Welcome to the Nurse's Office!

Valerie Carberry Certified School Nurse

vcarberry@emersonschools.org

    Welcome to the School Nurse Webpage! This is my 12th year at Memorial School.  I received my BSN from Trenton State College (presently the College of New Jersey).  I also attended Felician College where I received dual certification for school nursing and health education.

    The school nurse tends to the medical needs of the students, exercising patience and understanding, and respecting confidentiality at all times.  She  provides quality healthcare by assuring the learning environment is safe and promoting education.  She also communicates with the adults involved in the student's care,their parents and teachers.  

    We are committed to providing services to help your child achieve and maintain a healthy lifestyle.  Use this site to access information on current illnesses plaguing the school, as well as, to keep updated on health information, issues and concerns of our elementary students. 

This year I am excited to see the many new faces, as well as all the returning students.

Required Immunizations and Physicals

All new students Pre-K students are required to submit a current physical and documentation of immunizations
All Kindergarten Students immunizations must be up to date
All students entering 3rd grade are required to submit a current physical
All students entering 6th grade are required to submit documentation of Tdap and meningococcal vaccine


Forms

5th Grade Scoliosis Screening Information:

In compliance with Public Law 2000, Chapter 97, all New Jersey school districts are to provide annual scoliosis screening programs for children ages ten to eighteen.

Scoliosis is defined as a spinal condition in which the spine may curve to the right or to the left. It is most commonly found during periods of rapid growth and may progress if not treated. The purpose of this screening program is to recognize scoliosis at its earliest stage. If your child is found to have a possible problem, you will be notified and asked to have a further examination by your private physician.


Students in fifth grade will be screened in May.  Screenings will take place during classes beginning May 1st. The anticipated schedule can be found below. All screenings will be done privately and boys and girls will be screened separately. Boys will be asked to remove their shirts and girls should wear a sports bra, camisole top, swimsuit or leotard. Students will be reminded prior to their screening so they may dress accordingly.  You will be notified only if a medical follow-up exam is necessary.


  • Monday, May 1st: 5-DeCarlo & 5- Gallucci/Jacoby

  • Tuesday, May 2nd: 5-Hill & 5-Mancino

Your child will be screened unless you request in writing that he/she be exempt.  If I do not receive this request prior to  May 1, 2017, your child will be screened for scoliosis. Please feel free to contact me at the school if you have any further questions or concerns (201-599-4178 Ext. 3600).

Mylan Provides Update on Meridian Medical Technologies’, a Pfizer Company, Expanded Voluntary Worldwide Recall of EpiPen®Auto-Injector

Recall Details:

Meridian Medical Technologies, a Pfizer company and Mylan’s manufacturing partner for EpiPen®Auto-Injector, has expanded a voluntary recall of select lots of EpiPen (epinephrine injection, USP) and EpiPen Jr® (epinephrine injection, USP) Auto-Injectors to now include additional lots distributed in the U.S. and other markets in consultation with the U.S. Food and Drug Administration (FDA).

The recall impacts certain lots of the 0.3 mg and 0.15 mg strengths of EpiPen Auto-Injector. None of the recalled lots include the authorized generic for EpiPen Auto-Injector, which is also manufactured by Meridian Medical Technologies. 

U.S. Impacted Lots:U.S. Impacted Lots:

Product/Dosage

NDC Number

Lot Number

Expiration Date

EpiPen Jr 2-Pak® Auto-Injectors, 0.15 mg

49502-501-02

5GN767

April 2017

EpiPen Jr 2-Pak® Auto-Injectors, 0.15 mg

49502-501-02

5GN773

April 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

5GM631

April 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

5GM640

May 2017

EpiPen Jr 2-Pak® Auto-Injectors, 0.15 mg

49502-501-02

6GN215

September 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM082

September 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM072

September 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM081

September 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM088

October 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM199

October 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM091

October 2017

EpiPen 2-Pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM198

October 2017

EpiPen 2-pak® Auto-Injectors, 0.3 mg

49502-500-02

6GM087

October 2017

Additional Information: 

For additional information, see the press release.

