Sanger Independent School District
Health Services
We, as Sanger ISD Nurses, believe that the health, wellbeing, and safety of the students we serve lays the foundation for an optimal learning environment allowing for excellence in the classroom. It is our goal to promote health education and facilitate safety through all tenets of the Nurse Practice Act.
School nursing, a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential.
-Adopted by the NASN Board of Directors February 2017.
Sanger ISD Nurses
- Campus Nurses
- Food Allergies
- Immunization Information
- Medications at School
- Meningitis
- Request for Private Duty Nurses
- State Required Screenings
- TDSHS, Diseases Requiring Exclusion from Schools
- Unassigned EpiPens
- Wellness Plan
Campus Nurses
Food Allergies
Texas Education Code, Chapter 25, Section 25.0022 requires a parent or legal guardian to disclose, at the request of the school district, whether a child has a food allergy.
Required Form
https://1.cdn.edl.io/5RFPrqgIaEvirlWKxmBthHB1lOA4jdxU4tt8Vn4D1VkQvzXR.pdf
The following documents will assist in the care of students with a diagnosed food allergy who are at risk for anaphylaxis.
- Guidelines for Students with Special Diets
- Food Allergy Emergency Care Plan
- Anaphylaxis Guidelines for Texas Schools
For additional information on on the Management and Administration of Epinephrine: https://statutes.capitol.texas.gov/Docs/ED/htm/ED.38.htm#38.208
References:
Texas Department of State Health Services: Allergies and Anaphylaxis
Immunization Information
Medications at School
Medication that must be administered to a student during school hours must be provided by the student’s parent. All medication, whether prescription or nonprescription, must be kept in the nurse’s office and administered by the nurse or another authorized district employee unless the student is authorized to possess his or her own medication because of asthma or a severe allergy as described below or as otherwise allowed by law.
Medication Self Carry Agreement
For additional information regarding the management and administration of Albuterol:
https://statutes.capitol.texas.gov/Docs/ED/htm/ED.38.htm#38.208
Meningitis
Request for Private Duty Nurses
Sanger ISD provides campus nurses for nursing care. Additional nursing care provided for children who have complex medical needs is the financial responsibility of the parent/guardian.
Parent/guardians and private duty nurses must sign new agreements each school year. Any nurses who will be providing care for a student on campus must complete the Sanger ISD fingerprinting process prior to serving students on campus.
Parents/guardians and PDN Agencies should review the SISD Private Duty Nursing Guidelines prior to completing the authorization request form below.
Upon review of the request form, Sanger ISD's Coordinator of Health Services will contact the parent/agency with next steps.
* Required
State Required Screenings
The Texas Department of State Health Services requires that students in designated grades who attend public, private or charter schools be screened for specific conditions that could impact their ability to learn or impact their heath and well being. The state-required screenings will be performed during the school year by a campus Nurse who has received training and certification to perform the screening. Assistance is provided by the Sanger Lions Club for vision screening.
A screening is not a diagnostic test and can not identify the specific problem or suggest treatment options. A screening is a very simple test and can indicate if a student would benefit from further evaluation. Any potential problems or concerns identified during the screening will be reported to the parent/guardian and the student will be referred to a professional for further evaluation.
Vision and Hearing Screenings
Pre-K, Kindergarten, 1st grade, 3rd grade, 5th grade, 7th grade
Type II Diabetes Risk Assessment (AN) Acanthosis Nigricans
1st grade, 3rd grade, 5th grade, 7th grade
Acanthosis Nigricans is a skin condition that signals high insulin levels in the body. It appears as a light brown or black, velvety, rough or thickened lesion on the surface of the skin. It can be found on the neck, armpits, and over the knuckles. Children who have the Acanthosis Nigricans marker on their skin may be at-risk for developing Type 2 Diabetes. The AN marker does not mean the student has diabetes. A student who is identified as having evidence of the marker will be referred to their health care provider for evaluation.
Postural or Spinal Screenings
In compliance with Health and Safety Code, Chapter 37, all children shall undergo screenings for abnormal spinal curvature in accordance with the following schedule:
Females will be screened twice, once at age 10 or the fall semester of their 5th grade year, and again at age 12 or the fall semester of their 7th grade year.
Males will be screened once at age 13/14 or the fall semester of their 8th grade year.
Parents of these students should receive a letter from the campus nurse with the screening dates scheduled at your child's campus at least two weeks prior to the screening date.
