HEALTH SERVICES INFORMATION
The Health Office is located in close proximity to the main office. The direct
telephone number is listed in the supplement at the back of the handbook. We are fortunate
to have the set-vices of a qualified Health Technician who is available for the hours that
the students are in attendance. A School Nurse is at the school one day per week and is
available on call when not in the building.
It is the philosophy of School Health Services to work cooperatively with parents and
staff to provide a healthful, safe environment for learning.
If your child has a special health concern, please notify the teacher and the school
Health Office. This would include chronic asthma, food allergies, bee sting allergies,
etc. Should your child be taking daily medication at home, please notify the Health Office
so any side effects that may occur will be recognized more easily and proper steps taken
toward treatment. Since many communicable diseases occur throughout the school year
without posing a serious health threat to the general population, we do not inform parents
every time a new case of illness occurs. If you have a special need to know about cases of
communicable diseases such as chicken pox or measles, etc. occurring in your child's
classroom, i.e. a family member has sickle cell anemia, is immunosuppressed, or has
similar health concerns, please inform your child's health office. We will contact you if
such an illness occurs in your child's class.
Physical Education Excuses
A written parent request for exclusion from physical education (P.E.) is valid for
three class periods and should be presented to the Health Technician who will in turn
relay the information to the P.E. teacher and classroom teacher. A physician's note is
required beyond three class periods.
Vision/Hearing Screening
Vision and hearing screening is completed each year by the DuPage or Will
County Health Department Technicians in each elementary school. Students are screened for
vision and hearing at specific grade levels which may vary by county. You may contact the
health office in your child's school if you wish to know the specific grade levels where
students are screened for your county. Parents of students meeting referral criteria will
be contacted after the screening. Parents/guardians may request additional vision/hearing
screening at any time by contacting the building health office.
PHYSICAL EXAMINATIONS
In conformance with the Illinois School Code, Article 78-8, the Board of Education
requires that a physical examination be obtained by each student within one year prior to
entering Kindergarten and Fifth grade. Examination is to be made by a licensed physician.
Physicals may be turned in or mailed to the Health Office at the time of registration in
August. Complete and valid immunizations are considered part of the physical and must be
on file with the school.
Dental care is a vital part of good physical health. An examination by the student's
dentist is recommended.
Out-of-state transfer students will be allowed a thirty (30) school day grace period in
which to comply with these provisions, after which they will be excluded from school until
compliance is obtained. Out-of-state transfer students are required to submit a report of
a physical examination completed within one year prior to entrance to any grade. The forms
are available in the school office. Please be certain that the child's name, school and
birth date are on the form.
Please note: Two signatures and two dates, one documenting
immunizations and the second verifying the physical examination finding are required. Check
these before leaving the physician's office to avoid a return trip.
IMMUNIZATION
1. DPT (diphtheria - pertussis - tetanus) 4 or more
doses of vaccine with the last
one being a booster received on or after 4
years of age. An additional booster is required 10
years later. DT at age 3, 4, or 5 years
must be accompanied by a doctor's statement as to why
pertussis was contra-indicated for the
student.
2. TOPV (trivalent oral polio vaccine) 3 or more
doses of vaccine with the last one
being a booster received on or after 4
years of age.
3. Measles - 2 doses of five measles vaccine with
the first received on or after 12
months of age and the second dose at
least one month after the first dose. The
measles vaccine may be administered as
part of the MMR vaccination (mumps,
measles, rubella).
4. Rubella - I dose of rubella vaccine received on
or after the1st birthday.
5. Mumps - I dose of mumps vaccine received on or
after the 1st birthday.
6. Hepatitis B - Proof of 3 doses of Hepatitis B vaccine is
required for students
entering early childhood programs and for all
5th, 6th and 7th graders. The first 2
doses must be received no less that four weeks
apart and the interval between the
2nd and 3rd doses must be at least two
months
WHEN TO KEEP YOUR CHILD HOME
School nurses have come up with some guidelines for you to use in deciding when your
child is too ill to be in school.
Keep your child home:
1 . If a rash is present that has not been evaluated by a
physician.
2. If your child's oral temperature exceeds 100 degrees
F, or 1 or 2 degrees above the
child's normal temperature. A child with
such a fever should remain home for 24
hours after the temperature returns to
normal,
3. If the child vomits and continues to experience nausea
and/or vomiting.
4. If your child complains of severe, persistent pain.
The symptom should be referred
to a physician for evaluation.
5. If your child shows signs of upper respiratory
infection (cold symptoms) serious
enough to interfere with the child's
ability to learn.
6. If there are signs of conjunctivitis ("pink
eye") with matter coming from one or
both eyes, itching, crusts on eyelids.
The child should be evaluated by a physician.
7. If there are open sores that have not been evaluated
by a physician.
8. If there are signs of infestation with lice (nits in
the hair, itchy scalp). The child
should be evaluated for treatment with a
pediculicide.
If you are not sure about whether to send your child to school, call the school health
office for consultation.
Generally speaking, don’t send your child to school to make the decision unless
the school has asked you to do so. If you are in doubt, call or visit your child's
physician.
Good health and good attendance give a child a head start toward a good
education. Encourage your child toward habits of good nutrition, proper rest and exercise
and proper dental and personal hygiene.
PUPIL ACCIDENT AND ILLNESS
In case of accident or illness at school this procedure will be followed:
1. First aid is administered.
2. If serious, parents are contacted.
3. If the parents cannot be reached, the emergency contact
provided by the parents
will be called. Please be certain that we have
at least two emergency numbers to call
in case we can't reach either parent. Please do
not give a person's name and number
who tends to be gone during the same hours you
are away from home. (i.e. Bridge
groups, bowling teams, tennis, etc.) Please keep
these numbers up-to-date when
people move or change jobs. Also, the persons should
consent to be used as emergency
contacts. They should be informed they may be asked to come
for a sick child.
4. Any child leaving school during school hours must sign out
at the office. It is
preferred that the adult assuming
responsibility for that child sign him/her out.
5. If the parents or emergency numbers cannot be reached, the
nearest hospital,
paramedics, or a local doctor may be
contacted.
6. Any parent objecting to medical treatment in
an emergency should instruct the
school in writing on the procedure to
follow.
RE-ADMITTANCE OF PUPIL AFTER
ILLNESS
1. Non-contagious illness
A note from the parent stating the nature of the illness and dates covered will
be sufficient. Teachers may re-admit pupils on this basis but should check with the Health
Technician whenever doubt exists as to the child's fitness to return.
2. Contagious Illness
We ask parents to notify the Health Office as soon as possible if the student
develops a contagious illness. He/she may need to be re-admitted through the Health Office
when returning.
Re-admission following illness from a contagious disease may require a back-to school
permit signed by a physician or the School Nurse. Certain guidelines, established by the
Illinois Department of Public Health, are used to control communicable diseases.
A. Mumps -- A child may return to school on the
tenth day following the appearance of the
swelling.
B. Chicken Pox -- No longer contagious after the
sixth day and after all pox
are scabbed.
C. Measles -- Isolation is required until four
days after appearance of rash.
D. Whooping Cough -- Three weeks after the onset of
cough, the child may
return to school.
E. Impetigo -- The child may be in school after
using the prescribed antibiotic
ointment for at least 24 hours.
F. Conjunctivitis -- The child is excluded from
school until antibiotic
treatment has been maintained for
at least 24 hours.
G. Strep Throat -- Students may return to school
after being on medication for
24 hours if he/she is free of
fever.
H. Fifth Disease -- The child is excluded from
school until a physician
diagnoses the rash as Fifth Disease. The
child is then allowed to return.
3. Pediculosis (head lice)
Head lice are a nuisance, not a health hazard. Adult lice are gray, about 1/16th of an
inch long and would be seen close to the scalp. Nits are the lice eggs and appear as tiny
white or beige globules that adhere to the hair shaft. Lice are transmitted directly by
contact with an infested person. They do not jump from one person to another, they crawl.
