Student Health Services

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If your student is seen in the Health Office for a significant concern during a school day, they will receive a treatment sheet. A treatment sheet reflecting your students’ health concern and the care they received will be sent home with the student. If your child comes to the health office for a very minor concern (a reported injury with no visible wound or bruise, or a social visit) a health sheet will not be sent home.

If your child has a fever 100 degree’s or over; has vomited; is experiencing diarrhea; has a rash that may be communicable; has a questionable sprain/strain or break or require stitches; has a head injury requiring medical attention, or are so ill that they will not be able to make it through an academic day, you will be notified and asked to come an get your student.

We cannot diagnose illnesses or rashes, and may request that you see your doctor in order to confirm or rule out communicable illnesses.

If diagnosed with Strep throat or Pink eye, a student must receive three doses of prescribed medication before returning to school.

Our school nurses cover multiple buildings and work as a team with the office staff /health aid in each building in the district. Our office staff is trained to assess medical situations, and is able to reach the School Nurse if needed outside of assigned hours. Each building also has a CORE team of individuals who have been trained in CPR, first aid and the use of AED (Automatic External Defibrillators). This team can be called in case of an emergency and will be the first responders prior to an ambulance arriving.

If your child is experiencing medical problems please call the school nurse as we are here to assist you and your student. 

Medication Policy, Procedure and Consent

Prescriptions medications: Required MD and parent signatures and must be kept in the office.

Over the counter medications can be given with only a parent signature as long as they are within the therapeutic dose range for the age and weight of your child. Lowest effective dose is preferred.
MS, HS and Transitional students can self-carry over the counter medications only if they are responsible, have only a travel size amount, and do not share their medication with any other students. Parent and student signatures are required on the self-carry form. All prescription medications must be kept in the office.

Parent responsibilities regarding medications at school

If at all possible, please arrange for your student to have their medication taken outside of the time they are in school. If a student needs to take medication during school hours, per state law, there are guidelines that must be followed before this can occur. Medication administration in schools is governed by Wis. Stat. sec. 118.29.

Parent responsibilities:

1. I understand that prescription medications require BOTH a physician and parent signature.
2. I understand that all medications should be delivered to the school by parent/guardian, and will be supplied in a properly labeled container. Extra prescription labeled bottles can be obtained from your pharmacy upon request for when a dose needs to be divided between home and school.
3. I understand that over-the-counter (non-prescription) medications may be administered at school with just a parent signature, only if it is being administered per the therapeutic dosage recommendations listed on the original packaging per age/weight of the child.
4. This order is in effect for this year unless otherwise indicated. A new order is required at the start of each school year and ends on the last day of summer school.
5. If there are any changes to this medication during the school year, I will notify the school.
6. I understand that when the medication at school is no longer needed, an adult will pick up the remaining medication. It will not be sent home with the student. If the medication is not picked up by a parent it will be properly disposed of according to medication safety guidelines. They only exception would be approved self-carry medications at the Middle School and High School.
7. I agree to hold the Lodi School District, it employees and agents who are acting within the scope of their duties harmless in any and all claims arising from the administration of this medication at school.
8. I request and authorize that this medication(s) be administered at school by school personnel. This will include trained personnel who are NOT registered nurses.
9. The only students who will be allowed to self –carry and administer over-the-counter medications at school are Lodi Middle School, Lodi High School, and Transitional Students with the permission to self –carry medication form on file at the school office.
10. All prescription medication must be brought into the office by an adult. Some of these medications are controlled substances that must be carefully monitored and kept in the office for administration. 
11. Inhalers, glucagon and epinephrine auto injectors are prescription medications that maybe carried by a student with a medical need. Having a supply in the office is also highly recommended to provide the school with the resources we need to care for the student in an emergency situation. 
12. Students at the Middle School, High School and Transition Students may be permitted to carry a travel size (less than 50 TABS) supply of an over-the-counter medication and self administer only if a self-carry form is on file at the school.

These policies exist for the safety of our students. We greatly appreciate your cooperation.

Please call with any questions.

