Health & Health Services
THE HEALTH OFFICE STAFF
STACEY KATZ, R.N. – NURSE SUPERVISOR
DEBBY CRISCUOLO, R.N.
AISLING FAGAN, R.N.
PHONE # 203-389-2195 PRESS #2
School nursing is a specialized practice of professional nursing that advances the well-being, academic success, lifelong achievement and health of students. To that end, school nurses facilitate positive student responses to normal development; promote health and safety, including a healthy environment; intervene with actual and potential health problems; provide case management services; and actively collaborate with others to build student and family capacity for adaptation, self-management, self-advocacy, and learning. (NASN, 2010)
Beecher Road School has full-time school nursing services on the premises during school hours. Communication with the school nurse about your child’s health concerns is important for the welfare of your child as well as that of other students and staff at the school. Many policies concerning health are governed by state law. Please read this section very carefully.
Laws governing school health are rigid and complex. The Woodbridge School District must make annual reports to the State of Connecticut.
No child will be admitted to school without a complete health assessment and immunization record.
Health Assessments are required for: All new students All students entering preschool All students entering kindergarten The health assessment (also known as the blue form) must be completed by a legally qualified medical professional twelve (12) months prior to a student’s enrollment.
All students must provide evidence of immunization required by state law. The Board may determine, after consultation with the school medical advisor, that a health screening for tuberculosis is required before students enter school. The nurse can provide details regarding these requirements.
Exemption from the state mandated health assessment and immunization requirements on religious or medical grounds must be requested in writing on the appropriate Beecher Road School exemption form.
If requested by the family, mandated health assessments and immunizations will be paid for by the Beecher Road School for students eligible under state and federal income guidelines.
School nurses provide yearly screenings as required by CT general Statutes, Section 10-214:
Vision: Students in kindergarten through grade 6 and all new students.
Hearing: Pure-tone (audiometric) hearing tests for students in kindergarten through grade 3, and 5th grade.
Scoliosis: Students in grades 5&6 during their participation in the swimming portion of the
physical education program.
Parents/guardians of students who need further evaluation by a physician will be notified. Parents should return the referral form to the school nurse after it has been completed by a physician.
Please notify the school nurse annually if you do not wish your child to participate in these screenings.
Beecher Road School is committed to ensuring that students who have special health care needs due to chronic and acute health conditions receive the supports and services necessary to remain safe and, to the extent possible, maintain their baseline health status during school. “Students with special health care needs” refers to those students who have a medically diagnosed chronic health condition such as asthma, diabetes, life-threatening food allergy, cardiac abnormality, juvenile arthritis, celiac disease, migraine headache, epilepsy, or a significant acute illness or injury requiring treatment and a period of recovery, such as mononucleosis, Lyme disease, or a fractured armor leg. For students with such conditions, the school team collaborates with the family and student’s health care provider to identify school based needs and develops an appropriate plan of care to meet those student’s needs. The plan is called and individualized health care plan (ICHP). For students at high risk for a health or safety emergency in school, an individualized emergency care plan (IECP) is developed as part of the ICHP. Some students may need an individualized transportation plan (ITP) as part of their ICHP. Parents who have a child with special health care needs are encouraged to speak with the school nurse regarding the appropriateness and process for developing the ICHP. These plans may be incorporated into a student’s individualized special education program (IEP) or Section 504 plan if eligible.
The school nurse will ask parents/guardians to pick up a student who has symptoms of illness or an injury that, in the professional judgment of the school nurse, needs to be observed at home or assessed by a medical doctor. In an emergency, 9-1-1 will be called for immediate transportation to the hospital.
To safeguard the health of all students, we ask parents to monitor their children for possible communicable diseases and to follow the following guidelines.
- Fever over 100.2 degrees;
- An undiagnosed rash;
- Vomited in the past 24 hours;
- Copious yellow/green mucus discharge from nose;
- A severe headache, with or without a fever;
- A severe sore throat with symptoms indicating possible strep throat;
- Conjunctivitis (pink eye) with discharge;
- A communicable illness;
- An undiagnosed skin wound, lesion or sore that appears red swollen or draining fluid.
- For 24 hours after an elevated temperature returns to normal without the use of fever reducing medication;
- After a throat culture until the results are available;
- For 24 hours after the first dose of antibiotics for the treatment of strep throat;
- For 24 hours after a vomiting has ended;
- For 24 hours following the treatment of bacterial conjunctivitis or conjunctivitis with drainage;
- Until adequately treated for head lice, scabies, or other infestations, communicable illness or skin infection, as assessed by the school nurse; or have been assessed by a physician and determined to be non-communicable. A physician’s note may be required for return to school bases on nursing judgment.
It is important that the school nurse and staff be alerted to allergies, such as bee stings, insect bites, or any severe reaction to foods, medication, or environmental substances. If indicated by a physician, emergency medication should be authorized and stored in the nurse’s office at school to be administered if needed.
