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NURSES CLINIC
Medication Forms pdf
Asthma Medication Self-Administration
Medication Form from Parent
Prescription Medication
Epi-Pen Pack: Allergy Action Plan
Epi-Pen Pack: Permission to Carry Epipen
 
Information
Clinic Information
Immunizations
Medication Guidelines
Student Illnesses
TEA Information on Bacterial Meningitis
Clinic Hours: 8 am-3 pm
EMERGENCIES ONLY after 3 pm
 
 
 
Jodi Mills, RN (all day)
Sandy Mertel, RN (1/2 day)
FAQ's
How do I receive a copy of my immunization records if I have already graduated from FHS?
> Call and speak to the registrar or her secretary and a copy will be mailed or faxed to you.
How do I request a copy of my immunization records if I am still attending FHS?
> Call the nurse and she will mail, fax, or hand-deliver a copy to you.
How can a student take medication at school?
> Send the medication to the school nurse in the ORIGINAL container and include a parent note giving permission for the student to take the named medication, amount, and time(s) to be given. Include in the note if this medication is for one day, all week, or all school year.
My student needs a wheelchair at school; can we borrow the nurse's wheelchair? 
We are unable to lend our wheelchair out for all day use because we need access to our wheelchair in case of a student accident or illness at school. You can rent wheelchairs at medical supply stores in the local area. 
CLINIC INFORMATION

Clinic Passes
Hall and elevator passes are issued by the school nurse for injured students.

Dispensing of Medication
All medications, prescription and over-the-counter, must be brought to the nurse's clinic WITH a note from a parent giving the nurse permission to dispense the medication at school. No dietary supplements can be given.

Excuses from Physical Activity
All PE notes should be signed by a parent and brought to the nurse before 8:30am. 

SIP (Shelter in Place)
Parents, please bring your child's medication for storage to the Clinic for our SIP policy.

Vision and Hearing Testing
All NEW STUDENTS to FHS will have their vision and hearing tested.  Parents and teachers may request vision and hearing testing on current FHS students.

AED (Automatic External Defibrillator) The high school has two AED's on campus.

IMMUNIZATIONS

Texas Law requires specific immunizations for all students enrolled in schools. All required immunizations must be completed, validated by a doctor or health department, and on file at school the first day of classes. The following is the immunization schedule for students of this particular high school age group:

Age 12 and over
- Tetanus Diphtheria (Td) - One booster dose within the last 10 years.
- Polio - One booster dose since 4th birthday.
- Rubeola (Red Measles) - Two doses of measles immunization, no closer than 30 days apart, that must have been received on or after the first birthday.
- Mumps - Must be received on or after 1st birthday.
- Rubella - Must be received on or after 1st birthday.
- Hepatitis B-Three doses of vaccine required
- Varicella (Chickenpox) - requirements listed below:
......One dose of vaccine received on or after the first birthday, OR
......Two doses of vaccine are required if the first dose is received on or after 13th birthday, OR
......Parent documentation of child having had chickenpox disease fulfills this vaccine requirement

* All new immunization dates must include the day, month, and year.

STUDENT ILLNESSES

For the protection of all students, the following health rules have been set up and will be followed at all times. A child cannot remain in school with:
1.Fever of 100 degrees or over (it is strongly recommended that a student be FREE FROM FEVER for 24 hours before returning to school)
2.Rash or weeping sores
3.Vomiting
4.Diarrhea
5.Red, discharging eyes, or
6.ANY ILLNESS MAKING HIM FEEL TOO BADLY TO PARTICIPATE

A student having any of the above symptoms BEFORE SCHOOL SHOULD STAY AT HOME for observation and care. There are limited facilities for putting students to bed. This is only until arrangements can be made for him/her to go home. A student will not be sent home to be left alone without special arrangement with and permission of the parent.

