Health Office: Mrs. Grimm
grimmh@truromass.org (508) 487-1558 ext 205
Stay safe, everyone: Wear your mask in school,
practice physical distancing
and
wash your hands well!
practice physical distancing
and
wash your hands well!
Health Notes
Following is information from the TCS Health Office. Our Health Office goals are to guide each child to an understanding of their own unique and important role in promoting and maintaining self health. We welcome questions! We try to help every child help him or herself through accessible health care and education.
YOU CAN ALWAYS CALL OR EMAIL YOUR SCHOOL NURSE FOR SUPPORT AND ASSISTANCE!
SCHOOL DISTRICT WELLNESS POLICY: Please click here
HEALTH SERVICES:
Our school nurse, Helen Grimm, is a Registered Nurse who is available to implement the school health program, give individual advice on health concerns, and to provide emergency first aid Monday through Friday 8:05 AM to 3:00 PM. She may be reached by calling 487-1558, ext. 205, or by emailing grimmh@truromass.org.
SCHOOL HEALTH PROGRAM:
Classes are offered to each class throughout the school year on health related issues including health promotion, nutrition, hygiene, body systems and puberty changes (Grade 5) and reproductive health (Grade 6). The school health program strives to emphasize the connection between individual health and community health, and draws on our school garden and our unique outer cape environment as a source of inspiration and connection. Please check into the health office website for more specific information related to health lessons and your child's class.
ABSENCE:
Please notify the school before 9:30 AM if your child will be absent and tell us why. If your child has an unexplained absence, you must contact the school nurse to review symptoms before your child returns to school.
If your child has any of the signs or symptoms of COVID-19, no matter how mild, you will need to provide a negative PCR COVID-19 test result or an alternate diagnosis in order to return to school in person. (Please refer to the COVID-19 section for more information).
EMERGENCY INFORMATION:
Please complete your child’s emergency form (electronically or in writing) and return it to school. Update this information as needed throughout the school year. Remember, in the event of an emergency, medical or otherwise, the school must be able to reach you or another responsible person.
HEALTH RECORDS AND IMMUNIZATIONS:
The nurse maintains a confidential medical history on all students. To best meet your child’s health needs and to keep his/her school records up to date, please notify the school nurse of any change in health status and provide any updated immunization information.
All students entering Preschool (both virtually and remotely) need to provide a recent physical, birth certificate and complete immunization information, which includes the new flu shot requirement for the 20-21 school year.
All students entering Kindergarten (both virtually and remotely) need to provide a recent physical, birth certificate, lead test, and complete immunization information, which includes the new flu shot requirement for the 20-21 school year.
All new students transferring from another school (both virtually and remotely) need to provide a recent physical, birth certificate and complete immunization information, which includes the new flu shot requirement for the 20-21 school year.
All 4th (Fourth) Graders are required to provide a recent complete physical.
NEW- INFLUENZA VACCINE REQUIRED FOR SCHOOL ATTENDANCE (INS CHOOL OR REMOTE LEARNING)
(PK-GRADE 12)
Beginning with the 2020-2021 school year, influenza vaccine will be required by the Commonwealth of Massachusetts for all students. During the COVID-19 pandemic, influenza vaccine will be especially critical to reduce the overall impact of respiratory illness on the population, protect vulnerable populations from severe illness, and decrease the overall burden on the healthcare system. Students must receive influenza vaccine for the current season by December 31, 2020, or file a religious or medical exemption with the school health office. Children younger than age 9 may need two doses of influenza vaccine, depending on the number of influenza vaccines they have received in the past. Children should be vaccinated according to ACIP (Advisory Committee on Immunization Practices) recommendations, but only one dose of influenza vaccine is required for school attendance.
SCHOOL HEALTH SCREENING:
Each child's vision, hearing, height and weight are screened annually. You will be notified of any concerns which would necessitate medical follow-up.
POSTURAL SCREENING:
Your child’s posture will be screened for scoliosis starting in the 5th grade annually through grade 9. Referrals will be made if appropriate.
PHYSICALS:
Physicals are required to begin preschool and kindergarten, and for all new students who will be attending both in school and remote learning. Physicals are also required for all 4th graders. Fourth grade families may choose to have their child's health care provider do a physical or use the services of the school physician free of charge.
