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 Paula Williams RN, BSN Office Hours: 6:30 AM-3:00PM Phone: 206-361-4386 Fax: 206-368-4711 paula.williams@shorelineschools.org Please Click on a Link Below to View Information
Shoreline
School District Medication Policy
Permission to Administer
Medication at School The following 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 confer 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 Stated law, the district has a policy 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 current Shoreline School District medication form. Signed by the student’s licensed health care provider with prescriptive authority and parent or guardian. 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 drug, 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 notifying 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 can 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 approval 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 website: http://learn.shorelineschools.org/shorewood/pwilliams/index.php 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 206-368-4711 10. Please contact the school nurse at 206-361-4386, or paula.williams@shorelineschools.org if you have questions about this policy.
Forms may
be downloaded by going to the
Documents button of the top left of this page Return to
top
New Free and Reduced
Lunch Applications
must be completed at the beginning of EACH school year. If a parent would like to use the 2009-2010 Free/Reduced/Paid meal status for fees listed below, a free/reduced parent consent form must be on file in the health office. please complete a parent consent form. Please be aware that even if a student does not intend to eat lunch at school, we urge students 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 attended 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 are mailed to all families in August and there are extra copies available all year long in the Shorewood health office. There is also an application on the Shoreline School District Web Site. Please complete an application at any time during the school year, as family needs change.
Current Free and
Reduced Lunch Application
Forms and Free/Reduced Parent Consent are available in different languages and may be downloaded by going to the Documents button on the top left of this page return to top
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. Diabetic Students and any student requiring orders for EPI-PENS for allergies are considered to have life threatening conditions. Students with asthma that have been hospitalized two or more times in the past yearbecause of their asthma are considered to have a life threatening condition at least for that school year. Students with asthma that are controlled with medication and have not required hospitalization in the past 12 months are not automatically considered to have a life threatening condition. Some students with seizure disorders are considered to have life threatening conditions, please consult with the nurses about your student if they have seizures. Life threatening conditions are not limited to the above conditions; please consult with the nurse 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 * "Permission to Give Medications at School" form needs to be completed by both the parent and physician if the student will require any medications at school. * Mutual Exchange of Information Form is often helpful for the nurses to have completed by the parent so they may consult with the student's physician regarding the care plan 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 return to top Sports Physicals 
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 and 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 or the school district will assume the physical is valid for 13 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. For each sport season these forms must be completed. 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 top of page Immunization Update: Parents should be aware of changes in the hep B vaccine for high school requirements for the upcoming 2009-2010 school year Seniors: You are encouraged to consult with your medical provider regarding the need for meningitis vaccine and the need for the tdap booster. Meningitis (Meningococal/MCV4) – The vaccine is available to persons 11 years of age and older but is not required for school. There are many types and causes of meningitis, including infection by viruses or bacteria. Meningitis is a swelling of the lining of the brain or spinal cord. The swelling can lead to problems such as hearing impairments, brain damage, or death. This vaccine protects against some types of bacterial meningitis. Bacterial meningitis is spread through the exchange of respiratory droplets, usually by coughing and sneezing. It is most prevalent in crowded living situations, such as dormitories, boarding schools or other group living with persons from various geographical areas. Symptoms often appear similar to influenza: sudden high fever, headache, stiff neck, nausea, vomiting and exhaustion. Since symptoms progress quickly, it is important that medical attention be sought immediately. http://www.doh.wa.gov/cfh/Immunize/vaccine/meningococal/default.htm Tetanus/Diphtheria/Pertussis (tdap) – This newer immunization is now required for children who are 11 years old and attending 6th, 7th or 8th grade, and if it has been 5 or more years since the last Dtap, DT or Td vaccination. It is recommended for persons 13 to 64 years of age, if it has been two or more years since the last tetanus immunization. Tdap combines the tetanus and diphtheria components with pertussis. Pertussis, or whooping cough, is a bacterial illness that causes severe spasms of coughing. The disease can last several weeks or months and is spread by infected persons who cough and sneeze. It can be fatal for infants and young children. http://www.doh.wa.gov/cfh/Immunize/vaccine/tdap/default.htm Chickenpox (Varivax) – Requirements for the Varicella Vaccine are grade and age specific. • Grades: K and 1 ~ two doses of the vaccine are required or student must have verification of disease signed by provider. Parental documentation of disease is no longer accepted. • Grades: 2, 3, 6 ~ 1 dose; parent report of disease acceptable • Students 13 and over ~ (who have never had chickenpox or received chickenpox vaccine) two doses at least 28 days apart are recommended. Chickenpox appears as an itchy rash lasting from a few days to two weeks. The virus may be spread several days before the rash appears. The rash is often uncomfortable, causes extended time out of school, and pre-disposes a child to skin infections. Vaccinated children can still develop chicken pox. http://www.doh.wa.gov/cfh/Immunize/vaccine/varicella/default.htm Hepatitis B (Hep B) --This 3 dose vaccination series is recommended starting in infancy and is required for students in K-12th grades. If your child has not received all 3 doses, contact your medical provider. Hepatitis B is a form of chronic liver disease that may cause victims to experience for the rest of their lives fatigue, nausea or weight loss, enlarged liver, and abdominal pain. It is usually contracted through sexual or blood-to-blood contact with an infected person. Once infected, a person will always carry the virus. There is no cure and it can be fatal. http://www.doh.wa.gov/cfh/Immunize/vaccine/hep_b/default.htm Human Papilloma Virus (HPV) -- It is not required for school but is recommended for women age 11 and older. It is most effective if administered before women become sexually active. The virus is transmitted through sexual contact, has been shown to cause some types of cervical cancer, and is a cause of genital warts. The vaccine provides some protection against some (but not all) types of HPV. The immunization, requiring 3 doses of vaccine, does not prevent all cervical cancer and is expected to be effective for at least 5 years. http://www.doh.wa.gov/cfh/Immunize/vaccine/hpv/default.htm Hepatitis A (Hep A) –- This vaccine is not required for school attendance and many students have not received it. It is a two-dose series that is available to persons over age one. Hepatitis A is a liver disease that is rarely fatal and does not lead to chronic liver problems. Victims may experience short-term nausea, headache, fatigue, skin rash, dark urine, jaundice, and flu-like symptoms. People do not need to engage in high-risk behavior to be exposed to hepatitis A, it is usually passed through infected food or through infected human feces. http://www.doh.wa.gov/cfh/Immunize/vaccine/hep_a/default.htm For More information: Please contact your health care provider or check these web sites: http://www.cdc.gov/ncidod/diseases/ http://www.doh.wa.gov/cfh/Immunize/ Immunizations are available from your private
physician
or licensed health care provider.
