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Writing an illness policy families can follow at 7am

4 min readBy The FutureNerds team

Most school illness policies are written for the office. They're accurate, but they're long, full of terms like "communicable condition", and buried in a handbook nobody opens until a child is already sick. A parent standing in the kitchen at 7am with a feverish child needs something else: a short page that says what keeps a child home, when the child can come back, and how to tell the school. You can write that page in an afternoon, from rules you already have.

Before you start, gather the rules you have to follow. Your licensing body, your local public health department and your school's own medical advisor, if you have one, set the requirements. The numbers in your policy, such as temperatures and waiting times, come from them.

Start from the questions a parent asks that morning

Write down the questions a parent actually has on a sick morning, then build the policy to answer them in order:

  1. Does my child stay home today?
  2. If so, how do I tell the school?
  3. When can my child come back?
  4. Do I need a doctor's note?
  5. What happens if my child gets sick during the day?

Every section of your policy should answer one of these. If a paragraph doesn't, move it to a staff-only document.

Write each rule as one sentence with a number

For each symptom your required guidance covers, write one rule in this shape: the symptom, what it means for today, and when the child can return. Put the number in the sentence.

A template:

[Symptom]. If your child has [symptom, with the measurement or count from your guidance], keep them home. They can come back when [the return condition, with the waiting time from your guidance].

Filled in, using placeholder values you'd replace with your own:

Fever. If your child's temperature is [your threshold] or higher, keep them home. They can come back after they have been fever-free for [your waiting time] without fever-reducing medicine.

Vomiting. If your child has vomited [your count] or more times in the past 24 hours, keep them home. They can come back after [your waiting time] with no vomiting.

Some things make these rules easier to follow:

  • Say where the waiting time starts. "From the last time they vomited" is clear. "For 24 hours" alone leaves a parent guessing.
  • Say whether medicine changes the rule. Parents often give a fever reducer in the morning and want to know if the child can then go in.
  • Use the words a parent would use, such as "throwing up" or "vomiting", and leave out clinical terms.
  • Put the conditions that need a doctor's note in their own short list.

Keep the full list of symptoms to what your guidance requires.

Lay it out for a phone screen

Most parents will read the policy on a phone, in a hurry. Format it for that:

  • one page, or one screen-length scroll
  • a heading for each of the five questions
  • the symptom rules in a short list, each starting with the symptom in bold
  • the reporting method and deadline in a box at the top: "Tell us by 8:00am by [your method]."
  • the office phone number at the top and the bottom

Leave out the history of the policy, your reasons for each rule, and legal language. Keep those in your full handbook, and link to it from the bottom of the page.

Test it with a parent, then send it

Before you send it to every family, give the draft to two or three parents and a staff member who wasn't involved in writing it. Give each of them a short scenario and ask them to use the page to decide:

  • "Your child threw up at 9pm last night and seems fine this morning. Do they go in?"
  • "Your child had a fever yesterday. You gave medicine at 6am and the fever is gone. Do they go in?"
  • "Your child gets sick at 11am. What happens next?"

If anyone gets an answer wrong or has to ask you, rewrite that rule. Repeat until the page answers every scenario on its own.

Send the final version at the start of cold and flu season, and again after any change. Ask families to save it on their phone or print it for the kitchen. Post the same page inside the classroom door and at the front desk, so staff answer pickup questions from the same rules families are reading.

When a family calls with a question the page doesn't answer, write the answer down. Review those notes once a term and add the rules that keep coming up.

Less paperwork. More presence.

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