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 Kindergarten Screenings!
 Kindergarten screenings are now happening in the health office for incoming kindergarteners.  Vision and hearing screenings, and an introduction to the health office are all a part of this first visit to CRS!  Don't forget, all medical paperwork is due by August 16!!!! Please call with any questions!!!
 Tick Season
Enjoy being outside, but don't forget about the threat of ticks. Ticks can carry several diseases, including Lyme disease.  This is the perfect time of the year for Tick exposure.

Wearing light-colored clothing can help you see ticks more easily. Wear closed shoes or boots, long-sleeve shirts and pants, and tuck pant legs into socks or shoes for extra protection. Pull long hair back or wear a cap. When hiking, stay on trails and avoid bushy areas with tall grass and piles of leaves.

Inspect your kids everywhere, each day, for ticks — especially in and behind ears, in the groin area, behind the knees and under the arms. Also remember to inspect pets, clothing, and camping gear, including backpacks and sleeping bags.

Use an insect repellant with 20% to 30% DEET. Always follow the directions for application carefully.





 Fifth's Disease


Several cases of Fifth’s Disease have been diagnosed at Colonial Road School.  Fifth’s Disease is a viral infection that occurs most often in elementary school-age children.   

Common Signs and Symptoms:  Low grade fever, joint pain and fatigue followed by a rash on the cheeks which gives a “slapped face” appearance.  A lacy appearing rash may extend to the rest of the body appearing and disappearing in response to environmental changes (e.g., sunlight).

 Fifths disease appears to be contagious during the week prior to the appearance of the rash.  It is not necessary to exclude students from school once the rash has appeared. 

Incubation:  1-2 weeks after exposure.


Please note: Pregnant women and those with chronic red blood cell disorders (e.g., Sickle Cell disease) should contact their primary care provider if exposed to Fifth’s disease.


 Absences from school

If your child is going to be absent you must leave a message on my voice mailbox or send me an email at jpiccoli@franklinlakes.k12.nj.us  Please leave a detailed message regarding the reason for your child's absence!!!
Health Office


Welcome to the
Colonial Road School
Nurse's Office

Jill Piccoli, RN
201-337-0336  x311
Fax- 201-337-9521
                                                             
     

 If you have any questions regarding your child please email me at


PHYSICAL EXAMINATION
Every child entering a New Jersey school is required to have a physical examination by a doctor.  The state also requires proof from your doctor that the child has received certain immunizations before entering school.  These requirements are 4 DPT, 4 Polio, and 2 MMR (Measles, Mumps, Rubella),  The last doses of DPT and Polio  must have been given after the child's fourth birthday.  In addition a varicella vaccine is required or documentation of having had the chicken pox and the hepatitis series must be completed. The full date - day, month, and year - is required for each immunization. New immunization requirements effective September, 2008 include pneumococcal and flu vaccines being required for pre-schoolers.


 Children transferring in from out of state or out of the country may need a Mantoux test as well. Please speak to the nurse to see if this is required for your child.

MEDICATION POLICY
 Sometimes medications need to be given during school hours. In school, medication can be administered only by the school nurse.  Certain procedures must be followed to ensure the safety of all children.  No medication will be given, including over-the-counter products, without parental and medical authorization for administration.   Forms may be obtained through the main office or the school nurse, or may be downloaded directly.

If your child needs to be on medication in school, please follow these guidelines:
1.  PRESCRIPTION ORDER - When you go to the doctor, have the doctor write an order and it will be filed with the school nurse.  Your physician can fax an order for medication to school.
2.  LABELED PRESCRIPTION CONTAINER - At the pharmacy, ask for a
container for school with a complete prescription label on it, or if it's an over-the-counter medication, the label on the container is sufficient.
3.  PERMISSION SLIP - The request to administer must be signed by the parent.
4.  PERSONAL ADULT DELIVERY - Parent/guardian MUST bring the medication into school personally. Do not send with your child.

SPECIAL MEDICATION CONCERNS
In some circumstances, EpiPens and inhalers may be allowed to be carried by students.  Please contact the school nurse for more specific information.
CRS Kids 009.jpg
HEALTH SCREENINGS
Required by state law height, weight, vision, hearing, blood pressure and scoliosis screenings are performed routinely, in accordance with the Department of Health.  If there is a concern during a screening, you will be notified by letter.

VISION SCREENING
All children at Colonial Road School have a vision screening annually.  If the child has difficulty, a form letter is sent home through the mail.  Please follow up with an eye doctor and return the form to the school nurse.  First graders are screened for color blindness.
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HEARING SCREENING
All children have a hearing screening done at school, according to the New Jersey State law.  If any child does meet the minimum standard, a form letter is sent home through the mail, informing the parent of the results.  If your child should bring home such a letter, please have him/her examined by your own doctor or an audiologist.  The completed form should be returned to the school nurse, so the results can be recorded in the child's health records.

SCOLIOSIS
All 5th grade students must be screened by the school nurse for the presence of scoliosis.  This screening will be repeated again in grade 7 and again in High School.  A few days before the screening, you will be notified in writing and recommendations for appropriate apparel will be given at that time.  The screening only takes a few minutes, and will be done by the nurse in the nurse's office.  If you prefer your child not be screened at school, a note from the parents stating your objections must be sent to the school nurse prior to the screening date.  
CRS Kids 001.jpg

ILLNESS
A child's ability to learn, perform and behave can depend on how a child feels physically.  We ask that sick children remain at home if their illness is, or if they may be contagious, and could cause illness in other children.  We ask your cooperation by calling the school and informing the nurse of that illness as soon as possible.