Product Replacement Instructions: 

Mylan is committed to replacing recalled devices at no cost and Mylan would like to reassure patients that there will be no additional replacement-related financial burden to them as a result of this recall. Patients, customers and distributors are being notified. We are asking patients to keep their existing product until their replacement product can be secured. 

Patients may receive either EpiPen Auto-Injector or the authorized generic for EpiPen Auto-Injector at the pharmacy as a replacement based on availability. The authorized generic has the exact same drug formulation, has the exact same operating instructions and is therapeutically equivalent to EpiPen Auto Injector, and may be substituted for EpiPen Auto Injector. 

It is important that patients continue to carry their current EpiPen Auto-Injector until they receive a replacement device.  

To return your product please contact Stericycle at 877-650-3494.

Please check back here soon for updated and additional information on the product return and replacement process.

Patient and Customer Contact: 

To return your product please contact Stericycle at 877-650-3494. If you have any additional questions regarding this recall, please contact Mylan Customer Relations at 800-796-9526 or customer.service@mylan.com.

When Should I Keep My Child Home from School?


It is often difficult to make a decision whether or not your child is sick enough to stay home from school.


Three questions you can ask to assist you with your decision:


  1. Does your child have a fever?  A child with a fever of 100° or above should be kept home from school.

  2. Is your child well enough to comfortably participate in their normal school activities?  If not, keep him/her home, they probably won’t get much out of school that day.

  3. Does your child have symptoms of a contagious illness such as strep throat, stomach virus, or pink eye?


Contact your doctor’s office, they can also provide advice if you are unsure about sending your child to school.   


A child with the following symptoms or illness should be kept home from school:

  • Fever- an elevated temperature of 100° or above. If your child’s temperature is 100° or above, keep him/her home.  A child must be fever-free for 24 hours without fever-reducing medication before he/she may return to school.

  • Diarrhea- frequent, loose or watery stools compared to your child’s normal pattern. Keep your child home until stools are formed and at least 24 hrs. after the last episode of diarrhea . Make sure the child stays hydrated.

  • Vomiting- If your child is vomiting, keep him/her home.  He/She may return after vomiting resolves (no vomiting for 24 hours/ tolerating food). Keep child hydrated.

  • Flu or Severe cough - Contact your physician. Child should stay home until no longer contagious and fever-free for 24 hours without fever-reducing medication and cleared by physician.

  • Sore throat-  If your child has been diagnosed with strep throat, he/she may not return to school until 24 hours after starting antibiotics.

  • Rashes-  a child with a rash may be a sign of a contagious disease, and should be kept home. Child may return to school with a doctor’s note.

  • Conjunctivitis (Pink eye)- is contagious. Symptoms include redness, irritation, swelling and discharge. Child may return to school 24 hours after treatment and MD clearance.



Allow your child to rest and fully recover before returning to school!






Cough Drops- Cough drops are not permitted in school. A physician's order is required for the use of cough drops in school.





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Medication Policy: 

No child is to bring medication of any kind( including cough drops and over-the -counter medications) to school unless accompanied by a note from their parent and a physician's order. Any medication that needs to be kept at school or given on a daily or weekly basis also requires a doctor's order. A medication authorization form ( link below under forms) must be completed for any medication prescribed. The physician's order must include the name of the medication, dosage and time of administration. The medication must be in it's original package or in a LABELED PRESCRIPTION bottle. Physician authorization for medication administration will remain in effect for one school year only. Any change in dosage requires a new doctor's note.

