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School Health Services
Healthy Bodies = Healthy Minds
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Welcome to the Harlandale I.S.D. School Health Services Informational Web Page! 

The School Health Services Facilitator is Mr. Rodney La Point, RN. you can e-mail any questions concerning your child's medical conditions or therapies to rodney.lapoint@harlandale.net

School Health Services Overview

At Harlandale, caring for your child is the School Nurse's number one priority! This may mean having to send your child home for the day to seek medical care for a condition identified by the School Nurse. However, maximizing your child's time spent in the learning environment is the ultimate goal for every child, in every classroom, everyday. So, sending your child home for the day will only be an option if it is the fastest way of returning your child to the learning environment. Non-urgent and non-emergent conditions will be referred to a physician for care, but can be addressed in the physician's office by appointment as much as possible. If the condition is urgent or emergent like lacerations or obvious broken bones, the call to you by the School Nurse or School Representative will be made with directions to have your child seen immediately by the ER or Urgent Care Clinic.

 

Immunizations

Children of school age are required to have certain immunizations to attend school. The link below is where you can get more information as to what immunizations are due at the different ages.

Texas Department of State Health Services  http://www.dshs.state.tx.us/immunize/school/default.shtm
 
Remember: If your child has just turned 4 (or will be 4 this month), your child is due for immunizations required for school. If your child will be starting 7th grade, they are also due for immunizations prior to the start of that grade. If either situation applies to your child, you should call your family doctor or Pediatrician and make an appointment to get those required immunizations. If you have any questions, ask your School Nurse. If you need a copy of an officail shot record, the Health Department can provide you one at a nominal cost, but your School Nurse can print you an official copy for FREE. Just ask your School Nurse.
 
Here is the Law subsection (a) that allows for exclusion of a student for delinquent immunizations.

Rule § 97.66 Provisional Enrollment for (Non-Higher Education...) Students

(a) The law requires that students be fully vaccinated against the specified diseases. A student may be enrolled provisionally if the student has an immunization record that indicates the student has received at least one dose of each specified age-appropriate vaccine required by this rule. To remain enrolled, the student must complete the required subsequent doses in each vaccine series on schedule and as rapidly as is medically feasible and provide acceptable evidence of vaccination to the school. A school nurse or school administrator shall review the immunization status of a provisionally enrolled student every 30 days to ensure continued compliance in completing the required doses of vaccination. If, at the end of the 30-day period, a student has not received a subsequent dose of vaccine, the student is not in compliance and the school shall exclude the student from school attendance until the required dose is administered.

Here is the web site we can link to if you like.

http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=25&pt=1&ch=97&rl=66

 

FEVER POLICY

As we approach the end of November, we are entering into the cold and flu season that lasts until late March. Along with this time, we see an increase in the number of illness accompanied by fever. The district defines fever as a temperature of 100 degrees or higher. A student with a fever is to be excused from school UNTIL 24 HOURS AFTER THE FEVER HAS STOPPED, AND IS NOT BEING CONTROLLED BY A FEVER REDUCING MEDICATION LIKE TYLENOL OR MOTRIN. Remember if any illness goes 3 days or more, the school requires a doctor's excuse to cover that extended absence. Also, if there is a question or you are not sure, call your School Nurse for directions. The schools usually require that the School Nurse see the student and take their temperature to document the fever before excusing the absence, so be prepared to bring your student in to the school clinic on the morning you notice the fever and then the Nurse can excuse the absence the next day by a phone call from the parent before 10 am.

The exact policy on Fevers can be found in the Health section of the Student/Parent Handbook.

 

CURRENT NEWS

4/4/14- Its almost FIESTA! Along with fiesta, the weather has changed for the better, and its time to start getting your students immunized for the coming school year. If you have a 6th grader this year, or if your pre-k 3 student has already turned 4, it is time to get the required immunizations needed for the first day of school in August. It is not too early to start, and avoid the rush at the doctor's offices in mid-August. If you haven't already, take your student and their shot record to your family doctor or pediatrician and get the necessary shots, then return to the School Nurse and let them update your records at the school. This will help to also avoid "No Shots, No School" come the first day, too. If you have any questions, please go by and visit with the School Nurse. They will be happy to let you know if your student needs shots.