Links to the Medication Forms

All medication forms are to be renewed on an annual bases. Please have a responsible adult drop off any medication needed to be kept in the school office for administration. 

• Parent Responsibilities For Medications At School.

  • Please take time to review so that you are aware of the medication procedures at school.

• Prescription Medication Form

  • Requires both a health care provider and parent signature.

• Over-the-counter/Non-Prescription Medication Forms

  • If you use this form, these medications will be kept in the office and students must come to the office to take medication.
  • Requires parent signature. Needed for students who are 5th grade and under who need non-prescription medications during the school day. Or for any MS, HS or transitional student who's parents prefer to have the medication given in the office (No self carry).

• Permission To Self Carry Form 

  • Only for Over-The-Counter Medications. Only for responsible MS, HS and Transitional students who are able to manage their own over-the-counter medication. Requires a parent and student signature. If preferred non-prescription medications maybe given in the office with only the non-prescription medication form (no self carry form is needed).

For students who have a health condition involving a health care plan please click on the links below. Allergy or anaphylaxis emergency plan- English
Allergy or anaphylaxis emergency plan- Spanish

 

 

Immunization Requirements from the  State of Wisconsin Health and Family Services

There are several immunizations that are required by the State of Wisconsin for students attending school: The State of Wisconsin has vaccine requirements for students who attend schools in our state. The  main goal is to decrease the rates of vaccine preventable diseases.  The school must have a record of your student's immunizations and the dates they were received, or a waiver must be received before the 30th day of school. If this information is not on file a legal notice will be sent. If a student does not receive the required immunizations for religious, medical or other circumstance a waiver must be filed at the school. Waivers will be reviewed on an annual bases for accuracy. Students who do not have complete immunization toward a specific illness may be excluded from school if the illness occurs among that population of students. The exclusion would occur during the time they would be at risk for contracting the illness.  If a student has already had an illness that is vaccine preventable and has natural immunity we need verification from the MD office regarding the date of illness and/or lab results showing they have natural immunization. Student Immunization Record - English Student Immunization Record - Spanish Use this link to the Wisconsin Immunization Registry to look up your students immunizations: https://www.dhs.wisconsin.gov/immunization/wir.htm

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When to keep your student home from school? 
Guidelines for the 2020-2021 School year:   

We want to keep all our students in school healthy and ready to learn. Your help is needed in this process. If your child has an illness that is contagious and can easily spread to other students  it would be best for them to stay home until they feel better. Here are some basic guidelines to help you decide when your child should stay home.

FEVER: A child should stay home if they have had a fever of 100 degrees or over in the past 24 hours. Fevers usually follow a cycle where it peaks then goes away and peaks again. During the fever cycles encourage fluid intake to keep them well hydrated. Keep students home until they are able to participate in class and are fever free for 24 hours without the use of fever reducing medications like Tylenol or ibuprofen.

• If your student is displaying other symptoms see COVID-like symptoms

SORE THROAT:  Students may attend school if they have a mild sore throat. However, if your student has a severe sore throat it could be from strep throat even if there is no fever. Children with strep may also have symptoms of a headache, stomach ache, or rash. If you suspect your child may have strep throat they will need to see a physician. Students being treated for strep throat may return to school after 3 doses or a full 24 hours of treatment with an antibiotic, and feeling well enough to participate in school. For example, if the first dose was given at 1pm then students can return to school or other activities at 1pm the next day.

• If your student is displaying other symptoms see COVID-like symptoms

SEVERE COUGH/ COLD: A severe cold with a runny nose that is draining profusely will most likely interfere with your child’s ability to engage in activities at school. If a student is coughing continuously and the coughing will be a disruption to themselves and others learning consider a call to your doctor for an assessment especially if the cough has been going on for multiple days.

• COVID-19 testing is recommended. 

VOMITING/DIARRHEA: If a student has had two or more episodes of vomiting and/or diarrhea in the past 24 hours keep the student home from school the next day. If vomiting or diarrhea is accompanied by a fever and abdominal pain contact your doctor for instructions.

