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BCSD Nurse Demo: How to treat head lice



hey I'm Stacey I'm a nurse over at the Burlington High School hi I'm Gail week seven school nurse at Sunnyside and course Elementary's I'm scrappy Mickey I'm the nurse of Everett's dumb middle school and I'm Joe Smith the nurse that Black Hawk elementary school so today we're gonna be showing you how to treat head lice if your student or anyone in your household you feel may have had lice then they need to be checked for head lice this is Jim and we're gonna pretend that she has head lice today so we're gonna be doing checking one thing that we need to make sure of is that we determine if it is head lice or if it's dandruff so first thing that we do is we're always going to make sure that we have a head lice comb there's different brands of combs that you can get the best ones are ones that have very close together prongs because what this does is this actually catches the eggs and pulls them out of the hair which a lot of kids have a difficult time because you are pulling the hair but nothing kills the eggs so they have to actually manually manually be removed so when you're looking at the head remember the most common place for head lice to be found around the ears and around the back of the neck on the NAP of the neck and so you're going to check there you're gonna look and just by looking you can't always tell if they have head lice or not because it can blend in with the hair it can look like dandruff so actually using the comb each time and using that to determine is the best way so you take it and you always go right into the scalp against the scalp so you're going to go in and you're gonna pull out and you're gonna see if you see anything and then you're gonna do that again in a different area they always check they are always visible as far as with the comb like I said looking in the head you can't always visualize them they may be ones that have just hatched or the eggs might blend in with the hair and sometimes if it's you can tell sometimes dandruff and if they have dandruff when you pull the hair back you can easily get the dandruff out of the hair where if it's an inch or an egg of lice it will not pull easily off the hair strand and that's why it's important to have the comb to comb through that so you can tell what it is and what it isn't and so again checking in the back of the neck going up the NAP of the neck it does pull going against and you'll see that she does not have any head lice present there may be a little bit of dandruff but not much and so you're gonna have a wet towel or a dry towel but with each wipe you're gonna wipe it off if she would have had lice or nits you may see a full comb combing through once may be very difficult to pull it through but you may have a full comb full and so you're gonna want to with each bite wipe it off and and go again so if she would have head lice we're going to use one of the products that we choose to use what we recommend would be an oil product we use a lot of the active rinse which is from head lysis of America and it has oil in it it does not have any medication so it can be used as often and as frequent as needed the same with olive oil these products need to be remain in the hair for 20 minutes once they're put onto the head and then we have the button over-the-counter Medicaid as shampoos that go on you leave them in suds them up and they stand for 10 minutes and then are washed out with these products a lot of times they'll come with sprays that help get the eggs off of the hair it kind of has like a silicone in it where it makes it to where the comb goes through easier I always use a detangler when I'm starting out because it's easier on the head to pull through using the comb and then also there's some other products that are repels don't know the effectiveness of these but there are products that some people tend to use this like a rosemary smell which they say life does not like so those are also can be used but for this treatment we would actually use an olive oil or this product we're going to pretend that this is the product so we would apply it to her hair make sure that we're getting plenty in here and then making sure that we're rubbing it in using gloves if you have those available but it does not hurt your hands at all so making sure that you're getting that all in all through their hair clear to the tips making sure that you're getting to the tips of the hair now tell me Gail do lice do they cause disease or illness or no those lights do not cause any disease they do not cause any harm to us they're actually just an organism that's been around for many years and years and so the state of Iowa says that we do not exclude for head lice from schools and they need to be treated at home for that or if you have difficulties getting that then you can always talk to the school nurse about doing the supplies that you need to treat and the only time that I've ever heard of anybody getting an infection is from a secondary infection from scratching so much and not getting treated and then they get an infection of their skin from that if the infestation is bad enough it gets just matted together and like she sent edging and you will get actually open sores and at that time it does become a huge concern for us in the health of the skin not getting infected so make sure so when we go to treat the head we're going to make sure that we're going to break it up into sections because you have to get every part of her hair and so you would divide it up and move it it's usually easier to start with a comb especially if they're long have long hair start and actually comb through the first so that there isn't any thing that prevents them from going through smoothly no rats in the hair and so then you're going to take your home and comb and start here and again work through looking at this moving this forward out of the way wiping this off as it gets dirty and just continue through this process making lines and then moving through it is very time-consuming it is hard work but it's what needs to be done in order to get rid of it one thing to know is that if one person has had lice it is most likely in the whole family so it's highly recommended that if a student has had lice the family gets treated that way everybody doesn't keep passing it on and that's how you'll get rid of it so again you know moving through the hair next section going through moving it forward if need be getting to the bottom of the scalp moving that forward wiping it off and continuing through these products like I said can be used it's just a spray or a gel and it helps get them get them you may have to depending on the severity you may have to keep going over and over and over this and it can take like I said a lot of time but it needs to be done in order to get it taken care of the other thing as these products need to be repeated because you can't not always get all the eggs out you can try your best but there's going to be some in there and what happens is those hatch there's no way to kill the eggs and they'll hatch usually seven to ten days later so if you're using one of the non-medicated products we recommend that you use it use again in five days in five days what that does is that breaks the life cycle of the lice and it will get the head rid of them

Glenn Chapman

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