Injury, Illness & Communicable Diseases
At ISD 728, the health and safety of our students is a shared responsibility between families, healthcare providers, and school staff. This page provides important information to help families know when to contact the health office and how to support a safe and healthy school environment.
Injury & Illness Care at School
During the school day, Health Services staff provide first aid care for student injuries and illness. This includes:
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Assessing and treating minor injuries and illness episodes
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Providing rest, ice, or basic wound care
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Monitoring symptoms of illness and injuries
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Communicating with parents or guardians when necessary, including follow-up recommendations or need for evaluation
When a student becomes significantly ill or injured at school, Health Services will:
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Attempt to contact the parent/guardian listed as the primary emergency contact first.
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If no answer, staff will attempt to contact other individuals listed on the student’s emergency contact list in order of priority.
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If no response is received and the student’s condition warrants urgent care or emergency attention, Health Services may seek assistance from the school resource officer or emergency medical services (911).
Restrictions from Physical Activity or Recess
If a student needs to refrain from physical education, recess, or other physical activity, a healthcare provider’s note is required within two (2) school days. This note must include:
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The reason for the restriction
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Duration of restriction
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Re-entry date or required follow-up
Students will not be excused from physical activity for more than two days without documentation from a healthcare provider.
Use of Medical Equipment at School
If your child sustains an injury that impacts their school day, please review the following guidelines:
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If your child needs to use medical equipment such as crutches, a wheelchair, orthopedic boots, slings, or braces, a healthcare provider’s note is required, and all equipment must be provided from home.
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ISD 728 Health Services does not supply or loan medical equipment. It is the family’s sole responsibility to ensure appropriate equipment is brought to school in safe, working condition.
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A healthcare provider’s note is required if your child needs to refrain from physical activity or recess for more than two (2) school days. This note should include the reason for the restriction, duration, and re-entry date.
When Should My Child Stay Home?
ISD 728 follows guidance from the Minnesota Department of Health (MDH) and the Centers for Disease Control and Prevention (CDC) regarding illness prevention and school attendance. Students should stay home when they are ill and could spread illness to others. On average, students are expected to have 5–7 sick days per school year.
Please keep your child home if they have any of the following:
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A fever of 100.4°F or higher
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Vomiting, more than twice in the preceding 24 hours.
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Diarrhea, especially if bloody or causing accidents
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Cough, fatigue, or congestion that is worsening or unexplained
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Draining skin sores that cannot be covered
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General discomfort or fatigue that prevents them from fully participating in learning activities
Return to School Guidelines
Students may return to school when the following conditions are met:
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They are fever-free for at least 24 hours without the use of fever-reducing medication
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Fever with rash has been evaluated and resolved by a healthcare provider
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Vomiting has resolved overnight, and the child is able to eat and drink normally
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Diarrhea has improved, with no more than two bowel movements above the child’s normal frequency for 24 hours
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Respiratory symptoms (such as cough or congestion) have been improving for at least 24 hours
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Skin sores are crusted over and under appropriate treatment
Communicable Disease Notification
Please inform the school health office if your child is diagnosed with a contagious condition, including but not limited to:
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Chickenpox
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Strep throat
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Whooping cough (pertussis)
To improve transparency and family communication, ISD 728 will notify families of a communicable disease in a student’s classroom only when a threshold is met according to Minnesota Department of Health (MDH) and CDC guidelines.
Common Illnesses & School Attendance
| Condition | Symptoms | Exclusion from School | Return to School |
|---|---|---|---|
| Chickenpox | Red bumps → blisters, fever possible | Yes | After all blisters have dried/scabbed (about 6 days) |
| COVID-19 | Fever, cough, fatigue, congestion, loss of taste/smell | If fever present | When fever is resolved; follow MDH guidelines |
| Fifth Disease | Rash on cheeks, arms, legs, low fever | Only with fever | Once fever resolves |
| Hand, Foot & Mouth | Blisters on hands, feet, mouth; low fever | Yes | When fever is gone and child feels well enough |
| Head Lice | Itching, live lice or eggs (nits) | No | After treatment; avoid head-to-head contact |
| Influenza-like Illness | Cough, sore throat, fever ≥100°F | Yes | 24 hours fever-free without meds and feeling well |
| Impetigo | Sores with golden crust | Yes | After 24 hours of treatment and sores are drying |
| Pink Eye | Red, itchy, draining eyes | Only if fever/unwell | When able to participate in school |
| Ringworm | Ring-shaped rash on skin | Yes (if lesions can't be covered) | Until treatment has started |
| Scabies | Intense itching, pink bumps, blisters | Yes | After 24 hours of treatment |
| Strep Throat / Scarlet Fever | Sore throat, fever, swollen glands | Yes | After 12 hours on antibiotics & fever-free for 24 hours |
| Whooping Cough | Persistent cough, whooping sound | Yes | After 5 days of antibiotics or 3 weeks after symptom onset |
Respiratory Illness Guidance
If your child shows signs of a respiratory virus, such as:
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Fever or chills
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Fatigue
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Cough
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Runny nose
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Headache
They should stay home and away from others until symptoms are improving for at least 24 hours. Consider masking upon return to reduce the spread of illness.
Questions or Concerns?
If you have questions about your child’s illness, injury, or when they should return to school, please contact your school nurse or your family physician.
Thank you for helping us maintain a healthy and safe school environment for all students!