Gina Duck, RN, BSN Laurie Roberts RN, BSN
Clinic
Hours M-F 8:00am – 3:00pm
SMART Program Available during clinic hours
(Wed after 10 AM)
Please
keep the
office aware of any phone number changes. This information is critical
for the
staff to reach you in the event of a child’s injury or illness.
Medications
in School:
* Over the counter medication sent to
school must be in a labeled container with medication name, dose,
administration directions and note with parent/guardian signature. Over
the
counter medication (such as Tylenol) is Not
provided by the clinic. Over the counter medication must be sent
for your
child and may be kept in clinic for the school year and be administered
“as
needed”.
* All prescription medications must be
in a labeled bottle/container from a pharmacy with child’s name,
directions and
prescriber’s name. No medications are to be carried by a student unless
prior
approval by the nurse or principals. If DR request medication (such as
inhalers,
insulin, epi-pen) be carried by the student a prescription or letter
from the
prescribing MD is required and must be approved by clinic nurse.
**All
medications administered during school hours will be kept by
teacher or
clinic unless MD request and clinic approval.
When properly labeled medication with
parental/guardian
instructions is sent for administration during school hours an official
Medication
Administration Sheet will be started for that medication/student
and sent
home for signature. If the sheet is not returned with the student the
next day
student in school, the medication can no longer be administered without
the
proper documentation. This is for clinic records and safety for
medication
delivery in the school. Medication Administration forms are always
available in
the front office and clinic upon request.
Over
the counter products used in clinic for first aide as needed:
please alert clinic staff if you wish for these NOT
to be used for your child
*Vaseline
&/or Aquaphor – dry lips/ dry skin/ wound protection
*Caladryl
Lotion
– for itching or small rashes (known cause or known history)
*Witch
Hazel-
antiseptic cleanser for small wounds
*Alcohol
Wipes-
to cleanse skin around wound or remove blood from skin
*Sugar
Free Cough
Drops- Main Ingredient= Menthol (for dry cough related to known sinus
allergies
or cold symptoms)
*Luden’s
cough
Drops – Main Ingredient= Pectin (to
soothe dry scratchy throats)
*Hydrogen
Peroxide – for cleaning a dirty wound and for removing blood
from
clothing
*Artificial
Tears- liquid eye drops for itchy or dry eyes
* RID
– Lice
treatment shampoo is provided by
??
Is my child really too sick to send to school ?? Helpful
Tips:
*Temperature
at or above 100 F (without Tylenol) in last 24 hours– student should
stay home.
*
Low grade temperature of 99 F with other symptoms such as cough,
headache,
chills, stomach ache, diarrhea, nausea, lack of appetite or unusual
tiredness
in last 24 hours- Stay Home. If worsening temperature or complaints
call MD.
*
Vomiting or diarrhea – stay home until at least 24
hrs from last episode. Encourage fluids to avoid dehydration.
* New rash
or unsure of cause- do not send to school until known cause or seen by
a
healthcare provider. If Poison Ivy/Oak - student can come to school.
Stress
good hand washing and not to scratch.
Chicken
Pox must
be all scabbed over and dry to return.
MRSA infected area must be kept covered by a
bandage.
Please report to school clinic for follow up and increased infection
precautions.
*Contagious
Illness- Do Not send to school!
*Headache
– If
has history of Migraines consider keeping home or coming later after
subsides.
If student has a history of frequent headaches consider sending
medication to
be given as needed by the clinic.
*
LICE- DO NOT
send child to school until Nit(egg) free. A student sent home with
lice/nit
from school MUST be rechecked by the nurse before returning to the
classroom.
S.M.A.R.T.
program
Telemedicine
technology available in school clinic for a student to be examined
diagnosed and
treated by a Nurse Practioner (NP). Nurses Duck and Roberts (Registered
Nurses)
first will call the guardian to offer a NP visit. If visit OK’d by
guardian or
prior authorized proxy, the nurse will assess and take vital
information (signs
& symptoms, blood pressure, heart rate, respiratory rate,
temperature,
lymph nodes, breath sounds, medication history, history of any chronic
conditions or medical issues). The nurse and NP work together to exam
the
student. The stethoscope allows the NP to hear heart and lung sounds.
An
otoscope allows the NP & nurse to do an inner ear exam as well as
nose and
throat exam. All images are projected via camera to the NP as also can
be seen
in the clinic on the T.V. monitor.
NP
may order a rapid Strep test or Flu test which can be performed at
school by
the nurse. Results are available in 10 minutes or less. The NP will
order
antibiotics or medications as necessary and call/fax request to
guardian’s
pharmacy of choice.
Below
is a list of conditions/illnesses that the NP can diagnose and treat
thru
telemedicine:
**Colds
virus, abscesses,bronchitis,contact dermatitis, Flu , Impetigo,
Protracted
lice/nits, Middle ear infections, Pharyngitis/tonsillitis,
pink-eye, ringworm,scabies,sinusitis, cellulitis,Strep throat,
swimmer’s ear,
upper respiratory infection, gastroenteritis, and fifth’s disease **
There is a minimum $5 fee for the NP visit
plus any lab fees for non-insured (Sliding Scale fee service are
available).
Insured students insurance will be billed by Cherokee Health Systems
and the
usual co-pay amount is charged. All billing and payment is through
Cherokee
Health System. The BCES clinic staff does not collect or receive any
money for
services in the clinic.
Please
call the clinic for more information or questions about the SMART
program. This
is an exciting service that is unique to