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Thank you for calling the Nurse Line. Here is some more information about what we talked about today. If you have any other questions or concerns, please call the Nurse Line or your health care provider. The Nurse Line is available 24 hours a day, seven days a week.

HEAD LICE - FACTS
--Lice are very small grey bugs that cause itchiness and rash on the scalp.
--They are spread by using the hat, comb, or brush of a person who has lice.
--Lice can not jump. Therefore, spread requires close contact.
--Lice are very small, about 1/16 inch (2 mm) long. They are hard to see.
--The lice eggs are called nits. Nits are much easier to see than the actual lice.
--The nits are firmly stuck to hairs. You cannot shake them off easily like dandruff or sand.
--Usually, you will find nits near the scalp, and along the hair-line near back of neck.

HEAD LICE - TREATMENT

STEP 1: WASH HAIR
--Wash the hair with regular shampoo (no conditioner) and towel dry.
--Do NOT use crème rinse or conditioner--these can make the NIX (anti-lice medicine) less effective.

STEP 2: APPLY ANTI-LICE TREATMENT
--Buy an anti-lice treatment. You don't need a prescription.
--We recommend using NIX Cream Rinse (contains Permethrin).
--Work the NIX into all the hair down to the roots. If the hair is very thick or long hair, you will need 2 bottles to cover all of the hair.
--Wait a full 60 minutes. The box instructions state you should leave on 10 minutes. Leaving NIX on a little longer (60 minutes) may help the medicine work a little longer on the nits and lice.
--After 60 minutes, thoroughly rinse the hair with warm water.
--You need to repeat this same step in 9 days (mark your calendar). The second treatment will help kill any lice/nits that are missed.
--Do not shampoo the hair for the next 2 days (the NIX is still working).
--Avoid using crème rinse or conditioner on the hair for the next two weeks.

STEP 3: REMOVE NITS
--Remove as many of the nits (small white-grey eggs) from the hair as you can.
--Most of these nits will be dead after the first NIX treatment. However, a few may survive. Removing the nits helps get rid of those few remaining "live" eggs.
--If a few nits remain, the second NIX treatment will likely kill them.
--Backcomb the hair using a special nit comb (found at the drug store, usually by the anti-lice medications).
--You can also pull them out by hand.
--It may help to wet the hair with water. This sometimes makes it easier to remove nits.

STEP 4: CHECK HEADS
--Check the heads of everyone else living in your home.
--If any person has a scalp rash or itching, that person should be treated with the anti-lice shampoo even if lice and nits are not seen.

STEP 5: EXTRA CLEANING
--Vacuum your child's room. Also vacuum any areas where child may have rested head (such as car seat, sofa, etc.).
--Live lice cannot live for more than 24 hours off the human body.
--Soak combs and brushes for 1 hour in a solution made from the anti-lice shampoo.
--Wash your child's sheets, blankets, and pillowcases in hot water.
--For items that cannot be washed, set them aside in sealed plastic bags for 2 weeks.

RETURN TO SCHOOL
--Your child can return to school after one treatment with the anti-lice shampoo.
--However, remind your child NOT to share combs and hats or jackets with hoods.

CALL BACK IF:
--It is more than 24 hours since you used the NIX treatment and you see moving lice.
--New lice reappear or reoccur.
--Any sores on the scalp develop

This message will expire on November 10, 2015