Dear Parents/Guardians:

It is a pleasure to welcome you and your child to the Colonial School District. We extend a very special greeting to those who are attending our schools for the first time.

If you have any questions, please don’t hesitate to contact the nurse at your child’s school.  We believe that open communication is the key to our working together to keep our children healthy and learning to their fullest potential in Colonial School District.

Sincerely,

The Nursing Staff

The primary purpose of the Colonial School Health Program is the optimal maintenance, promotion, protection, and improvement of student, staff, and community health. The school nurses collaborate with students, parents/guardians, educators, staff members and other community resources to assist the student to develop competence to confidently cope with the complexities of life.

The school nurses work daily to address the physical, emotional, educational, developmental and social challenges facing our students. For some, chronic health problems may impact student achievement and success. To assist the students’ school adjustment, school nurses help other staff members understand the special needs of these students.

Changes in family structure, parental work patterns, finances and health care access have contributed to the increasing number of students arriving at school ill or injured. School nurses provide immediate primary care and strive to help parents/guardians find available community resources for any continuing student health problems.

The nurses participate in meetings with teachers, guidance counselors, administrators and parents/guardians regarding students’ education, physical and social needs. In addition to teaching on an individual and classroom basis, the school nurse acts as a resource person when any question on a medical or health-related matter arises.

It is necessary to provide the nurse with detailed written information regarding any allergies. You should include what your child is allergic to, the date and description of the last allergic reaction and any medication used during allergic reactions. If medication is required for an allergic reaction, you will need to complete the Medication Policy & Dispensing Form and deliver the medication to school in the original pharmacy container. Please note that a new Medication Policy & Dispensing Form will need to be completed and sent to school each year.

Dental Examinations

Dental exams are required for the following grades:

• Entry into school (Kindergarten/First Grade)
• Third Grade
• Seventh Grade

Click here for access to the dental exam form. 

Exams completed the school year prior to the required grades are acceptable. 

Immunizations

No immunizations are given at school. However, the school nurse must monitor each child’s immunizations and ensure they are current with the state’s guidelines. Please provide the nurse with documentation from your health care provider anytime your child receives an additional immunization.

The Pennsylvania School Health Code requires that the following immunizations be completed within five days of the start of school for a student to attend school:

• DTaP (diphtheria, tetanus and acellular pertussis): 4 doses, one given after the fourth birthday
• Polio: 4 doses, one given after the fourth birthday and at least 6 months after previous dose
• MMR (measles, mumps and rubella): two doses after 12 months of age, 
• Hepatitis B: 3 properly spaced doses, with the last dose given after age 24 weeks
• Varicella (chicken pox): 2 doses after 12 months of age or written proof of the disease from your health care provider

Additional 7^th grade requirements:

• Tdap (tetanus, diphtheria and acellular pertussis): must be given after age 11
• Meningococcal Conjugate

Additional 12^th grade requirement:

Meningococcal Conjugate: 2^nd dose if first dose given before age 16

School nurses are required to report certain infectious diseases to the local health department. The health department assists the school nurse in managing a suspected outbreak and computing statistical data for our county. Incidences of dog bites are also reportable to the local health department to ensure community safety.

Headaches

If your child has a headache, he or she will have his/her temperature checked and be allowed to rest. Medication is not routinely administered at the kindergarten through third grade level, but nursing discretion will be used on a case-by-case basis with parental consent. At fourth grade level and above, your child can be given acetaminophen or ibuprofen if parental permission has been given on the signed yearly Student Emergency form. Acetaminophen and ibuprofen may be administered according to the standing orders of the school physician.

Parent/Guardian contact

If the illness or injury is severe enough for your child to require further treatment or medical evaluation, the nurse will contact the caregiver. If indicated, the emergency medical system would be activated and your child transported to the hospital.

Each year parents/guardians are required to update their contact information in PowerSchool and their child's health information and medication permissions in the SNAP Health Portal. There a parent/guardian and emergency contact to be notified in the event of an illness or serious injury at school is designated. The emergency contact should be someone who is local, available during school hours, and can assume responsibility in a parent/guardian's absence. To assume responsibility for a sick or injured child is a serious undertaking and should be arranged by mutual consent.

Remember that emergency actions depend on correct and complete information. Please contact the school immediately with any change in this emergency information.

Injuries outside of school

The school cannot assume responsibility for injuries that did not occur at school. Caregivers are asked to refrain from asking school personnel to treat such injuries.

The Pennsylvania Guidelines regarding medications at school have recently changed. To comply with the state regulations, the following changes have been made to the Colonial School District Medication Policy. 

• Students are not allowed to transport any medication, either over-the counter or prescription, to or from school. A parent/guardian must deliver the medication to the school nursing office personally. A parent/guardian must also personally pick up all medications from school once the medication is discontinued or at the end of the school year. 
• Any medication that a parent/guardian delivers to school, either over the counter or prescription, requires the Medication Dispensing Form to be signed by both a parent/guardian AND the attending physician.  
• Students may carry an asthma inhaler, but parents/guardians must complete the Medication Policy & Dispensing Form and return it to the school nurse.

