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                                      Paula Williams RN,  BSN            Phone: 206-393-4386
                                                                                    Fax:   206-393-4711

Crisis Clinic  206-461-3222 

24 hour Line  1-866-427-4747

                   For Youth.....Someplace To Go...Someone to HELP

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                            Please Click on a Link Below
                                to View Information

Life Threatening Conditions Medications  
 Sports Physicals  Home Hospital Instruction  
Back to School Event     

         Medications      rxmeds4c.gif
               Shoreline School District Medication Policy

   The following information is a brief explanation of the policy and procedure for having medication at school. This is based on Washington State law and the specific policy of the Shoreline School District.

If your student will be taking any medication at school, you must discuss with the school nurse.

The Shoreline School District recommends that medication be taken at home whenever possible.  We recognize, however, that in some cases it
is essential
that medication be administered during the school day.  For the protection of all the students and to comply with Washington State law, the district has  policies and procedures in place for the handling of ALL medications in the schools.

Medications at School – The following conditions must be met:
    1.      All medications, whether over-the-counter or prescription, need a
Shoreline School District  "Permission to  Administer Medication"
            form. This form must be signed by the student’s
  licensed health 
            care provider with prescriptive authority and parent or
    2.     Medication must be delivered to the school by a parent or guardian, in a
            properly labeled prescription or original over-the-counter container.  The
            student’s name must be on the label with the proper identification of the
dosage, and directions for administration.
    3.     The medication order is effective for the current school year only.
    4.     If changes in the medication order occur, the parent is responsible for
the school and providing verification from the licensed health
            care provider.

    5.     Do not put any kind of medicine, including aspirin, vitamins, and cough
            drops in your students lunch, back pack or pockets.  Unidentified medicine
never be given at school
    6.     Students who require inhalers and emergency medication may carry their
           medication on their person and self-administer, but only with written
from their physician and parent. A nurse’s assessment of
           student capabilities
to self administer must also be completed.
    7.    “Permission to Administer Medications at School” forms are available
            from the Shorewood Health Office, and the Shorewood health office

    8.     A similar form from your doctor, signed by both the doctor and parent,
            is also acceptable.

    9.     All forms may also be faxed to SWHS  206-393-4711
   10.    Please contact the school nurse at 206-393-4386,
            or  if you have questions
            about this policy.

"Permission to Administer Medication at School" Forms may be downloaded by going to the
button of the top left of this page

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      Free and Reduced Lunch

                   New Free and Reduced Lunch Applications must be completed at the beginning of
      EACH School year.For all fee waivers, including but not limited to: class fees, AP testing fees, or running start fees need to have a parent consent on file to check the free and reduced information. 
Please be aware that even if a student does not intend to eat lunch at school, you are urged  to apply for free or reduced lunch.  If a student qualifies, they will be given a letter verifying qualification.  SAVE THE QUALIFYING LETTER!
It will be used as documentation for a variety of fee waivers/fee reductions such as:

                    •    Class Fees
                    •    Athletic Fees
                    •    Summer school scholarships
                    •    Field trip fees
                    •    College application fees
                    •    PSAT fees
                    •    SAT fees
                    •    ACT fees
                    •    AP fees

Students should see their counselor regarding fee waivers. They must first have their parents complete a Free/reduced parent consent.  If you choose to do so, you may give a copy of your qualifying letter to the counselor, or the parent consent form to your school nurse to have on file.   It is then possible to waive some of these fees.

Students that were enrolled in any school in the Shoreline School District the previous school year and qualified for Free or Reduced Lunch will have a 30-day "Grace" period at the beginning of the school year.  It is very important for families to complete the new applications and turn them in as early as possible in September of each school year so there will not be any disruption of services.

Applications will be available in August. There are extra copies
available all year long in the Shorewood Counseling Office. There is also an application
on the Shoreline School District Web Site. Please complete an application at any
time during the school year if your family needs change. 

