450 Country Club Road, Lucas, Texas 75002 - Phone: (469) 742-8200 Fax: (469) 742-8201
ClinicMonica Kehr monica_kehr@lovejoyisd.net NURSE'S NOTES Safeguard Your Child's Shot Record Important Information from Nurse Stacey Important Forms Immunization Requirements (English) Immunization Requirements (Spanish) LISD Student Health Information Physician-Parent Request for Anaphylaxis Management
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Heat/Ozone Guidelines
During the hot days of summer, early fall, and late spring, there are frequently ozone alerts. There will be no outside activity if the temperature is 95 degrees or greater, or when under Heat Alert, Red Ozone Alert, or Orange Ozone Alert. It is acceptable for students to be outside on these days for 10 minutes or less if they have to go outside to get to the gym, check on a garden area, etc. Parents should provide the school with written notice if they would like their child to not go outside on days other than listed above. Cold Temperatures
Students will not be allowed outside for recess, PE or other activities of 10 minutes or longer duration when temperature and/or wind chill is below 32 degrees Fahrenheit. Please be sure that students dress accordingly for outside temperature.
The following suggestions are reminders to help students with comfort and safety during the hottest times of the year:
Keeping it Cool
Block the Sun
Weather Information
Ozone – The “ozone season” runs from May 1 through October 31. Ozone alerts are issued as an “ozone watch”, usually the day before. If conditions actually reach hazardous levels at one of the many monitoring stations around the metroplex, an “ozone warning” is issued for that area. Unless an orange or red “warning” is issued for
THE FLU: WHAT PARENTS NEED TO KNOW TO KEEP KIDS HEALTHY
With flu season upon us, it is important that we work together to keep our children and school healthy. By keeping our children flu-free, we benefit the community as a whole. Additionally, healthy students miss fewer days of school, which results in less stress on the family. Following are answers to frequently asked questions about the flu and how to help protect your child.
Simple Steps for Keeping Your Child Healthy · According to the Centers for Disease Control and Prevention (CDC), the best way to prevent your child from getting the flu is to take him/her to get a flu vaccine · You should talk to your child about practicing good health habits, such as: o Washing hands frequently with soap and warm water for at least 20 seconds o Covering mouth and nose with a tissue when sneezing or coughing, and disposing of the tissue in a proper trash receptacle o Avoiding sharing drinks, water bottles or silverware with others · You can help prevent the flu from spreading at home by disinfecting frequently touched surfaces, toys and other commonly shared items · Also, if someone in your household gets the flu, a doctor can prescribe a medication – called an antiviral – that can actually prevent other members of the household from catching the flu o Studies show that some antiviral medications are up to 89 percent effective in preventing the flu when taken once daily for seven days Don’t Take the Flu Lying Down · If you are concerned about your child’s flu symptoms, call your doctor early. Call your doctor immediately if your child has a chronic disease. Some children may benefit from an antiviral medication, which can be prescribed by a physician and can help lessen the duration of the virus and reduce the risk of complications, such as pneumonia o To be effective, antiviral medication should be taken within 12-48 hours after flu symptoms begin · If your child has the flu, it is important for them to stay home from school, rest, and drink plenty of fluids · Additionally, notify the school nurse Stacey Simmons RN 469-742-8200 if your child has the flu. Monitoring flu incidence at Hart Elementary will help keep students, faculty and our community healthy.
