Classpage - Cynthia Tillett RN

Class Info (Check box to include this section when classpage is printed:)

Immunization Clinic

May 19th at the H/S Nurse Clinic

10:00AM- Noon

Parents should recieve a letter from the nurse if your child needs an update on any immunizations.

Cost is $10.00 Cash PER STUDENT

Sponsored by the Grayson County Health Department

Seniors!

Now is the time to get a Meningitis shot. It is usually required in college.

Hepatitis A is usually required for any student going out of country.

Stop by Nurse Tillett's office for the forms.

( I will need counts)

Thanks for making our Blood Drive so successful !

EACH PINT SAVED 3 LIVES!!

NOTE FROM THE NURSE

There have been several children diagnosed with fifth disease at the elementary school. Fifth disease is a viral illness that many school-aged children get. Fifth disease may cause a bright red or rosy rash on both cheeks for 1 – 3 days. The rash on cheeks may be followed by a pink “lacelike” rash on trunk and/or extremities. This rash may come and go for 1 to 5 weeks especially after warm baths, exercise and sun exposure. Once children have broken out with a rash, they are not considered contagious. Children may have a light runny nose, sore throat and/or low-grade temperature usually at the onset of the illness. No treatment is necessary for fifth disease. It is NOT necessary to keep your child at home if your child is diagnosed with fifth disease unless instructed so by your doctor.

Children who are exposed to fifth disease should try to avoid contact with pregnant women. A pregnant woman who is exposed to a child with fifth disease should notify her obstetrician.

Adults who have fifth disease may get a mild rash or no rash at all. Adults may develop joint pains, especially in knees. This pain may last 1-3 months. Taking a non-prescription ibuprofen usually relieves the symptoms.

01/16/08

Due to the current news articles about Staph and MRSA you may check my weblinks to go to CDC for the latest pictures and information.

Texas State

Immunization Requirements!

(To review in Spanish please go to the website listed in my favorites)

Minimum State Vaccine Requirements for the State of Texas

School Entrance/Attendance

Diphtheria, Tetanus Toxoid and Pertussin Vaccine

5 doses of any combination DTaP/DTP unless 4th dose was given on or after 4th birthday

Students 7 years or older:

3 doses of any combination

Tetanus boosters are due every 10 years after the childhood series.

They usually becomes due about the age of 14-16, when the child enters the 9th or 10th grade.

If your child was administered a tetanus injection, please send a copy to the nurse so that his/her's health record can be updated.

Polio (IPV)

4 doses unless the 3rd dose was on or after 4th Birthday

Measles, Mumps, Rubella (MMR)

2 doses of a measles-containing vaccine with the 1st dose on or after the 1st birthday and

2nd dose by age 5 or entry into kindergarten

Hepatitis B

3 doses are required

K-12 grades

Varicella

One dose on or after 1st birthday or

documentation from parent or Dr. of chickenpox disease (month and year)

(If your child needs a varicella injection after the age of 13 it requires a series of 2)

Hepatitis A

2 doses on or after 2nd birthday for Day Care-3rd Grade

It is recommended that the Hepatitis A be given for all students up to the age of 18

Pneumoccal Conjugate Vaccine (PCV7)

Required one dose when accepted into Day Care and Pre-School with 2nd dose within in 2 months

HIB

3 or more doses if under 5 years old

All immunizations should be completed by the start of School !

If you need a copy of the most current health record the school has please call the nurse to request a copy

If you use the Conscientious Exemption, use the address listed below to obtain the form.

It is good for 2 years

We are no longer allowed to get the form!

The Address is :

Texas Department of Health,

Immunization Department

1100 West 49^th Street,

Austin, Texas 78756

The form must be notarized in order to be considered complete and authentic.

Each individual requesting an exemption must have their own form.

Families may not list all children on one form.

If you missed the Food Handler's Class, You may attend one any Wednesday at the Health Department in Denison (205 N Houston Ave.) at 1PM or 3PM. Be sure that you tell the receptionist that you want a complimentary food handler course.

