Immunizations (also called vaccines or shots) are one of the most important ways to protect children from diseases. Immunizations are especially important for school-aged children because children in school are regularly in close contact with others who may be able to spread these diseases.

For the upcoming school year, all students will need the following immunizations or an appropriate waiver.

Kindergarten-6th grades

• 4 doses of polio
• 4 doses of DTaP/DT/Td
• 3 doses of hepatitis B
• 2 doses of varicella (chickenpox) or history of disease documented by a qualified heath care professional
• 2 doses of MMR (measles, mumps, rubella)

7th grade
All the previously required vaccines, plus:

• 1 dose of Tdap
• 1 MenACWY-containing vaccine

12th grade

All the previously required vaccines, plus a booster dose of a MenACYW-containing vaccine. Those students who have not received their first dose by age 16 should only receive one dose.

For more information, please talk with your child’s doctor or visit the DHS website.

What should I do?

Make sure your child is up to date on their vaccinations by checking your child’s immunization record. To get your child up to date on their vaccinations:

1. Make a vaccine appointment with your doctor or local health department.

2. Ask the health care provider to complete the Student Immunization Record form. Return the form to the school office.

3. You can also visit the Wisconsin Immunization Registry to see if your child is missing or coming due for any immunizations.

Immunizations are covered by most health insurance plans. If you do not have health insurance, or your health insurance does not cover immunizations, the Vaccines for Children (VFC) program may be able to help with the cost of immunizations. For more information on the VFC program visit: https://www.dhs.wisconsin.gov/immunization/vfc-parent.htm

Please contact the school office or visit the DHS website for more information on school vaccine requirements.

Medications may be administered to students during the school day if parents or legal guardians submit a completed Request to Administer Medication form (found linked off our health services main page).  This must be done prior to school staff giving medication.

• Head lice are a common problem that affects school age children.  Lice can be found on anyone's head. While lice may be a nuisance, it does not carry diseases or cause illnesses.   
• If lice are found at school, you’ll be notified. Your child can stay in class through the end of the day and can return to school after treatment has started at home.

If your child has lice:

• They can remain in school until the end of the day.
• Keep them home until treatment starts.
• Use lice-killing shampoos or treatments exactly as directed. Most need to be done twice—once when lice are seen, and again about 7–10 days later to kill new hatchlings
• If you prefer not to use these treatments, talk to a medical provider for guidance. 
• If lice return two weeks after treatment, let your child’s medical provider know. They may suggest another treatment or a prescription treatment.
• Be careful: scratching too much can cause an infection. If the scalp is red, sensitive, crusty, or oozing, call your child’s medical provider right away.
• More guidance and details are here

Classroom-Based Food

• To prevent unfavorable medical outcomes for students with food allergies and other chronic illnesses impacted by food consumption, food brought into the classroom in all elementary schools and the middle school will be limited to fruits, vegetables, cheese, yogurt, meat, pretzels, popcorn, and goldfish crackers unless nursing services and/or building administrator discretion warrants further limitations.
• Plain drinking water will be available to all students at no cost throughout the school day, including during lunch periods. Students will also be allowed to carry water bottles.  Water will be the only beverage permitted to be brought into classrooms in the elementary schools.
• At the elementary and middle school, all classrooms will be nut free.  At the high school level, all classrooms will strive to be nut free.
  
  SNACKS & CLASSROOM BASED FOOD - Please remember to pack a snack each day for your child. Snacks allowed must follow the District Wellness Policy, meaning that your child may choose to bring in fruits, vegetables, cheese, yogurt, meat, pretzels, popcorn, and goldfish crackers unless nursing services and/or building administrator discretion warrants further limitations.
  
  Additionally, if a child wants to celebrate their birthday or a special holiday with classmates, they must do so using non-food items. Ideas for non-food items brought to school can include pencils, stickers, slinky, trading cards, donating a book to your child’s classroom library, or talking to your child’s teacher about ideas you might have to make your child feel special.
  
  Thank you for helping us to prevent unfavorable medical outcomes for students with food allergies and other chronic illnesses impacted by food consumption.

A concussion is a type of mild traumatic brain injury (mTBI) that happens when there is a bump, blow, or jolt to the head or when there is a hit to the body that causes the head and brain to move rapidly back and forth.

Every concussion is different. Not all are accompanied by loss of consciousness, and there are not many reliable ways to predict the severity and duration of symptoms following a head injury.

