Welcome to the Nyack High School Nurse's Office

Welcome Back

PLEASE STAY SAFE & HEALTHY BY FOLLOWING THE CDC GUIDELINES FOR SOCIAL DISTANCING TO AVOID EXPOSURE TO THE COVID-19 VIRUS!

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https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html

As we return to the NHS building, I want to take this time to ask that you help us to make this transition as safe as possible. 

  • Please complete the Daily Questionnaire and take your child's temperature.  If you do not have a thermometer, please notify me at 353-7140 as soon as possible. 
  • Please keep your child at home if they are experiencing ANY of the symptoms below (Covid-19 symptoms):

Fever or chills      Cough      Shortness of breath or difficulty breathing      Fatigue            Muscle or body aches      Headache      New loss of taste or smell

      Sore throat      Congestion or runny nose      Nausea or vomiting      Diarrhea      Multisystem Inflammatory Syndrome in Children (MIS-C)

  • Multisystem inflammatory syndrome in children (MIS-C) is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or feeling extra tired. We do not yet know what causes MIS-C. However, many children with MIS-C had the virus that causes COVID-19, or had been around someone with COVID-19.  The School Nurse will call for emergency transport (911) following district policies, for any student showing any of these emergency warning signs of MIS-C or other life threatening signs.

Students presenting with ANY of the symptoms above will be sent home immediately.  Parents will be asked to call the nurse at 353-7140, upon arrival at the school for pick up & the student will be escorted from the isolation area to the parent/guardian with instructions that will include seeking medical attention and the protocol for returning to school.  YOUR CHILD MAY ATTEND VIRTUAL CLASS FOR THE DURATION OF THEIR QUARANTINE, UNLESS THEY ARE TOO ILL TO PARTICIPATE.

PROCEDURE FOR RETURNING TO SCHOOL

  •  If a STUDENT has had close contact with someone with COVID-19:
    • The student will self-quarantine even if they are not sick. Individuals will watch for signs of fever, cough, shortness of breath, and other COVID-19 symptoms during the 14 days of quarantine, beginning with the last day they were in close contact with the person sick with COVID-19. They will not go to work, child care, school, or public places for 14 days, however, they may attend VIRTUAL classes. 
  • When should a student screened positive for COVID-19 symptoms return to school or work?
    •  At minimum, documentation from a health care provider following evaluation, negative COVID-19 diagnostic test result and symptom resolution,      or
    • If they have been diagnosed with another condition and has a healthcare provider written note stating they are clear to return to school or work
  •  When should a student who has tested positive for COVID-19 return to school or work?
    • If the student who tested positive has symptoms (fever, cough, shortness of breath/difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell) the clearance criteria for release from isolation are
      • It has been at least 10 days since the student first started experiencing symptoms; AND
      • The student hasn’t had a fever in at least 3 days without taking fever-reducing medications (such as acetaminophen), AND
      • Any symptoms including shortness of breath/coughing/difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell have improved.
      • The student will provide a written note from a healthcare provider stating they are clear to return to school or work.
  • If the student who tested positive has never had symptoms the clearance criteria are
    • It has been at least 10 days since the student’s first positive COVID-19 test was collected; AND 
    • The student has not had any subsequent illness.
    • The student will provide a written note from a healthcare provider stating they are clear to return to school or work.

 

Medical information (health forms, MD notes, etc.) can be submitted to the Nurse's Office as indicated below:

  • By mail to: Nyack High School Attn: M. D'Auria, RN 360 Christian Herald Rd Upper Nyack NY 10960

  • Fax: 845-353-7147 

  • Email attachment to: mdauria@nyackschools.org

  • Dropped off in main office or athletic office addressed to M. D'Auria, RN

Please see the announcement section for more information for your child's school year.

Contact Info

Margaret D'Auria (Peggy)

845-353-7140

 mdauria@nyackschools.org

Fax: 845-353-7147

Announcements

  • featured post

    Parents of Seniors 2020 NYS Immunization Requirements for MCV4 (Meningitis) final date for submission is October 31, 2020

    All Seniors are required to have the Meningitis Vaccine (MCV4).  Vaccine documentation MUST be submitted by October 31, 2020.   Seniors who have not met this requirement will be excluded from school until the appropriate documentation is received

    NY State requires all Seniors to have either: One dose of the menactra vaccine if it was administered after age 16 or two doses of the vaccine with the second dose given on or after the 16th birthday. 

    PLEASE NOTE: Meningitis B is a different vaccine & is not an acceptable substitute for the NYS meningitis requirement.

