Promoting Student Health
South Kitsap schools are in a unique position to identify children in need and assist families with accessing services and meeting the needs of the whole child. SKSD partners with the Washington State Department of Social and Health Services under the Medicaid Administrative Match program to assist with Medicaid outreach and education, identify children and families who may be eligible for services, and assist with the application process. The goal of this program is to connect SKSD students and their families to medical, dental, mental health, substance abuse, family planning, and other services.
SKSD receives federal funds for partial reimbursement of administrative costs of outreach and referral for these services under the Medicaid Administrative Match program. Reimbursed outreach activities performed by our staff include informing individuals and families about Medicaid services, assisting in the application process, and accessing needed medical services.
The Health Services Department works in partnership with families, district staff and community to facilitate the learning process through assisting students with the readiness to learn, and promoting student wellness. The program includes services which encourage early detection of health problems and prevention through health education and a positive environment for learning.
The Health Services Committee meets once a month to discuss issues that involve student health and wellness, including work on policy and procedures.
The Committee is a multidisciplinary team that includes members from the following departments:
- School Nurses
- Health Room Assistants
- Office Coordinators
- District and Building Administrators
- SK Fire and Rescue
- Food and Nutrition Services
- Office of Special Services
- Facilities and Operations
- SKSD Athletic Trainers
- Kitsap County Lions Club- Eye care and glasses assistance.
- Mary Bridge Children’s Hospital
- Peninsula Community Health
Violet Sees provides assistance to students in need of glasses.
- Violet Sees-
- Seattle Children’s Hospital
- Washington Apple Health for Kids- Washington State medical assistance for any child whose family meets the income eligibility standards will receive coverage for multiple services under one consolidated program.
- Washington Prescription Drug Program- WPDP is a prescription drug discount program open to all Washington State residents who do not have prescription drug insurance coverage, or whose insurance does not cover all their prescription drug needs.
- Lindquist Dental Clinic for Children - LDCC's mission is to provide accessible, compassionate, and effective dental care to Puget Sound children in need. They have two locations in our area. LDCC provides quality dental service to children ages 0 through 18 around the Puget Sound REGARDLESS of a family's ability to pay!!!
- Peninsula Community Health Services- PCHS provides dental care at four of their locations. These clinics specialize in infant and child dental care. PCHS accepts most dental insurance including state medical. For those without insurance, the receptionists can help set up payment for services on a sliding scale, which allows you to pay a fee based on income.
- Kitsap Public Health- KPH provides recommended immunization for all ages. No child under the age of 19 is turned away due to inability to pay.
- Mary Bridge Mobile Immunization Clinic - The MultiCare Mary Bridge Mobile Immunization Clinic provides free immunizations to all children from birth through 18 years of age. The clinic provides all vaccines that are recommended by the CDC. For more information about the Mobile Immunization Clinic, call 253-403-1767. To schedule an appointment, please call 253-792-6630. The Tacoma-Pierce County Health Department maintains a monthly calendar of where to find the Mobile Immunization Clinic.
Food and Housing
- Free and Reduced School Meals Application - Qualifying students are eligible for free or reduced meals.
- Housing Solutions Center of Kitsap County- The HSC is Kitsap County’s coordinated entry point for individuals and families at risk of, or experiencing homelessness and includes information to cold weather shelters.
- Kitsap Community Resources -KCR provides a multitude of connections for Kitsap families in need. From prenatal care to childhood education to housing and energy assistance to employment and training, KCR services cover a wide range of needs.
- Peninsulas' Information Network 211- Peninsula 211 is a regional call center providing comprehensive information and referral to health and human services including;
- Basic Human Needs – food, clothing, shelter, rent/utilities
- Physical & Mental Health – counseling, substance abuse, dental, clinics
- Employment Support – job training/finding, transportation, education
- Senior Assistance – respite, chore services, in-home assistance
- Youth & Family Support – child care, mentoring, domestic violence
- Volunteering and Donations
- Washington State Department of Social and Health Services - DSHS services include food stamps, cash and housing assistance, medical disability support, child support services, disability support, and other state programs. Our local Community Service Office is located in Bremerton: CSO #18, 4710 Auto Center Blvd, Bremerton WA 98312-3300.
