Welcome from the School Nurse
Welcome to the East Kingston Elementary Health Office website! My name is Rebecca Fournier and I have been working as a Registered Nurse for the past 4 years at Stratham Memorial School. We had a very busy office there and I’m very familiar with the Elementary School setting. I am very happy to be at East Kingston now to continue here as your School Nurse.
I’ve had a long career in healthcare including working in both Family Practice and Otolaryngology (Ear, Nose and Throat) settings. At the ENT office I used to be an Allergy Technician and would perform allergy testing as well as giving patients their allergy shots. I live not too far away in Sandown with my husband and two children. We have an organic farm where we raise cows, chickens, sheep and pigs. I also have a large interest in nutrition and how that can affect our health, so I hope to teach students about the importance of food and making good choices.
My goal is to keep our school healthy and safe, so we can all have a successful school year.
Feel free to contact me with questions or concerns via phone or email:
Phone: 642-3511 (ask for Health Office)
Fax: 642-6338 (if needed to send MD paperwork)
Staff at SAU 16 have been working with the NH Department of Health and Human Services to control pertussis in the Exeter High School. Pertussis - also known as whooping cough - is a cough syndrome caused by infection by the bacteria Bordetella pertussis. Since the first patients were confirmed at our school in June 2018, it appears the number of new cases has decreased and is back to our community's baseline level. To protect yourself and prevent additional cases, please be sure that you and your family are up to date on your vaccinations and, if your child is exhibiting signs of pertussis, please keep your child home from school and school related events and seek medical care with your usual provider. Also, remember to practice good hand and respiratory hygiene. Thank you in advance for helping us to keep our community as healthy as possible.
Adequate Nutrition + Physical Activity = Academic Success
East Kingston Elementary School is concerned with student physical wellbeing. Scientific research indicates a positive relationship between adequate nutrition and physical activity as they relate to academic success.
You Might be Thinking….."But It’s Just a Cupcake!"
In the past, traditional celebration foods included cupcakes, candy, cookies and soda. So what’s the harm? There is nothing wrong with an occasional treat, but frequent unhealthy choices during parties, treats used as classroom rewards, food fundraisers, vending machines, snacks, and school stores constantly expose children to high-fat, high-sugar, low-nutrient choices.
Keeping celebration foods healthy allows students to learn better and sends them a consistent message. Poor nutrition and lack of physical activity can place students at a higher risk for diseases such as diabetes, obesity, and other health ailments. Federal and state laws mandate that school districts provide students with healthy food choices while in school, whether the students are obtaining food and/or beverages from the Food Service Program, school stores, vending machines or other sources, such as school parties.
Our goal at EKES is to teach and expose students to positive role models and healthy food choices that include the following recommended nutrition guidelines:
When providing snacks, lunches, and communal foods to students, please send nutrient dense foods including whole grains, fresh fruits, vegetables and low fat dairy products. Offer foods of reasonable portion size; fat calories should not exceed 35% of the total calories and sugar content should not exceed 35% by weight. Some exemptions made for nutrient dense foods such as nuts, nut butters, peanut butter and cheese.
Please contact the classroom teacher in advance if you would like to bring food into a classroom.
We are committed to provide an environment that enhances the development of life long wellness practices and ensuring that all students are fit, healthy, and ready to learn. We encourage the extension of this policy into the home setting.
Healthy Snack Rule of Thumb:
35% total calories from fat
35% of weight from added sugars
Healthy Snack Suggestions
- Lowfat yogurt, low-fat pudding, squeezable yogurt, yogurt smoothies
- Fresh fruit, kabobs, salads, apple slices with cheese, unsweetened applesauce, fruit smoothies
- Dried fruit (raisins, cranberries, banana chips)
- Veggies with low-fat dip or
- Peanut butter
- Whole grain crackers,pretzels, low-fat popcorn, rice cakes, bread sticks, graham crackers, animal crackers, baked chips, Cherrios
- Trail/cereal mix
- Nuts & Seeds
- Low-fat breakfast or granola bars
- Low-fat tortilla chips with salsa or bean dip
- Low-fat or fat free turkey, bologna, ham, roast beef, chicken breast
- Low-fat cubed cheese or string cheese
- Fat free or 1% milk, flavored and plain
- 100% juice, lowfat milk or water
Health Office FAQs
How many visits do you have each day? In a year?
- On average, I see 15-25 students per day
What kinds of services do you perform at the school?
- Health Office visits: 2120
- Medication Administrations: 76
- Screenings: 431
- Communication with Parents: 301
How do you know all these statistics?
- I have a wonderful computer program called SNAP. In the SNAP program I can enter every student’s address info, medical conditions, medications, permissions, and allergies. I enter every student’s immunization record and the program helps me make sure each child is up to date. All screening results are kept here. And I keep a daily log of each student visit; what the complaint was, what I saw, what I did, and what happened. This program is extremely useful in aiding my record keeping. When a 5th grader moves up to CMS, his/her SNAP records move up to that Health Office! All nurses in SAU 16 use SNAP.
What are your more common health office visits?
- Cuts and scrapes, mosquito bites, poison ivy, bathroom “accidents”, loss of baby teeth, stomachaches, sore throats, and cough.
Do you care for the staff as well?
- Yes, their most common reason to visit is for headache.
What screenings do you perform?
- Every fall I perform vision, hearing, height, weight, & BMI screenings on every student. Sometimes a teacher or parent might request an additional vision or hearing test during the school year.
When do you send children home?
- A fever of 100.3 or higher, vomiting, broken bones, purulent conjunctivitis, sometimes emotional issues, or if they feel so ill they are unable to stay in the classroom. I will often consult with a parent if I have questions.
What are your recommendations as to when my child should be kept home?
- The above mentioned conditions would also be reasons for you to have your child stay home and not attend school. Children should be fever free for 24 hours (without the aide of fever-reducing medication). For those who have started antibiotics, 24 hours from the first dose is the general "ok" to come back. You may also want to keep a child home who is coughing/sneezing so much that they are unable to control the spreading of their germs. If in doubt, give me a call!
What medications do you administer?
- I have SAU 16 Nursing Guidelines that are signed by a Core Physicians Pediatrician. The medications listed on these guidelines are as follows: Hydrogen Peroxide, Anbesol, sore throat spray, cough drops, Calamine, antacid, Hydrocortisone Cream, antibiotic ointment, Acetaminophen, and Ibuprofen. (Benedryl, Epi Pen, Albuterol for Emergencies). However, I am also required to have parental permission to administer any of the above. Any additional medications that are required to be given at school need a MD and a parent permission form signed. I very often try other means before giving out medication (ie: icepack for headache).
Do you do anything else at the school?
- I feel very lucky to be working at a small school that gives me the opportunity to branch out into other areas. I coordinate the school’s Emergency Management Committee and Wellness Committee. And I do some teaching in the classroom when asked by our teachers (nutrition, hand washing, body systems, puberty).