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Health Office Information

The PES School Nurse is a Registered Nurse, licensed by the State of New Hampshire, who advocates for children’s health in the educational setting. The goal of the health office is to advance the well being and academic success of our students, and to help prepare them for a productive and healthy future.

Healthy students are more able to be successful in every aspect of one’s school and home life. The health office encourages students to develop healthy eating habits, get sufficient sleep, see their health care provider and dentist regularly, practice good hygiene and wear appropriate clothing for our variable New England weather.

The School Nurse conducts routine height, weight, vision and hearing screenings, monitors communicable disease, maintains health records, provides individualized nursing services for students with disabilities and/or health conditions and attends to illnesses and injuries that occur at school. In addition, she provides students, staff and parents with relevant health and safety education. Books on many health and childcare issues are available for loan. Parents are welcome to call or visit the Health Office anytime with information or questions about their children’s health.

Here are some key health questions about which parents routinely seek additional information:

Health Insurance
Can I get health care coverage for my child through the school system?

Records of Immunizations and Physical Examinations
What health forms do I need before my child can enroll at Peterborough Elementary School?

Routine Vision and Hearing Screenings
Will my child get examined for vision and hearing?

At what point should I keep my child at home from school?

Medications at School
How do I make sure my child gets the medication s/he needs?

Head Lice
What do I have to do before my child gets readmitted to school?

Allergies and Sensitivities
One of my children is allergic to peanut butter, the other has a sensitivity to NRL (natural latex rubber). To whom should I talk about these issues?

Crutches, Casts, Sutures, Surgery
My child has suffered a sports injury. Whom to I talk to about adaptive needs?

Communicable Diseases Policy


Health Insurance

For uninsured children, New Hampshire Healthy Kids offers affordable and comprehensive benefits, including medical, dental, vision, prescription drugs and more.

Cost is based on family size and income – and may be free for some children. Vision coverage for uninsured children may also be available.

Please call the Health Office at 924-3828 ext. 1641 for more information.


Records of Immunizations and Physical Examinations

The School Nurse is responsible for implementing state laws and expectations regarding immunizations and physical examination.

Before a child is allowed to start school at PES, parents must provide written documentation of all immunizations and a current physical from a health care provider.


Routine Vision and Hearing Screenings

Routine vision and hearing screenings will take place throughout the year. You will receive a note when your child has been examined.

If your child complains of headaches, blurred vision, or other evidence of eye strain, he/she should be fully checked by an optometrist. If there are significant hearing problems, an audiologist exam is advised.



The main reasons for keeping your child home from school are:

1. He or she is too sick to be comfortable and able to learn at school.
2. He or she might spread a contagious disease to the other children.

Because of these health and safety concerns, no child should attend school if he/she has any of the following conditions: a fever; a sore throat or earache; a serious cold or cough; sick or aching stomach; vomiting or diarrhea within the last 24 hours; or any kind of skin rash. Sick children will be sent home from school. The School Nurse may require a doctor’s note prior to a student returning to school.

Sore throats are very common throughout childhood; however, it is important to be alert for a streptococcus or “strep” infection that can only be accurately diagnosed through a throat culture. If your child is diagnosed with a strep or any other infection requiring antibiotics, the prescribed antibiotics must be taken for the full length of time prescribed by the doctor.

Children may return to school after 24 hours on antibiotics and when their temperature has been normal for 24 hours.

Please remember to always make sure that the school knows how to reach you (or an emergency contact person) during the day, especially if your child has not been well. Also, keep in mind that handwashing is the single most important intervention to help prevent the spread of infection.


Medications at School

1. Medications should be given at home whenever possible. For instance, medication prescribed for three times a day can usually be given before school, after school and at bedtime.

2. Medications that must be administered at school must be brought to the School Nurse by the parent/guardian and must be locked in the Nurse’s Office and dispensed by the Nurse or a parent designated staff member. Exceptions are asthma inhalers and self injected epinephrine (Epi-Pens).

3. In order for a student to carry and self-administer asthma medication and/or epinephrine the student’s parent or guardian shall submit written verification from the physician confirming that the student has the knowledge and skills to safely possess and use the medication in school. Also, the parent or guardian must give their approval in writing.

4. A Medication Form must be completed by parent or guardian for any medication to be given at school. A new form must be completed each school year or whenever there is a change in dose, time, or route of administration. A physician/nurse practitioner signature is required for all prescription medication and may be required for over the counter medication.

5. Ibuprofen or acetaminophen may be given at school at the discretion of the school nurse with written permission from the parent or guardian. A health care provider’s order is needed for all other medication.

6. In the event of a field trip, if the child needs administration of a medication, the parent/guardian is responsible for administering the medication or instructing the person they designate on proper administration of the medication.

7. No more than a thirty school day supply of prescription medication may be stored at school.

8. Medication must be in its original container, labeled by the pharmacist with the student’s name, date, medication, dosage, and times to be administered. Over the counter medication must be delivered in a new, unopened container.

9. Parents need to pick up any remaining medication within 10 days after medication is discontinued or by the last day of school if the medication is given to the student throughout the school year. Medication not picked up will be discarded.

