Health Services


Orcutt Union School District Health Services Staff
District Nurse:

Michelle Romine, BSN, RN
Credentialed School Nurse

Health Office Staff:
Kathryn A, RN
Rose A, LVN
Michelle J, LVN
Laci J, LVN
Maria R, LVN
Kristina U, LVN
Free Cliparts School Nurse, Download Free Cliparts School Nurse png images,  Free ClipArts on Clipart Library

Back to School 
New Back To School Guidelines for 2020/2021
  • Parents or caregivers should be submitting ParentSquare Daily Health Screening check every morning prior to sending their children to school.
  • Students who are sick should not attend school in-person.
    • Fever of 100.4 or higher/ chills
    • Cough
    • Shortness of breath or difficulty breathing
    • Fatigue
    • Muscle or body aches
    • Headache
    • New loss of taste or smell
    • Sore throat
    • Nausea or vomiting
    • Diarrhea
  • Masks are required for all staff and students 3rd grade and above. Younger students should be encouraged to wear masks.

Dog mask

  • Children with a temperature of 100.4 degrees or higher will be sent home immediately. Please be sure to have someone listed for emergency contact available as needed.

Revised April 27 ,2021

Public Health Administration

300 North San Antonio Road w Santa Barbara, CA 93110-1316

805/681-5100 w FAX 805/681-5191

Santa Barbara Protocols for Symptoms, Potential Exposure and/or Close Contact with an Individual Testing Positive for COVID-19 in a School or Classroom Setting

 

Student or Staff with:

ACTION

DISTRICT COMMUNICATION

1. Any of the COVID-19 symptoms, (***) answers yes to a health screening question, or has a temp of 100.4 or above.

· Individual sent home, isolate at home.

· If the individual is symptomatic (and does not get evaluated by a healthcare provider) then they are to isolate at home for at least 10 days from symptom onset, AND until symptoms improve, AND there is no fever without fever-reducing medication for at least 24 hours. When all these criteria are met a note from a healthcare provider is not needed.

· Family contacts their healthcare provider immediately for medical evaluation which may include testing. Individual isolates until evaluated by health care provider. If tests positive for COVID-19, see #3; if tests negative for COVID-19, see #4; if healthcare provider diagnoses another cause of symptoms and provides, see

#5.

· Classroom/stable group OPEN.

No communication to class.

2. Close Contact (see definition below) with a confirmed COVID-19 case.

· Send home if at school

· Exclude from school for 10 days from last exposure, per CDPH quarantine recommendations

· Recommend testing 5 7 days from last exposure (but will not shorten 10-day exclusion if negative).

· If any symptoms develop contact medical provider for evaluation.

· School/Classroom remain OPEN.

· Consider school community notification of a known exposure.

· No action needed if exposure did not happen in school setting.

 

 

 


 

 

3. Confirmed COVID-19 case

· Notify the local health department - If 3 or more cases within 2 weeks contact SBPHD Community Health Nurse/Disease Control (805-681-5280)

· Exclude from school for 10 days from symptom onset date AND unti symtpoms improve,AND there is no fever without fever reducing medications or at least 24 hours. If asymptomatic  exclude for 10 days from specimen collection date.

· Identify school contacts (*), inform the local health department of identified contacts, and exclude contact possibly the entire stable group (**) - from school for 10 days after the last date the case was present at school while infectious.

· Recommend testing asymptomatic contact 5 – 7 days from last exposure and immediate testing of symptomatic contacts, (negative results will not shorten 10-day exclusion).

· Disinfection and cleaning of classroom and primary spaces where case spent significant time.

· School remains open.

· Close contacts, stable group closes (**)

· School community notification of a known case

· Notification of persons with potential exposure if case was present in school while infectious

4. Tests negative after symptoms

· May return to school after 24 hours have passed without fever and symptoms have started improving

· School/classroom remain OPEN.

· Consider school community notification if prior awareness of testing.

5. A medical provider diagnoses another cause of symptoms

· Medical provider provides note with return to school instructions following guidelines for the specific illness.

 

 

(*) A contact is defined as a person who is <6 feet from a case for >15 minutes. In some school situations, it may be difficult to determine whether individuals have met this criterion and an entire cohort, classroom, or other group may need to be considered exposed, particularly if people have spent time together indoors.

(**) See Stable Group Guidance for a definition of stable group. Generally, the entire stable group will be excluded from school for a period of 10 days if the positive COVID case was in school during the infectious period. Only if school personnel can confirm that there was not close contact with a positive case during the infectious period, would individual members of the stable group not be excluded from school.

(***) Symptoms of Coronavirus

 This list does not include all possible COVID-19 symptoms. CDC and CDPH will continue to update this list.

