Medication At School
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. 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:
- All medication must be kept in the clinic during the school day.
- 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 written permission from the parent.
- 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.
- 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 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.
- A record of each medication given at school is maintained in the clinic.
- 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.
- 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 insure that the student is adequately prepared to self-administer the medication. It is strongly recommended a spare “epi-pen” be kept in the clinic.
- All medication is to be picked up in the clinic by a parent or a designated adult at the 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.
When your child is ill, please contact the school to let them know he or she won’t be attending that day. It is important to remember that schools must exclude students with certain illnesses for periods of time as identified in state rules. For example, if your child has a fever over 100 degrees, he or she must stay out of school until they are fever free for 24 hours without fever-reducing medications.
In addition, students with diarrheal illnesses must stay home until he/she is diarrhea free without diarrhea-suppressing medications for at least 24 hours. Illness at school is evaluated by the health service staff in the clinic area. A child who demonstrates the following symptoms should be sent home from school.
1. Fever of 100 degrees or more
2.Suspected contagious condition or disease.
3.Vomiting or diarrhea.
4.Severe stomachache, headache, or earache.
5. A child who is too ill to function in the classroom.
A full list of conditions for which the school must exclude children can be obtained from the school nurse.
Conroe ISD follows recommendations from the Centers for Disease Control and Prevention (CDC) and the Texas Department of State Health Services (DSHS) as well as those contained in the position papers of the American Academy of Pediatrics (AAP) and the National Association of School Nurses (NASN) in the treatment for lice. Â Head lice, although not an illness or disease, is common among children and can be spread through head-to-head contact during play and sports, and when students share things like brushes, combs, and hats. Â The best treatment for lice is prevention. Â Conroe ISD appreciates our families assisting us in the prevention and control of head lice in our schools with routine family inspection, prompt and effective treatment, and educating your student to avoid direct or indirect contact with other people’s hair. Â Throughout the school year, check your child’s hair weekly and after overnight visits with other children.
If careful observation at school indicates that a student has head lice, the school nurse will contact the student’s parent to determine whether the child will need to be picked up from school and discuss a plan for treatment. Â If the procedure used to treat the head lice is not effective, please contact the school nurse or your physician for further recommendations for treatment. Â Conroe ISD provides information regarding head lice prevention through newsletters and other sources of information, and is committed to working with families who may have head lice occurrences.
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 than Â¼ 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. Use products available over-the-counter (according to package directions) or by prescription (according to physician directions).
– Comb the hair after treatment, using a special lice/nit comb. Separate the hair into sections and try to comb every nit and louse you can. Live nits that are not combed out will hatch within 7-10 days. Combing is the most time-consuming step, but also the most important.
– Clean around the house. Lice do not live long without a host to feed on. However, to pick up any stray hairs that may have a live nit attached, wash and dry clothes, sheets, pillow cases, and towels using hot water and high heat. Vacuum the floor and furniture to pick up loose hairs. Combs and brushes can be soaked in hot water for 5-10 minutes.
– 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, and they do not have wings. Spread by contact with clothing or other personal items is fairly uncommon. 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, camp).
– 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. Â This is most likely due in part to younger children playing closely together and having head-to-head contact. Â 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. Â Summertime often means summer camps and sleepovers which can lead to the spreading of head lice. Â So it seems as if there is no âoneâ season for head lice. Â Year round awareness and routine family inspection will help prevent head lice occurrences.
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Heat Precautions: Historically, hot summer temperatures continue through the beginning of the school year. Younger students are at risk of excessive heat because of the increased body surface area. The heat index becomes an important factor with the outdoor activities. Each campus takes into consideration the local heat factors–temperature, humidity, and sunshine–and modify plus monitor all outdoor activities accordingly. Opportunities to drink plenty of fluids will be provided and students will be encouraged to drink fluids during the evening hours at home.
The staff of each campus is aware of the following signs and symptoms of heat stress.
- Extreme sweating or lack of sweating
- Muscle cramps
- Fatigue and weakness
- Nausea and vomiting
- Rapid pulse rate
- Shallow fast breathing
Students will be taken to the school nurse if symptoms of heat stress are suspected. Dehydration is the most common cause of heat stress and exhibit cumulative effects. If symptoms of heat stress become severe and persistent it is important to seek medical care immediately.
Inclement weather is carefully monitored. Students will remain indoors if there are signs of thunderstorms and/or lightning.
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Montgomery County Hospital District
605 South Conroe Medical Drive