Pertussis Fact Sheet Texas Department of State Health Services Immunization Branch www.ImmunizeTexas.com Stock No. 11-11424 Revised 02/2006 What is pertussis? Pertussis, also called “whooping cough,” is a highly contagious bacterial infection that causes coughing. Who gets pertussis? Anyone can get pertussis. In babies, pertussis can be life threatening. Babies often get pertussis from older children or adults whose symptoms are milder. What are the symptoms of pertussis? Pertussis may begin like a cold, with a runny nose, sneezing, mild fever, and cough. After one to two weeks, the cough gets worse and usually starts occurring in strong coughing fits. This type of coughing may last for six or more weeks. There is generally no fever during this time. In young children, coughing fits are often followed by a “whooping” sound as they try to catch their breath. After coughing, a person may vomit, have difficulty catching their breath, or become blue in the face. The coughing spells may be so bad that it is hard for babies to eat, drink, or breathe. The cough is often worse at night, and cough medicines usually do not help reduce the cough. Between coughing spells, the person often appears to be well. Some babies may only have apnea (failure to breathe) and can die from this. Children who have been vaccinated against pertussis as well as adults and teens often have milder symptoms that mimic bronchitis or asthma. How is pertussis spread? The pertussis bacteria are sprayed into the air when an infected person sneezes, coughs, or talks. Other people nearby can then inhale the bacteria. The first symptoms usually appear within 5 days to 21 days after a person is infected. Is pertussis dangerous? It can be, especially for babies. Pertussis can cause failure to breathe (apnea), pneumonia, and swelling of the brain (encephalopathy), which can lead to seizures and brain damage. Death from pertussis is rare, but more common with babies. Pertussis causes about 10 to 20 deaths each year in the United States. How is pertussis diagnosed? A doctor diagnoses patients with pertussis from their symptoms. To confirm the diagnosis, the doctor will swab the back of the nose for laboratory testing. It is important to remember laboratory tests may be negative even if a patient has pertussis. How is pertussis treated? Antibiotics are used to treat the infected person and their close contacts. In addition, it is helpful to get plenty of rest and fluids. Persons hospitalized with severe pertussis may need special treatments to help them through prolonged periods of coughing. Can pertussis be prevented? Pertussis can be prevented among household members and others in close contact with an infected person by treating the exposed persons with antibiotics, even if they have been vaccinated. Vaccination of children and adults can also prevent pertussis. The pertussis vaccine is given along with diphtheria and tetanus vaccines in the same shot (called DTaP) for children. DTaP cannot be given to babies less than six weeks old or to anyone seven years of age or older. Experts recommend that all babies and children be given a full series of DTaP vaccine unless there is a medical reason not to receive the vaccine. Vaccination is recommended at 2, 4, 6, and 15 to 18 months old, with an additional shot at four to six years old, for a total of five doses. The 4th dose of DTaP may be given as early as 12 months, provided 6 months have elapsed since the third dose of DTaP. Vaccination against pertussis is also recommended for older children and adults. Because vaccine protection begins to fade in older children and adults, a new vaccine (called Tdap) has been developed against pertussis for these age groups. To protect babies from being exposed to pertussis, families who have or are expecting a baby and people who work with babies should consult with their doctor about receiving this vaccine. Most hospitalizations and deaths occur in children younger than three months of age. When possible, babies should be kept away from people who are coughing. Babies with any coughing should be seen by a doctor. Is the pertussis vaccine safe? Yes, it is safe for most people. A vaccine, like any medicine, could possibly cause serious problems, such as severe allergic reactions. However, the risk of a vaccine causing serious harm, or death, is extremely small. There is a slight risk of side effects caused by the vaccine. Where can you get more information? Call your doctor, nurse, local health department, or the Texas Department of State Health Services, Immunization Branch at (800) 252-9152. Whooping Cough Pertusis Hoja de Informes ¿Qué es la tos ferina (pertusis)? La tos ferina o pertusis es una enfermedad bacteriana altamente contagiosa que causa tos. ¿A quién le da la tos ferina? A cualquiera le puede dar la tos ferina. Los bebés con la tos ferina pueden correr riesgo de muerte. Con frecuencia, los bebés contraen la tos ferina de los niños mayores o adultos, cuyos síntomas son más leves. ¿Cuáles son los síntomas de la tos ferina? Inicialmente, la tos ferina empieza como un resfrío, con catarro, estornudo, una fiebre leve y tos. Después de una a dos semanas, la tos empeora y normalmente tiene su principio en fuertes ataques sofocantes de tos. Este tipo de tos puede durar por seis semanas o más. Generalmente no hay fiebre durante este tiempo. En los niños pequeños, los ataques sofocantes de tos son seguidos por un sonido como el de un silbido que ocurre cuando ellos tratan de respirar. Después de toser, la persona podría vomitar, podría tener dificultad al tratar de respirar o podría ser que la cara se le ponga azul. Los ataques de tos pueden ser tan