School Health
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Nurse Assignments by School
- Antioch Elementary: Grace Fisher
- Benton Heights Elementary: Melissa Burr
- Central Academy of Technology & Arts: Charlee Williams
- Cuthbertson High: Amy Haislip
- Cuthbertson Middle: Kelly Wrenn
- East Elementary: Amy McAteer-Jones
- East Union Middle: Andrea Morrison
- Fairview Elementary: Amy Ashton
- Forest Hills High: Jessica Haigler
- Health Sciences Academy at Monroe Middle: Anessa Snapp
- Hemby Bridge Elementary: Amy Ashton
- Indian Trail Elementary: Desirae Neubauer
- Kensington Elementary: Katrina Nash
- Marshville Elementary: Caroline Lane
- Marvin Elementary: Terri Shultz
- Marvin Ridge High: Babbs Parker
- Marvin Ridge Middle: Tina McSweeney
- Monroe High: Donna Buckner
- New Salem Elementary: Melissa Burr
- New Town Elementary: Penny Harrison
- Parkwood High: Shannon Steffler
- Parkwood Middle: Lauren Kullar
- Piedmont High: Lisa Young
- Piedmont Middle: Hayley Clontz
- Poplin Elementary: Megan Goff
- Porter Ridge Elementary: April Wessling
- Porter Ridge High: Esther Moreira
- Porter Ridge Middle: Ashleigh Flowe
- Prospect Elementary: Amy McAteer-Jones
- Rea View Elementary: Kiera Twombly
- Rock Rest Elementary: Jeanne Baucom
- Rocky River Elementary: Ilene Jackowitz
- Sandy Ridge Elementary: Dawn Poor
- Sardis Elementary: Aheshea Kinser
- Shiloh Valley Elementary: Rachael Pardue
- Shiloh Valley Primary: Rachael Pardue
- South Providence: Ilene Jackowitz
- Stallings Elementary: Wendy Duemmler
- Sun Valley High: Denise Johnson
- Sun Valley Middle: Alenna LeCompte
- Union County Early College: Aheshea Kinser
- Union Elementary: Caroline Lane
- Unionville Elementary: Jill Fagala
- Walter Bickett Education Center: Desirae Neubauer
- Walter Bickett Elementary: Dawn Poor
- Waxhaw Elementary: Julie Hewett
- Weddington Elementary: Vanessa Evans
- Weddington High: Susan Mastin
- Weddington Middle: Juliet Murphy
- Wesley Chapel Elementary: Bonnie Broadwell
- Western Union Elementary: Allison Burnett
- Wingate Elementary: Jeanne Baucom
- Wolfe School: Amy Little
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School Health Advisory Council (SHAC)
The goal of the School Health Advisory Council (SHAC) for UCPS is to strengthen and expand instructional programs and support services for the eight components of a coordinated school health model:
- Health Education
- Physical Education
- Health Services
- Nutrition Services
- Counseling and Psychological Services
- Healthy School Environment
- Health Promotion for Staff
- Family/Community Involvement
The SHAC in Union County was originally established to bridge partnerships between Union County Public Schools, the Union County Board of Education and the Union County Health Department. Members from each of these entities, as well as other stakeholders of the community and LEA comprise our SHAC membership. We meet 3-4 times a year and give recommendations to the UCPS Superintendent and Board of Education.
Promoting healthy and safe behaviors among students is an important part of the fundamental mission of schools. Providing young people with the knowledge and skills they needs to become healthy and productive adults can increase the students’ capacity to learn, reduce absenteeism, and improve physical fitness and mental alertness.
2023-2024
2024-2025
Triennial Assessment
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UCPS School Nurse of the Year
Congratulations to Marvin Elementary School Nurse Terri Shultz, RN, MSN, NCSN, who was named the 2023-2024 UCPS School Nurse of the Year!
Previous Recipients
- 2022-2023: Jill Fagala
- 2021-2022: Carrie Bramlett
- 2020-2021: Katrina Nash
- 2019-2020: Ilene Jackowitz
Purpose
The purpose of the award is to honor the contributions of one UCPS school nurse who has demonstrated excellence in her/his school nursing practice.
Eligibility
- The nominee must be a Registered Nurse.
- The nominee must be currently practicing full time as a nationally certified school nurse for Union County Public Schools.
- Evidence of excellence in school nursing practice must be presented.
- A school nurse may be nominated by a school nurse colleague, administrator, supervisor, teacher, parent, student, or other person affected by school nursing practice.
