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Massachusetts School Health Updates
Issue 12: February 10th, 2022
Please do not reply directly to this email. For any questions you may have, please create a new email thread with a new subject line to the contact you wish to ask. Contacts are listed at the bottom of the newsletter. 
A MDPH Message from Karen Robitaille:  

Greetings from the School Health Unit,

I hope all is well with you and yours, especially after some monumental snow in some parts of our state last week. 

I started out with this week’s message thinking about Black History month and wanting to share some things about people of color in health care, particularly nursing.  I WILL do that, but not this week.  As I started this research it struck me that I had to research, while I am easily able to talk about the history of nursing, including school nursing, when it comes to white people.  This led me down a rabbit hole into some of our Massachusetts workforce data:

  African American (#)  Asian (#) Hispanic (#)       White (#) Native American (#) Native Hawaiian, Pacific Islander (#) Multi-Race, Non-Hispanic (#) Females (#) Males (#) FTE Count
State Totals
(School Nurse --
Non-Special Education)
80.7 17.3 52.6 1,846.0 2.0 1.0 4.0 1,974.7 28.8 2,003.5
State Totals
(School Nurse -- Special Education)
15.5 6.0 8.8 154.7 1.0 0.0 0.5 181.7 3.7 186.4
State Totals
(School Nurse Leader)
0.5 0.6 2.2 92.7 0.0 0.0 1.0 95.4 1.6 97.0

2020-21 Race/Ethnicity and Gender Staffing Report - District

Diversity in the nursing workforce as a whole isn’t much better:
Gender, Race, and Ethnicity
Males accounted for 9.4% of the RN workforce, an increase of 0.3 percentage points since 2017. Additionally, males accounted for 8.1% of all LPNs/LVNs, an increase of 0.4 percentage points since 2017. In 2020, a third gender response option of “other” was added to the survey and was selected by 0.1% of nurses. Nearly 81% of RNs reported being White/Caucasian. RNs who reported being Asian accounted for 7.2% of the workforce, representing the largest non-Caucasian racial group in the RN workforce. Black/African American RNs increased from 6.0 % in 2013 to 6.7 % in 2020 and the proportion of RNs reporting being Hispanic/Latinx also increased from 2017.

I remember like it was yesterday my entrance into school nursing in 1997 at the age of 28.  I was significantly younger than my colleagues, and the feeling of “otherness” was pretty profound for me, coming from a clinical setting where there was much more diversity when it came to age.  What I likely didn’t realize then, being so focused on myself, is just how much privilege I had entering the school nursing workforce as a white, cisgender, heterosexual female.  Thanks to my mother, a nurse who was baccalaureate prepared in the 1960’s (unusual for that time), I was also a “traditional” nurse graduate, having attended college right from high school into a baccalaureate program.  There was no formal orientation or mentoring then in school nursing, but I learned by watching the people in school nursing who I admired; of course, they all looked like me and I was most comfortable with those from my part of the state.

I’d like us to really look at those statistics I shared and think deeply about this as we contemplate how we are going to build back a workforce that has been decimated by the pandemic.  Can we try to build a workforce that better reflects the student body we serve?  Can we remember how powerful it is to have someone to look up to who looks like you and who comes from where you came from?

With great respect,

P.S. I am actually going to include one resource
here, as it is free to watch until the end of this month. It is one of the MasterClass offerings; I watched/listened to it while I cooked dinner and it took me about a week. It’s excellent and I learned a lot.

Karen Robitaille, MBA, MSN, RN, NCSN
<she, her, hers>
Director of School Health Services
Division of Child/Adolescent Health and Reproductive Health
Massachusetts Department of Public Health
250 Washington St. 5th floor, Boston, MA 02108
Cell: 781-675-0463
Personal Webex room:
Welcome, Tracy Rowe!
We are pleased to announce that Tracy Rowe has been hired as the new Central Regional School Nurse Consultant and will begin in her role after the February break.  Here is a bit more about Tracy:

