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School Nursing

Waterbury School Nursing

Waterbury School Nurses and Public Health Aides

“Waterbury School Nurses and Public Health Aides ensure that our City’s 23,000 school children are healthy, safe and ready to learn.”

The City of Waterbury was an early adopter in 1904 of the School Nursing Innovation. The Waterbury Department of Public Health has been providing school nursing services ever since 1904, to ensure that Waterbury school children are healthy, safe and ready to learn. Our Registered Nurses provide comprehensive school health services to 23,000 students, preschool through high school, at 40 Waterbury Public, parochial and private schools. Services are provided within the laws of the State of Connecticut Department of Education.

The following statistics illustrate the high volume of procedures performed by Waterbury School Nurses annually:

Treatment Provided Total # for School Year 2015-2016 Total # for School Year 2016-2017 Total # for School Year 2017-2018 Total # for School Year 2018-2019
Daily Medications 32,262 27,811 31,641 28,564
PRN Medications 14,207 15,207 13,390 11,516
Gym Medications 4,444 4,241 5,167 7,702
Nebulizer Treatments 321 260 372 148
Tube Feedings 2,915 2,023 1,670 1,675
Catheterization 874 1,020 1,815 1,336
Blood Glucose Testing 21,834 18,619 20,990 17,050
Illness/First Aid Visits 197,054 189,658/td> 205,990 195,722
# Returned to class 185,767 178,020 195,032 185,229
# Excluded 11,176 11,535 10,751 10,450
911 Initiated 115 98 95 97
Pediculosis Inspections (Lice) 5,953 5,708 4,344 3,861
# Excluded 381 315 279 227
W136 Initiated/DCF Referrals 42 26 18 28


Specialty Services for Students with Asthma

Asthma is the number one chronic illness of students in the Waterbury School District. During the 2017-2018 school year, there were 4,332 students diagnosed with asthma
in Waterbury schools but as of March 2018, there were only 168 Asthma Action Plans and only 1,264 asthma inhaler orders on file for these students. The Waterbury School Nurses administered asthma rescue inhalers to students 10,241 times and nebulizer treatments 260 times during the school year.

For the 2018-2019 school year, the Waterbury School Nurses standardized around the use of Asthma Action Plans to ensure quality care for each student diagnosed with asthma. As of December 2018, there are 4,082 students with a diagnosis of asthma in Waterbury schools and as a result of standardization, the Waterbury School Nurses now have on file 840 Asthma Action Plans detailing care for each student with asthma, as well as 96 asthma inhaler orders.

  • Standardization has highlighted that 120 students with asthma have an Asthma Action Plan or an inhaler order on file with the School Nurse, but the parent/guardian has not provided the prescribed inhaler, placing the student at increased risk in the event of an asthma attack.

CDCAccording to the CDC, all people with asthma should have an asthma action plan. An asthma action plan (also called a management plan) is a written plan that is developed by your doctor to help control asthma. The asthma action plan outlines daily treatment, such as what kind of medicines to take and when to take them. The Asthma Action Plan describes how to control asthma long term AND how to handle worsening asthma, or attacks. The plan explains when to call the doctor or go to the emergency room.

If your child has asthma, all of the people who care for him or her should know about the child’s Asthma Action Plan. These caregivers include other family members, babysitters and workers at daycare centers, schools, and camps. These caretakers all can help your child follow his or her action plan.

To address this, the Waterbury School Nursing program has introduced the following measures to better care for students with asthma:

1. New Standard Form: Asthma Medication Authorization & Asthma Action Plan

CT Department of Public HealthThe Waterbury School Nurses have standardized around the use of a Connecticut Department Public Health form specifically designed to help provide quality care for students with asthma. The new form combines authorization by the student’s health care provider for up to 3 asthma medications in school with an Asthma Action Plan.

If your child has asthma, please be sure that your healthcare provider uses this form when prescribing asthma medications for use by your child in Waterbury schools. This form will provide the Waterbury School Nurses with the information needed to provide your child with quality care while at school.