- The nomination materials must be received on or before the specified date indicated on the nomination form.
Procedure
- Complete the following form to nominate a School Nurse: The nomination period has ended.
- Submit a completed nomination form by November 1, 2024.
- The nominee must accept the nomination in writing.
- A Portfolio Packet must be completed by the Nominee after they are nominated.
- A committee will select the top three (3) nominees.
- The same committee will conduct an interview with each nominee.
Materials for a Nomination Must Include
The School Nurse of the Year Award Nomination Form includes a brief narrative by the nominator summarizing the nominee’s accomplishments. Examples may include:
- Creative school program/ideas
- Professional involvement/professional development
- Political/legislative contributions
- Community involvement
- Optional: Supporting letter(s) of recommendation
The School Nurse Supervisor shall convene the School Nurse of the Year Selection Committee to review the nomination materials and select the recipient using the above selection criteria.
The School Nurse of the Year Selection Committee will notify the School Nurse Supervisor of the School Nurse of the Year selection.
The School Nurse Supervisor shall contact the selected person and send a follow-up email of confirmation. The person who nominates the selected person shall be notified by email of the nominee selected and invited to attend the award service. The nominator will be asked to introduce the award winner.
The School Nurse Supervisor will notify the other nominees by email and thank them for their participation.
Presentation of the award shall be made in the Spring of 2025.
School Health Topics
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Illness Protocols
Protocols are standing orders or guidelines developed by a licensed health care professional using best practices for treating students in emergency situations and sick care. Protocols for fever, vomiting, and diarrhea may be helpful to school staff when evaluating when to send a child home from school due to illness.
Our medical consultant for Union County Public Schools, Dr. Nancy Bizzell, has approved the following protocols for school nurses and staff.
Protocols for School Nurses
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Allergies and Chronic Health Conditions
Chronic Health Conditions
Your child's health condition may affect their ability to learn. When you provide documentation from your health care provider, your nurse will write an Individual Health Plan (IHP) for your child. Each plan will be communicated to the appropriate staff and monitored throughout the year for effectiveness and updates. School nurses may provide care directly to the student, or train another school employee to give medication or assist the student in specialized health care procedures such as catheterization, or tube feedings. School health's goal is to make sure students' health care concerns do not become a barrier to their ability to learn.
Concussion
Students that are enrolled in a school-sponsored sport are required to follow the Gfeller-Waller Concussion Act for Return to Play and Learning. It is highly recommended that a student see a physician that is trained in the management of concussions, and have that doctor complete the concussion forms. Students cannot be given accommodation academically or physically, without written guidelines from their physician. The physician or Athletic Trainer will determine if a student is ready to begin the return to play protocol or be cleared to play sports. Your school nurse will assist with implementing accommodations recommended by your health care provider.Students with concussions outside of school-sponsored sports, or non-sport-related concussions should bring documentation of the concussion to the school nurse for assistance with care and accommodation at school. We are required to follow Return to Learn Guidelines and provide students with the accommodation they need at school.Most concussions are resolved within 10 days to 3 weeks. If your student continues to have symptoms past this time, and you feel they need additional support, notify your guidance counselor for consideration of being evaluated for a 504 Accommodation plan.Diabetes
UCPS School Health understands that students with diabetes face many challenges in school. We provide a program of Individualized Health Care as well as comply with North Carolina law Diabetes Bill SB 911. SB 911 requires that we train Diabetes Care Managers for our students when the School Nurse is not available. To provide a comprehensive approach to care for your child with diabetes, we need you to make an appointment with your school nurse prior to your child's first day at school and have your doctor complete all the necessary paperwork. Once your child is enrolled in school, your school nurse needs to meet with you and your child and have updated paperwork from your doctor at the beginning of each school year.
Contact your school nurse or call the School Health Office at 704-296-0845 for additional information.
Forms Required for Students with Diabetes Annually
Food Allergies
UCPS does not serve food that contains nuts or peanuts, but they may have products that are manufactured in an environment that processes nuts. Cafeterias are not peanut and nut-free, because children are allowed to bring in these items from home. A nut-free area is available for your child to eat at. Contact your school nurse, as each school provides this option in a different manner. If your student needs special arrangements in the classroom or cafeteria to prevent an allergic reaction, a report from your doctor is required to determine the extent of the allergy. If your child needs a nut or peanut-free classroom, you have to have an evaluation by the 504 Accommodation team to have a classroom restrict eating snacks. Call your school's counselor to set up this meeting.
The following steps are helpful to maintain your child's safety from allergic reactions to food at school.
