Overview of the School Nursing Role
School nurses promote and protect student health, facilitate optimal development, and advance academic success. Grounded in ethical and evidence-based practice, school nurses are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential (adapted from the National Association of School Nurses).
Communicable & Nuisance Conditions
Fifth's Disease (Parovirus B19)
Information from CDC for exposure while pregnant
Impetigo **Your child will not be able to attend school until seen by a physician and after 24 hours after starting antibiotics.
Scabies (English/Spanish)
Health Plans
Emergency Action & Health Plans
Our goal is to make sure that health care concerns do not become a barrier to learning. We rely on parents/guardians to notify us about any health care concerns. Appropriate emergency action plan(s) or health plan(s) will be implemented upon communication with parent/guardian. The school nurse provides and delegates care for students, to include but not limited to: medication administration, health care procedures, emergency care and triage.
Allergies
Information Sheet for Parents of Students Subject to an Anaphylactic Reaction (English/Spanish)
Physician’s Authorization for Medication at School (English/Spanish)
Asthma
Information Sheet for Parents of Students with Asthma (English/Spanish)
Physician’s Authorization for Medication at School (English/Spanish)
Seizures
Physician’s Authorization for Medication at School (English/Spanish)
General First Aid for Seizures (English)
Vagus Nerve Stimulation (English)
Diabetes
Physician’s Authorization for Diabetes Medication and Equipment at School (English)
Care for School Children with Diabetes Act: Senate Bill 911 (English)
Care for School Children with Diabetes Act: Senate Bill 911 (Spanish)
Special Diets at School
Physician and Parent Authorization for Specialized Procedure at School
Illness: When to Stay at Home
Our goal is to provide a healthy environment for all students. Please contact your school nurse or child's doctor if you are unsure if you should keep him/her home. Following are some basic guidelines.
Keep your child home if:
Temperature 100.4 Fahrenheit or greater; may return to school when fever free for 24 hours without fever reducing medication
If your child has been diagnosed with strep throat, he/she is excluded from school until 24 hours after antibiotic treatment has started.
Vomiting 2 or more episodes in the past 24 hours.
Diarrhea 2 or more loose stools in the past 24 hours.
Please do not send your Pre-K student to school if:
The child’s health care professional recommends staying home.
The child is unable to participate in activities, as normal.
The child needs more care than staff can provide without compromising the health and safety of other children.
The child has a fever (taken at armpit or orally) A child older than two months has a temperature of 101 degrees Fahrenheit or higher
The child has two or more episodes of vomiting within a 12 hour period
Immunizations
According to NC State laws, certain vaccinations are required for students to go to school. Other vaccines are recommeneded by state and county health officials in order to prevent the spread of disease and keep out schools safe and healthy. The required vaccines must be met within 30 calendar days of the first day of student's attendance.
School Based Immunization Outreach Program
For Middle and High School students only
New Hanover County's Walk-In Services & Immunization Appointments
Medications
Medication at School: A guide for Parents
Some students may need to take medication during school hours. To minimize academic disruptions, medications should be taken at home rather than at school whenever possible. New medication forms are required each school year, or when there is a change in the prescribed dose.
Physician’s Authorization for Medication at School
This form is used for prescriptions and medications not listed on the over-the-counter form. The doctor or healthcare provider will need to complete the form and a parent/guardian's signature is required. Medication(s) must be FDA approved and in the current pharmacy dispensed bottle.
Over-the-Counter Medication Parental Permission Slip
Over-the counter medicines must be listed on this form and may only be given when there is a nurse on campus. Medications must be presented in an unopened, original container and only one dose can be administered per day at school. Only the parent signature is needed.
Short -Term Prescription Medication Parental Permission Slip
The medication must be in the current pharmacy dispensed container.
Information for Parents of Students with Asthma or Students Subject to an Anaphylactic Reaction
Health Assessments
North Carolina state law requires a health assessment for all children entering public schools for the first time. The parent or guardian must provide a completed health assessment transmittal form to the school. This assessment must have been completed within 12 months of the student's first date of attendance to be valid.
Pre-K Health Assessment/Physical and Dental Screening Forms
NC Health Assessment Transmittal Form (K-12)
Formulario de transmisión de evaluación de salud de Carolina del Norte (K-12) (Spanish)
Pre-Kindergarten
NHCS Early Childhood Education Home Page
Medication Administration Topical Ointments Form
Pre-K Health Assessment/Physical and Dental Screening Forms
Please do not send your Pre-K student to school if:
The child’s health care professional recommends staying home.
The child is unable to participate in activities, as normal.
The child needs more care than staff can provide without compromising the health and safety of other children.
The child has a fever (taken at armpit or orally) of 100.4 degrees Fahrenheit or higher
The child has two or more episodes of vomiting within a 12 hour period
Sports Physicals
Each year a free physical exam is offered to the prospective middle and high school athletes.
Dates and locations will be given to the students by coaches at the high schools and middle schools and announced by the news media. Physicals must be uploaded into the Dragonfly website. No paper copies can be handed in. Students will be asked to take a picture of the original physical as the lead coach keeps the original copy. Students will not be given a copy of the completed form.
Vision, Hearing & Dental Screenings
Mobile Dental Unit Information for New Hanover and Brunswick Counties
WHAT Clinic (Wilmington Health Access for Teens) & Other Resources
WHAT Clinic (Wilmington Health Access for Teens)
Onsite locations at Southeast Area Technical High School, Career Readiness Academy at Mosley, Ashley High School, Hoggard High School, Laney High School, New Hanover High School and main site location at 4005 Oleander Drive, Wilmington. Phone number (910) 790- 9949.
School-Based Mental Health Program
The county provides licensed clinical therapists at all NHCS elementary and middle schools by referral to treat behavioral and emotional concerns. For more information about this program, please call 910-798-6510.
NHC Elementary and Middle School Therapists Phone List (PDF)
Women, Infant & Children (WIC)
A supplemental nutritional program for women, infants and children up to 5 years of age who meet health and socio-economic eligibility requirements. WIC provides healthy foods including milk, eggs, juice and vegetables, as well as nutritional information and breastfeeding promotion and support.