Category Archives: General


Welcome Back!

Thanks to everyone that returned completed physical and dental forms. 

Just a reminder:

Kindergarten, 6th, and 11th grade physical examination forms are due. 

Kindergarten, 1st and 5th grade dental examinations are also due. 

All 7th graders are required to have the following immunizations upon entry into 7th grade:  TDaP and MCV

Please be sure that a copy of these immunizations have been sent to the school nurse.  If your 7th grader has not had these immunizations please contact your school nurse for further information.

If you do not have insurance that covers the physical or dental exam, please contact your school nurse, who may be able to assist you.

Reminders for Incoming Kindergarteners


All incoming kindergarten students are required to have a completed physical and dental exam prior to the first day of school. 

Physical and dental forms are available on this blog under Forms.

Forms may be either mailed, faxed, dropped off or sent in on the first day of school.

If you have any questions regarding requirements or resources please contact your school nurse. 

It’s that time of year again…

 Time to think about getting a flu shots for your family


Did you know that according to the CDC it takes two weeks for immune protection to fully develop after vaccination?  The 2012-2013 vaccine protects against two viruses that are different from those in last season’s vaccine.

Below is a link to the CDC that contains more information regarding the flu for parents. 

The Flu; A Guide for Parents

Contact your physician for more information regarding the flu vaccine.  The vaccine is also offered at urgent care centers and many local pharmacies.

ShapeDown Program offered by Lancaster General Health



If you are struggling to keep your weight under control, you are not alone. According to the most recent studies, 61% of adults over age 20 living in Lancaster County and 17% of youth in Pennsylvania are overweight or obese. Obesity is often linked to many serious medical conditions. A healthy weight loss program is more than a diet. It’s changing your lifestyle to live healthier. As with any major life change, your chances for long-term success increase when you have expert information and support at each step of your journey. When you are ready to make the commitment, our team is ready to help you succeed.

Our team of dedicated nurses, dietitians, and exercise physiologists can help you change the life of an overweight child. SHAPEDOWN is a program for children and teens ages 7-17 that focuses on teaching positive ways to make healthy eating easier for the entire family.

Classes are held at our modern Healthy Weight Management Center and include:

  • Fun exercises that include Wii and Wii Fit
  • Obstacle courses
  • “Kids vs. parents” activities & games
  • Discussions about making healthy choices
  • Healthy food demos and taste testing in every class!

Your 10-week registration includes:

  • 2 private consultations
  • 8 group sessions

Ages 13-17 meet from 5-6 pm

Ages 7-12 meet from 6:15-7:30 pm

Scholarships are available. Pre-registration is required. Please call (717) 544-3145 for a packet.

Winter 2012 starts Feb. 29. Registration closes 2/22

Spring 2012 TBD

Fall 2012 TBD

Reminder-When to keep your child home from school


Because students are in close contact with one another during the school day, diseases spread easily through the school. We try to prevent this as much as possible through education and encouragement of frequent hand washing, proper diet and rest. However, children do get sick. We ask you to keep your child at home for the following reasons:

-has a temperature of 100 degrees or more. Temperatures should be normal for 24 hours before s/he returns to school.

-has been diagnosed with a strep infection. Your child should be on antibiotics for 24 hours before returning to school.

-has been vomiting during the night or before school

-has persistent diarrhea during the night or before school.

-has red swollen eyes that itch and are draining pus or have a crusty appearance upon awakening.

-has a productive cough that cannot be controlled with medication

Thank you for helping to keep our students healthy!

Also, please make sure to update the teacher and school nurse if your phone number changes during the school year.  It is essential that the school have a number where you can be reached in case of an emergency.

