Child Says They Don’t Feel Well but Has No Fever
Purpose:
To ensure children who report feeling unwell are taken seriously, observed appropriately, and communicated about clearly—without overreacting or minimizing concerns.
SITUATION
A child reports they “don’t feel well,” but:
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No fever is present
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No exclusion symptoms are observed
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Child may appear tired, quiet, or off routine
Parents expect awareness and communication, even when no medical action is required.
CORE PRINCIPLES
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Children’s feelings matter—even without symptoms
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Observe first, react appropriately
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Communicate clearly and neutrally
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Avoid minimizing or diagnosing
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Document observations, not assumptions
STEP-BY-STEP PROCEDURE
STEP 1: Acknowledge the Child
Teacher Responsibilities
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Respond calmly and reassuringly
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Do not dismiss or alarm
Approved Language to Child:
“Thank you for telling me. Let’s sit for a moment and see how your body feels.”
STEP 2: Health Check & Observation
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Take temperature per policy
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Observe for:
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Lethargy
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Change in behavior
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Complaints of pain
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Nausea or discomfort
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Allow rest and fluids as appropriate
STEP 3: Monitor & Support
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Continue to observe throughout the day
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Provide comfort and routine support
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Re-check temperature if needed
STEP 4: Parent Communication
Who Communicates: Teacher or Director
Approved App / Verbal Message:
“[Child’s name] shared that they weren’t feeling well today. We checked their temperature, and no fever was present. They rested briefly and were able to participate in activities, and we’ll continue to monitor.”
STEP 5: Escalation Criteria
Notify the Director and parent immediately if:
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Fever develops
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Child vomits
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Symptoms worsen
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Child becomes lethargic or distressed
STEP 6: Documentation
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Document:
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Child’s statement
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Temperature check
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Observations
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Support provided
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Example Entry:
“Child reported not feeling well. Temperature checked—no fever. Rested briefly and returned to activities. Continued monitoring.”
WHAT STAFF MUST NEVER DO
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Say “You’re fine”
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Ignore the child’s concern
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Diagnose or speculate
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Delay notifying parent if symptoms change
