Medical Policy

The Florida Certification of Immunization, Form 680, is required for entry and attendance in all Florida schools. This form is only available from and must be completed by a Florida physician/health care provider or a Florida county health department. All non-Florida immunization records must be transferred to the Form 680. This can be done at the Collier County Health Department, free of charge, by appointment only, Monday- Friday 8:00AM-3:00PM, clinics are closed at 12:00PM on the last working day of the month. They are located at the Government Complex Bldg. H, 3339 E. Tamiami Trail, Naples, FL, phone number 239-252-8595. Florida State Law requires that all kindergarten students must have received the second Measles, Mumps, Rubella (MMR) and Chickenpox (Varicella) vaccination prior to the start of kindergarten. Seventh grade students must receive the Tetanus, diphtheria, and pertussis ( Tdap ) booster before the start of seventh grade. You may refer to the Florida School Requirements form for additional immunization requirements.

At the time of enrollment, students entering a Florida school for the first time must provide a record of a physical examination completed within the past 21 months. Although not required, it is recommended that Florida School Entry Exam form DOH 3040 be completed to fulfill this requirement. For students transferring to a Florida school, a comparable form from another state is acceptable if it has been completed within the prior 12 months. The physical examination must be completed by a healthcare provider licensed to practice medicine in the United States. Physical examination may be obtained from your physician, health care provider or a walk-in-clinic.

In accordance with the rules of the Florida High School Athletic Association (FHSAA), the student athlete "must undergo a pre-participation physical evaluation and be certified as being physically fit for participation in interscholastic athletics (form EL2). The physical is valid for 365 calendar days from the date that it was administered after which time the student must successfully undergo another physical evaluation to continue his/her participation. Parents and students must also submit a completed EL3 Consent and Release from Liability Certificate (5 pages). (FHSAA Bylaw 9.7)

Seacrest Country Day School recognizes that food allergies, in some instances, may be severe and occasionally life threatening. The only way to avoid a reaction is to avoid the offending food. Seacrest is a Food Allergy Aware school. Students are not restricted from eating foods containing known food allergies, but we ask that children not share food with their classmates unless a teacher or the school nurse has given approval. The foods most likely to cause allergic reactions are peanuts, tree nuts, dairy products, eggs, soy, wheat, fish, shellfish, mango, papaya and peas/beans. Although most food allergies produce symptoms that are uncomfortable, persons with severe allergies to the above-listed foods can suffer more serious consequences. Seacrest cannot guarantee that a student will never experience an allergy-related event while at school, but we are committed to student safety and therefore have created this policy to reduce the risk that children with allergies will have an allergy-related event.
For children with severe allergies, it is the family's responsibility to notify the school, in writing, of the allergies. Working in conjunction with the family physician, the family should submit written protocols for the student. The school nurse will work with parents to implement reasonable protocols in the form of a Food Allergy Action Plan (FAAP). We will do our best to avoid serving food containing known allergens, but cannot guarantee that these products will never be present, as we cannot monitor products sold at athletic events or special student sales, products brought for potlucks or celebrations, or served on off campus trips. Any food sent to school to share with students should contain an ingredient label. Persons with severe food allergies must carefully monitor their food in these situations.

Children with food allergies might communicate their symptoms in the following ways:
- swollen lips, tongue, or eyes; - itchiness, rash, or hives;
- nausea, vomiting, or diarrhea;
- congestion, hoarse voice, or trouble swallowing;
- wheezing or difficulty breathing; dizziness, fainting, or loss of consciousness - and mood change or confusion.

Children with food allergies might communicate their symptoms in the following ways:
- It feels like something is poking my tongue
- My tongue (or mouth) is tingling (or burning).
- My tongue (or mouth) itches.
- My tongue feels like there is hair on it.
- My mouth feels funny.
- There's a frog in my throat; there's something stuck in my throat.
- My tongue feels full (or heavy). - My lips feel tight.
- It feels like there are bugs in there (to describe itchy ears). - It (my throat) feels thick.

Latex balloons are not allowed at school because they pose a potential allergy threat for students with a latex allergy. They also represent one of the greatest choking hazards. According to the U.S. Consumer Product Safety Commission, balloons are the leading cause of suffocation deaths. It is possible that a child could inhale a balloon when blowing it up. Also, children sometimes chew or bite balloons, causing them to pop. The broken piece or pieces may be inhaled, blocking the airway. Mylar balloons are a safe alternative to latex balloons.

If your child wakes up sick on a school day:
• Please call or email your child's teacher and the school nurse, prior to 8:00 am to notify us of your child's absence.
• Students should not be sent to school with a bad cold, the flu (i.e., excessive nasal secretions, sneezing, coughing, congestion etc.)
• Students should not be sent to school with symptoms of Covid-19: fever or chills, shortness of breath, unexplained fatigue, muscle or body aches, new loss of taste or smell, sore throat, congestion or runny nose not associated with allergies, nausea, vomiting or diarrhea, unexplained body rash or conjunctivitis
• Students should be kept home for 24 hours following a fever of 100° F or higher. Once your child no longer has a fever (temperature is lower than 100° F without the use of fever reducing medication), they must wait 24 hours before returning to school.
• Students should be kept home for 24 hours following a gastrointestinal illness with vomiting and or diarrhea.
If your child has a contagious illness:
Please call the school and notify the school nurse immediately if your child has been diagnosed with Covid-19, conjunctivitis (pink eye), strep throat, head lice, chicken pox, fifth's disease, the flu, or any other infectious type illness.
• A letter from your child's healthcare provider may be requested following an extended absence from school.  A note from your child's healthcare provider is required for an excused absence. 
If your child should become ill during the school day:
• Parents will be called and asked to pick up their sick child.
• If parents cannot be reached, the instruction on the Emergency Contact Form will be followed. Please keep us updated with this information.

