Wednesday, January 18, 2017 02:56 AM
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All of the Northwest Local School District Schools have a Health Office that is staffed by a full time Registered Nurse (RN), a Licensed Practical Nurse (LPN) or a Health Assistant. The Health Office is open during the school day to support the students and staff.  We believe a healthy student is better able to participate, pay attention in class and succeed in their learning. 

The Nurse/Health Assistant is responsible for:

Ensuring proper immunization of all students in accordance with Ohio law.

Performing hearing, vision and postural (scoliosis) screening as required and recommended by the Ohio Department of Health.

Providing acute and emergency care of illness and injury during the school day, decreasing communicable diseases by excluding students from school with signs of disease or illness that can be spread.

Developing individual health plans and emergency action plans in collaboration with parents and the student’s health care (team) providers (physicians and/or nurse practitioners-remove) for students with chronic and some acute health conditions such as to  asthma, seizure disorders, diabetes, migraine headaches and allergies-remove.

Administering medications and treatments. 

Training appropriate designated school personnel in the proper administration of medication and treatment.

Providing resources for families, teachers and staff in the area of health and health concerns.

The Emergency Medical Authorization (EMA) is a critical form that is used by the Administrators and Health Office to contact parents. Please complete the EMA (both sides) in the first few days of the school year. If phone numbers change, it is important that you notify the school to ensure you can be reached when necessary for the student. 

In order to best care for students during the school day, the Nurse/Health Assistant must be aware of the health concerns that exist. Parents are asked to complete a Health History at the time of enrollment. In addition, the parents are required to complete and sign the Health Update on the back of the EMA every year. Contact the Health Office with any changes that occur in the student health over the summer or during the school year. Communication is the key to making sure the student health needs are met during the school day. 

Administration of Medication 

Whenever possible, the administration of medication should be given before or after school hours. However, some circumstances do require that medication be given during the school day.

Northwest Local School District Policy for Administration of Medication is consistent with the Ohio Revised Code 3313.713 (The Medication Policy Law).

Whenever possible the administration of medication required by a student during the school day should be given before or after school hours. However, certain students may require the administration of medication during the school day to maintain an optimum health status for learning. In the event that a student requires the administration of medication, prescription and/or over-the-counter, during the school day the following procedure must be followed:

1. In the event that student requires medication, prescription and /or over-the-counter, during the school day, an Administration of Medication Form, physician order and parental permission must be completed in its entirety and signed by the prescribing physician and the parent/guardian.

2. Medication is to be brought to the school building by the parent/guardian in the original container.

3. A parent, guardian or adult designated by the parent is responsible to personally bring any medication to the school building. Never send medication with a student.

4. All medication is kept in a locked storage unit in each school building.

5. It is the responsibility of the parent/guardian to instruct the student to come to the Health Room at the appropriate time for medication administration.

6. It is the responsibility of the parent/guardian to obtain an updated physician order when the medication changes in any way.

7. Any unused medication not claimed on the last day of school will be destroyed.

8. A new medication order must be submitted each school year.

Administration of Prescribed Medical Treatment 

The student may require a prescribed medical treatment (non-medication) during the school day such as tube feeding, dressing change or catheterization. The prescribing provider and the parent must complete the Administration of Prescribed Medical Treatment form before school personnel may initiate the medical treatment. This form may be obtained in the Health Office.

Immunization Requirements

The Nurse/Health Assistant reviews the immunization record provided by the parent or previous school to ensure the proper immunization of all students in accordance with Ohio law. If it is determined that the student needs additional immunizations at the beginning of the school year, it is expected that immunizations are obtained immediately upon notification from the Health Office. If the student is found to be out of compliance with Ohio law, the student will be excluded after 14 days into the school year per Ohio law.

Immunization requirements for school may change annually.

School Screenings 

The Ohio Department of Health requires that vision and hearing screening are performed on students at specific grade levels. Students are referred for additional care if they do not pass the screening.

Vision is screened at the following grade levels: kindergarten, first, third, fifth, seventh and ninth grades.

Hearing is screened at the following grade levels: kindergarten, first, third, fifth and ninth grades.

Postural screening is performed in accordance with the recommendations by the AAOS (American Academy of Orthopaedic Surgeons) and SRS (Scoliosis Research Society). This screening helps identify students with curvature of the spine known as scoliosis as well as other spinal problems.

Postural screening occurs in grade seven for boys and girls. 

Students are referred for additional care if a concern is noted.

In the event that a parent does not want the student participating in one or all of the screenings, the parent must contact the Health Office.

Guidelines for Keeping Students Home from School

The following guidelines are used to determine whether a student should be in school or kept home.


  • Temperature over 100.0 F degrees. Your child should remain home until they have been fever free for a full 24 hours without the use of a fever reducing medication (acetaminophen - i.e., Tylenol or ibuprofen - i.e., Advil or Motrin). If your child is sent home from school with a fever they should not return to school on the following day.
  • Vomiting or diarrhea in the last 24 hours. If your child is sent home from school with vomiting and /or diarrhea or if your child has an episode of vomiting and/or diarrhea during the night, they should not be sent to school the following day.
  • Cold symptoms, including an excessively runny nose, persistent cough, sore throat and headache. The symptoms are severe to the point that the child cannot pay attention or participate in class.
  • Skin rash. Skin rashes are often difficult to evaluate. Skin rashes of unknown origin should be evaluated by your physician to determine what the rash is prior to sending your child to school. A student with a skin rash of unknown origin may be sent home from school until the rash is identified as non-contagious.
  • Open and draining area on skin. All open wounds should be covered when your child is in school. A wound that is red, warm to touch, or looks like a boil should be evaluated by your physician.
  • Red eye(s) with discharge that causes crusting on the eyelashes and difficulty opening the eye(s) upon awakening. This may indicate Pink Eye or conjunctivitis. This can be contagious and requires a visit to your physician. Your child should remain home for 24 hours after beginning medication treatment.
  • Untreated, unreported head lice. NWLSD follows a nit-free policy. Your child may not be in school until they are completely nit free. All students home from school with head lice are to report to the Health Office upon their return to school prior to going to the classroom. Head lice should be treated and the student nit free and return to school within 3 days at the maximum.
  • Pain and/or generally not feeling well. If your child has pain and is not their typical self in the morning, ask yourself whether the child will be able to pay attention and participate in class. If the answer is no, keep your child home; they may be coming down with an illness. We realize that you know your child best and we want them in school healthy, and ready to learn.

The Nurse/Health Assistant may send a student home if it appears that the student may have a contagious condition. The parent may be asked for documentation from the physician prior to the student returning to school. The Ohio Department of Health Communicable Disease chart serves as the guidelines for determining the recommendations for the student.

In the event of a true emergency, 911 will be called first and then every attempt will be made to contact the parent or designated persons on the EMA.

If at any time the parent has questions or concerns about the health and well-being of the student, please contact the Health Office and speak with the Nurse or Health Assistant.

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