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 6A:16-2.4 Required student health records 24 (a) Each school district shall maintain for each student pursuant to N.J.A.C. 6A:32 a student health record that includes the following mandated records: 1. Findings of health histories, medical examinations and health screenings pursuant to N.J.A.C. 6A:16-2.2 and 4.3; and 2. Documentation of immunizations against communicable diseases or exemption from these immunizations pursuant to N.J.A.C. 8:57-4.1, 4.3, and 4.4.




Parents are to do daily screening of their students before sending students to school.  Any child with Covid 19 signs or symptoms will be sent home as per Covid 19 protocol. 






  • FEVER - Depending on how your child feels he/she may attend school with a temperature less than 100 degrees F. A student should be without a fever for 24 hours (without fever reducing medication ie: Tylenol, Advil) before returning to school.

  • STOMACHACHE, VOMITING, DIARRHEA - A child with vomiting and/or diarrhea should be kept at home until symptoms have resolved for 24 hours and the child is able to keep in food and liquid.

  • INFECTION AND ON ANTIBIOTICS - (i.e. respiratory infection) Children are no longer considered contagious after 24 hours of antibiotics, depending on how your child feels they may return to school.

  • RASH - If your child has an unusual rash or it is associated with a fever, keep your child home until you have discussed the rash with your Healthcare Provider.

  • CONTAGIOUS DISEASE: strep throat, impetigo, bacterial pink eye, may return after 24 hours of treatment with antibiotic.

  • NUISANCE DISEASES: head lice, scabies, ringworm - must be treated before returning to school.

  • CHICKEN POX: child may return to school 5-7 days after onset of rash, with all sores dry and scabbed over.

  • Teachers have the responsibility of enforcing these regulations in the interest of safety and to promote a positive education experience.  Unwell students are sent to the school nurse. 

With the temperatures dipping outside, we want to remind you of the importance of sending your children to school with proper winter wear. Of particular concern are our students who have been choosing to come to school with no coat.

 Please be sure to send your child with weather appropriate outerwear including gloves, and hats on chilly days so that the children may benefit fully from their time at school. Students go outside for recess before school and at lunch every day (weather permitting), it is important that your student dress appropriately.  Dressing in layers is helpful. 

RULE OF THUMB-WHEN IN DOUBT, BRING SOMETHING ELSE TO WEAR JUST IN CASE.  Enforcement:  Teachers have the responsibility of enforcing these regulations in the interest of safety and to promote a positive education experience.  Students not meeting dress standards will be referred to the administration where adjustments can be made through parental contact or through alternative clothing on hand (when available).



Dear Parent(s)/Guardian(s) of students Grades 5th, 6th, 7th, and 8th


Scoliosis is a lateral curvature of the spine, in which the spine may curve to the left or to the right.  It is most commonly detected during the time of rapid growth and may progress if not treated.  The purpose of a screening program is to recognize scoliosis in its earliest stages.


According to New Jersey state guidelines Estell Manor School must provide the biennial scoliosis screening of every student between ages 10 through 18. Typically I do this screening for the students in grades 5 and 7, as required by law. However this year 2020-2021 because students were not screened in the spring I will be doing this screening on all students 5th -8th grades. 


A pupil may be exempt from this examination if requested by the parent/guardian and your doctor provides documentation that the student has been seen for his/her annual physical and assessed for scoliosis.  Often these letters are from doctors already familiar with the history of the student’s spine and following up as needed. 


Parents need to get a written request plus proof of screening done by your doctor by Wednesday, November 11th 2020.

Submit the forms to the Health Office.


Health screening will begin on November 16th 2020. You are invited to be present if you so desire so please reach out to me ASAP so we can set up a time you are available.  Whether or not you are present, you will be informed of any suspected problem.


Wishing you health and happiness, 


Nancy A Wanner RN BSN CSN



Physicals and immunizations 

A copy of your child's annual physical and immunizations can be emailed to the nurse's office.

[email protected] 

All  kindergarten, playgroup and students new to Estell Manor school (any grade) are required to have

a copy of their physical and immunizations

prior to the 1st day of school submitted to the health office. 

Any student looking to participate in our sports programs

will need a sports physical PPE on file

(physicals expire after 365 days)

If you are having trouble getting an appointment with your pediatrician or family doctor please reach out to me via email

ASAP so the proper protocol can be followed.  








Medication in school: the school policy is the same for all medications whether they are prescription, over the counter, Holistic medicine, or herbal (lozenges).  Parents/guardians must transport medication to and from school, children are not allowed to carry medication in school. Any medication not picked up will be disposed of by the school nurse at the end of the last day of school. 

See Policy file code 5141.21 



Student medical examination at least once during each developmental stage: early childhood (preschool through grade 3), pre-adolescence (grade 4 through 6); and adolescence (grade 7 through 12). These examination should be conducted at the child's medical home in order to ensure continuity of care. Make sure to have your doctor complete the PPE so your child can play in the sports offered at Estell Manor School. 