severos que los bebés tienen dificultad para comer, beber o respirar. La tos frecuentemente es peor por la noche y los medicamentos para la tos por lo general no ayudan a reducir la tos. Entre los ataques sofocantes de tos, la persona frecuentemente parece estar saludable. Algunos bebés pueden tener únicamente apnea (la ausencia de respiración) y pueden morir a causa de esto. Los niños que han sido vacunados contra la tos ferina, al igual que los adultos y adolescentes, frecuentemente tienen síntomas más leves que se asemejan a la bronquitis o al asma. ¿Cómo se propaga la tos ferina? Las bacterias de la tos ferina se vaporizan en el aire cuando una persona con la infección estornuda, tose o habla. Otras personas cercanas entoces pueden inhalar las bacterias. Los primeros síntomas por lo general se presentan de 5 a 21 días después de que la persona contrae la infección. ¿Es peligrosa la tos ferina? Puede ser peligrosa, especialmente para los bebés. La tos ferina puede causar una ausencia de respiración (apnea), pulmonía e hinchazón del cerebro (encefalopatía), la cual puede ocasionar convulsiones y daño cerebral. La muerte debido a la tos ferina es rara, pero es más común en los bebés. La tos ferina causa aproximadamente 10 a 20 muertes cada año en los Estados Unidos. ¿Cómo se diagnostica la tos ferina? Un médico puede diagnosticar la tos ferina en un paciente a través de sus síntomas. Para confirmar la diagnosis, el médico tomará una muestra de la parte posterior de la nariz para ser analizada en el laboratorio. Es importante recordar que los resultados del examen de laboratorio pueden ser negativos, aún si el paciente tiene la tos ferina. ¿Cómo se trata la tos ferina? Se usan antibióticos para tratar a la persona con la infección y a sus contactos cercanos. Además, es útil descansar mucho y tomar muchos líquidos. Las personas hospitalizadas con casos severos de tos ferina podrían necesitar tratamientos especiales para ayudarles durante los períodos de tos prolongados. ¿Se puede prevenir la tos ferina? El contraer la tos ferina se puede prevenir entre los miembros de la familia y otras personas en contacto cercano con una persona con la infección, si las personas expuestas reciben tratamiento con antibióticos, aún cuando éstas ya hayan sido vacunadas. El vacunar a los bebés y adultos también puede prevenir la tos ferina. La vacuna contra la tos ferina se administra a los niños en combinación con las vacunas contra la difteria y el tétano en la misma inyección (en inglés se le llama DTaP). La vacuna DTaP no se le puede administrar a los bebés menores de seis semanas de edad ni a cualquier persona de siete años de edad o mayores. Los expertos recomiendan que todos los bebés y niños reciban la serie completa de vacunas DTaP, a no ser que exista una razón médica que indique lo contrario. La vacunación es recomendada a 2, 4, 6 y los 15 a 18 meses de edad con una inyección adicional entre los 4 a 6 años de edad, para un total de cinco dosis. La cuarta dosis de la DTaP se puede administrar a los 12 meses si han transcurrido 6 meses después de la tercera dosis de la DTaP. La vacunación contra la tos ferina también es recomendada para algunos niños mayores y adultos. Ya que la protección de la vacuna empieza a perder su intensidad en los niños mayores y en los adultos, una nueva vacuna ha sido desarrollada contra la tos ferina (llamada Tdap) para estos grupos y edades. Para evitar que los bebés estén expuestos a la tos ferina, las familias que tienen o que esperan un bebé y las personas que trabajan con bebés, deben consultar a su médico sobre la administración de esta vacuna. La mayoría de hospitalizaciones y muertes ocurren en bebés menores de tres meses de edad. Siempre que sea posible, los bebés deben mantenerse alejados de las personas que están tosiendo. Los bebés con cualquier tos deben de ser vistos por un médico. ¿Es segura la vacuna contra la tos ferina? Sí, la vacuna es segura para la mayoría de las personas. Una vacuna, como cualquier medicamiento, podría causar problemas serios, tales como reacciones alérgicas severas. Sin embargo, el riesgo de que una vacuna cause daños serios, o la muerte, es sumamente pequeño. Existe un pequeño riesgo de efectos secundarios causados por la vacuna. ¿Dónde se puede obtener más información? Llame a su médico, enfermera, departamento de salud local o al Departamento Estatal de Servicios de Salud de Texas, Rama de Vacunación al 800-252-9152. No. de existencias 11-11424 Revised 02/2006 Departmento Estatal de Servicios de Salud de Texas División de Vacunación La Tos Ferina LICE HAPPENS! The only way to get rid of Lice is for people to be looking for it and also taking care of it in the correct manor. You have to interrupt the Lice Life Cycle in order to eradicate it. That is why it’s so important to follow through with all the steps to get rid of lice once it is found and not to over treat when it is found. If you do find head lice or nits, please let me know as soon as possible for a discussion about safe, appropriate action and household management. I can then also check the entire grade level to make sure that all students are free of Lice and or nits at that time. If you look closely at the scalp you may see the following characteristics: ·
· Head lice do not fly or jump. · Nits (eggs) range in color from brown to grayish-white, are tear-drop shaped, and can be attached anywhere on the hair strand. · ·
Please see me for any concerns or questions. If you would like additional information, I have information in my office. Remember Screen, Detect, Remove, and Protect! Hart Elementary Nurse Office 469-742-8156
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