Symptoms of brain injury or concussion that may require attention include:

• Difficulty remembering events surrounding the time of the injury
• Forgetfulness or confusion
• Clumsiness or slow movements or speech
• Mood, behavior, or personality changes
• Headache or pressure in head
• Nausea or vomiting
• Balance problems
• Double or blurry vision
• Sensitivity to light or noise
• Feeling “in a fog”, confused, or just not feeling right

Contact the school office or one of the district nurses. Also, any paperwork that was shared with you from the provider who cared for your child will be very beneficial to the school to determine how to keep your child feeling well and minimize the symptoms that they experience in the school setting.

 

Current evidence shows that it’s best for children to return to school within 24-48 hours maximum of the time that the injury occurred. The school’s health team and staff will help provide accommodations on an individualized basis to ensure that your child’s return to school and learning process allows for safe recovery from their injury. 

 

The following are resources we turn to for more information related to concussions.

• CDC: "Heads Up"
• Children’s Wisconsin Concussion Resources
• FPS Concussion/Traumatic Brain Injury Policy

• WIAA Concussion Information for Athletes

This plan is written in accordance with the Board Policy 5314, Medication Policy.  The Board provided for the District to acquire and maintain a supply of opioid antagonists for use in the event an authorized employee or volunteer observes an apparent overdose.

An opioid antagonist is a medication approved by the Food and Drug Administration (FDA) to prevent overdose by opioids such as heroin, morphine, and oxycodone.  Opioid antagonists are the first line treatment for an opioid overdose.  The District has chosen to use Naloxone as the opioid antagonist that will be kept as stock medication.  Naloxone is the generic name of the medication Narcan and is administered via a nasal poof.  Naloxone comes in prepackaged doses of 4mg.

Access to an opioid antagonist that is not prescribed to an individual and can be used in emergencies is critical.  A delay in treating an apparent overdose could result in death.  Naloxone should be administered immediately if the individual has signs or symptoms of an overdose.  Parents & school administrators should not be concerned about adverse health effects of naloxone, if the person has not overdosed on an opioid, there is no effect on the body.

 

• All district buildings will stock a set of Naloxone as well as with each school nurse. 
• Naloxone’s state wide national order will be available in each building.
  • State wide national order
• School nurses will restock/replace as needed, required based on expiration date/use.  
• Stock Naloxone will only be available on school campuses and cannot be removed to accompany any staff or student group off campus.  Overdose reactions off campus will be treated by calling for emergency personnel.

• Per WI DPI requirements, all staff will receive training on:
  • Identifying  a possible overdose and how to respond to it.
  • Identifying  the antidote for an opioid overdose.
  • Understand what naloxone is, how it works, and how to administer correctly. 
  • Understand how to care for the person after administering naloxone.
• School personnel may administer stock Naloxone to any student, staff, or visitor that they believe in good faith is suffering from an overdose reaction.  911 must be immediately called. 
• The school, school nurse, or designated school personnel that provide or administer Naloxone under this plan are immune from civil liability for any harm that may result, regardless of whether there is parental or medical provider authorization unless the administration was a result of gross negligence or willful or wanton misconduct.

• Observe individual for signs and symptoms of opioid overdose:
  • Pale, clammy skin
  • Infrequent, slurred speech
  • Slowed heart rate/pulse
  • Disoriented (person, place, time)
  • Pinpoint pupils
• Suspected or confirmed opioid overdose consists of one or both of the following:
  • Slow breathing, gurgling, or no breathing
  • Unresponsiveness to stimuli (such as calling name, shaking, sternal rub)

• Call for help and have 911 called immediately
• Ensure CPR is initiated, as appropriate (adequate ventilation/compressions are KEY!)
• Administer intranasal Narcan (steps and visuals below)

Remove NARCAN Nasal Spray from the box.
Peel back the tab with the circle to open the NARCAN Nasal Spray.

Hold the NARCAN nasal spray with your thumb on the bottom of the plunger and your first and middle fingers on either side of the nozzle.

Gently insert the tip of the nozzle into either nostril.

• Tilt the person’s head back and provide support under the neck with your hand. Gently insert the tip of the nozzle into one nostril, until your fingers on either side of the nozzle are against the bottom of the person’s nose.

Press the plunger firmly to give the dose of NARCAN Nasal Spray.

• Remove the NARCAN Nasal Spray from the nostril after giving the dose.
• If individual still not breathing after 2 minutes, administer Narcan into the other nostril
• If the individual begins to breathe spontaneously, place in recovery position on their side

**Note: Using naloxone in patients who are opioid dependent may result in severe opioid withdrawal symptoms

 

• Individuals should always be transported to the hospital following administration of Naloxone.

