Local School Lice Policies

Local School Lice Policies are important to Hero Lice Clinics. We work closely with schools and ISD’s in and around the Austin, TX area in an effort to understand and adhere to their policies and guidelines. Together, we can make a difference in the fight against head lice.

Round Rock ISD

Round Rock ISD Lice Policy

Round Rock Independent School District is a school district headquartered in the city of Round Rock, Texas, United States. As of Fall 2016, the school district served 48,131 students, prekindergarten through grade 12.

Reference: https://deepwood.roundrockisd.org/directory/nurse/

District policy:Head Lice
Head lice are one of the nuisances that parents of students occasionally find themselves dealing with. RRISD follows the Texas Department of State Health Services recommendations. Individual head checks are performed on an as needed basis. Mass screenings will not be conducted. Parents are encouraged to periodically check their student’s head for lice. If a student is found to have live lice a parent or guardian will be contacted and the student will be sent home for treatment. For lice treatment recommendations and RRISD lice protocol, please contact your school nurse.

General Information
Head Lice can occur in all children and at any age. It is not a sign of poor health habits or being dirty. So, let us share with you the ways to recognize head lice, to treat it and to prevent it from happening again.

Head lice are tiny insects (parasites) that live in human hair, feeding on the scalp of the host. The lice hatch from small eggs or nits that are attached to the base of the hair at the scalp.  The eggs hatch in seven to ten days and the new lice reach maturity in approximately two weeks. Because head lice multiply rapidly, prompt treatment is very important.

Head lice are transmitted by head to head contact. Lice do not jump or fly. They also cannot live off of a human host for more than 24 hours.

WHAT YOU SHOULD LOOK FOR:

Persistent itching of the head and back of the neck can indicate head lice.  Also, look for scratch marks or a rash on the scalp.  Look for lice or nits in the hair, close to the scalp.  Sometimes, small white specks in the hair such as dandruff can be confused with nits.  Nits are very difficult to remove, while dandruff will brush away easily.  At school, we check for lice on individuals heads based on a parent request for their own student or based on teacher observation. Mass screenings are not conducted. You need to check your child routinely. Please call your campus nurse if you have questions.

INSTRUCTION FOR TREATMENT AND CONTROL OF HEAD LICE and NITS:
Before using the pediculicide, shampoo your child’s hair to remove any of the products currently in the hair, then dry the hair. This will allow the pediculicide to work properly. You can use any effective lice treatment. If you need advice, check with your pharmacist or physician on which pediculicide to use.
Remove all nits from the hair. Using a metal comb will not remove all of the nits. Some must be removed manually.  Removing the nits is key to successful treatment.
Wash clothes, bed linens and towels. Use hot water and dry on the hottest setting for 20 minutes. Wash any stuffed animals that your child sleeps with.
Soak combs and brushes in hot water and or disinfectant. The water must be 130 degrees F and soak for at least 10 minutes.
Vacuum carpets, upholstered furniture, pillows, mattresses and cars.
REPEAT TREATMENT of the hair in 7-10 days to assure that any newly hatched lice will be killed.
Children may return to school after they have received their first treatment with an effective pediculicide and the nurse has checked their hair.

Leander ISD

Leander ISD Lice Policy

Leander Independent School District is a school district based in Leander, Texas and covering a total of 200 square miles in Leander, Cedar Park, Georgetown, Jonestown, Round Rock in Williamson County and northwest Austin in Travis County.

Reference: https://www.leanderisd.org/departments/risk_management/health_services/district_health_guidelines/

Lice
Lice are small parasites that live on a human head. They are most commonly spread by close person to person contact. The Centers for Disease Control and Prevention, the American Academy of Pediatrics (AAP), and the Texas Department of Health support that there is little evidence that exclusion from school reduces the transmission of head lice (Texas Department of State Health Human Services, 2007). Head lice are common for children ages 3-12. They are not a health hazard and are not responsible for the spread of any disease. LISD health service staff will notify parents of students with head lice and can provide information and resources for those families.

Pflugerville ISD

Pflugerville ISD Lice Policy

Pflugerville Independent School District is a public school district based in Pflugerville, Texas. The District includes all or part of six municipalities including Pflugerville, Austin, Coupland, Hutto, Manor and Round Rock.

