Robert Gray Middle School Health Services
What Does A School Nurse (RN) Do to Support Students At School?
, SHA
(School Health Assistant)
pronouns: she/her/hers
Robert Gray Middle School
Monday-Friday
9:30am to 4:00pm
503-916-5676
Fax 503-916-2629
The School Health Assistant (SHA) works in the health room every day to assist students with their daily health needs. They are considered an unregulated assistive person (UAP), which means they do not have health-related licensure or certification. They provide care for ill and injured students, and administer medications. At the direction of the RN, the SHA performs interventions and delegated nursing procedures within the student’s individualized health plan. Parents may be contacted by the School Health Assistant if their student becomes ill or injured during the school day.
PLEASE KEEP STUDENTS WITH SYMPTOMS OUT OF SCHOOL
This list is school instructions, not medical advice. Please contact your health care provider with health concerns.
SYMPTOMS OF ILLNESS
THE STUDENT MAY RETURN AFTER…
*The list below tells the shortest time to stay home.
A student may need to stay home longer for some illnesses.
Fever: temperature of 100.4°F (38°C) or greater
New cough illness
*Fever-free for 24 hours without taking fever-reducing ​medicine.
*Symptoms improving for 24 hours (no cough or cough is well-controlled).
New difficulty breathing
*Symptoms improving for 24 hours (breathing comfortably). Urgent medical care may be needed.
*Symptom-free for 48 hours OR with orders from doctor to school nurse.
Diarrhea: 3 loose or watery stools in a day OR not able to control bowel movements
Vomiting: one or more
episode that is unexplained
*Symptom-free for 48 hours OR with orders from doctor to school nurse.
Headache with stiff neck and fever
*Symptom-free OR with orders from doctor to school nurse. Follow fever instructions above.
Urgent medical care may be needed.
Skin rash or open sores
*Symptom free, which means rash is gone OR sores are dry or can be completely covered by a bandage OR with orders from doctor to school nurse.
Red eyes with colored drainage
*Symptom-free, which means redness and drainage are gone OR with orders from doctor to school nurse.
Jaundice: new yellow color in eyes or skin
Acting differently without a reason: unusually sleepy, grumpy, or confused.
Major health event, like an illness lasting 2
or more weeks OR a hospital stay, OR
health condition requires more care than
school staff can safely provide.
*After the school has orders from doctor or local public health authority to school nurse
*Symptom-free, which means return to normal behavior OR with orders from doctor to school nurse.
*After the school has orders from doctor to school nurse AND after measures are in place for the student’s safety. Please work with school staff to address special health-care needs so the student may attend safely.
Multnomah County Student Health Centers
ABOUT US
OUR SERVICES
Student Health Centers are like having a doctor’s office at school.
We're here to keep you healthy so that you can focus on thriving in school and beyond.
We welcome all Multnomah County students age 5-18, no matter your race, origin, religion, income, gender, sexual orientation, or immigration status.
Call to schedule an appointment
•
www.multco.us/student-health
There are no out-of-pocket costs. We will see you with or without health insurance. www.multco.us/student-health
Immunizations
School Year 2024-2025
A student entering Kindergarten or Grades 1-6 needs *AA
5 Diptheria/Tetanus/Pertussis (DTaP)
4 Polio
1 Varicella (chickenpox)
2 MMR or 2 Measles, 1 Mumps, 1 Rubella
3 Hepatitis B
2 Hepatitis A5
A student entering
Grades 7-12 needs *AA
5 Diptheria/Tetanus/Pertussis (DTaP)
1 Tdap
4 Polio
1 Varicella (chickenpox)
2 MMR or 2 Measles, 1 Mumps, 1 Rubella
3 Hepatitis B
2 Hepatitis A5
*At all ages and grades, the number of doses required varies by a child’s age and how long ago they were vaccinated. Other vaccines may be recommended. Exemptions are also available. Please check with your child’s school, child care or healthcare provider for details. 2/2024
Oregon law requires the following shots for
school and child care attendance*
Immunization Requirements in Other Languages
Immunization Requirements Somali
Immunization Information and Resources
Local Health Resources
Find A Health Clinic: Find a free or reduced cost health clinic near you.
211: Get help with medical expenses, health insurance, dental care, and finding health care. It includes general and emergency care, vaccines, and community clinics.
ZoomCare Free Nights: Cost-free clinic appointments on the second Wednesday of every month from 6-9 p.m.
Ride to Care: provides free non-emergency medical transportation. Transportation services include vehicle-provided shared rides, public transportation passes or mileage reimbursement.
Dental Health Information
Mental Health Resources
Provides mental health services, addiction recovery support, primary care, wellness programs, permanent housing solutions and affordable housing to people of all ages
Kaiser Crisis Line 503-331-6425
Walk in Fracture & Sports Injury Clinic
Randall Children's Orthopedics: M-F, 9:00am-3:00pm, for new or suspected fracture or sports injury
Head Lice Guidance
Head Lice are not known to transmit any disease and therefore are not considered a health hazard.
Head lice infestations can be asymptomatic. Itching is the most common symptom of head lice infestation.
Other symptoms may include the following: