The Ray School is committed to providing a safe and healthy environment for students, teachers, staff, parents, and visitors necessary for teaching and learning.
It is our responsibility to promote the health of our school community, including those with ”at risk” health conditions and compromised immune systems. Our policies and practices range from observation of student health to administration of prescribed medications to separating well children from those who are or may be sick, to rules about bringing pets to school, playground behavior, and other considerations. The School Nurse
. Our school nurse administers screenings for vision, hearing and blood pressure for selected grades. The weekly “Pink Sheet” notifies parents when to expect these screenings. Additional screenings (e.g., height, weight, scoliosis) may be conducted as directed by state guidelines. The nurse is available during the school day to counsel and assist parents and students with health problems.
Medications. During the school day, with parental approval, the school nurse will administer required medications prescribed by a licensed physician, advanced registered nurse practitioner, licensed physician’s assistant, or dentist. If the nurse is unavailable, the school principal or designee is permitted to administer medications.*
Prescriber’s Authorization. Administration of medications to be given at the school requires authorizations from both the physician and the parent(s) or guardian. The school nurse shall ensure that a written statement from the licensed prescriber contains the following information:
- Student’s name
- Prescriber’s name, signature, and contact numbers
- Name of medication, with route and dosage
- Frequency and time of medication or assistance
- Date of the order
- Diagnosis, if not a violation of confidentiality.*
Treatment of Immediate Family Members. Physicians generally should not treat members of their immediate family. (Ref. AMA 8.19)
. The school nurse shall also ensure that there is a written authorization from the parent(s) or guardian, containing the following:
- Parent’s or guardian’s printed name and signature
- Parent’s or guardian’s home and emergency phone numbers
- Names of persons to be notified in case of a medication emergency in addition to the parent(s) or guardian and licensed prescriber.
- List of all medications the student is currently receiving, if not a violation of confidentiality or contrary to the request of the parent, guardian.
- Approval for the school nurse or designee to administer or assist with the medication, or for the student to possess and self-administer.
. A parent, guardian or designated adult shall deliver to the school any medication to be administered by school personnel. Medications shall be delivered in a properly labeled pharmacy container showing the following information:
- Student’s name
- Route of delivery
- Frequency and times of administration
- Prescribing physician
No more than a 30 school-day supply of a student’s prescription shall be stored at school. Long-term medication orders must be renewed each school year.
A registered nurse or others who are qualified or delegated and trained shall administer injectable medications. The school nurse should work with the parent(s) or guardian to identify and authorize appropriate delegates.
Absence or Illness. Children are expected to come to school healthy, well rested, well nourished, and ready for the school day. Otherwise, the school may determine that the child should be at home. For each day absent, parents should call or email the school to report when and why the child is absent. This is especially true if the child is out with fever, sore throat and cough. In the course of the school day, students who are evaluated and have been treated by the school nurse and do not demonstrate improved performance are to be sent home.
School rules are very specific about attendance and illness:
- Following a fever, children should not come to school until they have been fever-free for 24 hours.
- Children who have been sick during the night should not come to school the next day.
- Children with conjunctivitis should have four treatments before coming to school.
- Children with strep throat infection need treatment at home for 24 hours.
- Following absence for three or more days, children should bring a parent’s signed note stating when and why the child was absent.
- Children who have been injured, hospitalized, or received medical care beyond routine visits should bring a note or copy of doctor’s orders or findings upon their return to school. Appropriate accommodation will be made on the basis of the medical issue.
Other factors to be considered include:
- Bodily secretions or fluids that are difficult to manage or contain, or can be spread by direct or indirect contact with others.
- Bodily secretions, such as cough or sneeze, that cannot be controlled or prevented.
- Parents will be called when a student is identified with live lice and strongly encouraged to take the child home to begin immediate treatment. Students are allowed to return to school after having been treated for the elimination of lice. When live lice or nits is identified by parents the school nurse should be notified immediately.
. Immediate attention will be given, should an accident or health emergency occur during school hours. We will then make every effort to contact the parent(s) in the event that transportation or further medical treatment is needed.
An emergency information form will be sent home with your child early in the school year. The school office and nurse must be alerted to any change in address, telephone numbers, physician, a contact person with whom your child will stay if you are away. It is also important that the school have a local contact person in case parents cannot be reached. The school should also be notified of any serious disruptions in family life such as separation, divorce, serious illness, or death. This information helps us understand a child’s distress, and will be handled with discretion.