Health Policies

Wesleyan School has two infirmaries staffed by registered nurses.
The Lower School Infirmary is in Warren Hall, room 179.
The Middle School and High School Infirmary is located on the ground level of Wesley Hall, room 154.
Our nurses dispense medications, maintain health records, plan and coordinate care for students with chronic health problems, participate in health education, and treat minor injuries and illnesses.

Injury and Illness

Students who sustain a minor injury or feel ill should be seen by the nurse. The nurse will assess and determine appropriate treatment. This includes but is not limited to on-site treatment, contacting parents/guardians, and referral to a medical provider or facility. If the student has a life threatening occurrence or injury, 911 will be called.

Release from the Infirmary

If it is determined that a student needs to be sent home for illness or injury, the nurse will contact the parent via the phone numbers provided in the Magnus Health database. The student will be released directly from the infirmary once they have been signed out by a parent, guardian, or an individual listed as an emergency contact. If both parents are out of town and children are left in the care of relatives/babysitter, please make sure that these individuals are included on the list for the duration of the trip. Please contact the administrative assistant in the appropriate division with this information prior to travel.

If the ill student is a high school student who has driven to school, the nurse must speak directly with the parent before they can be released. The student will only be allowed to drive home after the nurse and parent have consulted.

Returning to School After an Illness

To decrease the spread of illness among students, we ask that students not return to school until:
  • They have been fever-free (less than 100) for 24 hours (without fever-reducing meds).
  • They have been on an antibiotic for 24 hours and have been fever free for 24 hours, if they are being treated for strep throat, conjunctivitis (pink eye), or any other (highly) contagious illness.
  • They have been free of vomiting or diarrhea for 24 hours. The student should be able to tolerate food and drink without reoccurrence of vomiting/diarrhea.
  • If a student is requiring prescription medication for pain control (following an injury or surgery) they may not come to school. They may return once their pain is being controlled with over-the counter pain medicine. This is for their safety and well-being.

It is the policy of Health Services that ill students will be sent home if they have a fever of 100 or higher, have vomited, or have had diarrhea. Students will be sent home for persistent nausea and headache or pain unrelieved by over-the-counter analgesic medications. Students who check out due to illness are not allowed to return to school for the remainder of the day and are ineligible for extracurricular activities for that day.

Immunization

All students must have a valid Certificate of Immunization (Form 3231) on file with the infirmary. The Georgia Department of Human Resources has listed the immunization requirements for school attendance on their website. Children will need to meet these requirements prior to the first day of school. An updated form is also required prior to the start of the student’s 7th grade year. Please discuss these items with your child’s pediatrician. Students who are transferring from another state will need to meet Georgia requirements and only form 3231 will be accepted.

Form 3231 showing compliance will be marked “Complete for School Attendance” by the pediatrician. If there is an Expiration Date, parents will be required to secure the appropriate vaccine(s) within 30 days of the expiration date. An updated form will also be required at that time. Religious exemptions are accepted if the appropriate notarized form is submitted. Medical exemptions are also accepted and they must be updated each year.

Asthma

Any student with a history of asthma should have an Asthma Care Plan on file in the infirmary before the start of the school year. This plan should be completed and signed by the physician who is overseeing the student’s asthma. Information contained in the plan should include names and doses of maintenance and rescue medications. All supplies and medications needed for the student should be brought to the appropriate infirmary by the first day of school. The nurses will assist the student in taking medication according to the instructions written by the attending physician. It is the parent’s responsibility to notify the nurse in writing of any changes to medication, dose or time given.

For lower school students: An inhaler (with physician instructions for use) should be provided to the nurse in the event it is needed during the school day. The nurse will supervise the administration in the Infirmary

Middle school and high school students are permitted to carry their own inhaler in his/her backpack, gym bag, locker, purse etc. A spare inhaler in the Infirmary is a good idea for severe asthmatics. For those students participating in after school sporting activities, it is the parent’s responsibility to advise the coach of the student’s asthma status and need for inhaler either before or during practices and games.

