School Health

 

Overview

School Health Services: The Bristol-Burlington Health District nursing staff provides comprehensive school health services designed to promote and protect optimal health of Bristol school children. Frequently performed activities include: providing mandated screenings for vision and scoliosis; administering emergency care and first aid; evaluating student illness and providing nursing care; administering medication during school hours; controlling communicable diseases; and serving as a school/community/health care provider liaison.

School Dental Program: With signed consent by a parent/legal guardian, the Bristol-Burlington Health District registered dental hygienists provide an examination of teeth and gums in all elementary school children as well as a dental cleaning as needed. The dental hygienist also documents findings with recommendations for follow up care with a dentist.

Additional Resources

        • Bristol Public Schools
        • Connecticut State Department of Education
        • Family Educational Rights and Privacy Act (FERPA)

Health Assessment Requirements

                • Physical examination by Physician (M.D. or D.O.), Physician Assistant (PA), or Advance Practice Registered Nurse (APRN).
                • Documented on Health Assessment form (blue form).
                • Blank copies may be obtained from school, physician’s office, or Bristol-Burlington Health District.
                • Submit to school Health Room before the first day of school.

New Entrant

                • Health assessment/physical examination required for initial enrollment into Bristol public, private or parochial school.
                • New entrant definition: new to Bristol school district including preschoolers and all students from another private, parochial, or charter school in the same or another community.
                • One exception: students returning from private approved special education placements.

Pre-Kindergarten and Kindergarten

                • Any three (3) year old child entering a pre-kindergarten program is required to have a health assessment dated September 1 of previous year.
                • If a student enters a pre-kindergarten program as a three year old, the health assessment must be repeated before entrance into kindergarten.
                • Any four (4) year old entering pre-kindergarten for first time is required to have a health assessment dated after September 1 of previous year.
                • Any student entering kindergarten for the first time is required to have a health assessment dated after September 1 of the previous year.
                • Physical must be dated after the fourth birthday.

Grades 6/7 and Grades 9/10

Students are required to have health assessments as follows:

                • During sixth grade, as a requirement for seventh grade.
                • During ninth or tenth grade as a requirement for eleventh grade.

Students Entering From Other Connecticut Cities and Towns

                • Must have a health assessment that complies with Connecticut State Law
                • Example: health assessment must be completed at time of school entry (usually kindergarten) and during grades 6, 9, and 10.

Students Entering From Other States

                • Must have a physical examination performed within one year of entering the Bristol School system.

Students Entering From Other Countries

                • Must have a physical examination done within one year of entry into Bristol School System.
                • Physicals will be reviewed by Bristol-Burlington Health District’s School Medical Advisor or Nurse Manager.
                • Health assessments dated more than one year prior to the entry date will not be accepted.
                • Students may be required to show proof of a recent Mantoux tuberculin test and/or a negative chest x-ray.

Exemptions

                • Students exempt from having a physical examination due to religious or medical beliefs must notify school health personnel in writing.
                • Religious and medical exemption forms may be obtained at the school.

Sports Physicals

                • Required if student participates in an interscholastic sport.
                • Must be done on a yearly basis but will be valid for 13 months.
                • Sports Participation Health Record (yellow form) may not be used in place of the health assessment (blue form) nor may the blue form be used in place of the yellow form.
                • Forms can be found in your school health room.

 

Immunization Requirements

                • Proof of immunization required for all new school entrants.
                • Requirements may change from year to year.

The State of Connecticut requires the following immunizations for enrolled students in Connecticut for School Year 2014 – 2015:

                • DTaP/Tdap (Diphtheria, Tetanus, Acellular Pertussis):  Four or more doses, with 4 doses given by 18 months of age for Pre-Kindergarten & 1 dose on/after the 4th birthday for Kindergarten to grade 6. Students who start the series at age 7 or older need a total of 3 doses. Students grades 7-12 must have 1 additional booster dose of Tdap vaccine.
                • Hepatitis A: If born on or after 1/1/2007, two doses are required six calendar months apart. The 1st dose must be given on/after the 1st birthday.
                • Hepatitis B: Completion of a 3 dose series is required with the last dose on/after 24 weeks of age.
                • HIB (Haemophilus Influenzae Type B): One dose is required on/ after the 1st birthday or prior to the 5th birthday.
                • Influenza: One dose given between August 1 and December 31 each year for ages 24 months to 59 months. Two doses separated by at least 28 days are required, if receiving flu vaccine for the 1st time.
                • Meningococcal: One dose required prior to 7th grade entry and for unvaccinated students entering grade 8 through 10.
                • MMR (Measles, Mumps, Rubella): Two doses are required. One dose given on/after the 1st birthday and a 2nd dose given at least 28 days after 1st dose. The 2nd dose must be given prior to entering Kindergarten to grade 12.
                • Polio: Three doses or more, with 3 doses by 18 months of age required for Pre-Kindergarten & 1 dose given on/after 4th birthday for Kindergarten through grade 12.
                • Pneumococcal: If born on or after 1/1/2007, one dose is required on/after the 1st birthday for children less than 5 years old.
                • Varicella (Chickenpox):  One dose required on/after the 1st birthday. The 2nd dose separated by at least 3 months must be given prior to entering Kindergarten to grade 3 and grade 7 through grade 12. If a student has a history of a diagnosis of Varicella or Herpes Zoster, then a written statement signed and dated by a health care provider is required.

