Nurse Notes

Tina Urso, RN
Direct Line: 206-252-8249

Common Forms:

Common Forms can be found here.

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Medications at School

Students who either need to take medications regularly or occasionally at school must have an Authorization for Medication Form on file with the school nurse. This includes Tylenol and Ibuprofen, as well as allergy medications, EpiPens, and inhalers. Complete the parent section, and ask your Healthcare provider to complete the bottom half. Or, you can return the form with the top section completed directly to Ms. Urso and she will fax it to your doctor/clinic for their authorization. This form must be renewed each school year and allows students to leave medicines, in their original containers, in the nurse office.

When should I stay home from school?

It is our goal for students to attend classes every day school is in session. However, there are times when students need to stay home for their own health and/or the health and safety of others. Below are some guidelines to help families decide when to keep students at home:

Diagnosed Strep Throat or Bacterial Conjunctivitis (Pink Eye): Must stay home 24 hours after first dose of antibiotics.
Diarrhea: Three or more loose or watery stools in a 24-hour period, especially if the student feels ill. Students should stay home for 24 hours after the last watery stool.
Eyes: Draining mucus or pus or eyes that have unusual redness, itchiness or pain not due to injury or allergy.
Fatigue: Students who are unusually tired, pale, lack appetite, or who are difficult to wake, confused, or unusually irritable.
Fever: Temperature 100 degrees Fahrenheit or 37.7 degrees Celsius. Students need to stay home for 24 hours after their temperature has returned to normal without the help of fever-reducing medications such as Ibuprofen or Acetaminophen.
Live Lice: Students may return to school once treatment has begun. Nits do not prevent school attendance.
Persistent Coughing: Students with a persistent coughing should stay home.
Rash: Unknown origin or those known to be contagious such as ringworm, impetigo or scabies. Students may return to school as soon as treatment has begun.
Vomiting: Students should stay home for 24 hours after the last time they vomited, especially if they feel ill and have vomited two or more times during the last 24 hours.


At Seattle Public Schools, we believe immunizations are extremely important to keep children and our community healthy. Not only can immunizations help protect the student being vaccinated; they also help protect those children and adults who cannot receive vaccinations due to certain medical conditions or infants who are too young to receive the vaccinations. Immunizations are available from your provider/clinic, neighborcare, and many pharmacies. Contact Ms. Urso for questions or to update your student's immunization status.

As per Washington State law (RCW 28A.210), all Seattle Public Schools students must have state-required immunizations to attend school. Washington State pays for the vaccine (providers may charge for an office visit). To comply with the state law, all families must submit the state’s Certificate of Immunization Status (CIS) form or the state’s Certificate of Exemption to the school district within 30 days of a student starting school.

The state law does allow parents/guardians to exempt their child from these requirements for medical, religious, philosophical, or personal reasons. Sometimes it is not possible for a student to receive a vaccination due to a temporary or permanent medical condition. This affects approximately 3,000 Seattle Public School students.

In other cases, families may have religious, philosophical or personal reasons not to vaccinate. In medical, philosophical, and personal cases, Washington State’s Certificate of Exemption is completed by the student’s family, signed by a health care provider and submitted to the district. Before signing this form, the health care provider must inform the family of the risks involved with not vaccinating. For religious exemptions, the family must also fill out and submit the appropriate section of the state’s Certificate of Exemption.

On the district level, school staff members enter, analyze and monitor immunization data on the approximately 51,000 Seattle Public Schools students. Each summer the district sends letters to incoming families whose student is missing immunization data and hires temporary help to enter the data that parents report to us. Throughout the school year, school nurses contact families whose child is missing immunization data, helping to assure that all students have either received their immunizations, or have properly provided any needed exemptions. School nurses also work with families to help them access resources to receive immunizations through our school-based health centers, health department offices, and health care providers.

For more information on where to access child immunizations, please contact your school nurse or contact Student Health Services at 206-252-0750 or


While not required for school attendance, students are encouraged by the CDC to have the meningococcal vaccine at age 11, and the HPV vaccine to prevent illness and disease. Please speak to your provider to make a decision about when your child should get these vaccines.

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What you can do:

Children and adults with asthma should take their medications as prescribed; have an asthma control plan with their health care provider for use if they get sick and when asthma worsens. Contact a healthcare provider promptly if symptoms worsen even after taking medication.

Wash your hands often with soap and water for at least 20 seconds.

Avoid touching your eyes, nose and mouth with unwashed hands.

Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick.

Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone

Anyone who is sick should stay home from daycare, school or work.

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