·       Fever or chills

·       Cough

·       Shortness of breath or difficulty breathing

·       Fatigue

·       Muscle or body aches

·       Headache

·       New loss of taste or smell

·       Sore throat

·       Nausea or vomiting or diarrhea

  • llness/Injury:  If your child is ill or injured during school hours, he/she will be assessed by the School Nurse, Health Assistant
     (LVN), Teacher or Office Staff.  You may not be contacted each time your child visits the school health office. 
    In the event your child appears to have a serious illness/injury, every effort will be made to notify you.  
    Please be sure all phone numbers and health care information is kept current throughout the school year.

Parents’ Guide to Immunizations Required for School Entry Spanish Chinese Russian

 

 

Students Admitted at TK/K-12 Need:

  • Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses 
    (4 doses OK if one was given on or after 4th birthday. 3 doses OK if one was given on or after 7th birthday.)
    For 7th-12th graders, at least 1 dose of pertussis-containing vaccine is required on or after 7th birthday. 

  • Polio (OPV or IPV) — 4 doses 
    (3 doses OK if one was given on or after 4th birthday) 

  • Hepatitis B — 3 doses 

  • Measles, Mumps, and Rubella (MMR) — 2 doses 

  • (Both given on or after 1st birthday) 

  • Varicella (Chickenpox) — 2 doses 

 These immunization requirements also apply to students entering transitional kindergarten. 

California schools are required to check immunization records for all new student admissions at TK/Kindergarten through 12th grade and all students advancing to 7th grade before entry. Parents must show their child's Immunization record as proof of immunization. 

Medical Exemptions

1. For admissions on or after January 1, 2021, what is required for a medical exemption to a required immunization?

Starting January 1, 2021:

  • Medical exemptions can only be issued through the California Immunization Registry – Medical Exemption website (CAIR-ME) by physicians licensed in California. 
  • Schools and child care facilities may only accept from parents new medical exemptions that are issued using CAIR-ME.

  • 2. Are medical exemptions filed for children in attendance at a California child care facility or school before 2021 valid in later years?

A medical exemption filed at a pre-kindergarten facility or school remains valid until the earliest of:

  • When the child enrolls in the next grade span (TK/K-6th grade, 7th-12th grade)
  • The expiration date specified in a temporary medical exemption
  • Revocation of the exemption because the issuing physician has been subject to disciplinary action from the physician’s licensing entity.
     

3. A doctor has told a child’s parents that their child needs a medical exemption from a required immunization. How do parents get a medical exemption for their child?

Starting January 1, 2021, all new medical exemptions for school and child care entry must be issued through CAIR-ME.  Parents can create an account and log in to CAIR-ME to submit a request for a medical exemption.  Next, the child's doctor can complete the medical exemption in CAIR-ME and print a copy for the parents to give to the child’s school or child care facility.

  • For more information regarding Medical Exemptions:
  • https://www.shotsforschool.org/laws/exemptions

  •  7th Grade Requirement : "Tdap" Immunization Booster and 2 doses of Varicella

All students entering, advancing or transferring into 7th grade Fall of 2022 will need proof of an adolescent whooping cough booster immunization (called "Tdap") for school in the fall. They will also need to have documentation of 2 doses of Varicella vaccine or a Medical Exemption from a California MD/DO . Your student will not be able to receive their class schedule without documented proof of these vaccines.  In order to meet the 7th grade requirement, the Tdap booster needs to be have given after they have turned 7 years old.

Pertussis is a very contagious respiratory disease that can be severe and last for months. 
The immunity received from early childhood immunization for Pertussis disease wears off over time, leaving older students and adults susceptible again to Pertussis. Immunization with Tdap can protect students, 
schools and communities against Pertussis. 

 

 

 Lice:  Head lice are a common community problem. They are not dangerous and do not transmit disease. The school staff will notify parents/guardians of any student with live lice and recommend treatment that evening. 
The student will not be sent home and may return to school the next day if they have received home treatment. 
A letter will not be sent to other parents in that classroom. More information regarding lice and treatment can be found on the Orcutt Union School District website under Health Services.

 Food Allergies/Outside Food:  Many students have food allergies.  It is imperative that parents notify the school nurse and the child’s teacher of any food allergies as soon as possible.  In order to keep all students safe, we ask that parents DO NOT bring in outside food for classroom parties, unless you have checked with the
teacher beforehand. A food allergy can turn into a potentially life-threatening situation.
Parents are encouraged to consider books, pencils, or other non-food item for birthdays, parties, and end of year celebrations.
  


Screenings:  All students in Kindergarten, Second, Fifth and Eighth grades, will have vision and hearing screenings performed during the school year.  If there is an abnormal finding, parents will be notified by letter. Please contact the school nurse if you have any concerns regarding your child and the screening process. First grade male students will also have color vision screening.

