Clinic

CLINIC NURSES: Gina Duck, RN, BSN  and Laurie Roberts, RN, BSN

Please keep your child’s “student information card” in the front office 
up to date with current phone numbers!!!

  ANY MEDICATION sent to school must be picked-up by a parent/guardian in the office. EpiPens and Inhalers can be sent with students who have permission to self carry. Medications will not be stored over the summer. Medications not picked up within 1 week after school is out will be destroyed.


Vaccinations for school:
 

   All Kindergartners must have completed the k-6 required immunizations and a physical before starting school. A TN Certificate of Immunization is required for their school record.                                                                            

   Students new to Tennessee schools must have shot records transferred to a TN Certificate of Immunization. This can be done at the local health department or local healthcare provider.

   All students entering 7th grade must have an updated TN Certificate of Immunization on file at the school that documents the student has had 2 Varicella (Chicken pox) vaccines or immunity and a Tdap booster. These vaccine are often offered around age 11y/o. If your child receives these vaccines during 5th or 6th grade, you may bring the new TN Certificate of Immunization to the school to be filed.



 Is my child too sick to send to school?

*Temperature at or above 100 F (without fever reducer like Tylenol) in last 24 hours – 
          Consider staying home to monitor for other signs of illness and rest
*Vomiting or diarrhea – Stay home until at least 24 hours from last episode. Encourage fluids.
* New rash of unknown cause or skin lesion with redness,blisters &/or drainage –
   Do Not send to school if blisters or drainage and/or other symptoms of illness. If on medication to treat may return to class but keep area covered.
*Chicken Pox and Hand/Foot/Mouth - lesions must be fully scabbed over to return to school.
*Staph Infections &/or MRSA – the infected area MUST be kept covered by a bandage once on antibiotics for at least 24 hours.
*Infections or Contagious Illness – Stay Home until given OK by MD or 24 hours after antibiotics have begun
*Headache - If child has history of migraines, consider bringing medication to the school for the clinic to dispense as needed. Medication sheets available in office & clinic.
*Head Lice =A student should not be excluded from class or miss school due to "nits" (lice eggs).
   The Sevier County School System has updated the policy re head lice in accordance to state guidelines and evidence based medical guidelines.**


** If a student is found to have live lice, the parent/guardian will be contacted and informed that the student needs to be treated . The student may remain in class or be taken home to begin treatment. The student will be required to check in through the office or clinic  the morning the student returns to school before returning to class. Proof of treatment ( receipt, box top, or written explanation of treatment used) is required for the student to return to class. 

 Please use over the counter treatments EXACTLY as directed by the package. There are different formulas and must be used as directed by manufacturer for optimal results. DO NOT do "extra" treatments -this may cause irritation and other issues and will not make the treatment more effective. If you have a prescribed treatment - use only as directed by the pharmacist or healthcare provider.  Removal of "nits" (eggs) is strongly encouraged. It usually takes several sessions of combing to remove all nits. Combing sessions are a good time to look for any live lice and assess if there other issues that may be of concern to your child.

See: IdentifyUS.com link for more facts and info.


 

Clinic Hours 
 
M-F 
8:00 am – 
3:00pm


 Helpful Links:

   (right click )
Lice Facts, Bedbugs, Scabies, 
and more


webmd.com/features/your-child-too-sick-for-school


kidshealth.org
HFM,Flu and other info for parents and studetns


tn.gov/education/schoolhealth/healthservices
Immunization Info





Tele-Med visits available during clinic hours.


Tele-Med Nurse
 Practitioner
may
diagnose and treat: 

* Strep-Throat   * Flu                 
* Sinusitis
 
Ear Infection     * Pink-eye           * Bronchitis
* Croup
* Recurrent    
    Head 
Lice   
* and MORE   




   
 First Aide
The following items may be used in the clinic as needed for first aid type care:
Please alert nurse if any item not to be used in caring for your child.


Ginger Ale/Sprite/ 7-Up – upset stomach
Peppermint or Lifesavers – sore throat, coughs, or upset stomach
Saline Rinse - To cleanse or irrigate a wound or eye irrigation
Vaseline
- Used for chapped lips or dry skin patches.

