Health Screenings


Students are screened yearly for vision and hearing problems. If a problem is detected during screening the student's parents will be contacted.


Height and weights are also measured during the screening process.


Individuals and classes are screened for head lice as indicated.


Medications at School


Any medications that a child may need during the school day, both prescription and over the counter, will be handled according to recommended Conroe ISD policy and procedure, TEA recommendations and FDA guidelines.
 
All medications must be stored and given in the school clinic.


For your child's safety, medications can not be transported to or from school on the bus.


All medicines must be brought to the school by the parent. The parent should bring the medicine directly to the clinic so that the required forms can be completed.


Teachers are not allowed to accept medications (or medication instructions) from parents.
 
All medication must be in their original labeled container. Most pharmacies on request will provide a second bottle for doses required during the school day.
Dosage for both prescription and non- prescription medications will be administered according to labeled instructions.


At the end of each school year, parents will be notified to pick up any remaining medication from the clinic. Medications not picked up by the final day will be destroyed.


Over-the-counter medication dosage must not exceed the dose recommendation listed on the bottle. Exception: If your physician, dentist or orthodontist has directed a certain dosage to be given that is greater than that recommended on the bottle, a written order will need to be included with the written permission from the parent.


*The use of "sample" medication from the physician, dentist, or orthodontist must have signed written instructions from that doctor accompanied by the parent's written permission.


*Please note: If a medication is required "daily" or "twice a day", please administer it at home. Many "three times a day" orders may also be given at home unless the doctor requests specific times during the day.


*Inhalers: Students that have severe asthma may experience times when symptoms worsen quickly. If their physician requests that the student carry an inhaler, a letter from the physician permitting the student to carry the inhaler will be needed. The student will also be required to demonstrate proficiency in inhaler administration.  It is strongly recommended that a spare inhaler be kept in the clinic in case the student or teacher cannot locate their inhaler in an emergency situation. Be advised that is their is an emergency on the playground/ PE etc. the only inhaler for the student will be in their backpack or locker. For this reason, it is strongly recommended for a spare inhaler to be located in the clinic.

*The Surgeon General, the Food and Drug Administration and the Center for Disease Control have recommended that due to the increased risk of developing "Reye's Syndrome" (a serious and sometimes fatal disease), aspirin or products containing aspirin should not be given to children under 18 years.  If your physician orders aspirin for your child a written directive from your physician will be required along with written parent permission.
Emergencies and Illness at School


A "Student Health Information" form will be sent home with your child at the end of each school year. It is very important that you complete and return the form immediately. This form will give you an opportunity to list any medical conditions, allergies, medications that your child is taking at home and concerns you may have.
It also includes emergency information for the clinic staff. If your child becomes ill or is injured at school, this information will be used to contact you. Please keep the clinic updated with any changes in cell phone or work numbers.
You may also indicate on this form friends or family members that could be contacted if neither parent was available. Students will not be released to anyone without authorization from their parent(s).


Illness at school

Illness at school is evaluated by the clinic staff in the clinic area. A child who demonstrates the
following will be sent home from school.


*Fever of 100 degrees or more
*Vomiting or diarrhea
*Severe stomachache, headache or earache
*Suspected contagious conditions or disease
*A child who is too ill to function in the classroom
 
Immunization Requirements


Texas Dept. of Health and Conroe ISD
Immunization Requirements Updated March 5, 2009
Parents must provide physician records documenting a completed series of immunizations upon entry to Conroe ISD schools for their child. Each received vaccine must list the month/day/year to be considered a valid immunization. If a student is currently receiving an immunization series, he/she must receive the series as rapidly as medically feasible and continue to provide updated physician records to the school clinic.


Immunizations required for enrollment are listed below.


Elementary school (Kindergarten through fourth grade)


DPT - 5 doses - One dose must be after the 4th birthday.


Polio - 4 doses - One dose must be after the 4th birthday.


Hepatitis A - 2 doses


Hepatitis B - 3 doses - No specified age requirements.


Measles - 2 doses - Received after the first birthday.


Mumps - 1 dose - Received after the first birthday .


Rubella - 1 dose - Received after the first birthday.


Varicella - 2 doses  or validated history of chicken pox.(K - 4th Grade 1 dose 5th - 6th)


Tdap/Td- 1 dose required at the entrance of 7th grade unless a tetanus containing vaccine has been received within the past 5 years.
                      