Weston Public Schools welcomes Tracy Rowe to her new position as regional school nurse consultant for Central Massachusetts. Throughout her career Tracy has had extensive experience as a nursing leader, preceptor, and mentor, and she brings to us a wealth of experience and passion for K-12 school nursing. 
Tracy spent more than 35 years of her career at UMass Memorial Hospital in Worcester, MA. After receiving her undergrad nursing degree from Boston College, she began her career on a telemetry unit, and went on to work her way up to assistant nurse manager before switching to the ICU, and then later the PACU/ Recovery Room. At UMass, Tracy was a member of various committees including Nursing Governance, Quality Assurance and worked in nursing education as a CPR Instructor. Tracy was also part of the original committee that developed PACE, a clinical ladder program to recognize nursing excellence. 
While at UMass, Tracy found her love for K-12 school nursing. She first worked as a school nurse for Marlborough Public Schools in a job-share position before becoming the full-time Elementary School Nurse serving over 700 students. Tracy joins Weston as our regional school nurse consultant after serving in Marlborough Public Schools for more than two decades. She received her Masters in Education from Cambridge College School Health track, as well as holding her NCSN, CERT, PALS, and other certifications. 
With the onset of COVID 19, like most school nurses, Tracy assisted with contact tracing. When the City of Marlborough experienced the sudden departure of their public health nurse during the pandemic, she stepped in and supported the city as the Interim Board of Health Nurse. She, along with the other school nurses, helped them navigate the pandemic. As COVID Liaison for her school district, she’s been an integral part of the team developing COVID protocols and helping to secure COVID testing for her district. 
We’re excited to welcome Tracy to our school community and appreciate her coming service to our kids! She is also excited to get started and looks forward to connecting more with members of our community. If you have any questions about Tracy’s work in the Town of Weston you can also contact Jamy Gaynor.
Welcome aboard Tracy!
School Nurses in the News:
SHIELD Nurses in the News Feed.

"Massachusetts Medical Leaders Support our Public Health Officials"
This letter of appreciation was signed by more than 20 Massachusetts medical leaders, and you can read it in full here.

"School Nurses: We're Not OK," article can be found here.

"The National Association of State School Nurse Consultants (NASSNC) Raises School Nurse Concerns with Extended Pandemic Response (2/1/2022)," position statement can be found here.

"Margret Cooke Appointed Commissioner of Public Health," press release can be found here.

Upcoming Events

Recurring Support Group for School Nurses
There is a weekly virtual support group for school nurses happening every Monday night at 7 pm. Jennifer Caprio, a mental health clinician from Eliot Community Human Services (ECHS), will be hosting the sessions. The support group is open to all school nurses from the Commonwealth of Massachusetts and will remain active through May 2023. This group is a safe place to discuss how you are feeling, receive support, and get wellness tips. The flyer with the Zoom link can be found here. Please email Jennifer with any questions or concerns at

Free Webinar: Welcoming Immigrant and Refugee Students
Monday, February 14th | 12:30 - 2:30 pm EST | Zoom
Refugee and immigrant students joining our school and communities enriches the fabric of our school and community cultures. This webinar will introduce strategies for engaging youth and families in psychosocial services through genuine partnerships. In addition, the presenters will focus on frameworks for organizing mental health service planning and delivery for youth and families of refugee and immigrant backgrounds. Culturally-responsive and trauma-informed behavioral health tools that can be put into practice within diverse settings will also be highlighted.

For more information, view the event page here and register here.

Free Webinar: Supporting Children with Type 1 Diabetes, Learning Disabilities, and Psychosocial Challenges
Tuesday, February 15th | 3:30 pm EST | Zoom
Juvenile Diabetes Research Foundation (JDRF) is hosting a School Health Team Webinar Series about Type 1 Diabetes (T1D). The upcoming webinar will be presented by Ellen O’Donnell, PhD, Psychologist at MassGeneral Hospital for Children, Instructor at Harvard Medical School, Living with T1D since age 21.
For more information, view the event flyer
here and register here. Please contact Lauren Shields at 617-831-1128 or with any questions.

Community Education Initiative Lectures
Boston Children's Hospital is hosting a Community Education Initiative Lecture Series throughout the 2021/2022 School Year. Upcoming sessions will cover the following topics:
  • Tuesday, March 1st: Chronic Kidney Disease in Children, Dialysis and Post-Transplant
  • Thursday, March 17th: Children with Hearing Loss
All lectures are offered via Zoom from 4:30-6:30 pm EST (unless otherwise noted). To learn more and register, view the event page here. Please email Judi Naar at with any questions.