BODY MASS INDEX (BMI):
Each December /January the height and weight of all TCS 1st and 4th graders are calculated to determine students' Body Mass Index or BMI. The Commonwealth of Massachusetts requires that these results be sent home to parents and guardians. Please remember that all results should be considered in the context of overall growth and development. Also, all results are strictly confidential and will be kept in your child's health record.
For more information about body mass index and healthy living choices please visit http://www.cdc.gov/healthyweight/assessing/bmi/ and http://www.cdc.gov/healthyweight/children/. Also, please feel free to contact the Health Office with any questions or concerns.
HEAD LICE:
Please inspect your child’s hair frequently and notify the school nurse if you find any head lice or nits. Feel free to call the school nurse if you have any questions. Prevention is the key to controlling head lice, and we need your support. Perhaps in this pandemic time of physical distancing there will be a silver lining of less head lice!
MEDICATIONS:
Medications (both prescription and non prescription) should not be taken during school hours if it is possible to achieve the medication regimen at home. Medications to be taken three times daily may be administered in the morning before school, after school and at bedtime. In order to ensure student safety, no child is allowed to carry medication on his/ her person at school or on the school bus unless authorized by the school nurse.
In situations where medications must be taken during school hours, please scroll down to find our TCS Medication at School Policy.
YOU CAN ALWAYS CALL OR EMAIL YOUR SCHOOL NURSE FOR SUPPORT AND ASSISTANCE!
SCHOOL DISTRICT WELLNESS POLICY: Please click here
HEALTH SERVICES:
Our school nurse, Helen Grimm, is a Registered Nurse who is available to implement the school health program, give individual advice on health concerns, and to provide emergency first aid Monday through Friday 8:05 AM to 3:00 PM. She may be reached by calling 487-1558, ext. 205, or by emailing grimmh@truromass.org.
SCHOOL HEALTH PROGRAM:
Classes are offered to each class throughout the school year on health related issues including health promotion, nutrition, hygiene, body systems and puberty changes (Grade 5) and reproductive health (Grade 6). The school health program strives to emphasize the connection between individual health and community health, and draws on our school garden and our unique outer cape environment as a source of inspiration and connection. Please check into the health office website for more specific information related to health lessons and your child's class.
ABSENCE:
Please notify the school before 9:30 AM if your child will be absent and tell us why. If your child has an unexplained absence, you must contact the school nurse to review symptoms before your child returns to school.
If your child has any of the signs or symptoms of COVID-19, no matter how mild, you will need to provide a negative PCR COVID-19 test result or an alternate diagnosis in order to return to school in person. (Please refer to the COVID-19 section for more information).
EMERGENCY INFORMATION:
Please complete your child’s emergency form (electronically or in writing) and return it to school. Update this information as needed throughout the school year. Remember, in the event of an emergency, medical or otherwise, the school must be able to reach you or another responsible person.
HEALTH RECORDS AND IMMUNIZATIONS:
The nurse maintains a confidential medical history on all students. To best meet your child’s health needs and to keep his/her school records up to date, please notify the school nurse of any change in health status and provide any updated immunization information.
All students entering Preschool (both virtually and remotely) need to provide a recent physical, birth certificate and complete immunization information, which includes the new flu shot requirement for the 20-21 school year.
All students entering Kindergarten (both virtually and remotely) need to provide a recent physical, birth certificate, lead test, and complete immunization information, which includes the new flu shot requirement for the 20-21 school year.
All new students transferring from another school (both virtually and remotely) need to provide a recent physical, birth certificate and complete immunization information, which includes the new flu shot requirement for the 20-21 school year.
All 4th (Fourth) Graders are required to provide a recent complete physical.
NEW- INFLUENZA VACCINE REQUIRED FOR SCHOOL ATTENDANCE (INS CHOOL OR REMOTE LEARNING)
(PK-GRADE 12)
Beginning with the 2020-2021 school year, influenza vaccine will be required by the Commonwealth of Massachusetts for all students. During the COVID-19 pandemic, influenza vaccine will be especially critical to reduce the overall impact of respiratory illness on the population, protect vulnerable populations from severe illness, and decrease the overall burden on the healthcare system. Students must receive influenza vaccine for the current season by December 31, 2020, or file a religious or medical exemption with the school health office. Children younger than age 9 may need two doses of influenza vaccine, depending on the number of influenza vaccines they have received in the past. Children should be vaccinated according to ACIP (Advisory Committee on Immunization Practices) recommendations, but only one dose of influenza vaccine is required for school attendance.