They are indirectly transmitted by contact with personal items such as combs, brushes,
hats and clothing. They can be transmitted as long as lice are alive and until all eggs
have been destroyed.
Once a child is determined to have bee, she/he is excluded from school until treatment
is completed and all nits are removed. Parents are asked to assist the school by providing
names of children with whom their child has been in close contact (i.e. baseball teams,
birthday parties, sleepovers, soccer games, etc.). Each of these children will also be
checked as well as all brothers and sisters in other schools.
Treatment consists of shampooing with a prescribed shampoo and removing the nits from
the hair. Additional information is available through the Health Office.
A pupil who has been absent for this reason can be re-admitted to school
only through the Health Office, after being checked by the Health Technician or School
Nurse.
FOOD ALLERGIES
An increasing number of school age children have food allergies. Symptoms
can range from mild reactions to severe life threatening reactions leading to the
inability to breathe a drop in blood pressure and unconsciousness. Please inform the
Health Office prior to the start of the school year if your child has a food allergy. All
children should be strongly discouraged from sharing foods and treats with classmates.
Before sending treats to school for any occasion, please check with your child's teacher.
She/he will be aware of students, with allergies. Good communication helps insure the
safety of a of our children.
GUIDELINES FOR THE ADMINISTRATION
OF MEDICATION
IN NAPERVILLE SCHOOL DISTRICT 203
When a student requires day or regular medication, parents must make every effort to
give prescribed doses of the medication at home. It is recommended that parents consult
with their doctor to see if midday medications can be adjusted and given at another time.
Therefore, only medication (prescription and non-prescription alike) which are prescribed
by a physician and which are essential for the student to remain in school shall be given,
providing that the conditions outlined below are followed. Standing orders (written
protocol for general use of a medication) may not be used as a basis for administration of
medication.
A. Prior to giving any medication (long term, short term,
prescribed or over the
counter) at school, the school medication permission form shall be completed authorizing
the school to administer the medication. Permission forms shall be renewed every year or
whenever changes in medication or the health of the child occurs and filed in the health
office. Permission forms are available in the school health office and are subject to
revision and approval of the certified school nurse.
B. Approval for administration of medication must be
obtained from the certified
school nurse. The school nurse shall review the written order, require any additional
information from the parent or guardian or the student's licensed prescriber appropriate
to complete the review, consult with the Principal of the school or School District
medical advisors, as appropriate, and approve or deny the order. An appeal regarding the
denial of any order prescribing the administration of medication may be made by the
parent/guardian to the Principal of the school and then to the Superintendent.
C. Each dose of medication shall be documented in the student's
individual health record. Documentation shall include date, time, dosage, route and the
signature of the person administering the medication or supervising the student in self
administration. In the event a dosage is not administered as ordered, the reasons shall be
entered in the record. Medication log information is documented on the permanent health
record and the log is generally discarded at the end of two school years.
D. Medication shall be brought in a current pharmacy container
clearly marked with
the student's name, prescription number, medication name/dosage, administration route,
date and refill, licensed prescriber's name and pharmacy address and phone number. Over
the counter medication shall be in the original container with ingredients listed and the
child!s name affixed to the container. Parents are asked to bring all medications to
school unless permission is obtained to allow the student to carry in the medication.
After permission is obtained, a message must be left in the health office each time
medication is sent to school.
E. Administration of the medication will be started when the
medication and
permissions are approved by the certified
school nurse.
F. Medications and special items necessary to administer
medications such as syringes
and hypodernfic needles, must be stored in a separate locked drawer or cabinet.
Medications requiring refrigeration must be refrigerated in a secure area. Medications
which must be available while a student is engaged in a school activity conducted away
from the customary site of storage must be kept with the certified employee supervising
the activity.
G. A medication supply will be accepted on the first school day
when the doctor and
parent permissions are received. The container will be sent home with the student when
re-supply is necessary. Parents will be asked to pick up unused medication unless parental
permission is obtained to allow the student to carry home the medication.
