ZIS Health Services 2013-2014

School nursing is a specialized practice of professional nursing that advances the wellbeing and academic success of students and supports staff and faculty in areas related to health and wellness.

There is a nurse on every campus except for the Early Childhood campus (ECC) in Kilchberg. The Middle School nurse also serves the ECC and travels the short distance to the ECC at a moment’s notice. Early Childhood Center teachers are regularly trained in First Aid.

• The Lower School (Wadenswil) Office is open Mon-Fri from 8:30 a.m. to 5:00 p.m. • The Middle School (Kilchberg) Office is open Mon-Fri from 8:30-4:30 p.m. • The Upper School () Office is open Mon-Fri from 8:30-5:30 pm • The Lower /Middle School (Baden) is open Mon-Fri from 8:30-2:30 p.m.

Students should always inform their class teacher if they need to see the nurse, unless it is an emergency situation. A student may make their own appointment or just drop in during opening times e.g. lunch time before or after school.

School Physical Examinations:

Zurich International School requires that a complete online medical health form is submitted prior to a student’s attendance in classes and activities at ZIS. The School Nurse manages the health of your child based on the information given on this form: therefore it is important that the form be filled out completely, including emergency contact information, emergency treatment authorization, immunization records, and the authorization to administer medication. Zurich International School follows the Swiss immunization plan www.euvac.net/graphics/euvac/vaccination/switzerland.html.

Medication during School Hours

The health office routinely stocks basic over- the- counter medications. Parents must sign the consent for treatment found on the ZIS health form which grants permission for the School Nurse to administer medications during the school day as needed. In the Early Childhood Centre medications are given to the teachers as there is no Nurse on site. At the Lower Schools all medications are left with the site nurse and administered in the health office. Please be aware that it is not allowed for Lower School students to carry their own medication in school or during school trips. In the Middle and Upper School students are advised to inform the site nurse regarding self-administered medications.

If a student needs to take prescription medication during the school day this medication needs to be brought into the health office in the original container, and whenever possible, with a copy of the prescription from the doctor/physician. Students that have been tested for and diagnosed with severe allergies, asthma, seizures, diabetes, or any other medical condition requiring medication during school hours, must provide a supply of their medication and bring it to the health office.

Asthma – inhalers and any regular medications that would be taken during school hours

Severe Allergies – antihistamine tablets or creams, Epi-Pens

Diabetes – Glucose monitor, prescribed Insulin, Glucagon injections, snacks, spare lancets, needles, and any other required equipment the individual may need

Seizure – regular medications as well as their emergency medication

If your child has a chronic illness or health condition that could result in a life threatening medical situation (diabetes, anaphylaxis, heart condition, seizure disorder, etc.) a meeting will be organized with the School Nurse, and the parents and an Emergency Care Plan will be developed. The Emergency Care Plan will identify and explain the medical condition and outline what to do in a medical situation. This plan will be distributed to all teachers/staff involved with the student.

Allergies

Allergies are both common and might be dangerous. Passion Foods and SF Catering offer hot lunches to all students at ZIS. Both companies do not use any peanut or nut products in their service for children. ZIS advises parents to teach their child about their allergy and help the child learn the skills they need to keep themselves safe. There is no such thing as a “peanut/nut free school”. You can never guarantee that a school does not have peanuts or nuts without bodily searching everyone and everything all the time. “Peanut/nut –free” gives everyone a feeling of false security which in turn encourages complacency in the school about dealing with life-threatening allergies. There are other life-threatening triggers such as milk, wheat or egg, which would be impossible to ban. A continuing awareness program brings protection. As children get older, they may wear a Medic-Alert ID or carry an EpiPen (as prescribed by their treatment plan), and will need to explain their allergy to others asking for their cooperation. By the time they are teenagers, these precautions will hopefully be a natural part of their life.

