All students in grades K-12 need proof of the following immunizations on file when school starts:

Student Age Group	Required Vaccines
Entering school for the first time (K or 1st), 7th grade, or transfers from outside the State of Nebraska including foreign students	3 doses of DTAP, DTP, or Td vaccine, given on or after the 4th birthday. 3 doses of Polio vaccine 3 doses of pediatric Hepatitis B vaccine or 2 doses of adolescent vaccine if student is 11-15 years of age 2 doses of MMR or MMRV vaccine, given on or after 12 months of age and separated by at lease a month 1 dose of varicella (chickenpox) or MRRV if given on or after 12 mos. and prior to 13 years. If given at over 13 yrs., 2 doses of varicella (no MMRV), separated by at least 1 month. Written documentation (including year) of varicella disease from parent, guardian, or health care provider will be accepted. For 2008-2009 this includes K-4th and 7-11th grades, plus all out-of-state transfer students
All students not listed above (grades 1-6 and 8-12)	3 doses of DTAP, DTP, or Td vaccine, given on or after the 4th birthday. 3 doses of Polio vaccine 3 doses of pediatric Hepatitis B vaccine or 2 doses of adolescent vaccine if student is 11-15 years of age 2 doses of MMR or MMRV vaccine, given on or after 12 months of age and separated by at lease a month For 2008-2009 varicella is required for K-4th and 7-11th grades, plus all out-of-state transfer students

Please note that in addition to the immunization requirements, all Kindergarten and out-of-state transfer students are required to provide proof of an eye examination by an eye physician or optometrist WITHIN THE PREVIOUS 6 MONTHS of school entrance.

School Nurses Ready for Fall

Welcome Back from the
Health/Nursing Services!

We are gearing up for a great year. Some may wonder what exactly the school nurses do. Our goals are to contribute to the educational success of students and to promote a safe and healthy environment for students and staff. We plan to accomplish these goals by:

Consultations: Much of our work is multidisciplinary approach, working with teachers, administrators and counselors to maximize students' opportunities.

Health Screening: Our health team sees each student in the 4-county area in grades K-12, checking height, weight, blood pressure, vision, hearing, and limited tympanography, all with appropriate referrals and rechecks. Students in grades 6-8 are screened yearly for scoliosis.

Immunization Monitoring: We follow state laws for required immunizations for all students entering Nebraska schools, and assist in assuring compliance through vaccinations or waivers.

First Aide and Medication Administration: The health rooms are often busy. We provide direct first aid to many each day. We also administer parent-authorized medications if needed at school.

Communicable Disease Control: We provide assessment of student and staff illnesses and referrals to health care providers. We work closely with the NHHS for epidemic preparedness and the latest health-related trends. We also research community health topics and are involved in public education.

Responding to Medical Emergencies: We respond to emergencies such as allergic reactions, asthma incidents, sudden illnesses, seizures, injuries, and provide fontline care, as well as informative referrals and transports.

Health Education: Staff training is a very important part of the school nurses job. We instruct on topics for all staff such as Blood Borne Pathogens, Medication Administrations, CPR, First Aid, and specialized topics for selected staff such as Special Ed. student needs, or a great variety of classroom topics as requested by teachers. Some of these include W.A.I.T., Red Flag/Green Flag, eating disorders, blood typing, CPR, puberty, hygiene, alcohol/drugs, and many others.

Management of Chronic Health Conditions: We develop Health Care Plans for the management of diabetes, asthma, severe allergies, seizure disorders, or multiple complex medical problems that often require daily specialized nursing care. We provide professional care for these students and train staff as appropriate and necessary.

So you see, your school nurse provides for many needs. Let us know how we can help you!

Leanne Maxwell RN lmaxwell@esu17.org

Lori Clapper RN lclapper@esu17.org

Ivanna Purdy RN ipurdy@esu17.org