School Nurse Notes
immunizations
The Tennessee School Immunization Certificate serves as verification that all immunizations are up to date and the child is eligible for school enrollment. This certificate also verifies that the child has completed a health examination (which is required for each child initially entering a Tennessee school).
Children Entering Pre-K:
- Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
- Hepatitis B (HBV)
- Poliomyelitis (IPV or OPV)
- Haemophilus influenzae type B (Hib): age younger than 5 years only
- Pneumococcal conjugate vaccine (PCV): age younger than 5 years only
- Measles, Mumps, Rubella (1 dose of each, usually given together as MMR)
- Varicella (1 dose or history of disease)
- Hepatitis A (1 dose by 18 months of age)
- Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
- Hepatitis B (HBV)
- Poliomyelitis (IPV or OPV): final dose on or after the 4th birthday now required
- Measles, Mumps, Rubella (2 doses of each, usually given together as MMR)
- Varicella (2 doses or history of disease)
- Hepatitis A (2 doses)
- Tetanus-diphtheria-pertussis booster (“Tdap”)
- Verification of immunity to varicella (2 doses or history of disease)
- Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
- Hepatitis B (HBV): previously only for Kindergarten, 7th grade entry
- Poliomyelitis (IPV or OPV): final dose on or after the 4th birthday now required
- Measles, Mumps, Rubella (2 doses of each, usually given together as MMR)
- Varicella (2 doses or history of disease): previously only one dose was required
- Tennessee Department of Health Certificate Of Immunization
- Medical: Healthcare provider must indicate which specific vaccines are medically exempted (because of risk of harm) on the new form. Other vaccines remain required.
- Religious: Requires only a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. If documentation of a health examination is required, it must be noted by the health care provider on the immunization certificate. In that case, the provider may explain the absence of immunization information by checking that the parent has obtained a religious exemption.
meningococcal vaccine
should your child be kept home from school?
- Chicken Pox:
Should you keep your child home from school?
Yes. Children with uncomplicated chicken pox may return after he/she is fever-free for twenty-four (24) hours without the use of fever controlling medications and after all blisters have dry, complete scabs. This is usually seven (7) days from the beginning of the breakout with the pox.
- Childhood Contagious Disease:
Should you keep your child home from school?
Yes. Children should stay home from school (until advised by provider) if there is a suspicion of any childhood contagious disease such as measles, mumps, rubella or chicken pox.
- Cold (Upper Respiratory Illness):
(With mild symptoms such as stuffy nose with clear drainage, sneezing, and mild cough.)
Should you keep your child home from school?
No. Your child may attend school if he or she is able to participate in school activities and fever-free for twenty-four (24) hours without the use of fever controlling medications. The fever should be less than 101 unless the child is less than six (6) months of age and the fever should be less than 100.
- Conjunctivitis (Pink-Eye):
Should you keep your child home from school?
Yes. Students may return twenty-four (24) hours after treatment is started and signs and symptoms of eye drainage are greatly reduced.
- Cough:
Should you keep your child home from school?
Yes. You should keep your child home if cough is present with fever [101 degrees or more unless the child is less than six (6) months of age and the fever should be less than 100 degrees to attend school]. You should keep your child home if he/she has a cough with shortness of breath or if coupled with thick or constant nasal drainage.
- Diarrhea:
Should you keep your child home from school?
Yes. You should keep your child home from school as long as diarrhea is present. If the child has been diagnosed by the provider with a non-infectious disease that causes diarrhea, the child may attend school.
- Ear Infection:
Should your child be kept home from school?
No. Your child may attend if there is no fever.
- Fever:
Should your child be kept home from school?
Yes. The child should stay home if his/her temperature is 101 degrees or more unless the child is less than six (6) months of age and the fever should be less than 100 degrees to attend school. Keep child home until fever-free for twenty-four (24) hours without the use of fever controlling medications.
- Fever Blister:
Should your child be kept home from school?
Yes. The child should stay home if mouth sore is present. The child should stay home until sore starts to heal producing scab.
- Fifth Disease:
Should you keep your child home from school?
No. By the time the rash appears, children are no longer contagious and do not need to stay home. Keep students home until fever-free for twenty-four (24) hours without the use of fever controlling medications.
- Hand, Foot and Mouth Disease:
Should you keep your child home from school?
Yes. Children may return to school when all lesions are dry. In addition, keep students home until fever-free for twenty-four (24) hours without the use of fever controlling medications.
- Head Lice:
Should you keep your child home from school?
No. Children may return to class after treatment and approval from school nurse.- Impetigo:
Should you keep your child home from school?
Yes. Children may return to school twenty-four (24) hours after treatment starts. Sores should be covered when the child returns to school.
- Rash:
Should you keep your child home from school?
Yes. Children may return to school after seen and diagnosed by provider. Provider will instruct when child may return to school.
- Ringworm:
Should you keep your child home from school?
Yes. Children may return to school twenty-four (24) hours after treatment begins. Areas should be covered when the child returns to school.
- Scabies:
Should you keep your child home from school?
Yes. Children may return to school after treatment has been started.
- Staph:
Should you keep your child home from school?
Yes. Children should be kept home from school until seen by provider and advised regarding appropriate treatment.
- Strep Throat:
Should you keep your child home from school?
Yes. Children may return twenty-four (24) hours after antibiotics have been started and when fever free for twenty-four (24) hours without the use of fever controlling medications.
- Stye:
Should you keep your child home from school?
Yes. Children may return after treatment has been started. Warm compresses may be applied to the affected area. Practice good hand hygiene.
- Vomiting:
Should you keep your child home from school?
Yes. A child should be kept at home until vomiting ceased after he/she is fever-free for twenty-four (24) hours without the use of fever controlling medications.
- Whooping Cough (Pertussis):
Should you keep your child home from school?
Yes. Children should be kept at home until after treated and advised to return by provider.
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