Students who become ill during the school day should be sent to the Health Clinic. Students in the lower grades should be sent with a “buddy”. When sending a student to the clinic, please send along a “Health Clinic Pass” in an effort to minimize non-urgent trips to the clinic.

A satellite health clinic has been established in the high school office. The high school office staff will be able to treat minor complaints such as headaches, cramps, upset stomachs. Office personnel will have access to over-the-counter medications and any prescribed daily medications.

If a high school student becomes ill and requires additional attention please send them to the Health Clinic.

Seacrest Country Day School utilizes Magnus Health SMR (Student Medical Records), a web based system that allows you to have continuous access to your child’s health records as well as the ability to make updates when needed. In addition to health records, Magnus stores and maintains required school forms and documents such as emergency contact information, the Parent/Student Handbook, the Acceptable Use Policy and many other documents. 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. This will take you directly to your child’s account. 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 all of the required health and contact information, but in future years the process will be greatly streamlined. Please contact our school nurse if you have questions or need assistance completing Magnus.

Medication

No medication (prescription or over-the-counter) may be given by school personnel without the signed permission of a parent or guardian, as well as, the signed authorization from the physician/health care provider.

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 an EpiPen for severe allergies or an inhaler for asthma, with him/her at all times, a letter from a doctor is required. Students with diabetes utilizing the insulin pump should communicate their individual circumstances with the nurse.

Daily Medications

Several students have been prescribed daily medications by their health care providers. Parents should 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 PK-5 will require the teachers and 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.

Inhalers

Inhalers are used to treat asthma. Asthma is a long-standing (chronic) disease in which the airways are inflamed. During an asthma episode, the lining of the airways becomes inflamed, swells and produces more mucus. This makes the opening in the airways smaller. The muscles around the airways tighten, also making the opening in the airways smaller.

If a student in the lower school has known asthma, his/her inhaler will be kept in the Health Clinic.

Inhalers for the high school students will be kept in the high school office.

Please review the confidential list and identify students who have known asthma and an inhaler at school.

EpiPens

The EpiPen auto-injectors are used to treat severe allergic reactions (anaphylaxis). Such emergencies may occur from insect stings or bites, food (tree nuts, peanuts), latex or other allergens. Anaphylaxis requires an immediate trip to the emergency room and an

injection of epinephrine (EpiPen). Anaphylaxis can cause you to go into shock; the blood pressure will drop suddenly and the airways narrow, blocking normal breathing. Signs and symptoms of anaphylaxis include a rapid, weak pulse, skin rash, and nausea and vomiting.

If a student in the lower school has a known allergy his/her EpiPen will be kept in the Health Clinic.

EpiPens for the high school students are kept in the high school office.

A list, identifying students who have known allergies and an EpiPen at school will be sent to all faculty and staff at the beginning of each school year.

If a student is exposed to an allergen and an anaphylactic reaction occurs…

1.Do Not Panic

2.Accompany the student to the Health Clinic or Call the school

3.EpiPen needs to be administered

4.Call 911

5.Do Not Panic

Allergy Policy

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. Therefore, persons with severe food allergies must carefully monitor their food in these situations.

AED

Cardiopulmonary Resuscitation/Automated External Defibrillator

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

Seacrest School has seven AEDs on campus:

1. Health Clinic
2. Lower School Gymnasium (outside the athletic office)
3. Field house located near softball and soccer fields
4. Baseball field house
5. High School Lounge
6. Arts Center
7. Lobby of Gymnasium/Science Center

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

Diabetes

Type 1 (insulin-dependent diabetes mellitus [IDDM] or juvenile or childhood) diabetes is the most common type found in children. This condition occurs when the pancreas doesn’t make enough insulin.

Every year the parents of our students with diabetes meet with the school nurse as well as the appropriate teachers. An up-to-date care plan should be provided by the parents detailing their child’s specific needs. A diabetic kit, which includes a testing meter, testing strips, alcohol wipes and lancets are kept in the Health Clinic and labeled with each child’s name. US students may carry their test kit and diabetic supplies in their backpack. They are allowed to manage their blood sugar/insulin needs, if appropriate and approved by their healthcare provider. Appropriate snacks and juices are provided by the student’s parents and kept in the Health Clinic, classrooms and gym.

