Medical & Health

Renaissance Academy Nurses' Corner

 

Grace Cavanagh,BSN, CSN
Certified School Nurse

610-983-4080
(Lower School:  Tuesday & Friday)
(Upper School: Monday, Wednesday & Thursday)

grace.cavanagh@rak12.org
    Part-time Lower School Nurse
(Monday, Wednesday & Thursday)
Rena Bender, RN
rena.bender@rak12.org


Part-time Upper School Nurse
(Tuesday & Friday)
Stacy White, BSN
stacy.white@rak12.org


  To reach all 3 nurses in one email use
nurse@rak12.org



Dear Parents:
We are here to assist your student when situations arise during the school day. If in the morning,  your child is sick or injured, please keep him or her home and/or have your child see your family physician.  If your child is sick during the school day they need to be evaluated by a nurse before being sent home.  Please call the school before coming if your child sends a text message requesting to go home. Information regarding our health policies can be found below. If you ever have questions or need assistance, please do not hesitate to contact us.

Have a Happy and Healthy School Year!

Warmest Regards,
Mrs.
Cavanagh


Interesting Articles of the Month:

Too Sick for School, or Just Doesn't Want to Go


Health Issues and Injury 2017-2018

  • Please be sure to complete and return the 2017-2018 Annual Health Survey & Permission to Administer Non-Prescription Medication Form for each of your students.  (Health Information Form )
  • Be sure we are aware of your child’s allergies, health problems, and injuries.
  • Call the nurse to discuss prescription medication if needed during the school day.
  • Medical documentation is required for food allergies, lactose intolerance, and medication.
  • If your child has sustained a recent injury or illness that restricts his/her activity, please notify the school and forward medical documentation to the School Nurse.
  • A doctor’s note is required to use the elevator and/or wheelchair. If you child needs a wheelchair, please provide one. They are easily rented at medical supply stores.
  • Renaissance Academy does have a wheelchair for both the lower and upper schools; however, they must be available for situations that occur during the school day.
  • A doctor’s note is required to be excused from participating in gym class. Once relieved of the injury or illness, a doctor’s note is also required to return to all activities, including gym class.

Sending Students to School

  • While it is sometimes inconvenient to keep a sick child home, school exclusion is necessary to keep our school community healthy.  Please use the following guidelines when deciding whether your child should come to school:
  1. Your child will need to stay home if he/she has a temperature of 100* or greater. Your child’s temperature should be below 100* for 24 hours (without the use of Tylenol or Ibuprofen) before returning to school.
  2. Children with vomiting and /or diarrhea are to be kept home for 24 hours after the last episode. Your child should be tolerating a regular diet before returning to school.
  3. Children with suspected infectious diseases (i.e. pink eye, strep throat, ringworm, impetigo) must be kept home until verification from your health care provider can be obtained.  Some illnesses require physician certification to return to school.
  4. Children with severe sore throat, excessive cough or a cough that produces phlegm, severe headache, earache, or stomachache that prevents them from eating/drinking should remain home.
  5. Remember that children who are ill are not to be sent to school simply because there is a party or a field trip or because they don't want to miss a test or assignment. Although they may be sad at missing the event or worry about falling behind, they are often too sick to participate and risk infecting their fellow students and staff members.

De acuerdo con el Código de Pennsylvania, Título 28, Capítulo 27, Enfermedades contagiosas y no contagiosas, su hijo(a) no debe venir a la escuela si presenta los siguientes síntomas:
• APARIENCIA, COMPORTAMIENTO – cansancio o irritabilidad inusual, dificultad para despertar
• OJOS – mucosidad espesa, drenaje de pus de los ojos o conjuntivitis aguda
• FIEBRE – temperatura oral o axilar de 100 grados Fahrenheit o más
 • DIARREA – persistente
• VÓMITOS – persistentes • SARPULLIDO – dermatitis de la piel, especialmente con fiebre o cambios de comportamiento
 • PIOJOS – los niños pueden volver a la escuela inmediatamente después del primer tratamiento
• SARNA – los niños pueden volver después del término del tratamiento apropiado
• LESIONES EN LA BOCA – asociadas con la incapacidad de controlar la saliva
SI SU HIJO(A) MUESTRA ALGUNO DE LOS SÍNTOMAS ANTERIORES EN LA ESCUELA, PUEDE QUE DEBA RECOGERLO.
Si trae a su hijo(a) a la escuela con uno de los síntomas indicados anteriormente, pondría en riesgo la salud de los demás niños y del personal. 


