Nursing Policy and Information
Excessive Visits to the Nurse
Is your child visiting the nurse’s office frequently? While it is important for our children to know that they are free to visit the nurse with any health issues, it is also important for them to have an uninterrupted education and to remain in class as much as possible. Nursing literature defines a frequent visitor as a student who visits more than 5 times in a school year with medically unexplained symptoms. Essential office visits would include: fever, vomiting, nosebleed, open/bleeding wound, hit the head, injury at gym or recess, persistent headache or stomachache, etc. Non-Essential office visits would include work avoidance, water, mints without symptoms of sore throat, somatic complaints, etc.
If your student has 5 or more visits in one-month Nursing Interventions will include:
- A meeting with the student to determine if there is a cause for frequent visits.
- Parent/Guardian will be contacted via letter/e-mail/phone per the nurse’s discretion.
- Teachers, administrators, and counselors will be notified.
- A meeting will occur with the parent/guardian, school nurse, and other appropriate personnel.
Physician Authorization Required
1. Prescription medicine that has to be given daily during school hours.
2. Emergency medicine such as bee sting kits or epi-pens.
3. Self-administration of medicines (such as an inhaler for asthma).
4. Usage of any medical equipment (such as a wheelchair, crutches, etc.)
Injuries or health concerns that occur outside of school should be treated at home or by students’ health care providers. The school nurse cannot diagnose or prescribe medications. The medicine should be given at home if at all possible. If the doctor’s orders indicate that medicine must be given during school hours, it will be given by the school nurse (or a staff member designated by the nurse). Before the school nurse will administer or assist a student with medication, the parent must submit a signed, dated “Permission for Medication” form to the school nurse for each new or changed medication. The nurse can provide this form. By the approved request of the SC Board of Nursing, a healthcare provider's original signature (not a stamped signature) will be required for prescribed medication administered at York Preparatory Academy. The School Nurse will NOT give the first dose of ANY medication that the student has never received before.
One permission slip per year will suffice for medications that will be given on a long-term basis or those medications which must be administered in case of exposure to allergens, for example, adrenalin for bee stings. Medications will be administered by the school nurse, and/or other trained personnel.
*The school retains the discretion to reject requests for assisting students with medication. Neither the school district nor its personnel will be responsible for the occurrence of any adverse drug reaction when the medication has been given in the manner prescribed.
If your child requires the use of crutches or a wheelchair or other medical equipment at school, a medical note is required. This will also allow the student to use the elevator while using the crutches or wheelchair. A designated student assigned by each teacher will assist with transporting book bag and students will be allowed to leave 5 minutes early from class.
Injuries or other health concerns that occur outside of school should be treated at home or by your child's primary health care provider.
The school nurse cannot diagnose or prescribe any medications.
Medications should be given at home if at all possible. In the event your child needs medication throughout the school day you must provide the medication, obtain physician signed forms, and bring the medication along with documentation to the school nurse.
ALL NEW PRESCRIPTION MEDICATIONS ALONG WITH ACCOMPANYING PAPERWORK OR CHANGES IN PRESCRIPTION MEDICATIONS MUST BE DONE WITH THE LEAD NURSE IN THE ELEMENTARY HEALTH OFFICE.
All prescription medications must be in the original prescription bottle and labeled with the student’s name, date, name of medicine, dose, and time it is to be given. A parent/guardian must bring the medicine to school and sign a Permission for Prescription Medication form authorizing the nurse to administer the medicine. If a student is found with prescription medicine on his/her person, the medicine will be confiscated and held in the office until a parent or guardian can pick up the medicine or sign a permission form for the medicine to be dispensed at school. The student may not carry controlled substances such as prescription pain medicine, Ritalin, Adderall, and others to school. Parents must bring these to the nurse and sign permission for them to be given. There are serious legal consequences for students who are carrying these kinds of medicines at school.
Over the Counter/Non-Prescription Medication
1. The child’s parent/guardian must bring the medicine in an unopened sealed bottle to the Health Room and sign a Permission for Non-Prescription Medication form authorizing the nurse (or a staff member designated by the nurse) to administer the medicine.