All Regions Regional Meeting 
The next all regions regional meeting will take place via Zoom on March 16th, 2022 from 1:00-3:00 PM. Details will be here under "Regional Meetings." 

New Resources & Training Updates

MA Mandated School-Based Screenings Reference Tool
Shanyn Toulouse, Northeast Regional Consultant, created a lovely 
screening guidelines "cheat sheet" that can be found on SHIELD's website

Audit Version of "Vision Clinical Update 2021" Now Available
The audit version of the course "Vision Clinical Update 2021: Addressing Health Inequities and Implementing New Protocols" is now available on SHIELD's website here. This course is free and only offers participation credit.
For learners seeking credit, CNEs are available for the standard version found
here - fee applies.

SHIELD Training Update: BinaxNOW
The BinaxNOW training has just been added to SHIELD’s website as a self-paced course. Learners can review material on their own time and then register to participate in a return demonstration with a BinaxNOW trainer. Additional BinaxNOW resources and updates can be found on SHIELD's website here.
SHIELD continues to add new trainings to its website; for a summary of all courses and upcoming events, see this
one-page listing.

Recorded Webinar Now Available From NEPHTC
NEPHTC recently hosted a Transgender Introductory Primer webinar and the recording is now available here.

After viewing the recording, participants will be able to:
  • Understand basic terminology and theory as they relate to transgender health.
  • Describe health disparities facing the transgender community.
  • Identify resiliency factors, gender transition paths and support needs, and targeted best practices for serving the transgender community.
SBIRT Training Updates
M.G.L Chapter 71 Section 97 (Verbal screening tool for substance abuse disorders) of AN ACT RELATIVE TO SUBSTANCE USE, TREATMENT, EDUCATION AND PREVENTION (the STEP Act), mandates that each public school, charter school and vocational school utilize a verbal screening tool to screen pupils for substance use disorders annually. The STEP Act makes no determination as to which school professionals perform the screening. The only requirement is that each screener complete the Massachusetts Department of Public Health (MDPH) Screening, Brief Intervention and Referral to Treatment (SBIRT) training, which is offered through Boston University School Health Institute for Education and Leadership Development (BU SHIELD). Please review school professionals’ workloads to determine who is best equipped to complete the substance use screening this year. If you have any questions on who can complete the screening in your school, please contact the MDPH Assistant Director of School Health Services, Caitlin Pettengill, at

BU SHIELD offers a free two-part SBIRT training. The first part is online, self-paced and can be taken at any time. The second part is a live online session which is offered multiple times a month, year-round, on a continuous basis. If the posted dates will not work for your district, please reach out to Caitlin Pettengill directly. The MDPH School Health Unit is also offering an optional supplement training on vaping/nicotine. If you have taken the SBIRT course in the past, please know the optional course is not required.
CSHS Grant Updates
With the Workforce Development increase, we now anticipate up to 3-4 disbursements in FY22. This means money getting to you, which starts with the Payment Voucher being emailed to you; please sign and return these ASAP. Funds will be available within 10 days of receipt of your PV; delays in returning those result in delays in getting your funds. If awarded Workforce funds, CSHS districts will see this included as part of their disbursement. The disbursements depend on how much allotment we have available on our program budget each quarter up until May 1st (when the final allotment is available).

When submitting a budget amendment or final reconciliation, your Workforce expenditures will be included within your CSHS budget; however, please note in the justification column which expenditures are from Workforce funds.

We still have a few programs who have not returned FY21 reconciliation forms; if this is you, please do so ASAP. If you are not sure if this is you, please email or to ask!
RESPECTfully Campaign:
A Message from Lt. Governor Polito

Dear School Health Services Administrators,

As Chair of the Governor’s Council to Address Sexual Assault and Domestic Violence – in partnership with the Executive Office of Health and Human Services and the Massachusetts State Legislature – we launched “RESPECTfully” in May of 2019, the first statewide public awareness and prevention campaign in almost twenty years to promote healthy relationships and friendships among middle and high schoolers. Developed with extensive input from the Commonwealth’s youth and sexual assault and domestic violence advocates, RESPECTfully promotes healthy relationship behaviors and boundaries, and articulates a key message that everyone deserves respect, honesty, and open communication.

