Role of the School Nurse
The nurse administers first aid to the sick and injured and promotes an optimum level of wellness for all students and staff. This may include managing life threatening allergies, asthma as well as cancer, diabetes, mental/emotional disorders and other chronic health conditions.
*conducts health screenings
*lessens the number of students sent home needlessly
*identifies health-related barriers to learning
*initiates referrals to physicians for evaluation
*provides health education
*surveillance of communicable disease
No student should carry medications of any type on themselves in school or on the bus.
*Prescription medications are administered by the nurse on a daily or as needed basis. State Law requires a signed Physician’s Medication Order and parent/guardian signature in order to dispense prescription medication. Forms can be obtained from the nurse or physicians may use their own forms. Parents are asked to take home all medications at the end of the school year. All medication orders must be renewed at the beginning of each school year and when there is a change in dosage.
*Medications must be in a pharmacy labeled container and delivered to the nurse by an adult. Acetaminophen (Tylenol), Ibuprofen (Motrin) is available with parental permission documented on the Over the Counter Medication Permission Form. Other over the counter medications in the original container may be supplied by the parent/guardian for the student’s use in school as needed with a signed Physician’s Medication Order along with written permission from the parent/guardian.
School absences or dismissals for a medical appointment are excused with documentation from a doctor upon return to school. Students absent from school for 3 or more days require a doctor’s note upon return to school. Students are excused from participation in Physical Education Class with a parent/guardian note, nurse’s note or physicians note. If the physician writes a note for no gym “until further notice”, a second physician’s note must be received when the student is allowed to return to gym. For safety purposes students wearing a hard cast cannot participate in gym until the hard cast is removed.
Students must remain home or be dismissed for any of the following reasons:
*Vomiting or diarrhea – students must stay out of school for 24 hours after the last episode or at the School Nurse’s discretion
*Fever of 100 F or more – students need to be fever-free for 24 hours (without the use of fever reducing medicines such as Tylenol or Motrin) before returning to school
*Suspicious rash – student may return to school with written documentation from their Health Care Provider certifying that the rash is not contagious.
*Contagious bacterial diseases (such as strep-throat, conjunctivitis, impetigo) – students need to be on antibiotics for a minimum of 24 hours before returning to school
*Lice-students may return to school following proper treatment and head check by School Nurse
*Serious illness or injury
Please note: These are general guidelines and the School Nurse reserves the right to dismiss students who, in the nurse’s professional opinion are possible contagious or too ill/injured to be in school.
Please make sure both the Nurse’s Office and the Main Office have current contact information for parents or another adult who can assume responsibility for the child if a parent cannot be reached.
Parents are responsible for notifying the nurse of their child’s significant illness, contagious disease, medical conditions, allergies etc.
According to Massachusetts State Law students are required to have up to date immunizations before enrolling and while enrolled in school. Students who are non-compliant will be excluded from school until documentation of the requested information is obtained.
Massachusetts General Law requires all students prior to Pre-School, Pre-Kindergarten, Kindergarten and 4th grade entry to have current physical examinations on file before entering school.
Health screenings will be done based on M.G.L Chapter 71, Section 57 and 105 CMR 200.00. If students do not have up to date documentation that screenings were performed by their doctor on file then Pre-School, Pre-K, Kindergarten and First Graders will have vision/hearing/height/weight performed. Second and Third Graders will have vision/hearing performed. Fourth Graders will have vision, height and weight. Fifth Graders will have vision and a scoliosis screening. Parents/guardians are requested to schedule an appointment with the student’s doctor if any screening abnormalities are detected.