If your child becomes ill at school, the nurse will call you to pick him/her up.  If your child has special medical or health problems, please inform the school nurse.

CRS Kids 005.jpg

       WHEN TO KEEP YOUR CHILD HOME

Here are some guidelines:
TEMPERATURE:    Your child MUST remain home if he/she has a fever over 100.3º.  School policy reflects that your child be fever-free, without medication, for 24 hours before returning to school.

DIARRHEA or  VOMITING: Your child should be free of diarrhea  and vomiting for 24 hours before returning to school.

CONTAGIOUS DISEASES/ CONDITION:  Your child must remain home when he/she shows symptoms of a contagious disease such as strep throat, conjunctivitis (pink eye), flu, impetigo, ringworm, or if head lice is suspected.  Please feel free to call the school nurse if you have any questions.

NASAL DISCHARGE : If your child has copious, continuous, uncontrollable nasal discharge, this increases the risk of exposure and illness to other children and staff. Please keep your child at home until the secretions are more controlled.
   
Thank you for your cooperation in following these health precautions to protect your child and other children from illnesses.  We know it can be difficult for working parents to have a sick child at home.
CRS Kids 010.jpg
HEAD LICE POLICY
Anyone can contact head lice.  Having head lice does not indicate poor hygiene.  Head lice do not cause disease, but are a time-consuming nuisance.  If the school nurse finds evidence of head lice, the child will be sent home at the end of the day for the parent to administer treatment (Family doctors, the school nurse and pharmacists can provide treatment advice) . Upon completion of this treatment and before the child is allowed back in school, he/she must be re-examined by the school nurse.  School policies indicate that all nits (eggs) within two inches of the scalp must be removed  before returning to school.  This is a time-consuming, but necessary, task that helps ensure that the head lice do not spread to others.  Please call the school nurse if you suspect head lice, so that other children in the classroom can be monitored.

STREP THROAT
Most sore throats are caused by viruses as seen in colds or seasonal allergies. However, for children between the ages of two and eighteen, there is a tendency to develop “strep” throat.
According to literature, you can suspect “strep” if the tonsils are enlarged, and if there are white patches on the tonsils and there are big lymph nodes in the neck and under the chin. Often strep throat is accompanied by a low grade fever and either a headache or stomach ache.

The only certain way to diagnose “strep” throat is with a throat culture. The physician will usually prescribe an antibiotic such as penicillin and your child must stay out of school at least 24 hours after the medication has started and until he/she is fever free for 24 hours.
CRS Kids 011.jpg

SPECIAL HEALTH CONCERNS
If your child has a specific health concern, please notify the nurse (asthma, severe allergy, diabetes, etc.) so that appropriate measures and planning can take place specific to your child.



SUBSTITUTE NURSES ARE ALWAYS NEEDED IN OUR SCHOOL DISTRICT!!
PLEASE CALL KRISTINE GONZALEZ IN THE BOARD OF EDUCATION OFFICE, AT 201-891-1856, IF YOU ARE INTERESTED IN THIS REWARDING PROFESSION ON A PART-TIME BASIS!!!
Health Office Announcements
image
Kindergarten Screenings!
 Kindergarten screenings are now happening in the health office for incoming kindergarteners.  Vision and hearing screenings, and an introduction to the health office are all a part of this first visit to CRS!  Don't forget, all medical paperwork is due by August 16!!!! Please call with any questions!!!
image
Tick Season
Enjoy being outside, but don't forget about the threat of ticks. Ticks can carry several diseases, including Lyme disease.  This is the perfect time of the year for Tick exposure.

Wearing light-colored clothing can help you see ticks more easily. Wear closed shoes or boots, long-sleeve shirts and pants, and tuck pant legs into socks or shoes for extra protection. Pull long hair back or wear a cap. When hiking, stay on trails and avoid bushy areas with tall grass and piles of leaves.

Inspect your kids everywhere, each day, for ticks — especially in and behind ears, in the groin area, behind the knees and under the arms. Also remember to inspect pets, clothing, and camping gear, including backpacks and sleeping bags.

Use an insect repellant with 20% to 30% DEET. Always follow the directions for application carefully.





image
Fifth's Disease


Several cases of Fifth’s Disease have been diagnosed at Colonial Road School.  Fifth’s Disease is a viral infection that occurs most often in elementary school-age children.   

Common Signs and Symptoms:  Low grade fever, joint pain and fatigue followed by a rash on the cheeks which gives a “slapped face” appearance.  A lacy appearing rash may extend to the rest of the body appearing and disappearing in response to environmental changes (e.g., sunlight).

 Fifths disease appears to be contagious during the week prior to the appearance of the rash.  It is not necessary to exclude students from school once the rash has appeared. 

Incubation:  1-2 weeks after exposure.


Please note: Pregnant women and those with chronic red blood cell disorders (e.g., Sickle Cell disease) should contact their primary care provider if exposed to Fifth’s disease.


image
Absences from school

If your child is going to be absent you must leave a message on my voice mailbox or send me an email at jpiccoli@franklinlakes.k12.nj.us  Please leave a detailed message regarding the reason for your child's absence!!!
Health Office Forms:
 AsthmaTreatmentPlan-Engli
sh09.pdf
Asthma Treatment Plan
 Physical Form5-10.doc
Physician's Physical Form

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