 

3/18/14- Spring Break is over and that means we have arrived at testing season. Over the next few weeks the students of Harlandale will be under going several rounds of standardized testing mandated by the state laws. It is now more important than ever to ensure your student is as healthy as can be each day. Things we may take for granted, now become very important and have an impact on how well your student does on the test. I'm talking about, rest and nutrition. It has been proven by someone somewhere that when your student goes to bed early and gets plenty of rest, and gets good meals to eat in the days leading up to the day of the test, your student will simply do better because he or she feels better. Giving your student a dose of a medicine to prevent headaches as they head out the door on the way to school that morning of the test is not a bad idea, too. They are going to be thinking so very hard that day. Good luck to all students everywhere for the next month or so. 

 

3/5/14- It is time for Spring Break! It is a great time to enjoy better weather, and going to the coast! But it is also a great time to address your 6th grader's immunizations he or she will need for the start of 7th Grade. There are 3 shots specifically that they will need, and getting them over spring break will help you to avoid the mad rush in August. It is not too soon to get them.

Remember that the Children's Hospital of San Antonio Pediatric Mobile Clinic will be in the district periodically through the end of the school year to give free immunizations by appointment, though an appointment is not necessary. Just see your School Nurse for the dates and times. Also the University Health System School Based Health Clinic will be opened each day of the break to give immunizations and they swear there is NO SHORTAGE of immunizations right now!

All parents of 6th Graders are encouraged to go get the needed immunizations and then report them to the School Nurse for the school records. Remember, in many cases the immunizations are free.

 

Previously Posted- 2/14/14- Please visit the Center for Disease Control's website for more info on how to treat and control head lice. http://www.cdc.gov/parasites/lice/

The following is located on the above websit for the Center for Disease Control:

General Guidelines

 

Treatment for head lice is recommended for persons diagnosed with an active infestation. All household members and other close contacts should be checked; those persons with evidence of an active infestation should be treated. Some experts believe prophylactic treatment is prudent for persons who share the same bed with actively-infested individuals. All infested persons (household members and close contacts) and their bedmates should be treated at the same time.

 

Some pediculicides (medicines that kill lice) have an ovicidal effect (kill eggs). For pediculicides that are only weakly ovicidal or not ovicidal, routine retreatment is recommended. For those that are more strongly ovicidal, retreatment is recommended only if live (crawling) lice are still present several days after treatment (see recommendation for each medication). To be most effective, retreatment should occur after all eggs have hatched but before new eggs are produced.

 

When treating head lice, supplemental measures can be combined with recommended medicine (pharmacologic treatment); however, such additional (non-pharmacologic) measures generally are not required to eliminate a head lice infestation. For example, hats, scarves, pillow cases, bedding, clothing, and towels worn or used by the infested person in the 2-day period just before treatment is started can be machine washed and dried using the hot water and hot air cycles because lice and eggs are killed by exposure for 5 minutes to temperatures greater than 53.5°C (128.3°F). Items that cannot be laundered may be dry-cleaned or sealed in a plastic bag for two weeks. Items such as hats, grooming aids, and towels that come in contact with the hair of an infested person should not be shared. Vacuuming furniture and floors can remove an infested person's hairs that might have viable nits attached.

Treat the infested person(s): Requires using an Over-the-counter (OTC) or prescription medication. Follow these treatment steps:

 

      1. Before applying treatment, it may be helpful to remove clothing that can become wet or stained during treatment.
      2. Apply lice medicine, also called pediculicide, according to the instructions contained in the box or printed on the label. If the infested person has very long hair (longer than shoulder length), it may be necessary to use a second bottle. Pay special attention to instructions on the label or in the box regarding how long the medication should be left on the hair and how it should be washed out.
      3. WARNING:

        Do not use a combination shampoo/conditioner, or conditioner before using lice medicine. Do not re–wash the hair for 1–2 days after the lice medicine is removed.

