Health & Wellness
With a remarkable combined total of 279 years of nursing experience and 69 years of school nursing expertise, the Plymouth-Canton Community Schools (P-CCS) School Nurses are dedicated to supporting the health and well-being of every student.
Why School Nursing Matters
School nursing is essential for:
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Keeping children healthy and safe.
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Supporting their readiness to learn and succeed academically.
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Building a foundation for students to grow into healthy, productive adults.
How We Support Student Health
School nurses provide a wide range of services to ensure students are healthy, safe, and ready to learn:
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Health Education: Teaching students how to manage their own health and wellness.
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Immunization Monitoring: Ensuring compliance with vaccination requirements to maintain a safe school environment.
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Special Healthcare Needs: Supporting students with chronic conditions through care management, medication administration, and health procedures.
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Community Advocacy: Leading school wellness teams, developing health and wellness policies, and addressing public health issues such as air quality and health disparities.
Contact Us
Our school nurses are here to assist you. If you have any questions or comments, please feel free to email the School Nursing Team at schoolnurses@pccsk12.com
Our Mission:
The mission of P-CCS School Nurses is to proactively address health issues affecting children and to promote optimal learning within the educational environment. School nurses empower students to:
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Take charge of their health and wellness.
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Stay in the classroom by reducing health-related absences.
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Develop lifelong habits that support physical and emotional well-being.
By teaching, treating, counseling, and supporting students, our school nurses play a vital role in enhancing both health outcomes and educational success.
Contact your School Nurse Directly
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Patrice Williams, RN
patrice.williams@pccsk12.com
School Nurse Specialist/Nurse Manager -
Sierra Marschall, RN,
sierra.marschall@pccsk12.com
Nurse Specialist -
Brooke Wanshon, RN
brooke.wanshon@pccsk12.com
Hoben Elementary, Discovery Middle -
Pam O'Beirne, RN
pamela.obeirne@pccsk12.com
Tonda Elementary, Pioneer Middle -
Gina Nino, RN
gina.nino@pccsk12.com
Dodson Elementary, Liberty Middle
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Tracy DeJonge, RN
tracy.dejonge@pccsk12.com
Bentley & Workman Elementary -
Marissa McLaren, RN
marissa.mclaren@pccsk12.com
Eriksson & Isbister Elementary -
Cheryl Wiseman, RN
cheryl.wiseman@pccsk12.com
Gallimore & Smith Elementary, East Middle -
Leesa Kulczycki, RN
leesa.kulczycki@pccsk12.com
Farrand Elementary, West Middle -
Jill Sanabria, RN
jill.sanabria@pccsk12.com
Field & Hulsing Elementary
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Amanda Yuchasz, RN
amanda.yuchasz@pccsk12.com
Salem HS, GOALS Program -
Amy Caragay, RN
amy.caragay@pccsk12.com
Canton HS, Madonna University -
Becky Anderson, RN
rebecca.anderson@pccsk12.com
Plymouth HS, Starkweather Academy -
Natalie O'Laughlin, RN
natalie.olaughlin@pccsk12.com
Early-On Program -
Karen deReyna, RN
karen.dereyna@pccsk12.com
Miller & Bird Elementary, Allen Early Childhood Center
Important Information and Forms
- Concussion Awareness
- Medication Use
- Physical, Hearing, Vision, and Oral Screening
- Head Lice Toolbox
- Immunization Requirements
- Parent Resources
- Reproductive Health
- Wellness Guide
- COVID-19 Toolbox
- Frequently Asked Questions
Concussion Awareness
P-CCS would like to provide parents with information regarding concussion awareness, view the Parent and Student Concussion Information Sheet (PDF).
For more information, view the Michigan Sports Concussion Law on the Michigan Department of Health and Human Services website.
Medication Use
Plymouth-Canton Community Schools’ policy and the State of Michigan law prohibits school employees from dispensing medication of any kind to students without written permission from the student’s physician and parent. If it is essential that medication be administered at school, the following are necessary.
Parents must bring all medications to the school office. Medication MAY NOT be hand carried to school by students unless self administration forms are on file.
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Medications (with the exception of controlled substances) may be carried by students under special circumstances. A different medication permission form is needed to self-carry these medications. The Authorization for SELF-ADMINISTERED MEDICINE form is available through the school office or at the link below.
This form is REQUIRED FOR ALL MEDICATIONS, including over the counter items such as aspirin, cold remedies, cough medicines, cough drops, eye drops, ointments, etc. No medication of any kind is to be sent to school to be taken independently by the student without the necessary paperwork on file. It is the responsibility of the parent to secure the information from the physician along with the required signature. Please contact the school office or school nurse if you have further questions about the parameters surrounding medications.
