Immunization Requirements

The Role of the School Nurse

The nurse’s primary focused is on the general well-being and health of the students in the district.  The nurse provides care for minor injuries or acute illnesses.

Care may involve treatment of health problems within the scope of nursing practice, communication with parents for treatment, and referral to other providers.  In addition, the school nurse uses the nursing process to assess, plan, implement, and evaluate care for students with chronic health conditions. This care should begin with the development of a nursing care plan (also known as an individualized health care plan) that should include an emergency action plan.

The school nurse is responsible for medication administration and the performance of health care procedures that are within the scope of nursing practice and are ordered by an appropriately licensed health care provider     

Mandatory Health Screenings Routine and Emergency Care



Grades K,1,2,3,11

Health Screening

  • Height
  • Weight
  • Near Vision
  • Far Vision
  • Color Vision
  • BP Checks
  • Scoliosis Check


Dental Examinations [Mandatory]


Grades 1, 3 & 7

Immunization Assessment 


Pre-K through 12

Routine Health Care


Pre-K through 12

Emergency Sick Call         


Pre-K through 12

Maintenance of Records


Pre-K through 12

Physical Examinations

Mandated by the State and should be performed by the family physician for students in kindergarten or 1 and grades 6 and 11.


K or 1, 6 and 11


Immunization Requirements for All Children

  • 3 doses of polio
  • 2 doses of measles**
  • 2 doses of mumps**
  • 4 doses of tetanus*  (1 dose on or after the 4th birthday)
  • 4 doses of diphtheria*  (1 dose on or after the 4th birthday)
  • 3  of rubella (German measles)**
  • 3 doses of hepatitis B
  • 2 doses of varicella (chickenpox) vaccine or history of disease     

*Usually given as DTP or DTaP or DT or Td 

**Usually given as MMR


Requirements for Grade 7

  • 1 dose of tetanus, diphtheria, acellular pertussis (Tdap) if 5 years has elapsed since last tetanus immunization)
  • 1 dose of meningococcal conjugate vaccine (MCV)

These requirements allow for medical reasons and religious beliefs.   If your child is exempt from immunizations, he/she may be removed from school during an outbreak. 


The Health Resource Center (HRC)

The HRC is available to all high school students in Chester Upland School District.  The center provides counseling and education around abstinence, HIV and STDs (sexually transmitted diseases), pregnancy prevention, and other sexual health issues.  Parental involvement is encouraged.  Parents have the option to prohibit their child(ren) from receiving condoms or other non-prescription birth control through the HRC Program.  The goal is to help our teens make healthy choices and to stay in school.


Tips for Assisting Students Seasonal and H1NI FLU Symptoms

  • Educate and encourage students to cover their mouth and nose with a tissue when they cough or sneeze. Also, provide them with easy access to tissues.  Remind them to cover coughs or sneezes using their elbow instead of their hand when a tissue is not available.
  • Remind students to practice good hand hygiene and provide the time and supplies (easy access to running water and soap or alcohol-based hand cleaners) for them to wash their hands as often as necessary.
  • Be a good role model by practicing good hand hygiene and covering your mouth and nose when coughing or sneezing.
  • Keep an eye out for sick students and send them to the school health office for further evaluation. Sick people should stay at home until at least 24 hours after they no longer have a fever or signs of a fever (without the use of fever-reducing medicine).
  • Clean surfaces and items that are more likely to have frequent hand contact such as desks, door knobs, keyboards, or pens, with cleaning agents that are usually used in these areas.
  • Teachers should also stay home when sick. Stay home until at least 24 hours after you no longer have a fever or signs of a fever (without the use of fever-reducing medicine).
  • If you are pregnant, have asthma, diabetes, or other conditions that put you at higher risk for complications from the flu, you should speak with your doctor as soon as possible if you develop symptoms of flu-like illness.  People at high risk of flu complications who develop flu can benefit from early treatment with antiviral medicines.
  • If you have children, plan ahead for child care if your child gets sick or his or her school is dismissed.
  • Be prepared in case the flu becomes more severe.
    • Develop options for how school work can be continued at home (e.g., homework packets, Web-based lessons, phone calls), if school is dismissed or your students are home because someone in their household is sick.
    • Be prepared for sick students or staff stay home for at least 7 days, even if they feel better sooner. Those who are still sick after 7 days should continue to stay home until at least 24 hours after symptoms have gone away.
    • Allow high-risk students to stay home. These students should make this decision in consultation with their physician or other health professional.
    • Find ways to increase social distances (the space between people) in your classroom. For example, you might rearrange desks so that there is more space between students, consider cancelling classes that bring students together from different rooms, or postpone class trips.