Unwell students and the procedure for sending students home

If the student is found to be unwell and unable to attend class, the student may rest in the health office for a period of time. If, however, the student is not better within an hour, the parents will be called. The decision to send a student home is based on the symptoms, how a student responds to treatment and the recommendation of the school nurse in conjunction with permission from a parent or guardian. If parents cannot be reached or are working abroad an alternate emergency contact (name/number) has to be given. These people should be able to collect your child from school and care for her/him if considered necessary.

Reasons to keep your child home from school

In order to keep the school safe and healthy place for students, the nurse appreciates parents’ cooperation in dealing with any possible communicable illness at school. Be sure to inform the School Nurse by email. Please send a note or medical certificate explaining the nature of the illness when your child returns to school.

Keep your child home from school if they exhibit any of the following:

Temperature, > 38 C, or > 100F

• uncontrolled cough or difficulty breathing • vomiting twice within 24 hours: persistent diarrhea • moderate to severe headache, especially with fever • red eyes with dark or “crusty” discharge, discolored nasal discharge • moderate to severe ear pain • the presence of skin rash, especially with other symptoms • sore throat more than 48 hours, especially if accompanied by fever

Communicable Illness

Chicken pox is a contagious illness caused by the Varicella-Zoster virus (itchy rash, sports accompanied by flu-like symptoms). Students with Chickenpox should remain home until the blisters have dried up and crusted over. A note from the doctor indicating that it is safe for your child to return to school is necessary.

Hand Foot Mouth Disease, is a common contagious illness caused by viruses. These viruses live in the body's digestive tract and spread from person to person, usually on unwashed hands and surfaces contaminated by feces. Kids ages 1 to 4 are most prone to the disease. Students with HFMD should remain home until all the blisters have dried up and crusted over. A note from the doctor indicating that it is safe for your child to return to school is necessary.

Impetigo is a contagious superficial skin disorder caused by a bacterial infection. Students can return to school 24 hours after the initiation of antibiotic therapy. Open sores must be covered at school.

Conjunctivitis is an inflammation of the conjunctiva, the tissue covering the eye and inner surface of the eyelid. Students can return to school 24 hours after initiation of antibiotic therapy for bacterial conjunctivitis. Viral conjunctivitis can be contagious for an extended period of time. Please speak with your doctor about when your child is safe to return to school.

Head lice (pediculosis); students may return to school after treatment with a medical shampoo and no live lice are present.

Emergency medical care

If a student is involved in a minor accident or injury that may require medical assistance during school hours, the School Nurse will contact the parents/guardians or your “ Local Swiss Emergency Contact” in order to seek assistance in obtaining medical help. The School Nurse will attend to the injured student until the parents arrives. In the case of a life-threatening situation, or other serious condition, the student will be transported by ambulance to an appropriate hospital. In that case, parents will be notified to meet the child at the hospital instead of at the school. Accident reports are completed and submitted to the site Principal. The original reports will be placed in the student’s file.

Physical Education Excuse Policy

If a student is unable to participate in PE either a note from parents or physician must be submitted to the PE teacher. The school nurse will only for specific circumstances (migraine, severe period pain etc.) excuse a student from participating in PE.

The school health service is a confidential service

There may be times when the school health service team needs to share information with parents or guardians or certain others in the school community, to provide support and care to ensure the safety and wellbeing of the student. The school health team strongly encourages students to talk to their parents or guardians of significant health issues.

We are happy to assist you and your child, and please do not hesitate to contact us if you have questions or concerns.

Annika Hansson Heather Kenny Erika Lang Nurse Lower and Middle Schools Nurse Middle School Kilchberg Nurse Middle School Kilchberg and Baden Nurse Lower School ECC [email protected] Wädenswil [email protected] [email protected]

Mary Thomas Helma Van Vliet Nurse Lower School Wädenswil Nurse Upper School [email protected] [email protected]

Lyme disease and Tick borne Encephalitis

Ticks are blood sucking parasites that feed on the blood on humans and animals. The adult tick is approximately the size of a small pin head. They are most commonly found in long grasses, bushes and the forest underbrush. Ticks move around by attaching themselves to field mice, deer and other small rodents, and people. Once on a human host, a tick will wander until it finds a place it likes.

