|Sue Decker||Girard High School||814-774-5607 xt:6407|
|Rice Avenue Middle School||814-774-5604 xt6303|
|Beth Kuric||Elk Valley Elementary School|| 814-774-5602 xt 6208|
Back to School!
School health services
The health status of a child directly affects the child’s educational performance. Therefore, when a child is registered for kindergarten, the school nurse begins compiling a confidential health history. This record is maintained throughout the child’s school career. Parents are urged to share with your school nurse any additions or changes to the health history. Emergency health cards are sent home at the beginning of each school year. It is very important that these be completed in full and returned to school as soon as possible. There is space on the emergency card to indicate any health problems the school should be aware of as well as numbers to be called if your child should become ill or injured at school. An additional emergency contact person other than the parent must be listed.
Pennsylvania state law requires the following immunizations be completed before a child may enter school.
Children in ALL grades (K – 12) need the following vaccines:
4 doses of Dtap- with the last dose administered on or after 4th birthday
3 doses of Polio
2 doses of MMR- with the first dose administered on or after the 1st birthday
3 doses of Hepatitis B
2 doses of Varicella with the first dose administered on or after the 1st birthday.
Students in Grade 7 must also have 1 TDaP and 1 Menactra vaccine.
Proper spacing of immunizations must also be followed. If spacing of vaccinations are not as per recommendations, the parent will be contacted and required to either re-immunize the child or to have the Primary Care Physician sign an exemption for the improperly spaced vaccine. All immunizations must meet Pennsylvania Department of Health Regulations.
Proof of immunization means a written record showing the dates (month, day, year) your child was immunized.
Pennsylvania State Law requires children attending school to receive a physical examination at their original entry kindergarten (K), sixth grade (6th) and eleventh (11th) grade. Physicals are also required for new students entering our school district. It is recommended that examinations be done by your family physician. A family physician can best evaluate your child’s health and assist you in obtaining necessary treatments or corrections. When your child is due for a physical you will receive notification along with a form for your physician to fill out. Children not examined by a family physician will be examined by the school physician. Parent authorization is included on the back of the emergency card.
Pennsylvania law requires that children attending school receive a dental examination at their original entry (K/1), 3 and 7. It is recommended that these examinations be done by your family dentist since he/she can best evaluate your child’s health and assist you in obtaining necessary treatments and corrections. Children not examined by a private dentist will be examined by the school dentist. Parent authorization is included on the back of the emergency card.
Certain health procedures are mandated and done on a yearly basis by the school nurse. These include:
Height and Weight screening – All students
Vision screening – All grades
Hearing screening – Grades Kdg, 1, 2, 3, 11 and others as needed
If a student does not pass these initial screenings, he/she will be referred to a physician or optometrist for a more thorough evaluation.
It is the parent’s responsibility to notify the school nurse, the teacher and the cafeteria manager of any known food allergies that may impact the student while at school. If this food allergy is severe requiring emergency medications be kept at school, the school nurse will provide the parent with an Allergy Action Plan form to be completed by the child’s doctor. The school nurse and support team will work with the parent to develop a health plan. The school nurse will work with administration to train the staff on the administration of an Epi-pen in case emergency medication is needed.
If the student must avoid certain foods either due to allergy or intolerance (peanuts, tree nuts, gluten, etc), documentation from the child’s doctor of the food allergy needs to be provided in order for a substitution to be made in the cafeteria. The parent is responsible for providing a safe snack for the student to be kept in the classroom (or sent in on the days of scheduled events/classroom parties.) If the student is allergic or intolerant to milk, a parent needs to notify the cafeteria manager in writing in order for a substitution to be made available.
Control of communicable diseases is an important part of maintaining the health of school children. Whether or not to send a child to school is sometimes a difficult decision to make. Your child should be kept home if:
His/her temperature has been equal to or greater than 100 degrees in the past 24 hours.
He/she has a rash, red eyes or other condition you feel may be contagious.
He/she has had vomiting or diarrhea in the past 24 hours.
He/she has an uncontrollable, persistent cough.
Please refer to the following guidelines when sending your ill child back to school:
Child must be fever free (temperature less than 100 degrees) for 24 hours without the use of an analgesic (Tylenol or Motrin) before returning to school.
Respiratory streptococcal (strep) infections (including scarlet fever) – child must have taken an antibiotic a full 24 hours and be fever free without analgesic before returning to school.