School Fax Numbers:


Villano School--201-599-7579

Memorial School--201-262-1400


Fever Policy:

Children with fever should remain home from school for 24 hours after their temperature returns to normal, without taking fever reducing medication such as Ibuprofen or Tylenol. Remember that Ibuprofen and Tylenol only reduce fever temporarily. Also, children with strep throat must remain home from school on antibiotics for at least 24 hours before returning to school. These measures will hopefully protect our students and help stop the spread of germs in the classroom. If you have any questions or concerns, do not hesitate to call the school at 201-599-4178.



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Health Services and Screenings:

Height, Weight, and Blood Pressure: Screening for height, weight, and blood pressure is performed annually for all students.

Vision: Vision screening is provided each year to all children in Grades PK, K, 2, 4, and 6 If you child does not pass his/her vision screening, a referral will be sent home with the student.

Hearing: Hearing screening is provided each year to children in Grades PK-3. If you child does not pass his/her hearing screening, a referral will be sent home with the student.

Scoliosis: Scoliosis screening is provided biennially beginning in Grade 5.

Physical Examinations: Physical exams are required for children entering PK and 3rd grade as well as for all new students entering the district.

If you have any questions or concerns, please call or e-mail me.


NJ Parent Link:
A good resource for parents and educators of early childhood services and resources...
www.njparentlink.nj.gov
Best & Worst Candy for Oral Health:
The Worst Candy for Oral Health

  • Sticky, chewy snacks like caramel, gummy bears, salt water taffy and even dried fruit get stuck in the teeth easily. The general rule is that the stickier the candy, the worse it is for your teeth.

  • Candy corn is laden with sugar that produces acid that eats away at your teeth.

  • Sour candies have high acid levels that break down tooth enamel, especially the soft enamel of young children.

  • Hard candies stay in your mouth for a long time, drenching it in sugar.

  • Jawbreakers actually are hard enough to chip your teeth!



The Best Candy for Oral Health


  • Sugar-free lollipops stimulate saliva production, which flushes away bacteria from your teeth, tongue and gums.

  • Chocolate melts quickly. Choose your favorite variety: milk, dark or white. Be sure to choose the plain variety because chocolate with fillings, such as nuts or caramel, are more harmful to your teeth.

  • Peanut butter cups are similar to chocolate in that they disappear fast.

  • Sugar-free gum helps dislodge food particles and stimulate saliva production.

Carseat/Seatbelt Safety:

New Jersey law requires that all children must use a carseat, booster seat, or seatbelt.  Below I have posted links for the latest video on Carseat/Seatbelt Safety.  I have also attached an information sheet on children’s safety in the car.

http://www.safekids.org/assets/docs/safety-basics/basic-car-seat-safety/basic-car-seat-safety-english.pdf