TDSHS, Diseases Requiring Exclusion from Schools
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| (a) The school administrator shall exclude from attendance any child having or suspected of having a communicable condition. Exclusion shall continue until the readmission criteria for the conditions are met. The conditions and readmission criteria are as follows:
(1) amebiasis--exclude until treatment is initiated; (2) campylobacteriosis--exclude until after diarrhea free for 24 hours without the use of diarrhea suppressing medications and fever free for 24 hours without the use of fever suppressing medications; (3) chickenpox--exclude until the lesions become dry or if lesions are not vesicular, until 24 hours have passed with no new lesions occurring; (4) common cold--exclude until fever free for 24 hours without the use of fever suppressing medications; (5) conjunctivitis, bacterial and/or viral--exclude until permission and/or permit is issued by a physician or local health authority or until symptom free; (6) coronavirus disease 2019--exclude and readmit based upon guidance from the Department of State Health Services on its website at https://dshs.texas.gov/covid19readmission; (7) fever--exclude until fever free for 24 hours without use of fever suppressing medications; (8) fifth disease (erythema infectiosum)--exclude until fever free for 24 hours without the use of fever suppressing medications; (9) gastroenteritis--exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications; (10) giardiasis--exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications; (11) hepatitis A--exclude until one week after onset of illness; (12) infections (wounds, skin, and soft tissue)--exclude until drainage from wounds or skin and soft tissue infections is contained and maintained in a clean dry bandage; restrict from situations that could result in the infected area becoming exposed, wet, soiled, or otherwise compromised; (13) infectious mononucleosis--exclude until physician decides or fever free for 24 hours without the use of fever suppressing medications; (14) influenza--exclude until fever free for 24 hours without the use of fever suppressing medications; (15) measles (rubeola)--exclude until four days after rash onset or in the case of an outbreak, exclude unimmunized child for at least 21 days after the last date the unimmunized child was exposed; (16) meningitis, bacterial--exclude until 24 hours after start of effective treatment and approval by health care provider; (17) meningitis, viral--exclude until fever free for 24 hours without the use of fever suppressing medications; (18) meningococcal infections (invasive disease)--exclude until 24 hours after start of effective treatment and approval by health care provider; (19) mumps--exclude until five days after the onset of swelling; (20) pertussis (whooping cough)--exclude until completion of five days of appropriate antibiotic therapy, or until 21 days have passed since cough onset, whichever is earlier; (21) ringworm--none, if infected area can be completely covered by clothing or a bandage, otherwise exclude until treatment has begun; (22) rubella (German measles)--exclude until seven days after rash onset or in the case of an outbreak, unimmunized children should be excluded until at least three weeks after the onset of the last rash; (23) salmonellosis--exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications and fever free for 24 hours without the use of fever suppressing medications; (24) scabies--exclude until treatment has begun; (25) shigellosis--exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications and fever free for 24 hours without the use of fever suppressing medications; (26) streptococcal sore throat and scarlet fever--exclude until 24 hours from time antibiotic treatment was begun and fever free for 24 hours without the use of fever suppressing medications; (27) tuberculosis disease (suspected or confirmed), pulmonary or laryngeal--exclude until antibiotic treatment has begun and a physician's certificate or health permit obtained; and (28) typhoid fever-exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications and fever free for 24 hours without the use of fever suppressing medications; and 3 consecutive stool specimens have tested negative for Salmonella Typhi. (b) The school administrator shall exclude from attendance any child having or suspected of having a communicable disease designated by the Commissioner of the Department of State Health Services (commissioner) as cause for exclusion until one of the criteria listed in subsection (c) of this section is fulfilled. (c) Any child excluded for reason of communicable disease may be readmitted, as determined by the health authority, by: (1) submitting a certificate of the attending physician, advanced practice nurse, or physician assistant attesting that the child does not currently have signs or symptoms of a communicable disease or to the disease's non-communicability in a school setting; (2) submitting a permit for readmission issued by a local health authority; or (3) meeting readmission criteria as established by the commissioner. |
Unassigned EpiPens
In accordance with the Education Code 38.208 EpiPen Auto Injectors, Sanger ISD will maintain a stock supply of EpiPens in each school. The school nurses and other designated school personnel will have the authority to administer the EpiPen to any student or other individual on school premises whom they believe in good faith is experiencing anaphylaxis.
The EpiPen is an auto-injector prefilled with epinephrine which is the drug of choice for the emergency treatment of severe allergic reactions (anaphylaxis) to insect stings or bites, foods, drugs, and other allergens.
School nurses and designated school personnel will be assigned and trained on the proper technique of EpiPen administration.
Protocol requires that any time an EpiPen is administered; the individual must be transported via ambulance to the Emergency Room.
If your child has been diagnosed with an allergy/health condition that requires the use of an EpiPen, it is your responsibility to provide your child’s EpiPen to the school nurse on or before the first day of class along with medical orders. Please contact your campus nurse to discuss a plan of care for your student.