Kathy Dafler, R.N.

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Certified school nurse for the Brookville School District
My main office is at the elementary school clinic, but am available to preschool through twelve students, as well as staff.

In addition to serving the district as the school nurse, I serve on the intervention assistance team and advise the high school academic team. 

Contact Info:
937.833.6796, ext. 1102 
daflerk@brookvilleschool.org

 

Healthy Topics

This section is to explain some health issues that parents' of school age children may need to know how or what to do.  Please feel free to call if you have questions on any of these topics.

Head Lice 

Head lice are tiny wingless insects that live on the human scalp.  They are about as big as sesame seeds.  Head lice live off the human by sucking the blood.  Lice cannot fly or jump from one person to another; they can only crawl.  Children can get head lice from head to head contact with other infested children.  Head lice can only survive on humans.  They cannot survive off the host for longer than 24 – 48 hours. Lice can be passed around on shared combs, brushes, hats, towels, linens, and other personal items that touch heads.

Please encourage your children not to share hats, combs, or other personal items with others. Linens and other personal items need to be washed in hot water and dried in a hot dryer.

Eggs (nits) are laid by the female louse and are about the size of a poppy seed.  They are very difficult to see because their color easily blends in with the infested child’s hair.  Eggs are laid and attached near the root of the hair.  Nits can vary in color, from yellowish brown to white.  As the hair grows, nits are usually found further from the root of the hair.  Lice live approximately 30 days.  Eggs hatch in 10- 12 days.  It is very important that nits are combed completely out after shampooing with the lice killing shampoo and to continue to inspect and comb daily.

The most common symptom of lice infestation is itching of the scalp.  Nits may be seen on hair strands at the nape of the neck, crown of the head, or around the ears.

When a student is identified with lice, that student must be treated with a lice killing shampoo.  It is important that the directions of that shampoo be followed so it will be effective against the infestation.  After using the lice killing shampoo, use a fine tooth comb to help remove the nits.  Please continue to check for lice and nits on a regular basis.

Check all family members on a regular basis to prevent reinfestation.
 


Pertussis (whooping cough)

Pertussis is spread through contact with the germs when an infected person coughs into the air.  It starts out as cold symptoms with a mild cough and the cough becomes more severe.  The coughing episodes can last from 4-6 weeks and often occur more frequently at night.  Children receive immunizations against pertussis and this helps reduce the severity of the disease.  Two products were licensed by the FDA in 2005 as single dose booster vaccines to provide additional protection against pertussis in individuals 11-64 years of age.  Early diagnosis and antibiotic treatment also help reduce the severity, as well as preventing the spread.  If your child has a cough or if you have any concerns regarding your child’s health, contact your child’s physician.  If you or your doctors have further questions, please contact Public Health-Dayton and Montgomery County at 937-225-4508 or 937-496-7699.


Influenza (“flu”)

 If your child has a  sudden onset of fever, chills, headache and sore muscles he/she probably has the flu. Runny nose, sore throat, and cough are sometimes common.  The communicable period is 24 hours prior to the onset of symptoms through 3 days after onset.  Method of transmission can be direct or indirect contact with discharge from nose or throat.  Children with a fever and those who feel ill are to be excluded.  Hands should be washed after contact with soiled tissues. 
 


Fifth Disease Erythema Infectioum

Fifth disease is a virus that presents a facial rash that is intensely red with a “slapped cheek” appearance. This spreads to the trunk and extremities, and clears centrally looking “lacey.”  Generally clears in one week, recurs if person gets warm or upset up to a month.  The communicable period is up to 5 days prior to, and, to a lesser extent for 2 days after the appearance of the  rash.  According to the Ohio Dept. of Health there is no exclusion unless the child has a fever or is uncomfortable.  Hands should be washed after contact with secretions or soiled tissues.   

 

Strep Throat/Scarlet Fever 


Strep Throat is a  streptococcal infection. Symptoms are fever, red throat with pus spots, tender and swollen lymph nodes (glands), symptoms are variable.  Scarlet fever will have these symptoms as well as a sandpaper like rash on skin and inside mouth,” strawberry tongue,” high fever, nausea, and vomiting.  The communicable period is until 24 hours of appropriate antibiotic therapy has been completed.  Child may return to school 24 hours after appropriate antibiotic therapy and fever free.  Avoid direct contact with nose and throat secretions of infected person.  Hands should be washed.