If you don’t have a doctor, you may call your local health department or public clinic listed below. North Public Health Center  10501 Meridian Ave N. Seattle, WA 98133 206-296-4990 you must call for an appointment You may download a "Certificate of Immunization" Form or Immunization updates by choosing the document button on the top left of this page top of page  
Home/Hospital instruction is provided
to students who aretemporarily unable to attend school for an estimated period of four weeks (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 and then goes to the student's home or to the hospital to deliver 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. *Students may also return for partial days as their condition improves and continue to receive home hospital instruction The following 4 forms must be completed and returned to the health office to finish the application process
The forms needed for home hospital 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:
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 instuctions 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 Reinfestation 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. Remember... * 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 for 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. top of page Health Screening  All 9th grade students will be screened for vision, hearing and scoliosis. These screenings will take place during the 9th grade PE class or 9th grade health class. You will only be notified if your student doesn't pass the screening. A referral letter will be sent home for you to take to your health care provider for further evaluation. Scoliosis Screening Scoliosis is a side-to-side curve of the spine. The purpose of this screening is to recognize, at the earliest stages, any deviation from normal so that the need for referral for treatment can be determined. Scoliosis screening is required annually by law for school children in the State of Washington in grades, 5, 7, and 9. The procedure is a very simple one * The nurse will perform the screenings *Boys and girls are screened separately. *Each student is given privacy from the other students. *The student is asked to remove his/her shirt so we are able to visualize the spine. *Girls are asked to wear bathing suits or bras which allow clear visualization of their spine and musculature. *Parents or Guardian's may refuse screening for your student by checking one of the exemptions on the scoliosis exemption form and returning the signed form to me. You may download the exemption letter by choosing the document button on the top left of this page Community Resources The following links are a list of resources in our area. This list is of providers and services are being supplied a courtesy by the SHORELINE SCHOOL DISTRICT. The list is not an endorsement of providers, services, or fees. The Shoreline School District in no way assumes liability associated with providing this list, nor actions of the providers. You may use the services of other individuals or agencies who are not included on this list. Please Click on a Link Below to View Information Crisis Clinic  24 hour line- 866-427-4747 or 206-461-3222 This is a wonderful resource for persons who are in crisis. It is also extremely helpful for anyone who is concerned about someone they feel may be in crisis but not currently seeking help. The people taking the calls can help you with possible ways to assist someone you are concerned about. They are a resource that nurses and counselors use for suggestions. Please don't hesitate to call them. The Crisis Clinic web site is a fantastic resource for a multitued of concerns as well as a great resource for many local services. Please check it out. www.crisisclinic.org/main.html top of page Poison Control  Call the Poison Control Center before you begin any treatment after a suspected poisoning. Improper treatment can cause damage. 1-800-222-1222 They also have a great web site you should check out! www.wapc.org top of page Teen Link  Teen Link - Crisis Clinic This is a help line for teens who would like to speak anonymously and confidentially to another teen about anything you want to talk about. 206-461-4922 1-888-431-8336 Teen Link Hours - Daily 6pm-10pm Use the regular Crisis Clinic line for help when Teen Link is not available 206-461-3222 24 hour Line 1-866-427-4747 Return to top The Works  support to Shoreline School District Families who are living with a low income or experiencing circumstances that make it challenging to clothe their children adequately for school Located at North City Elementary School - the WEST side of the building, in the portables. The Works is solely operated by the Shoreline PTA Council. 816 NE 190th Street Shoreline, Wash 98155 No appointment necessary Open EVERY WEDNESDAY from 6:30pm to 8:30pm The Works is closed when the Shoreline Schools are closed  Bus Routes MT 347 at 15th Ave. & Perkins Way MT 348 at NE 185th Street & 5th Ave. NE Works Flyer You may download the flyer by going to the Documents button on the top left of this page. It is filed under Resources Return to top Information for
services, education, counseling and substance
abuse treatments programs maybe found on the site listed below. They help connecting families and individuals with resources
and
referrals that are accessible to our very diverse
community
Education - especially English classes * Outpatient Treatment * Assessments * Individual and Family Counseling * Consultation and Training * First Time Offender Program -- Case management, counseling, and parent education program for at-risk youth entering the juvenile court system for the first time. The goal is to prevent youth from becoming further involved in the juvenile justice system. * STARS Program - Students Taking Addiction Recovery Seriously * Intensive Outpatient, and Outpatient treatment * CDDA - Drug Court Wraparound outpatient treatment and case management * Drug testing * PIP Center For Human Services 17018 15th Ave. NE Shoreline, WA. 98155 206.362.7282 http://www.chs-nw.org/  Return to top Hopelink-Shoreline Hopelink clients have
access to all of Hopelink’s services and other community
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