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Nurse's Station

By Diane Koop

Medical  Diane Koop, RN - School Nurse   Medical           

School Health

 

During the year, your child will be sent to the nurse in case of illness or accident.  You, or the person you name, will be 
notified if the child must be sent home and it will be up to you to get medical attention.  If the emergency is so great that 
the child must be taken immediately from school for medical attention, you will be notified as soon as possible.

For the protection of all the students, the following rules have been set forth and will be adhered to at all times.  A child 
will be sent home with the following:

1.  Fever 100 degrees or above

2.  Suspected contagious illness

3.  Vomiting

4.  Diarrhea

5.  Lice

6. Suspected contagious rash

7.  Feels too badly to remain at school

If your child has any of the above symptoms prior to coming to school, please keep the child at home.  A child must be 
free of fever for 24 hours before returning to school.  Medicating your child with Acetaminophen, Tylenol, Ibuprofen, or 
Motrin does not constitute being fever-free.  A child with a suspected conjunctivitis (pink-eye) should be kept at home 
and will have to be on an antibiotic ey drop for 24 hours before returning to school.  We can allow your child to rest at 
school, but only until arrangements can be made for them to go home.

 

If your child has been diagnosed with any chronic health condition, please inform the nurse.  This includes:  asthma, 
seizures, migraines, anaphylaxis (severe allergic reaction), diabetes, heart or lung abnormalities, arthritis, ADHD, or any 
disease of concern.  Please keep all medical information updated throughout the school year, and notify the school if 
any of your emergency contact numbers change.

 

 

Immunization Branch, School & Child-Care Facility Requirements can be found at the following link

http://www.dshs.state.tx.us/immunize/school/default.shtm#requirements

 

To enter school: State Law requires new entrants to provide immunization record or a signed exemption. These are 
the  required immunizations for PISD:
 
1
UNDER 4 YRS OF AGE 
Three doses DTP/DTaP vaccine
Three doses OPV/IPV
One dose MMR vaccine, received on or after FIRST birthday
One dose of HIB vaccine, received on or after 15 months of age, unless primary series of three and a booster 
have been completed
Three doses of Hepatitis B vaccine
One dose of Varicella vaccine received on or after FIRST birthday
PCV (Pneumococcal) vaccine, series of three, or one AFTER first birthday
HEP A vaccine, two doses given six months apart
TB Skin test with documented results
1
 
PRE-KINDERGARTEN (THROUGH FOUR YEARS OF AGE) 
Four doses DTP/DTaP vaccine, including one received on or after the FOURTH birthday
Three doses of OPV/IPV (polio), including one received on or after the FOURTH birthday
Two doses of MMR vaccine, including one received on or after FOURTH birthday
One dose of HIB vaccine, received on or after 15 months of age, unless a primary series of three and a booster 
have been completed
Three doses of Hepatitis B vaccine
One dose of Varicella vaccine received on or after FIRST birthday OR a parent or physician documented history 
of Chickenpox disease is acceptable
PCV (Pneumococcal) vaccine, series of three, or one AFTER first birthday
HEP A vaccine, two doses given six months apart
TB skin test with documented results 
1
KINDERGARTEN (FIVE YEARS THROUGH SIX YEARS)- 3rd Grade 
Four doses DTP/DTaP vaccine, including one received on or after FOURTH birthday
Three doses of OPV/IPV (polio), including one received on or after FOURTH birthday
Two doses of MMR vaccine, with 1st dose received on or after FIRST birthday
Three doses of Hepatitis B vaccine
Two doses of Varicella vaccine received on or after FIRST birthday OR a parent or physician documented history 
of Chickenpox disease is acceptable
Two doses of Hep A vaccine given 6 months apart  
TB skin test with documented results

The Texas Dept. of Health has decreed that all new students entering the school 
system must have their shots up to date or on schedule in 30 days of entering school.

