Guidelines regarding management of head lice









Guidelines regarding management of head lice

The following guidelines/steps are to be followed in all Gwinnett County Schools in dealing with pediculosis (head lice).
  1. Teachers will constantly observe students for possible cases of head lice.
  2. If a case of head lice is suspected, the student will be sent to the clinic or office area to be checked. Call parents to pick up the student identified with live lice and give them the Head Lice Treatment Procedure.
  3. If the parent is unable to pick up the student, make sure to send the Head Lice Treatment Procedure with the student on the bus.
  4. If 2 or more cases are discovered in one classroom, all students in the classroom will be checked and Parent Notification of Head Lice will be sent home with all students in the affected class.
  5. The clinic worker will check any student identified to have an active infestation prior to re-entry to school.
  6. The clinic worker will continue to check the student for live lice or any increase in the number of nits daily for three days and then once each week for three weeks. Students will not need to be sent home if only nits are noted.
  7. The clinic worker will contact the parent directly for any concerns regarding the effectiveness or compliance with the treatment.


Letter to Parent or Guardian of Child found to have Head Lice:

Dear Parent or Guardian:

Your child is believed to have head lice. Head lice are highly communicable and, in order to prevent the further spread in the school, this condition should be treated at once. Please read the following treatment guidelines and general information carefully. Your child may return to school after Step 1 of the treatment procedure has been completed. Upon return to school, a parent or responsible adult must accompany the student to the school clinic. The school clinic worker will check your child’s head to make sure there are no more live lice prior to returning to the classroom.

HEAD LICE TREATMENT PROCEDURE

STEP 1: Use a pediculocide (chemical lice treatment)
If you are uncomfortable with the use of a pediculocide or have used it previously and it has been ineffective, you may skip to STEP 2. You will then need to repeat STEP 2 the following day.
Use an over-the-counter pediculocidal shampoo or cream rinse to kill most of the lice. Read the labels carefully and discuss the product with your doctor or pharmacist. Shampoo with the medicated shampoo following the directions. After rinsing out the shampoo, comb out the nits with a fine tooth comb and manually remove any remaining nits.


STEP 2: Apply oil treatment (mineral, olive, baby)
Oil smothers and kills active head lice. Place the oil over the scalp and hair. Thoroughly cover the hair with the oil then wrap in a towel. Let oil stay on at least 8 hours. Oil is best removed with Dawn dishwashing liquid. Your oil treatment days are 1, 2, 5, 9, 13, 17 and 21. The treatments have been carefully timed to coincide with the life cycle of the louse. If you choose not to use the pediculocide remember to use the oil treatment on Day 1 and Day 2 in addition to all other designated days. You may do the treatments more often if you like, but do not miss any of the days or you will have to start the procedure over from the beginning.

Combing Out the Nits
Leave the oil in the hair for the comb out. Using a good nit or fine-toothed comb (baby comb), comb the hair but often times you must actually remove the nits or lice with your fingers. Wash out the oil.

STEP 3: Follow the enclosed treatment schedule for the next 3 weeks.

STEP 4: CLEAN ENVIRONMENT clean your house carefully once then concentrate on treating the hair.
  1. All family members should have their heads checked for lice. If none are found, do not treat this member. Continue checking the hair weekly. Follow the above treatment procedure for each member of the house who has lice or nits.
  2. Combs and brushes should be soaked in hot water.
  3. All bed linens, towels, clothing and head gear which have been in contact with the individual who has head lice should be machine washed with hot water and detergent and dried in a hot dryer as soon as treatment has been started.

STEP 5: FOLLOW UP
  1. Make sure that you inform others of the problem. It is very important. Baby-sitters, grandparents, school, day care center, playmates, and sports or other children’s groups will be grateful for the opportunity to check their families.
  2. Your child can return to school after one pediculocide treatment or one oil treatment, a thorough nit combing and nit check, and you have cleaned your environment. Please bring your student by the school clinic for a clearance to return to class.


Lice Treatment Schedule to be Provided Parents as Described in STEP #3 above:

LICE TREATMENT SCHEDULE

Make sure to follow the directions for each day Make sure to take the time to remove nits after each oil treatment. This will keep new lice from being able to hatch and lay more eggs.

TREATMENT DAY
TREATMENT STEP
DATE
    Day 1
STEP 1: Pediculocide and Oil Treatment or Oil Treatment Only
    Day 2
STEP 2: Oil Treatment
    Day 3 - 4
Check for lice or new nits
    Day 5
STEP 2: Oil Treatment
    Day 6 - 8
Check for lice or new nits
    Day 9
STEP 2: Oil Treatment
    Day 10 - 12
Check for lice or new nits
    Day 13
STEP 2: Oil Treatment
    Day 14 - 16
Check for lice or new nits
    Day 17
STEP 2: Oil Treatment
    Day 18 - 20
Check for lice or new nits
    Day 21
STEP 2: Oil treatment
Letter to Parents of Other Students:

Dear Parent or Guardian:

Several children in your child’s class have been diagnosed with head lice. We have already performed a head check on your child and did not find any signs of head lice. However, please check your child’s head and scalp for signs of head lice or nits (lice eggs) every few days for the next 3 weeks. Head lice are contagious so check siblings and any adults living in the house. Pets do not get head lice.

If you find signs of lice, notify your school clinic worker and you will be provided with information regarding treatment. Thank you for your cooperation.

Sincerely,

School Principal