    Please contact your child's healthcare provider and schedule an appointment for this mandated immunization.  The Rockland County Dept. of Health offers free vaccines by appointment only.  Call 845-364-2520 to schedule an appointment at their Pomona clinic.  Updated immunization records can be mailed (360 Christian Herald Rd. Nyack NY 10960), emailed (mdauria@nyackschools.org) or faxed (845-353-7147).  Thank you for your prompt attention to this matter.

    Nurse Notes
  • Medication and your child

    No medication can be carried in school by your child with the exception of an Epipen or asthma inhaler with a valid Doctor's Prescription. 

    Your child can however receive medication from the school nurse with a prescription from your child's MD.  Medication can be administered for students with symptoms with the MD orders, however they will still be sent home after being medicated.  If you would still to like to allow your child to take Tylenol or Ibuprofen in school for headaches or other ailments, please complete the top portion of the attached form.  Your physician must complete the bottom portion for the form for it to be a valid prescription. Return the form to the Nurse's Office by hand, email (mdauria@nyackschools.org) or fax (845-353-7147).  The form is good for one year from the date of the prescription.  Any other prescribed medication can be written on an MD prescription pad and attached to this form. Medications other than Tylenol, Ibuprofen & Benadryl, must be supplied to the Nurse in its original container with the child's name on it. 

    Nurse Notes
  • Vaccine requirements for HS students

    For English Version, click link below:

    <div style="overflow:auto;-webkit-overflow-scrolling:touch"><iframe src="https://www.cdc.gov/vaccines/schedules/easy-to-read/adolescent-shell-easyread.html" width="100%" height="1200px" frameborder="0" scrolling="auto" title="Easy-to-Read Schedule for Preteens and Teens, 7-18 Years">Easy-to-Read Schedule for Preteens and Teens, 7-18 Years</iframe></div>

    For Spanish Version click link below:

    <div style="overflow:auto;-webkit-overflow-scrolling:touch"><iframe src="https://www.cdc.gov/vaccines/schedules/easy-to-read/adolescent-shell-easyread-sp.html" width="100%" height="1200px" frameborder="0" scrolling="auto" title="Vacunas recomendadas para los niños desde los 7 hasta los 18 años de edad">Easy-to-Read Schedule for Preteens and Teens, 7-18 Years</iframe></div>

    Nurse Notes
  • COVID-19 Update

    Welcome Back!

    All physicals & required immunizations for the 2020-2021 should be submitted to the nurse's office, by fax to 353-7147,  via email (mdauria@nyackschools.org) or by mail (Nyack High School Nurse's Office-Attn: M. D'Auria, RN 360 Christian Herald Rd Upper Nyack, NY 10960).  Forms can be downloaded from the links on this page.  Please remember that the health & well being of our students is our priority & that physical exams should be scheduled with your health care provider.  We will work with you to keep your child safe & still remain compliant with the state regulations as we return to school in the hopefully near future.

    Nurse Notes
  • Parents of 9th and 11th graders for 2020-2021

    Please be aware that NY State requires a physical examination for all 9th & 11th grade students.  The NYS formand is linked to this post along with the medication administration form.  Please ensure that your child's mandated exam is documented on either the NEW form or your  physician's form  & submitted to the NHS  Nurse's Office once it is complete, along with a current immunization record.  Thanks you, I appreciate your cooperation in keeping our records up to date & in compliance with the NYS regulations.

    Nurse Notes
  • TURN DOWN THE VOLUME!

     

    Noise-induced hearing loss (NIHL) is irreversible, and its consequences are far- reaching: Impaired hearing can interfere with daily tasks, hinder communication, including speech and language proficiency, and increase levels of fatigue, irritability, anger, and frustration. These factors can have a devastating impact on educational and social development among students with hearing loss.

     Causes

    NIHL is a preventable hearing impairment that occurs with repeated or chronic exposure to noise levels of about 85 decibels (dB) or more. This type of exposure has become ubiquitous among students, with the widespread availability of portable media players (such as iPods and MP3 players), cell phones, and laptop computers. When headphones are used with these devices, audio output at the ear may greatly exceed the 85 dB threshold. Many electronic devices deliver 108 dB to 125 dB through headphones set at full volume, and 85 dB to 108 dB at half volume. Small-diameter headphones(“earbuds”) that are placed just distal to the external auditory canal can be particularly hazardous, as they generally do not block ambient noise; listeners therefore increase the audio output to drown out unwanted sound.

    Prevention

    Prevent hearing impairment by lowering the volume of all headphone or earbud devices to the lowest possible setting.  Use ear-plugs at concerts & other events where noise limits are excessive.  It is estimated that 15% of children (1-19yrs) in the U.S. already suffer from hearing loss & that number continues to rise, so remember to turn down the volume.