SCHOOL HEALTH SCREENING:
Each child's vision, hearing, height and weight are screened annually. You will be notified of any concerns which would necessitate medical follow-up.
POSTURAL SCREENING:
Your child’s posture will be screened for scoliosis starting in the 5th grade annually through grade 9. Referrals will be made if appropriate.
PHYSICALS:
Physicals are required to begin preschool and kindergarten, and for all new students who will be attending both in school and remote learning. Physicals are also required for all 4th graders. Fourth grade families may choose to have their child's health care provider do a physical or use the services of the school physician free of charge.
BODY MASS INDEX (BMI):
Each December /January the height and weight of all TCS 1st and 4th graders are calculated to determine students' Body Mass Index or BMI. The Commonwealth of Massachusetts requires that these results be sent home to parents and guardians. Please remember that all results should be considered in the context of overall growth and development. Also, all results are strictly confidential and will be kept in your child's health record.
For more information about body mass index and healthy living choices please visit http://www.cdc.gov/healthyweight/assessing/bmi/ and http://www.cdc.gov/healthyweight/children/. Also, please feel free to contact the Health Office with any questions or concerns.
HEAD LICE:
Please inspect your child’s hair frequently and notify the school nurse if you find any head lice or nits. Feel free to call the school nurse if you have any questions. Prevention is the key to controlling head lice, and we need your support. Perhaps in this pandemic time of physical distancing there will be a silver lining of less head lice!
MEDICATIONS:
Medications (both prescription and non prescription) should not be taken during school hours if it is possible to achieve the medication regimen at home. Medications to be taken three times daily may be administered in the morning before school, after school and at bedtime. In order to ensure student safety, no child is allowed to carry medication on his/ her person at school or on the school bus unless authorized by the school nurse.
In situations where medications must be taken during school hours, please scroll down to find our TCS Medication at School Policy.
CRITERIA FOR EXCLUDING AN ILL OR INFECTED CHILD FROM SCHOOL
SIGNS & SYMPTOMS OF ILLNESS DURING THE COVID-19 PANDEMIC
Children who are ill or have a contagious disease are not allowed to attend school. Pre pandemic, students were encouraged to attend school if mildly symptomatic but that is no longer the case. Below is the full list of symptoms for which caregivers should monitor their children, and for which staff should monitor themselves:
- Please STAY HOME if you have any of the symptoms listed:
- Fever (100.0 F or higher), chills, or shaking chills
- Cough (not due to other known cause, such as chronic cough)
- Difficulty breathing or shortness of breath
- New loss of taste or smell
- Sore throat
-Muscle aches or body aches
-Nausea, vomiting, or diarrhea
-Headache (when in combination with other symptoms)
-Fatigue (when in combination with other symptoms)
-Nasal congestion or runny nose (not due to other known causes, such as allergies) (when in combination with other symptoms)
If staff or students have any of these symptoms, they should be tested and must follow the protocols outlined in the COVID-19 Section.
Illnesses spread very rapidly in a school setting. Children who come to school and exhibit any of the above symptoms will be isolated in a Medical Waiting Room until a parent/ guardian can pick them up. We require your commitment to picking your child up within 30 minutes of being contacted.
As mentioned above, any of the above stated symptoms of COVID-19, even when very mild, require that your child stay home from school, and will need to provide a negative PCR COVID-19 test or an alternate diagnosis from a health care provider, even if feeling better. Please note that while awaiting COVID test results, your child will not be able to return to school in-person, but will be able to attend remotely.
Please let the school nurse know should your child contract any contagious disease (i.e. Measles, Chicken Pox, Whooping Cough, Scarlet fever, Strep Throat, Fifth’s Disease, Conjunctivitis, Scabies, Impetigo, flu, lice or COVID-19).
Even though COVID-19 has captured our focus of late, here are
Return to School Guidelines for Other Contagious Illnesses:
Chicken Pox- five (5) days after the onset of rash or when all lesions have dried and crusted, whichever is later.
Conjunctivitis- (Pink or red conjunctiva with white or yellow eye discharge, often with matted eyelids after sleep, and eye pain or redness of the eyelids or skin surrounding the eye)- 24 hours after treatment was begun.
