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Nurse's Office

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Health in School
The primary health care of the student is the responsibility of the parent/guardian.  The School Nurse is responsible for the overall administration of the school’s Health Services Program and to be a support system to this primary care.  We are not here to diagnose conditions or prescribe medical treatments.

Being healthy and having positive self-esteem are two important factors in being able to learn.  Please be sure your student is well rested and nourished before coming to school each day.  Personal hygiene is essential for good health and self-esteem.  Students need to be encouraged to be responsible to be clean: body, hair and teeth on a daily basis.


  • If your child is not feeling well keep them home.
  • Sending a sick child to school only gets the other students sick.
  • If your child has had a fever over 99.9 they MUST stay home for 24 hours. They can return when they are fever free for 24 hours without the aid of medication.
  • If your child has vomited they MUST stay home for 24 hours.
  • If your child has diarrhea they MUST stay home for 24 hours.
    • For example if your child is vomiting at 9:00 PM, they are not to come to school the next day; they need to remain out for a full 24 hours.
  • If your child is being tested for strep throat they must remain out of school until the test results are confirmed from the physician’s office. (See handbook).
  • Please report any communicable disease (Strep throat, pink eye, head lice, etc.) to the Nurse’s Office immediately so families can be notified.  Do not return to school until treatment has occurred or there is documentation that the child is free of communicable disease.
  • The single most effective prevention against the spread of germs and disease is hand washing.

All students in Ohio are required to have up-to-date immunizations documented and on file. Please use the Ohio Department of Health Immunization Report (see forms) or a copy from your physician’s office. The Ohio Revised Code mandates that pupils (age/grade level appropriate) be protected against the following diseases: diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, Hepatitis B and Varicella.  These immunizations can be obtained from your regular physician. The Shaker Heights Department of Health at 3400 Lee Road offers these immunizations for a fee. Please contact the health department. at 216-491-1418 for information or to make an appointment.  Immunizations may be waived for specific medical or religious reasons and Ohio Revised Code exemption forms must be completed. Students will be excluded, but not excused, from school on the 15th day of school if immunization mandates are not met.

Health Screening
The state mandates vision and hearing screening for all Early Childhood, Kindergarten, 1st, 3rd, 5th ,7th (vision only) and 9th graders and students new to the district.  This screening takes place throughout the year. If any problems are identified, parents/guardians will be notified. Students should have their corrective lenses with them in school at all times.

Physical Education Excuse
Middle School/Upper School requires a physician letter of diagnosis, physical limitations, and duration of time excuse. Lower School requires a parent note for class excuse unless it is a major injury. A physician’s note to return to activities is required for any prolonged absence for all divisions ex: after a broken bone or severe sprain.

Special Health Needs
If your child has specific health needs, please notify the nurse so that individual accommodations, care plans, emergency action plans, or programs can be arranged.

Susan Kramer RN, BSN
School Nurse