Health Office

The school nurse is responsible for maintaining health records for each student. Information concerning the following must be given to the nurse:

1. Physical examination record within one year prior to enrollment in school
2. Record of illness, injury, hospitalization, allergy and / or special needs
3. Results of vision or hearing tests that are done outside the school setting
4. Immunization record satisfying current NH statute (RSA 200:38)
5. Jonathan Daniels Health Form
    

All children enrolled in school must have immunization records on file in the health office.  All students who have less than the minimum requirement must have either a medical or religious exemption, or a physician-approved schedule for reaching those requirements. Students who have not been fully immunized may be excluded from school. A child may be “conditionally” enrolled when the parent/guardian provides documentation of at least one dose for each required vaccine AND the appointment date for the next dose of required vaccine. 

For more information please visit NH DHHS Immunization Guidance. 
 

All medications are to be administered or assisted with under the supervision of the school nurse, designated UAP (Unlicensed Assistive Personnel), or principal as prescribed. Over the counter medications will be administered as recommended by the manufacturer unless the student’s physician, APRN, PA, or dentist has provided different instructions.

Parent/guardian authorization is required for all medication administered to a student during the school day. In addition to parent/guardian authorization, for any prescription medication from a licensed physician, APRN, PA or dentist, there must be written documentation from the prescriber which specifies the student, medication, dose, route, time, frequency, and purpose. Medications must be renewed each school year with the appropriate documentation.

A parent/guardian or designated responsible adult shall deliver all medications to the school nurse. The medication must be in the original pharmacy container. The label shall include the student’s name, dose of medication, route, and time of administration, and any specific instructions regarding administration. Over the counter medications are to be in their original manufacturer’s container.

Medication Form
 

Height, weight, vision, and hearing screenings may be done by the Nurse, according to the recommendations of the National Association of School Nurses (NASN), to determine if a child needs to be referred to a specialist for a thorough evaluation. If a parent/guardian prefers that their child NOT be screened at school, please notify the Nurse in writing. If a parent has any concerns about the growth and development of a child, the Nurse will gladly screen your child sooner, upon your request.
 

Vision screening will be performed by the Nurse through the Keene Lions Club KidSight Program. This screening is typically conducted in the fall. 

Lions Club KidSight Program

The Nurse works with the Cheshire Smiles Program to provide dental screenings at the school. Cheshire Smiles is a public health program of Dental Health Works. They are independent of the schools in which the program is delivered. With permission, their dental hygienist will provide a dental screening and fluoride varnish treatment.

Cheshire Smiles
 

The Nurse works with the Feeding Tiny Tummies program to coordinate food assistance for families in need.
Feeding Tiny Tummies Information
 

Students will be excluded when illness requires a level of care that is greater than the staff can provide without compromising the health and safety of others in acute situations. School health service providers, under the direction of the building administrator, will have sole discretion for determining a student’s return to school.

Jonathan Daniels Exclusion Procedures