Specific concerns regarding each individual student should be discussed with that student’s parents.

VERY IMPORTANT

If a student feels that he/she has high or low blood sugar DO NOT allow them to go to the Health Clinic alone. He/she may become disoriented and collapse. Please send a buddy who knows to alert an adult if he/she becomes disoriented. US students may utilize Mr. Schott as a diabetic resource.

Hypoglycemia or Hyperglycemia?
Click the image to download the PDF for quick reference.

Cystic Fibrosis

Cystic fibrosis is a rare illness that affects about 30,000 people in the United States. CF is caused by a genetic mutation that causes the body to produce abnormally thick, sticky mucus that can clog the lungs, pancreas and other organs. Although students with CF may cough more than other students, they are not contagious. They are, however, more prone to lung and sinus infections and many have digestive problems.

CF mucus can obstruct the digestive system, stopping pancreatic enzymes from getting to the small intestines. The body is unable to digest food and nutrients without these enzymes. Most CF people need to take pancreatic enzymes with snacks and meals. By law, CF students must be permitted to carry their enzymes in their lunch box if the parent and physician have determined that they are capable of managing their own medications. At this time, our CF student comes to the clinic at snack and lunchtime to receive his enzymes and his nutritional bolus.

CF mucus also affects the lungs, a cold, flu or respiratory illness can be very dangerous for a CF student. It is important to continue to enforce covering your nose and mouth when sneezing or coughing and frequent hand washing. Most CF students start and end their day with breathing treatments to help keep their lungs clear of mucus.

For more information on Cystic Fibrosis, please visit the Cystic Fibrosis Foundation’s website at www.cff.org. You can also go to What is Cystic Fibrosis? at https://www.cff.org/What-is-CF/About-Cystic-Fibrosis/ and A Teacher’s Guide to CF at https://www.cff.org/Life-With-CF/Daily-life/CF-and-School/For-Teacher-s-Guide-to-CF/

Atypical Hemolytic Uremic Syndrome (aHUS) is a very rare genetic disease. Those born with aHUS have a lifelong risk of contracting a life threatening illness. aHUS affects various organs such as, the kidneys, heart, lungs, brain and gastrointestinal system, causing damage, due to blood clots in small vessels throughout the body. The immune system, which is responsible for fighting illnesses is also damaged. A condition call neutropenia, decreased white blood cells, makes a person with aHUS more prone to complications from common illnesses such as cold, flu and respiratory infections.

We have an Individualized Health Plan (IHP) on file in the clinic from the student’s health care provider. He currently receives an IV infusion to control the aHUS. This is a lifelong therapy and must be given every 14 days. His infusions are administered at Joe DiMaggio Children’s Hospital in Hollywood, FL. The number 1 goal on his IHP is to minimize his contact with communicable illness microbes, thus reducing bacterial and viral load. This will be done by stocking his cleaning wipes in all of his classrooms. He will be responsible (with a little reminding from his teachers) for wiping down his desk area in each of his classrooms and then washing his hands. At the beginning of each school year, a letter is sent home to parents of his classmates, reminding them of our health policies and asking them to keep sick children home and to notify us when their child is diagnosed with a communicable illness. Hospitalization for IV antibiotic treatment may be required if he becomes ill and has a temperature over 100˚F.

For more information on atypical Hemolytic Uremic Syndrome, please visit the aHUS Foundation at https://atypicalhus.ning.com/page/education-and-ahus.

Wheelchairs

There are two wheelchairs available at Seacrest School.

1. Health Clinic
2. Athletic Trainer’s Room in the US Gym

The wheelchairs are available for injuries sustained at school in which a student is unable to walk to the clinic. Any student who has sustained an injury and has been prescribed crutches by a health care provider may utilize a wheelchair during the school day. A “helper” is required to push the wheelchair.

Field Trips

The Magnus 911/emergency contact information sheets must be taken on all field trips.

A responsible lower school or middle school staff member (teacher/teaching assistant) must sign out a first aid kit from the Health Clinic. Upper school staff must sign out a first aid kit at the US reception desk. The first aid kit must remain in your possession during the field trip. If you use any of the supplies from the first aid kit, please fill out the inventory list provided in each kit and return it to the school nurse.