Reference: http://www.pfisd.net/Page/5430

  • Texas Laws and Rules
    • There is no statute in Texas that addresses excluding children with head lice from school . Lice are not a public health threat, they do not carry disease.  Therefore, the Department of State Health Services does not monitor or track cases of head lice.
  • PSID policy
    • PISD does not have a “no nits” policy.
    • If active head lice/nits are found parents will be notified and recommend for the student to be picked up (cannot be made to pick up). If I am unable to contact the parents, the student will be returned to the classroom (the student will not remain in the nurse’s office and miss academic instruction).
    • Head lice infestation is a social issue not a health threat. “No nit” policies place a disproportionate amount of emphasis on head lice management than on real health concerns which should be a higher priority. This over-emphasis can lead to unproductive use of time by school staff and parents, missed classes, unnecessary absences, and parents missing work.
    • Per Changes in the Texas Administrative Code effective 12/20/2012 school exclusion requirements have been removed.
    • Massive head sweeps will not be conducted.
    • If you notice active itching please send them to me to complete individual hair checks.
    • The signs and symptoms of head lice are:
  • Itching and scratching of the scalp
  • Live lice that are 1/16 to 1/8 inch long
  • Nits (lice eggs) on the hair shaft about ¼ inch from the scalp. Nits are shiny, grayish on color and look like
  • dandruff but won’t shake off.
  • Head lice do not hop, jump, or fly. They crawl from one person to another by direct contact and by use of infested articles

Classroom management:

  • Teachers
    • Teachers are often first to identify a potential case of head lice in the classroom. It is imperative that the teachers have a good understanding of the transmission and treatment of head lice. It is extremely important to be sensitive to distraught parents and children. It is not necessary to completely isolate the child from the rest of the children. Lice cannot jump or fly, so solitary activities (i.e. coloring, writing, or reading at a desk) would not put the rest of the class at risk of acquiring head lice. Remember that all socioeconomic groups may be affected and infestation is not a sign of poor hygiene. Every effort should be made to prevent the child from suffering emotionally.

Teachers can help prevent head lice transmission in their classrooms by taking the following steps.

  1. Ensure that coats are hung separately and spaced so that they do not touch.
  2. Make sure hats, mittens, scarves, etc., are tucked into coat sleeves.
  3. Each child should have his or her own storage place for mats, towels or other items brought from home.
  4. Carpeted floors should be vacuumed daily. Tile and linoleum floors should be swept daily.
  5. Dress-up corners/reading corners” with shared pillows, smocks, hats, etc., can facilitate the spread of lice and should be limited, especially during periods when there are known cases of head lice infestation in the class.
  6. Observe children carefully for symptoms of head lice infestation. Early detection of cases will limit spread.
  7. As part of the health and hygiene curriculum, children should be taught basic information regarding head lice. The importance of each child using only his or her own hair care items and the importance of not sharing other children’s hats and scarves should be emphasized as methods to prevent transmission.

Typically we see increases in cases of head lice during those periods following vacations; any time children begin to spend greater amounts of time indoors and in close proximity to one another or at sleepovers.

Please click on the following link for information about head lice provided by the Texas Department of Health. Head Lice Information

Austin ISD

Austin ISD Lice Policy

Austin Independent School District is a school district based in the city of AustinTexasUnited States. Established in 1881, the district serves most of the City of Austin and surrounding towns, the City of Sunset Valley, the Village of San Leanna, and unincorporated areas in Travis County (including Manchaca).

Reference: https://www.austinisd.org/sites/default/files/dept/health-services/docs/2015_Lice_Policyv2.pdf

Austin ISD Department of Comprehensive Health Services
Office of Student Health Services
AISD Lice Prevention, Control, and Treatment Policy
Updated, 2015
Based on recommendations from the American Academy of Pediatrics (AAP) 2015 and the 2013
update to the Texas Administrative Code (TAC Title 25, part 1, Chapter 97, Subchapter A, Rule
97.7), Austin ISD has updated its’ Lice Prevention, Control, and Treatment Protocol to reflect
the most current guidelines in the control of lice.

Students should not be excluded from school due to head lice. The Centers for Disease
Control and Prevention (CDC), the American Academy of Pediatrics (AAP), and the Texas
Department of State Health Services (DSHS) support that there is little evidence that exclusion
from school reduces the transmission of head lice (Texas Department of State Health Services,
2007, 2014).

Head lice are common for children ages 3-12. Head lice are not a health hazard and are not
responsible for the spread of any disease. They are the cause of much embarrassment,
misunderstanding, and many unnecessary days lost from work and school. “No-nit” policies
which keep kids with lice home as long as they have any evidence of an infestation don’t
benefit these kids or their classmates and “should be abandoned” (American Academy of
Pediatrics, 2015).

