Placentia-Yorba Linda USD Health Services Your Child May Return to School Immediately After Lice Treatment
Your child may return to school under the following conditions. Your child’s hair will be checked prior to classroom entry. You Must:
• Treat your child and any family member who has lice or nits with a
pediculocidal shampoo. Be sure directions are followed carefully (see “Treating the Child with Over the Counter Lice Shampoos”).
• Bring the empty shampoo bottle to the school office upon returning your
• Continue to check your child’s hair daily and remove any nits that are
seen (see “Steps for Removing Nits”). Continue this process for 2-3 weeks. This is one of the most important things you should do. It takes time, but it will remove nits before they hatch into live lice.
• Treat your home and environment according to “Steps for a Lice-free
• Administer a second lice shampoo treatment 7 days after the first
shampoo. The second treatment must be done on ___________.
• Bring the empty shampoo bottle to school with your child when this
If you have any questions or concerns regarding the treatment of lice for your child or if you are unable to financially pay for these products, please contact Health Services at (714) 996-7762, ask to speak to a district school nurse.
Placentia-Yorba Linda USD Health Services Treating the Child with Over the Counter Lice Shampoos
Two types of treatments for lice can be obtained at your local pharmacy or supermarket. It is very important to follow the instructions that come with the shampoo carefully or treatment failure may occur. Natural products that do not contain pediculocides may also be used; however, treatment failure is higher unless every single nit and remaining live lice is removed. All family members must be examined for infestation and any member having lice or nits must be treated. WARNING: Do not use insecticides, kerosene, gasoline, paint thinners, turpentine, or any product not specifically intended to treat lice. These products may be harmful to your child. Medicated Shampoos to Treat Lice Rid, also called:Pronto, R&C, , Triple X, Clear (Contain Pyrethrins) Nix (Contain Permethrin)
Choose only one of the above shampoos for treatment of hair. Permethrin or pyrethrin products are the most active ingredients in the above over- the- counter head lice treatment shampoos.
• Do not leave the product on longer than recommended. It will not kill the lice faster.
• Treat only people who have head lice or nits.
• Each person with head lice needs a complete treatment. Do not split a single box of
• Please rinse hair in sink, not in shower.
Steps for removing nits
If the shampoo has been properly used and the lice are not resistant to the shampoo, all lice should be dead or dying at this point. Some of the immature nits (eggs) may survive and hatch at a later date. Therefore, removing all eggs is required for complete effectiveness, and a second treatment is necessary 7 – 10 days after initial treatment just in case some eggs were missed.
1. Use a regular comb to remove any tangles. Use the special nit comb (usually provided in
the package of medicated shampoo) to remove the nits. Flea combs or metal lice combs may be more effective.
2. Part the hair into 4 sections and select a section to work on. Start at the top of the head in
each section and work down. Lift a one-inch segment of hair.
3. Get as close to the scalp as possible, making sure the teeth of the comb are deep into the
hair and comb away from the head. For long hair, use clips to pin each section out of the way after you have combed out the nits.
4. Clean the comb with a tissue as you go. Dispose of the tissues in a sealed bag to prevent
5. An egg-loosener product or a 50% solution of vinegar and water may help loosen nits for
6. Continue to check the hair daily in a good light source, for 2 – 3 weeks until you are sure
all lice and nits are gone. Remove any lice or nits that remain.
Steps for a Lice-free Household
1. Thoroughly vacuum mattresses, upholstered furniture, rugs and carpets, and car seats.
Dispose of the vacuum cleaner bag outside after use.
2. Personal items should be cleaned by machine, washing in hot water (above 130 degrees
F). This includes bed linens, hair ribbons, scrunchies, scarves, coats and towels. After cleaning, they should be dried by using the hot cycle of a dryer for at least 20 minutes.
3. Combs, brushes and hair clips should be cleaned by soaking them in hot water (above
130 degrees) for 10 minutes. Use caution.
4. Bedspreads, blankets, pillows, stuffed animals or clothing that cannot be washed should
be dry-cleaned or sealed in a plastic bag for a period of 2 weeks.
5. Spraying the house is not recommended. Fumigants and room sprays can be toxic if
Tips to Avoid Treatment Failure
The most common reason for recurrence of lice is treatment failure. This may occur because;
• Shampooing instructions were not followed exactly.
• Some of the house and personal items were not treated.
• The nits that were not removed went on to hatch.
If, after treating the child twice with over-the-counter products and carefully following directions and live lice are still seen, a prescription product may be necessary. Talk to your health care provider or school nurse.
How toAvoid getting Lice Again
Lice do not fly or jump. Transmission of lice generally occurs with direct head-to-head contact, possibly with a close friend or sibling, where the lice crawl from one head to another. Transmission is more likely to occur at home than at school.
• Teach your children not to share any type of headgear or hair accessory with another
child. Each of your children should have their own brush, comb and towel.
• Tell your children not to put their heads together with those of other children during play.
If your child has long hair, it may be helpful to pull it back into a ponytail or braid.
• Check your children’s hair periodically for signs of infestation. Most commonly head
lice eggs are found firmly attached to the hair shaft close to the scalp.
The use of trade names is for identification purposes only and does not imply endorsement by PYLUSD. If you have any questions regarding these products, consult your pharmacist or health care provider.
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