Shelton's Health Services

Health Services


Definition of School Nursing

School nursing, a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential. Adopted by the NASN Board of Directors February 2017.

The school nurse role includes:

  • Provide first aid care and health assessment;
  • Write care plans and coordinate the care of students with chronic or acute health conditions;
  • Communicate with teachers and staff to ensure the safety and well-being of students;
  • Administer medications and monitor delegated medication administration;
  • Assist in the evaluation of students for Special Services (Special Education);
  • Coordinate and provide vision and hearing screenings;
  • Assist families in accessing health insurance and health care services; and
  • Educate and train staff on: asthma, life threatening allergies, diabetes, and blood borne pathogens.
  • Case management (see information below)

The District School Nurse(s) are flexible as special needs and events arise in the district. To contact the School Nurse directly, you can call your school and ask for the nurse.

  • Shelton High School: ext: 16018
  • Olympic Middle School: ext: 14012
  • Oakland Bay Junior High: ext: 15019
  • CHOICE HIGH SCHOOL: ext: 17000
  • Evergreen Elementary: ext: 12000
  • Mt. View Elementary: ext: 13003
  • Bordeaux Elementary: ext: 11007

Attendance Matters


What is case management?

….a collaborative process of assessment, planning, facilitation and use of available resources to meet an individual's health care needs through communication and, to promote quality cost effective outcomes.


School Nurse utilizes principles of health care coordination in the school setting involving students, families, and school staff of various disciplines.



  • Students with chronic health condition*
  • Having unmet healthcare needs
  • Experiencing Absenteeism related to healthcare needs – excused or unexcused

​*A Chronic health condition is any physical, emotional, or mental condition that prevents a student from attending school regularly, doing regular school work, or doing usual childhood activities

*Requires frequent attention or treatment from a healthcare provider, regular use of medication, or use of special equipment

*Prolonged duration – does not resolve spontaneously – rarely cured completely 

What are the goals of NURSE CASE MANAGEMENT:

  • Increase student engagement with education by addressing health concerns
  • Increase academic improvement
  • Address services to youth with complex or serious health conditions
  • Better communication with school staff
  • Improve relationships with parents of youth with unmet health needs

How can a NURSE CASE MANAGEMENT  help a student:

  • Overcome barriers
  • Return to/stay in school
  • Improve attendance
  • Improve school coordination
  • Re-engage youth in schools
  • Help with Parent engagement in schools

Benefits to student:

  • Improved self-management of health conditions
  • Increased utilization of health care and educational resources
  • Decreased absenteeism
  • Increased math and reading scores

Why would a school nurse do  NURSE CASE MANAGEMENT?

  • Many students are well served by traditional school nursing services
  • Case management is a model to provide more intensive nursing supports at school
  • A School Nurse trained in this model of case management would work with some students in need of this service.
  • Given the opportunity, nurses can make a positive difference in student academic achievement and in terms of health status.


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Have you had your flu shot?

Now is the time for you and your children to get the flu vaccination if you haven't gotten it already. It can be given by nasal spray or by a shot. Contact your doctor office.

Now is also the time to be very careful about washing your hands. Germs are everywhere. They are spread by our hands on the things we touch. Avoid touching eyes, nose, and mouth. Wash hands, wash hands, wash hands.

Lice Control & Prevention

Back To School Preparation: Start LICE Prevention at Home

Head lice is not a pleasant topic to think about, especially when it affects our students and their families, and ends up at school and in the classrooms. ANYONE CAN GET LICE. As summer draws to an end and returning to school is near, please help prevent lice from coming to school. What can you do? Be a NIT PICKER! Please check your child/children for lice before school starts. If they have lice please treat the lice, comb out the nits, and repeat treatment in two weeks. Then check their hair monthly throughout the school year to make sure they do not become re-infected.

To find more help on getting rid of lice in the home, and from members of the family, please see the Centers for Disease Control and Prevention website for helpful information.

Start LICE prevention at home. Please help ensure lice do not come to school. Please spread the word to your families and friends to check their students' hair too. Offer to help if they have lice or many heads to check. If everyone is a NIT PICKER then helps others to be NIT PICKERS our battles with lice will be minimal.


Dear Parent Lice instructions.doc

Dear Parent Lice instructions spanish.doc

How To Stay Healthy

Each of us must protect ourselves. In schools, we have many people in a small space, and germs run around freely. Also, most illnesses are contagious before any symptoms show!

So what can we do?

  1. Wash hands frequently. Objects we touch share germs…doorknobs, desks, books, pencils, etc. Soap and running water are the best defense against germs, and more effective than hand sanitizer.
  2. Do not touch the T-Zone. Eyes, nose, and mouth make a T on our faces. They are primary openings for germs to get inside our bodies, and hands have germs.
  3. Do not share eating or drinking utensils. That is mouth-to-mouth transfer.
  4. Stay 3 feet away from others, more if they are taller than you are. Coughs and sneezes fly through the air.
  5. Regularly clean washable surfaces.
  6. Get plenty of sleep. The body needs rest to fight illness.
  7. Drink plenty of water. The excess fluid flushes germs and toxins from the body.
  8. Eat nutritious foods and exercise. Keep your body in peak condition.
  9. Get a flu shot.

So what can we do to protect others?

All of the above plus, catch your cough/sneeze into your elbow and stay home when you are sick.

How do I know if I am sick enough to stay home?

  1. Fever above 100 degrees. You may return after 24 hours of no fever with no fever medication.
  2. Vomiting two or more times in a day.
  3. Diarrhea two or more times in a day.
  4. A severe sore throat with white spots in the throat or swollen neck. See a doctor.
  5. Undiagnosed skin rash or an open, oozing sore. See a doctor.
  6. Any goop or thick drainage from one or both eyes. See a doctor.
  7. Pain that is too distracting to concentrate. See a doctor.
  8. If you start on an antibiotic for an infection, follow guidelines from a medical professional.

Here's to a healthy school year!

How to stay healthy (1) spani.docx

Visit this website to learn tips for teaching care of teeth.

District School Nurse

Amy Frost MSN, BSN, RN
(360) 463-6027

  • 700 S. First St., Shelton, WA 98584
  • p: 360-426-1687
  • f: 360-427-8610

The Shelton School District does not discriminate in any programs or activities on the basis of sex, race, creed, religion, color, national origin, age, veteran or military status, sexual orientation, gender expression or identity, disability, or the use of a trained dog guide or service animal and provides equal access to the Boy Scouts and other designated youth groups. The following employee has been designated to handle questions and complaints of alleged discrimination: Linda Arnold, Director of Human Resources. 360-426-1687. 700 S. 1st Street; Shelton, WA 98584. Complaint procedure can be found on this website under Board Policy #3210 (students) and #5010 (employees).

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