Student Health Services
Welcome to the student health services page. The School District of Lodi employs two full time nurses, Jean Winter and Janelle Sivam, to address the health care needs of the students in our district. If your child has a health care need please contact the nurse or office in building your student is enrolled in. The office staff in our buildings are a valuable asset to our student health services team and will convey concerns to the school nurse. Our nurse's have office hours in each building. If you would like to meet with the nurse to discuss student health concerns, please feel free to call and arrange an appointment time.
Health services the school nurses provide or are involved with:
- Managing medications your student needs while at school.
- Involved in developing 504 plans, Individual health care plans (IHP) and individual education plans (IEP).
- Responding to emergency situations.
- Coordinating complex care for students with significant medical needs while at school.
- Provide training for staff regarding medications and health care needs for students while at school.
- Serves as a health resource for school staff.
- Partners in vision and hearing screenings.
- Manages student immunization requirements for schools per Wisconsin state laws.
- Collaborating with community healthcare partners in the care of our students.
- Provides health education and health promotion within our school community.
- Health Room Visits
- Medication Policy, Procedure and Consent
- Medication Forms
- When to Keep Your Child Home
- Meningococcal Disease- Protect your Preteen and teen
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. Please have a plan for your child to be picked up from school in a timely manner.
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 to help care your your child's medical concern, and is able to reach the School Nurse if needed outside of assigned building 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.
- I understand that prescription medications require BOTH a physician and parent signature.
- 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.
- 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.
- 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.
- If there are any changes to this medication during the school year, I will notify the school.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Please take time to review so that you are aware of the medication procedures at school.
- Requires both a health care provider and parent signature.
- 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).
- 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).
When to keep your student home from school.
Guidelines for the 2023-2024 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.
SORE THROATS: Most sore throats occur due to a mild viral illness and will self-resolve. If a child has no fever and does not feel otherwise ill, they may attend school. If the sore throat is accompanied by other symptoms such as headache, stomachache, and/or rash, he/she should see their healthcare provider to rule out strep throat or other contagious illnesses. Students being treated for strep throat may return to school after a full 24 hours of treatment with an antibiotic, and feel well enough to participate in school.
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.
VOMITING: Your child should be free from vomiting episodes for a full 24 hours, and be eating and drinking well prior to returning to school. If vomiting is likely due to diagnosed reflux or is an anxiety-related symptom, contact the school nurse to discuss a plan for your student at school.
DIARRHEA: If a student has had two or more episodes of diarrhea in the past 24 hours, keep the student home from school until he or she feels better and issues are resolved. Many diarrheal illnesses are contagious. To prevent the spread of the illness in your household, make sure they wash their hands with soap and water for 20 seconds after toileting and before eating. Your child should be free from diarrheal episodes for a full 24 hours and be drinking and eating well prior to returning to school.
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. The child may wake up with a yellow/green crusty material on their eyelids if pink eye is present, it is recommended to follow up with your child’s health care provider. Follow your physician's recommendation for when to return to school.
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.
● Impetigo is a contagious superficial skin infection that looks like a crusty yellowish scab or sometimes a large blister. It can be seen anywhere on the skin but is often found around the nostrils and lips. If you suspect your child has impetigo, keep them home and follow up with your healthcare provider. They may return 24 hours after treatment with antibiotics. Keep areas covered until the discharge stops.
● Staph Infection/MRSA are commonly seen in school-aged children. Usually, it manifests as a pink or red, firm, very sore area. It may or may not have a white pustule on it. If you suspect a staph infection follow up with your child’s healthcare provider they may need treatment with antibiotics for 24 hours before returning to school. Follow the physician’s recommendation on if the wounds should be covered.
● Fifth’s Disease is a common viral rash that causes bright red cheeks (“slapped cheek disease”), followed by a pink, flat, lacy-appearing rash on the upper arms and tops of the thighs. Most children feel well with Fifth’s, and once they develop the rash are no longer contagious. They may attend school once they are in the later stages. During the first stage of illness, the child may spread the illness to others; they may have a fever, cold-like symptoms, fatigue, headache, and joint pain. The rash develops at stages 2 and 3.
● Hand foot and mouth is a common childhood illness that can often present with a fever, mouth sores, and skin rashes (blisters on hands and feet). Students may return to school once their fever has been resolved for 24 hours and their blister sores are not weeping or causing significant pain. In general, the student should be able to participate effectively in class before returning to school.
● Ringworm is caused by a fungus. Symptoms are small, red, raised, scaly spots that are itchy and grow in a circular pattern. Ringworm can be treated with antifungal creams, over the counter, such as Tinactin, Micatin, or Lotrimin. Your child may return once ringworm treatment has been initiated and it must be covered while at school during the first 72 hours.
ITCHING SCALP: Please check your student’s head for lice. If you find lice or nits (lice eggs) in their hair, treat them with medicated shampoo, and call your school’s office for an information sheet on treating your house and further prevention.
COVID- LIKE SYMPTOMS: Families can choose to obtain a COVID test if they have COVID-like symptoms. We still have some test COVID kits available in the school offices for families who request them until the end of January 2024. It is recommended to remain home and obtain a COVID test if …
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
● 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) COVID Symptoms- CDC
➢ If a student has been ill when can they return to school after having a positive COVID test?
