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Handbook: Clinic

 

It is the goal of the Central School Health Service to provide health counseling, screening, referrals, and follow-up in order to maximize health for academic success.

The Central Clinic is designed to treat minor injuries and to act as a temporary “waiting room” for students who have become ill during the school day. Should a student become ill, only persons designated on the Health Information /Emergency Release Card will be contacted to pick up the student. All telephone numbers must be recorded on the Health Information/Emergency Release Card and updated immediately if changes occur during the school year.

Students will be required to have a pass from their teacher prior to coming to the clinic. Students who do not have a pass will be sent back to class.

Communicable Disease Control

If a communicable disease is suspected, the student will be sent home. Communicable diseases listed have mandatory exclusion from school until certain criteria are met. Please consult with the school nurse to ascertain the length of time your child must stay home from school. These include, but are not limited to chicken pox, head lice, viral hepatitis Type A, impetigo, measles, rubella, mumps, pink eye, ringworm of the scalp or body, scabies, strep throat and scarlet fever. Students with a temperature over 100.0F will be sent home.

Health Screening

Texas law mandates vision, hearing, and scoliosis screening for all 9th grade students and those that are new to the District.

Immunization

Texas law requires that all students enrolled in public schools have a current record of their immunization against certain diseases on file in the school they attend. It is the responsibility of the parent or guardian of the student to provide the necessary immunization documentation. The parent or guardian will be notified of the need to update immunizations.

If for religious reasons immunization is not possible, a religious exemption form must be completed, notarized, and kept on file in the clinic. If there are medical contra-indications, an affidavit signed by the physician must be on file in the clinic. Unless specified by the physician, medical exemptions will be valid for one year only.

The law presently requires high school students to have the following immunizations on record in the school clinic:

  • 3 doses of DPT with one dose on or after the 4th birthday.
  • 3 doses Polio with one dose on or after the 4th birthday.
  • 2 doses MMR received on or after the 1st birthday.
  • 3 doses Hepatitis B for students born on or after September 1, 1988.
  • 1 dose Varicella or date if child had chickenpox (NOTE: if Varicella vaccine is given after the 13 birthday, 2 doses are required to provide full immunity).

Medication Administration

All medication should be given outside of school if possible. Most medications, even those scheduled for three times per day, can usually be given outside of school hours.

Texas state law does not permit public schools to provide Tylenol, Advil, cough preparations or other over-the-counter medications to students unless these are supplied from home (and have written parent consent). All prescription medications must be kept in the clinic and dispensed by designated school personnel. · Written consent and specific instructions for administration must be provided for each medication. There are medication cards available for this purpose in the school clinic and office.


Medications must be:

  • In the original, properly labeled container (no baggies or envelopes),
  • Up to date (check expiration date before bringing it to school), and
  • Age appropriate in dosage. (The nurse may not give aspirin or any aspirin-containing product without specific physician's orders.)

Self Medication

Students are permitted to carry an over- the-counter remedy (such as a one day dose of Tylenol, Aleve or Midol) and only when accompanied by written parent permission (a special form is available in the school clinic). Medication must be in the original container and up to date. Aspirin may not be taken by students under 18 without a doctorÂ’s note.

Inhalers - Asthma inhalers may be carried by the students during the school day if they have physician authorization and written parent consent on file in the clinic. We urge all asthmatics to keep an extra inhaler in the clinic as back-up.

Injectable medications may only be given by the nurse or a trained designee and only in life threatening/urgent situations. There must be written authorization and instructions from the physician on file. A special form available for this is in the clinic.

Herbal and homeopathic remedies require the following before they can be administered:

  1. Physician description of content and possible adverse effects,
  2. Written parental consent, and
  3. Specific instructions for use.

Prescription and non-prescription medication requests with parent/physician permission are to be renewed at the beginning of each new school year. At the end of each school year, students will be notified that medications must be taken home. Any medications that are not picked up will be discarded.

 

 


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