Richmond School Nurse

RICHMOND SCHOOL NURSE:  Mrs. Donna Mansolillo, RN
401-552-7470 (clinic)

401-539-2441 EXT. 2410 (School)

As the Certified School Nurse-Teacher I am here to provide direct health care to students and staff. I strive to provide a healthy environment to promote the optimal health and learning of every student.

The information provided below will:
- assist you with determining when to keep your child home from school.
-assist you with requirements for entrance into kindergarten.
-assist you with requirements for entry into school for an out-of-state student.
-notify you about annual screenings, performed by the school nurse or an outside agency.
- advise you of the Administration of Medication during School policy.
-inform you about EHCP (emergency health care plan) and IHCP (individual health care plan) developed for students that have a medical/health condition that may impact them during the school day.

When to keep your child home:

Many parents struggle with the question of when to keep a child home from school.  Here are some guidelines to assist to:

Fever:

Fever over 100.4.  Please keep your child home until fever-free for 24 hours without the use of a fever suppressant. Call the doctor if the fever is accompanied by other symptoms such as congestion, sore throat, cough, and earache, or unable to eat or drink. When the school nurse sends your child home because of an illness, due to a fever, the absence will be excused and a physician’s note will be required ONLY if the absence is excessive.

Stomach Ache, Vomiting, Diarrhea:

Vomiting: Please keep your child home the day after a vomiting episode.

Diarrhea: Uncontrolled diarrhea: Please keep your child home until normal bowel movements resume.

Strep Throat:

A student diagnosed with strep throat may return once he/she has had 3 doses of an antibiotic or 24 hours after starting the antibiotic and fever free for 24 hours with no fever suppressant. Please notify the office if your child has strep throat.

Lice:

Student may return to school the day after treatment. Please inform the nurse if your child has lice.  As a courtesy, a notice will be sent home to all parents/guardians in the affected classroom. A child with lice is never identified.  If your child has live lice I will contact you.  All family members should be monitored at least weekly for evidence of lice for 1-to-2 months after the original case.

   
Pain:

Earache:

A child with an earache frequently requires a doctor’s visit, especially if accompanied by a fever.

Headache:

If the headache is so severe that the child will not be able to concentrate on schoolwork, please keep your child home.  If the headache does not respond to acetaminophen or ibuprofen consult your child’s pediatrician.

Cold, Sore Throat, Cough:

A sore throat with a fever or swollen glands requires a doctor’s visit.

A child with cold symptoms and no temperature may come to school provided they feel well enough to learn.  If a child has a very persistent cough, it may be best to stay home until symptoms subside. Please teach your child to blow/wipe their own nose, wash their hands, and cough into their elbow.

Cough:

Keep your child home if a cough keeps them up at night, appears to get worse as their activity level increases or if they also have other symptoms, such as a fever, shortness of breath, or wheezing. You may send your child to school if the cough is just from an old cold and they feel okay otherwise. If a child with a persistent cough is in school and develops a fever (see above) or the nurse hears a wheeze, a parent/guardian will be notified and encouraged to call the pediatrician for a sick visit.

Call the doctor if the cough leads to difficulty breathing or a fever develops. If your child’s cough is due to asthma, contact the school nurse if your child needs to use an inhaler/nebulizer during school.

Conjunctivitis:

Conjunctivitis, also called “pink eye” may be a bacterial or viral infection.  Oftentimes, it may accompany a cold.  The white portion of the eye may appear red and there may be a yellow discharge that dries on the eyes.  If your child awakens with one or both eyes shut, please call the pediatrician for advice.  Children are not necessarily excluded from school if they have conjunctivitis.  However, if the drainage is profuse and the itchiness is uncomfortable, you will be notified to take your child home.

Rashes:

Please call the pediatrician for a rapidly spreading rash or a rash with a fever or behavior change.

 Please be sure that your emergency information is current and that whoever you have on your consent to release form is able and willing to come pick up a sick child.  No child will be released to anyone who is not designated on the emergency consent form.  

