Health Services
Research has shown that students with an optimal level of wellness are more receptive to the learning process. Therefore, North St. Paul-Maplewood-Oakdale health services staff strive to create an environment that promotes and supports student achievement, health, and well-being.
The primary goals of health services are to minimize or eliminate health-related barriers to learning and assist students to be self-sufficient in managing their health care within age-appropriate expectations. To accomplish this, health services staff, as part of the school team, strive to:
- Promote student wellness
- Provide skilled nursing services
- Encourage healthy behaviors and self-care
- Assess and communicate student health concerns through referral to parents/guardians
The model of health services in ISD 622 uses a combination of Baccalaureate degree Registered Nurses (BSNs), Licensed Practical Nurses, and Associate degree Registered Nurses (LPNs/ARNs).
- LPNs/ARNs perform direct care in the health office for ill and injured students, administer prescribed medication, and carry out delegated nursing activities performed under BSN supervision.
- BSNs are responsible for coordinating and managing the health needs of individual students during the school day as well as promoting health and safety for all students at a given site. They also provide training, delegation, and supervision to the LPNs/ARNs.
- The Health Services Supervisor is a Licensed School Nurse who oversees the health services department. This nurse is responsible for creating and reviewing health-related policies and procedures, quality assurance, staffing, and responding to crises.
Is My Child Well Enough To Go To School?
Many students and parents/guardians are frequently concerned about when students should stay home or attend school. The following information is intended to help with this decision.
- General Guidelines
- Other Information
- Disease Specific Guidance
- 23-24 COVID-19 Protocol & Return to School Dates
General Guidelines
If the student:
- Has a temperature of 100.4 degrees or higher, the student should stay home for 24 hours after their temperature returns to normal (less than 100.4 degrees) without fever-reducing medication.
- Has vomited once or has had diarrhea two or more times, the student should stay home until 24 hours after the last episode.
- Has a rash that may be disease-related or the cause is unknown, check with their healthcare provider before returning to school.
If the student is ill, please keep them home and notify the attendance line daily to report the illness. Please notify the School Nurse if your child has a contagious condition such as chicken pox, strep throat, whooping cough, or influenza.
Other Information
Remember, children ill with an infectious disease can spread the disease when in contact with others in the family and the community.
If you have any questions about the above information, please call your school nurse or healthcare provider.
Good hand washing stops the spread of many communicable diseases.
When students become ill at school, the school nurse will attempt to contact the parent/guardian first and then the name(s) listed as emergency contacts. It is important to keep the school up-to-date with any changes in telephone numbers.
Disease Specific Guidance
Disease | Signs/Symptoms | Incubation Period | Can My Student Go To School? | How Is It Spread? |
---|---|---|---|---|
Chickenpox
|
Fever and skin rash that comes in clusters. Rash begins on the chest, back, underarms, neck, and face. Rash turns to blisters and then scabs. |
2 to 3 weeks |
NO. Exclude from school until blisters have scabbed, usually about 6 days after rash appears. Notify School Nurse if diagnosed. |
Very easily spread from person to person by direct contact with the blisters. Also spread through contact with mouth/nose secretions. |
Cold Sores (herpes simplex)
|
Blisters that appear on the lips, face, and mouth. Sores usually crust and heal within a few days. |
2 to 12 days |
Yes. No exclusion necessary for mild sores in children who are in control of their mouth secretions. |
Direct contact with the infected person’s saliva or sores. |
Common Cold
|
Runny nose, sneezing, chills, fever, sore throat, and cough. |
1 to 3 days Respiratory infections can last up to 10 days |
Yes. No exclusion necessary unless fever is present. |
Direct contact with secretions from the infected person’s mouth or nose. |
COVID-19
|
Fever, chills, cough, shortness of breath, body aches, headaches, vomiting/diarrhea, or a new loss of taste or smell. Child may also be infected and have no symptoms. |
2 to 14 days |
Yes. No exclusion necessary unless fever is present. Must be able to participate in routine activities with symptoms |
By close contact with some who is infected, by breathing, coughing, and sneezing., by touching contaminated objects or surfaces |
Croup
|
Runny nose, sore throat, mild cough, and fever. Several days later there may be a dry cough and hoarseness. Rapid breathing or making a noise when taking a breath may also occur. The cough may be worse at night. |
Up to 10 days |