FIRST GRADE HEALTH EXAMINATION REQUIREMENT:
If your child does not have a REPORT OF HEALTH EXAMINATION FOR SCHOOL ENTRY 
on file at school, 
he/she will need one completed up to 18 months prior to entry into first grade
or within 90 days of entry into first grade.
You can click on the link below to print out the "Report of Health Examination for School Entry" or
pick one up at the school office to take to your Medical Provider to have completed.

If your child has had the physical examination,please have your physician or clinic representative complete the
CHDP exam form and bring it to the school office. 

Please return the Report of Health Examination for School Entry to the school as soon as possible.
It must be completed and signed by your physician or clinic representative.

CHDP works with schools to meet the requirement of having a completed health assessment 18 months before
 or up to 90 days after enrolling in first grade.  The CHDP program assists families to meet the requirement by
 linking families with CHDP providers to obtain health assessments. 
 The certificate “Report of Health Examination for School Entry” is available through the local CHDP program,
 schools, and provider offices.
 Frequently asked questions about First Grade Health Examination Requirements and Procedures
 for provider and school personnel can be found in the CHDP School Handbook.

 

 


MEDICATIONS ON CAMPUS:

A new medication consent form signed by a Parent and Medical Physician/Nurse Practitioner/
Physicians Assistant is required each school year for each medication, even if your student
carries his/her medication with him/her.

You can obtain the Medication Form on the Health Services section, go to Documents and links and it can
 be found on page 2.    

In order to prevent medication errors and ensure the safety of all students, please observe the following:

A licensed Medical Physician/Nurse Practitioner/Physicians Assistant must prescribe medication dispensed
to students at school. This includes over the counter medications, like Tylenol,Advil,Ibuprofen,
Cough Drops,or any supplements. Medication must be received at school in the original container as
 dispensed by an authorized pharmacy.  Medication may not be transferred from a stock bottle at home
 to a “school” bottle.

All prescription medication containers must be labeled by an authorized pharmacy with instructions
 consistent with those indicated on the medication consent form.  All empty medication containers
will be discarded unless other instructions are received by a parent/guardian. All inhalers
need to have the prescription box with them and be clearly labeled.

In special circumstances deemed necessary by a licensed Medical Physician/Nurse Practitioner/
Physicians Assistant, students may carry medication, such as an inhaler,diabetic supplies or an epinephrine
auto-injector (Epi-Pen,Auvi Q, Adrenaclick) at school.  Prior authorization must be obtained through the
school office following the school district medication policy.  This is the only situation in which students
 are allowed to carry medication at or to school.  In all other situations, an adult must transport
 medication to and from the school office.  
This applies to prescription and over-the-counter preparations.

An adult must report changes in medication regimes, including discontinuation, promptly to the school office.

Medication Administration Guidelines from The California Department of Education:

Talk to your child’s doctor about making a medicine schedule so
that your child does not have to take medicine while at school.
If your child is regularly taking medicine for an ongoing health problem,
even if he or she only takes the medicine at home, give a written note to 
the school nurse or other designated school employee at the beginning of each school year.

You must list the medicine being taken, 
the current amount taken,
 and the name of the doctor who prescribed it (
Education [EC] Code Section 49480).  

If your child must take medicine while at school, give the school a written note
 from you 
and a written note/medication form from your child’s doctor
 or other 
health care provider, who is licensed to practice in California. 


Provide new, updated notes at the beginning of each school year and

 whenever there is any change in the medicine, instructions, or doctor (EC Section 49423). 

As parent or guardian, you must supply the school with all medicine your child
must take during the school day. You or another adult must deliver the medicine to school,
 except medicine your child is authorized to carry and take by him or herself. 

All controlled medicine must be counted and recorded on a medicine log 

when delivered to the school. You or another adult who delivered the medicine
should verify the count by signing the log. 

Each medicine your child must be given at school must be in a separate container labeled by a pharmacist licensed in the United States.

The container must list your child’s name, doctor’s name, name of the medicine,
and instructions for when to take the medicine and how much to take.

Pick up all discontinued, outdated, and/or unused medicine before the end of the school year. 


 

Michelle Romine, BSN, RN, PHN

Credentialed School Nurse

District Nurse Administrator

Orcutt Union School District
500 Dyer Street
Orcutt, CA 93455
 Ph: (805) 938-8932 Fax: (805) 938-8941

[email protected]


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The Orcutt Union School District does not discriminate against individuals based on actual or perceived race, religion, color, national origin, ancestry, age, marital status, pregnancy, physical or mental disability, medical condition, genetic information, veteran status, gender, gender identity, gender expression, sex, or sexual orientation. Compliance Officer: Susan Salucci, Assistant Superintendent, Human Resources/Discrimination/Equity & Title lX Compliance Officer, 500 Dyer Street, Orcutt, CA 93455, Email: [email protected], Phone: 805-938-8909. See district policies at http://www.orcuttschools.net/district_information/legal_notices/title_IX