Health Services Available to all Students

School Nurse:  Kristie Dittemore RN, BSN

Works 21 Hours or 3 Days/Week.

Graduated from MWSU with a Bachelor of Science in Nursing in 1989.  Nursing Experience includes:  20 years in the ICU/CCU, 10 years Critical Care Clinical Educator, and School Nursing 5 years.  I am currently certified to instruct First Aid, Basic Life Support with AED, and Advanced Cardiac Life Support.  If anyone is interested in holding a card for any of these certifications please contact me.

Medical Records:  Heather Roberts

Works Full Time

Heather is certified in First Aid/Heartsaver AED and Medication Administration.  Heather has phone access to Kristie Dittemore RN, BSN during the days she is not scheduled to work at the school.

Daily Care of Students and Staff

• First Aid

• Medication Administration

• Nursing assessment for illness

• Nursing Intervention for chronic health problems

• Referrals to physicians

• Immunization Requirements

• Medical Records

Health Screenings

• Hearing (K-5)

• Vision (K-5)

• Scoliosis (5-8)

• Height and Weight/Body Mass Index (K-5)

• Dental Screening (K-5)

• Blood Pressure (7-12)

• Lice Checks are performed as needed.

These screening are also performed on request by faculty.  If any parent is concerned about their child, please call 567-2527 and ask for Kristie or Heather.  We will be glad to complete any of the above screenings at your request.

Immunizations

Effective in the 2010-2011 school year the following requirements will be implemented:

• Tdap will be required for all incoming eighth grade students

• 2nd dose varicella for all incoming kindergarten students, and

• Schools may accept only a written signed statement for a doctor of medicine or doctor of osteopathy as documentation of proof of varicella (chickenpox) disease for all incoming kindergarten students.

• For children between the ages of 12 months and 12 years the minimum interval between varicella doses is 3 months.

• Ensure that each student's immunizations are completed to Missouri State Requirements.

• In adherence to Missouri State Immunization Laws, students will be excluded from school for incomplete immunization records except under physician care or because of religious exemption.

Communicable Disease Control

• Students will be excluded from school for the following communicable diseases:

  • Chicken Pox:  Until all lesions are scabbed over. (5-7 days)

  • Strep Throat and Conjunctivitis (Pink Eye):  Until 24 hours after treatment

  • Head Lice and Scabies:  In order to be readmitted to school, you must accompany your child to school for the recheck.  The school nurse will check the child's head to make sure there are no nits or live lice present.  After your child is clear, they may return to the classroom.

Medication Administration

• Our Medication policy requires a written physicians' order as well as written parental consent.  All medicine must come to school in the original container.  Please contact the school nurse for authorization forms.

• Administer daily medication as prescribed by private physician.  Can be provided on an as needed basis/PRN or daily.

• We can also provide some over-the-counter medicines under the direction of Dr. Sue Watson and the St. Francis Family Health Services in Maryville, MO.  Please contact the school nurse for authorization form to provide these medicines.

*Generic versions may be used.

*Campho-phenique      *Epipen (Used for severe allergic reactions.)      *Vaseline/Blistex       *Solarcaine Spray             

*Syrup of Ipecac           *Benedryl (Used for minor allergic reactions and mild cold symptoms.)

*Aloe Vera                   *Caladryl/Calamine Lotion        *Triple Antibiotic Ointment                *Peroxide

*Hydrocortisone 1% Cream             *Eye Wash/Artificial Tears/Visine                                   *Sore Throat Lozenges

*Tylenol                      *Similasan Ear Drops                 *Ibuprofen                                      *Tums

*Cough Drops              *Anbesol/Orajel                         *Robitussin or  Delsym (Used for Cough)

*Non-Pseudo Sinus Pain & Pressure (Active Ingredients:  Acetaminophen 500 mg & Phenylephrine HCl 5 mg)

*Decorel Forte Plus (Active Ingredients:  Acetaminophen 325 mg, Dextromethorphan HBr 15 mg, Guaifenesin 200mg, & Phenylephrine HCl 5 mg)

Emergency Action Plans

• If your child is diagnosed with Asthma, Heart Condition, Diabetes, Seizures, Anaphylaxsis or any other chronic medical condition, the nurse will keep an emergency plan on file in the nurses' office.  In the event an emergency arises the plan set forth by your physician will be followed.
• This plan will be signed by the parent and the school nurse.

Insurance

• Applications for Medicaid Insurance is available in the nurses' office.
• If you need assistance filling out the forms, please call and set up a time to meet with the school nurse.

Nursing Management for Students with Disabilities

• Act as medical liaison for children who may have a chronic or temporary disability.
• Provide nursing care plans with goals and interventions unique to the student.

Education

• Provide ongoing, relevant, individual health education to students, parents, and staff
• Act as a resource for health education in classes as needed
• Teach puberty program
• Dental Education/Fluoride Program
• Hygiene Education
• Other Miscellaneous Hot Topics

Health Agency Referrals

• Refer students and staff to appropriate community health agencies.

Health Counseling

• Nurse is available for individual consultation for students, parents, and staff