Diarrhea, Intestinal Tract Diseases, Infectious Diarrheal Diseases (Giardia, Shigella, Salmonella, Campylobacter)- Children who have uncontrolled diarrhea may not stay in school. Children with uncontrolled diarrhea with fever or vomiting, who have tested negative for COVID-19, need to remain home until fever and other gastro-intestinal symptoms have been resolved for at least 24 hours.
Head Lice- Students may return to school after a head lice treatment. Ideally all nits will be removed before return to school but we do NOT have a 'no-nit policy' at TCS
Hepatitis A Virus Infection- One (1) week after onset of illness and jaundice (if any) has disappeared or until immune serum globulin has been administered to appropriate children and staff in the program within two (2) weeks of exposure, as directed by the health department.
Impetigo- 24 hours after treatment was begun.
Measles- Seven (7) days after the rash appears.
Mumps- Nine (9) days after onset of gland swelling.
Pertussis- After five (5) days of appropriate antibiotic therapy has been completed.
Pinworm Infection- 24 hours after treatment was begun.
Ringworm Infection- After treatment has begun.
Rubella (German Measles)- Four (4) days after rash appears.
Scabies- After treatment has been completed.
Strep Throat- 24 hours after treatment was begun, and when the child has had a normal temperature for 24 hours.
Tuberculosis (Tb)- Until the child’s physician or local health authority states the child is noninfectious.
SIGNS & SYMPTOMS OF ILLNESS DURING THE COVID-19 PANDEMIC
Children who are ill or have a contagious disease are not allowed to attend school. Pre pandemic, students were encouraged to attend school if mildly symptomatic but that is no longer the case. Below is the full list of symptoms for which caregivers should monitor their children, and for which staff should monitor themselves:
- Please STAY HOME if you have any of the symptoms listed:
- Fever (100.0 F or higher), chills, or shaking chills
- Cough (not due to other known cause, such as chronic cough)
- Difficulty breathing or shortness of breath
- New loss of taste or smell
- Sore throat
-Muscle aches or body aches
-Nausea, vomiting, or diarrhea
-Headache (when in combination with other symptoms)
-Fatigue (when in combination with other symptoms)
-Nasal congestion or runny nose (not due to other known causes, such as allergies) (when in combination with other symptoms)
If staff or students have any of these symptoms, they should be tested and must follow the protocols outlined in the COVID-19 Section.
Illnesses spread very rapidly in a school setting. Children who come to school and exhibit any of the above symptoms will be isolated in a Medical Waiting Room until a parent/ guardian can pick them up. We require your commitment to picking your child up within 30 minutes of being contacted.
As mentioned above, any of the above stated symptoms of COVID-19, even when very mild, require that your child stay home from school, and will need to provide a negative PCR COVID-19 test or an alternate diagnosis from a health care provider, even if feeling better. Please note that while awaiting COVID test results, your child will not be able to return to school in-person, but will be able to attend remotely.
Please let the school nurse know should your child contract any contagious disease (i.e. Measles, Chicken Pox, Whooping Cough, Scarlet fever, Strep Throat, Fifth’s Disease, Conjunctivitis, Scabies, Impetigo, flu, lice or COVID-19).
Even though COVID-19 has captured our focus of late, here are
Return to School Guidelines for Other Contagious Illnesses:
Chicken Pox- five (5) days after the onset of rash or when all lesions have dried and crusted, whichever is later.
Conjunctivitis- (Pink or red conjunctiva with white or yellow eye discharge, often with matted eyelids after sleep, and eye pain or redness of the eyelids or skin surrounding the eye)- 24 hours after treatment was begun.
Diarrhea, Intestinal Tract Diseases, Infectious Diarrheal Diseases (Giardia, Shigella, Salmonella, Campylobacter)- Children who have uncontrolled diarrhea may not stay in school. Children with uncontrolled diarrhea with fever or vomiting, who have tested negative for COVID-19, need to remain home until fever and other gastro-intestinal symptoms have been resolved for at least 24 hours.
Head Lice- Students may return to school after a head lice treatment. Ideally all nits will be removed before return to school but we do NOT have a 'no-nit policy' at TCS
Hepatitis A Virus Infection- One (1) week after onset of illness and jaundice (if any) has disappeared or until immune serum globulin has been administered to appropriate children and staff in the program within two (2) weeks of exposure, as directed by the health department.