The first aid kits do not include any medications such as Tylenol, Tums, cough drops, etc.

A separate bag will be provided with individual student medications i.e. inhalers, EpiPens, and any daily medications.

VERY IMPORTANT

Do Not leave any medications unattended or on the bus.

Students with diabetes have a kit with the supplies required to check their blood sugar level during the field trip. Extra snacks and juices should also be included. Please check with the student’s parents regarding specific instructions.

If a student becomes ill or sustains an injury while on a field trip, call the school and speak with the nurse. The nurse will be able to answer questions pertaining to the individual student, as well as general first aid treatment.

If a student is not well and wishes to leave the field trip, call the parent/guardian to arrange the pick up from the field trip sight. Then notify the school nurse so documentation of the illness, as well as alternate dismissal plans are recorded.

If emergency treatment is needed call 911! Then call the school nurse and provide all pertinent information. The nurse will then call the parent/guardian with the information regarding their child’s condition.

Overnight Field Trips

Notify the school nurse with the dates and destination of the overnight field trip. A medication bag consisting of the over-the-counter medications, which are provided in the Health Clinic, will be provided for your trip. All prescription medications such as inhalers, EpiPens and daily medications must be provided by the parent/guardian, prior to the departure date. In addition to the permission slip, an authorization for medication form must be filled out and signed by the parent/guardian. Medication may not be dispensed without written consent from the parent/guardian. Students are not allowed to carry medications in their suitcase/backpacks. If you are not familiar with a certain medication please ask the parent/guardian for additional information.

If a student has written authorization on file in the Health Clinic to carry his or her inhaler or EpiPen, they are allowed to carry it with them while on the field trip. The Authorization for Medication form must be filled out and signed by the parent/guardian.

If you have questions regarding these policies, please contact me in the Health Clinic at
793-1986 ext. 2919.

Handling of Cleaning Materials

In an effort to contain the spread of germs which can lead to illnesses such as the common cold, influenza, skin infections etc., some teachers have begun the practice of wiping down surfaces in the classrooms with Lysol/Clorox disinfecting wipes. Disinfecting wipes may be kept in the classroom, but they must be stored out of the reach of students.

The CDC has recommended the use of hand sanitizer to curb the spread of the H1N1 virus. Therefore, sanitizer has been placed throughout the campus.

Spray disinfectants should not be used due to the risk of spray splash to the face and mucus membranes.

CaviWipe towelettes should be used to wipe down surfaces in the Health Clinic, fitness room and gymnasium. CaviWipes are highly effective against microorganisms commonly found in health clinics, fitness clubs and gymnasiums. In the fitness room, the weight machine, stationary bike, treadmill, etc. should be wiped down after each use. Students are permitted to use CaviWipes with adult supervision.

Although it is not necessary to wear protective gloves while handling CaviWipe, Lysol or Clorox disinfecting wipes, it is recommended to do so to protect against potential skin irritation. Proper hand washing with soap and water should be performed after handling any cleaning products to reduce the risk of contact of the cleaning agent with skin, eyes, and mucus membranes.

If you have any questions or concerns regarding these guidelines please contact Rae Young or Marty Durham.

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 on a walk-in basis, 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 12 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 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 (4 pages). (FHSAA Bylaw 9.7)

FORM EL2

FORM EL3

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 the school prior to 8:15 am to notify us of your child’s absence.

• Do not send your child to school with a bad cold or the flu (i.e., excessive nasal secretions, sneezing, coughing, congestion etc.)

• Your child should be kept home for 24 hours following a fever of 100° F or higher or within 24 hours of vomiting. If your child has a contagious illness:

• Please call the school and notify the nurse immediately if your child has been diagnosed with 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 health care provider may be requested following an extended absence from school.

If your child should become ill during the school day:

• Parents will be called and asked to pick up the sick child.

• If parents cannot be reached, the instruction on the Emergency Contact Form will be followed. Please keep us updated with this information.

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.

Concussion/Head Trauma

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.

Wheelchair use

• 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. Elevator use

• Students requiring the use of the elevator to get to a classroom must be issued a pass from the school nurse.

• A parent/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.

• 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 x 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, it is helpful to notify both the school nurse and the student’s teacher. This will eliminate any confusion regarding your child’s care.