 Medication Policy                     

Per TN law and SCSS board policy : School staff (including nurses) are not permitted to administer medication to a student without written permission (medication administration form) from a parent/guardian.

It is preferred all medications be brought to the school office by a parent/guardian. 
Please follow the directions below when sending a medication to school for a student.

    

Over the counter medication sent to school must be in the original store-bought container with original label      (example= “Tylenol “in a “Tylenol” bottle).  If sending with a student to school, please send a  medication administration form or written note containing AT LEAST these 5 items:

                                       1) Student's Name
                                       2) Medication name
                                       3) directions 
                                       4) date
                                       5) 
parent/guardian signature

The medication and note must be given to  teacher, school office, or nurse upon arrival to school. Do Not keep medication in backpack , purse, jacket, pocket, etc. (Exception : Emergency Inhaler or EpiPen with written permission)
       
Medication Administration forms are available in the office and in the clinic.

 All prescription medications must be in a labeled bottle/container from a pharmacy (or sample labeled from MD office)  containing:
                                   1) child’s name
                                   2) directions and date
                                   3) prescriber's name

Emergency medications (such as
inhalers & Epi Pens) may be carried by a student with MD/guardian
 approval and the school nurse has written notification that the student may carry and self administer


Telemed / S.M.A.R.T. program:

Telemed Nurse Practitioner can diagnose and Treat common illnesses such as :

* Strep-Throat                * Flu  (Type A &B)                        * Sinus Infection

* Ear infections               * Pink-eye                                  * Bronchitis                                                                                        
* Skin infections             * Recurrent Head Lice                 * Croup

   The school nurse will notify a guardian if suspected illness and offer the opportunity for the student to see the      Nurse Practitioner through the TeleMed program. The TeleMed equipment will not be used unless the parent/guardian has given prior  written consent (SMART form) AND verbal consent at the time the student presents to the clinic . The Nurse Practitioner and school's registered nurse examine and assess the student using a specialized camera, stethoscope, ENT (ear,nose and throat) scope, and high-  definition camera. The Nurse Practitioner can diagnose illnesses and prescribe treatment (medication prescriptions can be faxed or called  to pharmacy of choice). We are certified to perform Rapid Strep and Rapid Flu tests in the clinic if ordered by the  TeleMed  Nurse Practitioner. If prescribed that the student go home a medical excuse will be sent to the office. 

    The SMART/ TeleMed system is unique to Sevier County Schools as of 2008. Other counties in Tennessee and other states have begun to  implement similar programs in their schools. This is another option to help meet the health care needs of our school children. This  system is to be used in cooperation with a student's primary healthcare provider. The Telemed visits are NOT meant to replace regular  medical care and physicals by a local healthcare provider.



Head Lice 1011

Head Lice are mostly spread from head to head contact -for example during play at home or school, slumber parties, sports activities or camp. It is possible, but not common, for lice to spread by contact with items such as hats,carves,clothing,etc.
Head lice move by crawling, they do not jump or fly. They do not transmit disease, but they can spread easily. 
Please inspect your child's hair and scalp on a regular basis for signs of lice.  If you discover your child has lice, please contact your child's primary health provider. There are over the counter treatment shampoos available as well as prescription treatments. Follow the treatment instructions carefully. Some treatment are for wet hair and some for dry hair. Some treatments require an repeat application 7-10 days later.Continue to check you child's scalp after treatments as well. For pictures and more information click link below to Head Lice 101:




4 BASIC things to do to Avoid the Flu:

1. Frequent Hand-washing (especially before eating)
2. Avoid touching T-Zone (eyes,nose, mouth)
3. Do not sneeze/cough onto hands (use tissue or inner elbow)
4. Flu Shot
If  your child does get the flu , do not return to school until he/she is fever free  WITHOUT  fever reducing medication (like Tylenol. Motrin, etc.) for at least 24 hours and improved overall symptoms (eating well , only a mild cough, and no aches , and restored activity level). If a child still has a temperature, he/she is still highly contagious. IF a child returns before  improved, he/she is at risk of developing a secondary infections such as pneumonia, bronchitis, etc.