Immunization Exemption

                • Physician must provide statement when a student is exempt for a medical reason from receiving vaccine.
                • Parent/legal guardian is also required to sign a form (Immunization Exemptions and Exclusions from School-Medical Exemption Form).
                • Parent/legal guardian seeking religious exemption is required to sign Religious Exemption Form.
                • These forms can be found at the school.

Immunization Clinic

                • Bristol-Burlington Health District operates an Immunization Clinic for residents of Bristol and Burlington.
                • The clinic is currently held weekly on Monday from 2:30-4:00 PM and other hours by appointment.
                • For more information call the Health District at 860-584-7682.

Medication Policy

                • Strictly enforced.
                • All prescription and over the counter medication (including cough drops, Tylenol, Advil, cold and cough preparations) shall be administered by licensed personnel (registered nurses) or in the absence of licensed personnel, by principals and certified teachers who have been trained to administer medication.
                • Students are allowed to self-administer medication with written authorization from physician, dentist, advanced practice nurse practitioner, or physician assistant and a parent/legal guardian.
                • Medication self-administration with supervision is not available.
                • If the situation is deemed unsafe for self-administration, medication will be administered by the nurse or properly trained school personnel.

Prescription and Over the Counter Medications

                • Connecticut State Law requires a written order signed by a physician, dentist, advance practice nurse, or physician assistant accompany prescription medication and over the counter medication.
                • Parent/legal guardian is also required to sign authorization.
                • “Authorization for the Administration of Medication “ forms are available in the  school Health Room.
                • Prescription medication  must be in original pharmacy prepared container and labeled with the student’s name, medication name, strength, dosage, frequency and prescriber’s name and date of prescription.
                • If the same medication is given at home and school, you may wish to request that the pharmacist prepare two separate bottles.
                • A maximum 90 day supply should be brought to school by parent/legal guardian, not by the student.
                • Over the counter medication must be brought in an unopened container by parent/legal guardian.
                • At end of the school year, medications must be picked up by parent/legal guardian or they will be destroyed.
                • Medications will not be released to students.

Self-Administered Medications

                • Under certain circumstances students may self-administer medications.
                • Permission to self-administer medications must be provided by physician, dentist, advance practice nurse, physician assistant along with parent/legal guardian signature on the written authorization form.
                • Permission may be limited or revoked if nurse, principal or certified teacher deems self-administration is unsafe.
                • For more information, contact school nurse.

 

Student Health Screenings

                • Purpose is not to diagnose a particular condition but identify situations when further evaluation needed.
                • Mandated by Connecticut State Law.
                • Screenings performed are hearing, vision, and scoliosis.

Hearing Screening

                • Performed to identify students who may have hearing problems or middle ear disease.
                • Screening performed at time of kindergarten, 6th or 7th grade and 9th or 10th grade health assessment.
                • Audiometric screening required by trained school personnel annually in kindergarten through 3rd grade, 5th and 8th grade.

Vision Screening

                • Performed to identify students who may have difficulty seeing and to refer those students to a physician.
                • Annual vision screenings are .performed on all students in kindergarten, grades 1-6 inclusive, and grade 9.

Scoliosis (Postural) Screening

                • Helps identify problems of the spine.
                • Early identification and referral can prevent serious deformity.
                • Performed in grades 5-9 and at time of 6th or 7th grade and 9th or 10th grade health assessments.

Frequently Asked Questions

When should I keep my child home from school?

                • When child complains of being sick.
                • Symptoms such as sore throat, head cold, diarrhea, vomiting, fever greater than 100 degrees F within last 24 hours.
                • If child had dose of Tylenol or Ibuprofen in morning. Medication will wear off and fever will return.
                • More difficult situation when child complains of being sick in morning, but does not appear to have symptoms. Use your best judgment in those situations.

When are students sent home from school?

                • Fever of 100 degrees or higher.
                • A complaint of severe nausea, vomiting, stomach aches, headache, or sore throat, and appears to be sick.
                • Presence of head lice, head lice nits, or conjunctivitis (pink eye).
                • Infectious diseases such as chickenpox and impetigo.

When will students not be sent home?

                • A compliant of nausea, stomach aches, headache or sore throat, but who do not act sick when lying down in Health Room (playful, talkative and active).

When my child has been home sick, when can they return to school?

                • Once symptoms have stopped and they are fever free (temperature less than 100 degree F) for 24 hours.
                • If child has a fever in evening/night before, please do not send child to school in morning even if fever is down first thing in morning. Often early morning temperatures are a degree or two lower than afternoon temperatures.

When will I be called by the school health room staff?

                • If child is sick (vomiting, diarrhea, temperature over 100 degree F), has head lice, or a problem such as a rash not previously identified that was brought to the attention of Health Room staff.
                • For injuries of significance (small scrapes will be treated without calling), any changes in known health conditions, and any health conditions not responding as expected to medications/treatments provided in Health Room.
                • If Health Room staff is worried about a behavior or behavior change.

When reporting my child is sick, what should I report to school?

                • Let school staff know what is wrong with child.
                • Try to be as specific as possible. Example: let school health staff know if he/she has fever, diarrhea, or head cold.
                • When a physician diagnoses a  contagious illness such as strep throat, mononucleosis, meningitis, Shigella, ringworm, scabies, influenza, or any childhood disease such as chickenpox or Fifth’s disease.
                • When the child is admitted to a hospital.

When my child has had head lice, when can they return to school?

            • When your child has been treated with an anti-lice product such as RID or NIX and all lice and nits (eggs) have been removed from their head.
            • Rechecks will be done by Health Room staff before child allowed to return to school.
            • For more information about elimination of head lice, contact Health Room staff.