Health Office

Nurse's Notes

Erin LeMieux is the school nurse at Van Buren. She has multiple building assignments and is in the Van Buren health office a few days a week. Her role focuses on factors affecting a child's learning in school. 

Michelle Ugarph is the health secretary at Van Buren. She is responsible for care of routine illnesses and injuries, medication administration, clerical functions and maintaining the clinic and supplies. She communicates with the nurse for urgent concerns or emergencies via phone when the nurse is not present.

Managing student illness:

Students are sent to the clinic if they are injured or appear ill. An attempt will be made to understand the students complaint. This may include asking the student some questions about how he/she feels, taking their temperature, making observations, talking to the teacher, and contacting the school nurse. 

If a student has a temperature of 100.4 or higher, the parent/guardian will be called and the student will be sent home. Temperature is not the only symptom that influences the decision to send the student home; general appearance, and functioning are also important factors. 

After a period of observation, a decision will be made to do one of the following:

  1. Attempt to notify the parent/guardian;
  2. Allow the student to rest in the health office for a brief period

*The student is to be fever free without fever reducing medication before returning to school*

Parents will also be notified of injuries that appear to require medical attention

Administration of medication to students:

Only medication prescribed by a legal prescriber* will be administered during the time the student is at school. A legal prescribers signature is also required for administration of any non-prescription medication, including natural remedies and supplements. The parent or legal guardian will provide written authorization. The school will have the right to contact the prescriber's office to confirm or clarify medication instructions. All medication will be supplied to the school in the original container, properly labeled, and will be administered only by the school nurse or other personnel who have successfully completed a medication administration course conducted by a registered nurse or licensed pharmacist. 

*Legal Prescriber - Physician, dentist, podiatrist, licensed physician assistant, advanced registered nurse practitioner.


A twenty-four hour answering machine has been installed in the health clinic for reporting student absences. The attendance line is 558-2736. This number may also be used for any health concerns you may have regarding your child. 

When reporting an absence please give

  • Your name
  • The student's name
  • Student's homeroom teacher
  • The reason for the absence
  • Brief description of the illness

As a district we have updated our health services illness exclusion guidelines.

After researching fever guidelines from a variety of sources, including the CDC and the American Academy of Pediatrics, research supports that a child is not considered to have a temperature until it reaches 100.4 orally. Students will not be sent home unless their temp is 100.4 orally, previously it was 100.0. In the event of a communicable disease outbreak, we follow the school exclusion recommendations of Linn County Public Health. 

For more information, please refer to our complete illness guidelines located here.(see pages 27-30)

Prevent the spread of illness by washing hands frequently, covering coughs and sneezes and getting the influenza shot. Stay well and thank you for your help in keeping our students and community healthy!