Hodgson Nurses’ Office

Tracy McMullen, MEd, BSN, RN,: tracy.mcmullen@nccvt.k12.de.us

Christine Moses, MSN, APN, CRNA; christine.moses@nccvt.k12.de.us

Office Hours: Monday-Friday 8:00-2:30 (Open 2:30-2:59 for emergencies only)

Phone: 302-834-0655 / Fax: 302-838-4091

SPORTS PHYSICALS

The Delaware Interscholastic Athletic Association (DIAA) mandates that every student must have all papers completed with all signatures, in order to be eligible to try-out and participate in any school sponsored sport. The physical must be on the DIAA physical form only. No other forms can be substituted. Physicals must be performed yearly and performed on or after April 1st for the following school year. It is encouraged to get your physical early and not the wait until the last minute. Clearance to start practice cannot be guaranteed unless forms are received in adequate time for them to be reviewed.

*COVID UPDATE FOR SPORTS PHYSICALS FOR 2020-2021

• Athletes must have a new DIAA physical on file prior to trying out for any winter or spring sport.

• Any athlete who had already gotten a DIAA physical without the COVID-19 forms after April 1^st 2020 will need to complete the supplemental PPE form.

The DIAA Physical Form for 2020-2021 with the COVID-19 forms can be accessed below.

Please click below to download and/or fill out the Sports Physical/DIAA Form!

DIAA Physical Form 2020-2021

Sports physicals can be done by your regular doctor, Hodgson Wellness Center (if a member), or a walk-in clinic.

• Hodgson Wellness Center 832-5400
• Newark Emergency Center 738-4300
• Hockessin Walk-In Clinic 234-4000
• Glasgow Medical Aid Unit 836-8350
• Medical Aid Unit at Christiana 623-0444
• Glasgow Medical Aid Unit at Middletown 449-3100
• Go-Care at Abby Medical Center 999-0003

SPORTS INJURIES

All sports injuries need to be reported to the athletic trainer and school nurse as soon as possible. The athletic trainer can be found in the field house after school. Documentation of injuries needs to be given to both the trainer and nurse. Documentation would include any doctor/emergency room visits with the diagnosis, clearance note for sport, and any limitations.

IF YOUR CHILD IS SICK AND DOESN’T FEEL WELL, DO NOT SEND THEM TO SCHOOL! A PARENT NOTE OF ILLNESS IS SUFFICIENT FOR AN EXCUSED ABSENCE.

ALL STUDENTS ARE REQUIRED TO HAVE AN EMERGENCY CARD IN THE NURSES OFFICE YEARLY. This is due on the second day of school.

All students are required to have a signed clipboard to visit the nurses’ office. They may not stop by in-between classes without a pass.

Be healthy by eating breakfast every morning. Students frequently feel dizzy, get headaches, and experience nausea when they do not eat.

ATTENTION 9TH GRADERS AND NEW ENTERERS TO HODGSON

A complete record of your child’s immunizations is required upon entering Hodgson, including the following:

• Physical within 2 years prior to entry into 9th grade
• 4-5 doses of DTaP, DTP (Diphtheria, Tetanus, Pertussis)
• 1 Tdap booster at age 11-12 or prior to entry into 9th grade
• 3-4 doses of IPV or OPV (Polio)
• 2 doses of Measles, Mumps, and Rubella (MMR)
• 3 doses of Hepatitis B vaccine
• 2 doses of Varicella (Chicken Pox Vaccine) or documented history of student having had Chicken Pox
• 1 PPD/Tuberculosis skin test with results or Tuberculosis Risk Assessment
• 1 dose of Meningococcal (Meningitis, Menactra)

If you are coming from out of state or a private school, the following is required:

• PPD/Tuberculosis skin test with results or Tuberculosis Risk Assessment within the last year

General Health Physical Form (THIS FORM CANNOT BE USED FOR A SPORTS PHYSICAL – See “Sports Physicals” below )

Tuberculosis Risk Assessment Questionnaire

WHEN TO STAY HOME

A student should stay home if they:

• Have a fever of 100 degrees or greater. A student should remain home for 24 hours after their temperature returns to normal without the use of Tylenol, Advil, Motrin, or combination cold medications, such as Dayquil.
• Have vomited. They should remain home for 24 hours after vomiting stops.
• Have diarrhea. They should remain home for 24 hours after diarrhea stops.
• Have a persistent cough

It is great that students want to come to school, but it is very important to stop the spread of germs throughout the school.