- Complete a request for Health Information Form.
- Have your medical provider complete the following forms:
- Diet Order Form: Diet Order Form (English) or Diet Order Form (Spanish)
- Medication Consent: Medication Form (English) or Medication Form (Spanish)
- Consent to Self-Carry Medication (Emergency Medication only *optional* )
Consent to Self-Carry Medication (English)
Consent to Self-Carry Medication (Spanish)
- Provide your school nurse with any other documentation from your health care provider to help determine the extent of the allergy and emergency care, FARE forms are accepted.
Additional Health Resources
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Blood Borne Diseases
All UCPS employees are required to complete Blood Borne Pathogen training annually. School nurses maintain the health and safety of staff and students by adhering to universal precautions at all times. -
Concussions
Students that are enrolled in a school-sponsored sport are required to follow the Gfeller-Waller Concussion Act for Return to Play and Learning. It is highly recommended that a student see a physician that is trained in the management of concussions, and have that doctor complete the concussion forms. Students cannot be given accommodation academically or physically, without written guidelines from their physician. The physician or Athletic Trainer will determine if a student is ready to begin the return to play protocol or be cleared to play sports. Your school nurse will assist with notifying your child's teacher of the accommodations recommended by your health care provider.Students with concussions outside of school-sponsored sports, or non-sport-related concussions should bring documentation of the concussion to the school nurse for assistance with care and accommodation at school. We are required to follow Return to Learn Guidelines and provide students with the accommodation they need at school.Most concussions are resolved within 10 days to three weeks. If your student continues to have symptoms past this time, and you feel they need additional support, notify your guidance counselor for consideration of being evaluated for a 504 Accommodation plan. -
Emergency Medical Response
Each school must be prepared to respond safely and appropriately to any medical emergency that a student might experience on school grounds. This can include injuries such as severe lacerations, bone fractures, and head injuries. Also included are emergencies related to health conditions such as seizures, asthma attacks, anaphylactic reactions, and diabetic emergencies.
School Responsibility
- UCPS has developed an emergency care plan that describes the school’s plan of response to medical emergencies. This is included in the UCPS emergency handbook (red notebook located in every classroom). Plans include procedures for medical emergencies, heart attacks, and a master emergency plan for field trip accidents.
- The principal will designate the school personnel to serve on the Emergency Care Team (ECT) at every school.
- The ECT members will:
- Receive training in First Aid/CPR and renew training every two years.
- Watch and review the UCPS Blood Borne Pathogens online annually.
- Be offered the Hepatitis B vaccine series.
- In response to NC Senate Bill 911, all schools in North Carolina must provide diabetes education for all new employees. All employees have an annual review of diabetes in school through the Safe Schools Training. In addition, every school must have at least two employees to serve as Diabetes Care Managers (DCM). They must complete the DCM training class provided by UCPS. Training is once and as needed.
Nurse Responsibility
- Assist the school in the development and implementation of an emergency medical plan.
- Provide education to the members of the Emergency Care Teams. The UCPS nurses provide First Aid/CPR training several times during the school year. School employees may contact the School Nurse Supervisor for class information.
- Identify students who have a medical condition that puts them at risk for a medical emergency, write Individual Health Plans (IHP’s) for those students, inform team members that IHP’s have been written and instruct them as needed on the implementation of the plans.
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Flu and Other Contagious Conditions
COVID-19
UCPS nurses and staff will follow CDC recommendations for the safety and health of employees in the prevention of COVID-19 when school is in session.
Influenza
The CDC recommends that staff and students get a yearly flu shot. Flu clinics are held by Walgreens yearly at schools for easy access for staff and their family members over 5 years of age.
Symptoms of the Flu
- Fever or feeling feverish/chills
- Cough
- Sore Throat
- Runny/stuffy nose
- Muscle or body aches
- Headache
- Fatigue
- Some people have vomiting or diarrhea, but this is more common in children
Helpful Resource
Lice
Lice is a nuisance and not a disease. School Health realizes that when your child has lice, it can be frustrating and difficult to remove, but it is not a health concern. The Academy of Pediatrics does not recommend excluding children from school due to lice or nits. Union County Board of Education has developed a lice policy that requires that we notify parents if a student has live lice, and the student must be removed from school for treatment. Communication to classrooms where a staff member has seen live lice will happen in elementary schools only. UCPS staff is not responsible for inspecting children's heads, or communicating to other parents when lice is discovered by parents at home. See below for the complete UCPS Board of Education Policy.