http://www.youtube.com/watch?v=frVWkQ-dARQ

http://www.youtube.com/watch?v=sog1keYe0Gs


Ringworm


What is ringworm? Ringworm is an infection of the skin caused by several types of fungi, it is not a worm. The scalp, feet, groin, fingernails or toenails can also be affected. Who is susceptible to ringworm? Anyone can get ringworm. Children are more susceptible to certain types of the ringworm fungi, while other types occur equally in all age groups. Ringworm involving the nails is more likely to occur following an injury to the nails. What are the signs and symptoms of ringworm? Ringworm of the body usually consists of a flat, round-like lesion, the edge of which may be dry and scaly or moist and crusted. As the lesion expands, the center portion often clears to a normal appearance. Ringworm of the scalp typically begins as a small pimple that expands with time, leaving scaly patches of temporary baldness. Infected hairs become brittle and break off easily. Occasionally, raised moist and draining lesions can occur. When finger/toe nails are affected, the nails become thickened, discolored, and brittle, or they may become chalky and disintegrate with time. How is ringworm spread? Ringworm can be transmitted indirectly by contact with objects such as hair brushes, combs, barber clippers, clothing that has contaminated hair on it, and from benches and shower stalls used by an infected person. The fungi that cause ringworm can also be transmitted by direct contact with infected people or with infected pets and livestock. How soon do symptoms occur? Ringworm of the body appears approximately 4-10 days after the infection has been acquired, while ringworm of the scalp may take about 10-14 days to become apparent. The incubation period for ringworm of the nails is unclear. How is ringworm diagnosed? Physicians may diagnose the condition by the clinical appearance of the lesion, by culturing the fungus from the site, by a microscopic examination of a bit of material taken from the lesion, or by examining the site using a special ultraviolet lamp. How is ringworm treated? Antifungal ointment applied to the skin or oral antifungal drugs can be used to treat ringworm of the body. Ringworm of the scalp or nails require prolonged treatment with oral antifungal drugs. Is a person who has already had ringworm immune to it? Because ringworm is caused by several types of fungi, infection with one species of fungus will not necessarily make a person immune to future infections. Re-infection is uncommon for ringworm of the scalp, but is frequently seen in ringworm of the nails. What can be done to prevent the spread of ringworm? Infected individuals should not share towels, hats, or clothing with others. During the time when active lesions are present on exposed areas of the body, activities involving close physical contact with others should be limited. Towels, bed linen, and clothing used by infected persons should be thoroughly laundered. Young children who are infected should minimize close contact with other children until effectively treated. In cases of ringworm of the scalp, daily shampooing will help remove loose hairs that may be infective. Hair brushes and combs should not be shared.

Head Lice:


Frequently Asked Questions:

What are head lice?

Head lice are small insects. They are very small (about 1/16 to 1/8 of an inch long), gray or white in

color and have no wings. Head lice have claws that cling to hair shafts and they spend their entire life

cycle on the heads of people sucking blood for nutrition.

What are nits?

Nits are the eggs of lice. Female lice glue the nits to the hair shaft very close to the scalp. A female

can lay 50-150 eggs over a three to four-week period.

Where are head lice found?

Head lice are rarely found off the head. They are most commonly found in the hair above and behind

the ears and near the neck. Head lice cannot live for more than 48 hours without a blood meal

therefore they do not live long off the head. Very few nits will hatch away from the head, and any

nymphs which hatch will die very soon without a blood meal.

What is the life cycle of the head louse?

Head lice eggs hatch in seven to nine days into the first nymph stage, which looks like a miniature

adult. They nymph takes a blood meal by biting the scalp soon after hatching and will feed every

three to six hours. In about nine days, the louse will have passed through two more nymphal stages

and reach the adult stage. The adult will stay on the head for its entire life.

How do people get head lice?

Head lice are usually spread by close personal contact with the hair of an infested person. Sharing

personal items such as hats, headbands, coats, or storing these items close together such as in

classrooms can spread lice. At home, sharing items such as combs, brushes, towels, soft toys and

bed sheets can also spread lice.

What are the symptoms of head lice infestation?

People with light infestations may not notice any problem. Itching is the most common symptom

caused by an allergic reaction to the bites. Other symptoms include a tickling feeling of something

moving in the hair, irritability, and sores on the head caused by scratching.

How are head lice diagnosed?

Seeing the nits or lice is the only way to confirm an infestation with lice. It requires a thorough look

at the scalp. Lice move quickly and can be hard to see. Finding nits close to the scalp is the usual

way to confirm an infestation. Finding nits that are more than 1/4 inch from the scalp usually means

that they are old and not active even though they are firmly glued to the hair.

Can head lice spread any diseases?

Head lice do not spread any diseases. Sores caused by scratching can become infected.

What is the treatment for head lice?

Over-the-counter or prescription shampoo, lotion, or cream rinse is used to treat head lice

infestations. Sometimes, a pill may be prescribed. Follow all instructions given by your health

care provider and the product label. Treatment failure is common. If active lice are seen 8 to

12 hours after treatment, call your health care provider to see if a different product should be

used.

Will the medications kill the nits?