Yes. No exclusion necessary unless fever is present. Must be able to participate in routine activities. |
By coughing or sneezing. By touching contaminated hands, objects, or surfaces. |
Fifth Disease
|
Rash on cheeks (looks like a slapped cheek). May spread to the arms and/or chest. Fever may be present. |
4 to 14 days |
Yes. No exclusion necessary unless fever is present. |
Direct contact with infected mouth or nose secretions. |
Hand, Foot, and Mouth Disease
|
Sores occur in the mouth, on palm of hands, fingers, and on soles of feet. Sores may last 7 to 10 days. A low grade fever may be present. |
3 to 5 days |
NO. Exclude until fever free for 24 hours. |
Direct contact with mouth and nose secretions or stool of infected persons. |
Head Lice
|
Itching of the scalp. Nits (lice eggs) and live lice can be found in the hair. Nits are attached to the hair near the scalp. Live lice are small, brown insects that move through the hair. |
Nits hatch in 6 to 10 days. Re-infestation can occur if nits are not thoroughly treated or removed. |
YES. No exclusion necessary. School nurses will work with families to determine if support is needed for treatment and will schedule rechecks in the health office as needed. |
Direct contact with infested person’s hair, comb/brush, bedding, helmets, etc. Lice can live on objects such as jackets for 2 to 3 days. |
Impetigo
|
Blister-like sores that form an oozing, yellow crust. It may itch. |
1 to 10 days |
NO. Exclude from school until 24 hours after antibiotic treatment begins and sores are drying. |
Direct contact with infected mouth or nose secretions. |
Influenza
|
Sudden onset of fever, headache, muscle pain, body aches, cough, and sore throat. |
1 to 3 days |
NO. Exclude from school until fever free for 24 hours and student is well enough to participate in normal activities. |
Direct contact with mouth and nose secretions. |
Mononucleosis
|
Fever, sore throat, tiredness, swollen glands in neck. A rash may be present. |
4 to 6 weeks |
To be determined by doctor. Must be fever free for 24 hours and able to participate in normal activities. |
Direct contact with infected saliva. Often spread through kissing or sharing drinks. |
Pink Eye (conjunctivitis)
|
Bacterial: pink/red irritated eye with pus or sticky drainage. Painful. Viral: pink/red eye with clear, watery discharge. May be painful. |
1 to 3 days |
Yes. No exclusion necessary unless the child has a fever or is not healthy enough to participate in routine activities. |
Direct hand to eye contact. |
Ringworm
|
Flat, ring-shaped rash that may be dry and scaly OR moist and crusty. |
4 to 14 days |
NO. Exclude from school until 24 hours after treatment begins. Area should be covered with clothing or a bandage while the student is in school. |
Direct contact with infected person or contaminated objects/clothing. |
Scabies |
Rash with intense itching that is commonly found between fingers, around wrists, near elbows, and in armpits. Can be seen on knees, waistline, thighs, abdomen, chest, and buttocks. Worse at night. |
2 to 6 weeks |
NO. Exclude from school until 24 hours after treatment begins. |
A mite is transferred by direct contact with skin or through shared bedding, towels, or clothing of an infected person. |
Streptococcal Infection (strep throat/scarlet fever) |
Fever, sore throat, swollen glands, headache, nausea and/or vomiting. If you have a fine, raised rash with strep throat, it is called Scarlet Fever. |
1 to 3 days |
NO. Exclude from school until 12 hours after antibiotic treatment begins and student is fever free for 24 hours. |
Direct contact with mouth and nose secretions. |
RSV (Respiratory Syncytial Virus) |
Cough, watery eyes, fever, runny nose or stuffiness, or sneezing. Symptoms may last for 7 days. Severe RSV may wheeze and/or have lung congestion. RSV can be serious for premature babies and people with heart, lung, or immune system problems. |
2 to 8 days |
NO. Exclude from school until fever free for 24 hours and the student is well enough to participate in normal activities. |
Coughing or sneezing, by touching contaminated hands, objects, or surfaces. |
Whooping Cough (pertussis) |
Begins with runny nose, sneezing, mild cough, and low grade fever. After 1 to 2 weeks, a persistent cough develops which may occur in explosive bursts. Cough occurs more at night. |
4 to 21 days |
NO. Exclude from school until 5 days after antibiotic treatment begins. If not treated with 5 days of antibiotics, exclusion should be for 21 days after cough onset. |
Direct contact with mouth and nose secretions. |
23-24 COVID-19 Protocol & Return to School Dates
COVID protocol
ISD 622 COVID-19 protocol is based on Centers for Disease Control and Prevention (CDC) guidance as of March 1, 2024. The CDC states, “COVID-19 remains an important public health threat, but it is no longer the emergency it once was, and its health impacts increasingly resemble those of other respiratory viral illnesses, including influenza and RSV. This reality enables CDC to provide updated guidance proportionate to the current level of risk COVID-19 poses while balancing other critical health and societal needs.”
