Medication Administration: A request for medication form is on my website.

• Medications administered at school require written parent request and a physician order, this includes over the counter medication.  A faxed order is acceptable.
• Prescription and over the counter medication must be in the original container.
• Prescription medications require a current and accurate prescription label.  Pharmacies will provide you will provide you with a labeled bottle for school if you request it.
• Medication must be delivered to the nurse by the parent and will be kept in the clinic.  This includes emergency medication.
• Students are allowed to self-administer emergency medications like rescue inhalers, epi-pens, and/or diabetes treatment ONLY if there is:

o   The nurse has counseled with the student and parent to determine competency of the student and make realistic plans.

o   The student complies with campus safety policy.

• No district employee may administer herbal/dietary supplements unless prescribed by a physician, provided by the parent, and if required by the Individualized Education Program or 504 plan.  The rational for this policy is related to the fact that herbal/dietary supplements are not FDA approved.

Illness:  When to keep your child home – Additional information on my website

• Students must be fever free, less than 100 degrees, for 24 hours without fever reducing medication (ibuprofen/Tylenol) before returning to school.
• Students vomiting 2 or more times in a 24 hour period unless released by physician that the cause of vomiting is not infectious and the child is in no danger of dehydration.
• Diarrhea or stools with blood or mucus
• Mouth sores and drooling until a physician or the health authority does not feel the condition is infectious.
• Fever or rash or change in behavior until a physician has determined that the problem is not caused by an infectious disease.

I would also like to share with you a resource I provided for teachers along with a first aid bag that contains bandaids, antiseptic wipes, tooth boxes, Vaseline for chapped lips, and gloves.

Guidelines for Appropriate Nurse Referrals

PLEASE DO NOT HESITATE TO SEND A STUDENT TO THE NURSE IF YOU ARE NOT SURE OF THE NEED FOR A NURSE ASSESSMENT

The following guidelines are basic first aid tasks that do not require nursing assessment and are designed to assist you with determining the appropriateness of referring a student to the nurse.  Inappropriate referrals to the clinic increase risk of a healthy student being exposed to a student that is ill and remove them from the classroom unnecessarily.

• Paper cuts – wash with soap and water or antiseptic wipe, bandaid if needed.
• Old scratches, insect bites/stings, or wounds unless they appear infected (inflamed, drainage, red)
• Old scabs that are bleeding - – wash with soap and water or antiseptic wipe and bandaid.
• Hang nails – apply fingertip bandaid to protect.
• Rug burns – wash with soap and water or antiseptic wipe.
• Loose baby teeth – encourage student to wiggle with tongue and put it in a tooth box (in the first aid kit) when it falls out.
• Superficial scrapes and scratches - wash with soap and water or antiseptic wipe, bandaid if needed.
• Blisters - wash with soap and water or antiseptic wipe, bandaid.
• Chapped lips – apply Vaseline with a q-tip from the first aid bag.
• Old injuries that parents are aware of unless there is a change in status – increased swelling or pain.
• Splinters deep under the skin - wash with soap and water or antiseptic wipe, bandaid if needed.
• Vague complaints unless the student feels feverish.
• Please avoid sending more than one student at a time unless it is an emergency or the student requires a buddy.

Please call or email me if you have any questions or concerns