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Health Assessments
In order to comply with North Carolina GS 130A-440, each child entering public school, grades K-12 for the first time must have a health assessment completed by their Health Care Provider. The Provider may be out of state but the results of the physical exam must be recorded on a North Carolina Health Care Transmittal Form.
The Health Assessment must not be done more than 12 calendar months prior to school entry and before the 30th calendar day after school entry and must also be completed on the NC Health Assessment Transmittal Form.- Health Assessment Form (English)
- Health Assessment Form (Spanish) (Evaluacion De Salud En Carolina Del Norte)
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Health Room Care
Students are seen throughout the day with illness and injury in the school's health room. A nurse may not always be present to care for the student, but designated personnel in every school are trained in first aid and CPR and they will assist with the student's health care needs, or call 911 if necessary.
Most illnesses and injuries that occur in school are minor, and may not require a phone call to parents. The student may call home themselves or the teacher may call from the classroom. If nurse or school care provider feels the injury needs followup, they will contact the parent or guardian by phone or in writing. If the nurse, office staff or Emergency Response Team member feels the illness or injury is an emergency, the school will try to notify the parent or guardian first by phone, then the emergency contact. If an ambulance is necessary, and a parent or guardian is not available the principal has the authority and will take responsibility for sending the student with a school employee to the hospital if needed.
We encourage students to stay in the classroom during the school day. If a student has frequent visits to the health room or calls home frequently during the school week the nurse may contact the parent or guardian to determine if there is a medical or psychosocial concern that should be addressed at home or at school. Nurses are consulted by both school staff and parents regarding frequent illness and absences and are available to help problem-solve these issues as needed.
Health Care Tips for the Classroom Teacher
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Immunizations
Immunization and Health Assessment
Medical Exemption/Religious Exemption
If you feel your child is medically or religiously exempt, see below. -
Individual Health Plan
A Request for Health Care Information form (below) should be filled out by the parent of every child with a chronic health condition and returned to the school nurse. The school nurse will review the form and determine the need for an Individual Health Plan (IHP) which outlines how to care for an individual child with special health needs at school. The nurse will require documentation from your health care provider to write the plan. A summary from your doctor about the health condition or a medication consent form is required.- If your child needs medication to be given at school, a medication consent form must be filled out and returned to the school. *Medication can not be given at school until appropriate consent has been received.
- If your child has been newly diagnosed with Type 1 Diabetes, please contact the principal and school nurse as soon as possible.
- If your child has a severe allergy and anaphylaxis may occur, please notify the principal and school nurse as soon as possible.
- Our student's safety is our top priority. Please contact your school nurse anytime you have a question about services rendered at school.
Documents
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Medication
Medication Administration
All medication given at school must have a written Medication Consent Form filled out by your health care provider before the medicine can be brought to school. This includes over-the-counter medication.All medications that can be given outside of school hours without adversely affecting the health of the student should not be administered at school during school hours. As a general rule, medications that are given three times a day or less can be administered at home. However, UCPS realizes that sometimes it is necessary to administer medications at school for the health of the student. When medication is to be administered at school, the parent or guardian should communicate with the teacher and school nurse about its administration.
*Medications may not be administered at school until appropriate consent has been received
The responsibilities of the parent or guardian are:
- Obtain and return to school a medication consent form signed by the doctor and parent/guardian for each school year. (and when a student transfers to another school)
- Medication should be in original container with the student's name and dosage amounts clearly written.
- Contact the school nurse to discuss any long-term (daily) or emergency medications medication, preferably prior to administration at school.
- Inform teacher and school nurse of any changes in the medication immediately. A new consent form signed by the doctor is required for changes in dosages.
- Medication must be picked up after the 10-day period with no note from a doctor, or by the last workday of the school year. The school nurse will discard all medication left at school at the end of the last workday.
- Medication should be brought to school by a parent, not sent in with the student on the bus.
Emergency medication such as epi-pens and inhalers may be carried by the student or kept in a classroom. All other medication will be kept in a locked cabinet in the health room or classroom with permission from the nurse and principal.
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Special Health Care Procedures
Tube Feedings, Colostomy Care, Tracheostomy Care and Other Special Health Care Procedures
If your child has need of a special health care procedure at school, your school nurse will work with you and your health care provider to provide this care, or train unlicensed assistive personnel in school to provide the care. Occasionally a child needs more care than a school nurse can provide, if this is the case, then the 504 Accommodation team at the school, lead by your school counselor will meet with you to determine the best way to meet your child needs.
