Health & Nursing Services
The Health Services and the School Nurse seek to enhance the educational process of the students by modifying or removing health related barriers to learning and by promoting optimal level of wellness. The Health Services Program advocates for health education, healthy activities, and a healthy environment for students and staff.
Please be advised of the following:
Children with fever greater than 100 degrees must be sent home from school and must remain home from school until fever free for 24 hours.
Any child with a fever, vomiting, or diarrhea must remain home until free of condition for at least 24 hours.
Any medication that is to be taken during school hours including over the counter medication such as Tylenol or cough drops must be accompanied by an order from your physician as well as a parent note.
All medications must be transported to the school by a legal adult.
Please view "polices", and "forms and information" below to download any needed medication or physical forms your child may need.
If your child is suffering from a communicable disease such as STREP throat, stomach virus, pink eye, chicken pox or other contagious rash or disease, we would appreciate that you report this illness to the nurse's office. This information is strictly confidential and is requested for tracking purposes only.
All students are screened annually for height, weight and blood pressure.
Scoliosis is screened in 9th. Vision is screened in 10th grades. Hearing and Scoliosis is screened in 11th grade.
The school nurse will provide a medical assessment upon request as part of the comprehensive child study team evaluation pursuant to N.J.A.C.6A:14-3.4; and when a student is suspected of being under the influence of alcohol or controlled dangerous substances.
The Board of Education shall ensure that students receive health screenings in accordance with N.J.A.C. 6A:16-2.2(I).
The school district shall notify the parent of any student suspected of deviation from the recommended standard.
Medical examinations are required prior to participation on intramural athletic team or squad. The examination shall be conducted by your health care provider within 365 days of the start of the sport activity. The NJ Dept. of Education Annual Pre-Participation Physical Exam Form Part A and Part B must be used. Your child can obtain the form from our health office or you can download the form from our website. The school doctor will be available by appointment to do physicals for students who do not have a health care provider.
The school nurses are responsible to ensure that immunizations records are reviewed and updated annually. The school nurse will recommend to the school principal those students to be excluded based on parent's failure to provide evidence of the student's immunizations as pursuant to N.J.A.C.8:57-4.1 though 4.16. Please refer to immunization requirements below.
Prevention and the spread of communicable diseases in school and in the community requires cooperation and partnership between home and school. The first step in the control of communicable diseases is the knowledge of when and where these diseases occur. For a detailed list of diseases that are reportable to district policy. Please notify the attendance office when your child is absent.
- When is your child too sick to send into school?
- Medication Policy
- Inhaler Use in School
- Communicable Disease Control
- Over the Counter Medication
- Sports Physicals
When in doubt, keep them out!
The following guidelines are provided too help you determine when your child should stay home:
Chicken Pox is a communicable disease that presents as a rash of small clear blisters that open, crust & then form scabs. Your child can return to school when all blisters have formed scabs, usually 7 days after all pox have appeared.
Common Cold/Flu frequently will present with debilitating symptoms like nasal discharge, cough, sneezing, bad headache nausea, vomiting and feeling tired. If your child has a fever over 100 degrees, bad cough, difficulty breathing or becomes dehydrating he or she will need to be seen by your doctor as soon as possible.
Conjunctivitis (Pinkeye) bacterial type with the following symptoms: red sclera and conjunctiva, yellow crusted eyelids especially when waking up in the morning, burning and excessive itching and rubbing of the eyes. Treatment will include eye drops prescribed by your doctor. Can return to school 24 hours after treatment has been started.
Coxsackievirus is a communicable disease usually presents with painful sores on the hands, feet and in the mouth. Fever, nausea and vomiting can also occur. Your child may return to school after medical clearance from your doctor.
Diarrhea with multiple episodes of loose stools; may have a fever and abdominal cramping. Your child may return to school when free of diarrhea and without fever for 24 hours.
Fever over 100 degrees will need to be excluded from school. Your child may return to school when fever has been gone for 24 hours.
Mononucleosis, Epstiein Bar, Chronic Fatigue, Hepatitis are communicable disease includes many different symptoms similar to the flu. Will require medical clearance including activity order before your child can return to school.
Pediculosis (Head Lice) causes severe itching, rash and enlarged lymph nodes on the head and neck areas. Head lice are very contagious and will require treatment with a product specifically made to kill lice. Consult your school nurse, pharmacist or doctor to assist you with the best way to get rid of lice, prevent spread t and prevent re infestation.
Sore Throat with pain and fever needs to be looked at by your doctor. Your child may return to school when he/she is fever free for 24 hours.