Beginning in February, we’re encouraging all Massachusetts teens to Respect Their Limits by taking a pledge to help stop unhealthy behavior in friendships and relationships.

A part of the RESPECTfully campaign, this pledge honors Teen Dating Violence Awareness Month by helping to educate and energize youth to adopt healthy relationship behaviors. We are calling on teens to join the campaign by pledging to set clear relationship boundaries.

You are an important partner in our awareness efforts. I encourage you to download and share our RESPECTfully Pledge materials with teens across Massachusetts by:

          1. Posting the attached flyer in common areas
          2. Sharing the attached social media posts with your following
          3. Forwarding this message to other youth-serving organizations to help                        spread the word
Teens are encouraged to visit to view and take the pledge.

Healthy relationships start with us—we must provide our youth with the tools they need to succeed and encourage all to respect everyone fully. Thank you for your commitment and support on this important initiative.   


Karyn E. Polito
Lieutenant Governor
MDPH Immunization Surveys Update
The MDPH Immunization Division has extended the deadline to submit the Immunization Surveys for every grade to March 4, 2022.

The following Immunization Surveys are now due March 4, 2022:
  • Preschool/Childcare: Contact the Data Assessment Unit at if you did not receive the preschool invitation email with links to complete the survey.
  • Kindergarten: Completed in the MIIS here
  • Grade 7: Completed in the MIIS here
  • Grade 11: Completed in the MIIS here
  • Post-secondary schools: Completed here (PINs have been sent to you in a previous email.)
Kindergarten, Grade 7, and Grade 11
Kindergarten, Grade 7, and Grade 11 immunization and flu surveys are available only through the Massachusetts Immunization Information System (MIIS). You must be registered with MIIS to search student vaccination histories or submit these surveys; shared access across users is not permitted.
  • If someone in your school/district has registered for the MIIS in a previous year, the current Access Administrator from your school/district may invite you to register (see this resource for more detail: Add Users Mini Guide). If you are unsure who your Access Administrator is or they are no longer employed, please reach out to
  • If this is the first time someone from your school is registering with MIIS, please access the MIIS Resource Center to start the registration process as soon as possible. Click on the purple “Registration” button to go to the Registration page and then click “Begin Registration.” Follow the prompts to create a profile for your school and complete the required registration paperwork.
  • If you need additional help registering for MIIS access, please contact
Thank you for taking the time to report compliance with the school immunization requirements.

Kind regards,
MDPH Data Assessment Unit
FY22 Teen Pregnancy Prevention Funding Opportunity
We are pleased to announce the FY22 Teen Pregnancy Prevention: Partners for Youth Success – Cohort 3 funding opportunity has been posted. The grant will support eligible districts in planning, implementing and sustaining select evidence-based teen pregnancy prevention programs that incorporate selected adulthood preparation subjects in middle schools. The funding opportunity (Fund code 716) documents can be found here: FY2022 Fund Code 716: Teen Pregnancy Prevention: Partners for Youth Success (PREP) — Cohort 3 - Grants and Other Financial Assistance Programs ( Due to the competitive nature of the grant, the Department is not able to respond directly to programmatic or content questions via email or telephone. Inquiries may be submitted through February 2, 2022 at (with Subject line “FC 716 Question”). All answers will be posted to the Student and Family Support Webpage.
INFORMATION ON INCOMING AFGHAN EVACUEES from the Division of Global Populations and Infectious Disease Prevention, Bureau of Infectious Disease and Laboratory Sciences | Massachusetts Department of Public Health