The goal of lice prevention and control in schools is to limit the spread of lice from one student
to another student through accurate diagnosis, and meaningful and consistent communication
and education (AAP, 2015). Lice control takes teamwork among home, school, after-school
programs, and events in private or public locations, including student visits in each other’s
homes.

Questions regarding AISD Lice Policy, Protocol, and Procedures should be directed to the
campus school nurse, the Department of Comprehensive Health Services at 512-414-9778, or
Office of Student Health Services at 512-324-0195.
Dell Children’s Medical Center of Central Texas | Children’s/AISD Student Health Services
4900 Mueller Boulevard, Austin, Texas 78723 | P (512) 324-0195 | F (512) 406-6543 | www.dellchildren.net

Live Lice and Nit Prevention, Control, and Treatment Procedural Guidelines
Initial Identification of Infestation
Cases of lice should be confirmed by the RN, School Health Assistant or trained AISD staff.
Live Lice
– All students identified with live lice will be sent home at the end of the school day after
contacting parent/guardian by phone. They should not be excluded from school.
– Parents/Guardians will be advised to treat their child for head lice. Educational materials
about treatment and prevention will be given and explained to parent/guardian.
– Parents/Guardians should notify close contacts of diagnosis.
– Based on the AAP (2015) recommendations, alert letters will only be sent home in the
event of a 50% or greater number of students infested in a classroom to the parents of
that specific classroom. Because alert letters may violate privacy and cause unnecessary
public alarm, parents of infested student when the number does not meet the
threshold, should be strongly encouraged to notify close contacts of diagnosis and
reminded that the school will not be sending out “Alert” letters.

Nits
– Students identified with nits only will have their parent/guardian contacted by the
school nurse to see if treatment has taken place within the last seven days.
– Educational material about nit removal and prevention of lice will be provided to
parent/guardian.

Requirements for Readmission to School
– If live lice are found at re-check, the RN should be contacted to assess the adequacy or
understanding of treatment, check for any problems or barriers that may prevent live
lice removal, and counsel the family on treatment options.
– The student may remain in school unless otherwise recommended by the health team.
Treatment Failures and Frequent Re-infestations
– If live lice are found following treatment, the RN should be notified. The RN will
investigate and make further recommendations to the family.

Classroom Control Measures
– The Health Team will provide teachers with the “Checklist for Classroom Lice Control.”
Contact the RN for any questions regarding classroom lice control.
– Teachers are expected to follow the guidelines to prevent the spread of lice.
– At all times, schools are encouraged to discontinue fabric-covered items, i.e., pillows,
blankets used by more than one child. Teachers may request storage bags to separate
all coats/sweaters. Teachers, Assistants, and Monitors should not allow piling of coats.

Responsibilities
Student Health Services
– The health team will Screen students sent to health room displaying symptoms
– Screening will be done on an individual basis for students reporting or demonstrating
symptoms (i.e. lice visible in hair, scratching scalp). Current evidence does not support
the efficacy and cost effectiveness of classroom or school wide screening for decreasing
the incidence of head lice among school children (Centers for Disease Control, 2007)
(American Academy of Pediatrics, 2015)
– The RN will distribute educational materials about lice to parents and staff throughout
the year, i.e. submit newsletter articles, via student folders, or school websites.
– The RN will provide health teaching to students, staff, and parents regarding prevention,
detection and treatment of lice as needed.
– The RN will follow-up with parents/guardians on cases that were identified by
Designated Health Services Support Member (AISD staff) when no Health Team staff
was available on campus.
Designated Health Services Support Member (AISD staff)
– All staff members should be familiar with the signs and symptoms of lice infestation.
Detection of lice or nits, or suspicion of lice or nits, should be promptly reported to the
Health Team or designated, trained office staff.
– If the RN or School Health Assistant is not on campus, the Designated Health Services
Support Member will screen students sent by the teacher suspected of having lice.
– If live lice are found, and the Health Team staff will not be on campus that day, the
Designated Health Services Support Member will notify the RN and send home with the
individual student a notification letter and educational materials provided by the Health
Team.

Teaching Staff
– Survey the classroom environment regularly for students displaying signs of lice or items
in the classroom that could be contributing to the spread of lice.
– Implement the “Checklist for Classroom Lice Control” and make appropriate changes.
– Send students to health room for inspection by the School Health Assistant or RN if
student has visible lice ore uncontrolled scalp scratching.
– Forward any reports of lice received from parents/guardians to the RN for educational
follow-up.