Students who have been absent from school because of a communicable disease or illness diagnosed as strep throat, scarlet fever, or skin disease (ringworm, head lice, impetigo) or pink eye are required to bring a doctor's statement authorizing return to school. Also, any illness or injury which causes the student to miss three consecutive days of school must return with a note from the Doctor authorizing the return to school. The school nurse is not in a position to diagnose or treat illnesses. For questions about diagnosis or treatment, a medical doctor should be consulted.

Legal factors limit school employees in the administration of medication. If it is essential that the nurse administer medication during school hours, WRITTEN INSTRUCTIONS, SIGNED BY THE PARENT, must accompany the medication. Prescription medications must be specific for the student with a pharmacy label. Prescription and nonprescription medications must be in the original containers. If a student needs to carry a prescribed Inhaler, the nurse needs a parent note on file in the clinic EACH YEAR. ALL MEDICATION (except for inhalers and cough drops) MUST BE KEPT IN THE CLINIC. All medication must be picked up by the student or the student's parent at the end of each school year or it will be destroyed.

The wheelchair in the nurse's clinic is ONLY for emergencies! If a student needs a wheelchair during school hours, they must provide their own.

FISD MEDICAL GUIDELINES

When possible, all medication should be given by the parent at home. However, some medication will be dispensed at school according to the following guidelines:
1. Written permission and specific directions for administration of medication are required. Directions must include student's name, date, and name of medication, dosage and time to be given.
2. All medication must be provided by the parent in the original container.
3. All medication must be brought to the clinic upon arrival to school.
4. The student should not carry on him/herself nor administer to him/herself any medication. Exceptions may be made for asthma inhalers, epi-pens and cough drops.
5. The school nurse will supervise the storing and dispensing of medication.
6. Field trip medication: Long-term prescription medication will be given on a field trip provided the parent understands the following:
> Another staff member will give long-term medications during the field trip. The nurse does not attend field trips. One dose of your child's medication will be sent with the designated staff member in a properly labeled container from the pharmacy where the prescription is filled. This must be supplied to the school nurse prior to the day of the field trip. If a separate container is not supplied then the nurse will send all the medication in the bottle from the clinic.
> The parent may elect not to have the child receive medication on a field trip.
> The parent may attend the field trip and administer medication to their child.
7. Permission to carry asthma inhalers, epi pens and equipment to self manage diabetes care will be given to students provided the appropriate forms have been completed. You may obtain these forms from the nurse or school nurse website. The nurse may withdraw this privilege if the student does not demonstrate proper responsibility in regard to medication.
8. Every effort will be made to give medication as close to the specified time as possible. However, students often forget medication or there are emergencies in the clinic. The nurse will make sure that medication is administered within 1/2 hour of the scheduled time. This is standard for hospitals and other facilities where medications are administered.
9. In order to assure the safe delivery to school of controlled medication, the parent should deliver these medications directly to the nurse. However, if this is impossible; the parent must adhere to the following:
> The parent must bring the original prescription container to school initially, with a parent note stating the information in #1 as well as a controlled substance form (available on the website).
> When the medication container is empty it will be sent home with the student.
> A note will also be sent home for the parent to fill out and send back to the nurse with the medication.
> The parent should count out how much medication they are sending in the bottle, fill in the medication name and amount and sign the form.
> The student must bring medications to the nurse on arrival to school.
10. If the dosage of the student's medication is changed, a new parent note or in the case of an inhaler or epipen a new physicians authorization form must be signed. These forms are available in the nurse's office and online.
11. Herbal medications, dietary supplements and home remedies will not be given during school hours since they are not FDA approved.
12. Medication orders may only be received from physicians, dentists, AP nurses and physician's assistants licensed to prescribe medication in Texas.
13. Medication from foreign countries, including Mexico, will not be given during school hours.
14. At the end of the school year, all medication must be picked up by the student or parent from the nurse's office. Any medication left in the nurse's office will be destroyed.