Strep Throat and Scarlet fever are very contagious bacterial infection. Symptoms include red enlarged tonsils, with or without pus like exudates, fever, headache, nausea and vomiting. Your child may return to school after 24-48 hours of antibiotic treatment and fever free.
Please be sure to notify the school if your child is absent.
Guidelines set by the State Department of Education
It is school policy not to allow children to have medications in the classroom. If medications need to be administered during school time, the medication will be kept in the Health Office and dispensed by the school nurse at the designated time(s). In addition:
1. The parent/guardian must provide a written request for the administration of medication.
2. We must also have an original written order from your doctor for any medications that must be taken at school, including over the counter medications. This order must include:
- Name of Medication
- Dosage and time it is to be given
- Is child to receive medication on half days?
- May the medication be withheld for field trips?
- If medication is an inhaler or EpiPen, may the child carry it and self-administer?
Call the nurse to obtain a form for EpiPen use in school.
3. All medication must be in the original pharmacy container properly labeled for the student. Ask your pharmacist for the medication to be divided into two bottles completely labeled: one for home and one for school. Do not send medication in baggies, tissues, envelopes, etc., as it is against the law to dispense unlabeled medications.
4. Students are not allowed to carry medications on the bus or into school. An adult must drop off the medication in the Main Office or in the Health Office during school hours.
5. Over the counter drugs must also be prescribed by your health care provider.
Prevention and the spread of communicable diseases in school and in the community requires cooperation and partnership between home and school. The first step in the control of communicable diseases is the knowledge of when and where these diseases occur. For a detailed list of diseases that are reportable to the school please refer to district policy. Please notify the school when your child is absent.
The Over - The - Counter Medication form for 9th thru 12th grade only is for Advil, Tylenol, Tums with written parent permission only.
A physician signature for these three medications is no longer required.
All medications that the parent would like to be available for their child during the school day must be initialed by parent and must have printed name and signature of parent on form to be valid.
No phone calls will be accepted as permission.
Please click on the link for the over-the-counter medication form and return to nurse's office.
ALL FORMS MUST BE HANDED INTO THE NURSE'S OFFICE 2 WEEKS BEFORE PHYSICAL DATE
Medical examinations are required prior to participation on a intramural athletic team or squad. The examination shall be conducted by your health care provider within 365 days of the start of the sport activity. The NJ Dept. of Education Annual Pre-Participation Physical Exam Form Part A and Part B must be used. Your child can obtain the form from our health office or you can download the form from our webpage under health forms. The school doctor will be available by appointment to do physicals for students who do not have a health care provider.
Sports Form Directions
1. Prior to participation on a school-sponsored interscholastic or intramural athletic team or squad for students enrolled in any grades six to 12;
i. The examination shall be conducted within 365 days prior to the first day of official practice in an athletic season and shall be conducted by a licensed physician, advanced practice nurse (APN), or physician assistant (PA).
ii. The physical examination shall be documented using the Preparticipation Physical Evaluation (PPE) form developed jointly by the American Academy of Family Physicians, American Academy of Pediatrics, 15 American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine and available at, http://www.state.nj.us/education/students/safety/health/records/athleticphysicalsform.pdf, in accordance with N.J.S.A. 18A:40-41.7.
(1) Prior to performing a preparticipation physical examination, the licensed physician, APN, or PA who performs the student-athlete's physical examination shall complete the Student-Athlete Cardiac Screening professional development module and shall sign the certification statement on the PPE form attesting to the completion, pursuant to N.J.S.A. 18A:40-41d.
(A) If the PPE form is submitted without the signed certification statement and the school district has confirmed that the licensed physician, APN, or PA from the medical home did not complete the module, the student-athlete's parent may obtain a physical examination from a physician who can certify completion of the module or request that the school physician provides the examination.
(2) The medical report shall indicate if a student is allowed or not allowed to participate in the required sports categories and shall be completed and signed by the original examining physician, APN, or PA.
(3) An incomplete form shall be returned to the student's medical home for completion unless the school nurse can provide documentation to the school physician that the missing information 16 is available from screenings completed by the school nurse or physician within the prior 365 days.
iii. Each student whose medical examination was completed more than 90 days prior to the first day of official practice in an athletic season shall provide a health history update questionnaire completed and signed by the student's parent or guardian. The completed health history update questionnaire shall include information as required by N.J.S.A. 18A:40-41.7.b.
The school doctor must review and approve all physical forms prior to your child's participation in a sport activity.
Some Tick Talk :
*New Jersey has one of the highest rates of Lyme Disease (tick-borne illnesses).