Most Up to Date information on the Coronavirus Disease from the CDC






The health of your child:



Children should not return to school until they have been without a fever for at least 24 hours (without medication). If your child is sent home because of vomiting or diarrhea please keep him/her home for atleast one additional school day so that they are symptom free and have the chance to rest and rehydrate.  Often children are sent back to school to early and we must call the family to pick them up because they are not well.  Please allow your child the opportunity to REST and heal. 


Medical examinations of your student should be counducted at least once during each developmental stage: at early childhood (preschoool through grade 3), pre-adolescence (grade 4 through 6, and adolescence (grade 7 through 12) The school nurse can keep a copy of your child's physical so if they decide to do any of the activities that require a physical it is already on file.  Please remember when senting in a copy of your child's physical to include name and grade. 




Nurse Plan
The following is the nurse’s plan I follow all year:



If your child has any of the following, they will be sent home:
 temperature of 100 degrees or higher
 vomiting or diarrhea
 symptoms of an eye infection
 an unexplained skin condition
 other conditions as determined by the school nurse
 If your child is sick, keep them home.
 Children should not return to school until they have been without a fever for at least 24 hours (without medication).



 Differences between a cold and the flu
 Common symptoms of flu include
 high fever
 severe headache
 muscle and body aches
 exhaustion and dry cough
 a child may have vomiting and diarrhea
 Symptoms of a common cold include:
 Sneezing & stuffy nose
 sore throat
 hacking cough
 possible low grade fever



 Important prevention tips:
 Cover your nose and mouth with a tissue when you sneeze or cough or cough and sneeze into your sleeve (right at the bend of the arm).
 Wash your hands for 20 second with soap and water often. Alcohol based hands sanitizers are also useful.
 Avoid touching your eyes, ears, mouth or nose. Germs spread this way.



 Avoid close contact with sick people.
 Drink plenty of fluids, get lots of rest, reduce stress, eat a nutritional/balanced diet, and exercise daily.
 Dress appropriately for weather.
 Ask your medical provider about taking the flu vaccine




See School Policy 





Health Class



The Department of Education has the Family Life section of the New Jersey Core Content Standards available for you the parent/guardian to review at In the event you are unable to review the standards, please contact the school and appropriate materials will be provided.




Any pupil whose parent or guardian present s to the school administration, a signed statement that any parent of the instruct in Family Life Education is in conflict with his/her conscience, or sincerely held moral or religious beliefs, shall be excused form that portion of the course where such instruction is being given and no penalties as to credit or graduation from the result for there. (N.J. S.A. 18A: 35-4, 6 et.seq).




Please keep phone numbers updated in the school office. When your child is sick or injured, we need to be able to contact someone immediately.









Given to the parents and guardians of students in the 6 th grade.


The fact sheet can be accessed and downloaded at:






The fact sheet is available at:



Information on the student athlete concussion policy and guidance is available at:


N.J.S.A. 18A:40-41.2 The fact sheet is available at:




Additional resources can be found at:




N.J.S.A. 18A:40-12.6 requires that school nurses designate, in consultation with the board of education, and train school employees who volunteer to administer epinephrine when the school nurse is not


physically present at the scene. Training Protocols for the Emergency Administration of Epinephrine pursuant to N.J.S.A. 18A:40-12.3–12.6 are available at:




The guidelines are available at:




School immunization laws are one of the most effective tools for preventing outbreaks of contagious diseases in schools and communities. All 50 states have school immunization requirements. Administrators of all New Jersey public and private schools, including child care, preschool, Head Start, and K-12, are responsible for ensuring that all students are in compliance with N.J.A.C. 8:57-4, Immunization of Pupils in School regulations. Information is available at:


Additional information about vaccines and recommended schedules is available at:




New Jersey requires all children six months through 59 months of age attending any licensed child care center or preschool facility annually receive at least one dose of influenza vaccine between September 1 and December 31 of each year. Children who are vaccinated with the 2012-2013 seasonal influenza vaccine prior to September 1 are considered in compliance with the regulation. There is no grace period for unvaccinated children. Students who have not received the influenza vaccine by December 31st must be excluded from the child care/preschool facility for the duration of influenza season (through March 31st), until they receive at least one dose of the influenza vaccine, or until they turn 60 months of age. An Immunization Requirements FAQs at is available at:




Schools are required to have automated external defibrillators and to establish emergency action plans for responding to sudden cardiac events. The complete law may be accessed at




Department of Education requires school districts to make accessible information regarding the NJ FamilyCare Program for students who are knowingly without medical coverage. For more information regarding the NJ FamilyCare program, you may go to


Sports Physicals


New Jersey Department of Education ANNUAL ATHLETIC PRE-PARTICIPATION PHYSICAL EXAMINATION FORM. Copies of this form are also available in the Nurse’s Office.