Nursing and Health Services

Chittenden Central Supervisory Union is dedicated to providing quality support for all students regarding health and wellness. Our schools are staffed with Nurses and LPNs (Licensed Practical Nurses) in order to support students in their learning and well being while at school.

Curriculum around and wellness has been designed and is being implemented in an integrated way throughout the Supervisory Union. The goal of these activities is to promote health and be proactive in preventing health related issues for all our students. Click below to see our standards!

Health and Wellness Standards

To see school specific information on Nursing and Health Services, select your school from the tabs above.


As required by Act 68, below please find the K-8 Concussion Plan for CCSU (The EHS 9-12 Protocol can be found on the EHS Athletics page):

Chittenden Central Supervisory Union (Schools Without Athletic Teams/Clubs): Concussion Action Plan

Chittenden Central Supervisory Union has developed this protocol to address the issue of the identification and management of concussions.  Vermont State Concussion Law, Act 68 was passed into law in 2013 and recommends that all schools have a concussion action plan.

A safe return to activity protocol (learning and athletics) is essential following a concussion.  The goal of this concussion protocol is to ensure that concussed students are identified, treated, and referred appropriately for return to learn.  Consistent use of a concussion management protocol will ensure that a student receives appropriate follow-up and/or academic accommodations in order to make certain that s/he is fully recovered prior to returning to full learning and physical activities involved during the school day.

This protocol will be reviewed annually by the Principal and the school nurse. Changes and modifications will be reviewed and written notifications will be provided to appropriate school personnel and will be posted in the Student Handbook and/or on the Chittenden Central Supervisory Union website.

Recognition of Concussion
These signs and symptoms – following a witnessed or suspected blow to the head or body are indicative of a probable concussion.

Signs (observed by others)

Symptoms (reported by student)

Appears dazed or stunned


Exhibits confusion


Moves clumsily (altered coordination)

Nausea or vomiting

Balance problems

Double vision, blurry vision

Personality change

Sensitive to light or noise

Responds slowly to questions

Feels sluggish

Forgets events prior to event

Feels “foggy”

Forgets events after the event

Problems concentrating

Loss of consciousness (not required)

Problems remembering

Any student who exhibits signs, symptoms, or behaviors consistent with a concussion must be removed from physical activities involved in their school day and their parents/guardians will be notified immediately.

The school nurse is the individual assigned to inform parents/guardians that their student/child may have sustained a concussion.

Act 68 requires that schools must outline the steps required before a student can return to physical and learning activity.

Return to Learn  Protocol:  A student’s return to school following a concussion is an extremely individualized process.  A concussion, no matter how mild it may seem at the time, is a brain injury.  The management of the concussion is best accomplished by communication and collaboration among parents, the school, and the health care providers. The following steps are required before the student can return to academic activity after a suspected concussion.

If the concussion takes place outside of school the parent or guardian should notify the school nurse of the concussion or suspected concussion.

Participation in the Return to Learn Protocol (RTL).  The school nurse will implement the RTL Protocol (
Home – Total Rest
Home – Light Mental Activity
School – (part time) – maximum accommodations
School – (part time) – moderate accommodations
School – (full time) – minimal accommodations
School – (full time) – full academics, no accommodations

Review of information provided in the links below for students and parents.  This information will be provided by the school nurse.
Student Brochure:

Parent Brochure:

The student’s Primary Care Provider will determine Return To Play status, as athletics teams and clubs are not included in this protocol.