Clinic

Asthma Daily Treatment Planpdf

Communicable Disease Chart:
https://www.dshs.texas.gov/immunize/docs/6-30.doc

Flu:
https://www.dshs.texas.gov/flu/

https://www.dshs.texas.gov/flu/surveillance.aspx

COVID 19:
https://www.conroeisd.net/roadmap-to-reopening/

https://www.dshs.texas.gov/coronavirus/

Diabetes Medical Management Plan Formpdf

Conroe ISD policy allows school nurses to train authorized school employees to administer medication to students during school hours should it be necessary for the student’s optimum health and for maintaining maximum school performance. Texas Law requires districts to have the following information on file for all students who receive medication at school.

Non-prescription drugs and Prescription Drugs:
The school must receive a written and dated request from the parent or legal guardian to administer any medication (see attached Medication Permission Form). This permission must include the name of the drug, the exact dosage and reason or purpose the student is to receive the medication. Prescription and non-prescription drugs must be in the original container and properly labeled. Medications given at school must be approved by the Federal Drug Administration (FDA). Only the guidelines printed on the container will be followed unless a physician order is present. The Surgeon General, the Food and Drug Administration, and the Center for Disease Control have recommended that due to the increased risk of developing “Reye’s Syndrome”, aspirin or products containing aspirin not be given to children under 18 years of age. If your physician orders aspirin for your child, please send a copy of the physician order.

Additional guidelines for medication to be administered at school:
1. All medication must be kept in the clinic during the school day.

2. Over-the-counter medication dosage must not exceed the dose recommendation listed on the bottle. Exception: If your physician, dentist, or orthodontist has directed a certain dosage to be given that is greater than that recommended on the bottle, a written order will need to be included with the Medication Permission Form from the parent.

3. The use of “sample” medication from the physician, dentist, or orthodontist must have signed written instructions from that doctor accompanied by the parent written permission.

4. In the interest of safety for all students, medications cannot be transported to or from school on the school bus. Should your child need to have medication, including the use of cough drops at school please bring or make arrangements for the medication to be brought to the clinic. For your convenience, many of the local pharmacies will provide a second labeled container for medications needed at school. Please note: If a medication is required daily or twice-a-day, please administer at home. Many three-times-a-day orders may also be given at home unless the doctor requests specific time during school day.

5. A record of each medication given at school is maintained in the clinics EMR.

6. Inhalers: Students with asthma may experience times when symptoms worsen and a physician requests that the student carry an inhaler to be used as needed. Please provide a letter from the physician with complete instructions for inhaler use and permission for the student to carry the inhaler. It is strongly recommended that a spare inhaler be kept in the clinic in case a student is unable to locate their personal inhaler.

7. For medication for anaphylaxis, such as an “epi-pen”, to be in the possession of a student, the student must have a written letter from a physician stating that the student is capable of self-administering the medication if needed. This procedure is also evaluated by the school nurse to ensure that the student is adequately prepared to self-administer the medication. It is strongly recommended a spare “epi-pen” be kept in the clinic.

8. All medication is to be checked in and picked up in the clinic by a parent or a designated adult at the beginning of the school year and end of the school year. No medication will be kept over the summer months. Please make arrangements with your campus clinic staff regarding pick-up of medications.

What to do About Food Allergies at School

More and more, children are being diagnosed and experiencing food allergies. Although any food can cause an allergic reaction in a person, the top 8 offenders (90% of food allergies) include milk, peanuts, eggs, tree nuts, wheat, fish, soybean, and shellfish. The best practices in dealing with food allergies are avoidance and being prepared for an allergic reaction at any time.

What can parents do to help? Even if your child does not have an allergy, be mindful that many other students do have allergies and be considerate of those when sending in treats for the class. Talk with your student’s teacher(s) about how the food allergies are being managed in class. Have a written plan in place with the teacher for parties in class and/or provide alternate foods. Provide snacks for your child in class that you know the child can tolerate. Remember when packing classroom snacks that nut containing snacks are not allowed to be eaten in the classroom for any student. Provide the school nurse with written documentation from the student’s doctor that includes and individual emergency plan if necessary. Provide properly labeled medications per school policy and replace after use or when expired. Keep emergency contact information up to date. Teach your child age-appropriate ways to assist in avoiding reactions. (Knowing what foods to avoid, practice asking what is in foods, role play talking to friends about their allergy and enlisting their help to avoid the food, never share or trade food, etc.) Clean hands with soap and water before and after eating.