4 Steps to Safe Backpack Use

Below are helpful tips to insure you know how to safely use your backpack in order to promote spinal health.

	Step 1: Choose Right. Choosing the right size backpack is the most important step to safe backpack use. Tip: Bring a friend to help you measure your backpack properly.
	Step 2: Pack Right. The maximum weight of the loaded backpack should not exceed 15 % of your body weight, so pack only what is needed. Tip: If the backpack forces the wearer to move forward to carry, it's overloaded.
	Step 3: Lift Right. Face the Pack -Bend at the Knees - Use both hands and check the weight of the pack. - Lift with the legs - Apply one shoulder strap and then the other. Tip: Don't sling the backpack onto one shoulder.
	Step 4: Wear Right. Use both shoulder straps - snug, but not too tight. Tip: When the backpack has a waist strap - use it.

Head lice!

Please check your children from time to time.

Head lice are tiny insects that live on the human scalp. They are wingless insects that have claws on each of their six legs that enable them to cling to human hair shifts. An initial infestation usually consists of less than 12 adult head lice.

Head lice exist on blood feedings that they obtain from the head of a human host. If separated from the environment and sustenance of a human host, a louse will starve to death and die within 1 – 3 days. Head lice do not inhabit a physical environment and/or subsist off anything other than human blood.

Head lice are transmitted from one human to another by some form of direct or indirect head to head contact. Common forms of transmission among children are head to head contact or sharing personal items such as combs, hairbrushes, hats, coats, hair clips, ribbons, scarves or other head coverings. The type of lice that infest human’s head DO NOT infest other animals nor vice versa.

In an active case of head lice, nymphal or adult lice (1-2 mm long) are present. Grayish white oval nits are found firmly attached to the hair shaft near the scalp. (Nits may appear as dandruff flake but cannot be flicked off such as dandruff can) The nits are glued to the hair shaft with cement that the female louse secretes. Nymphal and adult head lice can be difficult to detect visually because they tend to crawl towards a darker region when exposed to light and head lice are capable of crawling rapidly along human hair shafts. For this reason the identification of active head lice infestation is best confirmed by the presence of eggs less than ¼ in. from the scalp rather than the presence of actual head lice.

If you find your child does have lice or eggs, there are several products over the counter that you may purchase. Just follow the instructions on box or bottle.

If any questions please feel free to call your school nurse.

Elementary:

Marnie Norris RN 903-482-8826

IM and Middle:

Gayla Wood RN 903-482-8804 ex: 7831

High School:

Cynthia Tillett RN 903-482-8862

Medication Rules

Please remember if your child takes medication on a daily basis and must be administered at school, stop by the nurses office to bring the medication (in it's original bottle with the correct instructions on the label). At that time you may also sign the proper paper work.

If your child carries an inhaler at school or school functions they must have a note from their Physican stating it is okay for the student to carry and self administer the inhaler, plus a signed medication sheet on file with the nurse.

News of Interest!

Risk for Meningococcal Disease

The Meningoccal Disease is devastating,

with risks that can include amputation, scarring, hearing loss and neurological damage and Death.

Students going to college and staying in Dorms are the most at risk with up to 5 times higher fatality rates that other ages.

YOUNGER students are also be at risk.

This immunization may be required by some colleges for Students going to college and staying in Dorms for the first time. The immunization injection for this is not required yet for School age students, but may be required in the future!

Please view some of my favorite Healthcare websites

SEE LINKS BELOW

YOU WILL FIND INFORMATION ON DISEASES, ILLNESS'S, FLU, WEST NILE VIRUS,

BODY PIERCING, TATTOO'S AND OTHER HEALTH INFORMATION ON THESE SITES

JUST FOLLOW THE GUIDELINES

FOR ANY QUESTIONS, PLEASE FEEL FREE TO CONTACT ME

THANKS,

CYNTHIA TILLETT RN

903-482-8862

FAX: 903-482-8885

2008

May