Northern Middle School

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Jennifer Knauff
Phone Number: 301.746.8165 ext 2106
Fax Number: 301.746.8865

Nurse Notes:

Welcome to Northern Middle School’s Nurse’s page! My name is Jennifer Knauff, R.N. and I am the school nurse here at Northern Middle School. On this page you will find information about good health practices, prevention of spreading communicable diseases, school health updates that may pertain to health, as well as links to medical forms.
If you have any questions or concerns about your health or other issues, please don't hesitate to contact me for information or assistance.
Any information you may have concerning the Covid 19 virus can be found on the Garrett County Health Department website following this link
FLU VACCINES are available at the Garrett County Health Department (both Oakland and Grantsville locations) by appointment only. Participants are asked to arrive a few minutes before their designated appointment time. All individuals must wear a face covering and observe social distancing of at least 6 feet. Hand sanitizer will be available.
Residents should bring their medical insurance card to the appointment. For those who are uninsured or insurance does not cover flu vaccine, there will be no cost.
Call 334-7770 or 301-895-3111 ASAP to make an appointment!!!!!
As Garrett County Public Schools start to welcome students back into buildings, it is important to adhere to the protocols and guidelines in place to protect students, staff and visitors. Please visit the GCPS website for complete information and updates. The Recovery Plan document can be accessed there and updates are made when warranted.
The Student Screening Tool should be considered daily when sending a child/children to school. Students CANNOT be sent to school with illness in question. If the student arrives at school with any illness, the student will be screened and will be sent home if the nurse deems it necessary. Decisions will be made case by case in accordance to the CDC and GCPS policies and procedures.
The The Student Process Map is a good resource to refer to and lets you know what steps to take should your child become sick.
GCPS Guidelines For Acceptable Face Coverings for Students and Staff
COVID-19 is mostly spread by respiratory droplets released when people talk, cough, or sneeze. You are wearing the mask to protect other people from your respiratory droplets and they are doing the same for you, this is known as source control.
*Masks must be made of two or more layers of fabric.
*Masks held on with ear loops are recommended over ties.
*Masks must be worn so they cover your nose and mouth.
*Masks must fit under your chin and fit snugly against your face.
*Face shields are not a substitute for a cloth face covering.
*Bandanas are not to be worn as a face covering.
*Masks with exhalation valves or vents are not to be used.
If needed, a free face covering can be provided that meets the GCPS guidelines.
Documentation from a healthcare provider must be submitted if special face covering accommodations are needed.
If the face covering worn by a student is deemed to be unsafe by the school’s health professional, a mask will be provided.

School Requirements

Physical Exam

A physical examination by a physician or certified nurse practitioner must be completed within nine months prior to entering the public school system or within six months after entering the system. A Physical Examination form designated by the Maryland State Department of Education may be used.

Lead Testing

Evidence of blood testing is required for all students who reside in a designated at risk area when first entering Pre-kindergarten, Kindergarten, and 1st grade. The blood-lead testing certificate (DHMH 4620) or another written document signed by a Health Care Practitioner shall be used to meet this requirement. (All of Garrett County is designated as an at risk area.)


All students must meet the immunization requirements. Contact your nurse if your child has a bonafide religious objection or a permanent or temporary medical contraindication documented by your primary care provider. or have a signed exemption form to be enrolled in Garrett County Public Schools. Your child's school nurse will be able to answer any questions you might have.
PRE-KINDERGARTEN (3 year old and 4 year old):
  • 4 Dtap
  • 3 Polio
  • 3 Hepatitis B
  • 1 MMR
  • 1 Hib
  • 1 Prevnar
  • 1 doses of Varicella or History of Chickenpox
  • Must have a second dose of MMR and Varicella by age 5 to remain in school)
  • 4 Dtap
  • 3 Polio
  • 3 Hepatitis B
  • 2 MMR
  • 2 Varicella or documented history of chickenpox
7-12th GRADE:
Please note that these 2 immunizations must be obtained prior to entering 7th grade in addition to the minimum vaccination requirements prior to entering Maryland Public Schools.
  • 1 Tdap
  • 1 Meningococcal


