Nurse’s Corner

Hello! My name is Kimberly O’Brien and I am very excited to be a member of the Lake Forest Central Elementary School Team. I can be reached through the main office or directly in the nurse’s office at (302)284-5810, extension 304 or at my school email address,  I am looking forward to a positive and productive year working with you and the students here at CES.

Forms you may need:


DE Student Health Form

Field Trip Form

JLCG Pediculosis Policy

Prescription Medication Form

Nonprescription Medication Form

Immunization Requirement for 6th Grade Enterers

Head Lice Information – From the School Nurse

This is the time of year when I get questions regarding head lice and we thought that this information might be helpful to you.

Head lice transmission can occur at home, school or in the community. Communication and proper management are the key components in dealing with an infestation and minimizing transmission to other students.  These responsibilities are shared between home and school.  We are here as a resource and can provide accurate information and help sift through misinformation.

Pediculosis (head lice) is a prevalent problem in school-aged children.  Head lice are one of the most communicable conditions with an estimated 6 – 12 million infestations occurring every year.  Head lice are not dangerous, they do not transmit disease and are not a public health issue.  Head lice should not disrupt the educational process.

Helpful Information

  • Check your child’s head regularly as part of your routine hygiene – at least once a week.
  • Watch for signs of head lice such as frequent head scratching especially behind the ears and at the nape of the neck.
  • Remind your children not to share personal items such as hats, helmets, combs, hair accessories, pillows.
  • Hair styles that restrain hair, such as ponytails and braids, prevent spread.
  • Head lice are mostly spread by direct head-to head contact.

What to look for…

  • Find a comfortable area with good light.
  • Look carefully throughout the entire scalp.  Wearing magnifying / reading glasses helps.
  • Lice are wingless insects about the size of a sesame seed.  They are usually reddish brown in color.  They move quickly and shy away from light. (This makes them more difficult to see.)
  • The determination of head lice is more often made by seeing nits (eggs) than by finding crawling head lice.
  • Nits are tiny, oval-shaped, and are usually beige or grayish white in color.
  • Nits are attached to the hair shaft and do not wash or blow away.

If you find head lice…

  • Please call us for advice.
  • Contact your pediatrician for treatment recommendations.
  • Follow directions very carefully and read all the warning labels
  • Be aware that over-the-counter products do not kill 100% of the lice and nits.
  • Combing and manual removal of lice are essential components to successfully removing ALL nits and lice from the head.  This may take over several days to accomplish.
  • Check all other members of the household.  Only those with live lice or nits close to the scalp should be treated.
  • Do not reapply treatment more frequently than recommended.
  • Be aware that there are many websites that offer advice and products regarding head lice management.  Your child’s pediatrician and school nurse are the best resources for information regarding head lice management.
  • Contact us if you have any questions during the process
  • The school nurse must assess your child after treatment.  Guidance and further direction by the school nurse will help with successful eradication of the head lice infestation.

Environmental Issues:

  • Machine wash in hot water and regular detergent all clothing and bed lines that have been in contact with the infected person or dry on the hot cycle for at least 20 minutes.
  • Items not washable such as toys, pillows etc. should be stored in a tightly sealed plastic bag for two weeks.
  • Vacuum carpets, floors, upholstered furniture and the car.
  • Soak combs and brushes in hot water for 20 minutes or replace them.
  • Notify anyone with whom your child has been in close contact with so that they can monitor for evidence of head lice.


National Association of School Nurses

American Academy of Pediatrics

Delaware Department of Public Health

Flu Information – The Flu: A Guide for Parents

What is the flu?
Influenza (the flu) is an infection of the nose, throat and lungs caused by influenza viruses that are constantly changing. Flu causes illness, hospital stays and deaths in the United States each year. Flu can be very dangerous for children. Each year about 20,000 children younger than 5 years old are hospitalized from flu complications, like pneumonia.

How serious is the flu?
Flu illness can vary from mild to severe. Flu can be especially dangerous for young children and children of any age who have certain long term health conditions, including asthma (even mild or controlled), neurological conditions, chronic lung disease, heart disease, blood disorders, endocrine disorders (such as diabetes), and weakened immune systems due to disease or medication. Children with these conditions, and those receiving long-term aspirin therapy, can have more severe illness from the flu.

How does the flu spread?
Most experts believe that flu viruses spread mainly by droplets made when people with the flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby. Less often, a person might get the flu by touching something that has flu virus on it and then touching their own mouth, eyes or nose.

What are the symptoms of flu?
Symptoms of flu can include fever, cough, sore throat, runny or stuffy nose, body aches, head- ache, chills, fatigue and sometimes vomiting and diarrhea. Some people with flu will not have a fever.

How long can a sick person spread the flu?
People with the flu may infect others from 1 day before getting sick to 5-7 days after. Children and people with weakened immune systems can shed virus for longer, and might still be contagious past 7 days, especially if they still have symptoms.

Can my child go to school, daycare or camp if he or she is sick?
No. Your child should stay home to rest and to avoid giving the flu to other children or to caregivers.

When can my child go back to school after having the flu?
Keep your child home until at least 24 hours after their fever is gone, without using fever- reducing medications, like acetaminophen (Tylenol) or ibuprofen (Motrin or Advil). A fever is defined as 100.4°F (38°C) or higher.

How can I protect my child against flu?
The first and most important thing to do is to get flu vaccine for your child, yourself, and everyone else in your household every year. Get the vaccine as soon as it is available.

  • Vaccination is recommended for everyone 6 months and older.
  • It’s especially important that young children and children with certain health conditions (see at left) get vaccinated.
  • It’s very important for parents, grandparents, teachers and caregivers to get vaccinated.
  • Everyone caring for infants under 6 months (who are too young to be vaccinated) should be vaccinated if possible. Vaccinating pregnant women can offer some protection to the baby during pregnancy and after birth.

What else can I do to protect my child?

 Cover coughs and sneezes with a tissue. Throw the tissue in the trash after use.

  • Stay away from people who are sick.
  • Wash hands often with soap and water.
  • Use an alcohol-based hand rub if soap and water are not available.
  • Contact your healthcare provider if your child gets sick, especially if the child is very young (under 5) or has long-term health conditions.
  • Seek emergency care if your child has trouble breathing, fast breathing, turns bluish or gray, has severe or persistent vomiting, has trouble waking up, or doesn’t interact normally. Much more information is available at:

Adapted from CDC and developed as per legal requirements pursuant to An Act Relative to Annual Immunization Against Influenza for –Children, MGL Chapter 111, Section 229, Amended 2012. Massachusetts Department of Public Health, 2013

Lake Forest School District © 2014