Nurse

Tips for Staying Healthy

With seasonal illnesses starting up, make sure to follow these germ-stopping tips to keep yourself healthy!

Cover Coughs and Sneezes. Clean Hands.
Be a germ stopper at school and home. Cover your mouth and nose when you cough or sneeze. Use a tissue and throw it away.

Clean your hands a lot:
• After you sneeze or cough
• After using the bathroom
• Before you eat
• Before you touch your eyes, mouth or nose

Washing hands with soap and water is best. Wash long enough to sing the “Happy Birthday” song twice. Or, use gels or wipes with alcohol in them. This alcohol kills germs!  Stop germs. And stop colds and flu.

 

Information about when to keep you child home from school during and after an illness.

When to Keep Your Child Home From School: The American Academy of Pediatrics, the Texas Department of State Health Services and the Round Rock ISD recommend that students be kept home from school if any of the following conditions exist:

  • Signs of severe illness, including fever, irritability, difficulty breathing, crying that doesn’t stop with the usual comforting, or extreme sleepiness.
  • Diarrhea or stools that contain blood or mucus.
  • Vomiting two or more times in 24 hours, unless a physician feels the cause of vomiting is not an infectious disease, writes a note to that affect and the student is in no danger of becoming dehydrated.
  • Mouth sores and drooling until a physician or the health authority does not feel the condition is infectious.
  • Fever or rash or a change in behavior until a physician has determined that the problem is not caused by an infectious disease.

Fever: Students with a temperature of 100˚ or above (orally) will be sent home. To prevent the spread of a contagious disease, ill students must be symptom free and fever free without the use of temperature reducing medications for 24 hours before returning to school.

Medication Procedures

Medication may be administered at school with:

1. A parent or guardian’s written request that there is a need for medication during the school day and the parent provides the medication. This includes both prescription and over-the-counter medications.

2. No medication is provided by the school except in an emergency situation and according to standing physicians orders.

3. Medication must be kept in the school clinic and administered by the school nurse, health assistant or school employee.

4. No medication will be sent home with a student. Parents/Guardians must pick up all medications whether prescription or over-the-counter.

5. Over-the-counter medication must be in the original bottle or box with the label intact and non-expired. Dispensing directions regarding age, dose and frequency will be strictly adhered to. Request to alter the standard dosage or frequency on over-the-counter medication must be accompanied by a physician’s written note and signature. Over the counter medications cannot be given more than 5 consecutive days without a note from the physician.

6. Prescription medication must be in the original container and non-expired. It must be properly labeled in a prescription bottle/box with the student’s name, medication name, and directions for dispensing the drug and written by a physician licensed to practice in the United States. A physician’s signature is required for any dosage or medication change on prescription medication. All PRN (as needed) prescription medications will need a physician’s signature.

7. Short-term prescription medication can be administered for up to 10 consecutive days without a physician’s signature. The prescription label can be no more than 7 days old upon receipt by the school clinic. A written request/signature from a physician must be obtained if the medication needs to be administered for more than 10 days.

8. Medications (controlled substances) will be counted by the school nurse or the health assistant upon arrival at school and documented as to the number of pills received. Medications must be delivered by the parents/guardians.

9. Medications prescribed or requested to be given three times a day or less will not be given at school unless a specific time of administration during school hours is prescribed by a physician.

10. A student may be allowed to self-administer inhaled asthma medication, epinephrine, or diabetes treatment ONLY if the following conditions have been complied with:
A. Written permission from the physician allowing the student to self-medicate or treat
B. The nurse has counseled the parent and the student on the school’s inability to monitor the student’s health condition during the school day while self-medicating or treating
C. The student complies with all campus safety policies

11. No district employee will administer herbal substances, anabolic steroids or dietary supplements except as provided in RRISD Policy: FFAC (local). Herbal substances or dietary supplements may be administered as prescribed by a physician if it is required by the IEP or Section 504 plan of a student with a disability. Medication must be provided by student’s parent or guardian. Reliable information must be given by the physician regarding the safe use of the product including side effects, toxicity, drug interactions and adverse effects.

***In accordance with the Nurse Practice Act; Texas Administrative Code, Section 217.11, the Registered Nurse and the Licensed Vocational Nurse have the responsibility and authority to refuse to administer medications that, in the nurse’s judgment, are contra-indicated for administration to the student.***