Clinton Public School

Nurse’s Office and Student Health

School Nurse: MaryEllen Bowlby
735-8512 ext. 500

mbowlby@cpsnj.org

School NurseGood health is basic to sound education and productive living. The purpose of the school health program is to maintain, improve and promote the health of the school-age child. Parents should feel free to contact the school nurse about health concerns regarding their children.

Your child should be kept at home if there is a fever of 100 degrees or more, vomiting or diarrhea. Temperatures should be normal for 24 hours before the child returns to school. Please notify the school nurse if your child develops a contagious illness or condition such as chicken pox, head lice, impetigo, pink eye, scarlet fever, strep throat, etc… Children may return to school 24 hours after an antibiotic has been started for a strep infection or pink eye.

Illnesses occurring during the school day will be evaluated by the school nurse and the student will either be sent home or allowed to rest in the Health Office and then return to class at the discretion of the school nurse. If your child needs to be sent home, you, the parent or guardian, will be notified so arrangements can be made. Emergency information should be kept current with the nurse school so you can reached in the event of an emergency.

To promote a healthy lifestyle children should be dressed appropriately for the season and specific weather. It is important that your child gets a good night's sleep and eats a nutritious breakfast every day before coming to school.

Medication Policy
No medication can be administered to a student without the written authorization from the parent and physician. Dr. Frank, our School Physician, has written standing orders that allow acetaminophen (Tylenol), ibuprofen (Advil or Motrin) and Tums (antacid) to be given to students by the school nurse, when needed, with verbal permission from a parent or guardian.

Written authorization is required for any other medication, other than those mentioned above, including over-the-counter medications. A medication form, available in the nurse's office, must be completed by the physician and signed by both the parent/guardian and the physician. All medications must be in the original container and appropriately labeled by the pharmacy or physician with the student's name, name of the drug, dosage and time of administration. Over-the-counter medications must be brought in to school in the original container.

The only medications students are allowed to carry with them and self-administer are those medications needed for potentially life-threatening illnesses such as inhalers for asthma and an EpiPen for severe allergic reactions. A student may carry these medications when he is able to demonstrate proper self-administration technique and the prescribing physician has given written authorization that the student may carry the medication.

All other medications will be kept locked in the Nurse's Office and will be administered to the student at the time designated by the physician. The school nurse or a parent or guardian are the only ones permitted to administer medication to a student in school or on class trips.

Screenings
Height, weight, and blood pressure screenings are performed yearly on each student. Vision screenings are performed every other year. Students are screened in kindergarten and grades two, four, six, and eight. Hearing screenings are performed annually for students in kindergarten through grade three and then in grade seven. If a student has difficulty with the initial screening the student will be re-evaluated. If there is a problem after the second screening a referral will be sent home requesting an examination and evaluation by a physician. If, at any time, you suspect a problem with your child’s vision or hearing and would like to have your child tested, please contact the school nurse and the testing will be performed.

Scoliosis screening is performed every other year on students that are 10 years of age and older. Students in grades 5 and 7 are checked. If there is any deviation from the norm a referral is sent home requesting an examination and evaluation by a physician.

Physical Examinations
Students are required to have a physical examination upon entry to school. Subsequent medical examinations of students at least one time during each developmental stage at early childhood (pre-school through grade three), pre-adolescence (grades four through six) and adolescence (grades seven through twelve) are encouraged.

Students trying out for a school athletic team must have a current health history and physical on file in the nurse’s office. Physicals are good for one year and must be on file before the start of the first practice session. According to N.J.S.A. 18A:35-4.8 student physical examinations are to be conducted at the medical home (private physician’s office) of the student. If a student does not have a medical home the school physician may perform the physical examination.

The medical examination must include a health history completed by the parent and a complete physical performed by the physician. The medical report shall include the recommendation concerning the student’s participation from the examining physician, advanced practice nurse, or physician’s assistant. The school physician shall review this medical report and provide a signed written notification to the parent or legal guardian stating approval for the student’s participation in the sports program.

Health history and physical examination forms are available in the nurse’s office, main office on on the school's website.

Transfer Students
Transfer students, from another school in the state of New Jersey, are required to have up to date immunizations and documentation of a physical upon entry to a New Jersey school.

Students transferring from out-of-State or out-of-country must provide documentation of up to date immunizations and a current physical examination.

Students transferring from a country with high TB incidence are required to have a Mantoux Test (a skin test for tuberculosis) before entry to school.

Immunization Requirements
Students are required to have the following immunizations as mandated by the New Jersey Department of Health and Senior Services. A physician's statement showing the specific dates (i.e., month, day and year) of each vaccine must be provided.

DTaP (Diphtheria, tetanus, acellular pertussis): A minimum of 4 doses of DTaP vaccine; provided one dose is given on or after the fourth birthday.

Tdap (Tetanus and acellular pertussis): One dose for students entering sixth grade.

Polio (Polio Vaccine): A minimum of 3 doses of polio vaccine is required; provided at least one dose is given on or after the fourth birthday.

Measels: 2 doses of a measles containing vaccine, preferably MMR, given after the first birthday.

Rubella and Mumps: One dose of live mumps-containing vaccine. One dose of live Rubella-containing vaccine.

Varicella (Chicken Pox): For children born on or after January 1, 1998 one dose of varicella vaccine given on or after the first birthday or proof of disease immunity. Children that have documented laboratory evidence of previous varicella disease, a physician statement or a parent statement of previous varicella disease do not need to receive the varicella vaccine.

Hib (Haemophilus influenza type B): Pre-school students, ages 12 to 59 months, 1 dose.

Hepatitis B: 3 doses of hepatitis B vaccine.

Pneumococcal: Pre-school students, ages 12 to 59 months, 1 dose.

Meningococcal: One dose for students entering sixth grade.

Influenza: 1 annual dose for all pre-school students.

A student may be exempted from mandatory immunizations if there is a medical exemption from a licensed physician or certified nurse practitioner. A parent /guardian may request a religious exemption by submitting a written statement to the school which explains how the administration of immunizing agents conflicts with the pupil's exercise of religious tenets and practices. If a threatened or actual outbreak, as determined by the Commissioner of Health and Senior Services or his/her designee, all pupils with provisional, religious or medical exemptions (which relate to the specific disease threatening or occurring) shall be excluded for a specific period of time or until the outbreak is declared over. If these pupils become immunized or produce serologic evidence of immunity to the specific disease they may be immediately readmitted to school.

To access N.J.A.C. 8:57-4 Chapter 14 Immunization For Pupils in School which provides information on all vaccination requirements go to http;//www.nj.gov/health/cd/chap14.pdf.











Last Modified on June 14, 2007
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