If there is any problem or unusual occurrence at home that might affect your child’s optimal learning, such as the illness or death of a family member, friend, or household pet, or if there are changes within the family, please feel free to share the information with the nurse, as well as the classroom teacher and/or administration.
Any changes in your child’s health status over the summer months should be communicated with the school nurse.
Administration of Medication:
For students who must take medication during school hours, including medications prescribed by a physician for short-term use (e.g., antibiotics, daily medication, medication needed only occasionally, over the counter medications, medications for emergencies such as EpiPens and inhalers), parents/guardians must provide the school nurse with their written permission and the written medical order of an authorized prescriber (physician, dentist, advanced practice registered nurse, physician’s assistant or optometrist) authorizing the nurse to administer the medication. The order for medication must include:
- Name, strength, and dosage of the prescribed medication;
- Reason for the medication (medical diagnosis);
- Directions for administering the medication;
- Time the medication is to be administered;
- Duration of the order;
- Potential side and untoward effects;
- Authorization for self-administration if appropriate.
Medication forms are available in the nurse’s office and on the Beecher Road School website. Medication must be brought to school in the original bottle or container, properly labeled with the name of the student, name of the physician, date, original prescription, and directions for correct dosage. All medication must be brought to the nurse’s office by an adult; NEVER send medication to school with your child. No medication will be stored in school beyond one week of termination of the physician’s order. Medication must be picked up by a parent/guardian or a responsible adult. Long-term medication authorization forms must be renewed annually for the coming school year and summer. All unused medications must be picked up by the last day of school, or they will be disposed by the school nurse according to state laws.
Policies and Notifications
(Pursuant to Board Policy #6142.101)
The Board of Education recognizes the importance of the school’s role in promoting good nutrition, physical fitness, and a healthful school environment. The Board authorized the administration to develop integrated nutrition and physical activity programs to provide students and staff with the skills and support to adopt healthful lifestyles.
(Pursuant to Board Policy #5141.5)
The Board of Education recognizes that suicide is a complex issue and a concern for the school system and the community it serves. This district wishes to take a proactive stance in preventing the problem of youth suicide. It is the Board’s policy to actively respond to any situation where a student verbally or behaviorally indicates intent to attempt suicide or to do physical harm to himself/herself.
(Pursuant to Board Policy #5141.4a)
All professional staff, including but not limited to paraprofessionals, is obligated by law to report suspected child abuse, neglect, and/or if a child is placed in imminent danger of serious harm to the Connecticut State Department of Children and Families Services. Specific procedures governing the reporting of abuse and neglect are in effect. Child abuse is defined as any physical injury inflicted by other than accidental means or injuries which are not in keeping with the explanation for their cause. Improper treatment such as malnutrition, sexual abuse, and sexual exploitation, deprivation of necessities, emotional abuse, and cruel punishment are considered abuse. Neglect means that a child has been abandoned or is being denied proper care and attention, physically, educationally, emotionally or morally or is being permitted to live under conditions, circumstances, or associations injurious to their wellbeing.
(Pursuant to Board Policy #5141.22)
School personnel are prohibited from recommending the use of psychotropic drugs for any student enrolled within the school system. School nurses, nurse practitioners, district medical advisors, school psychologists, school social workers, and school counselors may recommend that a student be evaluated by an appropriate medical practitioner.
(Pursuant to Board Policy #5141.4)
The Board of Education is aware of the unique educational and health problems associated with the conditions of Acquired Immune Deficiency Syndrome (AIDS). The Board recognizes its responsibility to provide every child an appropriate education in the least restrictive environment. At the same time, the Board must assure that a safe learning and working environment be provided for its students and employees.
As required by statute, an annual announcement regarding the presence of asbestos-containing materials in the Beecher Road School is required. The Beecher Road School has a Management Plan governing the safe control and maintenance of asbestos containing materials identified in the building. The Plan is available and accessible at the Superintendent’s Office at 40 Beecher Road South in Woodbridge. Regular inspections of identified materials by school staff are conducted to ensure that maintenance requirements are met.
An Asbestos Abatement Plan was revised and implemented as part of the construction and renovation project at Beecher Road School completed in 1997. A triennial inspection by an outside State-approved vendor was conducted in December 2003 .P lease direct any questions you may have to the superintendent’s office at 203-387-6631.
As required by Public Act 99-165, an annual announcement regarding the use of pesticides in Beecher Road School is required. This act prohibits the use of pesticides during school hours and activities, except in emergencies. Beecher Road School has an “Integrated Pest Management Plan” governing the safe control and use of pesticide applications in the building and/or school grounds. This Plan is available and accessible at the Superintendent’s Office at 40 Beecher Road South in Woodbridge. Regular inspections by school staff are conducted to ensure that all pertinent requirements are met. Parents or guardians of children at Beecher Road School may register for notification prior to any pesticide application by contacting the principal’s office for the appropriate grade level(s). A record of any application of pesticide at Beecher Road School shall be maintained and available for review starting July 1, 2000.