Per the Lodi School District once they are feeling better and can participate effectively in learning.
Fever-free for 24 hours without the use of fever-reducing medication.
It has been at least 5 days since symptoms first began or a test was taken, Mask wearing is recommended through day 10 or until they have a negative home/antigen test.
■ AND they have been fever-free for 24 hours without the use of fever-reducing medication
■ AND they have improved symptoms
Call the healthroom if you have any questions for the nurse.
Primary School 608.592.3855 ext. 1004
Elementary School 608.592.3842 ext. 2103
Middle School 608.592.3854 ext. 3484
High School 608.592.3853 ext. 4484
Meningococcal Disease - Protect your child
The department (DPI) shall make available to school districts, private schools, tribal schools, and charter schools information about meningococcal disease, including the causes and symptoms of the disease, how it is spread, and how to obtain additional information about the disease and the availability, effectiveness, and risks of vaccinations against the disease. The department may do so by posting the information on its Internet site. At the beginning of the 2012-13 school year and each school year thereafter, each school board and the governing body of each private school and each charter school shall provide the parents and guardians of pupils enrolled in grade 6 in the school district or school with the information.
NOTE: Sub. (3) is repealed by 2005 Wis. Act 221 eff. the day after the legislative reference bureau publishes in the Wisconsin Administrative Register a statement that the secretary of health services has promulgated a rule under s. 252.04 (2) that requires vaccinations against meningitis
Public health authorities recommend that teenagers and college-bound students be immunized against a potentially fatal bacterial infection called meningococcal disease, a type of meningitis.
Meningococcal disease refers to any illness caused by bacteria called Neisseria meningitidis, also known as meningococcus [muh-ning-goh-KOK-us]. These illnesses are often severe and can be deadly. They include infections of the lining of the brain and spinal cord (meningitis) and bloodstream infections (bacteremia or septicemia).
These bacteria spread through the exchange of respiratory and throat secretions like spit (e.g., by living in close quarters, kissing). Doctors treat meningococcal disease with antibiotics, but quick medical attention is extremely important. Keeping up to date with recommended vaccines is the best defense against meningococcal disease.
Keeping up-to-date with recommended immunizations is the best defense against meningococcal disease. There are several vaccines that protect against the different types of N. meningitidis bacteria. Three vaccines protect against four of the five types (A, C, Y, and W-135). The Advisory Committee on Immunization Practices (ACIP) recommends children get their first dose of meningococcal vaccine when they are between 11 and 12 years and get a booster dose when they are 16 years of age. Two vaccines protect against the fifth type of N. meningitidis bacteria, strain B. The ACIP recommends this vaccine be given to people aged 16-23 years. The ideal age to vaccinate is between 16 and 18 years, to provide protection when individuals are at greatest risk of getting meningococcal disease. If a teenager missed getting the vaccine altogether, they should ask their healthcare provider about getting it before graduation, especially if they are about to move into a college dorm or military barracks.
About Meningococcal Disease
There are multiple serogroups of Neisseria meningitidis. Serogroups B, C, and Y cause the majority of disease in the United States. Serogroup W and nongroupable strains cause a small portion of disease. Meningococcal disease is often misdiagnosed as something less serious because early symptoms are similar to common viral illnesses. Symptoms of meningococcal disease may include high fever, severe headache, stiff neck, nausea, vomiting, sensitivity to light, confusion, exhaustion and/or a rash. The disease can progress rapidly and can cause death or permanent disability within 48 hours of initial symptoms.
Rates of meningococcal disease have been declining in the United States since the late 1990s. In 2017, there were about 350 total cases of meningococcal disease reported (incidence rate of 0.11 cases per 100,000 persons). Anyone can get meningococcal disease, but rates of disease are highest in children younger than 1 year old, with a second peak in adolescence. Among adolescents and young adults, those 16 through 23 years old have the highest rates of meningococcal disease.
Meningococcal disease is spread through direct contact with respiratory and/or oral secretions from infected persons (for example, kissing or sharing drinking containers). It can develop and spread quickly throughout the body, so early diagnosis and treatment are very important. Even with immediate treatment, the disease can kill an otherwise healthy young person within hours of first symptoms. Of those who survive, up to 20 percent may endure permanent disabilities, including brain damage, deafness and limb amputations.
Lifestyle factors common among teenagers, college students and military personnel are believed to put them at increased risk of contracting meningococcal disease. These lifestyle factors include crowded living situations (for example, dormitories, sleep-away camps), active or passive smoking and irregular sleeping habits. Teens should avoid sharing eating utensils and drinking out of the same container, since infections may spread through this type of close contact.
To learn more about meningococcal disease, vaccine information, and public health resources visit the following web sites.
Links to More information:
Wisconsin Public Health Department links
Jean Winter School Nurse
- Primary School
- 608-592-3855 ext1004
- Middle School
- 608-592-3854 ext 3484
- Cell phone
Janelle Sivam School Nurse
- 608-592-3842 ext. 2103
- High School
- 608-592-3853 ext. 4484
- Cell phone
Director of Student Services