NURSING SERVICES

School Nurse & School Health Services Assistant

Health Services Assistant will be in the health office 5 days a week. When necessary, the site H.S.A. will contact parents/guardians regarding illness and injuries that occur during the school day. All H.S.A.’s are CPR/First Aid certified. H.S.A.II are also LVNs or RNs.

Credentialed School Nurses are on campus for the following: •	Mandated vision and hearing tests.
•	Complete special education and 504 health assessments. •	Ensure immunizations are compliant with CA state law.
•	Provide health education resources for school staff, students, and parents/guardians.
•	Maintain student health records.
•	Contact parents/guardians regarding health problems and/or excessive absences.
•	 Communicate with health care providers regarding health issues and impact on education (within HIPPA regulations).
•	Develop health/safety plans for students with high risk medical diagnosis.

First Aid, Illness, Injuries
 If a student is injured or ill at school, he/she will receive every care and consideration.
 Parent/guardian will be contacted for serious injury or illness.
 School nurse is available to consult with parents/guardians regarding health problems upon request.
 After extended illness or injury parent/guardian should follow up with school nurse for any needed care or accommodation.
 Crutches, wheelchairs, and other devices require a doctor’s prescription indicating directions for use and that the student has been educated to use the device.
 Injuries and illnesses occurring at home should be cared for at home.
 Upon student’s return to school parents are to provide documentation from health care providers indicating any limitations or special considerations/equipment necessary to the student’s continued care at school.

Reasons to keep students’ home:

Temperature 100.0F or greater within 24 hours.

Illness affecting child’s ability to learn.

Vomiting/Diarrhea.

Starting antibiotics within 24 hours.

Sore throat with headache and/or upset stomach.

Coughing that will not stop.

RETURN TO SCHOOL

If a student is sent home with fever, they may not return the next day.

Student may not return until the following criteria are met:

•	Symptom free for 24 hours. This includes fever vomiting, diarrhea, cough, and rash.
•	 Free from fever for 24 hours without use of fever reducing medication such as Tylenol or Motrin.
•	Student should complete 24 hours of any prescribed antibiotic treatment
prior to returning to school.

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LICE

Clovis Unified School District operates on NO LICE guidelines. Students will be sent home if evidence of live lice is found. Student’s must be treated within 48 hours and hair/scalp are free from live lice. After 48 hours, absences will be unexcused. Students must check in with the Health Office and be cleared to return to class. Class checks are no longer part of district guidelines. Refer to Head Lice Guidelines on the CUSD Nursing Services website.

ALL Medications - even over the counter medications (including Tylenol, Advil, cough drops, eye drops, essential oils) must be checked in through the Health Office and require a physician order
that must be updated at the Beginning of each School Year.

Physical Education Excuse

Parent Notes- Students will be limited to 3 days per quarter for handwritten parental note excusals from PE Doctor’s note will be required after the 3 days.

This note should include a diagnosis and specific date for returning to PE, as well as any limitations that might

•	 CA Education Code Section 49423 requires that any medications to be taken at school must be presented with:
o A written statement from the physician detailing the name of medication, amount, method, and time medication is to be taken.
o A written statement from the parent/guardian indicating their desire for the school to assist the pupil in the matters set forth in the physician’s statement.
o Medication must be clearly labeled and sent to school in the original container from the pharmacy.
•	The Medication at School form is available from the school or on the CUSD district website – under Parent.
•	The Health office does not keep medication for general student

use.

apply.

Doctor’s note: If your child has an injury that requires student to remain out of PE they will also be held out of recess and sports.

AIR QUALITY PRECAUTIONS
Refer to School Board Policy 3514

EMERGENCY CONTACT

Immunizations – Refer to School Board Policy 

5141.31

First Grade Physical

California State Law requires that all children entering first grade have a Child Health and Disability (CHDP) physical examination within 18 months of beginning first grade. It is necessary to provide the health office with proof of this physical. CHDP Form is on the CUSD website – Parent.

Child Protective Services
It is important parents understand that all school personnel are “Mandated Reporters” of child abuse. Should a staff member have even the slightest suspicion that a child has been abused, they must report it to Child Protective Services (CPS).

In case of an emergency parents/guardians will be contacted. It is very important that the Health Office have updated contact information.

If there is a change in contact information, please contact the Health Office to ensure the correct information is on your student’s health information card.

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