Be a Superhero of Summer Safety

Summer is a time of playground fun, swimming, boating, camping, and other outdoor activities.  Unfortunately, these activities can lead to a higher risk of injury.

See Link below on tips how to keep school age children safe in the summer.

Summer Safety

New Phone App: Poison Control Center

National Poison Prevention Week – March 19-25, 2017

The American Association of Poison Centers (AAPCC) wants to spread the word about their new interactive online poison help triage tool, They are very excited to be launching this new tool to the public this week, during National Poison Prevention Week – March 19-25, 2017, and beyond.

As you are likely aware, poisoning is the leading cause of injury death in the U.S. More people die of poisoning every year than even gun or car-related injuries, and many more are seriously injured. These alarming trends are due in large part to the increasing prevalence of opioid and other prescription analgesic use, coupled with emerging pediatric poisoning hazards such as marijuana edibles, liquid nicotine, and single use laundry detergent packets increasingly found in homes, nationwide.

More than ever, Americans need immediate access to a credible source of poisoning information and treatment advice. You are among the first to be made aware that there is now more than one way to access “poison control” – by calling the national Poison Help hotline at 1 (800) 222-1222 or by using This new (and free) interactive, mobile device-optimized, online poison information tool was created and vetted by the very toxicology experts who oversee the nation’s poison control centers. To add both the phone number and mobile-optimized website for poison control as a contact in your smartphone, text “POISON” to 797979.

Based in large part on concerns about the inconsistent accuracy of poison-related information available on the web, the AAPCC Board initiated the development of, wherein users are prompted to answer a few simple questions about a human exposure to approximately 325,000 available unique products and substances. The site uses AAPCC-approved algorithms to quickly return a recommendation for the user based on his or her input. Input fields include substance, route of exposure, and some basic information about the exposed person. For any complex or potentially dangerous exposure, the user is prompted to call Poison Help at 1 (800) 222-1222, and the number is provided for all search results as a resource for more information. For smart phone users, the Poison Help number can be dialed by touching the number on the screen.

In short, is a novel extension of the life-saving public service that has been offered by poison control centers for decades via telephone. is the only AAPCC-sanctioned and endorsed online poisoning triage tool.

New Technology American Heart Association: Hands Only CPR

March 2017
The AHA Launches its First “Alexa Skill” for Amazon Echo

The AHA is very proud to announce the release our first AHA skill which features Hands-Only CPR instruction and heart attack and stroke warning signs.

The first step is to enable the skill in the Alexa app or by saying, “Alexa, enable American Heart Association.” Next, you would say:
— “Alexa, ask American Heart… how do I perform CPR?”
— “Alexa, ask American Heart… what are the warning signs of a heart attack?”
— “Alexa, ask American Heart… what are the warning signs for stroke?”
With about 8.2 million Amazon Echo devices in the US, our skill further expands our potentially lifesaving content into American homes, where nearly 70 percent of out-of-hospital cardiac arrests occur. This is merely a first step in the artificial intelligence (A.I.) space, and we have ambitious plans to add more AHA features and content soon!


Roles of School Health Services/Guidelines for Student Absences

Roles of a School Nurse

  • Assess and evaluate overall student health
  • Plan action for elimination, minimization, or acceptance of health problems
  • Assist in identification  and education of students with special health problems and special education needs
  • Provide information and referral for adolescent health/emotional concerns
  • Provide selected health services for staff
  • Coordinate health services with health education and community agencies
  • Responsible for assessment, triage, and care of sick and injured students and staff
  • Observe school facilities and recommend modifications to maintain optimum health and safety of students and staff
  • Review/change health policies, consulting with the school physician
  • Administer medications
  • Perform PA School Code screenings
  • Monitor immunization compliance and provide clinics throughout school year
  • Follow-up on concerns regarding student and community health
  • Provide education on a variety of health topics to students, families, and staff

Guidelines for Student Absences

     Appointments should be scheduled before or after the school day so the students will have every opportunity to learn.  If a student is to be excused early from school the student must bring an excuse to the office before the start of school.  Whenever a student is absent from school an excuse is needed within three school days.  If the student is seen by a doctor, a doctors’ excuse must be obtained.  After 10 days of absences not covered by a doctors’ excuse any absences thereafter will need a doctors’ excuse.

Students should not be sent to school with these health problems:

  • Fever of 100.0 F or greater
  • Vomiting or diarrhea in the past 12 hours
  • Pink Eye: red itchy eyelids and green or yellow discharge but NO allergy symptoms
  • Head Lice:  active infestations of lice or nits
  • Any undiagnosed rash, i.e. chickenpox
  • Severe sore throat, excessive cough or cough that produces phlegm, severe headache, earache, or stomachache or ANY other illness when the child is not able to eat/drink/sleep or otherwise function normally without pain/discomfort
  • Injuries or surgical procedures that require narcotic medication to relieve pain.

Call a physician or the school nurse if there is a question whether a student needs medical attention or may attend school with an illness or injury.

First Aid/Nursing Care

Nursing care is available for emergency first aid, illness, managing chronic health conditions and medical situations.  The school nurse follows up health issues with parents, health care providers, and staff as needed.
Parents/guardians, as well as students are free to call upon the school nurse with any health care questions or concerns.


