School Nurse

School Nurse

Office Hours: Monday-Friday 8:30am-12:30pm

My name is Nora Grebe. I was an LPN for 17 years and then returned to college to obtain my RN. I have a total of 50+ years experience in varied fields of nursing.  I have been the Director of several CNA Programs and look forward to working with the students to advance their goals. I am blessed to have the opportunity to care for your children as the School Nurse and be a part of the NRCA family.  If you have any questions or concerns, please feel free to contact me.

When to keep your child home form school.

Guidelines for Parents

  • Deciding when a child is too sick to go to school can be a difficult decision for parents to make. When trying to decide, use the guidelines I have provided.
  • FEVER: If your child has a temperature of 100.2 he/she must stay at home. Your child can’t return to school until fever free for 24 hours. Example: 11:00 am child’s temp 101, may return the following day to school at 11:00 am.
  • COLDS: Your child must stay home if he/she has a thick, colored discharge from the nose or has a wheezing, croupy cough. For more severe symptoms, your child must remain at home for at least 24 hours after the fever is gone and the appetite returns to normal.
  • CONJUNCTIVITIS (Pink Eye): When the white of the eye is clear, which is at least 24 hours after the child begins using antibiotic eye drops, he/she is no longer contagious and can return to school.
  • STREP THROAT: Your child may return to school when the temperature is normal for at least 24 hours and the child has taken antibiotics for at least 24 hours.
  • RASH: Your child should stay home and be evaluated by a health care provider for any unknown rashes.
  • VOMITING: Your child may not return to school until there is no fever or vomiting for at least 24 hours and has a tolerated at least two normal meals.
  • MD DIAGNOSIS: If an MD gives you a diagnosis, please notify the schools nurse so that she can be informed if there are any questions that come up by faculty or other student parents.
  • LICE: Child can return to school after completion of the shampooing treatment recommended by your physician. For more info see:
  • In the event that your child does not have a fever, if they are exhibiting negative changes in behavior, temperament, or classroom performance due to various health concerns (fatigue, colds, virus allergies) you will be called to pick up your child.
    Please consider the health of your child and the other children in the class and follow these guidelines before sending your child to school. If guidelines are not met, you will be called by the school nurse to come pick up your child.
  • Remember if a child is running a fever in the early morning, it has a greater potential of getting higher by the afternoon. Giving your child medication for this will only mask it for a couple of hours.
  • In most cases the decision of whether or not to send a sick child to school will not be clear. Just remember, it is always better to err on the side of caution and have the child stay home from school.

Medication Policy

The needs of children who require medication during school hours should be met in a safe and prudent manner. It is the responsibility of NRCA and the school nurse to ensure that medications are administered according to state laws, local written policies, and procedures and professional standards.

All medications administered by school personnel during school hours must be prescribed by a licensed health care provider and have physician’s signature. (General Statutes of North Carolina Chapter 115C-307)

All medication administered by school personnel must have a written request permission signed by the parent or legal guardian. (General Statutes of North Carolina Chapter 115-307)

Parents Responsibility

  • Provide a written request for school personnel to administered the doctor prescribed medication, including over the counter medication.
  • Complete the authorization form, which includes the following:
    • Name of Child
    • Name of medication
    • Date it was prescribed
    • Dosage
    • How the medication is to be given
    • When the medicine is to be given
    • Special instructions
    • Expiration date
    • Possible side effects
    • Possible adverse reactions
    • Name of the health care provider and how to locate or communicate with him or he if necessary
  • Provide each medication in a separate pharmacy-labeled container that includes the child’s name, name of medication, the exact does to be given, the number of doses in the container, the time the medication is to be given, and how it is to be administered. NOTE: Parents should request that the pharmacist provide two labeled containers, one for home use and one for school use, if a child needs to be given medication both at home and at school.
  • Provide the school with new, labeled containers when dosage or medication changes are prescribed.
  • Remove all unused medication from school when medication are discontinued or at end of school year. Any medication left after the last day of school will be discarded.
  • Maintain communication with the school nurse regarding any changes in the medical treatment and child’s needs at school.
  • All over the counter medication must be in the original unopened container with the child’s name.

Backpack Safety

Backpacks are everyday piece of equipment for students that can be harmful. The weight you carry on your back should never exceed 15% of your body weight. Students typically carry 25-35% of their body weight. This becomes a very important health issue because your bones are still growing and adding too much weight puts stress on you body and can cause permanent damage.


What is MRSA? Methicillin-resistant Staphylococcus aureus is a staph infection caused by bacteria that is resistant to antibiotics. The bacteria causing MRSA typically enters the body through cuts or other wounds. MRSA usually causes only minor skin problems but can worsen if not treated.

NOTE: The bacteria does not travel through the air but is contracted through contact with others that have it.

What does MRSA look like? MRSA usually starts as small red bumps that resemble pimples, boils, or spider bites. It can present as one small bump or several bumps clustered together. MRSA can turn into deep, painful sores if not treated.

How can I protect myself?

  • Monitor minor skin problems
  • Shower before going to bed after any physical activity
  • Wash bed linens if you have a draining wound
  • Do not walk around without shoes
  • Practice good personal hygiene
  • Routinely practice effective hand-washing techniques
  • Cover wounds at all times (when at school, participating in physical activity, etc.)
    • Clean wounds with warm water and soap daily
    • If wounds become infected, see your doctor
    • Razors
    • Towels (even during games)
    • Equipment

At North Raleigh Christian Academy, we are taking the proper precautions to protect against MRSA at the school. Treatment tables are cleaned daily and between each patient. The locker rooms and equipment in the weight room are cleaned daily. If you are concerned about a skin problem that develops, please contact your physician. If diagnosed with MRSA, please advise your PE teacher. Please help us in protecting yourself and other students from contracting MRSA.

Ten Worst and Best Children's Foods

Ten of the Worst Children’s Foods

Soda popWhole milk
HamburgersAmerican cheese
Hot DogsFrench fries and tater tots
Ice creamPizza loaded with cheese & meat
BolognaChocolate bars

Ten of the Best Children’s Foods

  • Fresh fruits and vegetables
    (especially carrot sticks, cantaloupe, oranges, watermelon, strawberries)
  • Chicken breast and drumstick without skin or breading
  • Cheerios, Wheaties, or other whole-grain, low-sugar cereals
  • Skim or 1 percent milk
  • Extra-lean ground beef
  • Or vegetarian burgers (Gardenburgers or Green Giant Harvest Burgers)
  • Low-fat hot dogs
    (Yves Veggie Cuisine Fat-Free weiners or Lightlife Fat-Free Smart Dogs)
  • Non-fat ice cream or frozen yogurt
  • Fat-free corn chips or potato chips
  • Seasoned air-popped popcorn
  • Whole wheat crackers or Small World Animal Crackers
School Nurse
Sherie Kemp-Bruce