School Information

From the School Nurse


Is your child too sick for school?  Is it a fever? Here's a guide on how to figure it out!


Is it a fever?

If you think your child has a fever, take his temperature. Oftentimes as parents, we touch our child’s head and assume he has a fever if he feels warm, but this is not the best way to measure a temperature at home.

The best way is to use a digital thermometer. There are several types on the market, including:

  • Oral – the easiest for older children, and can also be used under the arm, although this doesn’t always offer the most accurate reading.
  • Tympanic (ear)
  • Rectal – the best way to take a temperature in infants
  • Temporal artery (forehead)

Make sure to read the instructions for all thermometer use carefully.

Whatever method you choose; a fever is defined as a temperature greater than 100.4 degrees F (38 C) rectally. Temperatures taken orally typically run about ½ to 1 degree lower.

  • 99.5 degrees F (37.5 degrees C) in the mouth
  • 100.4 degrees F (38 degrees C) rectally
  • 99 degrees F (37.2 degrees C) under the arm

Also, be aware that a high fever may not be a good indicator of how sick your child is. A simple cold or viral infection can cause a high fever of 102-104 degrees F (38.9-40 degrees C), but isn’t usually a cause for worry. 

Call your pediatrician right away if your child has a fever and any of these symptoms:

  • Rash
  • Has a specific complaint such as a sore throat or earache
  • Has lasting diarrhea or repeated vomiting
  • Refuses fluids
  • Has signs of dehydration (peeing less than usual or not having tears when crying)
  • Still has a fever after 24 hours (in kids under 2) or 72 hours (kids over 2)

Seek emergency care if your child has a fever and shows any of these signs:

  • Severe headache
  • Stiff neck or complains of light hurting their eyes
  • Rash or purple spots that look like bruises on the skin
  • Problems breathing
  • Belly pain
  • Sluggishness or trouble waking up

Heather Espy, LPN

Concerned about viruses?  Please take a moment to read the latest from the CDC.


Medication Administration at School

Please be advised that medication is not allowed to be transported on the school bus. A parent/guardian is required to bring in any medication needed at school, including prescription and over the counter medications. Cough drops are considered medication. A consent form is required to be completed with the nurse for all medications. Feel free to contact Nurse Espy at the phone number or email address listed below. 

**Any prescription medication, including inhalers, must have the appropriate pharmacy label with doctor’s orders. Any prescription medication that does not have a prescription label with doctor’s orders will not be administered at school.


Heather Espy

School Nurse

Welch Elementary

Office: 770-254-2597

Fax:     770-251-0986




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