H. The certified school nurse may administer medications under
these guidelines. Any
certified employee and any health technician, or principal designee may supervise
self-administration of medication by a student under these guidelines. Any certified
employee or principal's designee may administer medications in emergency situations if,
under the circumstances, the school nurse or emergency medical personnel cannot be
available in sufficient time and the student cannot reasonably self-administer the
medication. Parents may administer medications with the approval of the school nurse or
the Principal of the school.
I. The parent must report immediately any change in
prescription or dosage, and new
permission forms must be obtained for each
change.
J. Self-administration of medication shall be accomplished as
follows:
1.
Self-administration may occur in places designated by the school nurse or
principal.
2. An employee
authorized to supervise self-administration must provide the
medication to the student from the storage area, observe the student measure and take the
required dosage, return the medication to its storage place and make a record of the
administration in accordance with C above. A health technician or health clerk may be the
authorized employee.
K. The certified school nurse will interpret to school
personnel and parents, if
necessary, the need for observation of the student's reaction to the medication including
potential benefits and side effects.
L. The certified school nurse shall provide feedback
concerning medication to the
licensed prescriber when requested.
M. Administration of medication for treatment in an
emergency situation may be used
by the student with assistance as necessary from school personnel. If provided for on an
approved permission form, students requiring such medications are:
1 . To use an auto-injector which contains the proper dosage
for their body
weight.
2. To carry the medication on their person at times of
high risk for contact
with the allergen.
3. To be encouraged to leave an additional auto-injector
in the Health office
to use in the event of an
emergency.
4. To submit the consent and indemnity agreement relative
to the administration of such medication
to the school
prior to the institution of the above procedures.
N. High school students may have the medication
guidelines modified to reflect their
increasing responsibility for
health care.
REVISED April, 1998
SCHOOL MEDICATION PERMISSION
NAPERVILLE SCHOOL DISTRICT 203
STUDENT'S NAME:_________________________GRADE:____BIRTHDATE:____________
ADDRESS: __________________________PHONE:__________ SCHOOL:_____________
I hereby request that Naperville School District 203 employees administer or supervise
the administration of medication in accordance with the routine described under the
Guidelines for the Administration of Medication in Naperville School District 203.
1 hereby release Naperville Community Unit School District 203 and any of its agents,
employees administrators or other parties (hereinafter, the "District") from any
liability for any injury or harm which is suffered by
_________________________________________ as a result of our District's agreement to honor
this request. I agree to indemnify and hold the District harmless from any legal action or
other attempts to acquire compensation, including damages and legal and medical fees, from
the District whenever the District has acted in accordance with the information provided
by my child's physician.
___________________________________________________________________________
PARENT/GUARDIAN
SIGNATURE
DATE
TO BE COMPLETED BY THE PHYSICIAN:
DIAGNOSIS:___________________________________MEDICATION:_________________
ROUTE OF ADMINISTRATION:_________________ DOSAGE:________ TIME: _________
SIDE EFFECTS: ______________________________________________________________
DATE OF PRESCRIPTION: _________________ DISCONTINUATION DATE: __________
THE STUDENTS WILL SELF-ADMINISTER MEDICATIONS IN THE SCHOOL HEALTH OFFICE WITH
SUPERVISION. (GIVE REASON IF MEDICATION CANNOT BE SELF-ADMINISTERED WITH
SUPERVISION.)
____________________________________________________________________________
OTHER MEDICATION STUDENT IS RECEIVING:
____________________________________________________________________________
ANNUAL REEVALUATION/PERMISSION IS REQUIRED. INDICATE IF IT SHOULD BE
SOONER:
____________________________________________________________________________
____________________________________________________________________________
PHYSICIAN'S SIGNATURE/LICENSED PRESCRIBER'S
NAME
DATE
OFFICE PHONE NUMBER
____________________________________________________________________________
SIGNATURE OF CERTIFIED SCHOOL
NURSE
DATE
REVISED 8/97
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