Health Services

Framework for 21st Century School Nursing Practice

Health Services

School nursing today is a specialized practice of professional nursing that advances the well being, academic success, and life-long achievement of students. To that end, school nurses facilitate positive student responses to normal development; promote health and safety; intervene with actual and potential health problems; provide case management services; and actively collaborate with others to build student and family capacity for adaptation, self-management, self-advocacy and learning.
~National Association of School Nurses~

The School Nurse provides the following services:

  • Individualized health care planning and case management for students with special health care needs
  • Health and wellness promotion
  • Illness and injury prevention, assessment, and intervention
  • Medication administration and nursing procedures
  • Communicable disease prevention and control
  • Mandated health screenings:

Vision (grades K-5, 7 and 10)
        Hearing (grades K-3, 7, and 10)
Postural (grades 5-9)
Height, Weight and BMI (grades 1,4,7,10)
Screening Brief Intervention Referral to Treatment (SBIRT) (grades 7,9)

  • Environmental health and safety
  • Access to health care services and insurance
  • Management of confidential student health records
  • Emergency preparedness and medical response
  • Communication and collaboration with students, parents/guardians, school faculty/staff, and community providers of health care and support services

Your child must stay home from school when he/she is experiencing:

  • A diagnosis of a communicable disease
  • Fever greater than 100ºF within the last 24 hours off of fever reducing medication
  • If diagnosed with a strep and/or bacterial infection, a student should stay home until a full 24 hours of antibiotic treatment has been completed
  • Vomiting/diarrhea within the last 24 hours; students should be able to consume and tolerate their "typical" diet before returning to school
  • Acute pain that requires relief by narcotic medications
  • An upper respiratory illness with persistent coughing and/or unmanageable nasal discharge
  • An undiagnosed rash  

**Please note that all grade 12 students will receive their health records at the last graduation rehearsal.  Students will receive the only copy of their health record held at Needham Public Schools, and this is the district's method of health record disposal.


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