Nurses' Office

Fever of 100 degrees or higher- Remain home for 24 hours after their temperature returns to normal without the use of Tylenol, Advil, Motrin, or combination cold medications, such as Dayquil
Vomiting- Remain home for 24 hours after vomiting stops
Diarrhea- Remain home for 24 hours after diarrhea stops
Persistent cough

If there is an extended absence due to illness or injury, please make the Nurse's Office aware. Doctor’s notes with a diagnosis are appreciated upon return to both Attendance and Nurse’s Offices.

ATTENTION 9TH GRADERS AND NEW ADMISSIONS TO NCCVT

A complete immunization record and physical is required upon entering school. Please send this information to the Nurse upon acceptance to NCCVT. Middle-school health records do not arrive to us in a timely manner and are often not current for their 9th-grade requirements by the State of Delaware. The following is required for school:

Physical within 2 years prior to entry into 9th grade

General-Health-Physical-Form

4-5 doses of DTaP, DTP (Diphtheria, Tetanus, Pertussis)
1 Tdap booster at age 11-12 or prior to entry into 9th grade
3-4 doses of IPV (Polio)
2 doses of Measles, Mumps, and Rubella (MMR)
3 doses of Hepatitis B vaccine
2 doses of Varicella or documented history of a student having had Chicken Pox
1 PPD/Tuberculosis skin test with results or Tuberculosis Risk Assessment
1 dose of Meningococcal (Meningitis, Menactra)

If you are coming from out of state or a private school, the following is required:

PPD/Tuberculosis skin test with results or Tuberculosis Risk Assessment within the last year

TB_Questionaire

MEDICATIONS

By law, students are not permitted to carry any medications with them at school. All medications are to be administered by the School Nurse. There must be a current emergency card on file which gives parental/guardian permission to administer over-the-counter medications. We have Ibuprofen, Tylenol, & Tums in the office. We do not provide allergy or cold medicine. If your child needs something other than these medications, see below.

Prescription Medication:

Must be brought to nurses’ office first thing in the morning
Must be in the original container displaying the current & correct pharmacy label
Must have written permission from parent/guardian

Non-Prescription Medication:

Must be brought to nurses’ office first thing in the morning
Must be in the original container & not expired
Must have written permission from parent/guardian

Parental Request to have Medication Administered in School

Parental Permission for Assistance with Medication on Field Trip

ASTHMA INHALERS AND EPI-PEN POSSESSION

Students are permitted to have discretionary use and possession of an asthmatic quick-relief inhaler or auto-injectable epinephrine with individual prescription labels. In order for the student to carry their inhaler or EpiPen, they must have the Student Possession and Use of Asthmatic Quick Relief Inhaler and/or EpiPen Form(s) (see both below) signed by the student, parent, and physician. Without this permission form, students are not permitted to carry them or keep them in their gym/sports bag. It is highly recommended that students keep back-up inhalers in the Nurse’s Office and it is required for EpiPens.

ASTHMA

An asthma Action Plan must be completed each school year. This includes students with Asthma, Exercise-Induced Asthma, or using an asthma inhaler for any reason. An extra inhaler is highly recommended to be kept in the Nurse’s Office for emergencies. The inhaler must be properly labeled with the pharmacy label and within the expiration date.

Release_Form_for_use_of_inhaler

Asthma_Action_Plan

FOOD, INSECT, OR LATEX ALLERGY

Any student with an allergy that requires the use of Benadryl or an EpiPen, is required to have a Food/Insect Allergy Plan signed by the doctor. This plan tells us what your child requires in the event of an allergic reaction and is extremely important. This plan is required at the beginning of every school year.

Release-Form-for-use-of-Epi-pen1

Food-Insect_Allergy_Form

EPILEPSY

Please make us aware that your child has seizures with a phone call. A Seizure Action Plan is required at the beginning of each school year. Please complete the Parent Questionnaire for Students with Seizures (see below). If your child plans to participate in sports, we would need an additional clearance note from their doctor.

Seizure_Action_Plan

Parent_Questionnaire_Seizure

DIABETES

Please Inform the Nurse’s Office of your child’s diagnosis prior to the start of the school year. A current copy of the Diabetic Plan is required yearly from their physician.

We will need the following supplies:

Emergency medication (with the pharmacy label) - see release form below
Insulin for daily usage (with the pharmacy label)
Extra vial/pen of insulin (with the pharmacy label) in case of an emergency
Ketone strips
Snacks and drinks for your child when glucose is low
A few water bottles for your child when glucose is high

Release-Form-for-administration-of-Glucagon

PE LIMITATION/EXCLUSION

Students requiring limitation or exclusion from PE Class need to have their physician fill out the Limited PE Form (see below). In an effort to help a student earn the required credit, a student may be placed on a limited physical education participation status if their physician approves. If the nurse and instructor have received proper documentation from a physician that fully restricts the student’s participation for a period of time exceeding ten school days, the student will receive an “M” grade and no credit for the course for that marking period.

