The primary health care of students is the responsibility of their parents and guardians. The School Nurse does not diagnose conditions or prescribe medical treatments.The School Nurse is responsible for administering Laurel’s Health Services program, supporting students’ primary care, and providing expert care and comfort to students who become sick or injured during the school day.
Being healthy and having positive self-esteem are important factors in learning readiness. Students should be encouraged to take responsibility for their personal hygiene (body, hair and teeth) on a daily basis for good health and positive self-esteem. Additionally, It is critical that students are well-rested and nourished before coming to school each day.
Susan Kramer, RN, BSN
- If your child is not feeling well keep her/him home.
- Sending a sick child to school only gets the other students sick.
- If your child has had a fever over 99.9 they MUST stay home for 24 hours. They can return when they are fever-free for 24 hours without the aid of medication.
- If your child has vomited they MUST stay home for 24 hours. They can return when they are fever-free for 24 hours without the aid of medication.
- If your child has diarrhea they MUST stay home for 24 hours. They can return when they are fever-free for 24 hours without the aid of medication.
- For example if your child is vomiting at 9:00 PM, they are not to come to school the next day; they need to remain out for a full 24 hours.
- If your child is being tested for strep throat they must remain out of school until the test results are confirmed from the physician’s office. (See handbook).
- Please report any communicable disease (strep throat, pink eye, head lice, etc.) to the Nurse’s Office immediately so families can be notified. Do not return to school until treatment has occurred or there is documentation that the child is free of communicable disease.
- The single most effective prevention against the spread of germs and disease is hand washing.
- The state mandates vision and hearing screening for all Early Childhood, Kindergarten, First, Third, Fifth, Seventh (vision only), Ninth and Eleventh (hearing only) Graders and students new to the district.
- This screening takes place throughout the year. If any problems are identified, parents/guardians will be notified.
- Students should have their corrective lenses with them in school at all times.
- All students in Ohio are required to have up-to-date immunizations documented and on file. Please use the Ohio Department of Health Immunization Report (see FinalForms-optional/situational forms) or a copy from your physician’s office. The Ohio Revised Code mandates that pupils (age/grade level appropriate) be protected against the following diseases: diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, meningitis, hepatitis B, varicella, and haemophilus influenzae Type B.
- Updated immunization records are required (aside from initial entry to Laurel) for Kindergarten, Seventh and Twelfth Grades.
- Kindergarten -- additional vaccines required are the DTaP, Polio and MMR
- Entry to Seventh and Eighth -- a Tdap and a the first dose of Meningococcal
- Entry to Twelfth – the second dose of Meningococcal
- These immunizations can be obtained from your regular physician. The Shaker Heights Department of Health at 3400 Lee Road offers these immunizations for a fee. Please contact the health department at 216-491-1418 for information or to make an appointment.
- The State of Ohio allows immunization exemptions. These exemptions include religious, good cause, and medical. A written statement is required for documentation. A physician must complete form for Medical Exemption.
- Students will be excluded, but not excused, from school on the 15th day of school if State immunization mandates are not met.
- During the course of an outbreak or confirmed case of any of the aforementioned diseases, persons who are exempt from or who refuse the vaccine will need to be excluded from school as directed by the Ohio Department of Health. Exclusion maybe as long as 21 days.
- Middle School/Upper School requires a physician letter of diagnosis, physical limitations and duration of time excuse.
- Primary School requires a parent note for class excuse unless it is a major injury.
- A physician’s note to return to activities is required for any prolonged absence for all divisions ex: after a broken bone or severe sprain.
If your child has specific health needs, please notify the School Nurse so that individual accommodations, care plans, emergency action plans, or programs can be arranged. Please complete any needed forms in FinalForms (under optional/situational forms).
Allergies requiring an EpiPen (Epinephrine auto injector)
Managing your child's allergies is taken very seriously.
- A Prescription Medication Authorization Form (see FinalForms-optional/situational forms) is required. This is signed by the physician and the parent.
- A Serious Allergy Care Plan Form (see FinalForms-optional/situational forms) is required. This is signed by the parent.
- In Ohio a child is allowed to carry their own EpiPen with physician and parent written approval. Please complete the Prescription Medication Authorization Form (see FinalForms-optional/situational forms).
- If your child will carry their own EpiPen it is also REQUIRED to have a second EpiPen in the Nurse’s Office.
- If not carrying their own EpiPen, they are required to keep two EpiPens in the Nurse’s Office. This allows us to always have two EpiPens available for your child in case of an emergency.
- If you child is carrying an EpiPen they will need to be responsible and take it to lunch, on field trips and to after-school activities.
- The self-carry EpiPen needs to be in a convenient easy-to-find place for others if needed for an emergency. It should not be buried in the bottom of her book bag or locker.
Respiratory conditions requiring an inhaler
Managing asthma and respiratory conditions is also taken seriously.
- A written physician prescription authorization is required to have a prescribed inhaler at school and during athletics.
- In Ohio a child is allowed to carry their own inhaler with physician and parent written approval in the Prescription Authorization Form (see FinalForms-optional/situational forms).
- If they will not carry it, an inhaler is required to be kept in the Nurse’s Office.
- Should your child choose to carry their inhaler it needs to be in a convenient easy-to-find place for others, if needed, for an emergency. It should not be buried in the bottom of her book bag or locker.
- Separate inhalers are needed for school use and athletic use. Inhalers will NOT be sent from the Nurse's Office to athletic events. The coach must have a separate inhaler.
- Please complete the required Prescription Medication Authorization form and the Asthma Management Care Plan found in FinalForms (optional/situational forms).
- Please contact the School Nurse directly.