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Important Information from the School Nurses

Health Screening

The New York State Education Department requires that parents provide a physical exam report for all new students and for the following grades: K, 2, 4, 7 and 10. Please submit physical exam reports to your child’s health office.  If a physical exam report is no provided, your child will be scheduled for a school physical.

Also, the New York State Education Department requests that parents provide a dental certificate for students in those same grades (K, 2, 4, 7, and 10).

The New York State mandated health screenings are indicated on the school calendar. Parents or guardians will be notified by mail if a student’s screening results do not meet the New York State guidelines. Please make sure your current mailing address is on file at your child’s school.

Please contact your child’s School Nurse Teacher if you have any questions.

Important health Forms and information now available below:

Permission to Administer Medication [pdf]
Self-Administration Medication Release Form [pdf]
Self-Directed Field Trip Release Form [pdf]

PROPOSED ANAPHYLAXIS POLICY

1. Background (Allergy and Anaphylaxis overview)
The incidence of severe allergic reactions has been rising at an alarming rate, especially with regard to food. Other common causes of anaphylaxis include allergies to latex, medications, and insect stings.

2. Pathophysiology and Treatment: Anaphylaxis can affect almost any part of the body and cause various symptoms. The most dangerous symptoms include breathing difficulties and drop in blood pressure or shock, which are potentially fatal.
Medications: Epinephrine; Antihistamines
Treatment of anaphylaxis is centered on treating the rapidly progressing effects of the histamine release in the body with epinephrine. The allergen should also be removed immediately.

3. Creating an Allergen-Safe School Environment (Importance of Prevention)
Protecting a student from exposure to offending allergens is the most important way to prevent life-threatening anaphylaxis.
Avoidance of exposure to allergens is the key to preventing a reaction.
The risk of exposure to allergens for a student is reduced when the school personnel, medical provider and parent/guardian work together to develop a management plan for the student.
Educating the entire school community about life-threatening allergies is important in keeping students with life-threatening allergies safe.
Identifying the School Team (identify the team members and clearly define their roles and responsibilities)
School District Administration
School Nurse
School Medical Director
Teachers
Food Service Personnel
Coaches, Athletic Directors and After School Volunteers
Transportation Personnel

4. Action Steps for Anaphylaxis Management:
Providing necessary precautions and general training for staff in transportation, classrooms, the cafeteria, or the gymnasium;
Training by licensed medical personnel/registered professional nurses for all adults in a supervisory role in the recognition and emergency management of a specific medical condition for a specific student; Creating Individual Health Care Plans, (IHP), Emergency Care Plans (ECP), 504 Plans, or Individualized Education Plans (IEP) as indicated.

Having standing emergency medical protocols for nursing staff; Maintaining stock supplies of life saving emergency medications as allowed by the laws of NYS, such as EpiPens, in all health offices for use in first time emergencies; Following specific legal documents duly executed in accordance with the laws of NYS with medical orders regarding the care of specific students with severe life threatening conditions; Allowing self-directed students as assessed by the school nurse to carry life saving medication with prior approval by the medical provider, and according to health practice and procedures, as long as duplicate life saving medication is also maintained in the health office in the event the self-carrying student misplaces their medicines; and Assuring appropriate and reasonable building accommodations are in place within a reasonable degree of medical certainty.