*The pages and documents posted on this site include links to information created by other public and private organizations. These links are provided for the user's convenience. SKSD does not control or guarantee the accuracy, relevance, timeliness, or completeness of this non-SKSD information. The inclusion of these links is not intended to reflect their importance, nor is it intended to endorse views expressed, or products or services offered, on these non-SKSD sites.
Head lice in school-aged children is a common occurrence in schools throughout the country. Our school district is no exception. Based on recommendations from the American Academy of Pediatrics (AAP), The Center for Disease Control (CDC), the National Association of School Nurses (NASN) and the Washington Office of Superintendent of Public Instruction (OSPI), the South Kitsap School District has updated its Lice Procedure to reflect the most current guidelines in the control of lice. The intention of this procedure is to decrease school absenteeism, support families in their efforts to control and eliminate head lice and maintain student privacy.
Head lice is not a health hazard and is not responsible for the spread of any disease. Infestation is principally a nuisance. The goal of lice prevention and control in schools is to limit the spread of lice from one student to another student through accurate diagnosis, and meaningful and consistent communication and education (AAP). Lice control takes teamwork among home, schools, after school programs and events in private or public locations, including student visits in each other’s homes.
Recent Changes in Treatment and Control of Head Lice
Approaches to treating and controlling the spread of head lice has evolved over the years and continues to evolve. Both the AAP and NASN advocate that "no-nit" policies are not helpful. Policies that require a child to be free of nits before they can return to schools should be discontinued for the following reasons:
- Many nits are more than ¼ inch from the scalp. Such nits are usually not viable and very unlikely to hatch to become crawling lice, or may in fact be empty shells, also known as 'casings'.
- Nits are cemented to hair shafts and are very unlikely to be transferred successfully to other people.
- Misdiagnosis of nits is very common during nit checks conducted by non-medical personnel.
- The burden of unnecessary absenteeism to the students, families and communities far outweighs the risks associated with head lice.
Based on the AAP recommendations, current evidence does not support the efficacy or cost effectiveness of classroom or school-wide screening. Alert letters will only be sent home with the entire class when three or more cases have been identified within a classroom over the span of one month. Alert letters may violate privacy and cause unnecessary public alarm.
- American Academy of Pediatrics Head Lice PEDIATRICS 2015; Vol. 135 published online April 27, 2015, 31355-1365; DOI: 10.152/peds.2015-0746
- Center for Disease Control Parasites- Lice-Head Lice Content Source: Global Health- Division of Parasitic Diseases and Malaria; Page last reviewed: September 24, 2013
- National Association of School Nurses Policy Statement Pediculosis Management in the School Setting: Adopted: November 1999 Revised: July 2004, January 2011
- Office of Superintendent of Public Instruction- Infectious Disease Control Guide for School Staff: Revised 2014
|Appearance/Behavior - unusually tired, pale, no appetite, difficult to wake, emotional, confused or irritable|
|Eyes - white or yellow drainage,vision change, redness of the eyelid and/or skin around the eye, itching, pain or sensitivity to light may be signs of "pink eye" (conjunctivitis) and should be checked by a healthcare provider|
|Fever - temperature of 100.4°or higher-- students need to be fever free for 72 hours WITHOUT the use of fever reducing medication before returning to school (updated 3/10/2020)|
|Cough/Congestion - persistent cough and/or nasal congestion or drainage that interferes with the ability to learn|
|Diarrhea - two or more watery stools in 24 hours, students should stay home for 24 hours after the last watery stool (especially if the students acts or looks ill|
|Vomiting - students who are vomiting should stay home for 24 hours after the last episode, and must be able to tolerate a normal diet|
|Sore throat - especially with fever or swollen glands in the neck, confirmed diagnosis of strep throat may return to school 24 hours after beginning antibiotics|
|Head Lice - students with head lice may return to school after being treated and having a head check completed by the health room|
Injury/Surgery - if students are unable to concentrate due to pain or pain medication they should stay at home to rest- students requiring physical restrictions or medication at school will need appropriate paperwork from a physician
|Rash - bothersome rash anywhere on the body, especially when accompanied by fever or itching should be evaluated by a physician to determine whether or not it may be contagious|
|Scabies - students diagnosed with scabies may return to school 24 hours after beginning treatment|
- Exposure to illness may be life-threatening to others with fragile immune systems or certain medical conditions.
