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Nurse Updates

February 2026

Nurse Updates February 2026
Nurse UpdatesFebruary 2026

Dear Families,


We have made it through the start of flu season. In addition to influenza, we have seen norovirus, strep throat, and pertussis cases. Please continue to keep an eye out for any signs of illness and keep your child home if they do have a fever, vomiting, or diarrhea. Thank you for your help in keeping our schools healthy!


Below you will find information on the following:

  • Health Topic
    • Pertussis
  • Illness while at School
  • Medications for 2025-2026 School Year
  • Illness Protocol
  • Our Health Staff


Thank you!


Nicole Wollert

District Nurse

nicole.wollert@westfieldpioneers.org

Health Topic Health Topic

Pertussis (Whooping Cough)

Pertussis (Whooping Cough) cases have increasing this past month. Here is some general information about pertussis.

Pertussis is caused by bacterial infection from the bacteria Bordetella pertussis.


  • Spread/Transmission: through inhalation or direct contact of respiratory secretions.
  • Typical Symptoms: early cold-like signs/symptoms; coughing progresses to severe and often "whoop" is heard with cough; sometimes vomiting and fever occur.
  • Treatment: antibiotics.
  • Prevention: the best way to prevent whooping cough is with the pertussis vaccine. As with many illnesses, washing your hands, covering your mouth when coughing/sneezing, and avoiding sharing personal items (drinking glasses, eating utensils, etc) helps prevent the spread.
  • Return to School Criteria: students who have been diagnosed with pertussis would need to stay home from school until they have been on appropriate antibiotics for at least 5 days and have been fever-free for at least 24 hours without the use of fever-reducing medication. If no antibiotic treatment, student would need to stay home from school until 21 days after cough onset.


If your child has symptoms, we recommend contacting their doctor's office.


References: Mayo Clinic and WI DHS websites

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Pertussis Vaccine

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Pertussis DHS Fact Sheet

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Handwashing Tips from the CDC

Illness while at School Illness while at School

Due to the rising demands for the health office (check out the chart below), we have implemented a new process at the middle/high school for when students visit the health office for non-emergent concerns.

The teachers have been given a handout (see picture below) that lists urgent concerns, in which a student should be sent to the office immediately.

If a student's symptoms are not on this list, the student is encouraged to wait until passing period in order for loss of instructional time to be kept to a minimum.

This process has been implemented in other school districts as well.


What was happening before we implemented this change... students were coming to the office at the beginning or the middle of class, and due to the nurse or health aide being busy with other students (diabetic cares, scheduled medications, emergency medical situations), a student could be waiting for the rest of the class to see the nurse or health aide.

This new process has been working well to limit the amount of time students are missing class.


Note: the number of office visits on the chart does not include the students we see for diabetes care, scheduled medications, or injuries (as these things are documented in a different way and therefore are not part of this count).


When we see a student for illness:

If we see a student who is reporting illness but they do not have a fever, vomiting, diarrhea, eye infection, unidentified rash, or signs of a communicable disease, we offer them any applicable treatment options we have (cough drops, mints, water, crackers, medications if parent consent form is on file), and recommend returning to class. If the student wants to go home, we ask them to use the office phone to call their parent/guardian to discuss it with them.

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Number of Office Visits per School Year

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Reasons to Visit the Health Office During Class

Medications for 2025-2026 School Year Medications for 2025-2026 School Year

If your child will need medication to be given at school this school year, please complete the following medication form.


The law states that a practitioner's signature is required if the medication is a prescription OR the dose written by parent/guardian on medication administration consent form for an over-the-counter medication differs from the recommended therapeutic dose on the medication label.

Due to not receiving many signed medication forms from the providers' offices this past school year, we are asking parents to get their child's provider to sign the medication form PRIOR to giving it to the school office. We will no longer be offering to fax the medication forms to provider's offices/clinics for signatures.


The student's parent/guardian must bring the medication in the original (manufacturer's or pharmacy-labeled) package and the package must list the ingredients and recommended therapeutic dose.

Students are not allowed to keep their own supply of medication in their lockers. Needed medication must be administered through the school office.



STOCK MEDICATION


As a courtesy, the School District of Westfield will offer stock (school supplied) Acetaminophen and Ibuprofen to middle school and high school students (ages 12 and over) while at school as needed during the current school year. Parent/guardian consent is needed for students to receive these stock medications - Stock Medication Consent Form.

Stock medication will be administered according to package directions (stated below):

Acetaminophen 500 mg tablet - One tablet every 6 hours for headache/pain

Ibuprofen 200 mg tablet - One tablet every 6 hours for headache/pain

This consent covers occasional use only, and will be given at the discretion of the school nurse or designated school staff. Any student that requires any of these medications on a regular basis will be asked to provide their own supply of medication and will need a medication consent form filled out by the student's parent/guardian and medical provider. School supplied medications will not be given to students more than ten times during the school year. If your child reaches the tenth time, a letter will be sent home, alerting you that your child has depleted their doses for the school year.

School supplied medications will only be given to students during the school day; they will not be available on school sponsored trips, athletic events, or after school activities.

Illness Protocol Illness Protocol

If your child has a fever over 100 degrees, is vomiting, or has diarrhea, your child should stay home from school. Your child may return to school when they have been free of fever/vomiting/diarrhea for at least 24 hours.


Your child should also stay home from school if he/she has an unidentified rash or live head lice.

If your child has a rash, your child may return to school when their doctor recommends. Please provide a note to your child's school office from their medical provider indicating when they may return.

If your child has live head lice, he/she may return to school after they are treated as long as there are no longer any live lice.


Your child should stay home if he/she has an eye infection and is unable to avoid touching their eyes.


If your child has a communicable disease, please refer to this chart for guidance on when they may return to school.

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Our Health Staff Our Health Staff

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Nicole Wollert - District Nurse

  • Scope of Practice: School nurses have a broad scope of practice based on the nursing process (assessment, planning, intervention, evaluation). They provide comprehensive patient/student care, including:
    • Developing and implementing nursing care plans.
    • Administering medications and treatments.
    • Educating students, families, and staff on health matters.
    • Serving as a consultant on health-related issues.
    • Overseeing medication administration, including training other staff.
    • Making decisions regarding the delegation of healthcare tasks.
  • Delegation: School nurses can delegate specific nursing tasks to properly trained and supervised UAPs (Unlicensed Assistive Personnel).
  • Training: Requires completion of an accredited nursing program and passing the NCLEX-RN exam.
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Diana Machmeier - Health Aide

  • Scope of Practice: Their primary focus is to assist patients with activities of daily living (ADLs). In schools, they may also perform certain delegated tasks under the supervision of a school nurse.
  • Delegation: UAPs (Unlicensed Assistive Personnel) can perform certain nursing tasks in the school setting, but only if the school nurse delegates them and provides appropriate training and supervision.
  • Medication Administration: While generally limited to assisting with ADLs, UAPs may be trained to administer certain medications under specific circumstances and according to Wisconsin law and DPI guidelines.
  • Training: If administering medication, they must complete DPI-approved training for specific routes.

Nicole Wollert
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