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Health Clinic
Instructor: Robin Blier   
Hello DCS Families and Friends!
I am your school nurse teacher and glad to be part of your child's school day! I have been a nurse in many areas of nursing for the past 28 years. I have been a school nurse substitute for 5 years in the Westerly Public Schools. I enjoyed the children and staff so much at DCS that I decided to stay! It is a joy to care for my DCS families!

Please feel free to contact me with any concerns or comments.
clinic: 315.2642
FAX : 348.2325
email: rblier@westerly.k12.ri.us

Nurse RobinangelRN,BSN, (SNT)
Department Announcements
Flu Clinics in Westerly:
We're already heading for that time of year!
Here are the locations and times of the flu clinics hosted in our local schools:

Bradford Elementary School: 10/25, 3:15-6
State Street School: 10/17, 3:30-6
SpringBrook Elementary School: 10/11, 4-6
Westerly Middle School: 11/03, 2:30-6
Westerly High School: 10/21, 6:30a-12p

Please get your flu vaccines. Stay healthy!
Follow the directions on the web site: www.thewellcomp.com/school. to register.

Have a great day!
Nurse Robinangel
Frest Start September is here!
Dear Friends and Family,
A few helpful reminders to keep everyone fresh and safe:
-drink plenty of water; bring your water bottles:)
-wear safe clothing (hats, UV shirts) and shoes (sneakers) for recess and phys-ed
​-apply sunscreen and/or bug spray before school.

Parents and Guardians, please bring in new physician's orders and any medications for your child for the first day of school, especially, epipens and inhalers.

Wishing you more summer days ahead,
Nurse Robinangel
June Days...Summer Days

Spring-Summer Tidbits 2016:

Dear DCS Family and Friends,

The end of our school year is fast approaching! Here are few gentle reminders for our parents/guardians/students at DCS:

-Please pick up inhalers, epipens, prescription medications and over-the-counter medications on the last day of school. All prescription and over-the-counter medications used in school will require new physician’s orders each new school year.

-Please apply sunscreen and bug spray at home before school.

-Please wear safe comfortable shoes for gym and outdoor activities.

A few summer safety tips:

-Always tell an adult where you are going.

-Use public restrooms with adult supervision.

-Wear correct size correct protective gear for summer activities. Please see the two new links regarding sports activities for children.

-Apply and reapply sunscreen and stay hydrated on the beach:).

-Use the Buddy System.

Have a safe, healthy, “Bucket-Filling” (not the beach sand kind:)) summer!

Nurse Robinangel


April Showers Bring May Flowers!
April showers (rain or snow) bring May flowers!
Speaking of rain or snow…Please continue to dress for spring weather which tends to get a little “springy”! Dressing in layers is a plus for keeping us either warm or cool at this time of year. Continue to wear safe, comfortable shoes for gym and playground time.
As the weather changes, other things change, too; colds and allergies are here. Continue to practice proper hand washing. Keep hands away from the T-zone. Cough and sneeze in your elbow or tissue. Make healthy nutritious choices that will boost the immune system, choose fruits, veggies and proteins. Getting enough rest and exercise are essential for good health. It’s important to get eight to ten hours of sleep at night and one to two hours of exercise each day. Keeping our children healthy helps them come to school ready to learn!
May flowers bring Bugs back… and that means protecting ourselves from Ticks.
-Help prevent Lyme Disease:
1. Wear socks pulled over long pants
2. Wear long sleeves, a hat and closed shoes
3. Use tick repellant on clothing
4. Inspect yourself and your pets after being outdoors
-Know the symptoms:
1. Skin rash
2. Stiff neck
3. Fatigue
4. Headaches/Fever
5. Muscles and joint pain/swelling
6. Dizziness
For more information call the Arthritis Foundation at:
1.800.541.8350
Happy Spring!
Nurse Robinangel
Please see link for proper tick removal.
Spring Time Update
Hi DCS Friends and Families!
Just a friendly reminder, since the weather is sooo "Springy" (bouncing back and forth with cold vs cooler temps); please, dress in layers. Stay warm or cool and healthy as our weather continues to change.

Continue to do good Hand Washing, cough/sneeze in your elbow or tissue, keep hands away from the T-zone. Also, it's helpful to make healthy food choices, get the appropriate sleep each night that you need and don't forget to stay active!

In our Health Classes we will be wrapping up our unit on Nutrition and discussing the following units:

Medication Safety
Drugs that Harm (Smoking and Alcohol)
Safety Unit (911, Fire, Burn and Poison)
Stranger Danger (Bullying, too!)
Summer Safety (Sun, Bike, Water).