 

Chickenpox or Varicella 

Chickenpox is a skin rash which progresses to blisters and then scabs.  Eruptions occur in crops and all three stages may be present simultaneously. Covered body areas are most often affected. A slight fever and malaise are also typical.  The communicable period is 1-2 days before the rash appears, through the maximum of 6 days after appearance of vesicles.  Avoid direct and indirect contact of drainage from lesions or respiratory droplets. Hands should be washed.  A vaccine is available for chickenpox.

 

Common Cold 
 

cold is the general term for “coryza,” or an inflammation of the respiratory mucous membranes caused by a variety of viruses.  Communicable period is prior to the onset of symptoms.  Runny nose, sneezing, scratchy throat, chills, and malaise are few of the symptoms.  It may resolve itself from 2 to 10 days.  Avoid contact with nose and throat secretions and tissues.  Wash hands often.

 

Viral/Aseptic Meningitis 

Viral Meningitis is generally caused by viruses and occurs primarily in young children.  Meningitis is an irritation of the covering of the brain and spinal cord.  Symptoms generally include fever, headache, lack of appetite, stomach pain, nausea and vomiting, and stiff neck.  These symptoms generally go away with no permanent damage after a few days to a week.

Should your child develop any of these symptoms in the next few weeks, contact your family doctor (or the health department if you do not have a family doctor), and tell him/her that your child might have been exposed to viral/aseptic meningitis, and now is feeling unwell.  You will be advised on further action if needed, if any.

The virus is present in the bowel movement and saliva of infected persons.  People become infected only swallowing the virus, either from fecal material of from respiratory droplets from infected persons.  Spread of the virus can be reduced and controlled with a few simple measures:  1) Wash your hands thoroughly after changing a child’s diaper; 2) Was your hands and your children’s hands thoroughly washed after using the toilet?; 3) Wash you hands and your children’s hands before eating; 4) Do not share drinking cups.

Please see the attached Disease Fact Sheet for further information on viral/aseptic meningitis.

If you have questions, please contact the Montgomery County Combined Health District at 937-225-4508.

 

MRSA (Methicillin Resistant Staphylococcus Aureus) Staphylococcus Aureus

MRSA 
is a bacteria, commonly referred as “staph.”  Occasionally, “staph” can get into the body and cause infection such as pimples, boils, impetigo, cellutitis, or folliculitis (infected hair follicle).  A laceration or an abrasion may become infected with “staph.”   MRSA can emerge as a skin infection among otherwise healthy individuals.

Strategies for MRSA prevention and control is to clean all areas that are in use on a daily basis and encourage frequent hand washing.  The plan of action is to be proactive concerning MRSA are as follows:  

Common factors for transmitting and contracting MRSA:

                                Contact from skin to skin

                                Contaminated surfaces and shared items

                                Crowding

                                Compromised skin integrity

                                Cleanliness

Key prevention:   Know the signs and symptoms of MRSA.

It may be blister like, pus filled bumps, may be a seeping lesion, may look like an infected bug bite, and inflammation (redness at the site or lesion).

Keep wounds that are draining covered with clean, dry bandages.

Clean hands regularly with soap and water or an alcohol based hand gel.

Maintain good general hygiene.

Do not share personal use items.

Do not share water bottles.

Do not participate in contact sports with uncovered draining wounds.

Clean equipment and other environmental surfaces.

 

 Hand, Foot, and Mouth Disease (Coxsackie Virus)
 

 Hand, Foot and Mouth Disease is generally a raised rash particularly on palms, soles, and areas around the mouth.  It progresses to blisters, then scabs.  It can cause sores in the mouth, making  it difficult to swallow.  It is transmitted in direct contact with a person’s infected respiratory secretions or indirect contact with items freshly soiled with the secretions.  Virus may be found in feces/stool up to a month after symptoms have resolved. Oral secretion is infectious while sores are present in mouth.  Avoid direct and indirect contact of discharge of secretions or feces.  Give careful attention to hand washing. 
 

The number one line of defense to prevent the spread of  disease is to wash your hands!  Please stress the need for good hand washing technique.  Hand sanitizers are good for short term, and until you can get to running water and soap.  Remind them to wash their hands for at least 20 seconds, or as long as it takes to sing “Happy Birthday” twice.   Keep hands away from face!

 

Please keep your child home for 24 hours after a fever.  They should be without a fever for 24 hours with NO fever reducing medication given prior to returning to school.  Reducing the fever does not make them any less infectious, but hopefully it makes them feel better.  Follow the same rule for diarrhea and vomiting as you do with the fever about keeping them home for 24 hours.  You don’t want your child to contract another illness while trying to get over the original illness.  Encourage your child to get their much needed rest during this busy time of the year.  Following a well balanced diet from all the food groups may help in preventing other illnesses as well.  

 

Kathleen Dafler, R.N