Immunization Information

Starting in the 2017/2018 school year: Children in ALL grades (K-12) need the following immunizations for attendance:

  • 4 doses of tetanus, diphtheria and acellular pertussis* ( 1 dose on or after 4th birthday)

  • 4 doses of polio (4th dose on or after birthday and at least 6 months after previous dose given)

  • 2 doses of measles, mumps and rubella**

  • 3 doses of hepatitis B

  • 2 doses of varicella (chickenpox) or evidence of immunity

 Seventh through 12th Grade ADDITIONAL immunization requirements for attendance.

  • 2 doses of meningococcal conjugate vaccine (MCV)

    • First dose is given 12-15 years of age; a second dose is required at age 16 or entry into 12th grade.

    • If the dose was given at 16 years of age or older, only one dose is required.

  • 1 dose of tetanus, diphtheria, acellular pertussis (Tdap)

*Usually given as DTaP or DTP or DT of Td

**Usually given as MMR

These requirements allow for the following exemptions: medical, religious belief or philosophical/strong moral or ethical conviction. Even if your child is exempt from immunizations, he or she may be excluded from school during an outbreak of vaccine preventable disease. Exemption to Immunization Law Form
  • If  a child does not have all the doses listed above, needs additional doses, and the next dose is medically appropriate, the child must receive that dose within the first five days of school or risk exclusion.  If the next dose is not the final dose of the series, the child must also provide a medical plan (see form below) within the first five days of school for obtaining the required immunizations or risk exclusion.
  • If a child does not have all the doses listed above, needs additional doses, and the next dose is not medically appropriate, the child must provide a medical plan (see form below) within the first five days of school for obtaining the required immunizations or risk exclusion.
  • The medical plan must be followed or risk exclusion.

MEDICAL PLAN - CERTIFICATE CARD

Please submit required documentation directly to the school or by emailing Mrs. Cavanagh.

Vaccination Hesitancy: 4 Myths Explained


Medication

In accordance with school policy, medication(s) should be given at home before and/or after school.  However, when this is not possible, prior to receiving the medication at school, each student must provide the school nurse with a Medication Administration Consent form signed by the student's parent/guardian and a Medication Order from a licensed prescriber.  All medications must be in an original prescription bottle/container from a pharmacy.  Medication orders are required from a licensed prescriber for prescription and over-the-counter medicine, as well as herbal remedies.

 Medication Order Form

 All medication must be brought to school in its original labeled container by a parent/guardian.

 All medication must be left in school, it may not be sent home every nigh


The order from the physician must include:
    1.  Student's name
    2.  Name, signature and phone number of the licensed prescriber
    3.  Name of medication
    4.  Route and dosage of medication
    5.  Frequency and time of medication administration. 
    6.  Date of the order and discontinuation date.
    7.  Specific directions for administration.

 Pennsylvania State guidelines for medications in school state: 

No medication, even non-prescription medication, may be brought to school and taken by students without written permission from the licensed prescriber and parent/guardian and supervised by the nurse.  A new prescription is needed EVERY school year for medicine that is taken on a long term basis.  Physician's orders do not carry over from one school year to the next.

Medications available at school with parental permission: 
 
Students may receive the following over the counter medications as needed if permission has been granted by the parent on the Health Information form completed at the beginning of the school year, in accordance with our standing orders from the school physician:  Tylenol, Ibuprofen, Chloraseptic lozenge/throat spray, Tums, and Benadryl - generic medications may be substituted.  (Ibuprofen is limited to 2 doses weekly without written physician permission)
***For life threatening allergic reactions injectable Adrenaline (Epi-Pen) will be administered***

PA Emergency Epinephrine auto-injector opt-out form.pdf

MENSAJE PARA LOS PADRES DE FAMILIA/TUTORES LEGALES Asunto: MEDICAMENTOS QUE DEBEN ADMINISTRARSE A LOS ESTUDIANTES DURANTE EL HORARIO ESCOLAR: De acuerdo con la ley estatal, y por motivos de seguridad, se pueden administrar medicamentos en la escuela sólo con las instrucciones por escrito específicas (orden médica) de un proveedor con licencia (médico o médico de osteopatía, dentista, enfermera especialista certificada, asistente médico, optometrista o podólogo) y con una solicitud por escrito de usted, como padre de familia o tutor legal. Ningún medicamento debe enviarse a la escuela sin estas instrucciones y sin su solicitud, ambas por escrito. Esto incluye medicamentos sin receta y preparaciones a base de hierbas. Los medicamentos se administrarán con el debido cuidado. Si su proveedor con licencia considera que es absolutamente necesario que su hijo reciba medicamentos en la escuela, puede solicitar en la escuela el formulario de autorización y consultar el procedimiento que debe seguir para suministrar los medicamentos. 

