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105 CMR 210.000: The Administration of Medications in Public and Non-Public Schools

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105 CMR 210.000: The Administration of Medications in Public and Non-Public Schools

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Reviewed 7/2026

LPS Policy JLCD-Administering Medicines To Students

Approved by Lynn School Committee on 9/25/2025

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LPS Allergy Guidelines & Protocols

LPS Food Allergy Policy EFAB

LPS Wellness Policy ADF

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Please feel free to share with families.

Vision Matters Flyer

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Link to flyers

Email our clerk, Darcey Barnard, if you would like more of these printed on cardstock. Specify which ones you want printed and how many.

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Nursing Assignment (will update when ready)

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All nurse's offices need to be locked when not occupied by a nurse. If staff are staying with students after school or at times when there is not a nurse, they will have to retrieve any emergency medication or have an alternative plan to open the nurse's office such as by the principal, custodian, or other staff on site. Please consult your school nurse.

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Updated 7/2026

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School Sponsored Activities Request Form 

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School Sponsored Activities Request Form 

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Easily create surveys and polls to collect customer feedback, measure employee satisfaction, and organize team events.

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Updated 6/2026

Emergency forms will continue as a hybrid system for this school year. The emergency form was sent out in the spring electronically through PowerSchool Enrollment System.

Here is the paper version if needed:

Paper Emergency Form 2026-2027

Clerks will print the 2-page form from Enrollment.

Give 2 pages to school nurse

May keep page 1 in main office or give to other staff who may need a copy per the principal's discretion

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School Sponsored Activities Submission Form

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School Sponsored Activities Submission Form

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Staff will use this online request form for all school sponsored activities.

You can view all requests here.

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Reviewed 7/2026

School Sponsored Activities Procedure

Resources:

Flowchart

Checklist for School Staff

Do's and Don'ts

Forms:

Permission Slip

Field Trip Study Tour Pre Planning Form

Medical Form for Overnight Trips

Emergency Form for Non-LPS Students

Replaces:

Field Trip Procedure

Health and Safety Procedure for Athletics

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School Sponsored Activities Training for School Staff

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School Sponsored Activities Training for School Staff

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School Sponsored Activities Training for School Staff

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Link to MBHERP for each school

Please collaborate with your nurse to determine MBHERP Team Members. There must be at least one clinician on the team.

Three (3) MBHERP Drills are required yearly:

Drill #1 by the end of October

Drill #2 by the end of February

Drill # 3 by the end of May

One drill must be anaphylaxis, and one must be a behavioral health drill.

Notify school nurse or nursing administration if errors found on this plan.

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SEL will lead SBIRT

SBIRT 2026/2027

Clinicians will send data to nursing for MA DPH end of year report.

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This authorization form has been approved by the legal department and includes all required information per the law.

Please use this version.

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Reviewed 7/2026

The school nurse and/or assistant will do these screenings for GR 1, 4, 7, & 10.

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If a list of invited students was uploaded to the form, it can be found here.

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Youre Invited The Trolls Beat Goes On GIF - Tenor GIF Keyboard - Bring Personality To Your Conversations | Say more with Tenor

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Youre Invited The Trolls Beat Goes On GIF - Tenor GIF Keyboard - Bring Personality To Your Conversations | Say more with Tenor

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Reviewed 7/2026

The school nurse and/or assistant will conduct these for all students in GR 5-9.

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Updated 7/2026

SEL will lead SBIRT screening.

CASA, LEHS & LCHS SBIRT will be done by Youth Wellness Coaches for Grade 09.

All other secondary schools will screen grade 07 & 10.

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Emergency Action Plan Procedure

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Updated 7/2026

A team of nursing assistants will perform vision screenings for preschool through grade 5, grade 7, and grade 10. They will also perform hearing screenings on kindergarten through grade 3, grade 7, and grade 10.

We can screen young students under the age of 6 with an advanced vision machine called SPOT. To screen as many young students as possible, the nursing assistants will be coming to the schools to perform kindergarten vision screenings in September.

At the start of the school year and before screenings begin, nursing administration will send out an all call through Parent Square with the following message:

Welcome back!

The LPS Vision and Hearing Screening Program as required by the Massachusetts Department of Public Health will begin next week and continue through the new year.