Please attempt to give any necessary medication at home.  Some over-the counter medications are kept on hand in the school nursing office.  Parents/Guardians must update consent for these medications in the SNAP Health Portal every school year so that nurses may administer them if needed.

Your child should not come to school on narcotic medication for pain management as these medications may cause dizziness, light-headedness and sedation which make it difficult for your child to function safely and effectively in school.

Students who do not comply with these changes may be subject to disciplinary action.

Click here to access the Medication Dispensing Form.

Physical Examinations

Physical exams are required for the following grades:

• Entry into school (Kindergarten/First Grade)
• Sixth Grade
• Eleventh Grade

Click here to access the Physical Exam Form.

Exams completed the school year prior to the required grades are acceptable. 

Sports Physicals

Sports physicals are given at school. Prior to the exam by the school physician, parents/guardians, along with their student must complete sections 1, 2 and 3 of the PIAA sports physical forms. These forms are available in the Main Office, the Nursing Office and may be downloaded from the Colonial School District website. Dates and times of the exams will be posted. If recommendations are made by the school physician, parents/guardians are responsible to follow-up with their health care provider. Parents have the option of having the sports physical completed by their health care provider.  Exams and paperwork must be completed prior to practicing and tryouts for the sport.

Pennsylvania Interscholastic Athletic Association (PIAA) requires only one sports physical examination for the entire school year. The exam may be completed on or after June 1^st of the current school year, and will be valid for the school year to follow. However, the exam is only valid for the sports that the parent/guardian gave permission for in Section 2 of the PIAA paperwork.  Please check this section carefully and sign off on any sport that your child may consider trying out for during the entire school year.  Since the physician’s sports clearance in based only on the sports that were signed off on in Section 2, adding a sport after the initial exam will require an additional sports physical exam.

Screenings

Hearing

Hearing screenings are conducted in kindergarten, first, second, third, seventh and eleventh grades. A referral will be sent home if any problems are detected. If your child has frequent ear infections or you have concerns at any other time, please contact the nurse.

Height and Weight

All students’ heights and weights are checked yearly. A BMI (body mass index) percentile will be calculated for each student using his/her height and weight measurements. BMI percentile is used as a guideline to help assess whether a person may be overweight or underweight. A written report of your child’s BMI percentile will be sent home to you. Results will be available for caregivers to view in the SNAP Health Portal.

Scoliosis

A screening for scoliosis (an abnormal curvature of the spine) is conducted in sixth and seventh grades. You will be notified of any abnormal findings.

Vision

Vision screening is conducted every year for all students. A referral will be sent home if any problems are detected. If you have concerns about your child’s vision at any time, please contact the nurse at your child’s school.

You can send liquid sunscreen (not aerosol) to school with your child. Your child is to apply it himself/herself. Sunscreen is not to be shared. If your child is found sharing the sunscreen with other children, the sunscreen will be taken away and you will be asked to pick it up from school.

When a child has any of the following symptoms during the night or in the morning, they should be kept home:

• Untreated rash or skin eruption anywhere on the body.
• Diarrhea
• Severe headache
• Elevated temperature (100 degrees or more) and until without temperature over 100 degrees for 24 hours without medication
• Vomiting and until ceased for 24 hours
• Under the influence of prescription pain medicine 
• Symptoms associated with COVID-19 

The above symptoms are forerunners of many different diseases. If the ailment is minor, a day or two of rest at home will usually eliminate the symptoms. If the ailment is more serious, resting at home at the onset will help to prevent complications.

Contagious Diseases

Children with the following diseases must remain at home for the designated number of days or longer if there are complications. A written excuse from the health care provider is required for any student who is absent for three consecutive days.

When your child could return

• Chicken Pox: After last blister has crusted over (usually 5 – 7 days).
• Conjunctivitis (Pink Eye): After 12 hours with proof of medical treatment and discharge has ceased.
• COVID-19: see current guidelines from Montgomery County
• E-coli: After 2 negative stools.
• Fifth’s Disease: Free from fever, generally no exclusion.
• German Measles: 4 days from onset.
• Hand, Foot, & Mouth Disease: Free from fever, after all blisters have dried.
• Hepatitis: Symptom free and MD note to return to school.
• Herpes Simplex: No general exclusion. Students with obvious skin or oral lesions should be excluded from wrestling.
• Impetigo (crusty sores): When all lesions are dry.
• Influenza: No fever for 24 hours.

Tuberculosis Testing

If your child was born in or visited (for 90 days or more) a country designated as high risk for tuberculosis, the results of a tuberculosis test must be provided before the child can start or re-enter school.