Food Allergies

Any student with a life threatening food allergy should have an Allergy Care Plan on file in the infirmary before the start of the school year. The plan should be completed and signed by the physician prescribing treatment for an allergic reaction (EpiPen). All supplies and medications should be brought to the Infirmary by the first day of school. It is strongly recommended that parents provide lunch from home, due to changing ingredients by manufacturers. This will lessen the possibility of a reaction occurring at school. All students with life-threatening food allergies should only eat snacks brought from home and should not eat food/snacks brought in by other students. Alcohol-based hand sanitizers are located in the cafeterias so that students may clean their hands before and after eating. An emergency EpiPen is stored in each Infirmary.

EpiPens for lower school students will be stored in the Infirmary. Middle school and high school students are permitted to carry their EpiPen in his/her backpack, gym bag, locker, purse, etc. An EpiPen should also be provided to the infirmary. For those middle school and high school students participating in after school sports, it is the parent’s responsibility to alert the coach of the allergy and the location of the EpiPen.

Teachers are in-serviced yearly on signs and symptoms of an anaphylactic reaction and the proper procedure for administering an Epi-Pen. If an allergic reaction is suspected, the student will be sent to the Infirmary for evaluation by the nurse or the nurse will be summoned to the location of the student. If an Epi-Pen is administered, 911 is always called. Epi-pens are sent with the student/teacher on every field trip.

Severe Insect Allergies

Any student with a severe, life threatening allergy to insect bites/stings should have an Allergy Care Plan on file in the infirmary before the start of the school year. This plan should be completed and signed by the physician prescribing treatment for an allergic reaction (EpiPen). All supplies and medications should be brought to the Infirmary by the first day of school. All EpiPens for lower school students will be stored in the infirmary. Middle School and High School students are permitted to carry their Epi-Pen in his/her backpack, gym bag, locker, purse, etc. Parents may also provide an extra Epi-Pen to be kept in the Infirmary. An emergency EpiPen is stored in each Infirmary.

For those middle school and high school students participating in after school sports, it is the parent’s responsibility to alert the coach of the allergy and location of the EpiPen.

Medication Guidelines

Students are not permitted to have medicine in their possession on campus. The exceptions to this are middle school and high school students who may carry inhalers, diabetic supplies, eye drops, and EpiPens. Additional exceptions may be made at the discretion of the nurse on duty. Those students who need to take prescription medication in the course of the school day must keep this medication in the infirmary. It must be brought in by the parent, and then counted and signed in by the nurse and parent. If medication needs to be taken during the course of the school day, the student must come to the school infirmary for its administration. Records will be kept of all medication issued.

In order to safely administer medications during school hours, the following are required:

Prescription Medications

1. An Authorization to Administer Medication form must be completed and signed by both parent and physician.
2. When filling a prescription, ask the pharmacist for a “school bottle,” an empty bottle with the correct prescription label. Please do this for all medications that are to be administered at school, even short term antibiotics. Medications will not be administered from an envelope or plastic bag. All prescription medications must be in their original containers and labeled by the pharmacist.

The label must include:
  • Student’s name
  • Physician’s name
  • Name of medication
  • Exact dosage of medication*
  • Date prescription was filled
  • Expiration date of medication

*Dosage will be altered only by instruction of physician on an Authorization to Administer Medication form.

Non-Prescription Medications

All non-prescription medications must be in their original containers and accompanied by a written request for their administration. You may use the Authorization to Administer Medication form; no physician’s signature is required. We will not administer medications that are in plastic bags or other containers.

This request must include:
  • Student’s name and grade
  • Name of medication
  • Amount to be given
  • Time(s) to be given
  • Reason for medication to be given
  • Length of time and date medication is to be given
  • Signature of parent or guardian

Headlice

Head lice are often a fact of life for school-aged children. While inconvenient, head lice cause no medical harm and can be effectively treated. Please notify your school nurses if head lice are detected.

If head lice are detected while the student is in school, the parents will be contacted. The student will be allowed to stay in the classroom until the parents can pick him/her up. The parents will be encouraged to seek appropriate treatment for head lice removal. The school nurse will provide the parents with information on different treatment options, including self-treatment, lice removal centers, or seeking medical treatment from their pediatrician.

No healthy child will be excluded from school due to head lice, as recommended by the American Academy of Pediatrics. It is our preference that the student be treated before returning to school, but the presence of lice/nits will not keep them out of the classroom. If a salon or your pediatrician completes the head lice removal, a treatment note is appreciated, but not required.