Be prepared the first day your child enters school each year. Reactions are never planned; emergency supplies and an allergy action plan should be on hand at all times in the nurse’s office. An updated School Allergy Action plan is required each school year. Make sure the nature of previous reactions is known at school. If your student requires an allergen free table at lunch, please notify nurse or teacher by completing the Parent Acknowledgement Form. Remember that all birthday treat food items must be store bought and in the package with the nutrition label for easy allergen identification. Consider sending in non-food items instead for treats.

Severe Allergy Action Plan Formpdf
Food Allergies Parent Acknowledgement Formpdf
Food Allergies Concerns Permission Formpdf

What are head lice?
– Head lice are parasitic insects that can be found on the head of people. Head lice feed on human blood several times a day, and live near the scalp. Head lice lay eggs, called nits, on the hair shaft, very close to the scalp. Nits further than¼ inch from the scalp are likely dead/hatched. Lice do not spread disease.

What are the symptoms of head lice?
– Tickling, feeling something moving in your hair
– Itching, caused by an allergic reaction to the louse bite
– Irritability and difficulty sleeping; lice are most active in the dark
– Sores on the head caused by scratching (which can lead to secondary bacterial infection)

How do you get rid of head lice?
– Examine everyone in the home for lice and nits. Look carefully through the hair and at the scalp, behind the ears, and the back of the neck. Nits are easier to see than live lice.

– Treat only the household members who have lice.

– Comb the hair after treatment, using a special lice/nit comb. Separate the hair into sections and try to comb out every nit and louse. Live nits that are not combed out will hatch within 7-10 days. Nit-combing is the most time-consuming step, but also the most important.

– Without a human head (not a dog or cat), lice dehydrate and die after 24 – 48 hours. Wash and dry sheets, pillow cases, and towels using hot water and high heat. Vacuum the floor and furniture, or cover the furniture and car seats with a “barrier” such as a sheet or blanket for 48 hours. Clean the hair from your brushes and place in the dishwasher, or soak in alcohol for one hour.

– Follow the lice treatment product directions for when to retreat. It is usually recommended to retreat 7-10 days after the initial treatment. Continue to check heads daily until 1 week after second treatment or 1 week after last louse or nit is removed.

How are head lice spread?
– Head lice are spread by direct contact with the hair of an infested person. The highest risk involves head-to-head contact. Lice crawl. They do not jump or fly as they do not have wings. Personal hygiene and cleanliness have nothing to do with getting head lice.

How are head lice prevented?
– Teach children to avoid head-to-head (hair-to-hair) contact during play at home, school, and elsewhere (sports activities, playground, sleepovers, selfies).
– Avoid sharing clothing (hats, scarves, coats).
– Avoid sharing brushes, combs, and hair accessories.

Is there a season for head lice?
September is National Head Lice Awareness Month. Head lice incidences peak shortly after school starts particularly among young children. This is most likely due in part to younger children playing closely together and having head-to-head contact. During the winter season, the sharing of coats and hats may contribute to head lice occurrences. As spring comes, outdoor playing and sports activities bring children close together. Summertime often means summer camps and sleepovers which can lead to the spreading of head lice. So it seems as if there is no one season for head lice. Year-round awareness and routine family inspection will help prevent head lice occurrences.

Resources:
Center for Disease Control & Prevention
Texas Department of State Health Services

For additional information, please visit the CISD Health Services website.

• Immunizations Pre-K
• Immunizations K-12
• Pre-K Required Immunization Checklist 2022-2023
• K-6th Required Immunization Checklist 2022-2023
• Immunizations Exemptions

Health Related Services
Please always call ahead to verify all listed services are still available.

CHIP/Children’s Medicaid
http://chipmedicaid.org/
$50 a year or less covers all children if your family qualifies.

Christus Healthy Living Mobile Clinics
Free Immunizations monthly to first 50.

Express Family Clinic (2 locations):
610 Rayford Rd #644, Spring 77386
#281-742-0624;
16145 HWY 105 W Ste 600
Montgomery, TX 77356
#936-463-8104
They take walk-ins and charge only $10 per vaccine for children. Low cost office visits for sick visits.