There is no guarantee that any product will completely kill all the eggs. It is extremely

important that the hair and scalp be thoroughly checked every two to three days after

treatment. Most head lice products do not kill all of the eggs and recommend a second

treatment in 7 to 10 days after the first treatment in order to kill any lice from newly hatched

eggs.

Is it necessary to remove all the nits?

It is not necessary to remove all nits after using a head lice treatment according to package

directions because only live lice cause an infestation. People may want to remove nits for

reasons of appearance and to prevent any confusion with diagnosis.

How difficult is it to remove all the nits?

Hair should be looked at in small sections while removing nits with the nit comb (some people

prefer flea combs, fingernails or tweezers). Certain over-the-counter products and white

vinegar may help to loosen the glue holding the nits to the hair. It often takes many hours over

a period of days to remove all of the nits. Because of many reports of lice that are resistant to

products designed to kill them, it is very important to remove all nits close to the scalp.

Is cleanliness important in preventing head lice?

Infestations are not prevented by personal or household cleanliness, use of shampoos or length

of hair. All social and economic groups can be affected by head lice, but African Americans are

much less frequently infested than other racial groups.

How effective are home remedies?

Many alternatives to head lice products are promoted because of treatment failures. But, there

is little proof that these methods are effective at killing the lice and nits on the head. Some of

these remedies include olive oil, mayonnaise, tea tree oil, petroleum jelly, and hair dryers.

Never use harsh substances such as kerosene or gasoline. Do not use pesticides (bug spray)

that are not registered for treatment of lice such as diazinon.

How can my family avoid being infested?

All contacts of an infested person should be examined, but only those with live lice or nits within

1/4 inch of the scalp should be treated. Bed mates and brothers and sisters should also be

treated even if no live lice are found. The examination and treatment of contacts, if necessary,

should be done all at the same time. Treated people should be checked for at least two weeks

to be sure the lice and nits are gone. Family members should avoid sharing combs, brushes,

towels and other personal items.

What else can be done to prevent the spread of head lice?

It is probably impossible to totally prevent head lice infestations. Young children come into

close head-to-head contact with each other frequently. Children should be taught not to share

personal items such as combs, brushes and hats.

Should bug sprays be used in the home or school?

The use of bug spray in the environment is not necessary since lice do not survive for long off

the scalp. Vacuuming carpets and upholstered furniture will remove any stray lice or nits.

What is the school’s role in the prevention and control of head lice in children?

Because a child with an active head lice infestation has likely had the infestation for a month or

more by the time it is discovered, he or she should be allowed to remain in class, but be discouraged

from close direct head contact with others. The child’s parent or guardian should be

notified of the infestation that day by telephone, or by a note sent home with the child at the

end of the school day. The parent or guardian should be advised that prompt proper treatment

is in the best interest of the child and his or her classmates.

Other children in the school who were most likely to have had direct head-to-head contact with

the infested child should also be checked. Classroom or school-wide screening has not been

proven to be necessary or effective at controlling the spread of head lice.

Some schools have “no nit” policies under which a child is not allowed to return to school until

all nits are removed. The American Academy of Pediatrics and the National Association of

School Nurses discourage such policies.

Where can I get more information on head lice?

Your health care provider

Your local health department

American Academy of Pediatrics www.aap.org

National Association of School Nurses www.nasn.org

Centers for Disease Control & Prevention http://www.cdc.gov


This information is intended for educational purposes only and is not intended to replace consultation with a health care

professional.

Adapted from Centers for Disease Control and Prevention

http://www.state.nj.us/health/cd/documents/faq/headlice_faq.pdf

Revised 11/12


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Wuzzy 
Students have been introduced to Wuzzy, Memorial School's healthcare bear.  Wuzzy appears in the classroom with letters addressing various health issues such as handwashing, covering sneezes, chapped lips, and dressing for the weather.  Memorial School thanks the PTA their generous donation of the Letters to Wuzzy program.
Hello! Thank you for visiting my site. Everyone have a great year!