I send home a fun activity packet so the children can review with you what they've learned. Please take time to let them share their knowledge. It can be a real Bucket Filling experience for everyone!

Happy Spring!
Nurse Robinangel
March is Eat Healthy Rhode Island month 2016!
Hi DCS Families and Friends!

March is for munching all kinds of healthy foods!
Our school (grades 3 & 4), participated in a state wide Eat Healthy RI poster contest. The theme was "What does a healthy body look like after eating nutritious foods?". The children's posters, who participated, are displayed in the hall near my office. They are wonderfully nutritious looking! The winners will be announced March 9th. On March 9, please ask your child to celebrate Eat Healthy RI day by wearing green!

MyPlate is a reminder to find your healthy eating style and build it throughout you lifetime. Everything you eat and drink matters. The right mix can help you be healthier now and in the future. This means:
-Focus on variety, amount, and nutrition.
-Choose foods and beverages with less saturated fat, sodium, and added sugars.
-:Start with small changes to build healthier eating styles.
-Support healthy eating for everyone.
Eating healthy is a journey shaped by many factors, including our stage of life, situations, preferences, access to food, culture, traditions, and the personal decisions we make over time. All your food and beverage choices count. MyPlate offers ideas and tips to help you create a healthier eating style that meets your individual needs and improves your health.

Please see my new link on nutrition.
Have a great month eating healthy!
Nurse Robinangel
February is All About Having Heart!
Happy February DCS Family and Friends!
February is heart healthy monthheart
...Please check out my Valentine to you and take a peek at my new Link: "Heart Healthy" for kids. You'll find some great tips for having a healthy heart.

We are wrapping up our unit on nutrition. Please ask you child about nutritious choices and how they can rethink their drink. After vacation, we will begin our unit on Safety. This unit will cover:

Medications Safety
Drugs that Help/Harm
Staying Safe at Home
911
Burn Aware!
Injury Prevention...

February is a matter of the heart! Encourage your child to make healthy heart choices and be a Valentine to others by being "Bucket Fillers" and following the 3B's at school and at home!


heart Nurse Robin

January Update!
Happy New Year DCS Families and Friends!
Brrr...it's cold out there! Winter has arrived...

Please check out the "Winter Tips" link on the right to get pointers for winter dress and safety.
Hopefully, everyone had a "smooth" transition getting back into the "swing of things". I encourage all my awesome students to get enough sleep, exercise and make nutritious food choices so they come to school each day ready to learn!

Health classes are back up and running. Continue to watch for the take home fun packets for each lesson. The children reviewed Dental/Oral Hygiene this week (will continue in the next week). Now's their chance to shine and be Bucket-Fillers!

Stay safe and warm!
Nurse Robinangel
Winter Safety Tips
Hi DCS Families and Friends!

Please check out the new link: "Winter Safety Tips".
Lots of helpful guidelines and tips for the winter.

Enjoy!
Nurse Robin
December Update:
Dear DCS Families and Friends!

The month of December is here!
Please look at the "Activity Packets" coming home with your child. We have covered: Body Hygiene, Body Systems and The Senses in health class. In the New Year, we will cover: Dental Hygiene, Nutrition, Rethink Your Drink and more to come!

A few friendly reminders:
-get a good night's sleep
-choose healthy foods and snacks
-dress for the weather (layers are great with the type of unusal weather we've been having)
-practice good hand washing skills
-get your flu shot/mist!

Best Holiday Wishes and Health and Joy in the New Year to come to all DCS Families and Friends!
Nurse Robinangel

medication/links
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Medications for 2015-16
New supplies/medication and doctor's orders need to be provided to the school nurse at the beginning of the 2015-16 school year prior to administration of any medications. Reminder notices have been sent. Please contact the nurse if you have any questions or need any paperwork.
Thank you.
.Clinic - 401.315.2642
Nurse Robinangel
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New Links & Resources
Check out the links and resources on the right side of the page. Click on each category and view the available links under each. Topics available are all areas that the students will learn about in health this year.

Have fun with these!
Nurse Robinangel
Hand washing Skill

Welcome back Dunn's Corners School Families:
My goal is to keep our students as healthy as possible this school year. Our first lesson in Health is the single most important way to prevent the spread of germs. Please try to reinforce the following steps at home:
Henry the Hand washer says follow these 5 steps:
  1. Wet hands
  2. Soap up
  3. Scrub up (for 20 seconds, sing to your favorite song)
  4. Rinse off
  5. Dry off
The most important times to wash hands are:
Before eating
After using the bathroom
After coughing
After Sneezing.
If you don’t have tissue available, sneeze or cough into your elbow.