Information on MRSA

Methicillin Resistant Staphylococcus Aureus (MRSA) is a type of "staph" bacteria that is resistant to many antibiotics and frequently causes skin infections. It often looks like a spider bite, boil, abscess or turf burn. MRSA is generally spread by skin to skin contact or by direct contact with the infected wound drainage. It may also be spread by contact with contaminated surfaces of things such as sports equipment or personal hygiene items. We cannot stress the importance enough of good hand hygiene. Frequent hand washing is the best way to prevent MRSA.

We recommend that if you see an early sign of skin infection in a cut, such as redness, swelling, pain or pus, that you contact your healthcare provider and have it evaluated. Early detection and treatment is important. Below is a list of ways to prevent transmission and reduce the incidence of MRSA.

  • Wash hands frequently with soap and water or use 60% alcohol-based hand sanitizer
  • Encourage good hygiene by having your child shower directly after practice and games/meets
  • Change sheets and towels regularly
  • Do not share personal hygiene items such as towels and razors
  • Avoid contact with skin infection of others
  • Have your child report any suspicious skin lesions/scrapes etc. to parents
  • Make sure any exposed wounds are covered with a clean, dry bandage taped on all four sides
  • For girls, avoid manicures/pedicures if you have any small cuts or open areas on your hands/feet

Concussion Policy and Information

Wesleyan Health Services has released a series of documents to help parents identify concussion symptoms and care for a child with a concussion. Included is a list of physicians familiar with Wesleyan's concussion protocols.

Concussion Care Guidelines


What is a concussion?

A concussion is a traumatically induced alteration in mental status with or without associated loss of consciousness. It can be caused from direct or indirect contact of an object hitting the head.

What do I do if my child has a suspected concussion or is showing concussion symptoms?

The first step is to let a Wesleyan Athletic Trainer know that your child may have a head injury. The athletic trainers’ can make you aware of concussion protocols, as it can be a bit overwhelming. In interest of student safety and well-being, it is Wesleyan Schools’ policy that all student suspected of a concussion and/or displaying sign of a concussion be evaluated by a concussion specialist.

Who should my child go see?

Wesleyan strongly suggest that concussed students see a concussion specialist. We recommend Dr. Pombo or Dr. Jayanthi with Emory at John’s Creek. They are able to provide us with a very detailed plan of care including academic accommodations, athletic restrictions, and extracurricular restrictions. In addition, they are able to administer ImPACT testing and have access to Wesleyans’ ImPACT database. This is helpful because we baseline ImPACT test all of our students at the beginning of the year.

What should I observe for in my child?

Although most concussions do not cause long-term or permanent damage, any concussion can be potentially dangerous because it affects the brain.As an athlete, your child should be monitored for any signs or symptoms (or increase in symptoms) after your child leaves the athletic training room/sport site.If serious problems are going to occur, they will generally show up during the first 24-48 hours.
Examples of signs and symptoms to watch for include:

Physical | Motor
Dazed | Stunned
Balance Difficulties
Weakness
Slowed Reactions
Lack of facial expressions
Cognitive
Amnesia
Confusion
Slowed verbal response
Forgets easily
Difficulty concentrating
Short Attention Span 
Behavior | Emotion
Irritable
Emotionally Unstable
Depressed
Sleep disturbance
Anxious
Lack of interest 

Is it OK for my child to go to sleep after a concussion?

Yes.Your son/daughter will likely be tired after a concussion from the injury itself, the athletic activity they just completed and the evaluation by the athletic trainers and/or doctor.In fact, sleep may have some healing effects on the injury.Your child does not need to be awakened every hour but should have someone stay with him/her to check on them every now and again.If you notice a change or increase in symptoms please contact your Athletic Trainer or go to the ER.In addition to sleep, your child will need cognitive rest.This means avoiding things that cause heightened brain activity and concentration, such as playing video games, watching TV, cell phone and computer time, and homework, etc.It may also be a good idea to hold off studying until your child has gotten some sleep, as difficulty concentrating can be a symptom.

What can my child take for headache or other pains?