• Make sure parents/guardians are notified to follow up with a medical provider. Follow up with family - evaluate plan.
• Ensure complete documentation per district policy.
• Make sure replacement Naloxone is obtained.
• Review response and emergency communication, update as needed to improve outcomes.

This plan is written in accordance with the Board Policy 5314, Medication Policy.  The Board intends to adopt and maintain a plan for managing students with life-threatening allergies so as to permit each school to obtain a school prescription for epinephrine auto-injectors and to permit each school nurse and designated school personnel to administer them.  This plan will be approved yearly by the district's medical director.

Epinephrine is the first-line treatment for anaphylaxis, a potentially fatal allergic reaction. Epinephrine is safe and simple to administer.

It is essential for each district building to have a supply of epinephrine auto injectors, prescribed by our district medical advisor, to ensure the safety of all individuals who may experience both an unknown or known anaphylactic reaction. The stocked epinephrine will prevent a delay in care in a time sensitive medical emergency. 

Franklin Public Schools (FPS) will collaborate with local prescribers to obtain a prescription for an epinephrine delivery system prescribed to FPS according to Wisconsin State Statute 118.292 and will obtain and maintain a limited stock supply of this medication.

• All five Franklin elementary school buildings and Educational and Community Center (ECC) will stock 1 single dose of Epinephrine 0.3mg and Epinephrine 0.15mg. 
• Each secondary school building will stock 1 set (2 epinephrine auto injectors) of Epinephrine 0.3mg.
•  Epinephrine auto injectors will be documented and accounted for by the nursing department. Once the expiration date is reached, nursing will order replacement doses. 
• Stock epinephrine auto injectors will be available for designated district staff to administer during the school day
• Stock epinephrine auto injectors will only be available on school campuses and cannot be removed to accompany any staff or student group off campus.  Anaphylaxis reactions off campus will be treated with individually prescribed epinephrine delivery systems and/or calling for emergency personnel.

• Designated school personnel that have agreed to receive training and will be trained/authorized to perform the functions of this plan include: Emergency Response Team members
• Designated school personnel may administer prescribed epinephrine to students according to that student’s Allergy Action plan. Designated school personnel may administer stock epinephrine to any student, staff, or visitor that they believe in good faith is suffering from an anaphylactic reaction. In either scenario, 911 must be immediately called. 
• The school, school nurse, or designated school personnel that provide or administer epinephrine auto-injectors under this plan are immune from civil liability for any harm that may result, regardless of whether there is parental or medical provider authorization unless the administration was a result of gross negligence or willful or wanton misconduct.

Symptoms of Anaphylaxis include one or more of the following:

• LUNG: shortness of breath, wheezing, repetitive coughing
• HEART: pale or bluish skin, weak pulse, dizziness
• THROAT: tight or hoarse, trouble breathing or swallowing
• MOUTH: significant swelling of the tongue or lips
• SKIN: many hives over body, widespread redness
• GUT: repetitive vomiting, severe diarrhea
• OTHER: feeling of “doom,” anxiety, confusion

If any of the signs/symptoms above are observed, then follow these steps:

1. INJECT EPINEPHRINE AUTO INJECTOR IMMEDIATELY! (See medication/dosage below) 
2. Call EMS (911) 
3. Begin monitoring:
   • Record time epinephrine auto injector was used and inform emergency personnel upon arrival. 
   • Continue to keep on back with legs elevated above the heart. If difficulty breathing or vomiting present, let individual sit up or lie on their side. 
   • Provide First Aid/CPR as necessary; AED if necessary and available.
4. Send used auto injector(s) to emergency department with individual or discard appropriately 

Select appropriate epinephrine auto injector dose, based on weight. If unable to assess weight, use a larger dose. Review manufacturer’s instructions for specific use of epinephrine auto-injector. 

Dosage:

A second epinephrine auto injector dose can be given 5 or more minutes after the first, if symptoms persist or recur.

• Students should always be transported to the hospital following administration of epinephrine.
• They are at risk for a secondary or biphasic reaction which may require immediate treatment (as many as 1/3 of children will experience a secondary reaction)

• Make sure parents/guardians are notified to follow up with a medical provider. Follow up with family - evaluate plan.
• In the case of the student with known history, discuss how exposure occurred and if new allergen avoidance measures are needed.  For students with no previous history of anaphylaxis, consider developing an emergency action plan.
• Ensure complete documentation per district policy.
• Make sure replacement epinephrine auto injector is obtained.
• Review response and emergency communication, update as needed to improve outcomes.