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Nurse Rae's Corner

Seacrest Health and Medical Policy

Mandatory Immunization Compliance

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.

Preschool & Pre-Kindergarten

4 or 5 DTP/DTap* - Diphtheria/Tetanus/Pertussis
3 HIB - H. influenza
3, 4 or 5 Polio*
1 MMR - Measles, Mumps, Rubella
3 Hep B - Hepatitis B
1 Varicella - Chickenpox

    • Either 1 varicella vaccination (chickenpox), or
    • Documentation by a healthcare provider that the child has had the chickenpox illness

*Number depends on immunization history

Kindergarten

4 or 5 DTP/DTaP* - Diphtheria/Tetanus/Pertussis
3, 4 or 5 Polio*
    • 5th dose required if the 4thdose was given before the 4th birthday
2MMR - Measles, Mumps, Rubella
3Hep B - Hepatitis B
2 Varicella - Chickenpox
    • Either 2 varicella vaccinations (chickenpox), or
    • Documentation by a healthcare provider that the child has had the chickenpox illness

*Number depends on immunization history

Grades 1 - 6

4 or 5 DTP/DTaP* - Diphtheria/Tetanus/Pertussis
3 or 4 Polio*
2MMR - Measles, Mumps, Rubella
3Hep B - Hepatitis B
2 Varicella - Chickenpox
    • Either 2 varicella vaccinations (chickenpox), or
    • Documentation by a healthcare provider that the child has had the chickenpox illness

*Number depends on immunization history

Grades 7 - 11

4 or 5 DTP/DTaP* - Diphtheria/Tetanus/Pertussis
3 or 4 Polio*
2 MMR - Measles, Mumps, Rubella
3 Hep B - Hepatitis B
1 Tdap - Tetanus, diphtheria, pertussis booster (After the age of 7)
2 Varicella - Chickenpox
    • Either 2 varicella vaccinations (chickenpox), or
    • Documentation by a healthcare provider that the child has had the chickenpox illness

*Number depends on immunization history

Grade 12

4 or 5 DTP/DTaP* - Diphtheria/Tetanus/Pertussis
3 or 4 Polio*
2 MMR - Measles, Mumps, Rubella
2 or 3 Hep B* - Hepatitis B

1 Tdap - Tetanus, diphtheria, pertussis booster (After the age of 7)
1 Varicella - Chickenpox

    • Either 1 varicella vaccination (chickenpox), or
    • Documentation by a healthcare provider that the child has had the chickenpox illness

*Number depends on immunization history

Physical Examination 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.

Sports Physical Requirements

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

Allergy Policy

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.

Latex Balloons

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.

Illness

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.

Medication

A Medication Authorization form must be completed and signed by a parent/guardian prior to the dispensing of any medication while at school or on a school overnight field trip in the state of Florida.

• 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 Health Clinic 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, the physician/health care provider’s signature is required on the Authorization for Inhalers and EpiPen form.

• If you have informed us that your child may require an EpiPen for allergies or an inhaler for asthma, you must provide this medication by the first day of school.

• Students with diabetes utilizing the insulin pump should communicate their individual circumstances with the nurse.

Medication Policy for Overnight Field Trips
  • School personnel will manage and administer prescription and over-the-counter medication for students participating in an overnight school sponsored field trip within the state of Florida. If your child takes a prescription or over-the-counter medication that you will be sending on the trip, be sure to complete the Medication Authorization forms. The Epi Pen and Inhaler Authorization forms must be completed if your child has an Epi Pen or inhaler.
    Please remember: students are not allowed to carry or administer their own medication. All medication must be brought to the clinic to be logged-in and verified. To avoid last minute confusion, I would encourage you to bring in the medication one or two days prior to the trip. Medication must be in the original container and labeled with your child's name. We are unable to accept or administer single pills in a baggie. Vitamins, throat lozenges as well as homeopathic remedies are medication and must be administered by the designated Seacrest chaperone. I will be sending a medical bag stocked with first aid supplies and over-the-counter medication.
  • Upper School Students participating in a school sponsored field trip outside of Florida may be responsible for the management of their own prescription and over-the-counter medication.

Injury

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.

Communication

• 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.

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

Magnus Health SMR

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, Rae Young ryoung@seacrest.org, if you have questions or need assistance completing Magnus.