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Rebecca Boone Elementary: Nurse's Office

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Nurse

Janette Hysong, Nurse, ext. 4379

WELCOME TO THE REBECCA BOONE HEALTH SERVICES HOME PAGE
The Rebecca Boone Health room includes a registered nurse and secretarial health clerk support that are part of a multidisciplinary team that provides services, resources and education to bridge the gap between health and wellness, and education and learning. The school nurse provides the necessary professional expertise so that health needs can be assessed, identified and monitored through a health plan and an ongoing evaluation process. Program emphasis is placed on prevention of disease and promotion of an optimal level for all students and staff.


HEALTH ROOM ANNOUNCEMENT–
All medication, prescription and over the counter, must be picked up or dropped off by a parent/guardian. Students, by policy, are not allowed to carry any medication. Office hours are 7:00 a.m. until 4:00 p.m. Monday through Friday. Any medication not picked up by the last day of school will be destroyed.


CHOOSE A TOPIC:
Missouri Immunization Requirements for 11-12 School Year

Immunization Clinics
Head Lice Information
Human Growth and Development Education
Health Screening Information
When Should a Student Stay Home From School?

When Should a Student Stay Home From School?
It is very important that we prevent the spread of communicable disease. Before returning to school:
• Students should be fever free for 24 hours without use of fever reducing medications.
• Students should be free of continuous coughing.
• Students should remain at home until 24 hours after the last episode of vomiting or diarrhea.
• Students should remain home for 24 hours after taking the first dose of antibiotic for an infection.
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Because of all the infectious disease germs around us, it is particularly important to practice good hygiene such as hand washing and to not eat or drink after each other.

HEALTH SCREENING INFORMATION, IMMUNIZATION CLINICS
and 5TH GRADE HUMAN GROWTH AND DEVELOPMENT EDUCATION

Health Screening Information
GOAL: To promote health by obtaining screening information.
Examples of screenings performed at Rebecca Boone Elementary are:

Height
Weight
Dental
Vision
Hearing
Scoliosis
Since our health screenings are dependent on parent volunteers, offering your time and support for our students is greatly appreciated.
If you do not want your child to participate in any health screening, please send a note to your child’s school nurse.

Immunization Clinics
Immunizations are available through your private doctor, local resources and the Warren County Health Department. Call 636-456-7474 for information.
Warren County Health Department
104 W. Main
Room OW23
Warrenton, Mo. 63383
(hours) Monday through Friday 8:00 a.m.-4:30 p.m.


A parent or legal guardian must accompany the child to any clinic sponsored by the Warren County Health Department to sign the permission form for the immunizations. In the event a parent or legal guardian cannot be present, please call the Warren County Health Department at 636-456-7474 . You must also take your child’s updated immunization records with you to the clinic. Employment and services are provided on a non-discriminatory basis.

Human Growth and Development Education
Videos presented during Human Growth and Development units:
5th grade girls - “Always Changing for Girls”
5th grade boys - “Always Changing for Boys”
OBJECTIVES OF HUMAN GROWTH AND DEVELOPMENT UNITS
1. Describe the physical changes that occur during puberty.
2. Describe the wide natural range in the rate of change and level of development.
3. Identify the major parts of the female and male reproductive system.
4. State ways that he/she takes care of his/her changing body (i.e. hygiene, exercise, nutrition, sleep etc.)

Parents who have questions can contact Janette Hysong, Rebecca School Nurse, at 636-456-4311 ext. 4379. Please provide a written notice to the school nurse if you prefer that your child not view the videos with their class.


Head Lice Information
Head lice can happen to anyone, clean or dirty, rich or poor. The most important fact to remember is that the problem should be quickly treated because delays will only help to spread the infestation throughout the community.


The adult female head louse lays eggs (nits), which she glues to the hair shaft with a tenacious material applied near the root of the hair. The young lice hatch approximately 10 days later and emerge as miniature replicas of the adults. In order to survive, the newborn louse must feed within 24 hours. Under favorable conditions, the head louse will reach maturity in about two weeks. During its 20-30 days of life, the female louse can deposit as many as six eggs per day, so there may be hundreds of nits in a single infestation.


Head lice are usually transmitted from one infested person to another by direct contact with the hair. Personal items like combs, brushes, towels, and bedding are other frequent sources of contamination. Another common source of infestation is clothing, such as hats, ribbons, scarves, topcoats, and sweaters, all of which provide excellent transportation from one individual to another.
Head lice do not observe any class distinction: they can infest anyone and are a problem that is rapidly gaining ground in all parts of our society. The schoolgirl who borrows a comb, the student trying on a hat in a shop, children who share a bed, or the traveler resting his/her head against the back of an airline seat can fall victim to a head louse infestation.
Head lice are insects, flattened in shape form top to bottom; they have no wings and do not jump or fly. Their mouths include a set of six pairs of hooks by which they attach themselves to the hair shaft. They possess short, stout legs equipped with large claws for grasping and holding on to human hair. While they look terrifying when magnified, they actually measure only approximately one-tenth to one-eight of an inch in length.


Although the lice are difficult to see, they are easy to recognize, provided you are actually looking for them. One telltale sign is a persistent itch of the scalp, often accompanied by infected scratch marks or what appears to be a rash. Closer inspection, possibly aided by a hand lens, will reveal small, silvery eggs attached to individual hairs. In checking the scalp, pay particular attention to the back of the head and the area behind the ears. Lice live mainly in the area at the back of the head, although they will occasionally migrate to the beard or eyebrows.
Lice and their nits can survive (for a time) off the human host. Even though you may have been successful in eliminating your infestation, immediate re-infestation is possible or a fresh infestation of other family members may occur.