Information about head lice

At different times in the year, head lice are found among our student population. Lice are parasites that have been around for as long as people can remember. Anyone can get lice. They are not associated with disease, but can be difficult to destroy, and treatments can be costly and result in missed work and school time.  In addition, there is evidence that they are becoming resistant to current treatments, much like bacteria become resistant to antibiotics.  Head lice are generally spread by direct, head to head contact with a person who is infested with live lice.  Avoiding head to head contact is the best prevention. If your child’s head itches, check for lice! You may also wish to do the following:

  • Teach your children not to use a comb, brush, hat or towel that belongs to someone else.
  • Once a week check the heads of all of your family members for lice and eggs (nits).

Lice are grayish-white or light brown insects that crawl on or near the scalp. They are one-eight to one-fourth inch in length.  Lice require a food source to survive, sucking blood from the scalp, which can cause itching and a tickling sensation. An unknown number of nits remaining on the hair after the first treatment will hatch into lice within a week to 10 days. For this reason, it is very important to apply a second treatment in 7-10 days to kill any newly hatched lice.

The eggs or nits are teardrop-shaped and are firmly attached to the hairs, usually within one-half inch of the scalp. They do not flick off, and therefore, can be distinguished from dandruff.

According to the American Academy of Pediatrics (2010) Clinical Report on Head Lice “no-nit policies for return to school should be abandoned.” If you find nits or live lice on your child’s head and need advice about treatment, your school nurse will be able to advise you. You may also wish to consult your doctor or a pharmacist.  Upon returning to school, the student must report to the school nurses office with a parent/guardian or parent/designee so that a school nurse or HRT may confirm that the student is free from live lice. The nurse maintains confidentiality. If live lice are still present, the parent/guardian will be asked to take the student home and treatment procedures will be reviewed. If live lice are present after several treatments, the parents will be advised to contact their physician for advice.

Per AACP (2010) “Head lice screening programs have not been proven to have a significant effect over time on the incidence of head lice in the school setting and are not cost effective. Parent education programs may be helpful in the management of head lice in the school setting.”

Information about lice and treatment for lice can also be found at the following sites:

Back To School Information

Back to School Information from School Health Services

Hopefully you have had a fun and relaxing summer and are ready to welcome the changes that go along with starting a new school year. Health services personnel, including the school nurses and health room techs, are here to provide a variety of services to your child. Our goal is helping your child get the most from his or her education. We provide nursing assessment and care for ill and injured children. We will notify you if we feel  your child is unable to complete the school day due to serious illness or injury.  Please complete the emergency forms carefully so that we have up to date information allowing us to reach you during the school day. If your contact information changes, be sure to call the school office to inform us so that you can be reached in an emergency.

We provide health screenings during specific grades that are mandated by the PA Department of Health.  The Department of Health requires growth screening each year, and you will receive BMI information in a sealed envelope addressed to the parent or guardian at some time during the year. If you have concerns, please consult your child’s physician. If a student fails the hearing or vision screening, a referral will be sent home to you. Questions about medication at school can be answered by calling your school nurse.

According to state law, an immunization record with dates of all required doses must be provided to the school.  A religious or medical exemption form can be completed if applicable.

Starting this year, ALL students in ALL grades must have two doses of the chickenpox (varicella) vaccine unless the child had chickenpox disease.

In addition to the two doses of chickenpox vaccine, if your child is entering seventh grade this year, they are also required to be vaccinated for Meningitis ( MCV or Menactra) and have a booster covering  tetanus, diphtheria and pertussis ( Tdap).

Written proof of these vaccinations should be given to your school nurse prior to the start of school.

Physical exams are required in grades K, 6 and 11. Dental exams are required in K,1 and 5.

If your child is in need of health services, and you are without insurance, please contact us. We can provide information about resources for insurance or health services, or refer you to our school social worker.   We hope that you will see us as a source of care and information for you and your child through grades K-12.


The PMSD School Nurses

School Nurse Blog

As School Nurses our desire is to help parents keep their children healthy so that they can get the most out of their education. The information on this blog is meant to provide information and is not to be used in lieu of medical care from your medical provider.