If you have symptoms of a respiratory virus (cough, fever, chills, runny nose, etc.) OR have tested positive for COVID-19:
You can go back to your normal activities when, for at least 24 hours, both are true:
-
Your symptoms are getting better overall, and
-
You have not had a fever (and are not using fever-reducing medication)
When you go back to normal activities, take added precaution over the next 5 days:
-
Increase hygiene practices (cover your cough/sneeze, handwashing, clean frequently touched surfaces)
-
Wear a well-fitting mask
-
Distance yourself from others as much as you are able
Additional information can be found on the CDC website: Preventing Spread When You're Sick
COVID return to school dates
This protocol follows the guidelines and recommendations per the Minnesota Department of Health (MDH) and Centers for Disease Control (CDC).
Tested positive for COVID-19: Stay home for 5 days or until symptoms are improving and fever-free for 24 hours, whichever is longer. Upon return, please wear a well-fitting mask for an additional 5 days.
Exposed to someone with COVID-19: Monitor for symptoms closely for 10-14 days after the exposure. If you have symptoms, test for COVID-19. If positive, follow the guidance above. If negative, follow our general illness policy: Is My Child Well Enough?
Reporting COVID-19: MDH is no longer requiring schools to report individual cases of COVID-19. Health Services will work with administration and the attendance secretary at each building to identify outbreaks in both staff and students, which will be reported to MDH and additional measures will be taken to stop the spread.
-
Families/Students: See the table on the next page for your return to school/athletics/activities date. Please contact your child’s school directly to report their absence and for information on how to engage in learning during isolation. We are no longer utilizing the COVID Response Form.
-
Employees: See the table on the next page for your return to work date. It is the employees responsibility to contact their supervisor directly to report the absence.
Date you tested positive/symptoms began: |
Date you may return to school/activities/work: |
Date you may return without a mask: |
March 12, 2024 |
March 18, 2024 |
March 23, 2024 |
March 13, 2024 |
March 19, 2024 |
March 24, 2024 |
March 14, 2024 |
March 20, 2024 |
March 25, 2024 |
March 15, 2024 |
March 21, 2024 |
March 26, 2024 |
March 16, 2024 |
March 22, 2024 |
March 27, 2024 |
March 17, 2024 |
March 23, 2024 |
March 28, 2024 |
March 18, 2024 |
March 24, 2024 |
March 29, 2024 |
March 19, 2024 |
March 25, 2024 |
March 30, 2024 |
March 20, 2024 |
March 26, 2024 |
March 31, 2024 |
March 21, 2024 |
March 27, 2024 |
April 1, 2024 |
March 22, 2024 |
March 28, 2024 |
April 2, 2024 |
March 23, 2024 |
March 29, 2024 |
April 3, 2024 |
March 24, 2024 |
March 30, 2024 |
April 4, 2024 |
March 25, 2024 |
March 31, 2024 |
April 5, 2024 |
March 26, 2024 |
April 1, 2024 |
April 6, 2024 |
March 27, 2024 |
April 2, 2024 |
April 7, 2024 |
March 28, 2024 |
April 3, 2024 |
April 8, 2024 |
March 29, 2024 |
April 4, 2024 |
April 9, 2024 |
March 30, 2024 |
April 5, 2024 |
April 10, 2024 |
March 31, 2024 |
April 6, 2024 |
April 11, 2024 |
April 1, 2024 |
April 7, 2024 |
April 12, 2024 |
April 2, 2024 |
