The state does not mandate screenings however you may choose to do them. More information is in the document below.
I am new to the school nurse role - I am the only school in my district K-8. Ive talked to surrounding towns and heard various answers as to who gets vision/hearing tests. I am at a loss as to who I should be testing. the same goes for height and weight. I did not think this was being done yearly/routinely at schools, but I live in a different state so my own children are doing different things in their schools. Where can I find answers? is this is a State thing? Or just by district? or just a nurse preference? As you can see I need some guidance :)
Our Lion's Club, which is a slowly dying volunteer group will do vision screenings if available. All k-1-3-5 graders get done yearly. Anyone else if there is a teacher concern. And all those w/updating IEP's/504 get screened. Hearing is done on k & IEP/504 updates. Scoliosis is not done since this is done in MD office & I have never been taught. Self teaching made me uncomfortable. Monthly Lice chk's was mandated by the school board, even after all the up to date literature was explained. It is useless, major waste of my time, some months it doesn't get done (sorry), & if someone in class is found to have the pesky beast the whole class is notified via general letter. Don't usual do wgt/hgt unless someone else is doing a study.
Going back to the lice..if a student is found to have live lice, we do not dismiss unless the parent/child chooses. This was a battle I fought yrs ago when I first started at this school. We used to exclude kids found to have lice. Not only is this practice not supported by the AAP, NASN, state of NH, etc, the reality is the child with lice has likely been with live lice on their heads for days (at least) already..I will check any child found to have lice or nits to ensure resolution and stay in communication with the parent.
I am in a K-8 school and used to perform hgt, wgt, vision and hearing on all Kinder, 1st grade and new students. I found this sucked up a huge amount of time for very little yield. Any new student including Kinder will have had a PE including height, weight, and hopefully vision and hearing upon entry into the school year. We now have the Lions club come in and I have them screen all students, unless parents choose to opt out, as this is much quicker and more detailed than our antiquated machine...
I do not perform lice screening..again a huge time suck. If there is any concern I will of course check the child(ren) of concern and if one is found to have lice, screen the entire class and siblings.
We are k-4 and we do HT, WT, and vision on all students. We hold preschool screenings that do all of the above and hearing. We also have the Lions club perform the Spot vision screen on our picture day as the students are already out of class, which works really well. I refer students that fall out of range from any of these screenings. We do not do lice screenings school wide as the American Academy of Pediatricians recommends against it, just a case by case screen. If live lice are found we dismiss for treatment, if it is just nits we educate and let the parent make the decision on dismissal or treat after school.
My schools have been preschool through 6th grade. I test every student every year, starting with IEP students and ones for which the teachers have concerns. I check ht/wt, hearing, vision, BP and only once- color perception. In the spring I retest anyone who failed vision and/or hearing and, as far as I am aware, had no professional follow-up. Some years I've had as many as 500 students at my school. No professional organization recommends routine or random lice screening.
I believe they actually recommend AGAINST doing lice screening. I do vision and hearing for IEP's only. However, I may expand this next year.
I wish more people would answer so we could get a better idea of what others are doing.
We work with the Lions Club to perform vision screenings at our middle and high school. The hearing AND vision are done with every IEP update. We don't perform lice checks at this age group unless there is a suspected issue within a particular friend group (and that is done individually to provide privacy).