Use of Medication Board Policy



Required Health Screenings
:
 Physical Examination: K, 6th, and 11th (Physical Form)
 Dental Examination: K, 3rd, and 7th (Dental Form)
--It is recommended that students go to their own physician and dentist
--Exams may be performed up to 1 year in advance


Health Screenings preformed by the School Nurse:
 Vision: K-12th
 Hearing: K-3rd, 7th, 11th
 Height & Weight: K-12th
 Scoliosis: Grade 6th and 7th
 BMI, Body Mass Index: K-12th


La seguridad y el bienestar de su hijo en la escuela es nuestra prioridad. Recomendamos que los padres de los niños que tengan una afección de salud con riesgo vital obtengan el plan de medicación o de tratamiento firmado por un proveedor licenciado de atención de salud y lo entreguen a la escuela cada año. Haga planes para concertar una cita con el médico o proveedor de atención de salud de su hijo a la brevedad posible para obtener el plan de medicación o de tratamiento firmado. 

Allergies
Be sure we are aware of all your child’s allergies.  Please have the appropriate form completed by your licensed prescriber with their signature, as well as, the parent/guardian signature.  Medications should be brought to school by parent/guardian in the original container with pharmacy label.

Food Allergy Action Plan
Latex Allergy Action Plan
Bee Sting Allergy Action Plan
Nonfood Allergy Action Plan

By Law, all school children are served milk.
A Doctor’s Note is required for:
 Allergy to milk

Asthma

Asthma is a disease that affects your lungs. It causes repeated episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing. Asthma can be controlled by taking medicine and avoiding the triggers that can cause an attack. You must also remove the triggers in your environment that can make your asthma worse.

 

If your child has Asthma and will require the use of an inhaler in school please have your child’s physician fill out the Asthma Action Plan.  If your child is determined by their physician to be capable of carrying their inhaler and administering it to themselves while in school then they will need to complete the AUTHORIZATION FOR Inhaler at School form (grades 5 - 12 only).  Both of these forms require signature of the physician and the child’s parent/guardian.  No student is to carry an inhaler in school without authorization from the physician.

Seizures

If your child suffers from seizures please have the attached seizure care plan completed by your child's physician.    

SENDING HOME STUDENTS WHO ARE ILL

  • As a general rule, students will only be sent home sick if they have a fever of 100 degrees or more, or if they vomit. The nurse will evaluate students feeling ill and will make a case-by-case decision using her discretion. The school nurse and a school administrator are the only individuals that may determine if a child needs to be sent home. Students sent home with a fever will not be re-admitted to school until 24 hours after the student has been fever free without the use of medication such as Tylenol or Advil.

    Pink Eye (Conjunctivitis)
    If suspected at school, students will be sent home. An examination by a physician is needed for a diagnosis. Students may return to school once prescription antibiotic eye drops have been used for 24 hours.
    Ringworm
    If suspected at school, students will be sent home. An examination by a physician is needed for a diagnosis. Students may return to school once prescription anti-fungal ointment has been applied to the affected area for 24 hours.
    Poison Ivy/Oak
    Poison Ivy/Oak causes a skin irritation due to an allergy. Lesions and skin blisters are NOT contagious. Students may attend school. Non-prescription calamine lotion is available from the school nurse. If other medication is needed, please follow the schools medication policy.
    Chicken Pox
    Chicken Pox (Varicella) is an acute viral disease. If suspected at school, students will be sent home. Students should remain out of school until fever free for 24 hours and all skin lesions are scabbed over and dry.
    Impetigo
    A superficial skin infection. Lesions are most commonly found on the face and fingers. If suspected at school, the school nurse will contact parents. An examination by a physician is suggested. Students may attend school if treatment is started and lesions are lightly covered while in school.
    Seasonal Allergies
    Non-prescription medication for allergy symptoms is NOT available at school. As a general rule, medication for such symptoms should be taken at home. If absolutely necessary that your child receive medication during the school day, please follow the school’s medication policy.
    Fifth’s Disease
    A common childhood virus that is contagious. Symptoms include a red rash on the face, extremities and fever. Once the rash appears the virus is no longer contagious. Students are usually excluded from school due to fever. Students are not excluded from school due to the rash.


    LICE

    It is important to note that anyone can get head lice... mainly through direct head-to-head contact but also from sharing hats, brushes and other personal items. Head lice are a problem in many communities and do not reflect poor hygiene or social status. Lice infestation is much easier to treat if caught early.  Please note that home remedies such as vinegar and mayonnaise are not considered effective treatments.   Please consult with you physician or pharmacist for appropriate treatments.   If you should discover a case of head lice, please notify the school health office.

    Students with lice may return to school accompanied by an adult and return to classes once cleared by the school nurse.  They are not permitted to ride the school bus until cleared by the school nurse.

  • Head Lice Information for Parents
  • HEAD LICE - What to look for and how to treat..pdf