April 8, 2024 |
April 13, 2024 |
April 3, 2024 |
April 9, 2024 |
April 14, 2024 |
April 4, 2024 |
April 10, 2024 |
April 15, 2024 |
April 5, 2024 |
April 11, 2024 |
April 16, 2024 |
April 6, 2024 |
April 12, 2024 |
April 17, 2024 |
April 7, 2024 |
April 13, 2024 |
April 18, 2024 |
April 8, 2024 |
April 14, 2024 |
April 19, 2024 |
April 9, 2024 |
April 15, 2024 |
April 20, 2024 |
April 10, 2024 |
April 16, 2024 |
April 21, 2024 |
April 11, 2024 |
April 17, 2024 |
April 22, 2024 |
April 12, 2024 |
April 18, 2024 |
April 23, 2024 |
April 13, 2024 |
April 19, 2024 |
April 24, 2024 |
April 14, 2024 |
April 20, 2024 |
April 25, 2024 |
April 15, 2024 |
April 21, 2024 |
April 26, 2024 |
April 16, 2024 |
April 22, 2024 |
April 27, 2024 |
April 17, 2024 |
April 23, 2024 |
April 28, 2024 |
April 18, 2024 |
April 24, 2024 |
April 29, 2024 |
April 19, 2024 |
April 25, 2024 |
April 30, 2024 |
April 20, 2024 |
April 26, 2024 |
May 1, 2024 |
April 21, 2024 |
April 27, 2024 |
May 2, 2024 |
April 22, 2024 |
April 28, 2024 |
May 3, 2024 |
April 23, 2024 |
April 29, 2024 |
May 4, 2024 |
April 24, 2024 |
April 30, 2024 |
May 5, 2024 |
April 25, 2024 |
May 1, 2024 |
May 6, 2024 |
April 26, 2024 |
May 2, 2024 |
May 7, 2024 |
April 27, 2024 |
May 3, 2024 |
May 8, 2024 |
April 28, 2024 |
May 4, 2024 |
May 9, 2024 |
April 29, 2024 |
May 5, 2024 |
May 10, 2024 |
April 30, 2024 |
May 6, 2024 |
May 11, 2024 |
May 1, 2024 |
May 7, 2024 |
May 12, 2024 |
May 2, 2024 |
May 8, 2024 |
May 13, 2024 |
May 3, 2024 |
May 9, 2024 |
May 14, 2024 |
May 4, 2024 |
May 10, 2024 |
May 15, 2024 |
May 5, 2024 |
May 11, 2024 |
May 16, 2024 |
May 6, 2024 |
May 12, 2024 |
May 17, 2024 |
May 7, 2024 |
May 13, 2024 |
May 18, 2024 |
May 8, 2024 |
May 14, 2024 |
May 19, 2024 |
May 9, 2024 |
May 15, 2024 |
May 20, 2024 |
May 10, 2024 |
May 16, 2024 |
May 21, 2024 |
May 11, 2024 |
May 17, 2024 |
May 22, 2024 |
May 12, 2024 |
May 18, 2024 |
May 23, 2024 |
May 13, 2024 |
May 19, 2024 |
May 24, 2024 |
May 14, 2024 |
May 20, 2024 |
May 25, 2024 |
May 15, 2024 |
May 21, 2024 |
May 26, 2024 |
May 16, 2024 |
May 22, 2024 |
May 27, 2024 |
May 17, 2024 |
May 23, 2024 |
May 28, 2024 |
May 18, 2024 |
May 24, 2024 |
May 29, 2024 |
May 19, 2024 |
May 25, 2024 |
May 30, 2024 |
May 20, 2024 |
May 26, 2024 |
May 31, 2024 |
May 21, 2024 |
May 27, 2024 |
June 1, 2024 |
May 22, 2024 |
May 28, 2024 |
June 2, 2024 |
May 23, 2024 |
May 29, 2024 |
June 3, 2024 |
May 24, 2024 |
May 30, 2024 |
June 4, 2024 |
May 25, 2024 |
May 31, 2024 |
June 5, 2024 |
May 26, 2024 |
June 1, 2024 |
June 6, 2024 |
May 27, 2024 |
June 2, 2024 |
June 7, 2024 |
May 28, 2024 |
June 3, 2024 |
June 8, 2024 |
May 29, 2024 |
June 4, 2024 |
June 9, 2024 |
May 30, 2024 |
June 5, 2024 |
June 10, 2024 |
May 31, 2024 |
June 6, 2024 |
June 11, 2024 |
June 1, 2024 |
June 7, 2024 |
June 12, 2024 |
June 2, 2024 |
June 8, 2024 |
June 13, 2024 |
June 3, 2024 |
June 9, 2024 |
June 14, 2024 |
June 4, 2024 |
June 10, 2024 |
June 15, 2024 |
June 5, 2024 |
June 11, 2024 |
June 16, 2024 |
June 6, 2024 |
June 12, 2024 |
June 17, 2024 |
June 7, 2024 |
June 13, 2024 |
June 18, 2024 |
More to Explore
- Health & Medication Forms
- Immunizations
- Dental Care
- Free and Low-Cost Health Insurance
- Health Topics
Health & Medication Forms
Immunizations
Get immunized!
