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Health Services
School nurses are employed for the purpose of rendering such services as prescribed in the Pennsylvania School Code in collaboration with the Pennsylvania Department of Health. The certified school nurse provides nursing care to the school community in accordance with current Pennsylvania nursing standards.

Direct services include:

  • Providing and documenting nursing assessment, diagnosis and treatment. Treatment is as prescribed by the school physician.
  • Performing and documenting PA State mandated screenings to include growth screenings, vision screenings, and hearing screenings.
  • Coordinating and documenting both private and school physical and dental examinations.
  • Managing and controlling acute and chronic diseases, including monitoring of required immunizations.
  • Delegating appropriately to ancillary staff the performance of care and procedures.

School health services are, in part, intended to be preventative in nature through providing individual health teaching and counseling. The duties and functions of school nurses are determined, in large part, by the health conditions of the population they serve.

The Pennsylvania School Health screening program includes the following:

  • Each student is weighed and measured every year starting in kindergarten. In addition, a Body Mass Index (BMI) for age percentile is calculated on all students.
  • Each student has a near and far vision test every year.
  • Each student has a hearing test in kindergarten and Grades 1, 2, 3, 7 and 11. Hearing tests are done yearly on those identified as special education students. In addition, hearing tests are done yearly on those students identified as having hearing problems.
  • Scoliosis screening is done in Grades 6 and 7.
Guidelines

Please consider the following guidelines when making the decision to send your child to school:

  • Fever of 100 degrees or higher. Children should be fever free (<100°) for 24 hours off of anti-fever medication before returning to school.
  • Acute cold and/or persistent cough
  • Vomiting/Diarrhea - Children should be free of symptoms for 24 hours before returning to school.
  • Inability to sleep most of the night because they don't feel well.

North Hills School District follows the Allegheny County Health Department guidance to determine when a child should return to school after an infectious illness. Listed below are a few of the more common conditions that affect school-age children.

  • Chicken Pox (Varicella) – Exclude from school until all vesicles have dried and crusted.
  • Conjunctivitis (pink eye) – Exclude from school until 24 hours after the start of appropriate treatment and all discharge is gone and eyes are dry, or until determined by a physician to be noncommunicable.
  • Flu (influenza) – Exclude from school until symptoms are gone.
  • Head Lice – Exclude from school until after first treatment. NHSD follows a No-Nit Policy and students may return to school when they are determined nit free by the school nurse.
  • Impetigo – Exclude from school until sores are no longer draining.
  • Mononucleosis - Student may return to school when fever free and able to resume normal activities.
  • Ringworm – Exclude from school until immediately after first treatment. Body lesions that are not dried should be covered.
  • Scarlet Fever/Strep Throat - Excluded from school until 24 hours after treatment is started.
Medication Policy
The law which regulates the administration of medication in the school is the same as that applies to hospitals and other institutions. The school cannot dispense or allow any child to take any medication without written permission from a physician andparent. This includes both prescription and over the counter drugs. If you anticipate or find that your child must take medicine during school hours, please obtain a copy of the medication policy and a form from the health office. All medicine, which comes to school, should be turned into the Nurse’s Office immediately upon arrival and must be in the original prescription bottle, or the original package.

Immunizations
The Allegheny County Health Department school immunization requirements are:

Immunization regulations for all students 


•4 doses of tetanus (1 dose after the Age 4 birthday)
•4 doses of diphtheria (1 dose after the Age 4 birthday)
•3 doses of polio
•2 doses of measles
•2 doses of mumps
•1 dose of rubella
•3 doses of hepatitis
•2 doses of varicella or written statement from physician/designee indicating month and year of disease or serologic proof of immunity

Grades 7 to 12 (in addition to the above)
•1 dose of tetanus/diphtheria/pertussis (Tdap)
•1 dose of meningitis vaccine (MCV4)


Provisional Enrollment

If a child has not received all of the vaccines required, the child may be provisionally admitted to school only if evidence of the administration of at least one dose of each vaccine is given to the school administrator or designee and the parent or guardian’s plan for completion of the required immunizations is made part of the child’s health record. Immunization requirements should be completed within 8 months of the date of provisional admission to school.

These requirements allow for medical reasons and religious beliefs. If your child is exempt from immunizations, he/she may be removed from school during an outbreak.

Pennsylvania’s school immunization requirements can be found in 28 PA.CODE CH.23 (School Immunization). Contact your health care provider or 1-877 PA HEALTH for more information.

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North Hills School District
135 Sixth Avenue
Pittsburgh, PA 15229
Phone: 412-318-1000 Fax: 412-318-1084
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