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    Meet the School Nurse

    Our school nurse is Twinkle Ramos. She will be at school Mondays, Wednesdays, and alternating Fridays from 7:25 am to 2:55 pm. The best way to reach Twinkle is by email at tnramos@seattleschools.org. She also can be reached by phone (206 252 5307) or fax (206 743 3178).

    Prepare for Your Student’s Health at School

    Washington state law requires that school staff and parents plan together for the safe care of their child throughout the school day.

    • Health issues: Please report any health issue your child has that could impact safety and learning at school to the school nurse. You can contact the nurse directly by phone or e-mail. Or fill out the online student verification form (September 1-30) or through the Annual Student Health Update paper form. Examples include: Seizures, diabetes, asthma, life-threatening allergic reaction, cancer treatment, and anemia.

    • Medication at school: If your child needs to take any type of medication during the school day, even if it’s temporary, a medication form must be completed by the child’s health care provider and signed by parent. Authorization for Medications Taken at School (multiple languages)

    • Medical treatments at school: If your child needs a treatment at school, such as: G-tube feeding, insulin calculation, clean urinary catheterization, suctioning, nebulizer, dressing change, and others please have the health care provider complete the treatment form. Authorization for Treatments and Procedures to be Performed at School

    Fall Flu Shots

    Protect yourself and your community from the flu. Seattle Visiting Nurse Association will provide your annual flu shot to students (ages 4 and older), staff and community members.

    Most forms of insurance (including Apple Health and Medicaid) and cash or check are accepted. Visit the SPS Flu Clinics page for dates/times for a clinic near you.

    Students who are enrolled in their school-based health center can also get the flu shot. Visit the King County School Health website for a listing of locations.


    Immunization Information

    To attend school students must present a signed Certificate of Immunization Status (CIS). Our district requires that immunization information on the CIS comes from a medical provider. WA State Immunization laws state that the student is in compliance if they are:

    • Fully immunized or
    • In process of getting immunized
    • Has a completed Certificate of Exemption

    As of July 28, 2019, personal exemptions are no longer accepted in Washington State for the measles-MMR vaccine. Students who were previously in compliance with a Certificate of Exemption for MMR are now listed as out of compliance with state law.

    You can obtain a copy of your own or your child’s (under age 18) immunization record located in the Washington Immunization Information System (WAIIS).

    Visit myir.net to keep up-to-date with past immunizations, get reminders for your family’s future immunizations, and even print your own official records.

    Students can receive immunizations through their school-based health center or at a school-based health center located nearby. King County School Health

    Other Immunization Resources:

    Breakfast and lunch

    All students need the option of a healthy breakfast and lunch to fuel their brains and be successful at school. If your student is eligible for free or reduced-price lunch, please complete the form you received in your first-day packet or ask for another. If your child has allergies or otherwise needs a special diet, please fill out the diet prescription form.

    Medication at school and camp

    An Authorization to Administer Medications at School form must be completed for each medication your student needs, including all prescription, nonprescription, or over-the-counter remedies. Please be sure the medication authorization form is complete with both your signature and the signature of a licensed healthcare provider. A medication authorization form is required for students to self-carry and self-administer any medications at school.

    Vaccinations

    Vaccinations are important for keeping all our students safe and healthy. Moreover, they are required for continued attendance at school. If you are unsure about your student’s immunization status, you can check the Washington Immunization Information Service and/or view a schedule of required vaccines.

    Vision and hearing screenings

    Vision and hearing screenings are typically done in the fall. If your child does not pass their hearing or vision screening at school, the nurse will send a letter home, stating the need for further evaluation by their primary care provider.

    Incoming kindergarten and 1st graders

    The first time in a school setting can be extremely fun for a child! Many children do not take the time to use the restroom for fear that they may “miss out” on something fun and exciting. Just in case that happens, please provide and extra set of clothes to keep in your child’s locker or cubby in case of an accident.

    When to keep your child at home

    Please keep your child at home for...

    Fever – Temperature of 100 degrees Fahrenheit or greater. Students need to stay home for 24 hours after their temperature has returned to normal without the help of fever-reducing medications such as ibuprofen or acetaminophen.

    Diarrhea – Two or more loose or watery stools in a 24-hour period, especially if the student feels ill. Students should stay home for 24 hours after the last watery stool.

    Vomiting – Two or more times during the last 24-hours, especially if the student feels ill. Students should stay home for 24 hours after the last time they vomited.

    Rash – Rashes of unknown origin or those known to be contagious (impetigo, ringworm, or scabies). Students may return to school as soon as treatment has begun.

    Eye problems – Eyes that are draining mucus or pus or are painful, not due to injury or allergy.

    Live lice – Students may return to school once treatment has begun.

    Persistent coughing or bad cold – Students need to be able to cover their cough to be at school. If a cough or cold persists for more than 2 weeks, the student may need to be seen by a health care provider.

    Diagnosed strep throat or bacterial conjunctivitis (pink eye) – Students must stay home until 24 hours after the first dose of antibiotics.

    Other indicators of illness – Students who are unusually tired, pale, have no appetite, are hard to wake, or are confused should stay home or see their health care provider.

    If you’re unsure about whether your student should miss school due to their health condition, please consult the school nurse.

    When your student is absent from school, please report the reason for the absence to the office staff.

    Contact Information

    Twinkle Ramos

    Email:  tnramos@seattleschools.org
    Phone:  (206) 252-5307
    Confidential Fax:  (206) 743-3178
    Hours: Mondays, Wednesdays, and alternating Fridays from 7:25 am to 2:55 pm.
    Office Location: 

    Additional Resources

    Visit our SPS District Health Services Resource page for links to additional helpful information for families.

    School-Based Health Center (SBHC)

    Students have access to additional health services through the school-based health center located at this or a nearby school.

    Services are available to all students, regardless of their ability to pay. Your insurance may be billed and this program is also supported by the Seattle Families, Education, Preschool, and Promise Plan

    Services include immunizations, sports physicals, prescriptions, reproductive healthcare, mental health counseling, lab tests, and nutrition counseling.

    Families must enroll their student to receive most services. Students can enroll themselves for confidential health services. King County School Health