How to set up specialized health care for my child
- Call the school your child is attending, and notify the school nurse that your child needs assistance with a specialized health care procedure at school.
- UCPS Parent Authorization for Specialized Health Care must be completed.
- A Plan of Treatment form completed by your health care provider is required for the procedure to be done at school.
- A Release for information form is helpful to allow the nurse to speak to the doctor about any concerns they may have while giving care to your child.
- A medication form will be needed in addition to the specialized health care form, if your child is going to need medication at school.
- The nurse will review all pertinent health care plans/procedures/treatments with the school personnel and administration, and will decide if the care can be delegated to a non-licensed teacher assistant, or if the care must be done by a Registered Nurse.
Training and Supervision
School Responsibility
- School personnel will be designated to perform long-term procedures (ie. catheterizations, suction and tracheostomy care, ostomy care, tube feeding, etc.). The school nurse and the principal will work closely together to identify the most appropriate staff member to perform the procedure.
- It is highly recommended that all care be put in place before the student comes to school. The care cannot be given without the Plan of Treatment and Parent Authorization for Specialized Health Care form. Your nurse may also develop and Individual Health Care Plan that will also be distributed to the staff.
Nurse Responsibility
- If the school nurse determines the care can be delegated to the designated school staff, that staff member will be trained by the school nurse to provide the care.
- The nurse will supervise the designated school staff in the performance of the specialized procedures until proficiency is demonstrated and review the care monthly or as needed. A skills checklist will be used to show evidence of mastery of the required procedure(s). The checklist will be filed in the student’s Individual Student Health Care Folder.
- Specialized health care procedures which may be performed by trained school staff include but are not limited to:
- gastrostomy tube feeding
- care and cleaning ostomies
- tracheostomy suctioning
- care and cleaning of tracheostomy and stoma
- clean intermittent catheterization
- care of an external catheterization
- postural drainage and percussion therapy
- administration of tube or rectal medications
- intermittent temperature or blood pressure monitoring
- other
Parent Responsibility
- To inform the school of changes in the student’s Treatment Plan and/or medications as they occur so that information can be updated and implemented.
- Specialized health care procedures that are the responsibility of the parent and will not be done by school personnel or the school nurse include but are not limited to:
- Replacing gastrostomy tube feeding sites
- Changing malfunctioning insulin pump sites, continuous glucose monitoring sites, or pods in Omnipod/insulin pumps.
Forms Needed for Specialized Health Care
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Vision Screening
The purpose of doing vision screenings at school is to identify possible visual problems that may be a deterrent to the student's educational performance in school, and to refer for appropriate diagnosis and treatment by an eye care professional.
Vision Screenings will be offered annually in Union County Public Schools for all students in grades K - 5 and in grade 7. Screening will occur October and May. Additional vision screenings may be needed for special education programs and students who demonstrate possible vision problems or are referred by teachers.
The school nurse can assist families who qualify for vision care programs in obtaining exams and/or eye glasses on an as-needed basis.
About School Nurses
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The major responsibility of the school nurse is to provide the necessary professional expertise so that student health needs can be identified, assessed, treated and monitored by acquiring firsthand knowledge of prevailing health problems and the availability and accessibility of services. Cooperation between school nurses and school personnel is essential in providing comprehensive and effective school health services.
The role of the school nurse
- Assure that the school is prepared to deliver a safe and appropriate response to medical emergencies and all health-related procedures, and treatments and that medication administration is performed safely and accurately by trained school personnel.
- Act as a child advocate by developing Individual Health Plans to assist students with health-related barriers to learning.
- Identify health risks and initiate health promotion activities that foster optimal physical, psychological, and social development conducive to learning.
- Maximize the quality of students' educational experiences by reducing the incidence of health-related absenteeism.
- The school nurse works collaboratively with all stakeholders and other community resources to deliver health services within the schools. The principals, school counselors, school psychologists and social workers all work closely with the school nurse to ensure that the physical and mental health needs of the students are met.
School nurses are required to have a bachelor's degree, and be nationally certified within three years of employment. Many of the nurses also have advanced practice or master's degrees in nursing. School nurses are also certified in vision screening, CPR and suicide intervention protocol (SIP). Nurses train unlicensed assistive school personnel in CPR, first aid, and diabetes care management.
The quality of the school health program is maintained through nurses attending continuing educational opportunities, performance improvement goals, and ongoing evaluation and quality improvement to ensure that the practice is up-to-date and evidence-based.
School nurses are employed and governed by Union County Public Schools.