Nursing

  • EWSD is dedicated to providing quality support for all students regarding health and wellness. The Health Offices of EWSD are staffed with full-time RNs or LPNs. The nurses are available throughout the school day for routine health care, monitoring specific health conditions, and providing emergency care for the entire student population. The nurses maintain state mandated records, such as immunizations, and administer vision and hearing screenings. The nurses work closely with the Vermont Department of Health and local physicians’ offices to coordinate best practices.  

    As required by Act 68, below please find the K-8 Concussion Plan for EWSD (the EHS 9-12 Protocol can be found on the EHS Athletics page):

    Essex Westford School District (Schools Without Athletic Teams/Clubs): Concussion Action Plan

    EWSD has developed this protocol to address the issue of the identification and management of concussions.  Vermont State Concussion Law, Act 68 was passed into law in 2013 and recommends that all schools have a concussion action plan.

    A safe return to activity protocol (learning and athletics) is essential following a concussion.  The goal of this concussion protocol is to ensure that concussed students are identified, treated, and referred appropriately for return to learn.  Consistent use of a concussion management protocol will ensure that a student receives appropriate follow-up and/or academic accommodations in order to make certain that s/he is fully recovered prior to returning to full learning and physical activities involved during the school day.

    This protocol will be reviewed annually by school principals and school nurses. Changes and modifications will be reviewed and written notifications will be provided to appropriate school personnel and will be posted in the Student Handbook and/or on the EWSD website.

    Recognition of Concussion
    These signs and symptoms – following a witnessed or suspected blow to the head or body are indicative of a probable concussion.

    • Signs (observed by others)
    • Symptoms (reported by student)
    • Appears dazed or stunned
    • Headache
    • Exhibits confusion
    • Fatigue
    • Moves clumsily (altered coordination)
    • Nausea or vomiting
    • Balance problems
    • Double vision, blurry vision
    • Personality change
    • Sensitive to light or noise
    • Responds slowly to questions
    • Feels sluggish
    • Forgets events prior to event
    • Feels “foggy”
    • Forgets events after the event
    • Problems concentrating
    • Loss of consciousness (not required)
    • Problems remembering

    Any student who exhibits signs, symptoms, or behaviors consistent with a concussion must be removed from physical activities involved in their school day and their parents/guardians will be notified immediately.

    The school nurse is the individual assigned to inform parents/guardians that their student/child may have sustained a concussion.

    Act 68 requires that schools must outline the steps required before a student can return to physical and learning activity.

    Return to Learn  Protocol:  A student’s return to school following a concussion is an extremely individualized process.  A concussion, no matter how mild it may seem at the time, is a brain injury.  The management of the concussion is best accomplished by communication and collaboration among parents, the school, and the health care providers. The following steps are required before the student can return to academic activity after a suspected concussion.

    If the concussion takes place outside of school the parent or guardian should notify the school nurse of the concussion or suspected concussion.

    Participation in the Return to Learn Protocol (RTL).  The school nurse will implement the RTL Protocol:
    Home – Total Rest
    Home – Light Mental Activity
    School – (part time) – maximum accommodations
    School – (part time) – moderate accommodations
    School – (full time) – minimal accommodations
    School – (full time) – full academics, no accommodations

    Review of information provided in the links below for students and parents.  This information will be provided by the school nurse.
    Student Brochure: http://www.biavt.org/concussion-kit-documents/Section%207%20-%20students%20brochure_rev5-6-13.pdf

    Parent Brochure:  http://www.biavt.org/concussion-kit-documents/new/Section%207%20-%20parents%20brochure_rev7-24-13.pdf

    The student’s Primary Care Provider will determine Return To Play status, as athletics teams and clubs are not included in this protocol.