1.  Significant vomiting (not just spitting up or phlegm)

2.  Serious bleeding

3.  Animal bite

4.  Headache, stomach ache, "not feeling well" persists beyond 45-60 minutes or is extremely sudden and severe.

5.  Loss of consciousness

6.  Seizures 

7.  Obviously ill in appearance or behavior compared to other days

8.  Symptoms of infections (redness, heat, pain, swelling, pus) in any area (eyes, skin, tooth/jaw, earlobes, fingernails).

9.  Earache

10.  Undiagnosed rash

11. Exhibits symptoms of known chronic illness such as asthma, diabetes, migraines, ulcers, severe allergic reactions.  Nurses will share information with teachers as needed to be prepared for these students.

12.  Sore throat (Possible streptococcal infections)

13.  Injury to head, eyes, face, ears

14.  Bone/joint injury (fractures, dislocations, sprains, strains)

15.  Severe allergic reactions to bites/stings, medications/foods, such as generalized hives, itching, swelling, construction throat or chest, abdominal pain, nausea, vomiting, dizziness or wheezing

16.  Suspected head lice (extreme scratching of the head)

17.  Nose bleed: use a tissue and pinch own nose closed, breathe through mouth and walk quietly to clinic.

18.  Splinters: clinic personal will not remove embedded splinters but will clean, cover and send instructions to parents.

19.  For serious falls or accidents, where head, neck, spinal or upper leg injury is suspected, the nurse will come to the student.