Inside Berman

Nurse's Notes

Nurse's Notes

Shoshana Belgrade R.N., B.S.N., (301) 962-9400, ext. 5103, belgrades@mjbha.org.

Accidents and Illness

Child Abuse and Neglect

General Medication Guidelines

Immunization Policy

No Nit Policy

Nutrition Policy

Peanut Policy

Strep Policy

ACCIDENTS AND ILLNESS

Minor injuries such as superficial cuts and bruises will be handled in the health room. If there is any question as to the severity of injury, parents will be called. In the case of a medical emergency a representative from the school will hospitalize and/or secure proper treatment for the student in case of medical emergency, if in their best professional judgment further delay might interfere with the welfare of the child.

If a student feels ill in school, parents may be contacted. Parents should make all possible arrangements to have their children picked up when it is decided that they should go home.

It is important that each parent keep the school informed of the current telephone number where he/she can be reached during the day should an emergency occur, as well as current numbers of friends or relatives who are authorized to act on behalf of the parents if parents cannot be reached. No child will be permitted to attend school until all emergency information is on file.
 

With the cold weather upon us there has been an increase in strep, stomach flu, and colds. Please remember that children need to stay home until:

1. They have been fever free (without Tylenol or Ibuprophen) for 24 hours.

2. They have been on antibiotics for 24 hours if they have had a positive strep test,

3. They have not thrown up or had diarrhea for 24 hours.

Additionally, if your child has symptoms of illness in the morning, please keep him or her home. Parents will be called to take sick children home.

By following these guidelines as well as encouraging good handwashing, sufficient sleep, drinking water, and healthy eating (among other healthy habits), we can work on helping our children recuperate and stay healthy.

CHILD ABUSE AND NEGLECT

Berman is committed to providing the best possible and most appropriate learning experiences for all children. Occasionally, there are factors in a student's appearance and behavior that lead to suspicions of child abuse or neglect.

Maryland law requires that all educators and other school employees, including volunteers, report suspected abuse or neglect to the proper authorities so that children may be protected from harm and the family may be helped.

Our school supports Maryland laws in this regard and requires that all school staff report suspected abuse and neglect to the Department of Social Services, Protective Services Division, and the local police department. At all times, the intent is to protect children from harm by providing services to maintain and strengthen the child's own family.

Should there be questions regarding this information feel free to discuss them with one of the educational administrators or school guidance counselors.
 

GENERAL MEDICATION GUIDELINES

Children who need to receive medications on a regular basis or keep medications at school for an emergency must send in a medication permission form, signed by the child’s pediatrician, along with the medication in the original pharmacy bottle. Only the nurse or a designated representative may dispense medications. Medication is kept in a locked area and all administration of medicine is recorded. For the safety of the children all medicines — prescription or otherwise – must be administered by our nurse (unless other arrangements are made with permission of the nurse and prescribing physician in consultation with the parent and student).

Student in grades K-6 will be called to take their medication if they forget, but special arrangements must be made with middle and upper school students who are prone to forget, as they are expected to come to the health room without being reminded. The school makes every reasonable effort to administer medications in a timely fashion, but final responsibility for dispensing rests with the parents.

Parents will be called when medications run low, but it is a parental responsibility to ensure their refill. Parents must notify the nurse if and when medication is changed or discontinued. Changes in medication must be accompanied by a physician’s note or direct call to the nurse. Verbal orders will be accepted by the nurse from a physician or nurse as long as written documentation follows.

Any medication taken at home on a regular basis can cause side effects or change the mechanism of other drug actions. Parents should inform the nurse of all medications a student takes at home so the student can best be served with a complete health profile. All medical information is considered confidential, with only the nurse and appropriate administrators having access.

Please remember that even non-prescription drugs have side effects and interactions which may be significant. The school nurse provides over-the-counter medications as deemed necessary to students, but any long-term or serious problems should be addressed by the student’s parents and physician. The school nurse is available to advise and assist in any areas where parents are unsure as to the nature and seriousness of a problem.

Repeat health room visits will be discussed with parents. Any health problem at school should be discussed with the school nurse.

Students suffering from minor colds or other illnesses, who are well enough to attend school, should be sent with tissues, cough drops and whatever other supplies they may need to remain comfortable and reduce time spent out of class.

We recommend that children with fevers above 100 degrees be kept home for 24 hours after the fever ends. Middle and upper school students who are tired are expected to stay in class — the health room is not generally available for quiet rest.

IMMUNIZATION POLICY

Parents should check with their pediatrician to see that all immunizations are complete. Children will not be allowed to attend school unless all immunization information is on file as of the first day of school. All dates of immunization and vaccination must be provided prior to admission.

This is particularly important with respect to the measles (rubella) vaccine which must have been administered after the child's first birthday. There are no exceptions. If the measles vaccine was administered prior to one year of age, the child must be revaccinated or proof of immunity must be furnished by a positive rubella HA I Titer of l:4 or greater. No child is permitted to enter the school unless he/she has received at least 3-4 doses of each of the vaccines against diphtheria, polio, tetanus, pertussin; and one dose against measles, mumps and rubella. The last dose of vaccine received must be in accordance with the recommended schedule of immunization as outlined on the back of Maryland Immunization Certification Form #896.

NO NIT POLICY

Berman follows the No Nit Policy requiring anyone found to have head lice to be sent home with instructions for treatment. Before being allowed to return to class, any child who has been sent home must come to the health room with a parent to be checked to see if he/she is free of nits. Students will not be allowed back into school until they have been properly treated. Periodic lice checks are done in classes throughout the year. If lice has been found in your child’s class, you will be notified.

For more information on this topic, please go to www.headlice.org.

