Nurses

School Health Services



The HEALTH OFFICE (A313) is open: 8:05 a.m. to 3:35 p.m. for students with acute and chronic health issues and/or routine first aid
If the office is closed and assistance is needed outside of these hours please see an Administrator, go to the Front Desk, or to a House Assistant.

Student dismissal through the health office requires a nurse to assess for illness or injury. Students will only be dismissed home with parental permission.

HEALTH OFFICE REQUIREMENTS:
- Yearly parent permission is required for “over the counter medication” see Student Health Emergency Information Form below.

Student Health and Emergency Information Form

IMMUNIZATIONS 
School Year 21-22 required immunizations
- Menactra Vaccination
The MDPH requires all 11th graders should receive 2 doses of MenACWY.; (formerly MCV4) on or after the 16th birthday and ≥ 8 weeks after the previous dose. 1 dose is acceptable if it was given on or after the 16th birthday. Meningococcal B vaccine is not required and does not meet this requirement.
-Covid Vaccination
Vaccination is the primary tool against COVID-19. Individuals who are vaccinated against COVID-19 are less likely to develop severe illness. In most settings, vaccinated individuals can safely resume most of their daily activities. Persons 12 years of age or older are eligible for vaccination. Please use this link for information about how and where to get vaccinated.
https://www.mass.gov/covid-19-updates-and-information


CDC Vaccine Guidance: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/

As part of the MDPH the Immunization Exemptions and Vaccine Preventable Disease Exclusion Guidelines in School Settings requires that a letter be submitted annually at the beginning of the school year.

Definition of Allowable Exemptions: There are two situations in which children who are not appropriately immunized may be admitted to school:
A medical exemption is allowed if a physician submits documentation attesting that an immunization is medically contraindicated; and
A religious exemption is allowed if a parent or guardian submits a written statement that immunizations conflict with their sincere religious beliefs.

Please note that if there is an outbreak of a communicable disease, those students with exemptions may be excluded for the duration of the incubation of that particular illness.

COVID-19 PROTOCOLS
We want to advise you of additional steps that will be taken to reduce the spread of COVID-19 within the school community. These measures follow the guidelines for schools from the CDC and DESE (Department of Elementary and Secondary Education). As knowledge and understanding of COVID-19 evolves, these guidelines may change.

Hand Sanitizer: stations are located throughout the building in common areas, and hallways where school staff are commonly present. Parents are encouraged to discuss the dangers of hand sanitizer if ingested with their child. Parents may opt their child out from the use of hand sanitizer. In this case students should utilize hand washing frequently.

Illness: Parents and guardians must monitor their children prior to school for signs of illness everyday.
Students who are ill should not attend school in-person OR if they are under quarantine as a close contact to a positive COVID-19 individual. It is VERY important if your child shows any signs of illness, however minor, that they remain home under your observation.

Below is the full list of symptoms

● IF ANY ONE OF THE FOLLOWING SYMPTOMS EXIST:

o Difficulty breathing/Shortness of Breath
o New loss of taste or smell
o Diagnosis of pneumonia/ARDS
o Fever 100 F or higher

■ OR IF TWO OR MORE OF THE FOLLOWING SYMPTOMS EXIST:

o Cough (not associated to known cause)
o Chills/Rigors
o Sore throat
o Headache
o Nausea/Vomiting
o Diarrhea
o Nasal congestion/ Runny nose
o Muscle aches
o Fatigue

Please refer to the current CDC link of COVID-19 symptoms for additional reference:
https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
Get Tested: https://www.mass.gov/info-details/find-a-covid-19-test

Any student who presents with symptoms of illness to their teacher/bus driver will be sent to the health office for an illness assessment by the school nurse. After assessment, if the student has any symptoms related to COVID-19, the student will remain in a supervised waiting room and a parent/guardian will be called for the student’s immediate dismissal home. If you will be unable to pick up your child in a timely manner please designate an alternate adult to pick up your child. The parent/guardian will be advised to contact their child’s health care provider and have the student tested for COVID-19.