If any person in a family, camp, school, or other institution has head lice, there is a strong possibility that others will too.  You should watch for persistent itching and check for nits (small silvery eggs that attach to hair shafts) paying particular attention to the neckline and above the ears on a regular basis. Should you discover that your child has head lice DO NOT SEND THE CHILD TO SCHOOL - KEEP YOUR CHILD HOME UNTIL HE/SHE HAS BEEN TREATED WITH SPECIAL LICE SHAMPOO.
PLEASE BRING YOUR CHILD TO THE NURSE TO BE CHECKED BEFORE RETURNING TO CLASS.


INFORMATION ABOUT TREATMENT OF HEAD LICE
Special lice shampoo must be used. REGULAR SHAMPOO WILL NOT WORK. Shampoo can be obtained from your doctor or pharmacist. Because each lice shampoo is different, follow the directions on the box. Lice Shampoo only kills head lice and will not prevent reinfection.
Shampoo child and any member of the family that has evidence of head lice (Persistent itching, nits on individual hairs or louse on the scalp).
Remove all clothing before treatment and put on clean clothing after shampooing. Nits adhere tightly to the hair shaft. A fine tooth comb may be used to help remove them.
TO PREVENT REINFECTION IT IS IMPORTANT to care for all articles of clothing, bedding, furniture, etc. that may carry a louse or nit.
-Wash clothing, bedding, and towels in hot water (120 degrees or above) and dry on hot cycle. Pillows, blankets and spreads may be put on hot cycle in the dryer for 20 minutes.
-Combs and brushes may be soaked in hot water (just under boiling and kept at that heat) for 20 minutes.
-Furniture, mattresses, carpeting, car seats, etc. should be thoroughly vacuumed and sprayed with special spray for lice.
-Dry clean coats, hats and other clothing that cannot be washed.
-Other articles that cannot be sprayed or taken care of in one of the ways above can be placed in a plastic bag and left for 30 days. Stuffed toys and throw pillows may be handled in this way. NOTE: The louse may not live for that long but the nit may survive for as long as 30 days.
-Hot blow-drying also helps prevent re-infestation.
If you have questions call Janette Hysong, Rebecca Boone School Nurse at
636-456-4311 ext. 4379, a toll-free number 1-800-783-1919 , or www.headlice.org.

Missouri Immunization Requirements for 2011-12 School Year

DIPTHERIA, PERTUSSIS, TETANUS:  Series of at least 3 with the last given on or after 4 years of age.

PERTUSSIS:  required for all students under 6.

POLIO:  Series of at least 3 with the last given on or after 4 years of age (or a total of 4 accepted)

MEASELS, MUMPS, RUBELLA:  requires 2 doses after 1 year of age.

VARICELLA (Chicken Pox):  1 dose or proof of disease

HEB B:  required for all students K-12th grade.

HIB (Haemophilus B) at least 1 dose (if given at 15 months or older) is required for pre-kindergarten (ECSE) program.  If under 15 months-2nd shot is required.

Click here for the 10-11 Immunization Form

Medication Policy
MEDICATION ADMINISTRATION IN THE SCHOOL SETTING
The Health Services Department of the Warren County R-III School District is dedicated to providing the most appropriate services to the students of the district. Many students are able to attend school because of the effective use of medications in the treatment of illness and disabilities. Some medication regimens necessitate the administration of medication during school hours. Safe and effective administration of medication, therefore, requires adherence to a policy.

Prescription medication will be given by school personnel.
"Over the Counter" medication (including "Tylenol") will be given.
It should not be necessary to give more than one dose of medication per day during a six-hour school day. Most medication schedules can be arranged so that all doses of medicine are taken at home. Exceptions can be arranged with school nurse.


TO RECEIVE MEDICATION AT SCHOOL WE MUST HAVE:
1. Signed, written permission from parent or guardian for the medication to be given.
2. Doctor or health care provider's written signed statement that administration of medication by school employee is necessary. Statement needs to include name of medication, amount to be given, time that medication is to be given, possible adverse reactions and expected effects on learning.
3. Medication must have a pharmaceutical label with (1) child's name, (2) name of medication and instructions as dosage, time, etc., (3) name of doctor prescribing medication and (4) a current date. Your pharmacist can give you an extra labeled bottle to use for medication to be sent to school.
4. Students who require emergency medication, as for bee strings or asthma, should have their medication properly labeled as described above. Specific written instruction must be provided as to when and under what circumstances medication is to be given. THIS INFORMATION MUST BE PROVIDED AND SIGNED BY THE STUDENT'S DOCTOR ANNUALLY.
PHYSICIANS WHO HAVE EDUCATED THEIR PATIENTS ABOUT THEIR CONDITION, MEDICATION AND THE USE OF IT, MAY SIGN A MEDICATION AUTHORIZATION FOR SELF-ADMINISTRATION OF THE MEDICATION. THEN STUDENTS WILL BE ALLOWED TO CARRY AND ADMINISTER THEIR MEDICATION.
UNAUTHORIZED MEDICATION WILL BE REPORTED TO SCHOOL ADMINISTRATOR AND PARENTS.

The district may administer over-the-counter medication to a student upon receipt of a written request and permission to do so by a parent/guardian. The district will provide Advil or generic substitute, Tylenol or generic substitute, Tums or generic substitute upon written permission from parent/guardian up to six (6) doses per semester. Further dosage will only occur with written doctor’s permission. All over-the-counter medications must be delivered to the school principal or designee in the manufacturer’s original packaging and will only be administered in accordance with the manufacturer’s label..

ALL MEDICATIONS MUST BE IN THEIR ORIGINAL CONTAINER
Click here for the Medical Authorization Form

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