Upcoming Dates: January 19, February 7 – 5:45-7:00


Amy Gage, RNNursing
Rita Eggert, RNSchool NurseHigh
Tara Erickson, RNSchool NurseNorth Middle
Michelle Cotter, RNSchool NurseSouth Middle
Roo Dekkers, RNSchool NurseEndeavor
Heather Hurtig, RNSchool NurseExplorer
Laura Steichen, LPNSchool NurseFreedom
Bonnie Shulte, LPNSchool NurseJourney
Katie Larson, RNSchool NurseLiberty
Beth Marsh, RNSchool NurseLiberty

Treatment Downloads:  (Updated July 8, 2016)

  1. Annual Health Record
  2. Medication and Treatment Authorization Form
  3. Diabetic Care Plan
  4. Asthma Care Plan
  5. Seizure Disorder Health Care Plan
  6. Cardiac Care Plan
  7. Allergy Health Care Plan
  8. Generic Action Plan (Other)



Peanut Policy



If your child has special health care needs, requires medication and/or treatments during the school day, or has a chronic health care condition (such as anaphylactic allergy, asthma, diabetes, seizure, etc.) please contact the school nurse/aide who will give you the necessary forms to be completed by you and your primary care physician.  This will allow us to provide a safe and stable environment for your child while at school. 

Illness:Student attendance is important.   We want students in school as much as possible.  However, if your child is ill, please keep him/her home so other students and staff are not exposed.  When a child becomes ill while at school, a determination will be made whether the child requires exclusion.  Harrisburg School District follows recommendations made by the American Academy of Pediatrics and the South Dakota Department of Health.

Children should be excluded for the following illnesses:

·      Illness thatprevents the child from participating comfortably in program activities.

·      Illness that results in agreater need for care than the staff can provide without compromising the health and safety of other children.

·      Fever of 100.0 or greater, lethargy, irritability, persistent crying, difficult breathingand/or other manifestations of possible severe illness.

·      Persistent abdominal pain(continuous for more than two hours) or intermittent abdominal pain associated with fever, dehydration, or other systemic signs or symptoms.

·      Chicken Pox (Varicella): Exclude until rash or lesions have crusted over.

·      Diarrhea exclude while symptomatic only if person is unable to practice independent hygiene or for stools that contain blood or mucus.Haemophilus Influenzae, type B invasive (Hib): exclude until after 24 hours of antibiotic treatment

·      HIV, Hepatitis B, Hepatitis C or other blood borne diseases:generally no exclusion; considerations may exist if potential for blood borne exposure exists. Consult healthcare provider for guidance.

·      E. Coli 0157:H7 or Shigella infection: exclude until diarrhea resolves and two stool cultures are negative. 

·      Hepatitis A virus infection: exclude until one week after onset of illness or jaundice (if symptoms are mild).

·      Influenza and Influenza-like Illness: exclude as long as fever ≥ 100 degrees Fahrenheit is present in an un-medicated state. Additional exclusions may be necessary for documented novel strain or pandemic influenza based on state or federal guidance.

·      Measles: exclude until four days after onset of rash.

·      Meningococcal disease (Neisseria meningitides): exclude until after 24 hours of antibiotic treatment.

·      Methicillin-resistant Staphylococcus aureus (MRSA): exclude only if confirmed MRSA is present from a wound in which drainage is occurring and cannot be covered and contained.

·      Mumps: exclude until five days after the onset of parotid gland swelling.

·      Pinkeye, scabies, head lice, ring worm, herpes gladiatorum, mollescum contagiosum, and skin rashes without fever:  Generally no exclusion; consideration may exist for certain sports, extracurricular activities or behaviors that might increase risk of transmission.  Consult healthcare provider for guidance..

·      Rubella: exclude  for seven days after  appearance of rash.

·      Shingles (Herpes Zoster): generally no exclusion if lesions can be covered.  If lesions cannot be covered exclude until rash or lesions have crusted over.

·      Strep Throat (Streptococcal pharyngitis) and streptococcal skin infections (Impetigo): exclude until after 24 hours  of antibiotic treatment.

·      Tuberculosis: exclude until a physician and Department of Health determine person is not infectious.