• If your student is displaying other symptoms see COVID-like symptoms

PINK EYES: If the white part of the eye is significantly reddened and the child complains of itching or hurting, consider taking your child to the doctor to check for pink eye. Pink eye can be caused by a virus or bacteria. Usually it will start in one eye, but can easily spread to the other. The child may wake up with a yellow crusty material on their eyelids if pink eye is present. If the pink eye is bacterial, they can return to school after being treated for 24 hours with antibiotic drops.

Allergies can also cause reddened eyes and can be treated with antihistamines and cool compresses. A student with reddened eyes due to allergies does NOT need to stay home from school, but please inform school staff of the situation. You may also need to consult with your doctor for eye drops for allergies.

RASHES: If a rash is oozing or has areas of drainage, please have the doctor examine your child to rule out a staph infection (i.e. Impetigo, MRSA). These infections are very contagious. Your student may return to school after 24 hours of treatment with the rash covered by clothing or a band-aide. Rashes that occur within 2 days of a fever should also be evaluated by a physician

ITCHING SCALP: Please check your student’s head for lice. If you find lice or nits (lice eggs) in their hair, treat with medicated shampoo, and call your school’s office for an information sheet on treating your house and further prevention.

COVID- LIKE SYMPTOMS:

Families should keep students home and contact the school if they have COVID like symptoms:

If in the past 24 hours a student has one of the following symptoms as new or above their normal baselines:

• Shortness of breath

• Difficulty breathing

• Cough

• New loss of taste or smell

If  in the past 24 hours a student has had at least two of the following symptoms as new or above their normal baseline: 

• Fever or chills

• Muscles aches

• Headache

• Sore throat

• Fatigue

• Nasal congestion or runny nose

• Nausea or vomiting

• Diarrhea (at least 2 times within 24 hours)

In addition, per the Wisconsin and Columbia Department of Health a Human Services, if any child in your home is exhibiting COVID like symptoms all of the students who attend school at  the Lodi School District that live in your home may not attend school until the ill child and students in your household meet the following criteria. 

If a student HAS BEEN ill, when can they return to school after having COVID- like symptoms?

A student  may return to school once several criteria have been met.

1. If they were ill and had a  negative COVID-19 test

   • Are feeling better/improved symptoms,

   • AND they have been fever free for 24 hours without the use of fever reducing medication,

   • AND if diagnosed with another condition, they must have completed the exclusion period of the illness they have been diagnosed with (see Wisconsin Childhood Communicable Disease Wall Chart.).

2. If they were ill and did not  have not had a COVID-19 test 

   • It has been at least 10 days since symptoms first began

   • AND they have been fever free for 24 hours without the use of fever reducing medication.

   • AND if diagnosed with another condition, they must have completed the exclusion period of the illness they have been diagnosed with (see Wisconsin Childhood Communicable Disease Wall Chart.).

3. If they had a positive COVID-19 test 

   • It has been at least 10 days since symptoms first began or test was taken,

   • AND they have been fever free for 24 hours without the use of fever reducing medication,

   • AND they have improved symptoms

   • All who have been in close contact with this person are quarantined for 14 days.

   • Those who live in the same household (close contact) and continue to have direct contact with household members start their quarantine for 14 days once the person with a positive test has has been at least 10 days since symptoms first began, AND they have been fever free for 24 hours without the use of fever reducing medication, AND they have improved symptoms. 

   • If you are able to physically separate (live in a separate room, no shared common living area and either have your own bathroom or are able to disinfect the bathroom after the person with a positive COVID test has used it.), then the 14 day quarantine starts on the last day  of contact. 

     •  Close contact: An individual is considered a close contact of a COVID-19 positive person if any of following is true:

       • were within 6 feet of a positive person for more than 15 minutes total in a day,

       • had physical contact with the person,

       • had direct contact with the respiratory secretions of the person (i.e., from coughing, sneezing, contact with dirty tissue, shared drinking glass, food, or other personal items),

       • lives with or stayed overnight for at least one night in a household with the person.