Impetigo- 24 hours after treatment was begun.
Measles- Seven (7) days after the rash appears.
Mumps- Nine (9) days after onset of gland swelling.
Pertussis- After five (5) days of appropriate antibiotic therapy has been completed.
Pinworm Infection- 24 hours after treatment was begun.
Ringworm Infection- After treatment has begun.
Rubella (German Measles)- Four (4) days after rash appears.
Scabies- After treatment has been completed.
Strep Throat- 24 hours after treatment was begun, and when the child has had a normal temperature for 24 hours.
Tuberculosis (Tb)- Until the child’s physician or local health authority states the child is noninfectious.
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PEDICULOSIS NOTICE
Now that the school year has begun, it is time to be alert to the problem of pediculosis (head lice) and their nits (eggs). Head lice are acquired innocently by the cleanest of heads and easily spread because of the proximity of children in the classroom. In an effort to control and eliminate the problem, we need the cooperation of parents.
Explanation of condition: The adult female head louse is the one that lays eggs. The eggs are stuck to individual hairs by a glue like substance. The egg hatches in five to ten days and reaches maturity in up to two weeks.
Living Pediculi (Lice): The louse is grey brown in color, approximately 1/10th to 1/8th of an inch long, and actively moves about the head causing an itchy sensation. The louse itself is not hard to kill. The many medications which may be obtained at the drug store are equally effective in killing lice.
Nits (Eggs): The nit is very hard to kill. The only sure way is to remove it from the hair to which it is attached. The nits are grey/ white in color and on first glance may look like dandruff. It the nit adhers to the hair so strongly that it must be removed with a fingernail then it is certainly a live nit.
Treatment: The pharmacist can be of assistance in selecting one of the many topical medications for killing lice. These commercial products are considered to be the swiftest and most efficient treatment, but not the only means of tackling this problem. When using the medicated shampoos, be sure to carefully follow the instructions, repeating the application as suggested on the box. Additional applications are not usually necessary. None of the medicated shampoos will kill the nits. That is why diligent fine combing is crucial to an effective treatment regimen. Part the hair into small sections and fine comb each strand from the root down. Be careful not to comb the nits onto yourself.
Disinfection: Scald combs and brushes with very hot water. Boil the fine tooth comb after use. All clothing, including hats, scarves, coats, sweaters, etc should be washed. An alternative is to put everything in the dryer on ‘hi’ for 20 minutes to kill the lice. Don’t forget all towels, sheets, blankets, bedspreads and couch throws. Stuffed animals or smaller pillows also need to be thrown in the dryer or they may be isolated in plastic garbage bags for two weeks, during which time the lice will die. And then there is the car.... Vacuum the seats and head rests. When you are all finished, try and look on the bright side at how clean you house is!
Contacts: All members of the family and family contacts should be checked and promptly treated if infected. Continue to check all members of the family routinely for at least a month.
Exclusion from school: If head lice is detected, please do not send your child to school. Also, please notify the nurse. Children seeking re-entry to school after home treatment must first report to the school nurse. If head lice is detected in school, the child may be sent home. The child may not ride on the school bus until cleared for readmittance by the school nurse.
Control: Please teach your child that a simple exchange of hats, scarves, brushes, combs, pillows and other personal items can result in the transmission of head lice from one child to another. As an added precaution, PARENTS SHOULD CHECK CHILDREN'S HEADS FREQUENTLY!
Thank you for your cooperation. Please feel free to contact the school nurse at 508-487-0943 if you have any questions or need further information.
Now that the school year has begun, it is time to be alert to the problem of pediculosis (head lice) and their nits (eggs). Head lice are acquired innocently by the cleanest of heads and easily spread because of the proximity of children in the classroom. In an effort to control and eliminate the problem, we need the cooperation of parents.
Explanation of condition: The adult female head louse is the one that lays eggs. The eggs are stuck to individual hairs by a glue like substance. The egg hatches in five to ten days and reaches maturity in up to two weeks.
Living Pediculi (Lice): The louse is grey brown in color, approximately 1/10th to 1/8th of an inch long, and actively moves about the head causing an itchy sensation. The louse itself is not hard to kill. The many medications which may be obtained at the drug store are equally effective in killing lice.