    Nurse Notes
  • Vaccines for college- What you should know

    If your child is a college student—or soon to be one—making sure he or she is fully immunized is critically important, especially for those who will be living in a dorm or another shared space. That is because large groups of people in close proximity provide the ideal conditions for the spread of diseases, including those that are vaccine-preventable.

     “Vaccines can keep students from contracting serious illnesses and keep them from missing classes,” says Sarah Van Orman, M.D., associate vice-provost for student affairs and chief student health officer at the University of Southern California.  Keep in mind that the school’s vaccination requirements might not be enough to protect your child. Many universities—especially public institutions—follow their state’s requirements, which might not include the full list of vaccines recommended by the CDC. 

    Barring any medical reasons not to receive vaccines, here are the key vaccines for college safety:

    1. Tetanus, diptheria & pertussis - Students who have never received the Tdap booster should get a single adult dose of this vaccine for college.

     

    1. Meningitis (MCV4 & Meningitis B) - The meningococcal conjugate vaccine covers some of the most common forms of bacterial meningitis, a devastating disease that almost always requires hospitalization and can cause permanent disability or death within hours of first feeling sick. College students living in dorms are an at-risk group.

    Pediatricians usually give this vaccine at age 11 or 12 and a booster at 16. Those who missed either one of these can catch up before dorm move-in day.

    When it comes to vaccines for college, be aware that there’s a second meningitis vaccine—the serogroup B meningococcal vaccine—that prevents another strain of the disease, known as the B strain.

    1. Measles, Mumps & Rubella – The vaccine has been highly successful in eliminating the diseases, however there have been outbreaks around the county which place unvaccinated students at risk.
    2. Hepatitis B -Hepatitis B is very contagious. It is spread through contact with semen, vaginal fluids, blood, and urine. It can be serious and there is no cure, but the good news is it is easy to prevent. You can protect your child by getting them the hepatitis B vaccine and encouraging them to use safe sex practices. 
    Nurse Notes
  • New York State mandated years for health exams and screening have changed.


    The NYS Health Examination form will not be exclusively required in 2019 and the general MD Health forms will be acceptable for the 2019-2020 school year.
    • Health examinations will be required in grades PreK or K, 1, 3, 5, 7, 9, and 11.
    • Vision screening for distance and near vision acuity will be required within 6 months of admission to school and in grades Pre K or K, 1, 3, 5, 7, and 11.
    • Hearing screening utilizing pure tone testing will be required within 6 months of admission to school and in grades Pre K or K, 1, 3, 5, 7, and 11.
    • Scoliosis screening will be required in grades 5 and 7 for girls and grade 9 for boys.
    NEW FORM IS ATTACHED FOR YOUR CONVENIENCE.

    Nurse Notes
  • Measles update

    To date, the Nyack Public Schools have had no cases of measles and we have a very high compliance rate with all required NYS required immunizations.  Due to the Rockland County Mandate, I wanted to share some information from the county website, http://rocklandgov.com/departments/health/measles-information/, to demonstrate why the MMR vaccine is so important for your child's health.

    Measles is a highly contagious respiratory disease (in the lungs and breathing tubes) caused by a virus that is spread by direct contact with nasal or throat secretions of infected people (when a person infected with the measles virus breathes, coughs, or sneezes). Measles is one of the most contagious viruses on earth; one measles infected person can give the virus to 18 others. In fact, 90% of unvaccinated people exposed to the virus become infected. You can catch measles just by being in a room where a person with measles has been, up to 2 hours after that person is gone. And you can catch measles from an infected person even before they have a measles rash.

    Symptoms usually appear 10-12 days after exposure but may appear as early as 7 days and as late as 21 days after exposure. Measles typically begins with cold like symptoms (cough, runny nose, red watery eyes), but then progress to include a high fever.  At that time, the following additional symptoms appear:

    • Tiny white spots (Koplik spots) may appear inside the mouth.
    • A rash breaks out, usually 3-5 days after onset of symptoms. It usually begins as flat red spots that appear on the face at the hairline and spread downward to the neck, trunk, arms, legs, and feet. Small raised bumps may also appear on top of the flat red spots. The spots may become joined together as they spread from the head to the rest of the body. When the rash appears, a person's fever may go up to more than 104° Fahrenheit.
    • After a few days, the fever subsides and the rash fades.

    People are considered infectious from four days before to four days after the appearance of the rash.

    2018 - 2019 Measles Outbreak in Rockland County:  As of March 29, 2019, there are 157 confirmed reported cases of  measles in Rockland County.  
    Vaccination rates for confirmed measles cases in Rockland County:

    • 82.8% have had 0 MMRs
    • 3.8% have had 1 MMR
    • 3.8% have had 2 MMRs
    • 9.6% unknown status

    Age groups for the confirmed measles cases in Rockland County

    • Less than 1 year old: 14.6%
    • 1-3 years: 26.8%
    • 4-6 years: 15.9%
    • 7-18 years: 28.0%
    • 19+ years: 14.0%

    The Measles Vaccine:

    A safe and effective measles vaccine that can prevent suffering and death has been available for more than 50 years. 