Vision screening is done in grades preschool through grade 5, grade 7, & grade 10.

Hearing screening is done in kindergarten through grade 3, grade 7, & grade 10.

If you have questions, please contact your school nurse.

Have a great school year!

Sincerely,

The LPS Nursing Department

Best practice is for individual schools to send out a second reminder message with specific dates once screening is scheduled.

For vision screening, the testers need a wall and 10 feet to set up a wall chart.

For hearing screening, the testers need a quiet space without a lot of foot traffic or chaos. If not, the screening results will be inaccurate with an extremely high number of failures.

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Reviewed 7/2026

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Reviewed 7/2026

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If a schedule was uploaded to the form, it can be found here.

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GI Illness Symptom Checklist

GI Illness Child Care & K-12 School Cluster Reporting Form

Prevention:

Handwashing

Do not share food among students and staff

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Learn what norovirus is, how it makes you sick, how it spreads, and how you can prevent yourself and others from getting sick.

A norovirus outbreak is defined as an increase in people experiencing diarrhea or vomiting above what is normal for a facility, with regard to time and place. This includes illness in both children and staff. There does not need to be a diagnosis or laboratory testing for a group of ill people to be considered an outbreak.

The following examples would be considered an outbreak and should be reported:

A child care program with 30 children has 10 children in the toddler and preschool classrooms call out sick with symptoms of vomiting and diarrhea over the course of two days. Two staff who work in the same classrooms also call out sick. This is an increase above what is normal for the program and should be reported as an outbreak.

An elementary school with 250 students has 100 students absent over the course of a week. Some are known to have been sick with a "stomach bug." Additionally, 15 students were seen by the school nurse with sudden vomiting. During a typical week, 25 students are absent and only 1 or 2 are seen by the nurse for vomiting. This is an increase above what is normal for the school and should be reported as an outbreak.

A high school with 800 students has 50 students absent in a single day. Most are athletes on the girls' varsity and junior varsity soccer teams. The coach reports that several have reported having diarrhea and vomiting that began Wednesday night, the day after a game. While 50 students absent is not unusual for the school, it is not typical for so many students to be sick among members of a sports team. This should be reported as an outbreak.

Suspected norovirus outbreaks should be reported by child care programs and schools as soon as they are identified by completing the following online form: Gastrointestinal Illness Child Care & K-12 School Cluster Reporting Form.

After submitting the online form, the local board of health or a DPH epidemiologist will call the submitter to provide guidance on outbreak management and control.

For any questions regarding the reporting, investigation, or control of suspected norovirus outbreaks, please contact your local board of health, or the DPH Division of Epidemiology at (617) 983-6800.

The following steps should be taken to stop the spread of norovirus in child care programs and K-12 schools:

Wash hands

Teach staff and students how to properly wash hands using soap and warm running water for 20 seconds. Hand sanitizer does not work well against norovirus.

In child care programs:

Monitor young children to make sure they are correctly washing their hands when they arrive, before eating or being fed, after going to the bathroom or receiving a diaper change, and before participating in shared sensory or water tables.

Teach staff to wash their hands frequently. Staff should wash hands after handling diapers, before preparing food or feeding children, before eating, and before taking or giving medicine.

In schools:

Make sure students and staff follow all handwashing policies. Hands should be washed after going to the bathroom or helping students go to the bathroom, before eating or touching food, and before taking or giving medicine.

Have staff supervise younger students washing their hands.

Environmental cleaning

Follow CDC and EPA guidance on cleaning and disinfection:

Check that cleaning products are effective against norovirus and are being used throughout the child care program or school.

Clean and disinfect areas immediately after someone vomits or has diarrhea.

Clean and disinfect surfaces and objects frequently touched like tables, desks, doorknobs, toys, faucet handles, etc. at least daily and when dirty.

Clean and disinfect bathroom toilets and sinks at least daily and when dirty.

In child care programs: Clean and disinfect diapering areas and potty chairs after each use, and bathroom toilets and sinks at least daily and when soiled.

Exclusions

Limit opportunities for transmission

Teach staff about the rapid onset of norovirus symptoms. Make sure leak-proof, washable or disposable containers are available in classrooms and other areas of the facility for anyone who suddenly needs to vomit.