If you have any questions please contact either:

Jean Winter RN
Cell Phone                     608.438.3100
Elementary School         608.592.3842 ext. 2103
Middle School                608.592.3854 ext. 3484
High School                   608.592.3853 ext. 4484

Rodney Barrow RN
Primary School              608.592.3855 ext. 1004

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NOTES ON LICE PREVENTION AND TREATMENT :

Facts on Lice: They live in stages: the egg, the nymph and the adult louse. Adults may be no bigger than a quotation mark and move very quickly to hide in the hair. Their color may blend with the hair, but is usually grayish-brown. If you think you see one, you probably did. The louse lives up to 30 days and the female will lay up to 100 eggs in her lifetime. Nits (as the eggs are called as they develop), will attach to the hair shaft anywhere from ½ inch from the scalp to the end of the hair strand. They attach like glue and cannot be flicked off like dandruff would be. They may look like dandruff, or creamy-colored to a light brown. The eggs hatch 7-10 days after they are laid. Other signs of lice are: itching and red marks along the nape of the infested person’s neck where the lice have bitten.

We also know that the medicated prescriptions are not effective if not used exactly how directed and also that even with perfect use, nits, and some adults, may still make it through the treatment.

PREVENTION:

Teach your child to never share hats, combs, brushes, hair ties, towels, helmets, I-pod, pillows, and sleeping bags.

Keep long hair up in a braid and coated with hair products like hairspray to coat the surface of the hair and make it harder for lice to jump on and attach. Some herbal and essential oils that have been promoted in discouraging lice are rosemary and citronella.

Do not wash the hair every day. Lice can attach easier to a squeaky clean hair shaft than a dirty one. Build up of natural oil and hair products can “coat” the hair shaft, making attaching more difficult.
Store all jackets, backpacks, etc. separately from each other.

DO WEEKLY HEAD CHECKS, and FOCUS ON HOT SPOTS: nape of neck, behind ears, part lines
WATCH FOR SYMPTOMS OF ITCHING AND RED SPOTS ALONG NAPE OF NECK.
Avoid sharing play dress up clothes, sharing helmets.
TREATMENT:

Purchase a Lice Treatment kit and shampoo at the drug store (also, online products are becoming more commonly available). Follow the directions carefully. Lice treatment shampoos are applied to dry hair. Be sure to use enough product, especially for long and/or thick hair. Part the hair each inch to make sure you are adequately coating the hair.

Check hair shafts for nits and comb and pick them off of the hair shafts. If one makes it through you will need to start all over. Cut hair shorter if very long and thick and full of nits. (Hair Salons and Barber Shops do not want you to bring in a head full of lice—you’ll have to arrange for other hair cutting options.)
Wash all clothes, brushes, stuffed toys, and bedding in hot water and send through a dryer for at least 20 minutes.

Disinfect combs and brushes and hair accessories by soaking in hot, soapy water for 10 minutes.
Vacuum rugs, carpets, mattresses, and car seats thoroughly. Bag anything else that can’t be washed in hot water for 10 days in a well-sealed garbage bag.

Covering the head with olive oil for 8 hours/through the night (ONE DAY AFTER treatment) has been found useful when combing out nits and possibly in smothering the nits that have made it through medicated RX. The next morning wash hair and remove any nits that are seen. Do the olive oil treatment for 3 nights in a row to be most effective in killing nits—keep combing and picking them out also.
RECHECK EVERY HEAD IN THE HOUSE FOR AT LEAST 14 DAYS. OFTEN, IF ONE NIT IS LEFT, THE CYCLE WILL START ALL OVER WITHIN 2 WEEKS TO A MONTH, WHEN THE LICE POPULATION BUILDS UP AGAIN ON THE HEAD. If live lice are found, start treatment cycle again. If nits are found, remove them and if you seem to be finding more each day, you may need to look for live lice again.

PLEASE LET US KNOW IF YOU FIND LICE ON YOUR STUDENT. WE CAN WALK THROUGH THE ERADICATION PROCESS WITH YOU. WE ALSO SEND OUT GENERAL REMINDER LETTERS TO PARENTS IF CASES OF LICE POP UP SO PARENTS AND STUDENTS CAN BE VIGILANT WITH PREVENTION.

Thank you Terry Haag for this helpful information.

Any questions, please call Jean Winter RN and Rodney Barrow RN