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Arnold J. Tyler
Elementary School
Picture Missing
Ms. Ruesch
Nurse - Tyler
mruesch@nlsd122.org
24-hour rule

The School Nurses of New Lenox School District follow the recommended practices and procedures of the Illinois Department of Public Health, which are set forth by the Illinois State Board of Education and the Illinois Nurse Practice Act.

Staying home - A child should stay home for 24 hours after any of the following have occurred: 

1. Fever of 100 degrees or above 

2. Vomiting or diarrhea

3. Being placed on an antibiotic by the doctor

The twenty-four-hour time period allows for an antibiotic to take effect or for a sick child to fully recover. Returning to school too early benefits no one and keeps the cycle of illness going. 

Food allergies

In accordance with the Food Allergy Guidelines as outlined in Public Act 96-0349, the following are the the general procedures that the district schools will follow to provide for the safety of students with food allergies.

  • Students with food allergies must have an Illinois Food Allergy Emergency Action Plan and Treatment Authorization Form on file with the school nurse. The form must be completed by a licensed health care provider and the parent/guardian. It is the parent/guardian responsibility to submit the form and the emergency medication to the school health office prior to the student attending school.            
 
  • Individual student emergency medications will be kept in the school health office in order to provide for consistency in managing food allergy emergencies. Illinois law allows a student to self-carry epinephrine. It is recommended that if a parent/guardian chooses to have the student self-carry the epinephrine that the parent/guardian provides an additional dose to be kept in the school health office. 
The school district is unable to guarantee prevention of exposure to food allergens in school but will strive to promote an allergy aware environment. The school team will make every effort to provide for the safest environment for the child with food allergies by instituting the following practices:
School day-

1. Allergy aware signs will be placed on the door of the classroom in which the child attends. The sign will not include the child’s name in order to protect the child’s identity. The sign will list the allergens present among the students in that classroom.

2. If the allergic child’s parent requests, at the beginning of the year, a note will be sent hometo the parents of the students in the class asking them to be aware of a food allergy in the class when packing their child’s snack.

3. Snack Procedures – Student with food allergies will be allowed to wash their hands and will be assisted with wiping the eating surface prior to eating snack. The teacher may request that the allergic child sit away from a child who brings a snack with an allergen.

4. Lunch Procedures-

a. An allergy aware table will be designated in the lunchroom. The table will be marked and will post a sign with the types of food allergies present in the building.

b. Lunch monitors will check the allergy aware table and move children as necessary to avoid exposure to allergens.

c. Allergy aware table will be washed down with separate cleaning supplies than those used on other tables.

d. Children with food allergies may sit with the general population if parent desires. 

Field trips-

1.Emergency medication will be carried by the classroom teacher

2. Allergic child will be required to be chaperoned by classroom teacher unless parent or adult designated by parent accompany the child. 

After school events-

1. Students will be required to self-carry emergency medication as the medications in the health office are inaccessible after school hours. 

2. If the coach, club supervisor, or parent feels that the student’s developmental level makes it dangerous to allow student to self-carry, then the coach or club supervisor will be responsible for carrying the medication. 

Asthma

Inhalers should be kept at school for any student who is at risk for a breathing problem to develop. Even if you feel that your child's symptoms are mild and only occasional, there is still potential for serious symptoms to develop quickly. Students may carry an inhaler if the prescription label for the inhaler and a signed parental permission form is on file in the health office. The prescription label must contain the name of the medication, the prescribed dosage, the time at which or circumstances under which the medication is to be administered. 

Illinois Public Act 099-0843, effective January 1, 2017, requires schools to request an Asthma Action Plan for students who have asthma. This plan must be completed by the child’s physician. Attached is an asthma action plan form. Although this is the recommended form, we will also accept a form that is preferred by your child’s medical provider. 

Sample asthma action plan: https://www.isbe.net/Documents/sample_asthma_plan.pdf

Dental

In compliance with the Illinois Department of Public Health, all Illinois children in second grade are required to have an oral health examination by a licensed dentist on file at school before May 15 of the current school year. 

Dental Exam Form:

http://www2.nlsd122.org/files/district/parentsandstudents/medical/2014-2015dentalexamproof.pdf

Dental Exam Waiver:

http://www2.nlsd122.org/files/district/parentsandstudents/medical/2014-2015denatlexamwaiver.pdf

Diabetes

If your child has diabetes and requires assistance with managing this condition while at school and school functions, a Diabetes Care Plan must be submitted to the school principal. Parents/guardians are responsible for and must:

a. Inform the school in a timely manner of any change which needs to be made to the Diabetes Care Plan on file with the school for their child.

b. Inform the school in a timely manner of any changes to their emergency contact numbers or contact numbers of health care providers.

c. Sign the Diabetes Care Plan.

d. Grant consent for and authorize designated School District representatives to communicate directly with the health care provider whose instructions are included in the Diabetes Care Plan.

For further information, please contact the School Nurse.

Head bump/concussion

When a student receives a head injury at school the staff will make every attempt to notify the parents by phone. Most head injuries are minor and the child returns to class after a short period of observation with an ice bag application to the site of the injury at this time.

The student is given a “Head Injury Form” to show their teacher and then to take home to the parents. The student is told to return to the office if they become ill or have any further symptoms. Students with serious head injuries will be referred for medical care or transported by emergency service and the parent will be notified. 

Influenza (Flu)

Flu activity can begin as early as October and continue to occur as late as May. Getting the flu vaccine every fall is the best way to protect you and your family. The more people who get vaccinated, the more people will be protected from the flu. The flu vaccine is recommended for everyone age six months and up. It is especially recommended for those at high risk for complications from the flu, those with weak immune systems, and those who are pregnant. 