Thank you!
Nurse Robinangel
Mid October Updates:
Hi DCS Families and Friends!

Just a few important dates to remember:
November 18, 3:30p-6p is our flu clinic
December 15, Dr. Shannon will be in to do dental screenings
.
So far in Health Class we have covered:
Bucket Filling
Playground Safety
Hand washing Skills
and Germ Prevention.
All of our classes have a take-home "Fun Packet" to share with family members. Spend a little time reviewing and doing them with your child. Enjoy! I hope it's a "Bucket Filling" experience!

Hope you are all enjoying the beautiful autumn weather!
Nurse Robinangel
Welcome!
Welcome DCS Families and Friends!

It's a new school year full of new adventures!

Please send your children in with water bottles! It's so important to stay well hydrated throughout the day.

Safety matters! Send your children with proper footwear; sneakers are best for playground activities and gym.

Please come and drop off any meds your child may need with the Westerly Medication Authorization form found in the links.

I will be sending information home to keep you posted of any changes.
We do have a hearing screening scheduled in September. Please look for a form in your child's backpacks.

Feel free to get in touch with me if you have any questions/concerns.

Thank you!
Robinangel
Summer Fun June 2015
Summer Fun June 2015
Hello DCS Families and Friends!
Summer is here! Summer brings a lot of cool sports and activities.
Hopefully , these tips will keep you safe on your summer adventures!
Summer Safety Tips:
  1. Always tell a trusted adult where you are going.
  2. Use public restrooms with adult supervision.
  3. Wear appropriate safety equipment. (i.e. Biking, Boating, etc…)
  4. Wear correct size and adjust protective gear. (i.e. Helmet, Life jacket, etc…)
  5. Wear reflective gear and bright colors; not clothing with strings and things.
  6. Check equipment for damage. (i.e. brakes, good running shoes, etc…)
  7. Use the “BUDDY SYSTEM”!
As it gets hotter outside, remember to drink plenty of water.
Signs of mild to moderate dehydration:
  1. Thirst
  2. Dry or sticky mouth
  3. Decreased urine output and darker in color
  4. Headache
  5. Muscle Cramps
These are some symptoms.
Make healthy beverage and food choices throughout the summer!
Have a Fun, Bucket-Filling Vacation!
Nurse RobinJ



Spring Summer Tidbits
Spring/Summer Tid Bits:

Spring has “sprung” which means Summer is on the way!
Here are some friendly family helpful hints:
  1. Mosquitoes: Please see CDC FAQ: Insect Repellant Use & Safety under links.
  2. Sun Safety:
~Wear sunscreen with an SPF of 30 (with zinc oxide is best) don’t forget top and behind ears
~Wear protective clothing:
-shirt with sleeves (if it’s too hot to wear a shirt, it is likely too hot to be outside)
-hat
-sunglasses

~Find shade (avoid sun exposure between 10am and 4pm)
~Pack a “Sun Safety Kit”:
-sunscreen
-hat/shirt
-umbrella

-water bottle (it’s important to stay hydrated!)


I also wanted to provide a checklist for parents of incoming Grade K students.
  1. Physical Exam done within last 12 months
  2. Vision exam (done by pediatrician)
  3. DTAP immunization (5 doses)
  4. Polio immunization (4 doses)
  5. Hepatitis B immunization (3 doses)
  6. MMR immunization (2 doses)
  7. Varicella immunization (2 doses) or written proof from physician that your child has had chickenpox


It may be that you are spacing your child’s vaccinations or for religious reasons are not vaccinating. Please see me to sign a temporary/permanent Religious Exemption form.

Bring this checklist with you to your next doctor visit.