Ticks are quite common in Canton Zurich and surrounding areas and carry many diseases, the most common of which are Lyme disease and Tick borne Encephalitis (FSME). Lyme disease is a bacterial infection and can be treated with antibiotics, while FSME is a viral disease and cannot be treated with antibiotics. Ticks are most active from spring until fall. However, on hot dry summer days there is reduced tick activity.

Lyme disease (Borreliosis) is carried by every 3rd or 4th tick in . The symptoms include a small rash which may appear a few days or weeks after the bite. It begins as a small red circular area on the bite site. Other symptoms can include fever, headache, weakness and flu-like joint and muscle pain. These symptoms may not be concurrent with the rash. Lyme disease is treated with antibiotics and is most successful when started early.

Tick borne encephalitis (FSME) is a viral disease of the nervous system and is transmitted by the bite of infected ticks. It can attack the brain and is potentially fatal. Luckily, it is not as common although the numbers are rising rapidly. The symptoms of this two phase illness begin between 2-28 days after the initial bite. They include: flu-like body ache, headache, and light sensitivity. These symptoms will resolve in circa 2-4 days and for many people the illness is over. Unfortunately, about one third of those infected will develop the second more serious phase of FSME; high fever, severe headache and neurological symptoms. This phase becomes a medical emergency.

Until recently immunization (FSME) was only recommended for forest workers and people who spent a lot of time in the woods. This recommendation has been changed due to the increase in FSME over the last 5 years, and the fact that the endemic tick area is spread over large areas of canton Zurich and surrounding areas. The immunization is a 3 shot series.

Inspect your child every day especially if the child has been playing or hiking in the woods. Check behind the neck, ears, in the groin area and under the arms. Have the child wear long-sleeved shirts and pants and remember to tuck pant legs into socks or shoes for extra protection. Wearing light colored clothing can help one see the ticks more easily.

Tick removal – 1. Use fine-tipped tweezers to grasp the tick as close to the skin's surface as possible. 2. Pull upward with steady, even pressure. Don't twist or jerk the tick; this can cause the mouth- parts to break off and remain in the skin. If this happens, remove the mouth-parts with tweezers. If you are unable to remove the mouth easily with clean tweezers, leave it alone and let the skin heal. 3. After removing the tick, thoroughly clean the bite area and your hands with rubbing alcohol, an iodine scrub, or soap and water. 4. If you develop a rash or fever within several weeks of removing a tick, see your doctor. Be sure to tell the doctor about your recent tick bite, when the bite occurred, and where you most likely acquired the tick.

Doctors and Dentists http://www.doctor.ch/doctor.html, www.doktor.ch. This links gives you a list of doctors (choose Canton for quick reference). There are links to the doctor's Homepage and/or further information such as telephone numbers, email addresses and maps to show locality. Also included is often information about the languages spoken and other details of their practice.

Zurich International School does not recommend or indorse individuals: the following information is recommendations from other ZIS parents.

HEALTH SPECIALIST IN ZURICH AREA, FOR BADEN AREA SEE BELOW

ADLISWIL / LANGNAU EMERGENCY NUMBER 044 421 2121 Dr.H.Hauser Pediatrics 044 711 7511 Dr. Adam Magyar Orthopedic Surgery 044 226 90 00 Dr. Peter Haydon Ophthalmology 044 710 5353 Dr.Pier – Paolo Pedrazzetti Dermatology 044 771 2300 Dr. A. Brack-Mozzi Pediatrics 044 710 0011 Dr. Markus Fritzsche General Medicine 044 710 6177 Dr. Martin Kauder General Practitioner 044 709 0550 Dr. Andrea Goerg General Medicine /Arcupuncture 044 710 61 77