The flu is caused by influenza viruses and is spread mainly by coughing, sneezing, and close contact. Signs and symptoms include: fever/chills, sore throat, muscle aches, fatigue, cough, headache, runny or stuffy nose.

 If your child has a physician-confirmed diagnosis of influenza, please notify the school. The child should be excluded from school until they are fever free for 24 hours without fever-reducing medication and the child is well enough to participate in normal daily activities. 

Along with the flu vaccine, frequent and careful handwashing is crucial to prevent the spread of influenza.

Lice

Our head lice management procedure is obtained from recommendations and research findings from the American Academy of Pediatrics and the National Association of School Nurses. A child who is identified to have the presence of live lice in their hair will be sent home for treatment. The child may return to school the following day but must be brought to school by the parent and checked by the school nurse for the presence of lice. The child may return to the classroom if no live lice are found. The presence of nits (eggs) does not necessarily indicate an active infestation of lice and therefore children may remain in the school with the presence of nits in their hair.

When a case of lice has been identified, the parents of the students in the child’s class will be notified. The nurse will not perform routine head checks in the classroom, but parents may request that the nurse check their child’s head if desired. 

Medication policy

NLSD_Medication_Authorization_form_2017.docx

 

  • Our District’s Board of Education has adopted a strict medication policy and requires a Student Medication Authorization Form to be completed by the physician and parent for any medication to be taken in school, including prescription as well as over-the-counter medications. Students may use cough drops with written permission from parents. A note for cough drops is good for five days.
  • In order to ensure the safety of all students, children may not bring his/her medications to school on the bus with the exception of inhalers and epinephrine (see section regarding Asthma and Allergies above). If a child brings/carries medication without proper authorization, it may result in disciplinary action. Parents/guardians should bring the medication to school, in the original container, with the student’s name on it, and give it directly to the building secretary or nurse. 

Administration of Medications in School

  • Taking medication during school hours or during school-related activities is prohibited unless it is necessary for a student’s health and well-being. When a student’s licensed health care provider and parent/guardian believe that it is necessary for the student to take a medication during school hours or school-related activities, the parent/guardian must request that the school dispense the medication to the child by completing a “Student Medication Authorization Form.” The use of homeopathic treatments including essential oils do not require a physician prescription and are therefore not allowed to be administered during the school day.
  • No school or district employee is allowed to administer to any student, or supervise a student’s self- administration of, any prescription or non-prescription medication until a completed and signed Student Medication Authorization Form is submitted by the student’s parent/guardian. No student is allowed to possess or consume any prescription or non-prescription medication on school grounds or at a school-related function other than as provided for in this procedure. 
Use of Epinephrine in School- Epinephrine may be kept in the health office or the student may self- carry the epinephrine. If a parent or health care provider feels that the student should self-carry the epinephrine, the following is required:

1. Written authorization from the parent/guardian for self-administration.

2. Written authorization from the student’s physician, physician’s assistant, or advanced practice nurse.

3. The prescription label containing the name of the medication, the prescribed dosage, the time at which or circumstance under which the medication is to be administered OR a written statement from the physician, physician’s assistant, or advanced practice nurse containing the name and purpose of the epinephrine, the prescribed dosage, and the time at which or the special circumstances under which the epinephrine is to be administered. 

Physical exam/immunization requirements

New students who did not attend an Illinois school last year are required to have a physical exam with immunizations on an ILLINOIS school form.

  • All students are required to have a physical form with immunizations on file at school.
  • All second graders are required to have a recent dental exam on file at school signed by a licensed dentist. 

The examination shall be conducted within one year before the date of entering school or before the date of entering kindergarten or first grade

State of Illinois physical exam form: http://www.nlsd122.org/files/district/parentsandstudents/medical/physical_exam_form.pdf

Immunization waiver form:  https://www.isbe.net/Documents/immun-exam-gdlns-religious-exempt.pdf

Pink Eye

From the Student/Parent Handbook:

Pink Eye (Conjunctivitis) - Can be allergic, viral, or bacterial in nature. Any child with symptoms of conjunctivitis (swollen eyes, red eyes, itching, drainage from eye) will need a doctor’s note with a diagnosis to return to school. If antibiotic drops are started, the child needs to be on them for 24 hours before returning to school.

Rashes

From the Student/Parent Handbook:

Rashes - Rashes will be evaluated on an individual basis. Rashes can be caused by many things including allergies, viruses, various skin conditions, bacterial illnesses, and sometimes unknown causes. If the cause of the rash is not easily determined, the school may require a doctor's note stating the diagnosis before the child can return. This is required by the health department as some serious illnesses (scarlet fever, measles, chicken pox) are accompanied by a rash and need to be reported.

Vision and hearing screening

Vision and hearing screening tests shall be conducted in accordance with  the Department's rules titled Hearing Screening (77 Ill. Adm. Code 675) and Vision Screening (77 Ill. Adm. Code 685).

Children in grades 1-3 will be screened for hearing on an annual basis. Children in the second grade, special education, new students to the district, as well as any teacher referral, will be screened for vision.

Vision screening is not a substitute for a complete eye and vision examination by an eye doctor. Your child is not required to undergo the vision screening if an optometrist or ophthalmologist has completed and signed a report indicating that an eye examination has been administered within the previous 12 months 

Vision

New students who did not attend an Illinois school last year are required to have a vision exam performed by a physician who performs eye examinations or an optometrist within one year prior to the date of entering school or before October 15 of the school year. (Section 27-8.1(1.10) of the School Code)