Health Room Services
Article XIV of the Pennsylvania Public School Code provides that all children attending public, private, and parochial schools receive school health services. These services include medical and dental examinations and four different health screenings (growth, vision, hearing, and scoliosis) at specified intervals; nursing services, including the treatment of acute and chronic conditions, first aid, and emergency care; medication administration; health counseling and health promotion; maintenance of student health records; and assessment for school immunizations. A member of the Springfield School District’s Health Services team is available in each district school building along with one floating parochial school nurse to assist families in accessing these mandated services.
It is important to note that Pennsylvania State Health Law requires a physical examination upon entrance to school in kindergarten or first grade and again in grades six and eleven. Dental examinations are required in kindergarten or grade one and in grades three and seven. If your child is new to Pennsylvania schools, current physical and dental examinations are required. A listing of the state’s mandated services by grade is attached as a link at the bottom of this page entitled, “Mandated Health Services.”
The school district’s Health Services team is composed of certified school nurses, licensed staff nurses, and health aides who operate under a physician with standing orders. Please feel free to contact your school nurse regarding health issues that might arise for your child during the school year. We recommend that if your child has special health concerns or requires special considerations as they relate to medical needs, please contact your child’s school nurse each year to insure that all necessary information is shared and materials provided to support their education.
School nurses will provide first aid and emergency care for students who become ill or injured during the school day. If a student is too ill to remain in school, the parents are expected to make arrangements to pick up the student in a timely fashion.
- Health Room Staff
- Student Emergency Medical Card
- When to Keep Your Child Home
- Transportation of Ill and Injured Students
- Health Screenings
- Physical Examinations
- Dental Health Program
- Immunizations and Exemptions to Immunization Law
- Medication Policy
- Chronic Medical Condition Action Plans
- Crutches/Wheelchair and Elevator Use
- Head Lice Procedure
- Health Resources for Parents
- All Forms and Letters
Springfield High School
Mrs. Gina Hercer, RN, CSN
E.T. Richardson Middle School
Mrs. Terri Missar, RN, CSN
Sabold Elementary School
Mrs. Denise Manley, RN
Scenic Hills Elementary School
Mrs. Cathy Stewart, RN, CSN
Springfield Literacy Center
Mrs. Janice Dimaio, RN
Parochial School Nurse
Ms Amy Boyle, RN, CSN
|District Sub-Nurse||Ms. Cheryl Hardimon, RN||610-938-6115|
Each student must have a completed and signed Student Emergency Medical Card on file in the nurse's office in order to receive nursing services. The parent/guardian’s signature authorizes treatment in the event of an emergency.
Please seriously evaluate your child's health and ability to be productive in school when he or she complains of a headache, stomach pain, sore throat, or cold symptoms without a fever. Children often have no fever in the morning, but, as the day progresses, can develop a fever. Keeping your sick child home will help him/her recover sooner and will help to prevent the spread of germs to others. It is important to maintain a healthy environment in the classroom to protect all students. The following symptoms may indicate a contagious illness and your child should be kept at home if any of the following occur:
- Fever of 100° the night prior to or the morning of school; student must be fever-free for 24 hours before returning to school
- Headache unrelieved by Tylenol or Advil
- Vomiting and/or diarrhea within the past 24 hours; student must be vomit/diarrhea-free for 24 hours before returning to school
- Sore throat lasting 2-3 days; a visit to the doctor may be needed to rule out strep throat.
- Drainage from the eyes; red, itchy, and/or crusty eyes
- Excessive coughing unrelieved by cough drops or cough medicine
- Rash (unless determined to be non-communicable by a physician)
- Abdominal pain
- Dizziness or chills
- Stiff neck or headache not caused by an accident or fall
Having your sick child rest at home with any of the above conditions will likely help with his/her recovery. If symptoms are not relieved by rest, please see your family physician. It will also help to prevent the spread of germs to other students and staff members.
Transportation of ill or injured students is the responsibility of the parent/guardian. If a student becomes ill or injured and must leave school, the parent/guardian will be contacted to provide or arrange for transportation. If the student in question has driven himself/herself to school but, in the judgment of the school nurse is medically unable to drive home safely, the parents will be asked to provide or arrange for transportation. In the event of a serious illness or injury, an ambulance will be called to transport the student to the nearest hospital. The ambulance fee is the responsibility of the parent/guardian.
Pennsylvania state law mandates specific health screenings for students. The school nurse begins these screenings after the start of the school year. Please contact the school nurse if you have any questions about screenings.
The following health screenings are mandated by Pennsylvania law:
- Growth Screening: Height and weight are recorded annually for each student.
- Vision Screening: Vision screening, both for near and far vision, is completed annually for each student.
- Color and depth perception are assessed in grade two.
- Hearing Screening: Hearing screenings are done in kindergarten and grades one, two, three, seven, and eleven.