  • Vision & Hearing Screenings –  Vision & Hearing screenings are performed yearly on all students, per state regulations.  Also, a student may be tested at any time during the year if the nurse, parent/guardian or a teacher has concerns.
  • Growth & Development – Heights and Weights are completed yearly on every student.  Body mass index is also completed yearly.

***Parents/guardians will be notified if any health problems are found;  physician follow-up documentation about any referral should be sent to the nurse’s office ASAP.


  • Physical Examinations – Comprehensive Physical exams are required for every student in grades K, 6, and 11.  See Form Below
  • Dental Examinations – Dental examinations are required for grades K, 3, and 7.  See Form Below

School Physical and Dental Exams Schedule

School Physical Exams will be held at all buildings March 14th, 2017

If your child is need of a physical examination,PHYSICAL EXAM form 2012 (2) which is required for the following:  New Enrollment, Kindergarten, 6th and 11th grade  please contact you building nurse.

If your child has already received a physical exam and the school does not have documentation, please deliver or fax to building nurse. Form on blue link above.


School Dental Exams will be held:

Milton Middle/High School March 3rd, 2017 starting @ 8:30am

Montandon and White Deer Elementary Schools March 17, 2017 starting @ 8:30 am

James F. Baugher Elementary School March 31st, 2017 starting @ 8:30am

If your child is in need of a dental examination, Private Dental Exam082011which is required for the following:  Kindergarten, 3rd, and 7th contact  your building nurse.   Form on blue link above.

If your child has already received a physical exam and the school does not have documentation, please deliver or fax to building nurse.


Milton Area School District Health Services Staff/ Contacts

Middle/High School: Lois Buck Certified School Nurse:   570.742.7611 OPT 6   Fax 570.742.3044

James Baugher Elementary School:  Christine Wendt Certified School Nurse 570.742.7631 OPT 3 Fax 570.742.6025

Montandon Elementary School:    Margie Haggenstaller School Nurse Assistant RN  570.523.3218 OPT 3 Fax 570.524.9665

White Deer Elementary School:    Ashley Farr School Nurse Assistant LPN   570.568.6201 OPT 3 Fax 570.568.0566




Current information for parents regarding head lice in school.


HFLL_101_parents_Spanish 2015

Headlice Quick Facts

Head Lice Facing Facts

Head Lice Facing Facts Spanish

Re: Head Lice Education

Dear Parent or Guardian:

As you may know, head lice cases have been on the rise. An estimated 6 to 12 million infestations occur each year in the United States, most commonly among children ages 3 to 11.1 I am writing to you to help you learn how to identify lice and provide information on what you can do if lice hit your home.

What are head lice?

Head lice are tiny, wingless insects that live close to the human scalp. They feed on blood. The eggs, also called nits, are tiny, tear-drop shaped eggs that attach to the hair shaft. Nits often appear yellowish or white and can look like dandruff but cannot be removed or brushed off. The nymph, or baby louse, is smaller and grow to adult size in one to two weeks. The adult louse is the size of a sesame seed appears tan to grayish-white. An itchy and inflamed scalp is a common symptom of lice. Although not common, persistent scratching may lead to skin irritation and even infection.1

Who is affected by head lice?

Head lice are not related to cleanliness.2,3 In fact, head lice often infest people with good hygiene and grooming habits.3 Infestations can occur at home, school or in the community. Head lice are mostly spread by direct head-to-head contact—for example, during play at home or school, slumber parties, sports activities or camp. Less often, lice are spread via objects that have been in recent contact with a person with head lice, such as hats, scarves, hair ribbons, combs, brushes, stuffed animals or bedding.1,2

What to do if an infestation occurs?

If you think your child has head lice, it’s important to talk to a healthcare provider to discuss the best treatment approach for your family. Resistance to some over-the-counter head lice treatments has been reported, but the prevalence of resistance is not known.4,5 There are new prescription treatment options available that are safe and do not require nit combing.

As your school nurse, I want to provide you with the information you need to safeguard your children’s health and pave the way for a healthy school year. I hope you find this information useful, see the links above.


Mrs. Christine Wendt RN, BSN, CSN

School Nurse Milton Elementary Schools

570-742-7631 EXT 3


  1. Centers for Disease Control and Prevention (CDC). Parasites: Lice: Head Lice: Frequently Asked Questions. Accessed April 15, 2015.
  2. Centers for Disease Control and Prevention (CDC). Head lice: epidemiology and risk factors. Accessed April 15, 2015.
  3. Meinking T, Taplin D, Vicaria M. Infestations. In: Schachner LA, Hansen RC, eds. Pediatric Dermatology, 4th ed. Mosby Elsevier; 2011:1525-1583.
  4. Burkhart CG. Relationship of treatmentresistant head lice to the safety and efficacy of pediculicides.Mayo Clin Proc. 2004;79(5):661– 666.
  5. Meinking TL, Serrano L, Hard B, et al. Comparative in vitro pediculicidal efficacy of treatments in a resistant head lice population on the US. Arch Dermatol. 2002;138 (2):220–224.