TEA INFORMATION ON BACTERIAL MENINGITIS
What is meningitis? Meningitis is an inflammation of the covering of the brain and spinal cord---also called the meninges. It can be caused by viruses, parasites, fungi, and bacteria. Viral (aseptic) meningitis is common; most people recover fully. Medical management of viral meningitis consists of supportive treatment and there is usually no indication for the use of antibiotics. Parasitic and fungal meningitis are very rare. Bacterial meningitis is very serious and may involve complicated medical, surgical, pharmaceutical, and life support management.
 
There are two common types of bacteria that cause meningitis:
* Strep pneumoniae causes pneumococcal meningitis; there are over 80 subtypes that cause illness
* Neisseria meningitidis-meningococcal meningitis; there are 5 subtypes that cause serious illness-A, B, C, Y, W-135

What are the symptoms? Someone with meningitis will become very ill. The illness may develop over one or two days, but it can also rapidly progress in a matter of hours. Not everyone with meningitis will have the same symptoms.
Children (over 1 year old) and adults with meningitis may have:
* Severe headache
* High temperature
* Vomiting
* Sensitivity to bright lights
* Neck stiffness, joint pains
* Drowsiness or confusion
***In both children and adults, there may be a rash of tiny, red-purple spots or bruises caused by bleeding under the skin. These can occur anywhere on the body. This is also a sign of blood poisoning (septicemia), which sometimes happens with meningitis, particularly the meningococcal strain.

How serlous is bacterial meningitis?
If it is diagnosed early and treated promptly, the majority of people make a complete recovery. In some cases it can be fatal or a person may be left with a permanent disability, such as deafness, blindness, amputations or brain damage (resulting in mental retardation or paralysis) even with prompt treatment.

How is bacterial meningitis spread?
Fortunately, none of the bacteria that cause meningitis are as contagious as diseases like the common cold or the flu, and they are not spread by casual contact or by simply breathing the air where a person with meningitis has been. The germs live naturally in the back of our noses and throats, but they do not live for long outside the body. They are spread when people exchange saliva (such as by kissing, sharing drinking containers, utensils, or cigarettes).
The germ does not cause meningitis in most people. Instead, most people become carriers of the germ for days, weeks or even months. Being a carrier helps to stimulate your body's natural defense system. This bacterium rarely overcomes the body's immune system and causes menlngitis or another serious illness.

What is the rlsk of getting bacterlal meningitis?
The risk of getting bacterial meningitis in all age groups is about 2.4 cases per 100,000 population per year. However, the highest risk group for the most serious form of the disease, meningococcal meningitis, is highest among children 2 to 18 years old.

How is bacterlal meningitis diagnosed?
The diagnosis is usually based on a combination of clinical symptoms and laboratory results from spinal fluid and blood. Spinal fluid is obtained by a lumbar puncture (spinal tap).

How can bacterlal meningitis be prevented?
Do not share food, drinks, utensils, toothbrushes, or cigarettes. Limit the number of persons you kiss.
 
Vaccines against pneumococcal disease are recommended both for young children and adults over 64. A vaccine against four meningococcal serogroups (A, C, Y, W-135) is available. These four groups cause the majority of meningococcal cases in the United States. This vaccine is recommended by some groups for college students, particularly freshmen living in dorms or residence halls. The vaccine is safe and effective (85-90%). It can cause mild side effects, such as redness and pain at the injection site lasting up to two days. Immunity develops within 7 to 10 days after the vaccine is given and lasts for up to 5 years.

What should you do if you think you or a friend might have bacterial meningitis?
Seek prompt medical attention.

For more information
Your family doctor, school nurse and the staff at your local or regional health department office are excellent sources for information on all communicable diseases. You may also call your local health department or Regional Texas Department of Health office to ask about meningococcal vaccine. Additional information may also be found at the web sites for the Centers for Disease Control and Prevention: www.cdc.gov and the Texas Department of Health: www.tdh.state.tx.us.