THALWIL EMERGENCY NUMBER 0900 888 350 Dr. Beat. Schenk Pediatrics 044 721 2021 Dr. Thomas. Schwank Pediatrics 044 720 2988 Dr. Harry Pfrunder Dermatologist 044 720 3545 Dr. Petra Pfrunder General Medicine 044 720 3545 Dr. Karin Biechl Opthalmologist 044 772 2233

KILCHBERG EMERGENCY NUMBER 044 715 0500 Dr. Daniel Matter General Practitioner 044 715 1511 Dr. Judt Nemeth Pediatrics 044 715 2727 Dr. Bettina Ruemmelein Dermatologist 043 343 9301

HORGEN Dr. Simon Otth General Practitioner 043 244 1424 Dr. Markus . Zehnder Pediatrics 044 726 2660 Dr. Ueli Hofmann General Practitoner 044 725 5202 Dr. Mirko Kranich General Practitioner 044 718 1860 Dr. Vavrina (ENT) Ear nose and Throat 044 770 1890

RUSCHLIKON Dr. Robert Müller Internal Medicine 044 724 1888 Dr. C. Nadig Nephrology/internal Medicine 044 720 0601

OBERRIEDEN Dr Hannes Frick General Medicine 044 720 1366

WADENSWILL EMERGENCY NUMBER 0900 783010 Dr. Yvonne Holzmann General medicine 044 783 9693 Dr. Patrick Holzmann Ortthopedic surgery 044 780 9133 Dr. Daniel Suter & Dr.M. Gartenman Pediatricians 044 780 4150 Dr. Thomas Saner General Medicine 044 780 1075 Dr. Babara Jean - Richard Paedriatics 044 780 0003 Dr.Martin Lay Oberdorfstr.23 General/ Phlebology 044 780 5121 Dr. F. Akert Tropical/travel medicine 044 783 9699 Dr. Beat Keller, Oberdorfst.21 Dermatologist 044 780 4287 Dr. Margerita Lachat Obstetrics/Gynecologist 044 680 2480 Dr. Dudic and Dr. Chousti, Seestr. 71 Orthodontists 044 780 4404 Dr. Riad Derzi Seestr. 115 Ophthalmologist 044 783 9646 Fr. Dr.S. Link Bahnhofs. 5 Ophthalmologist 044 780 8444 Dr. Med.T.Scheitlin Eintracht. 16 Allergy/immunotherapy 044 783 9696

WOLLERAU EMERGENCY NUMBER 0840 818181 Dr. Francois Schneider General Practitioner 044 787 5050 Dr. Stephen Woolley General Practitioner 044 784 1316 Dr. M Ballinari Ophthalmologist 044 687 7990

RICHTERSWILL Dr. Patrik Schimert Dorfstr.32 Pediatrics 044 784 7777 Dr. Regina Kessler Pediatrics 044 787 8181 Dr. Beatrice Wirtner General Practitioner/Surgery 044 784 0057

WOLLISHOFEN/ENGE Dr. Charles Etterlin Pediatrics 044 481 4646

ALTENDORF SZ Dr. Karl Peter Bolliger General Practitioner 055 462 3333

ZURICH CITY Dr.J. Geschwend Cardiologist (adults) 044 201 8020 Dr. Frank Gassman Ped. Ophthalmologist 044 291 0300 Dr. Harald Nittner Orthopedics 044 251 0044 Dr. Francis Levy Allergist and Immunology 044 716 1016 Dr. Angela Caddick General Practitioner 044 262 2713