NEW ASTHMA FORMS: Your healthcare provider should use this combination Asthma Medication Authorization & Asthma Action Plan.

2. Easy Breathing© for Schools

Easy Breathing for SchoolsThe Waterbury School Nurses are implementing the Easy Breathing© for Schools Program which was developed by asthma experts at the Connecticut Children’s Medical Center.  Easy Breathing for Schools is a nurse-centered school-based asthma program designed to identify students with asthma who are at high risk for adverse outcomes and to assist school nurses in better managing those students including by means of an Asthma Action Plan.

The goal of the program is to improve asthma control and reduce asthma-related school absenteeism.

The Easy Breathing for Schools program focuses on four main components:

  • Identifying students at risk for asthma problems during the school year by using a student asthma survey
  • Assessing asthma control by implementing an Asthma Control Test™
  • Assessing the technique students are using with their inhalers by incorporating an inhaler technique checklist
  • Communicating with clinicians and families through an asthma referral checklist

Additional Resources

School Age Childhood Immunization Program

Location: Waterbury Health Department, One Jefferson Square, 2nd Floor Clinical Division
Wednesdays by appointment only

Children aged 3+ who will be attending school in Waterbury schools, including day-care, Pre-K, or K-12, may obtain missing immunizations from the School Age Children’s Immunization Program at the Waterbury Health Department.  This is a one-time-only service for a child who is missing shots and needs them to enter school.  Families using this Program are advised that they must obtain a healthcare provider for ongoing healthcare and needed immunizations.

  • Immunizations provided under this program are given at no cost.
  • PPD/tuberculosis skin tests provided under this program cost $20.00; only cash is accepted.
Immunization Requirements for Enrolled Students in CT Schools for 2021-2022 School Year

Healthy Active Lifestyle

Career Academy students standing with Mayor O'LearyChild and adult overweight and obesity are leading health risk factors nationally as well as locally.  Our Waterbury School Nurses collected data in School Years 2013-2014 and 2014-2015 that demonstrated that 40% of children entering Kindergarten and 47% of students entering high school are not at a healthy weight.  Other data show that 73% of adults living in Waterbury are not at a healthy weight. 

Three Career Academy High School students interning at the Waterbury Health Department have used this important data as the foundation for a healthy active lifestyle website and Facebook campaign named “It’s Not Just Babyfat.”  The campaign provides healthy recipes for families and local news about active fun.

Check their work online at:

Not Just Babyfat Website
Not Just Babyfat Facebook

Kickstart your health

Forms and Resources

In accordance with Connecticut General statutes, each student enrolled in the Waterbury school system is required to have a health assessment by a legally qualified practitioner of medicine (physician or osteopath licensed to practice in the United States), or by an advanced practice registered nurse, or Physician Assistant licensed to practice in Connecticut according to the following schedule:

  • Prior to initial entrance into preschool programs
  • Prior to initial entrance into kindergarten
  • In grades 6 and 10
  • For transfer students, prior to initial entrance into the Waterbury schools
  • For ungraded students, prior to initial entrance and whenever a health assessment is required for students of the same age cohort as the ungraded student

To locate a healthcare provider for needed school physicals and immunizations, please see: 
Area Resources for School Physicals & Immunizations.
This resource details walk-in and urgent care centers, pediatric/family medicine offices located in the Waterbury area.
Check the following information for 3 easy steps to vaccinate your children:
1. Vaccines for Children flyer, English
2. Vaccines for Children flyer, Spanish


Pre-K Early Childhood Health Assessment (For Pre-K3 and Pre-K4)

Grades K, 6 & 10 Health Assessment Record/Health and Education Sports Permission Form

Immunization Requirements for Enrolled Students in CT Schools for 2018-2019 School Year


Asthma Medication Authorization and Asthma Action Plan


Authorization for the Administration of Medication by School, Child Care and Youth Camp Personnel


Waterbury School Nurses BMI Data Analysis 2013-14 & 2014-15

Waterbury School Nurses Journal 2017

Waterbury School Nurses Magazine 2015