Pool testing: LS will be offering Optional Routine Weekly COVID-19 Safety Screening (pool testing). Informed consent must be completed and turned into the house office.
- Parent/Guardian Informed Consent Form
- 18+ and Staff Informed Consent Form

Identification of COVID-19 infection through testing has proven effective at controlling disease spread.

PROTOCOL: POSITIVE COVID-19 CASE
Self-isolation for COVID-19 positive cases is a minimum of 10 days. Most people who test positive and have a relatively mild illness will need to stay in self-isolation for at least 10 days. People who test positive can resume public activities after 10 days AND once they have: 1. Gone for 24 hours without a fever and without taking fever-reducing medications like Tylenol or Ibuprofen; and 2. Experienced significant improvement in other symptoms (for example, their cough/GI symptoms have resolved); and 3. Received clearance from public health authority contact tracers (the Local Board of Health or Community Tracing Collaborative). *Repeat testing prior to return is not recommended. Return to school should be based on time and symptom resolution per Board of Health guidance.

Close Contacts of a Positive COVID-19 Case
For general guidance, DPH defines close contact in the school setting as:
Being within 3 feet or less in the classroom or being within 6 feet in common areas of COVID-19 Positive case for at least 10-15 minutes indoors masked or unmasked.
Vaccinated individuals ARE EXEMPT from at home quarantine if they are asymptomatic.
Individuals who are masked on buses when windows are open are exempt from testing and quarantine response protocols
Unvaccinated individuals and symptomatic vaccinated individuals are required to quarantine

Refer to the below links for helpful resources for testing and isolation/quarantine guidance. Isolation versus Quarantine:
https://www.hhs.gov/answers/public-health-and-safety/what-is-the-difference-between-isolation-and-quarantine/index.html

MEDICATION ADMINISTRATION:
All medication will be stored and dispensed through the Health Office. This includes over the counter medications and prescription medications. For safety reasons, students should never transport medication to and from school or keep medicine in their possession during the school day. The parent/guardian or an authorized adult are requested to deliver medication to the health office please call ahead and we will come to your car for delivery.

If it becomes necessary for a student to take any form of medication at school, a written authorization from the parent, a medication order from a licensed prescriber, and the pharmacy labeled container are required.

Under certain circumstances, in consultation with the school nurse, a student may self-administer asthma inhalers, insulin, or Epi-pens® during the school day after receipt of an updated action plan with consent from their healthcare provider and the parent authorization form. See below for forms.

Prescriber Authorization for Prescription Medication Administration Form

Parent Authorization for Prescription Medication Administration Form

LS Asthma Action Plan

L-S Allergy Action Plan

L-S Seizure Action Plan

Any medications that are not picked up by the last day of school will be destroyed. Contact your school nurse for more information.

HEALTH SCREENINGS:
Lincoln Sudbury provides health screenings for students as required by the Massachusetts Department of Public Health. This includes postural screenings for 9th graders, as well as vision, hearing and Body Mass Index screening for 10th graders.

If your student is under care for scoliosis or you wish to opt out please use the form below.

Health Office Posture Screen Form Refusal 6 2018

SBIRT: Screening, Brief Intervention, and Referral to Treatment focuses on prevention, early detection, risk assessment, brief counseling and referral for assessment that can be utilized in the school setting.

In March, 2016, the Massachusetts Legislature enacted an Act relative to substance use, treatment, education and prevention (STEP Act) which outlines the requirements for public schools in the Commonwealth to engage in substance use screening and education. Legislation can be found at https://malegislature.gov/Laws/SessionLaws/Acts/2016/Chapter52 (see Sections 15, 63, 64, 66).

Parents will be notified prior to commencement of this screening with an opt out option. This screening is done as part of 9th grade wellness class.

All 10th grade students are required to have a physical examination on file at the health office .

EXEMPTIONS FROM WELLNESS
If a student is to be excused from a Wellness class, a signed and dated letter from a health care provider must be on file in the Health Office.