STAY HOME WHEN YOU ARE TOO SICK TO COME TO SCHOOL. DO NOT COME IN TO BE EVALUATED BY THE NURSE. THIS CAUSES GERMS TO SPREAD TO CLASSMATES AND BUS PARTNERS. TAKE THEM TO THE DOCTOR.

MEDICATIONS

By law, students are not permitted to carry any medications with them at school. All medications are to be administered by the school nurse. There must be a current emergency card on file which gives parental/guardian permission to administer over-the-counter medications. We have Ibuprofen, Tylenol, & Midol in the office. We do not provide allergy or cold medicine. If your child needs something other than these medications, see below.

Parental Request to Have Medication Administered in School

Parent/Guardian Permission to Assist with Medication on Field Trips

Non-Prescription Medication:

• Must be brought to nurses’ office first thing in the morning
• Must be in the original container
• Must be within the expiration date
• Must have written permission from parent/guardian
• Medication allergies listed on permission form

Prescription Medication:

• Must be brought to nurses’ office first thing in the morning
• Must be in the original container displaying the pharmacy label with the correct name, medication, dosage, route of administration, how often medication can be given, and the physician’s name.
• Must have written permission from parent/guardian
• Medication allergies listed on permission form

YOUR CHILD WILL NOT BE ALLOWED TO ATTEND FIELD TRIPS IF THESE FORMS ARE NOT COMPLETED AND ON FILE IN THE NURSES OFFICE.

Diabetes:

Please make us aware before the start of the school year if your child has Diabetes. A current copy of the Diabetic Plan is required yearly.

We will need the following supplies:

• Glucagon (with the pharmacy label)
• Insulin for daily usage (with the pharmacy label)
• Extra vial/pen on insulin (with the pharmacy label) in case of an emergency
• Ketone strips
• Snacks and Drinks for your child when glucose is low
• Few water bottles for your child when glucose is high

The Glucagon Release Form

Asthma Inhalers and EpiPens:

Students are permitted to have discretionary use and possession of an asthmatic quick relief inhaler or auto-injectable epinephrine with individual prescription label. In order for the student to carry their inhaler or EpiPen, they must have the Student Possession and Use of Asthmatic Quick Relief Inhaler Form signed by the student, parent, and physician. Without this permission form, students are not permitted to carry them or keep them in their gym/sports bag. It is highly recommended that student’s keep back-up inhalers and Epi-pens in the Nurses’ Office.

ASTHMA

An asthma Action Plan must be completed the beginning of each school year. This includes students with Asthma, Exercise Induced Asthma, or using an asthma inhaler for any reason. An extra inhaler is strongly recommended to be kept in the nurses’ office for emergencies. The inhaler must be properly labeled with the pharmacy label and within the expiration date.

Student Possession and Use of Asthmatic Quick Relief Inhaler Form

Asthma Action Plan

Food and Insect Allergies

Any student with an allergy that requires the use of Benadryl or an EpiPen, is required to have a Food/Insect Allergy Plan signed by the doctor. This plan tells us what your child requires in the event of an allergic reaction and is extremely important. This plan is required the beginning of every school year.

Student Possession and Use of EpiPen

Food/Insect Allergy Plan

SEIZURES

Please make us aware that your child has seizures with a phone call. A Seizure Action Plan is required each school year. It is also helpful if you could fill out the parent questionnaire for student with seizures. If your child plans to participate in sports, we would need a clearance note from the doctor.

Seizure Action Plan

Parent Questionnaire for Student with Seizures

GYM LIMITATION/EXCLUSION

Students requiring limitation or exclusion from Gym class need to have their physician fill out the Limited Gym Form. In an effort to help a student earn the required credit, a student may be placed on a limited physical education participation status if their physician approves. If the nurse and instructor have received proper documentation from a physician which fully restricts the student’s participation for a period of time exceeding ten school days, the student will receive an “M” grade and NO CREDIT for the course for that marking period.

