Health - School Nurse

Peace Dale Elementary School Nurse: Rachel Cruz

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Physical Examination
Every child entering a Rhode Island school is required to have a physical examination and vision screening by a doctor. The state also requires proof from your doctor that the child has received certain immunizations before entering school. These requirements are 5 DPT, 4 Polio, 2 MMR (Measles, Mumps, Rubella), 2 Varicella and 3 HepB. The second MMR must have been given after the child's fourth birthday. Documentation with the full date - day, month, and year - including a doctor's signature is required for each immunization.
Dental Examinations
A dental examination is required every year. Yellow dental cards are provided for all kindergarten registrants.  All other students must fill out a health history form with the dental information.  The only way the school nurse knows that the child has been examined by a dentist is if the parent returns the completed health history form. If proper documentation is not received, the child will be examined by the school dentist. If a parent is not sure whether or not the school nurse has received thisinformation, please contact the nurse at the school.
Hearing Screenings
All children in Grades Pre-K, K, 1, 2 and 3 have a hearing screening done at school, according to the Rhode Island State law. If any child fails two screenings, a form letter is mailed home, informing the parent of the situation. If you receive such a letter, please have him/her examined by your own doctor or an audiologist. The Rhode Island State Hearing Center at the Rhode Island School for the Deaf will do thescreening at no cost. The completed form should be returned to the school nurse, so the results can be recorded in the child's health records.
Vision Screenings
All children in grades K-4 will have a vision screening annually.  If the child fails twice, a form letter is mailed  home informing the parent of the situation. If you receive such a letter, please follow up with an eye doctor and return the form to the school nurse.

Sometimes medications need to be given during school hours. Certain procedures must be followed to ensure the safety of all children. Prescription and Non-Prescription medications need both a parent signature and a physician signature. Forms may be obtained with the link above. Non-Prescription medication are considered over-the-counter medications, such as, tylenol, ibuprofen, cold medications, lotions, other topicals and even cough drops. Medications that are not FDA approved cannot be given at school by the nurse. For safety reasons, all medications are to be stored in the nurse's office. Medications should not be carried, transported on the bus or in the backpack.

If your child needs to be on prescription medication in school, please follow these guidelines:
PRESCRIPTION ORDER - When you go to the doctor, have the doctor write an order or fill out the school form for school that can be left with the school nurse.
LABELED PRESCRIPTION CONTAINER -At the pharmacy, ask for an extra container for school with complete prescription label on it.
PERMISSION SLIP - Medical needs should be included on the medical permission slip
PERSONAL ADULT DELIVERY - Parent/guardian MUST bring the medication into school personally, do not send with child.

Thank you for your cooperation in following these health precautions to protect your child and other children from illnesses. We know it can be difficult for working parents to have a sick child at home.
Achild's ability to learn, perform and behave can depend on how a child feels physically. The environment in a school setting in and of itself is one cause of illness. Another factor is ill children being sent to school and exposing others to contagious diseases.

We ask that sick children remain at home if their illness is contagious and could cause illness in other children. We ask your cooperation by calling school and informing the nurse of that illness as soon as possible so we can detect similar illnesses in others sooner.

If your child becomes ill at school, the nurse will call you to pick him/her up. If your child has special medical or health problems, please inform the school nurse.
When to Keep Your Child Home:
Here are some reminders:
TEMPERATURE - Your child MUST remain home if he/she has an elevated temperature. Doctors recommend that your child be fever-free, without medication, for 24 hours before returning to school.
DIARRHEA - Diarrhea which cannot be controlled.  Students should be free of diarrhea symptoms for 24 hours before coming to school.
VOMITING - Your child must not have vomited for 24 hours prior to returning to school.
CONTAGIOUS DISEASES - Your child must remain home when he/she shows symptoms of a contagious disease such as strep throat, conjunctivitis (pink eye), impetigo, ringworm, and head lice, to name a few. Please feel free to call the school nurse if you have any questions.
NASAL DISCHARGE - If your child has copious, continuous, uncontrollable greenish-yellow nasal discharge, this increases the risk of exposure and illness to other children and staff, please keep your child at home.

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