- If you feel you need to see the Nurse, please read the "9 Bs or 20 Minute Rule" chart below to see if there is anything you should try in class first. I(f you have diabetes or have migraine medicine or an asthma inhaler in school you do not need to wait 20 minutes. You may put in a pass immediately.)
- Then click on the blue "visit the nurse" button below and complete the form.
- When the nurse is available, she will either come to your classroom or call your teacher to have you sent to the health office.
Follow the rule of the “9 Bs” or the” 20 Minute Rule” in coming to the Nurse
You should see the school Nurse Now You do not need to see the Nurse yet
1. Body- Known Diabetes, Asthma, Seizures, etc
If you have a chronic health condition such as diabetes, asthma, seizure disorder, etc, and are having symptoms from your disease- you should see the Nurse
Significant (lots of) bleeding- you should go to the Nurse (your teacher may call and send you)
Freely flowing nosebleeds- you should go to the Nurse (your teacher may call and send you)
Small cuts, scrapes, or picked scabs can be treated with the classroom bandaid supply
A few drops of blood on a tissue when you blow your nose- you do not need to see the Nurse. Instead- blow your nose and wash your hands
Vomiting significant chunks of food- you should go to the Nurse (your teacher may call and send you)
Spitting up mucus or feeling nauseous like you “might throw up”- you do not need to see the Nurse. Instead, try using the restroom, drink some water, eat a snack, and sit in class with a wastebasket next to you just in case. If you are still feeling poorly after 20 minutes, you may put in a Nurse pass
4. Breathing Difficulty
You should complete a Nurse pass or your teacher may send you if you have:
- Severe difficulty breathing causing a change in the color of your fingernails or lips (turning blue)
- Unable to move enough air to speak clearly,
- Non-stop coughing, or
- Any breathing symptoms for a student who has been told by their doctor that they have asthma
For students without asthma:
Feeling a little short of breath after PE, running, recess, or other activities is normal. Take time to cool down in class. Try drinking some water and quietly resting. If you still feel winded after 20 minutes of rest, you may put in a Nurse pass
- Burn from a heat source such as the ovens in FACS class- you should see the Nurse (your teacher may call and send you)
“Feeling hot”- If you were in PE or recess- take time to cool down in class. Try taking off your hoodie if you are wearing one. Drink some water. If you still feel hot after 20 minutes, you may put in a Nurse pass
- Serious bump or blow to the head or face- you should go to the Nurse (the teacher who saw this should call and send you)
- Students with a headache who have been told by their doctor that they have migraines or recurrent headaches should put in a Nurse pass
Brain fog or a headache without an injury. Try taking a brain break- rest your head on your desk, drink some water, stand, and stretch. If you still have a headache after 20 minutes, you may put in a Nurse pass
- If you have an injury with a possible broken bone- your teacher will call the Nurse
- If you get a bad twist of an ankle, knee, etc, the teacher who saw this will call the Nurse
General muscle soreness after PE or exercise does not need to be seen by the nurse. Instead, increase the amount of water you are drinking and gradually stretch your muscles.
Minor strains, bumps- If you still have pain after 20 minutes, you may put in a Nurse pass
8. Bee Sting
A known bee sting- student should go to the Nurse
9. Bad- feeling ill
If you do not feel well- try resting in class to see if that helps. If you still feel poorly after 20 minutes and you need to call your parents, you may put in a Nurse pass
Students should stay home from school if they have had any of the following symptoms:
- New cough, shortness of breath, or difficulty breathing
- Loss of taste or smell
- Sore throat
- Nasal congestion or runny nose
- Nausea, vomiting, or diarrhea in the past 24 hours
- Body aches
- Fever of 100 or higher in the past 24 hours
- Undiagnosed rash accompanied by fever or itching
If your child has been diagnosed with any contagious disease (such as influenza, Covid, or strep) or has a health issue that may affect school performance (such as a concussion), please notify the nurse.
Parkway School District Medication Administration Policy
Middle school students are NOT allowed to carry and self-administer any medications, including over-the-counter medications like Tylenol, Advil, allergy medications, eye drops, etc. The only exceptions: students may carry an asthma inhaler or an EpiPen if they have the proper paperwork and approval from the school nurse.
Medications (over-the-counter or prescription) brought for the School Nurse to administer must be in the original bottle or a prescription bottle and must include written requests and/or orders that state the name of the student, name of the medication, dosage, schedule of administration, indications for administering and prescriber’s name.
Over-The-Counter Medication: Per School Board Policy, we must have written authorization from a parent/guardian and a physician to administer over-the-counter medications. See the Authorization to Administration Medication Form in the Medication Administration tab to the left. For over-the-counter medication use for 5 days or less, a parent can authorize this without a physician per dosage directions on the bottle- see the Authorization to Administer Short-Term Over-The-Counter Medication Form in the Medication at School Tab to the left.
Prescription Medication: Per School Board Policy, we must have written authorization from a parent/guardian and a physician. See the Authorization to Administration Medication Form in the Medication at School tab to the left.
School nurses do not administer homeopathics, supplements, or vitamins per Parkway policy.
See Medication at School to the left for copies of the parent authorization and physician authorization forms.
Nurse Shanda Jacobs
Shanda Jacobs, APRN, NCSN, FNP-BCNationally Certified School NurseParkway Southwest Middle SchoolPhone 314-415-7329Fax 314-415-7311