In general, the administration of medication to students while they are in the schools is to be discouraged. If a student must have medication while in school, treatment schedules which allow doses to be given at times other than during the school hours are preferred and encouraged. The medication must be provided to the school by the parent/guardian in the original container. The Medication Administration Form must be completed and signed by the parent/guardian and prescribing health care provider. This includes any prescription medications and over the counter medications. Inhalers for asthma, insulin for diabetes, and auto-injectors with epinephrine for severe allergic reactions are all considered EMERGENCY MEDICATIONS. These medications can be carried and self-administered by the student when appropriate and with authorization from the prescriber, parent, and school nurse.


Vision and hearing screenings are routinely provided to all students in grades Pre-K, K, 1st and 8th. Screening is also provided to new students and by those referred by a teacher or a parent/guardian. If your child should show abnormal results, a letter of notification will be sent home with referral recommendations.

Health Emergencies

In the case of an emergency at school, the parent or guardian will be notified. If the parent/guardian cannot be reached, the emergency contact will be notified. Be sure to provide accurate and updated contact information. Changes/updates can be made by emailing or calling the school. If an emergency situation should arise and emergency medical services are needed, 911 will be called. Any and all measures will be taken to support the health and safety of the student.
Please notify the school nurse immediately of any medical conditions, such as diabetes, asthma, seizures or life threatening allergies to such things as peanuts, other foods, insect bites or medications, which may cause an emergency situation with your child. Please provide the EpiPen and/or inhaler if ordered. The school nurse will work with you to develop a Health Care Plan to meet your child's health needs.
When your child is sick……
School attendance is important but there are times that your child may need to stay at home. The following is a guideline that may help with making this decision should it become necessary.
  • Sore throat; unable to swallow with swollen, painful neck glands
  • Chills
  • Fever - a measured temperature of 100.4 degrees or higher
  • Headache plus one other symptom
  • Earache
  • Rash, unexplained
  • Flushed face, especially cheeks
  • Runny nose with thick white or greenish mucous
  • Severe cough, persistent enough to be disruptive or that causes vomiting
  • Diarrhea
  • Vomiting: 2 episodes in 24hrs. (If sick through the night, stay home.)
  • Reddened eye/s with discharge (pus)
  • Asthmatics who: Have a respiratory infection, fever over 100 degrees, wheezing or coughing that does not get better one hour after taking medication, weakness or fatigue that makes daily activities difficult, or breathing difficulty.
Please feel free to consult the nurse by phone or email in the morning if you are unsure about keeping your child home.
Cold vs. flu table
Signs and Symptoms Cold Influenza
Onset Gradual Abrupt
Fever Rare Usual
Aches Slight Usual
Chills Uncommon Common
Fatigue, weakness Sometimes Usual
Sneezing Common Sometimes
Chest discomfort, cough Mild to moderate Common
Stuffy nose Common Sometimes
Sore throat Common Sometimes
Headache Rare Common
During the flu season, if you would like your child or other family members to receive a flu vaccine, please contact your primary care physician. Other possibilities for receiving the vaccine are through the flu clinics our local health department offers throughout the fall, and most pharmacies and urgent care facilities. Always call first to verify ability and acceptance of your health insurance
If you or your child experiences flu symptoms, contact your family doctor immediately. There are medications that may shorten the course and severity of the illness.
Remember, your best protection from illness is to wash your hands frequently. If your child’s illness requires a doctor’s visit remember to get an excuse, otherwise please send a parent note to accompany your child when he/she returns to school. If your child is displaying symptoms of illness please keep him/her home, this allows your child to recover in the comfort of their home and helps to prevent the spread of illness to other classmates.

Chronic Illness





Food Allergies


Resource Links