*All ticks can transmit Lyme Disease (not necessarily limited to deer ticks).
*Increased incidence of Lyme Disease is partially attributed to the population explosion in the rural areas.
*Keep wood and brush away from your house. Stone walls attract small rodents which can also carry ticks. Bird feeders also increase the incidence of ticks.
*Avoid pets on furniture and sleeping with kids. Ticks can travel from your furry animal onto the skin of your family.
*Avoid tick infested areas and sitting directly on the ground. Use EPA approved repellents.
*Frequent tick checks are probably your best protection from tick-borne illnesses.
Removing ticks before they adhere to the skin, prevents the transmission of infection.
*Remember to protect (repellent) and check pets too!
*Teach children to seek adult help for tick removal.
*Squeezing the body of the tick can actually increase the chance of transmitting infectious material into the person who is bit by the tick.
*Improper removal can increase the chances of infectious transmission of tick fluids and thus developing Lyme Disease and related tick-borne illnesses.
Never put substances on the tick such as soap or other substances.
*Use a fine point tweezer and grasp tick mouth parts (place of attachment—as close to the skin as possible). Remove the tick with a steady pull away from the skin. Use a steady pressure and gently pull the tick straight out. Never squeeze, twist, or yank the body of a tick. Never put substances or fluids on the tick.
*If you save the tick for testing, place it in a sealed plastic bag with a moistened (water) cotton ball. If a tick is positive, a course of antibiotics is indicated---see the doctor.
*Some Lyme literate specialists feel that testing ticks may not always be 100% accurate.
*Wash hands thoroughly.
*If discarding tick, wrap in toilet tissue and flush into toilet.
*Don't touch tick with bare hands.
*Clean area of the tick bite with an antiseptic and apply antibiotic ointment.
*Contact your doctor.
*Mark your calendar on the day of the tick removal.
*Be alert that some reports and researchers state that less than 40% of people develop a rash (bulls-eye) after a tick bite.
*Many rashes that do develop after exposure to infectious tick bites may not present as the "classical bulls-eye" rash. You may see a solid red rash – possibly 3" diameter or larger, and may be smaller, too. Consult your medical professional as needed.
*Some people with dark skin may have a "bruise-like" appearance when developing a rash.
*New research supports 6 weeks of antibiotic therapy for Lyme Disease. Other tick- borne illnesses may also be transmitted from one tick bite. They include ehrlichiosis, bartonella, and babesiosis. Ask your doctor about these other diseases. They should be assessed and treated promptly.
*Taking advantage of the "window of opportunity" for treatment of Lyme Disease can mean the difference between wellness and illness and the avoidance of an unknown course of chronic illness.
*It may be advisable to treat tick bites when there is:
a large rash or bulls-eye rashan engorged tick upon removaltick bite in an endemic area with high incidence of lyme and tick-borne illnesshistory of immune-suppressed state of health
If fever or flu-like illness develops within 4 weeks after a known tick bite, consider treatment for Lyme Disease! Alert your healthcare provider....many do NOT get the rash. Flu-like symptoms include fatigue, malaise, achy, fever, headache, swollen glands, achy/stiff/swollen joints, and chills.
Other tick-borne diseases are Babesia, Anaplasmosis, Ehrlichia, and Bartonella. Ask your doctor to check for these other infections that may be transmitted along with Lyme.
Log onto www.lymediseaseassociation.org for more information and other websites.
You are now required to complete the Asthma training on the GCN training site.
Asthma is a Major Public Health Problem
- Nearly 5 million children have asthma
- It is one of the most common and costliest chronic childhood illnesses
- It is a leading cause of school absences
What is Asthma
- A disease that:
- Is chronic
- Produces recurring episodes of breathing problems (WHEEZING, COUGHING, CHEST TIGHTNESS, SHORTNESS OF BREATH)
- Cannot be cured, but can be controlled
- Onset at any age
What are symptoms of Asthma
- Shortness of breath
- Tightness in the chest
- Coughing at night or after physical activity; cough that lasts more than a week
- Waking at night with asthma symptoms (a key marker of uncontrolled)
What makes Asthma worse?
- Cigarette smoke and wood smoke
- Scented products such as hair spray, cosmetics, and cleaning products
- Strong odors from fresh paint or cooking
- Automobile fumes and air pollution
- Chemicals such as pesticides and lawn treatments
Is there a cure for Asthma?
- Asthma cannot be cured but it can be controlled.
How is Asthma controlled?
- Follow an individualized asthma management plan
- Avoid or control exposure to things that make asthma worse
- Use medication appropriately
- Quick-relief medicine
What Happens During an Episode Of Asthma?
