A full time, certified registered nurse provides guidance and assistance to students with problems relating to health and nutrition.
The Nurse’s Office is located in the lower level of the Main building next to the library and the elevator entrance. The nurse is available for student and parent contacts on school days from 7:30am-3:30pm. The telephone number is 942-5531, ext 112. CBNA’s fax number is 942-7537, Attention: School Nurse.
The nurse is available to provide emergency care, maintain facilities and records, coordinate health services, and promote student education in health, safety, and other related areas. First Aid will be provided in the office (or at the scene, if moving the victim appears inadvisable). The intent of First Aid is to protect life and provide comfort until authorized treatment can be secured. All subsequent care is the responsibility of the student’s parents/guardians. Parent (or other designated adult) notification will be made as soon as possible in case of emergency. A reasonable attempt will be made to advise a parent of other situations that may indicate a need for follow-up. Physician contact will be made when appropriate. Injuries that occur at home are the responsibility of parents/guardians. A record of student services provided is maintained in the daily log. Outside of normal school hours (7:30-3:30), all other medical issues requiring immediate care should be dealt with by having the authorized person in charge call 911.
Public Health Information
The NH Department of Health and Human Services is the largest agency in New Hampshire state government, responsible for the health, safety and well-being of the citizens of New Hampshire. Please click on the links below to access recommendations, resources, and programming for many public health issues, including COVID-19.
Link to Main DHHS Site: www.dhhs.nh.gov
Link to NH COVID-19 Response Site: www.covid19.nh.gov
Emergency Contact Information Forms
Our emergency contact form with updated health Information and OTC Medication Permission are brought home with students on the first day of school each August. Please complete and return them as soon as possible. The nurse will be unable to provide over-the counter analgesic medication (such as acetaminophen or ibuprofen) without written permission from a parent or guardian. Updating health information provides the nurse with information that is important to providing safe care to your student during the school day. Please provide primary contact information so that you, or a designee, can be contacted in case of emergency. As the year progresses, if there are changes in work, cell, pager, or home numbers or e-mail addresses, please inform the nurse or office staff ASAP (942-5531).
Health Information Updates
If there are any significant health issues, allergies, surgeries, accidents, injuries, hospitalizations, emotional issues, continuing and/or unpredictable illnesses, positive COVID test results, medication additions or changes, etc. that occur during the year, please inform the nurse directly so that appropriate measures can be taken as quickly as possible, should an emergency arise.
Medications
All medication to be taken at school must be brought to the nurse’s office (Ed 311.02). Students are not permitted to carry any medications, with the exception of inhalers and Epi-pens (see “NOTE” below). The following are required:
- Non-prescribed medication must be brought to the Nurse’s office in the original container and must be accompanied by a permission note from the parent. Acetaminophen (generic for Tylenol) and ibuprofen (generic for Advil, Motrin, etc.) are available in the Nurse’s office but also require annual written parental permission (see Health Information and OTC Medication Form Note above). Liquid/chewable formulations of acetaminophen or ibuprofen are not provided and must be sent/brought in.
- Prescribed medication must be accompanied by a parental note PLUS a note from a doctor and must be brought in the pharmacy labeled bottle. (Most pharmacists will provide a bottle for home and another for school, if requested.)
- Only a 30 day supply of a prescribed medication may be accepted by the nurse at any time.
- All controlled substances, including methylphenidate, Ritalin, Concerta, Ritadex, Metadate, Focalin, Dexedrine, Vyvanse, hydrocodone, Vicodin, Percocet, Tylenol with codeine, etc., must be brought in by a parent.
- Taking narcotic pain medication during the school day is NOT recommended for safety reasons, due to their potential for causing dizziness, drowsiness, etc. If the student is experiencing pain that is so severe that a narcotic pain reliever is needed, it is probably unwise for the student to be in school. If the student is unable to be in school due to severe pain, a note from their provider to excuse days should be obtained.
- With the exception of acetaminophen, ibuprofen, tums, and pepto bismol (available in the Nurse’s office), no “stock” medication of any type will be dispensed by the nurse. No medication of any kind will be provided by other members of the staff or faculty at any time. This includes aspirin and all other non‑prescribed medications.
- All medication notes must be renewed ANNUALLY.
- Any medications not picked up prior to the last day of final exams in June will be destroyed. No medications are stored over the summer.
- Medication Form
NOTE: Students with severe, potentially life-threatening allergies/asthma are encouraged to carry emergency medications such as inhalers and Epi-pens (Ed 200:42-47). Written authorizations from parents and physician must be provided ANNUALLY and must specifically request that the student be permitted to carry the medication. The student’s inhaler and/or Epi-pen will be labeled by the nurse authorizing the student to carry the emergency medication while at school and extra-curricular activities.
Accidents/Injuries
All accidents, illnesses, or emergencies should be immediately reported to the nearest staff member and to the nurse.
Confidentiality
All medical information shared between students and licensed health care providers is considered private and is treated confidentially within the limits of the law. Protecting the confidentiality of health care for students serves important interests. By respecting their need for privacy, students are encouraged to develop relationships of trust with their health care providers and to be candid about their health histories and risk behaviors. The nurse strongly encourages students to communicate concerns with parents. Confidential information will be released in life-threatening circumstances and when legally necessary, as required by law or in litigated matters. Whenever possible, students and/or parents will be notified before confidential information is released. Only essential information, related to health conditions that may impact the student in the classroom or is necessary to protect the health and safety of the student, is provided to staff/faculty. This information is provided within the limits of the law and only to those with a legitimate “need to know” in order to protect the student. Confidentiality of health records is protected (FERPA, HIPAA, etc.).
Dismissals
Students who are too ill to remain in class should report to the nurse. The nurse will assess the student and decide if the student should remain in school, be referred for emergency medical treatment, or be sent home. If, in the judgment of the nurse, the condition of a student to be excused due to illness, injury, or other emergency is such that permitting the student to walk or drive home would be imprudent, the nurse may delay excusing that student until a parent or appropriate escort is available. No student will be released until the parent, guardian or designee has been contacted. Transportation arrangements are the responsibility of the parent.
Emergency Transportation
In case of emergency, the school nurse and/or administrator at the scene will decide if ambulance transport is appropriate. All life-threatening situations will be transported to Concord Hospital. Other transport decisions will be coordinated between CBNA staff, parent, and EMS personnel.