Generally, we will allow you to take acetaminophen (Tylenol).Your child should avoid aspirin, ibuprofen, Advil, and Motrin for the first 72 hours following injury.

What if my child starts to experience symptoms during the school day?

If your child starts to feel worse during the school day, he/she should go to the nurse’s clinic to rest. If your child continues to feel bad, the nurse will contact you to come pick your child up.

When can my child return to exercise and sport?

It is important to allow the brain to properly heal before participating in any activity that could lead to another blow to the head.With repeated concussions, the severity and duration of symptoms can be much more serious and last far longer.Therefore, your child should avoid any physical activity until cleared by the physician and/or athletic trainer.Once your child is symptom free for 24 hours, the Wesleyan athletic trainers will begin a return-to-play program.
This typically takes 5 days (given your child’s symptoms do not return).
Wesleyan School Athletic Trainers will always act in the best interest of the student athlete according to the law.This may not always be in agreement with a physician’s release to play.

Contact Information:

Kerri White

Certified Athletic Trainer

MS, ATC, LAT, PES

678-223-2234 (Office)

704-724-8063 (Cell)

Chris Encinas

Certified Athletic Trainer 

ATC, LAT, ACSM-PT

678-223-2199 (Office)

Dr. Pombo’s Secretary

404-778-1831 (Direct)

Day of Injury Referral Symptoms:

Loss of consciousness on the field
Amnesia
Increased blood pressure
Cranial nerve deficits
Vomiting
Motor deficits subsequent to initial on-field exam
Sensory deficits subsequent to initial on-field exam
Balance deficits subsequent to initial on-field exam
Post-concussive symptoms that worsen
Additional symptoms as compared to those on the field
Athlete is symptomatic at the end of the game
Deterioration of neurological function*
Decreasing level of consciousness*
Decrease or irregularity in respiration*
Decrease or irregularity in pulse*
Unequal, dilated, or non-reactive pupils*
Any signs or symptoms of associated injuries, spine, or skull fracture or bleeding*
Mental status change - lethargy, difficulty maintaining arousal, confusion, or agitation*

Seizure activity*

*Indicates that the athlete needs to be transported immediately to the nearest emergency facility.

Return to Play Guidelines

  1. See Concussion Specialist. We recommend Dr. Pombo or Dr. Jayanthi at Emory John’s Creek.
  2. Activity Progressions - Progressions will begin when instructed to do so by concussion specialist.
    Progression will not start until athlete has been symptom free for 24 hours
    Athlete must be symptom free (and stay symptom free)
    Light aerobic exercise with no resistance training
    Light aerobic exercise with resistance training
    Sport specific activity
    Non-contact training drills with resistance training
    Full contact training drills (must have physician clearance)
    Note - Athlete progression continues as long as the athlete continues to be symptom free at current level.If the athlete experiences any post-concussion symptoms, wait 24 hours and start the progression again from the beginning.
  3. Physician Clearance
  4. Athletic Trainer Clearance

Although the above provides a specific protocol by which we handle concussions, it is important to note that every concussion is different and some may need more treatment time than what is outlines above.

Physician Referral List


Mathew Pombo, M

Emory Orthopaedics/Sports Medicine
Emory Soccer Medicine Program
Emory Sports Concussion Program
6335 Hospital Parkway, Ste. 302
Johns Creek, Ga. 30097
Appointments (404) 778-3350
Secretary (404) 778-1831
Clinical questions (404) 778-8434

Neeru Jayanthi, M.D.

Emory Sports Medicine Center
Associate Professor Orthopedics and Family Medicine
Director, Tennis Medicine
Associate Director, Primary Care Sports Medicine Fellowship
President, Society for Tennis Medicine and Science (STMS)
Clinical Athletic Trainer: Marissa Caldwell (404) 712-4337
Medical Secretary: (404) 778-1831

Please know that physicians on this list are familiar with the concussion protocols that we use at Wesleyan.

Kerri White

Certified Athletic Trainer
704-724-8063

Chris Encinas

Certified Athletic Trainer
404-409-6599

Marty McQuaig

School Nurse
678-223-2136

Contact

F-Kimsey, Becky.jpg
Becky Kimsey, RN
Health Services Department Chair
Lower School Nurse
678-223-2259