- Tartan High
- North High
- John Glenn Middle
- Eagle Point Elementary
- Justice Alan Page Elementary
School District 622, in partnership with Homeland Health, will hold an immunization clinic for enrolled District 622 students who are not up to date on their required vaccinations.
Vaccines for Children and Adolescents (Minnesota Department of Health
No shots, no school for District 622 students
As parents and students gear up for the start of the new school year, remember to ensure that students are up-to-date on all required shots. A copy of your child's current immunization record must be on file at his/her school.
Students transferring to ISD 622 must provide immunization information when registering. Immunizations must be up-to-date before starting school, or the child will not be allowed to enter school until immunizations are complete. Exemptions to immunization requirements are medical status or conscientious objectors. A waiver form must be signed and notarized for those students requesting exemption status.
Minnesota law (State Statutes #121A.15) and School Board policy require written proof of scheduled shots for students in grades K-12. If a child has a medical reason, or if his/her parents are conscientiously opposed to any or all of the scheduled shots, a legal exemption is available. To find out how to request an exemption, visit the Minnesota Department of Health’s Minnesota Immunization Law Exemption website. There are also clinics offering free or low-cost vaccinations for children. If you do not have insurance or your insurance does not cover these immunizations, you may also contact Washington County Public Health at 651-430-6655 or Ramsey County Public Health at 651-266-1234.
Rationale: District 622 - North St. Paul-Maplewood-Oakdale school recognizes that the purpose of this policy is to require that all students receive the proper immunizations as mandated by law to ensure the health and safety of all students.
Dental Care
The dental care serves families throughout the east metro area. Information is available in several languages. Please call 612-746-1530 for information regarding dental services.
Give Kids a Smile is a charitable outreach program that provides free dental care to underserved children (typically ages 3-18). Dental clinics throughout the state volunteer to provide these services during Children’s Dental Health Month.
Free and Low-Cost Health Insurance
Minnesota Health Care Programs has free and low-cost health insurance for children and families who qualify.
Free or low-cost health insurance is available through Minnesota Health Care Programs or MinnesotaCare.
For more information, call your county office, call 1-877-KIDS-NOW, or visit the Minnesota Health Care Programs overview website.
Health Topics
Allergies & Asthma
- Asthma and Allergy Foundation of America
- American Lung Association
- Centers for Disease Control and Prevention - Asthma
- Mayo Clinic - Allergies
- Mayo Clinic - Asthma
- US Environmental Protection Agency
Diabetes
- American Diabetes Association - Minnesota
- American Diabetes Association - National
- National Diabetes Education Program
- The Diabetes Prevention Program - YMCA
- Diabetes Education Online - University of California San Francisco
- Mayo Clinic - Diabetes
Handwashing
- Germstoppers (CDC)
- Be A Germ Buster (poster)
- Wash Your Hands - 18 languages (poster)
- Stop Germs Stay Healthy Wash Your Hands (poster)
- When Should I Wash My Hands (poster)
Head Lice
Influenza
- Minnesota Department of Health
- Immunization Action Coalition
- Centers for Disease Control and Prevention
- Germstoppers (CDC)
- What is the difference between a cold and flu? (CDC)
- Cover Your Cough (MDH poster in English, also comes in 20 other languages)
Nutrition
- Centers for Disease Control and Prevention - Nutrition
- ChooseMyPlate.gov
- Food and Nutrition Information Center - USDA
Physical Activity
- Centers for Disease Control and Prevention - Physical Activity
- Physical Activity Guidelines for Americans - US Dept of Health and Human Services
- What is Physical Activity - National Heart Lung and Blood Institute
Seizures
Staff by Title and Location
Join Our Team!
Are you passionate about shaping young minds and making a positive impact on students? Join our team at ISD622 and become an integral part of our mission to develop and empower lifelong learners who thrive in diverse communities.
We are eagerly seeking dedicated individuals to join our diverse team of educators, administrators, and support staff. With a commitment to excellence and a collaborative environment, we offer fulfilling career opportunities that allow you to inspire the next generation. Explore our hiring page and embark on an exciting journey with us today!
APPLY TODAY