Be Safe & Enjoy the warmer weather!
Nurse Robin

Westerly Community and Staff Flu and TDAP Clinic
Westerly Community and Staff
Flu and TDAP Clinic
(Tetnus and Whooping Cough)
Where: Tower Street Community Center
93 Tower Street, Westerly
When: Monday, March 2nd
4pm - 6pm

BCBS, Medicare Part B, United Health Care,
Neighborhood Health, Tufts, or Tufts/Carelink

Different or No Insurance - No Charge
YOU MUST HAVE YOUR INSURANCE CARD WITH YOU

Flu for ages 3 years of age and older
TDAP for ages 11 years of age and older

Wellness Company: phone: 401-461-0662 website: www.thewellcomp.com

If you have any questions please contact Nurse Robin.
Vaccinations Reminder:
Immunization Requirements for Students Entering Kindergarten
Immunization Requirements
Students and child care providers are required to be vaccinated against certain diseases in Rhode Island. These requirements are based on recommendations from the Center for Disease Control and Prevention (CDC), the American Academy of Pediatrics, and healthcare providers in Rhode Island.
More information about these diseases is available online.
Required immunizations for students
Requirements for children entering pre-kindergarten
  • 4 doses of DTaP (diphtheria, tetanus, pertussis) vaccine
  • 3 doses of hepatitis B vaccine
  • 3 doses of Hib (Haemophilus influenzae type b) vaccine
  • 1 dose of MMR (measles, mumps, rubella) vaccine
  • 4 doses of pneumococcal conjugate vaccine (not routinely given to healthy children 5 years of age and older)
  • 3 doses of polio vaccine
  • 1 dose of varicella (chickenpox) vaccine
Requirements for children entering kindergarten
A child who is entering kindergarten must have met the pre-kindergarten immunization requirements, plus:
  • 1 dose of DTaP (diphtheria, tetanus, pertussis) vaccine
  • 1 dose of MMR (measles, mumps, rubella) vaccine
  • 1 dose of polio vaccine
  • 1 dose of varicella (chickenpox) vaccine
School Nurse Letter
A letter from your School Nurse Teacher – Winter 2015
Dear Parents,
Your School Nurse Teacher has come up with some helpful guidelines that help you to know whether your child should stay home from school; the American Academy of Pediatrics suggests answering these three quick questions:
  • Does your child have a fever?
  • Is your child well enough to engage in class?
  • Do you think your child is contagious (such as pinkeye or strep throat)
So when should I keep them home? A general guide is helpful, although when in question, or if your child has not seen his/her doctor, please call your SCHOOL NURSE.
Fever is the body's way of destroying the germs making it sick, and it's a common symptom of infections such as flu. Keep your children home if their temperature is 101° F or higher. Wait until children are fever-free without Tylenol or Motrin before letting them return to school.
Diarrhea is often the result of infection, food poisoning, or a side effect to medications like antibiotics. Keep children home until stools are formed and your doctor gives the okay. Make sure your sick child stays well-hydrated.
Vomiting is another way for the body to rid itself of the germs making it sick, and is usually caused by a stomach virus or stomach infection. Keep children home if they've vomited twice or more in the last 24 hours. They can return to school after symptoms clear up or your doctor says they're no longer contagious.
Mild cold or respiratory symptoms are no reason to keep children at home so long as their nasal drainage is clear and their cough is mild. Severe cough and cold symptoms should keep kids home from school. A serious cough could be a sign of contagious conditions like whooping cough, viral bronchitis, or croup. It can also be a sign of asthma or allergies. If the cough is mild, you may send in cough drops with a note to the nurse. If they have an inhaler, a doctor’s order must accompany the inhaler to school.
Sore throats can be a symptom of strep or a common cold. If your child has been diagnosed with strep throat, keep your child at home for at least 24 hours after starting antibiotics. If your child has a mild cold, it's okay to go to school.
Pinkeye (conjunctivitis) is contagious, and children should stay home from school for the first 24 hours after treatment begins. Symptoms of pinkeye include eye redness, irritation, swelling, and pus. If your child wakes up and their eye is crusted over, please consult his/her doctor.
Headaches Opinions differ on whether a child should be kept home. If your child doesn't have any other signs of illness, and feels okay, your child can go to school.
Rashes can be the sign of contagious conditions such as chickenpox or impetigo. If the rash is itchy, has drainage or is widespread over the body, they should be kept home until they're diagnosed. They can return to school after symptoms are gone or if their doctor gives the okay.
Earaches aren't contagious. There's no need to keep a child with a mild earache home, as long as your child feels well enough to concentrate.
Head lice verses Nits (Lice are live bugs and nits are tiny teardrop shaped eggs) In all cases the parent of the identified student will be notified when a case of nits +/or lice is found. Active head lice cases require communication with the parent. Treatment is required before returning to school. Good home to school communication is key.
Be well! Please call your School Nurse Teacher with any questions.
Springbrook 348-2306 Bradford 348-2287 Dunn’s Corners 315-2642
State Street 348-2344 WMS 315-1659 WHS 315-1599
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Head Lice
The winter season is upon us and with that so can be the incidences of head lice. Head lice are a common community problem. They are wingless insects that live close to the human scalp. Lice move by crawling and cannot jump or fly. They are spread by direct head-to- head contact; usually during slumber parties, sharing hats, scarves and personal items such as combs, brushes and headbands.