    High community vaccination rates help protect people who cannot get vaccinated because they are too young or have specific health conditions. Free MMR vaccines are available by calling:

    • The Rockland County Department of Health at 845-364-2497 or 845-364-2520 to schedule an appointment to get a free MMR vaccine at the Pomona health complex.
    • The Rockland County Department of Health Spring Valley Family Planning Clinic is also providing MMR vaccines, by appointment to Family Planning patients. Family Planning Clinic patients can call 845-364-2531 to schedule an appointment.

    Your child's healthcare provider can also provide this important vaccination.

    Nurse Notes
  • VAPING: What you need to know

    According to the CDC, E-cigarettes use has increased at the HS & MS level by 900% since 2011.  E-cigarettes are electronic devices that heat a liquid and produce an aerosol, or mix of small particles in the air & come in many shapes and sizes. Most have a battery, a heating element, and a place to hold a liquid. Some e-cigarettes look like regular cigarettes, however most look like USB flash drives, pens, and other everyday items, including asthma inhalers.  E-cigarettes are known by many different names. They are sometimes called “e-cigs,” “e-hookahs,” “mods,” “vape pens,” & “vapes”.  Using an e-cigarette is sometimes called “vaping” or “JUULing.” 

    How do E-cigarettes work:

    • E-cigarettes produce an aerosol by heating a liquid that usually contains nicotine, flavorings, and other chemicals that help to make the aerosol.
    • The liquid used in e-cigarettes often contains nicotine and flavorings. This liquid is sometimes called “e-juice,” “e-liquid,” “vape juice,” or “vape liquid.”
    • Users inhale e-cigarette aerosol into their lungs. Bystanders can also breathe in this aerosol when the user exhales it into the air.
    • E-cigarette devices can also be used to deliver marijuana and other drugs.

    The CDC lists the following facts:

    • The use of e-cigarettes is unsafe for kids, teens, and young adults.
    • Most e-cigarettes contain nicotine. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s.
    • E-cigarettes can contain other harmful substances besides nicotine, E-cigarette aerosol is NOT harmless “water vapor.”  The aerosol that users breathe from the device and exhale can contain harmful and potentially harmful substances, including:
      • Nicotine
      • Ultrafine particles that can be inhaled deep into the lungs
      • Flavoring such as diacetyl, a chemical linked to a serious lung disease
      • Volatile organic compounds
      • Cancer-causing chemicals
      • Heavy metals such as nickel, tin, and lead

    What Can I Do to Prevent My Child from Using E-cigarettes or to Help Them Stop?

    • Set a good example by being tobacco-free. If you use tobacco, it’s never too late to quit. For free help, visit smokefree.govExternal or call 1-800-QUIT-NOW.
    • Talk to your child or teen about why e-cigarettes are harmful for them. It’s never too late.
    • Get the Talk With Your Teen About E-cigarettesCdc-pdfExternal [PDF – 5.2MB] tip sheet for parents. Start the conversation early with children about why e-cigarettes are harmful for them.

    Information condensed from data obtained at https://www.cdc.gov/

    Nurse Notes
  • HEALTH FORMS -QUICK ACCESS

    All forms that may be required for your child can be found here: Health Certificate, Medication, Dental, Asthma Plan, Allergy Plan & Vision Exam. 

    The Health Certificate (physical exam) can be replaced by your pediatrician's own form. Physicals are required for all new students, 10th graders, sport participation & working papers. 

    Medication administration in school requires a physician's order and parental permission.  If a medication is not included on our form, please have the MD write a prescription and attach it to the signed form.  All medications, submitted to the nurse for administration, must be in their original container and properly labeled.

    If your child has asthma or severe allergies to food, bees or exposure (i.e. Latex) please have the appropriate plan signed by your child's doctor, along with the medication administration form.

    If your child has a vision exam or dental exam during the year, please have the doctor or dentist complete the appropriate form at the time of the visit, this can be turned in at any time.

    All forms can be faxed to (845) 353-7147; emailed mdauria@nyackschools.org or mailed to Nyack High School 360 Christian Herald Rd. Upper Nyack NY 10960- Attention : School Nurse

    Nurse Notes
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Resources

Physical Form  NYS Health Exam form1 NHS.pdf 

 Medication Administration Form Medication Order Form - 17 parent permission.pdf 

New York State Dept. of Health www.health.ny.gov

Meningococcal Information http://www.cdc.gov/vaccines/vpd-vac/mening/