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South Nodaway Co. R-IV

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School Nurse

Thank you for visiting the South Nodaway School Nurse web page. The school nurse is present in your child's school to be a liaison between home and school regarding health concerns and to serve as a health resource to you and your child. It is important for the school to know of any changes in your child's emergency or health information. Please notify the nurse by correspondence or telephone with regards to your child's emergency information, emergency contacts, parent/guardian's telephone contact information, health information or medical regime so that we can adequately provide assistance to your child.


Meet the School Nurse

                               Tabitha Holtman, LPN

                               8:00 am -3:05 pm
                         660-652-3727        660-652-3718


Is My Child Too Ill to Attend School? 

Parents are often confronted with this decision when their child complains of not feeling well. The following guidelines may be helpful. These do not cover every medical condition and do not take the place of seeking medical attention. Please consult your doctor for specific medical advice.

Fever - 100 degrees or higher - A fever is a sign of illness. A child with a temperature of 100 degrees or higher should not attend school. The child should be free of fever for 25 hours before returning to school.

Sore Throat/Colds/Cough - Minor cold symptoms are common and usually don't interfere with school attendance. A persistent, frequent cough and/or constant nasal drainage may affect your child's performance at school, and he/she may be more comfortable at home.

Rash - A rash may cover the entire body or only one area. A child that has a rash that is draining, has open areas or is causing the child to itch excessively should not attend school. A rash accompanied with other symptoms such as: fever, sore throat, irritability, vomiting, etc. should not attend school.

Vomiting/Diarrhea - A child who has vomited should wait 24 hours and be able to retain solid foods before returning to school. A child who is having frequent diarrhea stools should not attend school. If there is cramping/abdominal pain with diarrhea, the student may be more comfortable at home.



It is the policy of the South Nodaway School District that all students enrolled must be in compliance with the Missouri State Immunization Requirements or they may be excluded from school.



We have the following medications available at school to treat minor illness/injuries. These medications are available to be given only after a parent/guardian notarized signature is received on file at the beginning of each year. 

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

If your child is experiencing a minor illness, such as cold symptoms, that may require medication to be given over a period of a few days, we request you supply the school with that medication (cold medications, throat lozenges, etc.) for the duration of your child's illness.

A Medication Administration Form signed by the parent/guardian is required prior to administering any prescription or long-term medication.

Medications List

(used for severe allergic reactions)
Eye Wash/Artificial Tears for contact wearers
Benadryl Caladryl/Calamine Lotion
Hydrocortisone 1% Cream Campho-phenique
Vaseline Triple Antibiotic Ointment
Aloe Vera Gel Cough Drops
Solarcaine Spray Tums Tylenol
Peroxide Anbesol/Orajel
Ibuprofen Similasan Ear Drops
Pepto Bismol Tylenol Cold/Sinus