Information about: Immunizations, Vision and Hearing Screenings, Accidents and Illness at School, Medication, Life Threatening Conditions and Head Lice

  • The School Nurse may be reached directly by calling the Health Office at 206-393-4176 or by email at susan.goldman@shorelineschools.org.

    Immunizations

    Shoreline School District

    Immunization Requirements 2019 - 20 

     

    Washington State law requires that all children up to the age of 21 be fully immunized on or before the first day of school. Students can attend school under a temporary status, but they must have proof of immunization or an approved Certificate of Exemption by the 30th calendar day after the first day of attendance. If there is no proof/waiver by the 30th day after the first day of attendance at school, the student may not continue to attend school until documents are received. For students who start on September 4th 2019, this means  October 4th is the last day they can attend without being in compliance. 

    This means the school MUST have on file: 

    • A Certificate of Immunization form, OR 
    • A Certificate of Exemption Form** exempting the student from these requirements for medical, philosophical or religious reasons. 

    **Requirement for Certificate of Exemption **

    The Certificate of Exemption form for newly enrolled students and current students who have new immunization requirements must include a healthcare provider’s signature for those wishing to exempt for medical, religious or philosophical reasons. A religious membership exemption is used when a parent/guardian affirms membership in a church or religious body that does not allow medical treatment for the child. A healthcare provider’s signature is not required only in this case. 

     

    As of the 2019/2020 school year, personal exemptions are not allowed for the MMR vaccines for any students or children in childcare. Medical and religious exemptions are still allowed. More about this change is available here.

    Resources:

     

    https://www.doh.wa.gov/YouandYourFamily/Immunization/FormsandPublications/Forms

    • Tdap Booster vaccination by age 11:

     

    The Tdap booster gives your child protection against tetanus, diphtheria, and pertussis (whooping cough).

    State law requires students in 6th through 12th grade who are age 11 years or older to show proof of Tdap vaccination. Make sure your child gets the Tdap vaccine before school starts.

     

    Vision and Hearing Screenings

    • Required by State law for grades K,1,2,3,5 each school year
    • Vision screenings for near and far vision are done using the SPOT screening device and/or vision charts
    • Parents/guardians are notified if follow up exam is recommended based on the results of vision and hearing screenings
    • Parents must provide documentation of a comprehensive eye exam for the current school year if student does not participate in screenings

    Accidents and Illness at School

    The nurse maintains a health office where students receive first aid and temporary care for illness. The parent or "contact person" on the enrollment form is notified. If your child has a fever (temoerature over 100F), please do not send the child to school.

    If no one is available to come for the student, we will use our best judgment on whether to call for medical support or to keep the student at school. The school staff will use their best judgment in determining if 911 emergency paramedics should be called. It is very important to keep the school informed when there are any changes in who should be called in case of an illness or an emergency.

    Too sick for school?

    Your student wakes up looking flushed, feeling congested or queasy. Do you send your student to school? To make this decision a little easier keep two C’s in mind: Contagious and Comfort.

     Please keep your student home with following symptoms, which may mean that the illness is contagious:

    • Fever above 100 degrees (must be fever free for 24 hours without fever reducing medication before returning to school)
    • Vomiting or diarrhea
    • Sore throat, especially if combined with fever or swollen neck glands
    • Heavy nasal congestion or frequent, incessant cough
    • Your student has been diagnosed with a contagious virus or infection
    • Thick greenish-yellow drainage from the eyes
    • Unusual fatigue, paleness, lack of appetite or irritability

     Without any of these symptoms, the question becomes whether your student feels well enough to function comfortably at school.

    Medication at School

    The Shoreline School District medication policy is governed by Washington State Law and applies to all schools. Please try to schedule medication so it can be taken at home. If the student must have medication during school hours, please do the following to meet school law and safety needs for your child:

    • All medication must be in its original container with the pharmacy label attached that includes child's name, drug name, dosage and instructions for time and amount to be given. Your pharmacist can give you labeled bottles for home and school. Medication must not be expired.If pills need to be cut inhalf, this must be done at home.
    • The "Permission to Administer Medication at School" form must be completed and signed by a physician AND signed by a parent/guardian. PLEASE DO NOT PUT ANY MEDICATION, INCLUDING BUT NOT LIMITED TO  INHALERS, IBUPROFEN OR TYLENOL, VITAMINS, AND COUGH DROPS IN YOUR CHILD'S LUNCH BOX OR SCHOOL BAG. Unidentified medication and single pills cannot be given at school. Medication must be given under the guidance of the nurse following the written instructions of the physician. Students may not transport medication to school.Any medication that is not picked up from school on the last day of school will be destroyed. We cannot store student medications at school over summer break. Please coordinate pick-up details with your school nurse.
    • Controlled medications (like Adderall or Diazepam) MUST be transported by parent/guardian or designated adult. Students MAY NOT transport controlled medications. A count of the medication must be done by the nurse when controlled medications are brought to school.

    Life Threatening Conditions

    Students with life threatening conditions (including Diabetes, Seizure, Severe Asthma) must have Licensed Healthcare Provider orders and medications in place at their school before they can attend.

     Head Lice Protocol for Shoreline School District

    Based on recommendations from the Centers for Disease Control and Prevention, American Academy of Pediatrics, and Public Health – Seattle & King County, Shoreline School District registered nurses will be using the following guidelines.

    For suspected cases of lice or nits (eggs), school staff will send students to the nurse for a head check.

    If only nits are found at the initial screening or return check:

    •       Nurse notifies parent
    •       Check in 8-10 days or at the nurse’s discretion
    •       Monitoring for live lice by parent. Treatment recommended if nits are within half inch of scalp.

    If live lice are found:

    •       The nurse will inform parents of treatment options.
    •       Parent will be encouraged to consult their physician or pharmacist.
    •       Parent will inspect siblings, other family members. Nurse may assist, per parent request, at

                      nurse’s discretion.

    •       Parent will talk with parents of close contacts to help with control
    •       Confidentiality of student information will be maintained.

     

    There will be no classroom checks or classroom letters sent home when nits or live lice are found. In the event of a classroom outbreak (more than 4-5 cases in one classroom within a short time period without another known common link), the nurse, in consultation with the principal, may choose to send a letter to parents with information about identifying and treating lice.

    Nurse will provide information on:

    •       Treatment options to parents/guardians
    •       Education about lice life cycle

    Following treatment:

    •       Students may be checked for evidence of successful treatment at the nurse’s discretion
    •       Nurse may continue to provide follow up checks and advise parents.

    Students will not be excluded from school at any time due to the presence of live lice or nits.

    This protocol does not increase the risk for getting head lice.  Lice are harder to catch than the common cold and have NO health risks.

     

    The purpose of this protocol is to decrease:

    *emotionally charged responses              *fear and belief in myths             *lost workdays

    *shaming                                                  *burdensome costs                     *lost school days

    Contact your school nurse or visit these websites for more information:

    https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Updates-Treatments-for-Head-Lice.aspx

    http://pediatrics.aappublications.org/content/135/5/e1355 http://www.cdc.gov/parasites/lice/head/treatment.html