 Lice Information


Conroe ISD follows recommendations from the Centers for Disease Control and Prevention (CDC) and the Texas Department of State Health Services (DSHS) as well as those contained in the position papers of the American Academy of Pediatrics (AAP) and the National Association of School Nurses (NASN) in the treatment for lice. Head lice, although not an illness or disease, is common among children and can be spread through head-to-head contact during play and sports, and when students share things like brushes, combs, and hats. The best treatment for lice is prevention. Conroe ISD appreciates our families assisting us in the prevention and control of head lice in our schools with routine family inspection, prompt and effective treatment, and educating your student to avoid direct or indirect contact with other people's hair. Throughout the school year, check your child's hair weekly and after overnight visits with other children.


If careful observation at school indicates that a student has head lice, the school nurse will contact the student's parent to determine whether the child will need to be picked up from school and discuss a plan for treatment. If the procedure used to treat the head lice is not effective, please contact the school nurse or your physician for further recommendations for treatment. Conroe ISD provides information regarding head lice prevention through newsletters and other sources of information, and is committed to working with families who may have head lice occurrences.



Head lice are parasitic insects found on the heads of people. Having head lice is very common. There are three forms that lice take. the Nit, the Nymph, and the Adult. The nits are head lice eggs. They are hard to see and are often confused for dandruff or hair spray droplets. Nits are found firmly attached to the hair shaft. They are oval and usually yellow to white. Nits take about 1 week to hatch. The nit hatches into a baby louse called a nymph. It looks like an adult head louse, but is smaller. Nymphs mature into adults about 7 days after hatching. To live, the nymph must feed on blood. The adult louse is wingless, about the size of a sesame seed, has six legs,  and is tan to grayish-white. In persons with dark hair, the adult louse will look darker. They do not jump hop or fly. Adult lice can live up to 30 days on a person's head. To live, adult lice need to feed on blood. If the louse falls off a person, it dies within 2 days.  Eggs are laid by the female louse at a rate of 8-10 a day, with eggs hatching ususally 10 days after they are laid.

How is Head lice Diagnosed?
An infestation is diagnosed by looking closely through the hair and scalp for nits, nymphs, or adults. Finding a nymph or adult may be difficult; there are usually few of them and they can move quickly from searching fingers. If crawling lice are not seen, finding nits within a 1/4 inch of the scalp confirms that a person is infested and should be treated. If you only find nits more than 1/4 inch from the scalp (and don't see a nymph or adult louse), the infestation is probably an old one and  does need to be treated. If you are not sure if a person has head lice, the diagnosis should be made by your health care provider, school nurse, or a professional from the local health department.


Egg/Nit: Nits are head lice eggs. They are very small, about the size of a knot in thread, hard to see, and are often confused for dandruff or hair spray droplets. Nits are laid by the adult female at the base of the hair shaft nearest the scalp. They are firmly attached to the hair shaft. They are oval and usually yellow to white. Nits take about 1 week to hatch. Eggs that are likely to hatch are usually located within 1/4 inch of the scalp.
Nymph: The nit hatches into a baby louse called a nymph. It looks like an adult head louse, but is smaller. Nymphs mature into adults about 7 days after hatching. To live, the nymph must feed on blood. They can appear to be nothing more than a speck of dirt.
Adult: The adult louse is about the size of a sesame seed, has six legs, and is tan to greyish-white. In persons with dark hair, the adult louse will look darker. Females, which are usually larger than the males, lay eggs. Adult lice can live up to 30 days on a person's head. To live, adult lice need to feed on blood. If the louse falls off a person, it dies within 2 days.


                                             Here’s what to look for:


nit.gif
nymph.jpg
adult.jpg
Egg
Nymph
Adult

What are the signs and symptoms of head lice infestation?

  • Tickling feeling of something moving in the hair.   
  • Itching, caused by an allergic reaction to the bites.   
  • Irritability.   
  • Sores on the head caused by scratching. These sores can sometimes become infected.
Where are head lice most commonly found?
They are most commonly found on the scalp, behind the ears and near the neckline at the back of the neck. Head lice hold on to hair with hook-like claws found at the end of each of their six legs. Head lice are rarely found on the body, eyelashes, or eyebrows.