2. All medicine must be in the original package with the full label intact.
3. Only the dose listed on the package as appropriate will be given.
* Students found to be in possession of medicine at school will be subject to the discipline code.
Self Administration of Medication
Students may be authorized to self-monitor and self-administer medication as prescribed by the student’s health care provider with written authorization from the parent/legal guardian for the student to self-administer medication as well as a written statement from the student’s health care provider verifying that the student has a medical condition and has been instructed and demonstrates competency in self-monitoring or self-medication or both and documented on the Self-medication/monitoring forms. This form is to be provided to the school nurse for review before the student will be permitted to self medicate/ monitor. All medications still need the Permission for Medication form in addition. The student must also review/agree to the terms of being allowed to carry medication at school and will be subject to disciplinary action if these terms are not met.
Receipt of the above will authorize a student to possess and administer medication while in the classroom or on school grounds, at a school-sponsored activity, in transit to and from school or school-sponsored activities, or during before or after-school activities on the school-operated property.
***The school may revoke a student’s permission to self-monitor or self-administer if the student endangers him/herself or others through misuse of the monitoring device or medication***
Notice For Parents
Most of the student visits the health room each day do not require verbal notification of a parent/guardian. The nurse cannot accept a parent’s request to call anytime the child is seen in the health room. However, if a child requests to call a parent the nurse will honor that request. Each child that is seen by the nurse will leave the health room with a copy of their nurse referral slip to take home to their parent. The nurse referral slip will show the time the child was in the health room, what the complaint was, and what actions the nurse took to address the concern. In Elementary School the nurse referral slip will be put in the child’s communication folder. In Middle and High School, it is the student’s responsibility to provide the slip to their parent as instructed.
There are times when it is necessary to verbally notify a parent or guardian about a situation. For this reason, please make sure that the nurse has an update Health Information Card each year with updated phone numbers. A parent/ guardian should be verbally notified in the following instances:
1) Symptoms that require the student to be excluded from school per the SCDHEC School Exclusion List or Childcare Exclusion List. Links to these lists can be found on the YPA website under Current Parents & Students/ Nurse Resources, or you may contact your school nurse.
2) Vomiting if the nurse suspects a contagious disease.
3) Vomiting and/ or diarrhea that is related to a known medical condition but the symptoms are making it difficult for the student to remain in school.
4) Significant head injury as evidenced by any of the following symptoms: Significant bruising and/ or swelling observed by the nurse, loss of consciousness or excessive drowsiness, unequal or dilated pupils, double vision, nausea and/ or vomiting, severe headache, seizures, dizziness unsteady gait, loss of coordination, paresthesia (numbness, tingling), behavioral changes.
5) Significant eye injuries as evidenced by any of the following: excessive redness, visual disturbances, moderate pain.
6) Significant back or neck injury resulting in impaired mobility or symptoms in the extremities.
7) Insect stings or bites with significant reactions, or if it is the child’s first time being stung.
8) Wounds that the nurse recommends receive a further medical evaluation.
9) Suspected sprain or fracture.
10) Animal bites that occur at school.
11) Any situation in which the nurse determines the well-being of the student is threatened.
If the parent/ guardian is unavailable, it will be the nurse’s and/ or administrator’s responsibility to determine appropriate transportation and need for further medical evaluation.
Students with crawling lice or with nits (eggs) 1/4 inch or closer to the scalp may be sent home from school. The child may return with a parent note after the first treatment with an approved lice removal product. Upon their return to school, they will be checked to be sure that there are no active lice crawling on the child’s head. Seven days after the first treatment, the school will re-check your child’s scalp for any newly hatched lice. If any are present, your child will need to begin the treatment cycle again before coming back to school. Students with recurring cases may be kept out of school until there are no nits present.
Individual Healthcare Plan
The student’s IHP (Individual Health Plan) will contain components as required by the state department of education and will be developed with input from and approval of the following individuals:
- Student’s healthcare provider
- Parent/legal guardian
- Student, if appropriate
- The school nurse or other designated school staff member
Please visit the Concussion policy in the Parent/Student Handbook -OR- on the Athletics Department Page.