·      Vomiting: exclude if vomiting occurs two or more times in 24 hours or accompanied by a fever. Exceptions for vomiting that is caused by a non-communicable condition and the child is not in danger of dehydration.

·      Whooping Cough (Pertussis): exclude until five days of the appropriate antibiotic therapy has been completed.

(2009 Red Book, American Academy of Pediatrics, 28th Edition; Managing Infectious Diseases in Child Care and Schools, A Quick Reference Guide, American Academy of Pediatrics, 2nd Edition; 2008 Control of Communicable Diseases Manual, 19th Edition.)

Medication and Treatment Administration: In the event that your child needs medication while in school, both prescription or over-the-counter, the Harrisburg School District requires a completed Medication and Treatment Authorization Form prior to administration.  This form needs to be completed by the parent/guardian for OTC medications and parent/guardian AND primary care physician for prescription medications/Herbal medications.  Forms can be picked up in the health office in each school building as well as on the parent portal tab of the district website (  If at all possible, medications should be scheduled and given outside of school hours.  The school district does not provide OTC medications.  Medication must be delivered directly to the school nurse/aide or trained personnel by the parent/guardian in the original pharmacy or manufacturer’s container.  For your child’s safety and the safety of other children, students in kindergarten-5th grade are not allowed to carry and self-administer medication.   Parent/guardians are responsible to pick up unused medication within one week after the last day of school.  If medication is not picked up within one week after school is out, it will be destroyed.  Medication renewal is required at the beginning of each school year. Please see this form for further information.  For more information on our Medication Administration Policy, please see online (

Annual Health Record: Each student is required to have a new annual health record completed each school year.  This record is typically handed out as part of the registration packet given at open house.  It should be completed and returned by the first day of school and will be kept on file in the School Health Office.  Please see the school nurse/aide if you have not received or completed this form.

Immunizations: Harrisburg School District complies with the South Dakota Department of Health requirements in obtaining and verifying immunization records for all new and transferring students.  If records are not current, the law allows for the school district to exclude children from school.  Completed forms are due by the first day of school.

Minimum Immunizations Required for School Entry in South Dakota:

1. Diptheria, Pertussis, Tetanus vaccine– 4 or more doses.

Four or more doses of diphtheria, pertussis and tetanus containing vaccine, with at least one dose administered on or after age 4. Children 7 years and older needing the primary series are required to have Td and only need three doses, with at least 6 months between dose two and three. If the child is 11 or older, the first dose of the primary series should be Tdap and the second and third doses should be Td, with at least 6 months between dose two and three. Children receiving six doses before age 4 do not require any additional doses for school requirements. The maximum a child should receive is six doses.

2. Polio vaccine – 4 or more doses.

Four or more doses of poliovirus vaccine, at least one dose on or after age 4; if four doses are administered prior to age 4 years, a fifth dose should be administered after age 4.

3. Measles, Mumps, and Rubella Vaccine – 2 doses. Two doses of a measles, mumps, and rubella vaccine (MMR) or submit serological evidence of immunity. Minimum age for the first dose is 12 months. Administer the second dose routinely at age 4 through 6 years. The second dose may be administered prior to age 4 provided at least 28 days have elapsed since the first dose.

4. Varicella Vaccine – 1 dose. One dose of varicella vaccine. The minimum age for the first dose of varicella (chickenpox) vaccine is 12 months. People 13 years of age and older (who have never had chickenpox or received chickenpox vaccine) should get two doses at least 28 days apart. History of disease is acceptable with parent or guardian signature.

5. Varicella Vaccine – 2 doses (kindergarten only). The additional immunization requirement for kindergarten entry only is two doses of varicella vaccine. Administer the second dose at age 4 through 6 years. The minimum interval between the two doses is 3 months. History of disease is acceptable with parent or guardian signature.

*ALL 11 year old students entering 6th grade must also have the following:

 • One dose of Tdap vaccine (Tetanus, Diphtheria, and Pertussis); AND

 • One dose of MCV4 (meningococcal vaccine)

The requirements apply only for 6th grade entry and transfer students 6th – 12th grade. 

If your child is 10 years old when entering the 6th grade, they have 45 days after their 11th birthday to be vaccinated.