In late August 2021, over 100,000 Afghan nationals were evacuated from Afghanistan to military bases in the US and other transitional locations overseas. Evacuees included people who worked for the US in Afghanistan and other vulnerable individuals. Coordinated by the Department of Homeland Security,
Operation Allies Welcome (OAW) is the mobilization of multiple federal agencies and non-governmental organizations to meet the immediate needs of Afghans on US bases and support their resettlement into local communities across the country.
As of December 14, over 800 Afghan evacuees have arrived in Massachusetts and we expect to welcome a total of 2,000 by mid-February of 2022. Nearly all will be connected with one of eight local resettlement agency offices in Massachusetts for initial resettlement assistance. These agencies, in turn, are working in partnership with volunteer networks to support and welcome Afghans. This outpouring of support, together with the short timeframe to prepare for resettlement and limited access to housing, has meant that Afghan families are resettling in many communities across the state and some will initially stay in temporary housing.  
School enrollment is a critical step for children and families as they begin to rebuild their lives here in Massachusetts. Key points to remember include:
  • Vaccines:
    • Age appropriate vaccinations per ACIP guidelines were initiated for nearly all children who stayed temporarily on US bases.
    • DPH is uploading immunization records from US bases to the MIIS as they become available to us.   
    • Additional vaccinations given in Massachusetts should be in MIIS.
  • Tuberculosis screening: 
    • All Afghans were screened for tuberculosis on US bases. The standard was an interferon gamma release assay (IGRA) for individuals age two and older. (At least one base screened by chest X-ray only.) Persons with signs or symptoms of tuberculosis are evaluated regardless of IGRA result.
  • Medical screening in Massachusetts:
    • Afghans are eligible for federal assistance as well as refugee benefits and services, including initial medical screening. Arrangements should be made for medical screening by the resettlement agency. These services are delivered through a network of providers with DPH contracts. Review of records from the base as well as updating immunizations, following up on tuberculosis screening results, and connections with primary care are key components of medical screening.
Below are a few key resources that we encourage you to review.
Thank you for your support and effort to welcome Afghan children into our school systems. 
Dear SBHC Stakeholders,

230531 School-Based Health Center Program RFR is now available on COMMBUYS and can be accessed here. The MDPH Bureau of Community Health and Prevention (BCHAP) seeks proposals from qualified vendors to sponsor school-based health centers (SBHCs) in Massachusetts. SBHCs are fully-licensed comprehensive primary care facilities that are located on-site in schools and operate as satellite clinics of their sponsor agencies (usually community health centers or hospitals). SBHCs are staffed by teams of professionals who collaborate with school communities to meet the health and behavioral health needs of children and adolescents with a special focus on those who are most vulnerable to health inequities and with the explicit goal of promoting academic achievement. SBHCs improve access to health care services for students by decreasing financial, geographic, and cultural barriers.
Mandated Reporting for CSHS Funded Schools/Districts:
The link to the Monthly report survey is here and the end-of-year Status Report 21/22 survey is here. All reporting forms, worksheets and instructions were sent out to districts by Bob Leibowitz and worksheets for the monthly report can also be found here, and here is the CSHS end-of-year Status Report 21/22 worksheet. Questions related to CSHS mandated grant reporting should go to: DPH_ESHS_data@MassMail.State.MA.US.
Mandated Reporting for Non-CSHS Districts (public school)
Concussion Report Form: Not yet available. 
BMI report form: BMI report. CSHS-funded districts and nonpublic schools should NOT submit a separate BMI report, as these data are included in the Status Report. Non-funded districts will use the same link that is used to access the Status Report form.
SBIRT report. CSHS-funded districts and nonpublic schools should NOT submit a separate SBIRT report, as these data are included in the Status Report. Non-funded districts will use the same link that is used to access the Status Report form.
A worksheet for non-funded districts can be fou
nd here.
Mandated Reporting for ALL Schools/Districts
Asthma and Diabetes Survey: This year’s survey will be sent out in February and it will be an electronic form again this year. You should be getting it by email directly from us if you are on the list of regional school nurse coordinators or, if not, you should get it through your regional network. If you have questions or if you do not receive the survey by late February, please use the following email address to contact us:
Epinephrine administration report form.
2021/2022 COVID-19 Protocols and
Testing Information on DESE Website
COVID Testing Information: Frequently Asked Questions

Guidance and on the Desktop Messages:
Positive COVID-19 Cases in Schools
Parents and guardians questions can be directed to:
District and school staff's questions can be directed to:

Extension of DESE Mask Requirement Updated January 10, 2022 
DESE Policy on Vaccination Rate Threshold, found
80 Percent Vaccination Rate Threshold School Attestation Form, found
Update on DESE Mask Requirement — February 9, 2022
“True heroism is remarkably sober, very undramatic.
It is not the urge to surpass all others at whatever cost, but the urge to serve others at whatever cost.”