Immunizations may be obtained from the following places:

  • Your physician
  • Calhoun County Health Dept., 117 W. Ash, Port Lavaca, 361-552-9721
  • Jackson County Health Dept., 411 N. Wells, Edna, 361-782-5221
  • Matagorda County Health Dept., 1100 Ave G, Bay City, 979-245-8421
  • MEHOP, 101 Ave F North, Bay City, 979-245-2008

 

 

 

  

Vision & Hearing 

All 4 year old and kindergarten students are screened annually, as well as any 1st time entrants.  Annual screens
are also done in grades 1,3,5,7, or anytime it's requested by a teacher or a parent.
 

Medications

According to Texas Law Family Code 21.914, authorized employees of the school may administer medication to a
student provided:
  • A signed written request to administer the medication from the parent, legal guardian, or other person
    having legal control of the student is sent to school with the medication.
  • All medication must be in the original container and properly labeled with the name of the drug.
  • All prescription medication must also be labeled with above information including student's name, doctor's
    name, dosage and times to be given and dated.

Students are to check in all medication into the office so that they can be properly dispensed during school hours.
 

Head Lice

What are head lice?
The head louse is a very small insect (parasite) about the size of a pin that lives on the human head by sucking 
blood. The eggs (nits) are tiny tan or gray specks securely glued to the hair shaft (usually close to the scalp). They 
live about a month and reproduce rapidly with the lifecycle of one week from nit to louse and another week from 
louse to producing nits. A female may lay as many as 100 eggs in her lifetime.

Who gets head lice?
Lice are no respecters of persons. Anyone can get them. Personal cleanliness is not necessarily a factor in having 
head lice. They exist primarily with young school-age children. Girls can get them more often than boys.

How are lice spread?
Head lice do not fly, hop, or jump and do not live on animals or anything other than humans. They are transmitted 
from person to person by direct contact and by contact with personal items (combs, brushes, hats, headgear, etc), 
clothing, and bedding (including pillows). Places a person can get head lice are: day care centers, babysitters' 
houses, relative's houses, dance/gym class, movie theaters, public transportation sources (planes, buses), shared 
lockers, slumber parties, church activities and any place that there is contact with
another's head.

What are the symptoms?
Usually the person will have itching and scratching. However, confirmation of lice is made by careful examination 
to identify the live louse and/or nits.

What is the treatment for head lice?
Medicated shampoos, creams, or gels kill lice but these are to be used along with several steps of cleaning to 
assure their elimination. Please read and understand the instructions on treatment. These medications are not 
recommended for children under age 2. People should not use the pediculicides unless they have lice. If you have 
questions, ask your pharmacist.  All the nits (eggs) must be removed to complete the treatment process.

How do you get rid of lice?
The best cure is prevention. People, including children, should not share personal items (combs, brushes, hats, etc.) 
or bedding. These items should be washed frequently. Floors, carpets, furniture, etc., should be vacuumed 
frequently. Parents should inspect their children's heads, hair, and scalp frequently.

How concerned should I be?
There is no reason to panic. Unfortunately this is a fairly common problem. It is a nuisance and inconvenience, but 
lice do not cause disease or other health problems. A lice infestation concern is made worse when parents and 
teachers over react creating unkindness and mistreatment among children. Handling the problem responsibly 
according to accepted guidelines is the best response to a lice infestation.

 

Fifth Disease

What is "Fifth's Disease?" 

Fifth disease is a mild rash illness that occurs most commonly in children. The ill child typically has a 
"slapped-cheek" rash on the face and a lacy red rash on the trunk and limbs. Occasionally, the rash may itch. An ill 
child may have a low-gradefever, malaise, or a "cold" a few days before the rash breaks out. The child is usually 
not very ill, and the rash resolves in 7 to 10 days. 

 

FACT SHEET: Methicillin-Resistant Staph Aureus

 

Links & Resources
 

 
 

 

 

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