There are many myths about lice and myths about treatments. I would encourage a regular examination of your child’s head throughout the school year. There is no need to worry ~ prevention is always the best medicine. If your child has lice or nits, please contact the school nurse. I am available for consultation and I can provide information about prevention and treatment of this pesky little foe.
Health News
Cough Drops
Cough drops may be used as needed provided a parent or guardian has provided written permission.. Student may self –carry the cough drops if the parent/guardian and the school nurse are in agreement. Cough drops should not be used during activities that might cause a higher risk of aspiration or choking including, but not limited to, PE class, sporting events and practices, recess, and the playing of musical instruments requiring air to be blown in by mouth.
Information About Head Lice
Headlice Information: Management of head lice should not disrupt the educational process. No child should be excluded or allowed to miss school because of head lice or nits. Treatment is available at local drug stores/Walmart without prescription and can be done effectively in one day. Multiple days out of school for a lice occurrence is discouraged. Parent contact will be made when children have been found to have lice +/or nits. Students with live head lice (multiple) will be sent home if lice are found during school hours. Children with nits can go home at the end of the day. The nurse will communicate with the parent. Students can take the bus. These children should be sent home with an educational pamphlet on lice and nits for the parent, and detailed instructions on how to care for nits/lice (Lice 101 information from NASN). Children may return to school as soon as the first lice treatment is completed. It may be in the same day. The School Nurse should check the child for evidence of treatment and provide parental feedback when appropriate. During the course of the school year, children will be brought to the attention of the school nurse as suspected cases of head lice from a variety of sources. The nurse will use his/ her discretion on how to handle each case in a confidential manner. If a child does have live lice on his/her head, there is scientific evidence that the possibility of transmission to others has already been present for at least a month before any symptoms or detection was possible. To IMMEDIATELY EXCLUDE that child, sends a negative message to the child. This procedure is based upon recommendation from the American Association of Pediatrics and the National Association of School Nurses
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A note from the School Nurse
It’s that time of year when we all need to start thinking about preventing illnesses. Here are a few tips that the CDC (center for disease control) recommends to fight colds and flu:

Take time to get a flu vaccine.
  • CDC recommends a yearly flu vaccine as the first and most important step in protecting against flu viruses.
  • While there are many different flu viruses, a flu vaccine protects against the three or four viruses that research suggests will be most common. Flu vaccination can reduce flu illnesses, doctors’ visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations and deaths.

Take everyday preventive actions to stop the spread of germs
  • Try to avoid close contact with sick people.
  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.)
  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash.
  • Wash your hands
  • Avoid touching your eyes, nose and mouth. Germs spread this way.
  • Clean and disinfect surfaces and objects that may be contaminated with germs like the flu.
  • Also, don’t forget to eat, plenty of fruits, vegetables and whole grains that have the vitamins that help combat germs and disease.
Department Web Pages
The School Nurse Teacher Policies and Procedures
(Displays 2/12/2014)

Goals:
· Administer first aid, medications & treatments to elementary students
· Teach prevention & therapeutic aspects of health on a 1:1 basis in clinic on elementary level
· Teaching Health classes for grades K- 4
· Collaborate with the interdisciplinary team in assessing & planning for students
· Maintain confidential records in accordance with the RI regulations
School Nurse Policies & Procedures
During the school day a School Nurse Teacher is on duty in the clinic located on the main level of the building. When a student has an illness or injury and requests to see the nurse, the teacher will send them down or request assistance as needed if unable to ambulate on own.
· No student is to be sent home due to illness without first contacting a parent or guardian for permission.
· Students may only be sent home by the School Nurse Teacher or a school administrator
· The School Nurse teacher is to make teachers aware of any pertinent student medical problems at the beginning of the school year and at each new quarter. Teachers are asked to work with the nurse in providing these services to students.
· No medication will be administrated by the School Nurse Teacher unless the appropriate documentation is on file in the nurse's office.
· Students requiring medication during field trips must have the field trip policy signed by parents or guardian on file in the nurses' office. Medication must be supplied by parents in a pharmacy labeled container.

Department Files
 Physical.pdf
State Physical Form
 school attendance guidelines (3).docx
School Atttendance Guidelines
Department Contacts
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