- Arthur Ashe
School Health Screenings for PE Teachers 
BU SHIELD is excited to announce a new course offered: School Health Screenings for PE teachersThis free course is designed for PE teachers who are assisting with BMI and postural screenings.
New Mental Health Training Series!
SHIELD’s Mental Health Series for School Health Professionals is well underway. Four sessions have been delivered and recordings, which are ideal for self-paced learning, are being made available. Three recordings are currently open:
Additional recordings in this series will be released throughout the new year. PDPs and discounts are being offered for attending the full series. For more information, visit SHIELD’s website here.
If you have SHIELD credit, it can be used for these courses. Please email BU SHIELD at with any questions!
Youth Mental Health First Aid
The Youth Mental Health First Aid (YMHFA) class is designed to teach parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis.
YMHFA is primarily designed for adults who regularly interact with young people. The course introduces common mental health challenges for youth, reviews typical adolescent development, and teaches a 5-step action plan for how to help young people in both crisis and non-crisis situations. Topics covered include anxiety, depression, substance use, disorders in which psychosis may occur, disruptive behavior disorders (including AD/HD), and eating disorders.

Date and Location: Due to the pandemic, this class is a blended learning program. Participants will complete 2 hours of self-paced work in advance of the YMHFA class. The individual work will be followed up by a 4.5 hour group class that will be held online.
Here are the dates for upcoming sessions:
  • Wednesday, February 23rd | 9:30am - 3:00pm (Register by 2/16)
  • Tuesday, March 15th | 9:30am - 3:00pm (Register by 3/8)
  • Monday, April 4th | 9:30am - 3:00pm (Register by 3/28)
  • Tuesday, April 26th | 9:30am - 3:00pm (Register by 4/19)
Cost and Registration: This event is provided free of cost with grant funding from Substance Abuse and Mental Health Services Administration (SAMHSA). Space is limited. Please pre-register.

For more information, visit this
link or contact Erin Sullivan at
New Vision Screening Protocols (to begin in FY23)
The new vision screening protocol is now up on the BU SHIELD website for your reference and can be found here. As a reminder, schools/districts are not mandated to use this protocol until the 2022/2023 school year. Additional health screening resources can be found here.
New Vision Screening Course is now open! The November Clinical Update focused on the new vision screening requirements. This course was recorded and is now available for self-paced learning. This course is ideal for districts to use as a local professional development option. 
To access the course, follow this link.
Vision Screening during COVID. The National Center for Children's Vision and Eye Health at Prevent Blindness has updated the Considerations for Conducting Children's Vision Screening Safely in Schools, Head Start, and Early Care and Education Programs During the Covid-19 Pandemic. The resources includes a downloadable guide and FAQ. Please share these documents with your colleagues. 
COVID-19 Update:

MDPH has created a new webpage for pediatric vaccine information for the newest age group expected to gain vaccine approval.
This webpage will be updated as more information is available. Vaxfinder will also be updated as pediatric vaccine becomes available for this age group.

Standing order template for Pfizer-BioNTech COVID-19 Vaccine: 5 Through 11 Years of Age:

Pfizer-BioNTech COVID-19 Vaccine: 5 Through 11 Years of Age • Standing Orders for Administering Vaccine (

New Vaccine Education Center at Children’s Hospital of Philadelphia
Reminder: AAP COVID-19 Vaccine Campaign Toolkit
The American Academy of Pediatrics (AAP) has created a
COVID-19 Vaccine Campaign Toolkit to assist pediatric healthcare professionals in addressing parent and caregiver COVID-19 vaccines questions and concerns. The Toolkit includes articles, graphics, social media messages, and videos. It is designed to reach parents and caregivers, who have not yet vaccinated their eligible children, to encourage them to talk to a trusted provider.

New: The Massachusetts Department of Public Health has updated its Children & Youth with Special Health Needs (CYSHN) and the COVID-19 Vaccine
webpage to include FAQs for vaccinating this population.