Phys_Ed_Restriction_Form

SPORTS PHYSICALS

The Delaware Interscholastic Athletic Association (DIAA) mandates that every student must have all papers completed with all signatures, in order to be eligible to try-out and participate in any school-sponsored sport. The physical must be on the DIAA physical form only. No other forms can be substituted. Physicals must be performed yearly and performed on or after April 1st for the following school year*. It is encouraged to get your physical early and not wait until the last minute. Clearance to start practice cannot be guaranteed unless forms are received in adequate time for them to be reviewed.

The DIAA Physical Form for 2023-2024 with the COVID-19 forms can be accessed below.

Please click below to download and/or fill out the Sports Physical/DIAA Form!

DIAA-2023-24 Forms

Sports physicals can be done by your regular doctor, Wellness Center (if a member), or a walk-in clinic.

SPORTS INJURIES

All sports injuries need to be reported to the Athletic Trainer and School Nurse as soon as possible. Documentation of injuries needs to be given to both the Athletic Trainer and Nurse. Documentation would include any doctor/emergency room visits with the diagnosis, clearance note for sport, and any limitations.

GUIDELINES FOR CAREGIVER(S)-Not to replace the advice of your physician

Fever

Get extra rest and eat light meals.
Drink extra fluids every 15-60 minutes.
Ask your healthcare provider to recommend an over-the-counter medication to reduce fever. Do not take aspirin! It can cause Reyes Syndrome.
If fever persists for more than 2 days, increases to over 102 degrees or symptoms continue to worsen, contact your healthcare provider.
No school until fever-free for 24 hours without the use of fever-reducing medications.

Upper Respiratory Infection (Cold Symptoms)

Ask your healthcare provider to recommend an over-the-counter medication to ease symptoms.

Do not take aspirin! It can cause Reye's Syndrome.
Drink plenty of fluids.
Use moist air from a vaporizer to help relieve congestion.
Contact your healthcare provider if:

breathing difficulties occur
you cough up green or yellow phlegm that has a bad odor
fever persists
you feel sicker each day instead of feeling better

Nausea and Vomiting

No solids for 8 hours.
Clear liquids only (not milk) until 4 hours have passed without vomiting. Start with one tablespoon every 10 minutes. If vomiting does not occur, double the amount every hour. If vomiting does occur, allow the stomach to rest for 1 hour and then start again. The key is to gradually increase the amount of fluid until taking 8 oz every hour.
Resume a normal diet as soon as tolerated.
Contact your healthcare provider if vomiting persists or if you suspect dehydration.

Diarrhea

Drink water and/or sports drinks.
Eat the BRATT diet–Bananas, Rice, Applesauce, Tea, and Toast.
Resume a normal diet as soon as possible.
Contact your healthcare provider if cramps, diarrhea, or pain increases or persists or if you suspect dehydration.

Cuts, Abrasions, or Minor Burns

Keep the affected area clean and dry.
Change the bandage in 24 hours or sooner if it becomes soiled.
Notify the healthcare provider if signs of infection develop such as swelling, red streaking, drainage or pus, pain, or fever.
Make sure the last tetanus shot was within 10 years for minor injuries or 5 years for major cuts.

Bruises, Sprains, or Strains

Elevate and rest the affected area of the body to reduce swelling and pain.
Apply ice packs or cold compresses for 10 minutes as many times as possible to the injured area for the first 24 hours after the injury. Wrap the cold pack in a towel to minimize the risk of frostbite to the skin.
Notify your doctor immediately if the injured area becomes grossly swollen, discolored, cold, or numb, or if the injured limb is unable to bear moderate pressure or body weight.
Ask your healthcare provider to recommend an over-the-counter medication to reduce pain and inflammation.
Contact your family doctor or go to an emergency room if not better in 48 hours.

Head Injury

You should watch for any of the following signs of severe injury, in which case you should seek the advice of your healthcare provider as soon as possible.

severe headache
excessive drowsiness (unable to be awakened when asleep for 4 hours)
nausea and/or vomiting
double or blurred vision or pupils of different sizes
inability to maintain an erect posture, staggering, etc.
unusual behavior, confusion, inappropriate anger
convulsions or discharge from the ear

Addiction Help

Below are two helpful local websites in case someone you knows needs help with addiction:

http://www.attackaddiction.org/

http://www.helpisherede.com/