Infectious Conjunctivitis (pink eye) and/or Impetigo Contagiosa – must have taken antibiotic a full 24 hours before returning to school.
Scabies – a physician’s excuse must accompany student’s return to school.
Chickenpox – Blisters must be dried; no drainage.
Head lice are elongated grayish insects about 1/8” long. They do not have wings and do not fly or jump. They crawl very quickly and are often hard to locate. They can cause itching of the scalp. Nits are the eggs that an adult louse lays on the hair shaft. They are often white and tear drop shaped. Unlike dandruff, they do not flick away, but adhere tightly to the hair shaft. If you think your child has head lice, please contact the nurse as soon as possible. If a student is identified with head lice they will be sent home. Before they can return to school they will need to be treated with a head lice product and ALL the nits will need to be combed or picked out of the hair. This process must be completed as quickly as possible so the student may return to school. The infected student MUST be cleared for school by the school nurse prior to riding the bus or re-entering school.
Use of medication
The Girard School Board shall not be responsible for the diagnosis and treatment of student illness. The Girard School District recognizes that the administration of medications to students while in school may be necessary under certain circumstances. Accordingly, the administration of medication to a student during school hours, in accordance with the direction of a physician, will be permitted only under the following circumstances.
1. Failure to take such medication would jeopardize the health of the student.
2. The student would not be able to attend school if the medication were not
administered during school hours.
Administration of prescribed medication
Before any prescribed medication may be administered to any student by district
personnel or self-administered by a student during school hours or school sponsored activities, a written request from a parent or legal guardian on an official District Medication Permission Form is required. This permission form must include the following:
Administration of Over-the-Counter medication
The District Medical Consultant shall determine which over-the-counter medications may be administered under this policy and impose any restrictions thereon he/she deems appropriate. This list of Standing Orders for Medication shall be renewed annually by the Medical Consultant. A maximum of 14 doses per student of over-the-counter medicine may be given with parent permission. Any over-the-counter medication which does not appear on this list or which exceeds the 14 doses prescribed by the Medical Consultant must be accompanied by a written request from the student’s personal physician for the student to take the medication during the school day. This request is in addition to the parent’s written permission. The school nurse is authorized to decline to administer a medication if the situation warrants.
Under certain emergency medical situations, such as anaphylactic shock, the District Medical Consultant may order certain medications, such as epinephrine, to be administered. The school nurse is authorized to administer epinephrine in an emergency medical situation.
All medications must be administered in the building’s Health Office by one of the following:
It shall be deemed that whenever a District employee administers medication to a student in accordance with this policy, he/she shall be acting within the scope of his/her duties.
For the safety and well-being of the students who have been identified as having life threatening conditions, it is important that they have immediate access to their epi-pens or inhalers throughout the school day. Permission to carry an epi-pen or inhaler must be discussed with the school nurse and appropriate permission slips completed, including a signed physician order. Permission slips can be obtained from the school nurse.
Before any prescribed medication or any over-the-counter medication is administered to a student, the following procedures must be followed:
All new medication or change of a dosage or time of administration of a medication must be cleared with the school nurse before it is given.
For student safety, no medications may be transported to or from school by the student unless they are authorized to carry their inhaler or epi-pen and have followed the previously stated procedures. All other medication must be delivered to the school by an adult and picked up by an adult.
Any medications, which are controlled by the Federal Narcotics Act, must be stored in the original container in a locked cabinet in the Health Office or in the refrigerator when indicated on the pharmaceutical label.
It is the responsibility of the parent/guardian to provide the daily medications for field trips. The medication dose should be put in an envelope with the student’s name, name of medication and time it is to be given written clearly on the front. The envelope should be sealed and an adult will need to deliver it to the school nurse prior to the field trip (do not send on the bus.) The nurse is unable by law to take a dose from your child’s supply at school to send on a field trip. This constitutes relabeling medication and is against nursing practice regulations. For student safety, any “as needed” medications with the proper form on file with the nurse (Examples – inhalers, Benadryl and epi-pens) will automatically be sent on the field trips. When medications must be administered to a student outside the Health Office, e.g. field trips or other similar extracurricular activities, the principal must designate who shall administer medication to a student. If a designee is not available to administer the medication, there will be no administration of the medication and the parents must be notified at least 24 hours beforehand.