- Scoliosis Screening: Scoliosis screening, a mandated screening for spinal curvature, is done in grades six and/or seven.
- BMI (Body Mass Index): BMI is a screening tool used to assess children at risk of being underweight or overweight.
- BMI is calculated based upon body weight, height, age, and gender data. BMI in children is age-specific and gender-specific. Parents/guardians will be notified of their child's BMI and are encouraged to share this information with their child's physician.
Parents/guardians will be notified if their child's health screenings reveal any concerns or abnormalities. In these instances, school nurses will provide referrals for further testing/diagnosis.
Pennsylvania School Health Law requires a physical examination upon entrance to school in either kindergarten or first grade and again in grades six and eleven. If your child is new to Pennsylvania schools, a current physical examination is required. Examinations done by a family physician within one year before the opening of the school term are acceptable by state regulations. Many physicians have electronic medical records. Please ask for a copy of your child’s physical at the end of his/her visit. Parents/guardians are encouraged to take their children to their family physician for these examinations to provide continuity of care. The family physician is familiar with your child and thus is better able to detect any physical changes, administer treatment if necessary, and follow through with needed care and immunization boosters.
Please keep the school nurse informed of any corrections, treatments, or immunization boosters that your child has received. In order to keep your child's health records current, please send physician documentation of any immunization boosters your child may receive. Access to current health information is essential in an emergency situation.
Documentation of a current physical is due to the school nurse within 30 days of beginning school for grades K, 6, and 11 and all students new to Pennsylvania schools.
A dental exam form must be completed and signed by the family dentist for students upon entrance to school in either kindergarten or first grade and then again in third grade and seventh grade. At each of these grade levels, forms should be completed and returned to the respective schools no later than September 30. It is strongly recommended that your family dentist perform the exam as he/she is the most familiar with your child’s dental needs and will be able to provide any follow-up treatments, sealants, and cleanings.
Contact your school nurse for information on community dental resources.
The Pennsylvania Department of Health requires the following immunizations for all children entering school in Pennsylvania as of September 2011. Parents are required to provide written proof, signed by a physician, indicating that their child has received the following required immunizations. These immunizations must be completed and submitted to the school nurse before a child may attend school. Children who do not meet minimum requirements are not permitted to attend school until the immunizations have been completed.
The required immunizations are as follows:
- 4 doses of DPT, DtaP, Td, or DT (Diphtheria, Tetanus), properly spaced with the fourth dose given on or after the age of 4 years
- 3 doses of Polio vaccine: Oral Polio (OPV) or Salk Polio (IVP) vaccine
- 3 doses of Hepatitis B vaccine, properly spaced
- 2 doses of Measles vaccine (usually given as MMR), one on or after the 12th month of age, second dose given after the age of 4 years
- 2 doses ofMumps vaccine (usually given as MMR), or a signed statement from your physician stating that your child has had the disease
- 1 dose of Rubella vaccine (usually given as MMR), or a blood test showing immunity
- 2 doses of Varicella vaccine (chicken pox), or signed physician statement showing your child had the disease. Varicella immunization is one dose for children aged 1-12, or 2 doses for children aged 13 and above (spaced at least 1 month apart)
All incoming 7th grade students, as of September 2011, are required to have:
- 1 dose of Tdap (tetanus, diphtheria and acellular pertussis), if 5 years has elapsed since their last tetanus immunization
- 1 dose of (meningococcal conjugate vaccine) MCV
Please check with your health care provider to obtain documentation of your child's immunization. Your child's immunization documentation must be received by the school nurse by the start of the school year.
Children who have a medical condition that would contraindicate certain immunizations may be exempted from immunization requirements. We must receive a written statement from your physician documenting the need for exemption.
Parents/guardians who have a religious objection to immunizations may also indicate this on the certificate of immunization along with their written signature. Students with exemptions may be excluded from school, at the direction of the Pennsylvania Department of Health, should an outbreak of a disease for which they are not immunized occur.
If you have any questions, please call your building school nurse.
The following guidelines identify procedures and practices regarding the administration of student medications during the school day. It is recommended that parents review the complete health and medication policies available in each school office. Questions should be directed to the school nurse or principal.
1. Every effort should be made to give all doses of medication at home. Normally, medication to be given three times per day can be given at home (e.g., before school, after school, at bedtime). If a medication must be administered four or more times per day, one or more doses will likely need to be taken during the school day.
2. Only medications prescribed by a physician for a particular child will be given during school hours. Written instructions from the physician are required. Any change in dosage or medication must be accompanied by a physician’s note.
3. All medications must be clearly marked with a prescription label bearing the child’s name, type of medication, dosage, and time to be given.
4. For the safety of all students, medication must be bought right to the health office. Enough medication should be left at school for the duration of the prescription. If you have questions about sending medications to school please contact your school nurse.