Parent/Guardian
– Parents/Guardians need to make lice screening a part of their family routine. Parents
should check their children’s head at least weekly. School screenings do not take the
place of these more careful parental checks (AAP, 2015).
– Parents/Guardians should follow the recommendations and/or treatment guidelines
from Student Health Services.
– Parents/Guardians should consult their health care provider and/or school nurse for
concerns about effective treatments.
– Parent/Guardians should notify close contacts of live lice diagnosis.

Community Education and Cooperation
– The lice prevention, control, and treatment protocol will be shared with AISD staff and
staff of after-school programs for implementation in these programs, thus allowing for
consistency when children are in school environments.
– The lice prevention, control, and treatment protocol and educational information may
be shared as requested with Austin’s private or parochial schools and with major afterschool
organizations, i.e., athletic or recreational facilities.
– Educational materials such as videos, flyers, books, and posters are available from
Children’s/AISD Student Health Services Administrative Office at Dell Children’s Medical
Center and may be checked out to RNs for parents, teachers, or group education.

Screening Procedure
1. Only the RN, School Health Assistant, and trained Designated Health Services Support Member
(AISD staff) will be responsible for screening. Classroom teachers are only responsible for
classroom surveillance.
2. Provide as much privacy as possible. Do NOT indicate that a student has lice/nits in the
presence of the other students.
3. Use two objects long enough to separate the hair and expose the scalp. Non- sterile cottontipped
applicators, coffee stir sticks, etc. can be used.
4. Check the back of the head and around the ears. If the hair is short in the back, check the area
of the head where the hair is longer. If the child is itching, check the entire head.
5. Separate the hair and look for nits and moving lice. Nits will not move when the strand of hair
is flicked. Dandruff, hair casts, lint and other debris will move when the strand of hair is flicked.
Dispose of cotton tipped applicators or coffee stir sticks after one use.
6. Wash hands. Gloves are unnecessary.
7. Document findings either in SHIS or the AISD Personnel Log, as applicable.

Checklist for Classroom Lice Control
________ Play items (hats, wigs, dress up clothes, etc.) cleaned after
each child’s use
________Sweaters, backpacks, and coats hung separately on hooks
and not touching. Sweaters, coats, and hats can often be
placed in each student’s backpack
________Children’s personal items (combs, brushes, hats, scarves,
sweaters, coats etc.) are not shared
________ Carpet is vacuumed after a live lice diagnosis.
________ No sharing of cloth or upholstered pillows, mats, etc.
________ Nap items (pillows, blankets, towels, etc.) are stored separately
in a cubby or plastic bag and taken home at least weekly to
be washed.
________ Headphones are wiped with disinfectant after each child’s use
________ Observation of children for:
– Nits/lice in hair (on nape of neck, over ears, and within ¼ inch of scalp)
– Continuous scratching of head and neck

INSTRUCTIONS FOR TREATMENT AND CONTROL OF HEAD LICE AND NITS
– Use a pediculicide lice shampoo or treatment. You might want to ask your doctor or pharmacist for
recommendations. Follow directions on the bottle exactly. Do NOT use flea shampoo, alcohol, or
gasoline. These are very dangerous and not proven to be effective.
– Repeat pediculicide (lice) shampoo treatment of the hair in 7 to 10 days (depending upon the
pediculicide used) to assure that if any nits have hatched, the new lice will be killed before they can
lay more eggs.
– Comb or pick out the nits: Using a good metal nit comb, comb the hair section by section. Nit
removal aids in decreasing the risk of self-reinfestation.
– Clean environment: To ensure better treatment outcomes, household cleaning should be done on
the same day as the child’s treatment.
– Soak combs and brushes for one hour in a pediculicide lice shampoo or five to ten minutes in
hot water (130°).
– Change into freshly washed clothes after treatment.
– Change and wash all sheets, pillowcases, blankets, and towels in hot water (130°) and machine dry
on hot setting for at least 30 minutes.
– Wash all clothes, coats, and hats work in the past 48 hours.
– Rugs, carpets, and upholstered furniture, including the upholstery in the car, can be vacuumed.
– Pillows, stuffed animals or non-washable items may be either dry cleaned, or sealed in a plastic bag
for 7 days or placed in a dryer for 20 minutes of hot air.
– Exhaustive cleaning measures are not beneficial.