How did my child get head lice?
Contact with an already infested person is the most common way to get head lice. Head-to-head contact is common during play at school and at home (sports activities, on a playground, slumber parties, at camp). Less commonly, wearing clothing, such as hats, scarves, coats, sports uniforms, or hair ribbons, recently worn by an infested person.
Using infested combs, brushes, or towels.   
Lying on a bed, couch, pillow, carpet, or stuffed animal that has recently been in contact with an infested person.
Do dogs and cats serve to maintain or transfer head lice?~ Pets are of no significance in maintaining or transmitting human lice, and should not be treated for head lice.
What should be cleaned?~ Washing and drying (with heat) the pillowcases, sheets, nightclothes, towels and stuffed animals may possibly eliminate lice and eggs that might otherwise reinfest a family member. Combs, brushes, hats, hoodies,  and other hair accessories in contact with an infested person should be washed in hot water each day to dislodge any lice and nits. Shared helmets and headphones in schools or recreational settings may rarely and transiently harbor an occasional louse or nit; Shared lockers or coat hooks probably pose a small risk as sources of contamination. Any lice or nits that might detach in a swimming pool would likely be removed by the pool filter or should otherwise perish before they have a chance to contact a person. Closing a swimming pool because of lice is not needed.
Should I clean my house or car?~ Head lice and their eggs soon perish if separated from their human host. Removed lice survive just a day or so, and the eggs generally lose viability within a week.  Couches, chairs, floors should all be vacuumed.  A child's car seat cover may benefit from vacuuming, as a few errant lice or eggs may temporarily lodge there and survive for a day or so.
Can Lice Be Prevented?
Having head lice is not a sign of uncleanliness or poor hygiene. The pesky little bugs can be a problem for kids of all ages and socioeconomic levels, no matter how often they do - or don't - clean their hair or bathe.
However, you can help to prevent your child from getting lice - or from becoming reinfested with lice - by taking the following precautions:
Tell your child to try to avoid head-to-head contact at school (in gym, on the playground, or during sports) and while playing at home with other children.   
Tell your child not to share combs, brushes, hats, scarves, bandanas, ribbons, barrettes, hair ties or bands, towels, helmets, or other personal care items with anyone else, whether they may have lice or not.   
Tell your child not to lie on bedding, pillows, and carpets that have recently been used by someone with lice.   
Examine members of your household who have had close contact with a person who has lice every 3 or 4 days. Then, treat those who are found to have lice or nits close to the scalp. If you are unsure, it might be a good idea to retreat.

How Are Lice Treated?
Your child's doctor can recommend a medicated shampoo, cream, or lotion to kill the lice. These may be over-the-counter or prescription medications, depending on what treatments have already been tried. It isn't uncommon for treatments to be unsuccessful because of incorrect use or because the lice may be resistant to the chemical in the shampoo.
It's important to follow the directions exactly because these products are insecticides. Applying these medications too much or too frequently can increase the risk of causing harm. Following the directions on the product label is also important to ensure that the treatment works properly. Your child's doctor may also suggest a special rinse to use on your child's hair that makes it easier to comb out the nits using a fine-tooth comb.
Medicated lice treatments can usually kill the lice and nits, but it may take a few days for the itching to stop. Your child's doctor may recommend repeating treatment in~7 to~10 days to make sure all the nits have been killed, because even one nit left behind can lead to a reinfestation.

 Non pesticidal products are available as well. For suggestions, please call the nurse (832)592-8770