Current Free and Reduced Lunch Application Forms and Free/Reduced Parent Consent/Release are available in different languages and may be downloaded by going to the  documents  button on the top left of this page


Substitute House Bill (SHB) 2834 mandates that students with life-threatening health conditions may not attend school until they have medication and or treatment orders and a nursing plan in place.

These plans and orders need to be completed before the beginning of each school year even if there have been no changes in the plans from the previous year.

There are treatment order forms in the documents area of this site.  I have provided them as a potentially useful framework for physician orders.  They provide step-by-step orders that translate well into emergency care plans for students.  Physicians are free to write orders within a different format.

1) Diabetic students or students that require an EPI-PEN for their allergies are considered to have life threatening conditions.
2) Students with asthma that have been hospitalized for asthma in the last year are considered to have a life threatening condition.
3) Students with asthma that are well controlled with medication are not generally considered to have a life threatening condition.

4) Some students with seizure disorders are considered to have life threatening conditions, please consult with the nurse about your student if they have seizures.

Life threatening conditions are not limited to the above conditions; please consult with the nurse or with your physician to determine if your student has health concerns that would be considered life threatening.

My goal is to keep all of our students safe and healthy. 
Parents are an important piece in formulating this plan for their students. The treatment plan process helps to insure the best care for students.

Available for Download:
        * Treatment plans for
                      º    Diabetes
                    º    Allergies
                    º    Asthma
                    º    Other - any other conditions

        * Medication Form


You may download forms for care plans, medication permission forms and mutual exchange of information by going to the
document button on the top left of the page

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Sports Physicals   cleats.jpg

WIAA guidelines require that all students have a physical examination prior to competing in interscholastic sports. 

The School District sport physical form is valid for 24 months from the date of the exam.

If families do not use the Shoreline School District form, the health care provider
parent must provide all of the information asked for on the district form in order for the physical to be accepted by the school district.
The health care provider must also write on their
form that the physical they are providing is valid for 24 months.

Who may complete a physical examination as defined by WIAA rules?
    •    MD              Medical Doctor
    •    DO              Doctor of Osteopathy
    •    ARNP           Advanced Registered Nurse Practitioner
    •    PAC             Physician’s Assistant
    •    NP               Naturopathic Physician

Please refer to WIAA regulations section 18.13.0 for complete requirements.

Other forms are also needed before your student
participates.  These forms are available at the business office.  Once all the forms are turned in, a yellow card will be stamped for the coach to keep with emergency and insurance information.
 These forms must be completed before each sports season.  The physical will be kept in the health office

Please remember:  No nursing services are available during after school activities. Emergency medications kept in the health office will not be
available.  If
your student requires emergency medication, other  arrangements must be in place.

A Shoreline School District Physical may be downloaded by going to the document button
on the top left of this page

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Home Hospital Instruction    homewrk_hh.gif

house.gif Home/Hospital instruction is provided to students who are temporarily unable to attend school for an estimated period  20 consecutive school days or more because of a physical and/or mental disability or illness. The program does not provide tutoring to students caring for an infant or a relative who is ill.

This program allows students to continue their education through a School District tutor that contacts the student’s teacher(s) for assignments. She will then go to the student's home and pick up assignments and assist where needed.

Home Hospital is a state wide program that has guidelines that  must be followed    (WAC 392-182-218)

        *A health care provider with prescriptive authority must state that the anticipated time out of school will be at least 20
        consecutive school days

        *The maximum amount of time a student may use these services with in a single school year is 18 weeks.

        *The student may return to school before the 20 days is up if their recovery  takes less time then anticipated with no penalty.


   The following 3 forms must be completed and returned
     to the health office to finish the application process

  1. Shoreline Public Schools Special Programs Request for Home/Hospital  Instruction 
  2. Application for Home Hospital Instruction
  3. Authorization for Exchange of Confidential Information

The forms needed for home hospital instruction may be downloaded by choosing the document button on the left side of this page

Head Lice
Two words that make parents cringe when they hear them!
Live Head Lice       

And their egg sacks called Nits  


Head lice do not fly or jump, they crawl.