Interfaith of The Woodlands
Medical/Dental/ Mental Health Services:
http://woodlandsinterfaith.org/

Interfaith Community Clinic
101 Pine Manor Drive
Oak Ridge North, TX 77385
Ph. 281-364-7889

Lone Star Family Health Clinic
Medical/Dental/Mental Health services
Onsite Case Manager to assist
440 Rayford Rd. Suite 150 Spring, 77386
Phone: 936.539.4004
www.lonestarfamily.org

TOMAGWA Healthcare Ministries
Medical and Dental Clinic
#281-357-0747
Magnolia and Tomball locations
http://www.tomagwa.org/

Conroe ISD policy allows school nurses to train authorized school employees to administer medication to students during school hours should it be necessary for the student’s optimum health and for maintaining maximum school performance. Texas Law requires districts to have the following information on file for all students who receive medication at school.

Non-prescription drugs and Prescription Drugs:

The school must receive a written and dated request from the parent or legal guardian to administer any medication (see attached Medication Permission Form). This permission must include the name of the drug, the exact dosage and reason or purpose the student is to receive the medication. Prescription and non-prescription drugs must be in the original container and properly labeled. Medications given at school must be approved by the Federal Drug Administration (FDA). Only the guidelines printed on the container will be followed unless a physician order is present. The Surgeon General, the Food and Drug Administration, and the Center for Disease Control have recommended that due to the increased risk of developing “Reye’s Syndrome”, aspirin or products containing aspirin not be given to children under 18 years of age. If your physician orders aspirin for your child, please send a copy of the physician order.

Additional guidelines for medication to be administered at school:

1. All medication must be kept in the clinic during the school day.
2. Over-the-counter medication dosage must not exceed the dose recommendation listed on the bottle. Exception: If your physician, dentist, or orthodontist has directed a certain dosage to be given that is greater than that recommended on the bottle, a written order will need to be included with the Medication Permission Form from the parent.
3. The use of “sample” medication from the physician, dentist, or orthodontist must have signed written instructions from that doctor accompanied by the parent written permission.
4. In the interest of safety for all students, medications cannot be transported to or from school including on the school bus. Should your child need to have medication, including the use of cough drops at school, please make arrangements for the medication to be brought to the clinic by a parent or guardian. For your convenience, many of the local pharmacies will provide a second labeled container for medications needed at school. Please note: If a medication is required daily or twice-a-day, please administer at home. Many three-times-a-day orders may also be given at home unless the doctor requests specific time during school day.
5. A record of each medication given at school is maintained in the clinics EMR.
6. Inhalers: Students with asthma may experience times when symptoms worsen and a physician requests that the student carry an inhaler to be used as needed. Please provide a letter from the physician with complete instructions for inhaler use and permission for the student to carry the inhaler. It is strongly recommended that a spare inhaler be kept in the clinic in case a student is unable to locate their personal inhaler.
7. For medication for anaphylaxis, such as an “epi-pen”, to be in the possession of a student, the student must have a written letter from a physician stating that the student is capable of self-administering the medication if needed. This procedure is also evaluated by the school nurse to ensure that the student is adequately prepared to self-administer the medication. It is strongly recommended a spare “epi-pen” be kept in the clinic.
8. All medication is to be checked in and picked up in the clinic by a parent or a designated adult at the beginning of the school year and end of the school year. No medication will be kept over the summer months. Please email your campus clinic staff regarding pick-up of medications.
9. Please complete 1 Medication Permission Form per medication. (see Medication Permission Formpdf)

Severe Allergy Action Plan Formpdf

Physical Activity Notes and Crutches at School

If you have been given a physical activity restriction note from your student’s physician at any time throughout the school year due to illness or injury, please send it in immediately.  Students who have a note to refrain from physical activity for the day will be allowed to sit out of PE class and recess.  A parent note is acceptable to refrain from physical activity for up to 3 days, then a physician’s note is required.  If a student requires the use of assistive devices such as crutches, wheelchairs, or scooters, at any time during their years here at Galatas Elementary, it is district policy that a physician note be provided documenting the need for crutches or other assistive devices. (See page 54 of the CISD Elementary & Intermediate Student Handbook)

Seizure Action Plan Formpdf
Parent Seizure Questionnaire Formpdf