- Medication must be in the ORIGINAL CONTAINER FROM THE PHARMACY clearly marked with the student’s name, medication, dosage, expiration date and time to be given.
- For medication to be given during school hours by SCHOOL STAFF: written permission from the student’s parent or guardian and their physician must be on file in the school office before any medication can be given. This must include – student’s name, medication, dose, time to be given, and physician’s signature. The Physician & Parent Medication Authorization form can be found at the link below or a copy can be obtained from the school office.
P-CCS Bylaws & Policies - Use of Medications Policy search for the complete term: '5330 - Use of Medications'
Physical, Hearing, Vision, and Oral Screening
School Physical, Hearing, Vision & Oral Screening
A school physical is strongly recommended for entrance into kindergarten, middle school, high school and for any student new to the district.
Vision and hearing screening by either a licensed eye care practitioner or a medical provider is REQUIRED for all incoming kindergarten students. A vision and hearing screen should be part of any standard well child examination. Proof of vision and hearing screening in the form of the signed health appraisal form or a signed statement from the medical provider with date of vision and hearing screen and results is required for kindergarten registration.
Health Appraisal Form (PDF)
Vision and hearing screening is available free of charge at the Wayne County Health Department.
Guide to make an appointment (PDF)
Athletic Physical
A completed athletic physical signed by your student's doctor is required prior to any participation in team sports within PCCS.
View the Middle and High School Sports Pre-Participation Physical Form from the Michigan High School Athletic Association (MHSAA).
For more information or to access this form in other languages click the link below:
https://www.mhsaa.com/about/general-resources/health-safety/physical-exammedical-history-forms
Head Lice Toolbox
Helpful information for parents/guardians to aid in identifying, treating, and preventing head lice (pediculosis).
Pediculosis (Head Lice) District Guideline (PDF)
Head lice 101: Myths and Realities about Head Lice (PDF)
Head Lice 101: What You Should Know About Head Lice (PDF)
Head Lice 101: Facing Head Lice - A Guide for Parents (PDF)
Head Lice 101: Head Lice Transmission Facts
Head Lice 101: Ten Steps to Stay Ahead of Head Lice (PDF)
Head Lice 101: National Association of School Nurses Presentation for Parents (PDF)
Head Lice 101: American Academy of Pediatrics Clinical Report- Head Lice (PDF)
Head Lice 101: Michigan Head Lice Manual. Published by the Michigan Department of Community Health and the Michigan Department of Education.
Head Lice 101: Head Lice Powerpoint Information for Parents (converted to PDF)
Immunization Requirements
Plymouth-Canton Community School District has a FIRST DAY EXCLUSION POLICY. Your child must have an updated immunization record on file in the school office OR a signed immunization waiver from parent on file in the school office BEFORE the start of school. Please note that immunization waivers are available ONLY through the Wayne County Health Department/Immunization Department: 734-727-7125.
All immunizations must be up to date and on file in the school office prior to the first day of school in accordance with the Michigan state law. This includes developmental kindergarten, special education, alternative education, virtual education, and remote learning.
Your child will not be able to start school if any one of those documents is not on file in the school office. Contact your child’s medical provider immediately to arrange for any needed immunizations. When the immunizations are given, bring in the updated immunization record to the school office.
Students entering Kindergarten
- You will need to provide a copy of your student's State of Michigan Immunization Record. To request a copy of your child's official immunization records, follow this link: https://mcir.org/wp-content/uploads/2021/05/RequestCopyChildDependent_5.7.2021.pdf
- How to read your child's official immunization record: https://mcir.org/wp-content/uploads/2021/08/How-to-Read-your-State-of-Michigan-Immunization-Record_10-27-2022.pdf
- The official State of Michigan Immunization Record is only available from your student's physician, health care provider or local health department.
General Immunization Requirements for students entering kindergarten, 7th grade, new students to the district or students returning to the district are as follows:
An Immunization Waiver is available ONLY through the Wayne County Health Department (WCHD). Please see the instruction page linked below from MDHHS.
Parents/guardians MUST following guidelines of the WCHD for an immunization waiver. A medical waiver must be obtained from your child's medical provider.
- A physician signed waiver that indicates that the required immunizations could not be given because of medical contraindications.
- A child who has been exempted from a vaccination is considered susceptible to the disease or diseases for which the vaccination offers protection. The child may be subject to exclusion from school, if the local and/or state public health authority advises exclusion as a disease control measure. (State of Michigan Department of Community Health)
- Non Medical Waivers are available ONLY through the WCHD.
Information regarding the changes pertaining to the immunization waiver guideline effective January 1, 2015.
Parent Resources
Staying Healthy at School
Staying Healthy at School: A Note for Parents (PDF)
There are certain times of the school year when there is an increase in the illnesses seen in the school setting. Teaching your child healthy habits helps to decrease the spread of illness in the school setting and keep your child healthy.