- The lining of the airways becomes swollen(inflamed)
- The airways produce a thick mucus
- The muscles around the airways tighten and make airways narrower.
Goals for a Healthy School Environment
- Reduce exposures to triggers
- Keep temperature and humidity at appropriate settings
- Dryup damp and wet areas
- Teach and monitor correct inhaler techniques, peak flow and nebulizer use
- Provide asthma education for faculty and staff
- Teach parent show to manage asthma
- Identify students with asthma and provide individual emergency plans
- Provide quick access to medication
- Promote safe and full participation in all school activities
- Allow self-administration as appropriate (proper documentation must be on file in health office)
You are now required to go to GCN training site to complete the bloodborne pathogens.
Students experience cuts, bruises, and other injuries
Little thought was given to treatment of these injuries in the past
All school employees are required to know the potential danger of bloodborne pathogens, and must be informed yearly
The Occupational Safety and Health Administration (OSHA) has issued a standard that school systems are required to identify the personnel whose job duties expose them to blood and potentially infectious body fluids.
II. Bloodborne Pathogens (BBP)
- HIV (the virus that causes AIDS), HBV (Hepatitis B virus), and HCV (Hepatitis C virus) are microorganisms carried by human blood and other body fluids.
- The average number of new cases reported in 2011 by the CDC (Center of Disease Control)
HIV: 50,000/year estimated
HBV: 18,800/year estimated
HCV: 16,500/year estimated
HIV: No cure, no vaccine (attacks the body's immune system)
- Flu-like symptoms leading to more serious opportunistic infections to eventual death
- Carrier for many years before symptoms occur
- Prevention of HIV is through education
HBV: Hepatitis translates to "inflammation of the liver"
- Most people suffering from HBV will heal in approximately six month. Virus can be life threatening. Some people become chronic carriers
- Flu-like symptoms
- Asymptomatic until jaundice and more serious symptoms occur
- HBV can survive in dried blood on surfaces at room temperature for at least 7 days.
- Only blood test can confirm a positive infection
- Prevention of HBV through knowledge of methods of protection and immunization
HCV: Most common chronic bloodborne infection in the U.S
- Primarily transmitted through large amounts or repeated exposure to blood
- Most people infected are not aware that they are because of being asymptomatic.
- Infected people can infect others and are at risk for liver disease and other chronic diseases
III. Workplace Transmission
- Bloodborne pathogens are present in blood and other body fluids containing visible blood, semen, vaginal secretions, torn or loose skin, and potentially in urine, vomit, or stool
- BBP's can enter your body through open cuts, nicks, abrasions, dermatitis, acne or moist mucus membranes (mouth, eyes or nose)
- Potential exposure by cutting yourself with an infected sharp object able to penetrate skin
IV Indirect Transmission of BBP's
- By touching a contaminated surface and transferring it to your mouth, nose,eyes, or non-intact skin area.
V. Exposure Control Plan
- OSHA requirement for every workplace
- ECP outlines who, what, where and when of exposures
- Report all exposures to the nurse immediately
VI. Reducing the Risk of Exposure
- Treat all blood and body fluids as if they are potentially infectious. This is known as Standard Precautions (or Universal Precautions). This approach is critical, as carriers of BBP may have NO visible signs of their condition.
- Hand washing: It is the single most important work practice in preventing the spread of infection.
- Good hand washing is required after removal of glove
Personal Protective Equipment (PPE)- use it
PPE is not only gloves, it also includes masks, gowns, barriers, cleansing agents for hands and goggles
- The type of PPE used will vary with the task and the exposure you anticipate
Spills: Call a custodian to clean up any body fluid spills and mark off spill area
Approved personnel only.
- If you clean up blood or body fluids Wear appropriate PPE
- Use a solution of 1 part bleach to 10 parts of water or 3/4 cup bleach to one gallon of water
VII. Hepatitis B Vaccine
- System identifies high risk employees and offers the vaccine at no cost
- The vaccine is offered at a discounted rate to any other employees interested
- The series can begin within 24 hours of exposure
- HBV immunization series is very safe and provides excellent protection, however nothing is 100% effective
VIII. Other Concerns
- Very minor nosebleed: have student pinch both nostrils with a tissue for a full 5 minutes keeping their head straight and tilted down slightly
- Major nosebleed: have student pinch both nostrils with a tissue and report to the nurses office keeping their head straight and tilted down slightly
- Any blood that had dripped onto desk floor should be reported to the custodian immediately to be cleaned properly