plan and
authorization for medication/treatment
Mild Respiratory or Cold Symptoms
No – may attend if able to participate in
stuffy
nose with clear
drainage,
sneezing, mild
Mild
Respiratory
or Cold
Symptoms
school activities
No – may attend if able to participate in
cough
stuffy nose with clear drainage, sneezing, mild
school activities
cough
Diarrhea
SYMPTOM
Page 1 of 3
13123 E. 16th Avenue, Aurora, Colorado 80045 • 720-777-1234 • Toll-free: 800-624-6553
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“In Care of Kids” is a trademark of The Children’s Hospital. It is used on patient and family healthcare educational materials produced by the Hospital.
16th Avenue,
Aurora,
Colorado
80045It•is720-777-1234
• Toll-free:
information 13123
has beenE.
reviewed
by designated
staff of The
Children’s Hospital.
intended to supplement,
not replace800-624-6553
medical information provided by the
provider.
“In Care of Kids” is a trademark of The Children’s Hospital. It is used onhealthcare
patient and
family healthcare educational materials produced by the Hospital. This
information has been reviewed by designated staff of The Children’s Hospital. It is intended to supplement, not replace medical information provided by the
healthcare provider.
RASH With Fever
Note: Body rash without fever or behavior
changes usually does not require exclusion from
school; seek medical advice
Vomiting
two or more episodes of vomiting in the past 24
hours
Chicken Pox
ILLNESS
Conjunctivitis (Pink Eye) Or
pink color of eye and thick yellow/green
discharge
Croup (See Coughing)
Note: May not need to be excluded unless
child is not well enough to participate in usual
activities
Fifth’s Disease
Hand Foot And Mouth Disease (Coxsackie
virus)
Headlice Or Scabies
Hepatitis A
Herpes
Impetigo
Ringworm
Roseola
Note: A child with rash and no fever may
return to school
RSV (Respiratory Syncytial Virus)
Note: A child does not always need to be
excluded unless he/she is not well enough to
participate in usual
Yes - seek medical advice. Any rash that
spreads quickly, has open, weeping wounds
and/or is not healing should be evaluated
Yes – until vomiting resolves or a health
care provider decides it is not contagious.
Observe for other signs of illness and for
dehydration
Child Must Be At Home ?
Yes - until blisters have dried and crusted
(usually 6 days) If blister occurs after
vaccination, refer to Health Dept Guidelines
Yes - until 24 hours after treatment
If your health provider decides not to treat your
child, a note is needed
Seek medical advice
No - child is no longer contagious once rash
appears
No - may attend if able to participate in usual
activities, unless the child has mouth sores and
is drooling
May return after treatment starts
Yes – until 1 week after onset of illness or
jaundice and when able to participate in usual
activities
Yes – if area is oozing and cannot be covered,
such as mouth sores
Yes – for 24 hours after treatment starts
May return after treatment starts
Keep area covered for the first 48 hrs of
treatment
Yes – seek medical advice
Seek medical advice. Once a child in the group
has been infected, spread of illness is rapid
Page 2 of 3
13123 E. 16th Avenue, Aurora, Colorado 80045 • 720-777-1234 • Toll-free: 800-624-6553
“In Care of Kids” is a trademark of The Children’s Hospital. It is used on patient and family healthcare educational materials produced by the Hospital. This
information has been reviewed by designated staff of The Children’s Hospital. It is intended to supplement, not replace medical information provided by the
healthcare provider.
Strep Throat
Vaccine Preventable Diseases
Measles, Mumps, Rubella (German Measles),
Pertussis (Whooping Cough)
Yeast Infections
including thrush or candida diaper rash
Yes - for 24 hours after treatment and the child
is able to participate in usual activities
Yes – until determined not infectious by the
health care provider
No – may attend if able to participate in school
activities
Follow good hand washing and hygiene
practices
This information is based upon the guidelines from American Academy of Pediatrics, American
Public Health Association, National Resource Center for Health and Safety in Child Care,
Colorado Department of Public Health and Environment, Communicable Disease Epidemiology
Program, and Center for Disease Control.
Pamela Nii RN, NCSN and Christine Perreault, RN, MHA
January 2010
Approved by the Patient Family Education Committee
©2010 The Children’s Hospital, Aurora, CO.
Page 3 of 3
13123 E. 16th Avenue, Aurora, Colorado 80045 • 720-777-1234 • Toll-free: 800-624-6553
“In Care of Kids” is a trademark of The Children’s Hospital. It is used on patient and family healthcare educational materials produced by the Hospital. This
information has been reviewed by designated staff of The Children’s Hospital. It is intended to supplement, not replace medical information provided by the
healthcare provider.