Shawano School District

School Nurse

School Health Forms

Medication Administration Consent - This form is required before any medication can be given at school including prescription and over the counter medications. This forms is also required to be on file for students who self-carry Epipens. A new form is required every school year.
Asthma Medication Consent - Complete for asthma medications used at school, including inhalers that students self-carry. A new form is required every school year.
Vaccine Waiver Form - Use this form to select an exemption from vaccine requirements.
Dietary Accommodation - Use this form to request a dietary accommodation.
Release of Information - The medical release of information form lets your school nurse speak with your health care provider.

Too Sick for School? Use these guidelines to help you decide.

Fever - Students with a fever (temperature >100.0) are expected to stay home until they are fever free for 24 hours without the use of medication like Tylenol or ibuprofen.

Vomiting/Diarrhea - Children with gastrointestinal illness should have not vomited or had diarrhea in the past 24 hours in order to return to school.

Unexplained Rash - Contact your healthcare provider for guidance.

Contagious illness which is being treated with antibiotics - Generally, students should have 24 hours of antibiotic treatment prior to returning to school. Examples of these types of illness are; strep throat or impetigo. An ear infection is not contagious and would be an example of an exception to this rule. Other contagious illness may require a longer exclusion period, follow the recommendations of your doctor or health department.

Pink Eye (Conjunctivitis) - The American Academy of Pediatrics no longer recommends staying home from school for pink eye unless a child is unable to avoid touching his/her eye, has a fever, or the provider recommends staying home.

Other - Symptoms that prevent the student from active participation in usual school activities OR student is requiring more care than school can safely provide.

Mild cold symptoms and an occasional cough are not a reason to keep your child home from school. A general rule of thumb is if your child feels ill to the point he/she can not participate in school activities, please keep him/her home.

Sign up your child to receive dental sealants and other preventive services at school.

Shawano School District schools participate in the Wisconsin Seal-A-Smile Program to provide high-quality, school-based oral health prevention services. Dental sealants prevent 80% of cavities in back teeth, where 9 in 10 cavities occur. Sealants are a quick, easy and painless way to prevent most cavities children get and they can be applied by a dentist or dental hygienist at your child’s school. Applying sealants in schools saves your child time away from class and prevents your child from developing cavities which can cause pain, discomfort, and make eating or concentrating in class difficult. In Wisconsin, 1 in 5 children in third grade has an untreated dental disease which is preventable.

School nursing is a specialized practice of professional nursing that advances the well-being, academic success and life-long achievement and health of students. To that end, school nurses facilitate positive student responses to normal development; promote health and safety including a healthy environment; intervene with actual and potential health problems; provide case management services; and actively collaborate with others to build student and family capacity for adaptation, self-management, self advocacy, and learning (NASN, 2010)