Nits (Eggs): The nit is very hard to kill. The only sure way is to remove it from the hair to which it is attached. The nits are grey/ white in color and on first glance may look like dandruff. It the nit adhers to the hair so strongly that it must be removed with a fingernail then it is certainly a live nit.
Treatment: The pharmacist can be of assistance in selecting one of the many topical medications for killing lice. These commercial products are considered to be the swiftest and most efficient treatment, but not the only means of tackling this problem. When using the medicated shampoos, be sure to carefully follow the instructions, repeating the application as suggested on the box. Additional applications are not usually necessary. None of the medicated shampoos will kill the nits. That is why diligent fine combing is crucial to an effective treatment regimen. Part the hair into small sections and fine comb each strand from the root down. Be careful not to comb the nits onto yourself.
Disinfection: Scald combs and brushes with very hot water. Boil the fine tooth comb after use. All clothing, including hats, scarves, coats, sweaters, etc should be washed. An alternative is to put everything in the dryer on ‘hi’ for 20 minutes to kill the lice. Don’t forget all towels, sheets, blankets, bedspreads and couch throws. Stuffed animals or smaller pillows also need to be thrown in the dryer or they may be isolated in plastic garbage bags for two weeks, during which time the lice will die. And then there is the car.... Vacuum the seats and head rests. When you are all finished, try and look on the bright side at how clean you house is!
Contacts: All members of the family and family contacts should be checked and promptly treated if infected. Continue to check all members of the family routinely for at least a month.
Exclusion from school: If head lice is detected, please do not send your child to school. Also, please notify the nurse. Children seeking re-entry to school after home treatment must first report to the school nurse. If head lice is detected in school, the child may be sent home. The child may not ride on the school bus until cleared for readmittance by the school nurse.
Control: Please teach your child that a simple exchange of hats, scarves, brushes, combs, pillows and other personal items can result in the transmission of head lice from one child to another. As an added precaution, PARENTS SHOULD CHECK CHILDREN'S HEADS FREQUENTLY!
Thank you for your cooperation. Please feel free to contact the school nurse at 508-487-0943 if you have any questions or need further information.
REGULATIONS CONCERNING MEDICATIONS AT SCHOOL
The purpose of these regulations is to provide a safe, consistent and reasonable approach to the taking of medication by children during school hours. Whenever possible, medicinal preparations should be given at home. Under certain conditions when medication must be taken during school hours, the following procedure is to be carried out:
1. All prescription or non-prescription (over-the-counter) medications must be accompanied by a physician's written authorization. For short-term prescription medications, i.e. those requiring administration for ten school days or fewer, a pharmacy labeled container may be used in lieu of a physician's order.
2. All medications must be accompanied by a written parental authorization for school personnel to supervise taking of the medication. School personal are not to assume the responsibility for the administering of medication by injection.
3. All medications should be in the original pharmacy container and be clearly labeled with the child's name, medication's name and dosage.
4. All medication must be brought to the school office by the child's parent or guardian*.
5. It is the responsibility of the child to come to the office and ask for his or her medication at the prescribed time.
6. During school hours and on the school bus, no child shall have any medication on his or her person unless authorized by the school nurse.
*Please call ahead to coordinate drop off with the school nurse outside the school building during the COVID-19 pandemic.
The purpose of these regulations is to provide a safe, consistent and reasonable approach to the taking of medication by children during school hours. Whenever possible, medicinal preparations should be given at home. Under certain conditions when medication must be taken during school hours, the following procedure is to be carried out:
1. All prescription or non-prescription (over-the-counter) medications must be accompanied by a physician's written authorization. For short-term prescription medications, i.e. those requiring administration for ten school days or fewer, a pharmacy labeled container may be used in lieu of a physician's order.
2. All medications must be accompanied by a written parental authorization for school personnel to supervise taking of the medication. School personal are not to assume the responsibility for the administering of medication by injection.
3. All medications should be in the original pharmacy container and be clearly labeled with the child's name, medication's name and dosage.
4. All medication must be brought to the school office by the child's parent or guardian*.
5. It is the responsibility of the child to come to the office and ask for his or her medication at the prescribed time.
6. During school hours and on the school bus, no child shall have any medication on his or her person unless authorized by the school nurse.
*Please call ahead to coordinate drop off with the school nurse outside the school building during the COVID-19 pandemic.
