Heath and Medical

  • Health and Medical
    For all Health Service forms and information please see the District 6 Health Services Website.
    • District 6 has School Health Clerks who are the main care-givers in health offices in all district and charter schools.  They perform first aid and care for ill children, administer medications, perform health screenings, manage immunization and health records. They are available to answer questions and are able to contact the school Registered Nurse Consultant at all times.  Health Clerks have taken a health clerk training course and have yearly CPR, First Aid, Medication Administration, and other trainings as needed for specific student health needs.
    •  District 6 has School Registered Nurse Consultants who work as a team with health clerks, school administration and staff to provide physical, mental, and social support to help children learn. School Registered Nurse Consultants are trained with an RN-BSN and have obtained School Nurse licensure through CDE. School Nurses are responsible for preparing health care plans, documenting health histories, collaborating with special education teams on educational plans, delegating to unlicensed personnel who provide care for students, assisting with health education units, consulting with outside health providers and agencies.
    Illness/Injury and Emergency Information Accidents/Illness/Injury
    • Health office staff or other qualified personnel will administer first aid for any ill or injured student.
    If needed, parent/guardians will be contacted and in extreme cases, 911 may be called.
    •  Emergency information- PLEASE KEEP EMERGENCY CONTACT INFORMATION UPDATED WITH THE FRONT OFFICE STAFF. We need to be able to contact you if your child is ill or injured.

    Health Questionnaire / Students with Health Concerns
    • It is extremely important that the annual health questionnaire and associated Emergency Information are returned to school as soon as possible, please complete and sign all forms; including information on any medications prescribed for your child, whether or not they are given during the school day.
    • If your child must have medication of any type during school, including prescription or over-the- counter medicine (pills, syrups, cough drops, creams, ointments, inhalers, injectable), you have three choices.
    o Parents/Guardians may come to school and give it to their child at the appropriate time.
    o Parents/Guardians and health care providers may complete and sign a physician authorization
    o Parents/Guardians may discuss with their health care provider an alternative schedule so the medication can be given outside schools hours.
    • Medications of any sort (over the counter or prescription) are not to be in the possession of students, except for those with written authorization from their health care provider, their family and the school Registered Nurse Consultant.
    •  If your child will need any medication or treatment at school, please obtain a copy of the physician authorization form from the health office or download from the health services website

    Health Questionnaire / Students with Health Concerns Health questionnaires
    • It is extremely important that parents/ guardians complete the annual health questionnaire and emergency information form.
    • Students with known health concerns- the School Registered Nurse Consultants write Health Care
    Plans (HCP) for students that require specific procedures at school.
    o All students who have diabetes, seizures, severe allergies, severe asthma or who have any medication (prescription or over the counter) in school should have a HCP.  Other disorders may also have specific precautions which would require a HCP. Please contact the school Health Clerk or School Nurse if you have concerns about your child’s health.
    • Students with severe asthma, severe allergies, seizure disorder or diabetes – forms are available from the health office or on the health services website for physician completion

    • Immunizations are an important part of our children’s health care and Colorado Law requires that children going to school be vaccinated to prevent vaccine- preventable disease.  Students are not permitted to attend school with meeting immunization requirements or having a signed personal, medical, or religious exemption.
    • If parents have concerns about immunizations and vaccine safety, visit www.immunizeforgood.com the Colorado immunization program’s website is located at www.coloradoimmunizations.com
    • Schools work hard to ensure compliance with the immunization laws.  Your help in providing updated immunization records at school registration and when your child receives additional vaccine(s) is greatly appreciated.
    • Hearing and vision screenings are conducted annually by health services staff including District Audiologist. The following are screened:  Pre-K, K, 1, 2, 3, 5, all new students, and students with special education needs – per the State of Colorado guidelines.
    • Glasses when prescribed by an eye care professional are extremely crucial to student success. Please make sure students wear them daily at school. • St udent s who do not pass vision screening will receive a “referral” for follow- up care.  Students who do not pass hearing screening will continue to be monitored by the school audiologist.

    Loaned Clothing
    • The health office has a limited supply of extra clothing for accidents. Please wash and return these clothes at your earliest convenience.

    Parent Health Resources
    • Health office staff are happy to assist parents in finding health information and access to health care. School Wellness
    • Research shows that children perform better in school when they eat healthy and are physically active.  To support academic achievement and healthy living, District 6 offers exciting wellness opportunities for both students and employees.  Please visit www.greeleyschools.org/wellness.
    When to keep your child home/ Exclusion from school for health reasons
    • Healthy children learn better.  The following exclusion guidelines will be utilized to determine if a student should be sent home because of illness.

    Symptom  Exclusion Guidelines
    Cough: Recommended for students experiencing severe, uncontrolled coughing or wheezing,or difficulty breathing.

    Diarrhea: Recommended for students with other symptoms in addition to diarrhea such as: vomiting, abdominal pain, fever, the diarrhea cannot be contained in a toilet, there is blood or mucus in the stool.  Student should be diarrhea free for 24 hours without medication before returning to school.

    Fever: (defined as a temperature >100.5 F orally) Recommended if the student has symptoms in addition to the fever such as a rash, sore throat, vomiting, diarrhea, etc.  Student should be fever free for 24 hours without medication before returning to school.

    Mouth Sores: Recommended if student is drooling uncontrollably. Rash Recommended if student has symptoms in addition to the rash such as behavioral change, fever, joint pain, bruising not associated with injury, or if the rash is open and oozing.

    Stomach Ache: Abdominal Pain Recommended if the pain is severe, if the pain appears after an injury, or if the student had symptoms in addition to the stomach ache such as vomiting, fever, diarrhea, etc.

    Swollen Glands: Recommended if the student has symptoms in addition to the swollen glands such as difficulty breathing or swallowing, fever, etc.

    Vomiting: Generally recommended if the student has vomited more than 2 times in 24 hours, if the vomit is green or bloody, if the student had a recent head injury, or if the student has symptoms in addition to the vomiting such as fever, diarrhea, stomach ache, etc. Student should be vomit free for 24 hours without medication before returning to school.

    Earache: No exclusion necessary 

    Headache: No exclusion necessary. Contact nurse if headache is persistent, severe, is accompanied by other symptoms or if the student has a health care plan.

    Lice: Exclusion is for children found with live head lice only.  Data does not support school exclusion for nits (lice eggs).

    Contagious Illness: Students on antibiotics for contagious illnesses, such as strep throat, tonsillitis, bronchitis, pinkeye or pneumonia, must stay home until antibiotic has been taken for 24 hours. All skin lesions must be covered by a bandage or clothing during the school day. This may include impetigo, ring worm, scabies, and other fungal, bacterial or viral skin infections. Other considerations  Consider exclusion if: - The student is unable to participate comfortably in usual activities - The student requires more medical care than the school personnel are able to provide - The student has a high fever, behavioral changes, persistent crying, difficulty breathing, uncontrolled coughing, or other signs suggesting a severe illness. - The student is ill with a potentially contagious disease and exclusion is recommended by a health care provider, the state or local public health agency.

    Source: D6 Exclusion Guidelines 08022012 *Adapted from CDPHE - Infectious Disease Guidelines in Public Schools, Revised Dec.
    2004.  Colorado Department of Public Health and Environment. http://www.cde.state.co.us/cdesped/NurseHealth.asp#infect Health and Medical