Influenza Information
Influenza season in Michigan typically occurs between December and March. The CDC has updated information regarding influenza prevention, diagnosis, immunization and treatment.
Bed Bugs
Bed Bug School Response Flowchart (PDF)
The School Response Flow Chart will be followed if there is a confirmed case of bed bugs found in the school setting.
Source: Michigan.gov website
Bed Bug Fact Sheet for Parents (PDF)
Answers commonly asked questions and provides additional resources. Source: Washtenaw Department of Public Health
Head Lice
Pediculosis (Head Lice) Information (PDF)
This letter to Parents contains additional information and answers to the following questions: What does lice look like?; How do you get head lice?; How do you treat head lice?; and What do I do if my child has head lice?
Zika Virus
Zika Virus: Important Information from the CDC for families
Websites & Helpful Medical Information
Information about Seasonal Influenza (Flu) from the Centers for Disease Control and Prevention (CDC).
MedlinePlus is an excellent website containing health information from the world's largest medical library, the National Library of Medicine.
Reproductive Health
The Plymouth-Canton Community Schools Sex Education Advisory Committee (SEAC) has compiled a list of reproductive health resources for the purpose of encouraging ongoing and accurate discussions about sexuality between parent and student. The book list includes many good resources identified by the Pediatric Advisor, a resource utilized by many local pediatricians. Some of the websites listed provide additional recommendations for books and other resources. In addition to this list, there are many excellent resources for parents.
Reproductive Health Parent Resources (PDF)
A letter to parents with recommendations for evaluating websites, descriptions of the district reproductive health programs, HIV/AIDS prevention and information about parent/guardian rights to review the materials to be used.
Sex Education: Resource List (PDF)
A list of books compiled by Catherine Smith, MLS, medical librarian at the Family Health Library, The Children's Hospital, Denver, CO.
Web Resources
Talking to Your Child About Puberty
Parent Resource for HIV/AIDS
Kid Resource for HIV/AIDS
Wellness Guide
The following health practices have been known to be successful in helping an individual remain healthy:
- Hand washing is the single most important activity to prevent the spread of germs. Three important steps for proper hand washing are warm water and soap, friction (rubbing hands together), and washing hands for 20 seconds.
- Avoid sharing food and drinks.
- Avoid rubbing and touching eyes, rubbing nose (especially the inside of the nose), and putting hands in mouth.
- Cover your mouth and nose when sneezing or coughing.
- Adequate sleep (at least 10 hours for all students).
- Eat a healthy breakfast every day. It really is the most important meal of the day.
- Eating healthy foods and practicing good nutrition daily is important for healthy bodies and healthy brain development. See the USDA Choose My Plate website or our Food & Nutrition Services page for more information on developing healthy eating habits.
- Avoid lengthy exposure to the sun. Use sunscreen when outside.
- Exercise at least 30-45 minutes every day.
- Dress for the weather.
- Backpacks should not weigh more than 10% of your body weight. Consider a rolling backpack.
- Wear a seat belt every time you enter the car. Buckle up for safety.
COVID-19 Toolbox
Plymouth Canton Community Schools continues to rely on the guidance of Wayne County Health Department (WCHD) in managing communicable diseases in school. Although Covid-19 continues to impact many, guidance has changed on how it is best managed based on evidence of best practices. WCHD is now aligned with Michigan Department of Health and Human Services and Center for Disease Control in respiratory virus guidance (including Covid-19) in schools.
The most up-to-date guidance is available at www.michigan.gov/coronavirus
If you test positive for COVID-19, it is important that you:
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Isolate yourself from others until your symptoms are improving AND you are fever free for at least 24 hours without the use of fever-reducing medicine. Using prevention strategies, such as wearing a mask, can be helpful when you or those around you have risk factors for severe illness. Avoid individuals who are more likely to get very sick from COVID-19 for at least 5 days.
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Report all positive results with one of these forms:
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Core prevention strategies include staying up-to-date with your immunizations, practicing good hygiene, staying home to prevent spread, and taking steps for cleaner air. Additional strategies include masking, social distancing, and testing.
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Contact anyone you may have been in close contact with and encourage them to get tested as soon as they experience symptoms or after five days and to take other precautions. You can notify your contacts (anonymously) by using www.tellyourcontacts.org
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For additional help, please go to www.Michigan.gov/ContainCOVID (or call 2-1-1 or 888-535-6136).
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For additional information on how to prevent spread of respiratory viruses when you’re sick, please go to https://www.cdc.gov/respiratory-viruses/prevention/precautions-when-sick.html
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For additional information on COVID-19, please go to https://www.cdc.gov/coronavirus/2019-ncov/index.html
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For food and cash assistance, please go to www.Michigan.gov/MiBridges
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For mental health resources, please go to www.Michigan.gov/StayWell
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If you live or work in a congregate setting (such as long-term care) you may need to isolate yourself away from others for a full 10 days.