- Ensure that the office has current contact numbers for family and emergency contacts in case illness occurs at school.
- Students may be very ill but not present with a fever or obvious symptoms; in these cases the medical authority in the building (school nurse) will make the decision of whether or not a student needs to be sent home.
- Students are expected to participate in all parts of the school day, including PE and recess. If a physician has restricted activities, a doctor’s note should be provided.
Center for Disease Control www.cdc.gov
Office of Superintendent of Public Instruction www.k12.wa.us
Washington State Department of Health www.doh.wa.gov
Screenings are an important part of preventive health care in the school setting. Washington State law (WAC 246-760) requires schools to conduct auditory and visual screenings of children each year. Students K, 1, 2, 3, and 5 are screened each year, as well as students that meet any of the following criteria; students new to the South Kitsap School District, students receiving Special Education services, or when requested by parent, guardian, or school staff.
Beginning with the 2017/18 school year, Washington state law began requiring schools to screen students for both near and far vision. To help meet these new requirements, the district has purchased a vision screening tool called the Spot Vision Screener. This tool will allow district nurses to test for various vision impairments in a matter of seconds!
Hearing screening is done using equipment with tonal stimuli at 1000, 2000, and 4000 hertz (Hz) at a hearing level of 20 decibels (dB). Students who do not pass the hearing test are re-screened at a later date. Parents are notified by mail if their child does not pass the second screening.
Parents who DO NOT want their child screened will need to provide the school with a report or form signed by a licensed healthcare professional indicating that they have a had a comprehensive vision or auditory exam within the previous 12 months.
Please note that these screenings are to help pick up on vision or hearing deficits which could affect your child’s learning and are in no way diagnostic. School screenings should never take the place of a comprehensive exam by a licensed specialist.
In order to safeguard the school community from the spread of certain communicable diseases and in recognition that prevention is a means of combating the spread of disease, the SKSD board requires a student to present evidence of his/her having been immunized against diseases: as required by the State Board of Health (RCW 210.080). Immunizations must be recorded, signed and kept up to date by parents on a Certificate of Immunization Status for Washington State (see below). This form is required at registration and kept on file at school.
Current immunization requirements for school entry may be found here.
Starting August 1, 2020, all immunization records turned in to schools or childcare centers are required by state law to be medically verified. Immunization records must be turned into the school on or before the first day of attendance. This means immunization records turned in to the school must be from a health care provider, or you must attach paperwork from a health care provider to your handwritten form that shows your child’s records are accurate. Your child cannot attend school until you provide these records.
Here are some examples of medically verified immunization records:
- A completed Certificate of Immunization Status (CIS) signed by a health care provider. Find the CIS form by visiting https://www.doh.wa.gov/SCCI and clicking on “Certificate of Immunization Status."
- A CIS filled out by you or another parent/guardian with medical records attached.
- A CIS printed by a health care provider or school from the Washington State Immunization Information System.
- A CIS printed from MyIR which is a free Department of Health online tool that allows families to view and print their official immunization records themselves. Go to https://wa.myir.net/register to begin the sign-up process.
If your child already meets immunization requirements and has records on file with the school, you do not need to do anything. If you aren’t sure, or if you have any questions, please contact the nurse or office staff for your child's school.