Limited Gym Form

REPORTING ABSENCES

Parents/Guardians may report absences by calling the attendance Office at 302-834-3643. If there is an extended absence due to illness or injury, please make the nurses’ office aware (examples: flu, Mono, broken bones, hospitalization) by calling 302-834-0655. Doctor’s notes with diagnosis are appreciated upon return to both attendance and nurses’ office.

EARLY DISMISSAL DUE TO ILLNESS

Students may not call/text their parents during the course of the day to go home due to illness. They are required to come to the Nurses’ Office to be assessed. The nurse will contact the parent/guardian if an early dismissal is indicated due to illness. It is the responsibility of the parent/guardian to arrange transportation for their child, unless they are okay to drive home themselves.

GUIDELINES FOR CAREGIVER(S)

This is not to replace the advice of your doctor:

Fever

• Get extra rest and eat light meals.
• Drink extra fluids every 15-60 minutes.
• Ask your healthcare provider to recommend an over-the-counter medication to reduce fever. Do not take aspirin! It can cause Reyes Syndrome.
• If fever persists for more than 2 days, increases to over 102 degrees, or symptoms continue to worsen, contact your healthcare provider.
• No school until fever-free for 24 hours without the use of fever reducing medications.

Upper Respiratory Infection (Cold Symptoms)

• Ask your healthcare provider to recommend an over-the-counter medication to ease symptoms. Do not take aspirin! It can cause Reyes Syndrome.
• Drink plenty of fluids.
• Use moist air from vaporizer to help relieve congestion.
• Contact your healthcare provider if:
  • breathing difficulties occur
  • you cough up green or yellow phlegm that has a bad odor
  • fever persists
  • you feel sicker each day instead of feeling better

Nausea and Vomiting

• No solids for 8 hours.
• Clear liquids only (not milk) until 4 hours have passed without vomiting. Start with one tablespoon every 10 minutes. If vomiting does not occur, double the amount very hour. If vomiting does occur, allow the stomach to rest for 1 hour and then start again. The key is to gradually increase the amount of fluid until taking 8 oz every hour.
• Resume normal diet as soon as tolerated.
• Contact your healthcare provider if vomiting persists or if you suspect dehydration.

Diarrhea

• Drink water and/or sports drinks.
• Eat the BRATT diet–Bananas, Rice, Applesauce, Tea, and Toast.
• Resume normal diet as soon as possible.
• Contact your healthcare provider if cramps, diarrhea, or pain increases or persists or if you suspect dehydration.

Cuts, Abrasions, or Minor Burns

• Keep the affected area clean and dry.
• Change the bandage in 24 hours or sooner if it becomes soiled.
• Notify healthcare provider if signs of infection develop such as swelling, red streaking, drainage or pus, pain, or fever.
• Make sure the last tetanus shot was within 10 years for minor injuries or 5 years for major cuts.

Bruises, Sprains, or Strains

• Elevate and rest the affected area of the body to reduce swelling and pain.
• Apply ice packs or cold compresses for 10 minutes as many times as possible to the injured area for the first 24 hours after the injury. Wrap the cold pack in a towel to minimize the risk of frostbite to the skin.
• Notify your doctor immediately if the injured area becomes grossly swollen, discolored, cold or numb, or if the injured limb is unable to bear moderate pressure or body weight.
• Ask you healthcare provider to recommend an over-the-counter medication to reduce pain and inflammation.
• Contact your family doctor or go to an emergency room if not better in 48 hours.

Head Injury

You should watch for any of the following signs of severe injury, in which case you should seek the advice of your healthcare provider as soon as possible.

• severe headache
• excessive drowsiness (unable to be awakened when asleep for 4 hours)
• nausea and/or vomiting
• doubled or blurred vision or pupils of different sizes
• inability to maintain erect posture, staggering, etc.
• unusual behavior, confusion, inappropriate anger
• convulsions or discharge from the ear

Addiction Help

Below are two helpful local websites in case someone you knows needs help with addiction:

http://www.attackaddiction.org/

http://www.helpisherede.com/