School Nurse News and Information

Montgomery County R-II Middle School Health Information Page!

Good health enhances your student's ability to learn. School nursing has grown to meet student needs and involves much more than dispensing hugs and band-aids. Nurses address issues that face our students and assist teachers to enable our students for the best learning experience.

Student Health Information should be updated yearly. Please keep your school nurse updated on your child's health status, such as surgeries, medications, illnesses/diseases, new diagnoses, immunizations, or other conditions that may affect your child's school performance.


When can my child return to school after an illness?

Temperature/Fever -- Temperature must be below 100° F for 24 hours without Acetaminophen/Tylenol or Ibuprofen/Motrin to reduce temperature.

If a child was sent home by the building nurse due to a fever, they should NOT return to school for at least 24 hours. If they return to school the next day, parents will be notified to come and pick up their child.

Rash -- NO symptoms and/or a note from the doctor stating that the student is not contagious or that treatment has been started.

Vomiting or diarrhea -- Child needs to be eating their normal diet without vomiting or diarrhea for 24 hours before returning to school.

Eye Drainage -- No drainage OR a doctor’s note stating they are not contagious. If medication was prescribed and there is no doctor's note, the student may return 24 hours after starting treatment.

Head Lice -- Must undergo a lice treatment AND have no live lice. Student will need to check with the nurse's office before going to class each day to make sure they are free of live head lice. For more information on head lice, click on link to view the Head Lice Education Module:

Strep Throat -- Must be on antibiotics for 24 hours AND be fever free before returning to school  or a have a doctor's note stating that the student can return before the 24 hours.


Over-the-Counter Medications

The district may administer over-the-counter medication to a student upon receipt of a written request and permission to do so by the parent/guardian. All over-the-counter medications must be delivered to the school principal or designee in the manufacturer's original packaging and will only be administered in accordance with the manufacturer's label and/or physician’s orders.

Prescription Medications

The parent/guardian must provide the district with written permission to administer the medication before the district will administer the prescription medication to the student. The prescription label will be considered the equivalent of a prescriber's written direction, and a separate document is not needed. All prescription medications must be delivered to the school principal or designee in the original packaging and will only be administered in accordance with the physician’s orders. 

Certain health conditions may require an Individual Health Plan (IHP) for the safety and well being of your child.  Please contact your school nurse to create this plan.


Health screenings will be in the fall for 7th grade students.  Vision, height and weight will be checked. Results of the screenings will be mailed home. If your student wears eye glasses or contacts, send them with your child on screening day.

Scoliosis screenings will be in te spring for 6th grade students.  Results of screenings will be mailed home.

If you are not wanting your child to participate in school screenings, please send a handwritten note in to the nurse.

Wellness Policy

Wellness Procedure

For any questions regarding your students health and wellness, please contact:

Victoria Biggs, RN
Middle School Nurse
573-564-2253 ext 2005
Fax: 855-782-8702