Consider cancelling or delaying group activities, including those scheduled after normal hours.

Limit contact of children and staff across classrooms, especially classrooms with people sick and those without anyone sick.

In child care programs:

If possible, group staff who worked with sick children in the same classroom or area. This will help limit the spread to classrooms without anyone sick.

Limit sharing of items (e.g., toys or books) among children within a classroom, and across classrooms.

Don't share food among children and staff.

In schools:
Don't allow sharing of food, stop the use of self-service in cafeterias, and consider switching to single-use dining materials if reusable ones cannot be promptly and thoroughly cleaned.

Notify

In child care programs: Notify parents/guardians when cases of norovirus infection occur in children or staff. Licensed daycare facilities must notify all parents/guardians in accordance with DPH recommendations when any communicable disease or condition has been introduced into the program (606 CMR 7.11).

In schools: Consider notifying parents/guardians during suspected or confirmed outbreaks of norovirus. The local board of health or a DPH epidemiologist can help determine whether notification is recommended.

Staff and children ill with gastrointestinal illness symptoms such as vomiting or diarrhea should not attend programs or schools in accordance with the Gastrointestinal Illness Symptom Checklist for Children and Staff in Child Care Programs and K-12 Schools.

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Norovirus information for child care programs and K-12 schools

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Information about the reporting and control of norovirus outbreaks in child care programs and K-12 schools.

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Staying home to prevent the spread of respiratory viruses

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Staying home to prevent the spread of respiratory viruses

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Updated 7/2026

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Overview

Effective August 15, 2022, children and staff in child care, K-12, out-of-school time (OST) and recreational camp settings should follow the below guidance. 1

Isolation and exposure guidance and protocols

Guidance for Children and Staff in Child Care, K-12, OST, and Recreational Camp Settings:

Symptomatic individuals can remain in their school or program if they have mild symptoms, are tested immediately onsite, and that test is negative. Best practice would also include wearing a mask, if possible, until symptoms are fully resolved. For symptomatic individuals, DPH recommends a second test within 48 hours if the initial test is negative.
If the symptomatic individual cannot be tested immediately, they should be sent home and allowed to return to their program or school if symptoms remain mild and they test negative, or they have been fever-free for 24 hours without the use of fever-reducing medication and their symptoms are resolving, or if a medical professional makes an alternative diagnosis. A negative test is strongly recommended for return.

Note: At this time, the US Food and Drug Administration (FDA) has not approved or authorized any at-home rapid antigen test for use in children under 2 years of age. However, at-home rapid antigen tests may be used off-label in children under 2 years of age for purposes of post-exposure, isolation, and symptomatic testing. It is recommended that parents or guardians deciding to test children under 2 years of age administer the at-home rapid antigen test themselves.

COVID-19 symptoms

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COVID-19 Isolation and Exposure Guidance for Children and Staff in Child Care, K-12, Out-of-School Time (OST) and Recreational Camp/Program Settings

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Effective August 15, 2022, children and staff in child care, K-12, out-of-school time (OST) and recreational camp settings should follow the below guidance. 1 Guidance for Children and Staff in Child Care, K-12, OST, and Recreational Camp Settings: Symptomatic individuals can remain in their school or program if they have mild symptoms, are tested immediately onsite, and that test is negative.

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Folder found here with multiple languages

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Guidance Regarding K-12 Schools' Obligation to Protect Students and Their Information-ICE (MA Advisory)

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Guidance Regarding K-12 Schools' Obligation to Protect Students and Their Information-ICE (MA Advisory)

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Updated 8/2025 (will update when available)

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Reviewed 7/2026

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Reviewed 7/2026

School Sponsored Activities Procedure

Resources:

Flowchart

Checklist for School Staff

Do's and Don'ts

Forms:

Permission Slip

Field Trip Study Tour Pre Planning Form

Medical Form for Overnight Trips

Emergency Form for Non-LPS Students

Replaces:

Field Trip Procedure

Health and Safety Procedure for Athletics

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LPS Extreme Heat Guidance

Fire and Smoke Map

Healthy Air Network

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Link to flyer

Email our clerk, Darcey Barnard, if you would like more of these printed on cardstock. Specify which ones you want printed and how many.