      4. Have the infested person put on clean clothing after treatment.
      5. If a few live lice are still found 8–12 hours after treatment, but are moving more slowly than before, do not retreat. The medicine may take longer to kill all the lice. Comb dead and any remaining live lice out of the hair using a fine–toothed nit comb.
      6. If, after 8–12 hours of treatment, no dead lice are found and lice seem as active as before, the medicine may not be working. Do not retreat until speaking with your health care provider; a different pediculicide may be necessary. If your health care provider recommends a different pediculicide, carefully follow the treatment instructions contained in the box or printed on the label.
      7. Nit (head lice egg) combs, often found in lice medicine packages, should be used to comb nits and lice from the hair shaft. Many flea combs made for cats and dogs are also effective.
      8. After each treatment, checking the hair and combing with a nit comb to remove nits and lice every 2–3 days may decrease the chance of self–reinfestation. Continue to check for 2–3 weeks to be sure all lice and nits are gone. Nit removal is not needed when treating with spinosad topical suspension.
      9. Retreatment is meant to kill any surviving hatched lice before they produce new eggs. For some drugs, retreatment is recommended routinely about a week after the first treatment (7–9 days, depending on the drug) and for others only if crawling lice are seen during this period. Retreatment with lindane shampoo is not recommended.

 

Supplemental Measures: Head lice do not survive long if they fall off a person and cannot feed. You don't need to spend a lot of time or money on housecleaning activities. Follow these steps to help avoid re–infestation by lice that have recently fallen off the hair or crawled onto clothing or furniture.

 

Machine wash and dry clothing, bed linens, and other items that the infested person wore or used during the 2 days before treatment using the hot water (130°F) laundry cycle and the high heat drying cycle. Clothing and items that are not washable can be dry–cleaned

OR

sealed in a plastic bag and stored for 2 weeks.

Soak combs and brushes in hot water (at least 130°F) for 5–10 minutes.

Vacuum the floor and furniture, particularly where the infested person sat or lay. However, the risk of getting infested by a louse that has fallen onto a rug or carpet or furniture is very small. Head lice survive less than 1–2 days if they fall off a person and cannot feed; nits cannot hatch and usually die within a week if they are not kept at the same temperature as that found close to the human scalp. Spending much time and money on housecleaning activities is not necessary to avoid reinfestation by lice or nits that may have fallen off the head or crawled onto furniture or clothing.

Do not use fumigant sprays; they can be toxic if inhaled or absorbed through the skin.

 

Prevention & Control

Head lice are spread most commonly by direct head-to-head (hair-to-hair) contact. However, much less frequently they are spread by sharing clothing or belongings onto which lice have crawled or nits attached to shed hairs may have fallen. The risk of getting infested by a louse that has fallen onto a carpet or furniture is very small. Head lice survive less than 1–2 days if they fall off a person and cannot feed; nits cannot hatch and usually die within a week if they are not kept at the same temperature as that found close to the scalp.

The following are steps that can be taken to help prevent and control the spread of head lice:

  • Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere (sports activities, playground, slumber parties, camp).
  • Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes.
  • Do not share combs, brushes, or towels. Disinfest combs and brushes used by an infested person by soaking them in hot water (at least 130°F) for 5–10 minutes.
  • Do not lie on beds, couches, pillows, carpets, or stuffed animals that have recently been in contact with an infested person.
  • Machine wash and dry clothing, bed linens, and other items that an infested person wore or used during the 2 days before treatment using the hot water (130°F) laundry cycle and the high heat drying cycle. Clothing and items that are not washable can be dry-cleaned OR sealed in a plastic bag and stored for 2 weeks.
  • Vacuum the floor and furniture, particularly where the infested person sat or lay. However, spending much time and money on housecleaning activities is not necessary to avoid reinfestation by lice or nits that may have fallen off the head or crawled onto furniture or clothing.
  • Do not use fumigant sprays or fogs; they are not necessary to control head lice and can be toxic if inhaled or absorbed through the skin.

To help control a head lice outbreak in a community, school, or camp, children can be taught to avoid activities that may spread head lice.

 

 Previously posted- 2/5/14- As you already know, due to the fact that we have had a bad weather day in Harlandale, winter is not over yet. In fact, we may be in for another very cold snap this week. There may be things you and your family can do to get ready for the really cold temperatures. The Center for Disease Control (CDC) put out a guide for preparing for the coldest of temperatures. The important thing is that it also descirbes how even the mildest of cool temps can also affect the elderly and young. I believe it is worth taking the time to read, so I have posted it in the "Related Documents" area above on the right. Just click and read. Remember there is school now on Feb 17th as it is a bad weather make up day.