Please direct all specific questions to your school nurse.
Health and Safety Practices
In an effort to control germs and prevent the spread of illness at school, please review and follow our district’s guidelines based on the Michigan Department of Education (MDE) and Michigan Department of Health and Human Services (MDHHS), Divisions of Communicable Disease & Immunization recommendations.
If your child is ill:
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Call the attendance line or input your student’s absence in MISTAR and indicate that they are sick.
If your child gets sick while at school:
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If an unmasked student presents to the school office or clinic and is unwell we may provide a disposal mask and require them to mask during a health evaluation.
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If the nurse or health care technician determines that it is not safe for the student to be in school, a call will be placed to the parents or guardians requiring that the student be picked up as soon as possible.
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The nurse or health care technician will give guidance on when and under what conditions the student can safely return to school.
Vaccine and Testing Information
COVID-19 Vaccine CDC information about the COVID-19 Vaccine
COVID-19 Vaccine information from Michigan.gov including how to get your COVID-19 vaccine
No Cost COVID-19 Testing CDC test site locator
Reference Information
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P-CCS will follow the MDHHS Managing Communicable Disease in Schools regarding any school exclusion and when it is safe for the student to return to school. Medical documentation may be required before a student can return to school post illness.
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COVID-19 Hotline:
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WCHD COVID-19 Information Line: 734-287-7870
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WCHD Main Communicable Disease Line: 734-727-7078
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Important COVID-19 Facts
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CDC Information on how COVID-19 Spread from person to person
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CDC Information on How to Protect Yourself and Others from COVID-19
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What to do when you're sick - Video that reviews healthy practices and behaviors to decrease the transmission of COVID-19 when in school.
Frequently Asked Questions
Q - My child is not feeling well. Should I send him/her to school or keep home?
A. - The district follows the guidelines set forth in the Managing Communicable Diseases in Schools document provided by the Michigan Department of Education and the Michigan Department of Health and Human Services in determining if school exclusion is required for a student with a diagnosed communicable illness.
Q. - My child will need to use crutches or a wheelchair for a short time while at school. What do I need to do?
A.- Your child may use crutches or a wheelchair while at school. A note from the parent and physician stating the reason why your child needs the crutches or wheelchair is required. Parent will need to supply the crutches and/or wheelchair. Please notify the school nurse or building secretary at least 24 hours in advance that your child will be using crutches or a wheelchair so that appropriate accommodations can be made.
Q. - My child has a specific health condition that I would like the school to be aware of. Who do I contact?
A. - You should first notify your child's teacher(s) of the medical condition. Contact the School Nurse. The school nurse can help coordinate any needed medical service between home, medical provider, and school. Please indicate any pertinent health information on the emergency card.
Q. - My child has a life-threatening food allergy. What can I expect regarding the school's response in dealing with the health needs of the student with food allergies?
A. - P-CCS is actively involved with providing a safe environment for all students including students with food allergies. Contact the School Nurse at your child's school. She can be instrumental in working with you and the school to develop a coordinated school health management plan to address your child's allergy needs while at school.
Q.- My child has a rash. Can my child attend school with the rash?
A.- Wayne County Health Department requires that any undiagnosed rash must be evaluated by a medical provider to ensure that the rash is not contagious. If your child has an undiagnosed rash, your child should be seen by a medical provider. Please provide a note from the doctor indicating the medical diagnosis of the rash. The medical provider should also indicate if the condition is contagious and when it is ok for your child to safely return to school. Any rashes that are considered contagious should be under medical treatment for at least 24 hours before returning to school.
Q.- My child will not be able to attend school for an extended period due to a serious medical condition. How will my child receive academic instruction while at home recovering?
A.- Academic instruction given in the home environment is available through the district's homebound services. Contact the homebound services department at 582-6801 for further information.
Q: My child has head lice (pediculosis). What is head lice and how do I treat this at home?
A. - Head lice are often a subject of concern among parents of school age children. Anyone can get head lice. A head lice infestation is a mild health condition without serious health consequences for a child, and should not be considered as a major health threat to those infested or those potentially exposed. There is NO correlation between cleanliness and getting head lice. Head lice live on the human head and are not carried by animals. Knowing how a louse bug comes in contact with the hair and how to prevent head lice is important in controlling any head lice outbreaks. Knowing how to treat head lice is equally important. Head lice can not be completely eliminated from communities or schools. Neither the occurrence of a case nor an outbreak should be considered as evidence of a breakdown in hygienic practices on the part of individuals, families, nor schools.
"You can't educate children if they are not healthy and you can't keep children healthy if they are not educated."
- Jocelyn Elders, Former US Surgeon General