Asunto: Educación sobre los piojos

Estimado padre, madre o tutor:

Como tal vez sepa, se han incrementado los casos de piojos. Se estima que se producen entre 6 y 12 millones de infestaciones todos los años en los Estados Unidos, con mayor frecuencia entre niños de 3 a 11 años de edad.1 Por eso, le escribo para ayudarle a saber cómo identificar los piojos y brindar información sobre lo que puede hacer si los piojos infestan su casa.


¿Qué son los piojos?

Los piojos son insectos diminutos y sin alas que viven cerca del cuero cabelludo humano. Se alimentan de sangre. Los huevos, también llamados liendres, son huevos diminutos en forma de lágrima que se adhieren al tallo capilar. Las liendres a menudo tienen aspecto amarillento o blanco y pueden parecerse a la caspa pero no pueden quitarse o eliminarse con un cepillo. La ninfa, o piojo bebé, es más pequeña y alcanza el tamaño adulto en una o dos semanas. Los piojos adultos son del tamaño de una semilla de sésamo y de color marrón claro a blanco grisáceo. Un síntoma común de piojos es un cuero cabelludo con picazón e inflamado. Aunque no es frecuente, el rascado persistente puede provocar irritación cutánea e incluso una infección.1

¿Quiénes se ven afectados por los piojos?

Los piojos no están relacionados con la higiene.2,3 De hecho, los piojos infestan a personas con buenos hábitos de higiene y aseo.3 Las infestaciones pueden ocurrir en el hogar, en la escuela o en la comunidad. Los piojos se transmiten mayormente por contacto directo de cabeza a cabeza, por ejemplo, mientras los niños juegan en el hogar o en la escuela, fiestas de pijamas, actividades deportivas o campamentos de vacaciones. Con menor frecuencia, los piojos se transmiten por medio de objetos que han estado recientemente en contacto con una persona con piojos, como sombreros, bufandas, cintas para el cabello, peines, cepillos, animales de peluche o ropa de cama.1,2


¿Qué hacer si ocurre una infestación?

Si cree que su hijo tiene piojos, es importante que hable con un proveedor de atención médica para analizar el mejor enfoque de tratamiento para su familia. Se ha informado resistencia a algunos tratamientos para piojos de venta libre, pero no se conoce la prevalencia de la resistencia.4,5 Hay nuevas opciones de tratamiento de venta con receta que son seguras y no requieren extraer las liendres con el peine.

Como su enfermero escolar, deseo brindarle la información que necesita para proteger la salud de sus hijos, y preparar el camino para un año escolar saludable. Espero que encuentre útil esta información.


Mrs. Christine Wendt RN, BSN, CSN



February Heart Health Month: Fitness at a young age improves heart health later in life.

Fitness at a young age improves heart health decades later

With age, people often look back on their lives and think about how they could have done things differently, whether it was pursuing a job, traveling somewhere, or simply being spontaneous and adventurous.

A new study is reporting that there’s one more thing young people should do while they can – exercise.

“Fitness and physical activity have long been associated with helping reduce the risk of heart disease in older adults,” said Michael C Kayal D.O., a cardiologist, Geisinger Cardiology – Scranton. “But now a study is telling us we should start thinking about exercise’s role in our heart health when we’re much younger.”

Essentially, you’re never too young to take care of your heart. Young adults between the ages of 18-30 who exercise may have a lower risk of heart disease and higher survival odds decades later in life, compared to those who aren’t as active early in life.

“This study gives young people a much bigger reason to work out – it could potentially prevent heart issues from developing when they’re older,” Dr. Kayal said.

Being fit and maintaining your fitness over time are important to your heart and overall health for everyone, regardless of age. Getting a head start on your long-term heart health will put you ahead of the curve.

“In addition to exercise, young adults can also get smart about their heart now by having regular wellness exams, not smoking and avoiding secondhand smoke,” Dr. Kayal said.

Having regular checkups with your physician means you can start heart health screenings now, as well as discuss your diet, lifestyle and potential risk factors for heart disease.

“Regularly getting your blood pressure, cholesterol, heart rate, blood sugar and body mass index (BMI) checked and knowing your numbers will help you and your doctor spot possible changes in the future,” Dr. Kayal said.

Quitting smoking will improve your overall health and wellbeing and cut your risk of heart disease and several other serious health issues.

No matter what your age is, exercise can help reduce your risk of heart disease, not to mention lowering your risk of obesity, diabetes, some forms of cancer and more.

“Regardless of your age, you can reduce your risk of heart disease by eating a healthy diet,” Dr. Kayal said. “That means eating plenty of fruits, vegetables, whole grains, fish and nuts while choosing foods low in saturated fat, trans fat and sodium.”

Eating some meals without meat, choosing low-fat dairy products and poultry, and limiting the amount of added sugars and red meat you consume are also components of a heart-healthy diet.

  • FMichael Kayal, D.O., is a cardiologist at Geisinger Cardiology-Scranton. To schedule an appointment with Dr. Kayal or another Geisinger cardiologist, please call 570-961-2105.
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