ANYONE can be infected with head lice.  It is not about being clean, just about
being in the right place at the wrong time for a louse to walk on to your
head or be transferred there by:

  • sharing hats
  • sharing coats or other clothing that could supply a route to your head
  • sharing combs, brushes or other hair items
  • Upholstered furniture
  • bedding
  • stuffed animals
There are chemical shampoos available. If you choose to use them, be sure to follow the directions closely, do not overuse them. 

The most effective way of removing all nits (eggs) and live lice is to use a long tooth lice comb.
There are different types available.  Here is one example of a lice comb

Comb your student's hair until you no longer find any more nits or lice. It is also recommended to use the lice comb at least daily for up to two
weeks to be sure no new
eggs have hatched and your student has not become re-infested.

Below, you will find the directions for a shampoo that has been effective in
helping to remove head lice safely. 

All Natural Lice Shampoo

1 Cup Apple Cider Vinegar  - DO NOT USE WHITE VINEGAR
¼ Cup shampoo – any kind will do

How to use:
1. Wet hair with warm water
2. Add 2 ounces of vinegar/shampoo mixture to hair
    and massage for 5 minutes – DO NOT RINSE
3. Add 2 more ounces and massage 5 more minutes. DO NOT RINSE
4. Leave product on hair and scalp for 15 minutes
5. With shampoo still in the hair, comb through the hair with any fine tooth comb
    to assist in removing
the nits that have been released.
6. Rinse thoroughly with a strong spray of very
    warm water. 
7. The lice and the nits will rinse out
8. Inspect under bright light

This shampoo does not contain harsh chemicals and should not harm your child. 

You may download these instructions by going to the  documents button on the top left
of this page.

The shampoo and cider vinegar solution helps to loosen the grip the nits have on the hair shafts so it will be easier to comb out with the fine, long tooth comb.  Using the special comb frequently for the first 3 days and then at least daily for then next two weeks is the most effective
way of controlling head lice.

What else should be done?

Cleaning Household Items to Get Rid of the Lice

Re-infestation of lice usually does not come from household items such as carpets or furniture. 
Nothing beats nit picking when it comes to  effectively removing nits from the hair.
*    Off the head, adult lice usually cannot survive for more than a day or two. 
      Nits off the hair will die within hours of hatching if they can't find
      a meal (blood).  So, there is no point in cleaning every nook and cranny.

*    Pets do not carry human head lice. They do not need any special cleaning.

Things to wash in a washing machine:
*    Bath towels
*    Coats
*    Washable rugs, hats and scarves
*    Sheets, blankets, and pillow cases
*    Stuffed animals in contact with head and neck
*    Pillow cases should be washed daily that are used nightly

Wash items using very hot water or dry items in the dryer using high heat for 30 minutes. The heat will
help kill the lice and nits.

Items to sanitize:
*    Brushes, combs, and special nit loosening combs
*    Barrettes, other hair holders
*    Detachable foam pads inside bike and sport helmets

To sanitize these items, soak the item in 1/4 cup bleach to 1 quart cold water for one hour.

Things to vacuum:
*    Rugs and carpets
*    Car seats
*    Chairs and couches
*    Pillows from a couch or bed (wash the pillowcases)
*    Bed mattresses
*    Stuffed animals in contact with head and neck

You may download these instructions by going to the  documents  button
on the top left of this page.

Another cleaning option:
Items that are exposed to lice that can not be washed, such as stuffed animals or decorative pillows should be placed in a plastic bag and closed tightly or two weeks. During these two weeks the lice and nits will not have food (blood) and will die.

Lice infestations are very annoying and extremely time consuming
to rid your
student and home of nits and lice.
  Comb, Comb, Comb using the special
lice comb -
is the best defense and offense against head lice

Good luck and don't hesitate to call the health
office if you have further questions.
Information may also be found in the Document Page