 

Previously Posted- 1/27/14- According to the Influenxza Survallence office at the Department of State Health Services, the number of flu cases is declining, however, it is still a highly contageous illness caused by a virus that can survive for a considerable amount of time on a hard suface. Please continue to be vigilent and stick to a strict hand washing regiemen, and don't forget to cover that cough and sneeze. We are not out of the woods yet with this flu season. 

Previously Posted- 12/16/13- HAPPY HOLIDAYS!!! Remember because it's December, we are well into FLU SEASON. Many different places and organizations are offering the flu shot, and in many cases it is FREE to you and your children. If your children, even up to 18 years old, are covered by Medicaid or CHIPs, the flu shot any where you go is free to you. If you have private insurance, you are just going to want to ask if your plan covers it and to how much does it cover.

THE HARLANDALE SCHOOL BASED HEALTH CLINIC is holding a flu shot clinic the week before the holiday break. On Wednesday, Dec. 18th at Harlandale Middle School Cafeteria,

and Thursday, Dec. 19th at Terrell Wells Middle School Cafeteria.

Both are from 3:30 pm until 5 pm. You must bring your children and your insurance, and even you and adult family members covered by your insurance can get the flu shot. Expect flyers to go home with your children in the days before the event.

Previously Posted- 12/13/13- The Flu is on the rise. We are starting to see fevers of 103 and higher in the school clinincs. Now is the time to begin the practice of strict hand washing. Encourage your children to cover their sneezes and coughs with tissues or their sleeves. If needed use the hand sanitizer and wash with soap and water as soon as possible. We can get ahead of the virus if we all work together to cut it off before it gets any worse for you, the families.

The Flu shot will be offered at Harlandale Middle School tomorrow Wednesday Dec 18th from 3-5 pm in the cafeteria, and at Terrell Wells Middle School on Thursday Dec 19th from 3-5 pm in the cafeteria.

If you have Medicaid or CHIPs, or Private Insurance, it is free of charge. This is for students and their family members. Just walk in!

The UHS School Based Clinic will be opened to see sick students and provide immunizations including the flu shot over the Christmas Break. Call 358-TALK to make an appointment to be seen at the clinic on Southcross across the street from the YMCA.

Previously posted- 9/18/13-Harlandale is proud to announce it's partnership with University Health System to open the first of it's kind School Based Health Clinic! If you have CHIPS or Medicaid, or are not insured at all, your child can be taken to the clinic located at Collier Elementary on Southcross near Leal Middle School and across the street from the YMCA to be seen by a Healthcare Provider. If you do not have a family doctor, the clinic can serve as your medical healthcare home for your Harlandale student and thier siblings."

 

Other Community Clinics:

 

  • University Health System clinics: As far as UHS clinics, appts are usually made through the UHS central appt number (358-TALK). Information about UHS clinic locations can be found at http://www.universityhealthsystem.com/all-locations/ UHS clinics offer immunization services by appt. below.

 

    • University Health System - Zarzamora Clinic
      4503 S. Zarzamora, San Antonio, Texas 78211

 

    • University Health System - South Flores Clinic (Not a Women's Health Clinic anymore. It's a Family Health Clinic now! YAY!)
      7902 S. Flores, San Antonio, Texas 78221

 

  

Medical Forms for School

To the right of this web page, under the "Related Documents" tab are a few of the most common needed forms for any student in Harlandale with a special medical need.

It is common for students to need to take medication while at school. Even if it is for just a very short time, like an antibiotic. The form would still need to be filled out and brought to the clinic along with the medication in the labeled bottle it was given to you in by the pharmacist. The form you need for medications at school is located under the Student Support Services tab, under documents, click on School Health and School Nurses.

It is also common for students to be allergc to different things like bee stings and ant bites or different foods. Senate Bill 27, which was passed last year in Congress, requires the parent or guardian to have the Allergy Packet completed by a doctor and returned to the clinic along with any medications like epinephrine or Benadryl that was prescribed by the physician. The allergy packets have been provided for you in English and Spanish for your convenience. Just print, have the doctor complete, sign and return.

And as always, if you have any questions, simply go by and visit with your School Nurse. They also have all the forms you need for your child.

 

In the near future, there will be much more helpful information that will be posted on this site.

Please let me know if you have any suggestions for helpful content of this resource. 

 

Rodney La Point, RN

Harlandale Independent School District
Student Support Services, School Health Services Facilitator

Office: 210-989-4495

rodney.lapoint@harlandale.net