Nursing Overview


Registered Nurses: Nurses in our district cover more than one school and are in each school at least once a week.  The nurse at your school has regular communication with the health para and is available if any health care need or emergency arises.

Health Para: Your child’s school has a health para in the health room every day. Health paras are not nurses.  They have received training in basic first aid, CPR, and medication administration only.

Health Room: Any student entering the health room will be allowed to remain there for up to 10 minutes.  If there is a need to contact parents, we will use the phone numbers provided at the beginning of the school year.  Please provide the school with current emergency phone numbers and update this information as it changes throughout the year. 

Medication Policy:  Please be aware that Colorado State law governs our medication policy.  If your child must take medication during school hours, you must provide the following before we administer it:

  • A written doctor’s order (including drug name, dose, route, time, duration of treatment, doctor’s and parent’s signature).  This includes all over-the-counter medication. The only exception is cough drops, which are supplied from home, and may be given with written parent permission.  The physician may fax medication orders to the school.  Please note: The pharmacy label applied to the medication bottle will not suffice for a doctor’s order.
  • Medication must be in the original bottle, complete with label.  Medication cannot be given if it comes in a baggie, envelope, plain bottle, etc.
  • All medications must be kept in a secure cabinet in the health room.  If a student must carry a medication on him or her, such as an inhaler, Epi-Pen or diabetes supplies, the physician order must state this and the student must sign a self-carry contract.  
  • If your child has a health condition such as asthma, allergies, diabetes or seizure disorder it is helpful to have a health care plan devised.  This gives guidance to the staff regarding your child’s health issue.  Your nurse can provide information about this.

Use of crutches and wheelchair:  Each health room has a wheelchair for emergency use only.  If your student requires temporary use of their own crutches or wheelchair, please provide a doctor's note to the health room and accommodations will be made. 

Immunizations:  All students must have current and up-to-date immunizations in order to participate in school.  The only exception to this is if the parent signs an exemption for medical, religious, or personal reasons.  All Religious and Personal exemptions will need to be signed annually.

Students have 14 days to be in compliance with immunizations or they may be excluded from school.

If you have any questions regarding these policies or immunization requirements for Colorado students, please call the health room at your child’s school. 

Illness Guidelines:  District 49 is following the illness guidelines from the Colorado Department of Education/Children’s Hospital Colorado. The guidelines can be found at