DENTISTS Dr Jens Tartsch Kilchberg Dentist/dental hygiene 044 715 4877 Dr.Manuel Faissler, Adliswil Dentist 044 709 0700 Dr. Axel Zander, Rüschlikon Dentist 044 724 3040 Dr. A Meier, Kilchberg Dentist 044 715 2373 Dr. Cécile Pajarola, Pediatric Dentist 044 422 3030 Dr Robert Toth Dentist 044 724 1031 Dr Ivan Valent, Wollerau Dentist 044 784 2389 Dr. Peter Baur, Pfaffikon Dentist 055 420 2530 Dr. Knell, Kilchberg Dentist 044 715 5232 Zurichsee Zahnartz Praxis, Pfaffikon Dentist 055 420 2530 Dr Rolf Ammann, Enge Pediatric Dentist 044 202 6060 Dr. Stefan Paul, Zürich Dentist/orthodontist 044 253 7000 Dr.Silvia Leuzinger Dentist 044 720 0368

ORTHODONTISTS Dr. Jaeger Barbara, Zürich Orthodontist 044 381 4344 Dr A. Dudic Wadenswil Orthodontist 044 780 4404

HOSPITALS Spital Asylstasse 19 Horgen 044 728 1111 Regionalspital Lachen Oberdorfstrasse 41 Lachen SZ 055 451 3111 Kinderspital (Childrens Hospital) Steinweisstrasse 75 Zurich 044 266 7111 University Hospital Raemistr. 100 Zurich 044 255 1111

DOCTORS CLINIC (shared practice) Aerztezentrum (various specialists) Sihlcity Zurich 044 508 0010 Permanence Arzt Zürich Main Train station (no 044 215 4444 appointment necessary)

OBSTETRIC/GYN Chefaerzt Frauenklinik Spital Zimmerberg Horgen 044 728 1702 Dr. Eva Gelso OB/GYN Albisstrasse 80, Zurich 044 482 0770 Dr. Margerita Lachat Engelstrasse 1 Waedenswil 044 680 2480 Dr. Urs. Walter Seestrasse 147 Horgen 044 725 8383 Dr. Reto Stoffel Poststasse 6 044 784 7733 Dr. Michael Rabner Schanzengraben15 Zurich 044 201 5533 Dr. Michael Singer Schulhausstrasse 5 Zürich 044 202 6440 Dr. Nadja Manneh Stark (GYN) Adliswil 043 377 0977

ENDOCRINOLOGIST/ Diabetes Dr. Eugen Schoenle Diabetes Clinic 044 266 7111 Children’s Hospital (Kinder Spital) Steinwiess strasse 75, Zurich Dr. Urs Eiholzer Pediatrician (Growth and 044 364 3700 development) Diabetes Dr. Katharina Binz Diabetes 044 281 1404 Dr. Christine Hoff Diabetes 044 422 5611

HEALTH SPECIALIST BADEN CAMPUS

NAME CONTACT INFORMATION SERVICES Psychiatrists, Psychologists, Psychological Services

School Psychological Services, Website: www.ag.ch/schulpsychologie for residents of Schulpsychologischer Dienst Kanton Aargau English spoken Uni Klinik Kinder- und Schaffhauserheinweg 55, 4058 Basel Child psychiatrist/ Jugendpsychiatrische Klinik Website: ADHA specialist (KJPK) und Poliklinik http://www.upkbs.ch/patienten/ambulantes- Tel. +41 61 685 21 Prof. Dr. med. Dipl. Psych. angebot/kinder-und- 21, Klaus Schmeck jugend/Seiten/default.aspx