10. Please call the PES School Nurse at 924-3828 ext. 1641 to discuss the details of your child's needs.


Head Lice

The presence of head lice is a nuisance that can happen to anyone and has no bearing on cleanliness!

Head lice do not fly or jump. They are usually transmitted via direct personal contact, or through contact with another person’s belongings such as hats, combs, pillows, headbands, scarves, helmets, etc.

Signs are itching of the scalp and neck; sometimes rash or scratch marks; and nits, which are small silvery egg cases firmly attached to individual hairs close to the scalp. Nits look like dandruff but stick to the hair strand. When checking your child for nits and head lice, look carefully behind the ears, at the back of the neck, and forehead. Lice look something like fleas, but are difficult to see and move quickly.

If you see signs of head lice or nits, please notify the PES School Nurse at 924-3828 ext. 1641 right away for support and treatment information.

If you find signs of head lice, please remember to:

1. Notify the PES School Nurse. Head checks of other students will help limit the spread of the lice.
2. Follow treatment/environmental cleaning guidelines as recommended by your doctor, pharmacist or school nurse.
3. It is important to remove all nits. Combs for this purpose are available in the health office.


Allergies and Sensitivities

Parents should alert their children's classroom teachers of all known allergies and sensitivities. It is also important to inform the PES School Nurse at 924-3828 ext. 1641 to discuss specific needs and medical intervention strategies.

Due to student allergies, latex balloons are not permitted in school. Also, balloons are not to be delivered to children, faculty or staff as presents while school is in session.


Crutches, Casts, Sutures, Surgery

If your child is returning to school with a cast, crutches, sutures (stitches) or after surgery, the health office will need written instructions from your health care provider.

Please call PES School Nurse at 924-3828 ext. 1641 to discuss your child's specific needs in these special situations.


Communicable Diseases Policy
(refer to District Policy)

Communicable Diseases Known to be Spread Through Casual Contact

“Casual Contact” refers to any contact that does not permit the direct exchange of blood into the bloodstream or mucus membranes from one person to another. This includes shaking hands, sneezing, coughing, sharing food, beverages or utensils, and insect bites.

The School Nurse has the authority to exclude a student or staff member from school when reliable evidence or information from a qualified source (e.g. a medical professional, parent/guardian, or infected student/staff member) confirms the existence of a communicable disease or infection that is known to be spread by any form of casual contact, and is considered a health risk to the school population. Such a student or staff member shall be excluded from school, unless their physician approves attendance, or the condition is no longer considered contagious.

Students are expected to be in compliance with the immunization requirements as specified in the New Hampshire Code of Administrative Rules and Communicable Diseases. In compliance with the Public Health Code and Rules, students not meeting the immunization requirements will be excluded from school attendance, unless they have applied for and met exemption requirements. School officials will cooperate with the NH State Department of Education in completing and coordinating all immunization data, exemptions, and exclusions, including the annual immunization survey, to provide for preventable communicable disease control.

Confidentiality. The identity of an individual with a communicable disease that can be spread by casual contact shall be disclosed based solely on his/her educational or medical needs.

Communicable Diseases Known NOT to be Spread by Casual Contact (NSCC)

When reliable evidence from a qualified source (e.g. a medical professional, parent/guardian, or the infected student/staff member) confirms the existence of a communicable disease or infection that is known NOT to be Spread by Casual Contact (NSCC) (e.g. HIV/AIDS, Hepatitis B, and other like diseases), the infected student/staff member shall not be excluded from the school setting solely by virtue of having the disease. Students/staff infected with NSCC shall attend the school and classroom in which they would be assigned if they were not infected. They are entitled to all rights, privileges, and services accorded to other students and staff members.

Decisions about changes in the educational program of a student who is infected with NSCC shall be directed by the designated team, and made on a case-by-case basis, relying on the best available scientific and medical advice. The team may be comprised of the school nurse, infected individual, his/her personal physician, parent/guardian, case manager, and building administrator.

Confidentiality. The identity of an individual with NSCC shall be disclosed based solely on his/her educational or medical needs. Identification of the infected student or staff member shall not be given without the individual’s written consent. Any staff member with knowledge of an individual diagnosed with NSCC, shall be informed of his/her legal obligation and liability, and are required to treat all proceedings, discussions, and documents as confidential. The Superintendent shall be notified that a student/staff member is diagnosed with NSCC, and along with the team, may determine what, if any, further action is medically or educationally warranted.

Non-Discrimination. Employees infected with NSCC shall not be discriminated against in matters of employment. No employee shall be terminated, non-renewed, demoted, suspended, transferred, or subjected to adverse action based solely on the fact that he/she is infected with NSCC. Employees unable to perform the duties of their job due to NSCC shall maintain eligibility for all benefits that are provided for other employees with long-term diseases or disabling conditions.

Education. The school district may establish a mandatory annual education program about NSCC and Standard Precautions that may include workshops, reading materials, and videos. Available resources may include school district policies and procedures related to employees and students with diseases such as NSCC, and instruction on infection control, including Standard Precautions.

Keep In Touch

Peterborough Elementary School
17 High Street
Peterborough NH 03458
phone: 924-3828
fax: 924-4193


Pamela Murphy

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Peterborough Elementary School