Mayonnaise costs much less, it's completely safe, and it will kill all lice on the head as well as their nits (eggs). To kill (actually smother) head lice completely, follow these simple instructions:
Step 1
Saturate hair completely with mayonnaise. Be sure to work the mayonnaise in the hair and roots well. Scalp and hair MUST be extremely greasy from the mayonnaise to prevent lice from breathing.
Step 2
Wrap hair as tightly as possible with Saran Wrap or Handi-Wrap (or a shower cap), then wrap with a towel.
Step 3
Allow to remain on head for at least 4 hours. This will guarantee all the lice are dead. During this time take all pillow cases, towels, blankets, sheets and clothes that have come into contact with any lice-infested hair and run them through the washing machine and dryer. Water temperature should be 130° and then put in the hot cycle of the dryer for at least 20 minutes.
 Step 4
Shampoo hair thoroughly. Rinse hair with vinegar, or wrap in a vinegar soaked towel for 2 hours, then rinse clean with water. Comb hair with a nit comb if desired. No nits should survive this treatment if done properly. Congratulations! You're done! This can be repeated as often as needed without any harm to the child.  Again, the child's hair needs to be checked daily for at at least a week and all nits need to be manually removed. Lice die within 12 to 24 hours without a human head to feed on and, contrary to popular belief, they cannot jump nor will they transfer to your pets.
If your child is 2 years old or under, you should not use medicated lice treatments. You'll need to remove the nits and lice by hand.
No matter what your child's age, here are some other things you can do that may help get rid of the lice and their eggs:
Use a fine-tooth comb on your child's hair after regular shampooing every 3 to 4 days for 2 weeks. Wetting the hair beforehand is recommended because it temporarily immobilizes the lice and they become easier to comb out.   
Wash~all bed linens and clothing that's been recently worn by anyone in your home who's infested in very hot water (130 degrees Fahrenheit, or 54.4 degrees Celsius) then put them in the hot cycle of the dryer for at least 20 minutes.   
Have bed linens, clothing, and stuffed animals and plush toys that can't be washed dry-cleaned. Or, put them in airtight bags for 2 weeks.   
Vacuum carpets and any upholstered furniture (in your home or car).   
Soak hair-care items like combs, barrettes, hair ties or bands, headbands, and brushes~in rubbing alcohol or medicated shampoo for 1 hour. You can also wash them in hot water or just throw them away.

Because lice are easily passed from person to person in the same house, other infested family members will also need treatment to prevent the lice from coming back. In your efforts to get rid of the bugs, there are some things you shouldn't do. Some don'ts of head lice treatment include:
Don't use a hair dryer on your child's hair after applying any of the currently available scalp treatments, because some contain flammable ingredients.   
Don't use a cream rinse or shampoo/conditioner combination before applying lice medication.   
Don't wash your child's hair for 1 to 2 days after using a medicated treatment.   
Don't use sprays or hire a pest control company to try to get rid of the lice, as they can be harmful.   
Don't use the same medication more than three times on one person. If it doesn't seem to be working, your child's doctor may recommend another medication.   
Don't use more than one head lice medication at a time.

Will They Ever Be Gone?
As many parents know firsthand, lice infestation can be a persistent nuisance, especially in group settings. If you feel like you're following every recommendation and your child still has lice, it may be because of one or more of the following:
there are still some nits left behind   
your child is still being exposed to someone with lice   
the treatment you're using isn't effective

There's no doubt that they can be hard bugs to get rid of. If your child still has lice for 2 weeks after you started treatment or if your child's scalp looks infected , call your child's doctor. I encourage all parents to recheck their child's hair everyday for the next two weeks after treatment, removing anything that may remotely look like an egg, louse or nit. Remember one egg left behind may lead to reinfestation! Persistance is the key!
No matter how long the problem lasts, be sure to emphasize to your child that although having lice can certainly be very embarrassing, anyone can get them. It's important for kids to understand that they haven't done anything wrong and that having lice doesn't make them dirty. And reassure your child that as aggravating as getting rid of the annoying insects can be, there is light at the end of the tunnel!
Be patient and follow the treatments and preventative tips as directed by your child's doctor for keeping the bugs at bay, and you'll be well on your way to keeping your family lice-free!

Please notify the school nurse if you find lice in your child's head, and treat at home.  All information will be kept confidential. Please do not hesitate to call me in the clinic if you have any questions!


For isolated cases of lice, it is also district policy not to send notes home notifing parents.

HELP! MY CHILD WON'T SWALLOW A PILL!


 

The Conroe Independent School District (District) as an equal opportunity educational provider and employer does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in educational programs or activities that it operates or in employment matters. The District is required by Title VI and Title VII of the Civil Rights Act of 1964, as amended, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, as amended, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act, as well as Board policy not to discriminate in such a manner.

For information about Title IX rights or Section 504/ADA rights, contact the Title IX Coordinator or the Section 504/ADA coordinator at 3205 W. Davis, Conroe, Texas 77304; (936) 709-7752.