No medication (prescription or over-the-counter) may be given by school personnel without the signed permission of a parent or guardian. All medications must be brought to the office by the parent or guardian in the original current container or prescription bottle. By Florida School Regulations, we must dispose of any medications that are received in anything other than the original, current container or prescription bottle. (Pharmacists are usually more than willing to divide a prescription between two bottles.) No medication of any type may be sent to school by backpack. However, if a student must carry with them at all times an EpiPen for severe allergies or an inhaler for asthma, their healthcare provider must sign the EpiPen or Inhaler authorization form. Students with diabetes utilizing the insulin pump should communicate their individual circumstances with the nurse. The Action Plans for a student with asthma, food allergy, diabetes or seizure are available for download in Magnus. Please have your child's healthcare provider complete and sign the applicable action plan.

Daily Medications
If a student has been prescribed daily medication by their health care providers, the parents must communicate medication requirements as well as a time frame for the administration of the prescribed medication with the school nurse as well as the appropriate teachers. Students in grades PS-5 will require the teachers or teacher's assistants to be responsible for sending them to the Health Clinic at the appropriate times. Students in grades 6-8 should be responsible for getting to the Health Clinic at the appropriate time. Students in grades 9-12 should be responsible for getting to the high school office at the appropriate time.

If your child sustains an injury outside of school:
Please contact the school nurse regarding injuries that require medical treatment during the school day. Medical treatment required once the student returns to school may include ice and elevation, medication, bandage change, use of crutches, or the use of a wheelchair.

Students with a sprained or broken leg/foot/ankle who have been issued crutches by a healthcare provider often find it difficult to get around campus.
A wheelchair is available for student use at a parent's request.

Please communicate your child's needs to the nurse.

• Students requiring the use of the elevator to get to a classroom must be issued a pass from the school nurse.
• Apparent/guardian should communicate their child's specific needs to the school nurse.
• Use of the elevator is limited to the student and one buddy or adult. • Students are never allowed to ride the elevator alone.

According to information provided by the CDC, a concussion is described as a"type of traumatic brain injury that changes the way the brain normally works." Signs and symptoms of a concussion do not always appear immediately following a bump, blow, or jolt to the head. It may be days or weeks before signs and symptoms appear. If a student/athlete reports one or more symptoms of a concussion, the parent/guardian will be notified and an evaluation performed by a health care provider will be required before the student/athlete will be allowed to return to school/sports. The student will also need to be evaluated and cleared by Hans Smelker, Athletic trainer before they are allowed to return to PE/sports.

• If your child has any specific health care needs such as an allergy to foods or the environment, asthma-related problems, or any other health care needs, please contact Rae Young, RN, BSN, School Nurse at 239-793-1986 ×2919.
• Proper communication between the parent/guardian and the school staff will allow for the appropriate care and treatment of your child to be put in place.
• When sending a communication to the school regarding specific medical information pertaining to your child, ti is helpful to notify both the school nurse and the student's teacher. This will eliminate any confusion regarding your child's care.

Cardiopulmonary Resuscitation/ Automated External Defibrillator

Many staff and faculty members are certified in CPR and AED usage. The school nurse, the athletic trainer, all P.E. Teachers and athletic coaches are required to be CPR certified.

Seacrest School has AEDs on campus:
1. Health Clinic (in a wall mounted/alarmed cabinet outside west facing door)

2. Lower School Gymnasium (outside the athletic office)

3. Softball Visitor's Dugout (in a wall mounted/alarmed cabinet)

4. Baseball field house (in a wall mounted/alarmed cabinet)

5. Lobby of the Upper School Gymnasium/Science Center

6. Upper School (near the upper school reception desk)

Each AED is encased in a red storage case. A separate bag with gloves, a disposable shaving razor and CPR mask is located on the shelf with the AED
In the event of a medical emergency:
• Remain calm

• Assess the situation (victim conscious/unconscious)

• Call for help (nurse/qualified staff member, bystander)

• Call 911 (if appropriate)

• Send bystander for AED

Seacrest Country Day School utilizes Magnus Health SMR (Student Medical Records), a web based system that allows the parent to have continuous access to their child's health records as well as the ability to make updates when needed. Magnus must be completed prior to the first day of school and must be updated every year. You may access Magnus via the Seacrest Parent Portal. Click on Magnus, there is a short tutorial you may watch and then open the page. You will notice there are a number of requirements to be completed. Some are as simple as "yes/no" with an electronic signature. However, some requirements will take longer to complete. Initially it may take you 15-20 minutes to complete al of the required health and contact information, but in future years the process will be greatly streamlined. Please contact our school nurse fi you have questions or need assistance completing Magnus. You will also need to download the Magnus App onto your cell phone. You will be able to access your child's account through this app, allowing you to complete the requirements via the app.