Health and Medical

Health Services: Who are we?

For Health Service forms and information please see the District 6 Health Services Website.
District 6 has School Health Clerks who are the main care-givers in health offices in all district and charter schools. They perform first aid and care for ill scholars, administer medications, perform health screenings, manage immunization and health records. They are available to answer questions and are able to contact School Registered Nurse Consultant at all times. Health Clerks have taken a health clerk training course and have yearly CPR, First Aid, Medication Administration, and other trainings as needed for specific scholar health needs.

District 6 has School Registered Nurse Consultants who work as a team with health clerks, school administration and staff to provide physical, mental, and social support to help scholars learn. School Registered Nurse Consultants are trained with an RN-BSN and have obtained School Nurse licensure through CDE. School Nurses are responsible for preparing health care plans, documenting health histories, collaborating with special education team on educational plans, delegating to unlicensed personnel who provide care for scholars, assisting with health education units, consulting with outside health providers and agencies.

Illness, Injury, Emergency Information

Accidents/Illness/Injury –
- Health office staff or other qualified personnel will administer first aid for any ill or injured scholar. If needed, parents/guardians will be contacted and in extreme cases, 911 may be called.
Emergency information – PLEASE KEEP EMERGENCY CONTACT INFORMATION UPDATED WITH THE FRONT OFFICE STAFF. We need to be able to contact you if your scholar is ill or injured.

Medications

If your scholar must have medication of any type during school, including prescription or over-the-counter medicine (pills, syrups, cough drops, eye drops, creams, ointments, inhalers, injectable), you have three choices:
- Parents/Guardians may come to school and give it to their scholar at the appropriate time.
- Parents/Guardians and health care providers may complete and sign a physician authorization form. The medication must be in a pharmacy-labeled bottle or original packaging with instructions.
- Parents/Guardians may discuss with their health care provider an alternative schedule so the medication can be given outside of school hours.
Medications of any sort (over the counter or prescription) are not to be in the possession of scholars, except for those with written authorization from their health care provider, their family and school registered nurse consultant.
If your scholar will need any medication or treatment at school, please obtain a copy of the physician authorization form from the health office or download from health services website

Health Questionnaire & Scholars with Health Concerns

Health questionnaires - It is extremely important that parents/guardians complete the annual health questionnaire and Emergency Information form.
scholars with known health concerns – School Registered Nurse Consultants write Health Care Plans (HCP) for scholars that require specific procedures at school.

All scholars who have diabetes, seizures, severe allergies, severe asthma or who have any medication (prescription or over the counter) in school should have a HCP. Other disorders may also have specific precautions which would require a HCP. PLEASE contact the school Health Clerk or School Nurse if you have concerns about your scholar’s health.
- scholars with Severe Asthma, Severe Allergies, Seizure Disorder or Diabetes – forms are available from health office or on health services website for physician completion

Immunizations

Immunizations are an important part of our scholar’s health care and Colorado Law requires that scholars going to school be vaccinated to prevent vaccine-preventable disease. scholars are not permitted to attend school without meeting immunization requirements or having a signed personal, medical, or religious exemption.
If parents have concerns about immunizations and vaccine safety, visit www.ImmunizeForGood.com . The Colorado Immunization Program’s website is located at www.ColoradoImmunizations.com.
Schools work hard to ensure compliance with the immunization laws. Your help in providing updated immunization records at school registration and when your scholar receives additional vaccine(s) is greatly appreciated.

Screenings

Hearing and vision screenings are conducted annually by health services staff including District Audiologist. The following grades are screened: Pre-K, K, 1, 2, 3, 5, 7, and 9, all new scholars, and scholars with special education needs – per the State of Colorado guidelines.
Glasses when prescribed by an eye care professional are extremely crucial to scholar success. Please make sure scholars wear them daily at school.
Scholars who do not pass vision screening will receive a “referral” for follow-up care. Scholars who do not pass hearing screening will continue to be monitored by a school audiologist.

**Critiera for Keeping a Sick Child Home**
Symptom	Exclusion Guidelines
Fever - Temperature of 100.4°F or greater	The child or staff member may return to school or child care if the fever has been resolved for 24 hours without fever reducing medications unless the fever is caused by an illness that requires them to stay home longer.
Diarrhea: Frequent, loose, or watery stools (poop) compared to normal ones that are not caused by food or medicine.	The child or staff member may return to school or child care 24 hours after their last episode of diarrhea unless the diarrhea is caused by an illness that requires them to stay home longer. If the diarrhea is explained by a specific illness, then the child or staff can return to school or child care following exclusion guidelines for that illness.
Flu-like symtpoms: Fever, sore throat, runny nose, congestion	Children and staff may return to school or child care as long as they are fever-free for 24 hours without the use of fever-reducing medications and other symptoms are improving.
Vomiting/Throwing Up	Unless the vomiting is related to an existing long-term medical condition or is explained by a diagnosed condition not requiring the person to stay home. If the vomiting is unexplained and not consistent with the person’s normal state of health, the child or staff member may return 24 hours after their last episode of vomiting. If the vomiting can be explained by a specific illness, then follow the exclusion guidelines for that illness. If a child with a recent head injury vomits, seek medical attention.
Chicken Pox	Until the blisters have dried and crusted (usually 6 days), or in immunized people without crusting, until no lesions within 24 hour period.
Croup, RSV (respiratory syncytial virus)	Should remain out of school or child care setting until they are fever free 24 hours without the use of fever-reducing medications and other symptoms have been improving for 24 hours.
Strep Throat	12 hours after starting antibiotics unless the doctor says it is okay to return to school sooner.
Lice	Exclusion is for children found with live head lice only, may return after they have had the first treatment. *Research does not support school exclusion for nits (lice eggs).
Impetigo	Children and adults need to stay home until 24 hours after antibiotic treatment has started.
Mouth Sores	If a student is drooling uncontrollably.
Rash	If a student has symptoms in addition to the rash such as behavioral change, fever, joint pain, bruising not associated with injury, or if the rash is open and oozing.
Ringworm	May stay in school until the end of the day, but may not return until they have had the first treatment. Keep the area covered for the first 3 days.
Stomach Ache or Abdominal Pain	If the pain is severe, if the pain appears after an injury, or if the student had symptoms in addition to the stomach ache such as vomiting, fever, diarrhea, etc.
Swollen Glands	If the student has symptoms in addition to the swollen glands such as difficulty breathing or swallowing, fever, etc.
Norovirus	Exclude children and staff for at least 48 hours after their last episode of voming and/or diarrhea.
Contagious Illness	Students on antibiotics for contagious illnesses, such as strep throat, tonsillitis, bronchitis, or pneumonia, must stay home until antibiotics have been taken for 24 hours or longer if directed by a healthcare provider or public health department. All skin lesions must be covered by a bandage or clothing during the school day. This may include impetigo, ringworm, scabies, and other fungal, bacterial or viral skin infections.
Other Vaccine Preventable Diseases: Measles, Mumps, Rubella, and Pertussis	Children and staff can return to school once they are no longer contagious (see Infectious Disease Guidelines). Public health consultation may be necessary.