New: The Massachusetts Interscholastic Athletic Association has released its Winter Masking Guidelines, which will be a continuation of the fall guidelines: Student-athletes, coaches, and officials that are indoors shall be masked. Read more

Lyft Offering Free or Discounted Rides to Vaccine Appointments: Getting access to the vaccine is a struggle for many. Lyft is mobilizing partners and community members to help provide access to millions of riders to and from vaccine appointments. Learn more and see if Lyft is available in your community
CDC's School-Location Vaccination Clinics: Best Practices for School Districts 
This guide provides a roadmap for school district administrators to work directly with local health departments and other vaccine providers (e.g., pharmacies) to set up vaccination clinics in places that K–12 students and their parents know and trust. Find the resource here.
The MDPH Immunization Division hosted a
Live Q&A: Pediatric COVID-19 Vaccination

Below are some of the additional information they provided.
Information on COVID-19 Vaccine storage, handling and administration access full training resources and supplemental resources below:
For Individual case questions, please refer your questions to your local board of health. If you are unable to reach them, please call the Mass Epidemiology Line here: (617) 983-6800
You may be seeing student and staff COVID-19 vaccination records, including those from other countries. AN IMPORTANT NOTE IN REGARD TO FOREIGN VACCINATION RECORDS: Unlike other vaccinations where we accept whatever the foreign formulation is, the U.S. is currently only accepting WHO-approved COVID vaccination formulations. Here is the link to the list of COVID-19 vaccines within the WHO EUL/PQ evaluation process; any vaccine marked “finalized” is accepted in the U.S. Please note, nurses should check this information frequently, as it is subject to change. 
Your students might appreciate this course designed by researchers at Boston University Wheelock College of Education & Human Development in partnership with Medway Public Schools: Stress and COVID-19:  A Course for Teens

For School Health ProfessionalsThe Emotional PPE Project connects healthcare workers in need with licensed mental health professionals who can help. No cost. No insurance. Just a trained professional to talk to.

More Self-Care Resources can be found on SHIELD's Website

Massachusetts tool to locate vaccination sites and open appointments by zip code.

Vaccine Communication Resources (18 and younger)
New COVID-19 vaccination for youth ages 12+
  • For details, including information on parental consent, and FAQs, visit here.
  • Youth aged 12 and above may be preregistered here.
  • COVID-19 vaccine graphics for teens and young adults.
Public Service Announcements
  • MA Medical Society newly-elected Massachusetts Medical Society president, Dr. Carole Allen, recorded video urging parents to get their children vaccinated.
  • @MassDPH
Clinical Considerations from the CDC found here.

COVID-19 Vaccine Fact Sheet for Preteens and Teens can be found here.

School Nursing Staff may also find this
contact tracing data collection spreadsheet.

The testing standing order template can be found on the BU SHIELD website front page under "COVID-19 Resources Page".
For key information about managing COVID-19 in Massachusetts, see these websites.

SHIELD COVID-19/BinaxNow Resources.
MDPH Website.
SHAH Family Foundation Pooled Testing Website.
For additional resources surrounding COVID-19, visit these websites.

NASN COVID-19 Resources.
CDC Website.
WHO COVID-19 Resources.
CDC guidance on correct and consistent mask use.
School Health Resources:
For a comprehensive list of resources
relevant to school nursing visit:

MDPH School Health Services
MDPH Infectious Disease Reporting
Massachusetts School Nurse
Grant Information.

General DESE Information, click here.
DESE Licensure Information, click
Sign up for CDC Health Alert Network Email Updates here.
Workshops & Meetings: 
SHIELD - Mandated Trainings.
BinaxNOW Online Trainings.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) Online Trainings.
Additional Nursing and Public Health Online Trainings.
BU School of Medicine: Continuing Medical Education Online Trainings.
Medication Administration Online Trainings:
Introductory Course (Online): Medication Administration in a School Setting: School Nursing Practice in Massachusetts

(This training is for nurses seeking DESE School Nurse Licensure and Nurse Managers listed on a school district’s MDPH Medication Delegation Registration Application.)

Medication Manager Course (Blended Online/Zoom): Medication Administration in Schools: What School Nurse Managers Need to Know (Blended 2020)

(For School Nurse Managers listed as signatories on the district’s MDPH Medication Administration Registration Application. The introductory course must be completed prior.)

