Health Services
School Nurse: Heidi Hiltz, M.E.d, BSN, RN
Email: hhiltz@norfolkaggie.org
Phone: 508-668-0268 ext. 12106
Fax: 774-256-9409
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The School Nurse provides the following services:
The School Nurse provides the following services:
Individualized health care planning and case management for students with special health care needs
Health and wellness promotion
Illness and injury prevention, assessment, and intervention
Medication administration and nursing procedures
Communicable disease prevention and control
Notify the School Nurse Immediately Regarding:
Notify the School Nurse Immediately Regarding:
New medication and/or dosing change.
New medical diagnosis or allergies.
Serious injury, illness, or hospitalization.
Planned surgery.
Communicable diseases, i.e., chicken pox, strep throat, scarlet fever, or fifth disease.
New diagnosis or change in your child’s health status.
Fracture, sprain, stitches, cast, or crutches.
When To Keep Your Sick Child At Home:
When To Keep Your Sick Child At Home:
Guidelines on when to stay home. If your child presents with symptoms during the school day, it can result in dismissal.
Temperature over 100 degrees.
If your child has a contagious illness such as the flu, strep throat, or conjunctivitis (pink eye)
Cold symptoms, sore throat. earache, vomiting, diarrhea, coughing, stomachaches.
Child has an upper respiratory illness with significant coughing and/or nasal discharge.
Please check your child’s temperature; a child should be "fever-free" for twenty-four hours without taking a fever-reducing medication such as Tylenol or Advil before returning to school.
Medication Administration
Medication Administration
PLEASE DO NOT SEND ANY MEDICATION TO SCHOOL WITH YOUR CHILD
STUDENTS ARE NOT PERMITTED TO CARRY ANY MEDICATIONS IN THEIR POSSESSION EXCEPT FOR EPIPENS AND INHALERS WITH PHYSICIAN AND PARENTAL CONSENT
The following is an overview of the medication policies in place to ensure the health and safety of students who may need to take medications in school.
Contact the nurse to inform the student will be taking medications while at school.
Complete the parent/guardian consent for prescription medication form provided above.
A written order from a licensed provider is required for prescription medications for the current school year.
For short-term medications, such as antibiotics, requiring administration for 10 or fewer school days, the pharmacy-labeled container may be used in lieu of a physician-signed medication order; the parent/guardian consent for prescription medication form is required. Whenever possible, short-term antibiotics should be given at home.
Medication is to be delivered to school by a parent or a responsible adult. If that is not possible, please contact the nurse to make alternative arrangements.
Medication must be in a pharmacy- or manufacturer-labeled container.
No more than a 30-day school-day supply of medicine should be delivered to the school.
There is no nurse present before or after school hours; students do not have access to their medications during those hours.
Forms are kept on file in the nurse's office and must be updated each current school year.
Medications must be picked up at the end of the school year.
Medications must be picked up at the end of the school year.
Medical Excuses
Medical Excuses
Per Massachusetts State Law Part 1, Title XII, Chapter 71, Section 3, a doctor’s note is required when your child is unable to participate in physical education classes. The note should include a diagnosis (reason for the excuse), and length of time the student will be out of gym. If the student had a significant injury and has been incapacitated for a lengthy period of time, then they will need clearance by their doctor for return to gym or sports. Accommodations will be made for students' activities on campus based on physician guidelines. This is extremely important for their vocational classes.
New Student Requirements
New Student Requirements
Documentation of a physical exam done by the student's primary care physician. The exam should be dated within 1 year prior to entrance into school.
Documentation of all required immunizations.
Completion of the Report of Health History.
Physical Exams/Immunizations
Physical Exams/Immunizations
MA General Law, Chapter 71, Section 57 requires physical exams and immunizations for all students upon entry into school and at certain intervals thereafter. Physical exams are required upon enrollment and Grade 10. Physical forms can be faxed, mailed, or dropped off at the school. This form must be signed and dated by the child’s physician, not printed from the health portal.
For 11th-grade entry in Massachusetts, students must have received two doses of the meningococcal conjugate vaccine (MenACWY). Alternatively, one dose is acceptable if it was administered on or after the student's 16th birthday. Please provide proof of administration to the Nurse's Office.
Sports
Sports
MIAA requires an updated physical form to participate in school sports. Physicals are good for 13 months. The student must have an updated physical on file in the Nurse's office. If you know your child will participate in sports while at NCAHS, please plan in advance and make an early appointment with your physician's office. Physical forms can be faxed, mailed, or dropped off at the school.
Please note that if a student is diagnosed with a concussion, a clearance letter from the medical provider is required before they can participate or resume play in sports.
Health Insurance
Massachusetts now offers free or low-cost health insurance to children and teens. For more information, contact the Children's Medical Security Plan at 1-800-841-2900
https://www.mass.gov/childrens-medical-security-plan
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