NUTRITION POLICY

Child Nutrition Standards The school in general and the cafeteria specifically should reflect healthy environments. To achieve this, we have adopted the following four standards for our students:
Limit foods of minimal nutritional value (FMNV) – see Appendix A
Provide grade appropriate nutrition education
Provide standards for competitive foods
Provide physical education

Lower school students will not have access to FMNV, anytime, anywhere on school premises during the declared school day. For a listing of foods and beverages restricted by the FMNV policy, see Appendix A. During the declared school day, such foods and beverages may not be sold, given away to students, or used as rewards, by school administrators, staff (coaches, teachers, etc.), students or student groups, parents or parent groups, or any other person, company or organization.

During the declared school day, middle school and upper school students will not have access to FMNV and other competitive items anytime, anywhere on school premises until 30 minutes after the end of the last lunch period.

Beginning this year, school organizations shall use only non-food or healthy food items in raising funds. Foods should not be used as rewards for academic, classroom or sports performances and/or activities.

Nutrition Standards for Competitive Foods
At the start of the school year, specific nutrition standards will pertain to all foods and beverages served or made available to students (except school meals, which are governed by USDA regulations).

Allowable Competitive Foods and Maximum Portion Size:
Chips (baked or no more than 7.5 grams of fat per ounce), crackers, popcorn, cereal, trail mix, nuts, seeds, dried fruit, pretzels  1.5 ounces
Cookies 1.5 ounces
Cereal bars  2.5 ounces
Frozen desserts, ice cream (no more than 10 grams of fat)  4 ounces
Yogurt  8 ounces
Whole milk, flavored or unflavored  8 ounces
Low-fat milk (2% or less), flavored or unflavored  16 ounces
Fruit Juices or blends of juices with 100% juice  12 ounces
Sweetened non-carbonated beverages (less than 15g sugar/serving)  12 ounces
Fruit snacks fortified with vitamin C  2.5 ounces
Water–non-carbonated, unflavored  Unlimited

APPENDIX A: FOODS OF MINIMAL NUTRITIONAL VALUE (FMNV)
Federal regulations prohibit the sale of certain foods, determined to be of minimal nutritional value, in the food service area during meal periods.
A. Foods and beverages that are restricted from sale to students are classified in the following four categories:
1. Soda water: Any carbonated beverage. No product shall be excluded from this definition because it contains discrete nutrients added to the food such as vitamins, minerals and protein.
2. Water ices: Any frozen, sweetened water such as “...sicles” and flavored ice with the exception of products that contain fruit or fruit juice.
3. Chewing gum: Any flavored products from natural or synthetic gums and other ingredients that form an insoluble mass for chewing.
4. Candy

Exemptions
1. School Nurses: This policy does not apply to school nurses using FMNVs or candy during the course of providing health care to individual students.
2. Accommodating Students with Special Needs: Special Needs Students whose Individualized Education Program (IEP) plan indicates the use of an FMNV or candy for behavior modification (or other suitable need) may be given FMNV or candy items.
3. School Events: Students may be given FMNV, competitive foods or candy items during the school day for up to six different events each school year to be determined by school officials, as part of school policy and included on the school calendar. These items may not be given during meal times in the areas where school meals are being served or consumed.
4. Parent Rights: This policy does not restrict what parents may provide for their own child’s lunch or snacks. Parents may provide FMNV or candy items for their own child’s consumption, but they may not provide restricted items to other children at school. The school may adopt a more restrictive rule, however, as policy.
 

PEANUT POLICY

Berman Hebrew Academy has been a peanut-free facility since August 27, 2008.

As many of you know, nut allergies are on the rise in America and have been the subject of many articles and news reports. As these allergies can be life threatening, it is our halakhic and moral responsibility to ensure a safe environment for these students to the best of our ability. Many other schools in this area and throughout the country have already adopted peanut-free policies.

There is no way to guarantee a peanut-free environment. If your child has a severe peanut allergy, s/he must continue to be vigilant about what s/he eats and from whom s/he accepts food. Nonetheless, a peanut-free policy will provide an extra buffer against accidental ingestion of peanuts or peanut-products by children who may be deathly allergic.

Peanut products such as peanut butter, Bamba, nut granola bars, Reese’s candies, and the like are not allowed in the school. This includes foods that say on the label, “may contain trace amounts of peanuts”.
Food items that are “made in a factory containing peanuts” but otherwise do not contain peanuts are allowed. This pertains to lunches, snacks, in-school birthday parties or food brought on field trips.

For many of you, this policy will present a considerable inconvenience, and for that we apologize. Nonetheless, we are sure that you agree that doing our best to prevent severe accidents justifies the added inconvenience.

Thank you for helping us implement this policy. All of our children are our priority and we hope to create a safe atmosphere for all.

STREP POLICY

Strep throat is a common illness in childhood. It usually occurs as a sore throat, which may or may not be red, and is commonly accompanied by a fever. A definite diagnosis can only be made through a throat culture done by your source of medical care. Infection is spread by direct or intimate contact, through discharges from the nose, throat and skin of the infected person, who may or may not have any symptoms. Infection can also be spread indirectly through contaminated hands or objects. Symptoms appear between 1-3 days after exposure. Persons are no longer infectious 48 hours after the start of treatment.

If untreated, the streptococcal bacteria responsible for strep throat can cause more serious illness, such as rheumatic fever. Therefore, check your child’s temperature when he/she complains of sore throat for longer than 48 hours, it is advisable to have your child seen by their source of medical care. If she/he has a strep throat, your child may not return to school until she/he has been taking medicine for at least 24 hours.

We would like to take this opportunity to emphasize the importance of prevention of infections through proper handwashing, particularly before eating or handling food and after contact with body secretions or discharges.

After your child returns to school, if they need to take medication, please inform the medication assistant at school. There is a medication procedure to follow and a form for you and your doctor to complete