View the Medication Admin E-Book

Med Del Epi Registration Guidance (PDF) l (DOCX)   
Medication error (resulting harm)
A reminder to not fax or mail anything to the School Health Unit (even though the medication error report states to fax and mail form; we will revise this). Please email to:
Mark your calendars!
The date for the Board of Registration in Nursing Meeting for March 2022 is
Wednesday, March 9th
Meetings and Agendas here.
Every School Nurse should have ready access to the MDPH School Health Manual. Download yours here.

Training and how to access it.
Did you know that MDPH has their own youtube channel? Check it out here!
Additional Resources:
  • From the Massachusetts COVID-19 Vaccine Program (MCVP)MDPH has compiled a one-pager that outlines key communications resources available on to help promote COVID-19 vaccination among pregnant and breastfeeding people, parents, and children ages 5+. These resources include answers to commonly asked questions, DPH-developed marketing materials available for download, guidance on boosters, and more.
  • From MDPH: The recording of the COVID-19 Community Impact Survey (CCIS) Caregivers Webinar can be viewed here.
  • From NASN: A quick micro-burst of learning, this interactive module teaches school nurses a simple formula to use to respond effectively to challenging conversations. Watch here
  • MA Dept of Public Health & MGH's New Drug Education Curriculum: Intervention, Diversion, and Empowerment, iDECIDE
    • Frequently Asked Questions can be found here.
  • The SBIRT in Schools course and resources have been updated to reflect additional screening for tobacco and nicotine. Click here to access the course. The new toolkit can be found here.
  • The Northeastern University School Health Academy (NEUSHA) provides engaging, professional learning opportunities that benefit the health, safety and achievement of all youth. 
  • Effective immediately, there is a new FAQ available on the DCYSHN web pages on regarding Children & Youth with Special Health Needs and the COVID-19 Vaccine. Please share this information with caregivers, providers, and your networks. With the help of many in the Division and Bureau, we compiled a list of frequently asked questions on the COVID-19 vaccine from families with a focus on children and youth with complex medical needs. DPH’s Chief Medical Officer, Dr. Larry Madoff and members of the Pedi Vax team provided the responses. We hope that this will provide helpful information and reassurance to families that children with medical complexity are one of the groups who will benefit greatly from vaccine protection against COVID-19.
Regional Meeting Dates:
The recording and resources from FY21 meetings can be found on our SHIELD website here.
Career Opportunities:
If you have job opportunities to be posted in the newsletters, please email them to your respective Regional School Nurse Consultant. The posting will run for 2 newsletter issues.
If the position hasn't been filled after those 2 issues, please email your Regional School Nurse Consultant again, otherwise it will be removed.
  • Supervisor of Health Services, PreK-12 for Marlborough Public Schools, more information here.
  • School Nurses for Summer@Carroll program in Waltham and Lincoln, more information here. Apply here.

Medication Registration: 
US Return of signed CSHS purchase vouchers:
Return of CSHS amendment forms:
Return of CSHS reconciliation forms:

Using the correct email address is essential to your documents being received and processed in a timely manner. Thank you!
Statewide Regional School Nurse Consultant Contacts:
Please do not reply directly to this email. For any questions you may have, please create a new email thread with a new subject line to the contact you wish to ask.


Mary Jane O'Brien, PhD, RN, CPNP, NCSN
(617) 635-6788


Janet Guertin-Moruzzi, MEd, BSN, RN, NCSN
(781) 392-7726

Metro West

Jill Connolly, MEd, BSN, RN, NCSN
(781) 848-4000 x7841


Shanyn A. Toulouse, MEd, BSN, RN NCSN
(978) 420-1919


Ann M. Linehan, DNP, MSN, RN
(508) 580-7363


Veronica Webb Barrett, MSN, MA Ed Psych, RN, HNB-BC
(413) 896-8100

Check out the Regional Consultant Brochure here.
If you have Medication Registration inquiries, please contact Lauren Cosby 
If you have report/data questions, please contact Bob Leibowitz at
If you have budget/grant questions, please contact Juliet Berk at
Presented by: 
Massachusetts School Nurse Regional Consultants
MDPH School Health Unit
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