    
    

General Physical Examination:
According to RIGL(Rhode Island General Law):

Every student who has not been previously enrolled in a public or non-public school in the state of Rhode Island shall have a medical history and physical examination completed. This examination shall be conducted in the twelve (12) months preceding the date of school entry. A second general health examination and health clearance will be required upon entry into seventh (7th) grade. This general health examination may be performed during the sixth (6th) grade, but no later than six (6) months after entry into the seventh grade.
Effective 1 August 2015, a third general health examination and health clearance will be required upon entry into the twelfth (12th) grade.  This general health examination shall be performed after the student turns sixteen (16) years of age, and no later than six (6) months after the student enters the twelfth (12th) grade.

 

Upon entering kindergarten or within thirty (30) days of the start of the school year, the parent or guardian of each child shall present to school health personnel certification that the child, within the previous twelve (12) months has passed a vision screening conducted by a health care professional licensed by the Department of Health or has obtained a comprehensive eye examination performed by a licensed optometrist or ophthalmologist.
    
Kindergarten Requirements

All students entering Kindergarten must have the following documents:  Original birth certificate, locator card, documentation of immunizations, recent physical exam (within 12 months of entry into school) with evidence of vision screening and lead screening.

Immunization requirements for entry into Kindergarten:
DTaP-5 doses
Polio 4 doses
Hepatitis B 3 doses
MMR 2 doses
Varicella 2 doses
Recommended immunizations:
Flu: Everyone 6 months of age an older should be vaccinated every year.
Hepatitis A: All children should be vaccinated against Hepatitis A when they are 1 year old.  


New Student requirements (other than kindergartener):

All students entering Richmond Elementary school must provide the following documents:
1. Locator card.
2. Original birth certificate
3. Documentation of immunizations
4. Recent physical examination.

Annual Screenings

Screenings are performed at specific grade levels as mandated by RIGL.


Dental Screenings
are performed by a local dentist on all students, grades K-4, who do not see the dentist regularly. Students who are seen by a private dentist and who provide written documentation (documentation from a parent/guardian is acceptable) are exempt and may elect not to be screened at school. Referrals will be sent home for those students that are in need of dental care.


Hearing screenings
: All students in grades K thru 3 and any student new to the school without prior record of a hearing screening will be screened by the staff from the Rhode Island School for the Deaf.  

Vision Screening:  Vision screening is performed by the school nurse for students in grades 1 thru 4. Students entering the school during the school year will also receive a vision screening.  Kindergarten students are screened prior to kindergarten entrance. If satisfactory evidence is presented to the school nurse that the same screening has been completed within the preceding twelve (12) months by the student’s ophthalmologist, optometrist or primary care provider, the student shall be exempt from this screening requirement for the present school year.

A child failing the screening shall be given a retest on a different day (within one month) before the parents/guardians are notified of the results of the test.  Should a child fail the vision screening on the second screening, parents/guardians shall be notified to arrange for a comprehensive vision examination by an eye car provider.
Additional vision screenings include: Color and stereo-fly.  Color screening is performed once, usually at the end of grade K or the beginning of Grade 1.
Stereo fly- A vision screening to assess muscle balance/depth perception is performed in grades 1 and 2.

Administration of Medication at School

School policy requires the consent of the parent/legal guardian and a signed order from a licensed prescriber.  The prescription must include the diagnosis and directions for dispensing the medication.  Authorization form must include parental/guardian signature.  All medication must be transported to school via a parent/legal guardian.  Some pharmacists will provide 2 bottles of a prescription medication-one for home and one for school. 

 
Medical conditions:

If your child has a chronic health condition, please notify the school nurse. An Emergency Health Care Plan and Individualized Health Care Plan will be developed.  These plans assist the nurse to educate the staff to properly care for your child.


Emergency medical care:

If your child experiences a medical emergency after school hours and needs medication or has restrictions or special considerations when they return to school-please request from the attending physician a note describing the restrictions, or describing the special considerations such as the need to use crutches or the need to wear a splint.  Please request a copy of the prescription for any medication prescribed that needs to be given during school hours.

A student that has restrictions that preclude him/her from participating in physical education and/or recess will need a physician’s note to return to normal activity.