Kitsap Public Health District- KPHD provides recommended immunization for all ages. No child under the age of 19 is turned away due to inability to pay.
Mary Bridge Mobile Immunization Clinic - The MultiCare Mary Bridge Mobile Immunization Clinic provides free immunizations to all children from birth through 18 years of age. The clinic provides all vaccines that are recommended by the CDC. For more information about the Mobile Immunization Clinic, call 253-403-1767. To schedule an appointment, please call 253-792-6630. The Tacoma-Pierce County Health Department maintains a monthly calendar of where to find the Mobile Immunization Clinic.
Exemptions from Immunization
The district will allow for exemptions from immunization requirements only as allowed for by Washington State Law (RCW 28A.210.090). In 2011, a bill went into effect in Washington State that requires a licensed health care provider to sign the Certificate of Exemption for a parent or guardian to exempt their child from school and child care immunization requirements. The signature verifies that the provider gave the parent or guardian information about the benefits and risks of immunization. In 2019, measles, mumps, or rubella may not be exempted for personal/philosophical reasons per state law.
Under normal circumstances prescribed and over the counter medication should be dispensed before and/or after school hours under supervision of the parent or guardian. If a student must receive prescribed or over-the-counter oral or topical medication, eye drops, ear drops or nasal spray from an authorized staff member, the parent must submit a written authorization (Form 157) which includes a written request from a licensed health professional prescribing within the scope of his or her prescriptive authority.
In addition, due to the potential of allergic reaction, over dose, spread of infections/other diseases, choking hazard, or exposure to hazardous chemicals; cough drops/throat lozenges that contain medication and bug sprays/repellents require individualized physician’s orders with parent signature (Form 157).
- Medication is to be collected directly from the parent, students may not transport medication to school.
- Medication must be in the pharmacy container (including the box for inhalers and epi-pens) with a complete label or in the original container for OTC medications with the student's name on it.
- The school may only store no more than a twenty (20) day supply of prescription medication.
- School personnel cannot administer a forgotten home dose unless those instruction are included on the Form 157 on file.
- Any changes in the type of medication or the dosage requires completion of a new Form 157.
- Form 157 must be renewed each school year.
Chap stick/lip balm may be kept in student’s possession, but not shared with others.
Over-the-counter topical sunscreen products may be possessed and used by students, parents, and school staff, without a written prescription or note from a licensed health care provider, if the following conditions are met:
A. The product is regulated by the US Food and Drug Administration as an over-the-counter sunscreen product; and
B. If possessed by a student, the product is provided to the student by their parent or guardian (school staff and chaperones may not provide sunscreen for anyone but their own child). Students who possess over-the-counter topical sunscreen products that meet the above criteria may carry up to 8 ounces at a time, preferably with the container in a plastic bag.
Life Threatening Illness
Washington State Law (RCW 28A.210.320) requires that students with life-threatening illness must have necessary measures in place prior to attending school. A health condition is considered life threatening when it puts a child in danger of death during the school day without medication or treatment and a nursing plan in place. Typical life-threatening conditions in schools include but are not limited to; anaphylaxis (potential for severe allergic reaction requiring epinephrine), diabetes, seizures, cardiac disorders and severe asthma.
- Medication at School (Form 157) (not for inhalers or epi-pens)
- School Asthma Plan/Inhaler Order
- Severe Allergic Reaction Plan/Epinephrine Order (if food related, a diet prescription is also needed)
- Diet Prescription
- Request for Exchange of Information
In addition to necessary forms and medication, is important to keep an updated health history on file and keep your child's school nurse informed of any changes so that the students care plan is up to date.
- Certificate of Immunization Status (CIS)
- Diet Prescription (needed for students with food allergies or sensitivities)
- Health History - Form 336
- Medication at School (not for inhalers and epi-pens)
- Physical Activity Limitation
- Request for Exchange of Information
- School Asthma Plan/Inhaler Order
- Severe Allergy Plan/Epi-Pen Order (also use diet prescription if food related)