Helpful Hints for Nit Removal
Removing nits is the most important step in preventing the recurrence of head lice. For the initial
treatment, use a pediculicide shampoo or treatment to kill the live lice and then:
– Comb the hair with a regular comb if the hair is thick and/or long to remove the tangles.
– Comb the hair into one-inch sections and remove the nits in each section by using a metal nit or
flea comb.
– A metal nit comb can be reused if washed and boiled.
– Remove remaining nits by hand if necessary.
– Remember the key to successful lice treatment is complete removal of ALL nits close to the scalp
(1cm or closer) Nits farther away from the scalp should be removed for aesthetic reason, to reduce
diagnostic confusion and the chance of unnecessary retreatment, and to reduce social
stigmatization.

Helpful Hints for Cleaning the Environment
– Soak combs and brushes for one hour in a pediculicide lice shampoo or five to ten minutes in hot
water (130°).
– Change into freshly washed clothes after treatment.
– Change and wash all sheets, pillowcases, blankets, and towels in hot water (130°) and machine dry
on hot setting for at least 30 minutes.
– Wash all previously worn clothes, coats and hats.
– Vacuum rugs, carpets and upholstered furniture, including the upholstery in the car.
– Pillows, stuffed animals or non-washable items must be either dry cleaned, washed, sealed in a
plastic bag for 7 days or placed in a dryer for 20 minutes of hot air.

Dell Valle ISD

Dell Valle ISD Lice Policy

Del Valle Independent School District is a public school district with its headquarters in Travis County, Texas. The school district serves much of southeast Travis County. Communities in the district include CreedmoorWebberville, most of Mustang Ridge, and parts of Austin.

Reference: http://health-services.dvisd.net/general-information/communicable-diseases/

Del Valle ISD follows the Texas Department of Health Recommendations for Prevention and Control of Communicable Diseases in a Group-Care Setting. To protect children from contagious illnesses, students infected with certain diseases are not allowed to come to school while contagious. Parents of a student with a communicable or contagious disease should phone the school nurse or principal so that other students who have been exposed to the disease can be alerted. These diseases can include:

AmebiasisHepatitis A
Rubella (German measles)Impetigo
SalmonellosisChickenpox (varicella)
InfluenzaScabies
Conjuctivitis (pinkeye)Measles (rubeola)
ShigellosisCryptosporidiosis
Meningitis, bacterialEscherichia coli infection
Mononucleosis, infectiousTuberculosis, pulmonary
GastroenteritisMumps
Head Lice (Pediculosis)Pertussis (whooping cough)
CampylobacteriosisRingworm of the scalp
Giardiasis

Eanes ISD

Eanes ISD Lice Policy

Eanes Independent School District is a school district headquartered in unincorporated Travis County, Texas, in Greater Austin. Its enrollment is approximately 7,700, distributed among six elementary schools, two middle schools, and one high school.

Reference: https://www.eanesisd.net/uploaded/District/Parents/Policies/2017/2017-2018_Westlake_High_School_Student_Handbook.pdf

Head Lice

Head lice, although not an illness or a disease, is very common among children and is spread very easily through head-to-head contact during play, sports, or nap time and when children share things like brushes, combs, hats, and headphones. If careful observation indicates that a student has head lice, the school nurse will contact the student’s parent to determine whether the child will need to be picked up from school and to discuss a plan for treatment with an FDA approved medicated shampoo or cream rinse that may be purchased from any drug or grocery store. After the student has undergone one treatment, the parent should check in with the school nurse to discuss the treatment used. The nurse can also offer additional recommendations, including subsequent treatments and how best to get rid of lice and prevent their return. More information on head lice can be obtained from the TDSHS website
at <ahref=”http://www.dshs.state.tx.us/schoolhealth/lice.shtm”>http://www.dshs.state.tx.us/schoolhealth/lice.shtm

San Marcos ISD

San Marcos ISD Lice Policy

San Marcos Consolidated Independent School District is a public school district based in San Marcos, Texas, USA. The school district covers 210 square miles mainly in Hays County and portions of Guadalupe and Caldwell counties.

Reference: https://www.smcisd.net/Page/2940

Head Lice

SMCISD follows the Centers for Disease Control and the Texas Department of State Health Services recommendations, and the position papers of the American Academy of Pediatrics and the National Association of School Nurses, in the treatment and attendance guidelines for lice re-admittance to school.

The scientific evidence supports that exclusion from school for lice is not indicated. The best treatment is prevention. Throughout the school year, check your child’s hair weekly and after overnight visits with other children. Educate your children to avoid spread of lice by head-to-head contact, sharing hats, combs, brushes, etc.

Eggs (nits) not killed by treatments will continue to hatch within 7-10 days. All nits should be removed to prevent re-infestation and permit early recognition of any new infestation.