Dr. phil. Sylvia Zanotta Niederdorfstrasse 18, 8001 Zürich. Tel: Psychologist 043 244 95 33 Email: / Psychotherapist [email protected] or FSP (Children, [email protected] Adolescents and Families) Sirkka Christina Varonen, Lic Spinnerstrasse 10c 5300 Turgi. Tel: 056 223 speaks Finnish and phil. Fachpsychologin fur 44 55 Email: [email protected] Swedish psychoterapie (Currently Mrs. Varonen is working as a supervisor for two psychiatric clinics in Switzerland. She has a doctor’s degree in psychotherapy). CLINICS, HOSPITALS, PHARMACIES Permanence Health Center Bruggerstrasse 21, 5400 Baden. Tel: 056 222 English spoken 1822 Open daily; no appointment necessary Institut fur Arbeitsmedizin Kreuzweg 3 , 5400 Baden Tel: 056 205 44 44 English spoken: (IFA) Health Center (adults) Tel: 056 205 44 64 (children up to 16) Open daily; appointment necessary Permanence Arzt Zurich Main Station, Hauptbahnhofplatz 15. Open every day, 24 Tel: 044 215 4444 hours. No appointment necessary. English spoken Hospital - Region Baden: Kantonspital Baden Im Ergel, 5400 Baden-Dattwill 24 hour hospital for Emergency phone number Tel: 0844 844 500 urgent and (adults) Tel: 0844 844 100 (children) Tel: +41 emergency care 56 486 21 11 Website: www.kantonspitalbaden.ch Spital Zimmerberg Asylstrasse 19, Horgen. Tel: 044 728 1111 Kinderspital (Childrens Steinweisstrasse 75, 8032 Zurich. Tel: 044 24 hour hospital for Hospital) 266 7111 urgent emergency care

PHARMACY – REGION BADEN: Emergency Pharmacy Wettingen Tel: 056 426 33 44 Website: www.notfallapotheken.ch

Apoteke Husmatt) Husmatt 3 (next to hospital) 5405 Baden- Only emergency Daettwil Tel: 056 493 00 18 Fax: 056 493 00 pharmacy open 24 23. http://www.apotheke- hrs in Canton husmatt.ch/lageplan.asp Aargau

DENTISTS Emergency Dentist: Zahnaerztezentrum Haselstrasse 3-5. Tel: 056 22 100 70 Dr. med. dent. Denis Hasenbergstrasse 2, 8953 Dietikon, Tel: 044 English spoken, Schafroth, Eidg. dipl. 741 70 70, Email: children, adults, Zahnarzt, Mitglied SSO [email protected] esthetic dentistry, dental hygienist and prophylaxis, dental surgery and implants, computer generated ceramic restorations Praxis Nohadani: Dr. med. Bahnhofsstrasse 24, 5400 Baden Tel: 056 222 English spoken dent. Nasila Nohadani 00 50 Fax 056 222 0053. Email: Orthodontist/Fachzahnaerzte [email protected], http://www.nohadani.ch/ Kieferorthopaedie SSO/CH

Zahnarztzentrum Langhaus 2, 5400 Baden, Tel: 056 200 03 03 English spoken

Henriksson Torbjorn Bahnhofstrasse 41, 5430 Wettingen. Tel: 056 Swedish, English, 426 74 64. http://www.henriksson.ch/ German spoken

AUDIOLOGIST Kind Horzentralen Mellingerstrasse 22 English spoken 5400 Baden, Tel: 056 222 95 80

SPEECH THERAPIST Sarah Hoefflin M.S., CCC-SLP Oesterliwaldweg 9, 5400 Baden. Tel: 077 461 Certified by the 7980 American Speech- Language-Hearing Association (ASHA)

OPHTHALMOGISTS Dr. med. Markus Kiener, Mellingerstrasse 207, 5405 Baden-Dättwil. Specialists in Ophthalmolgy Tel: 056 2665 80 00. and Eye Surgery FMH http://www.aerztezentrum- taefernhof.ch/kiener/dr-med-m-kiener

Websites: http://www.doctor.ch/doctor.html, www.doktors.ch. This links gives you a list of doctors (choose Canton for quick reference). There are links to the doctor's Homepage and/or further information such as telephone numbers, email addresses and maps to show locality. Also included is often information about the languages spoken and other details of their practice. www.doctorsfmh.ch Please visit: http://www.baden.ch/xml_1/internet/de/application/d1/d2/f643.cfm