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McNamara Elementary
Health Office

Phone: 638-6132
Fax: 638-5049
Hello, my name is Marjorie DiRisio Duger (students call me Mrs. Duger). I am the school nurse at McNamara Elementary. Do not hesitate to call me for any questions you may have concerning your child's health.
Quick Links
Physicals & Screenings
When to keep a child home with an Illness during cold and flu season
Health Related Resources

You can download the NYSED Student Health Exam form by clicking HERE.

Immunizations for school entry - please remember if your child is entering kindergarten or entering as a new student and does not have all the required immunizations, he or she will not be allowed to continue to attend school.
Parent excuse from physical education classes are allowed for one day only which actually works out to the week at the elementary level.. After that, a gym excuse is required from your doctor. If your child is excused from physical education class, they will not be allowed to participate in recess or other physical activities.

Physicals & Screenings
New guidelines include a request for a dental certificate for students in K, 1st, 3rd, 5th grade and any student new to the district. The last oral exam date and oral health of the student should be noted and signed by your dental care provider.  Blank certificates are provided by Baldwinsville Schools or your dental provider may use their own.

Effective 7/2018 physicals are required in Kindergarten, 1st grade, 3rd grade, 5th grade and for any student new to the district. If your child had a physical within the previous school year, that will meet the requirement for this year. A physical exam by your own provider dated 9/4/18 or later will satisfy the requirement for the 2019-2020 school year.

In addition to the above physical exam requirements, NYS Education Department mandates vision screening to all students who enroll in a school of this state including at a minimum color perception, distance acuity, and near vision within six months of admission to the school. Also, all students shall be screened for distance acuity and near vision in grades Kindergarten, 1, 3 and 5, and at any other time deemed necessary.

Hearing screening shall be administered to all new students within six months of admission to school and all students in grades Kindergarten, 1, 3 and 5, and at any other time deemed necessary.

In 5th grade the NYS Education Department mandates that all girls be screened for scoliosis (curvature of the spine). Such screening shall include the examination of the uncovered spine including the cervical, thoracic, lumbar and thoraco-lumbar segments by viewing from the front, back and sides under adequate illumination and observing the existing range of motion of the spine in all directions.

Any student who does not meet the state standards for any of the above mentioned screenings will be referred by the school nurse to their own doctor for follow up. Parents will be notified by the school nurse.

NYS randomly selects school districts every year to complete weight status information in a mandatory survey. This is done by collecting Body Mass Index (BMI) percentages on students according to their height/weight/age calculations. This is entirely confidential and student names are never included. It is strictly data/numbers by grade level that the nurse compiles and reports to the state. If for some reason you do not want your child's numbers included in the survey, you must notify me in writing.  

 If your child gets sick, it is often most appropriate to keep him/her home from school. A child who is sick will not be able to perform well in school and is likely to spread the illness to other children and staff. Please make arrangements for childcare ahead of time so you will not be caught without a place for your child to stay if he/she is ill.

Our school requests that you should not send your child to school if he/she has:

1. Fever in the past 24 hours
2. Vomiting in the past 24 hours
3. Diarrhea in the past 24 hours
4. Chills
5. Sore throat
6. Strep Throat (must have been taking an antibiotic for at least 24 hours before returning to school).
7. Bad cold, with a very runny nose or bad cough, especially if it has kept the child awake at night.

If your child becomes ill at school and the teacher or school nurse feel the child is too sick to benefit from school or is contagious to other children, you will be called to come and take him/her home from school. It is essential that we have a phone number where you can be contacted during the day and an emergency number in the event you cannot be reached. Please be sure that arrangements can be made to transport your child home from school and that childcare is available in case of illness. If your daytime or emergency phone number change during the year, please notify your child's nurse immediately.

These guidelines are meant to serve the best interests of all the children in our program.

Some other guidelines that you may find helpful:

When to keep a child home with an Illness during cold and flu season

Adapted from: © Dr. Cindy Devore, MD (School Physician in Monroe County)

Sometimes it can be difficult for a parent to decide whether to send children to school when they wake up with early symptoms of an illness or complaints that they do not feel well. In general, during cold and flu season, unless your child is significantly ill, the best place for them is in school where they have all already been exposed to the same germs and where they are less likely to expose other more vulnerable people, like the very young or very old, to their routine bouts of cold and flu. Remind and show your children to discard used tissues promptly, not to share personal items, to cover their mouths when they cough or sneeze, to keep their hands away from their face, and to wash hands thoroughly and often with soap and warm water. Suggest that they silently sing the Happy Birthday song twice while washing their hands. However, there are some situations in which it is best to plan on keeping your child home for a day to rest or to arrange for an appointment with your health care provider.

The following are a few such situations that warrant watching and possibly conferring with your health care provider:

1. Persistent fever greater than 100.0° orally, including a fever that requires control with medication, like Tylenol

2. Child is too sleepy or ill from an illness, like vomiting and/or diarrhea, to profit from sitting in class all day

3. Significant cough that makes a child feel uncomfortable or disrupts the class

4. Sore throat that is severe, accompanied by fever and/or feeling ill, that persists longer than 48 hours, OR after known exposure to a confirmed case of Streptococcal throat infection

5. Honey-crusted sores around the nose or mouth that might be impetigo, or a rash in various stages including boils, sores and bumps that may be chicken pox, OR a significant rash accompanied by other symptoms of illness such as fever

6. Red, runny eyes that distract the child from learning

7. Large amount of discolored nasal discharge, especially if accompanied by facial pain or headache

8. Severe ear pain or drainage from the ear

9. Severe headache, especially if accompanied by fever

10. Any condition that you think may be serious or contagious to others.

If your child sees their health care provider for illness, be sure to ask your provider when it is safe for your child to return to school, both for your child's health and for the health of the rest of the school. If you send your child to school even though you suspect there is significant illness as described above, please call the school nurse to provide her/him with phone numbers where you can be reached that day should your child become more ill and require early dismissal.

Finally, if you know your child is still running a fever, it is not a good idea to simply tank them up with Tylenol and send them onto school because as soon as the medicine wears off, you are apt to get the dreaded call from the school nurse to leave work and come to pick up your feverish child. It is better to let them stay home in bed with a fever and take their medications at home until they are off all medicines and ready to learn for a full day in a classroom. If you find a pattern of your child's asking to stay home from school, especially if they are falling behind or appear anxious by the thought of attending school, or if there does not appear to be any obvious physical symptoms, it may be a good idea to contact your school nurse and your health care provider to discuss your concerns. Remember, whenever you keep your child home from school, please call the school nurse or attendance office in advance of the start of the school day and leave a message that your child will be absent.

Facts on Head Lice
Read article here
Health Related Resources:

Here is an amusing and truthful video concerning  proper cough/sneeze etiquette: Why don't we do it in our sleeves?

Please encourage your children to use this technique if no tissues are available.