5. Over-the-counter medications: Per Standing Orders from the school physician, school nurses may administer Tylenol/Acetaminophen, Motrin/Ibuprofen, and Tums as needed for student illness. Parent permission for use of these is obtained on the annual Student Emergency Medical Card. All other over-the-counter medications will not be administered in school unless accompanied by a physician’s note specifying the medication, dosage, and timing of the medication. Children will not be permitted to take medication on their own during school hours.
6. One exception to the above protocol involves the use of asthma inhalers and EpiPens. Asthma inhalers and EpiPens may be carried by students in grades six through twelve during the school day if deemed necessary by the child’s parent and doctor. An Asthma/EpiPen Carry Policy must be completed. In addition to other information, this form includes verification of the student’s knowledge and competency to self-medicate. The form also includes a statement relieving the school and its employees of any responsibility for the benefits or consequences of the medication or for ensuring that the medicine is taken. It should be noted that the prescribed inhaler is for the intended individual’s use only and must not be shared with others. Violation of this policy shall result in immediate confiscation of the inhaler and loss of the privilege to self-medicate.
Students who self-administer their emergency medication or inhalers should notify the nurse as soon as possible after using the medication. The nurse will assess the health of the student, document the use of the medication, and arrange for further medical attention, as needed. All inhalers or EpiPens should be labeled with the child's name.
7. When the school nurse is in the building, the school nurse will administer medication. Any parent who wishes to come to school to administer medication to their own child may do so. Parents must check in at the Main Office upon arrival.
8. End of the year: Please contact your school nurse to discuss pick-up or disposal of your child’s medication.
For chronic condition medication administration permission please see the Chronic Medical Condition Action Plans section below.
Parents/guardians of students with known chronic or life-threatening medical conditions must alert the school nurse. Parents/guardians are responsible for providing emergency medication and a completed applicable action plan prior to the first student day of school. Parents/guardians of students with a chronic or life-threatening condition are urged to meet with the school nurse annually.
Having a seizure at school can be a frightening experience, both for the one experiencing the seizure and for other students. Seizures don't have to be frightening however. A well-informed teacher and a supportive school nurse and school administrator can help to minimize fear and anxiety. Parents of students who are prone to seizures should consult with their child's doctor to complete a Seizure Action Plan prior to the start of school. In addition, if a child may require emergency seizure medication, parents should provide that medication to the school nurse at the beginning of the school year. Parents/guardians of students with a seizure disorder are urged to meet with the School Nurse at the beginning of the school year.
Any student experiencing mobility problems or having a physical condition requiring the use of crutches/wheelchair and/or the school elevator, should bring a physician's note to the school nurse with the following information:
- Diagnosis and/or reason for crutches/wheelchair and/or elevator
- Duration of crutches/wheelchair and/or elevator use and date activity can be resumed
- Physician's signature and contact information
Student should see nurse for book carrier/elevator accommodation. A lost elevator key may result in a $5.00 student fine and/or loss of the privilege to use the elevator.
Schools will not provide assistive devices for daily use.
According to Springfield School District policy, a student must be lice/nit free before returning to school.
When a case of lice is discovered in Springfield Literacy Center and elementary schools, the student is excluded and all students in that class and any siblings of the infested student are checked. Letters are sent home to alert parents of the infestation. In secondary schools, the student is excluded; and all siblings and contacts of the infested student are checked.
To be readmitted to school, a parent/guardian must accompany the student who has been treated to the School Nurse’s for examination. The student must be lice/nit free for re-admittance to school. If the student is not lice/nit free, the student will continue to be excluded and must return home with the parent/guardian for complete removal of nits.
Please follow the absentee guidelines for your school.
The following websites offer support and information for parents:
Pennsylvania’s Children’s Health Insurance Program
All uninsured children and teens not eligible for Medical Assistance have access to health insurance, regardless of income. Many will receive insurance for free; others will receive insurance at a minimal cost.
American College of Allergy, Asthma, and Immunization Website
Allergies exist in many different forms. Find out about the symptoms of and how to manage and treat the allergy you suffer from.
SSD Physical Letter 6th-11th Grades
SSD Physical Form K-6th-11th Grades
SSD Allergy Action Plan
SSD Asthma & Epi-pen Carry Form
SSD Asthma Action Plan
SSD Cardiac Care Plan
SSD Diabetes Care Plan
SSD Food Allergy Action Plan
SSD Dental Exam Letter
SSD Private Dental Report
SSD School Administration of Medication
SSD Scoliosis Letter
SSD Seizure Action Plan
SSD Student Emergency Card
Field Trip Policy
Field Trip Permission Form
Mandated Health Services
Pertussis / Whooping Cough Fact Sheet
Be S.A.F.E Managing Allergic Emergencies