A. No, all medication to be administered at school must be brought to the school nurse by the parent or guardian. A Provider/Parent Authorization Medication must be completed and presented with the medication.
Q. May the parent/guardian bring and give medications to their child?
A. Yes, a parent/guardian may come to the school and give their child medication. The student will be called to the office or the clinic for the parent to administer the child's medication.
Q. Why must medication be in the original, unopened container?
A. The original container provides information from the manufacturer about the over-the-counter medications, including the name of the medication, the proper dose, how the medication should be given, how often the medication can be given, possible side effects, and when the medication is no longer effective (an expiration date). An unopened container ensures that the medication has not been tampered with.
Q. What if my child's medication or dosage changes?
A. New medications or different doses will not be given unless the parent/physician completes a new Provider/Parent Authorization Medication form. The information on the prescription bottle label must match the new authorization form.
Q. Can my child carry his asthma inhaler at school?
A. Yes, students may carry inhalers, epi-pens,and insulin (considered rescue medications) at school if parents, physician, and school nurse deem it safe and appropriate for the school setting. The Provide/Parent Medication Authorization must indicate that the student can "self carry".
Q. Why must a parent bring the student's medication to school?
A. The Madison City School System does not want to place any child in a situation where they may be confronted for drugs. Ritalin, as well as other drugs, has street value. When the parents bring the medication to school, it ensures no other child will tamper with the medication.
Q. Why can't my child keep his/her medication on his/her person?
A. If a medication is kept on a student, it could be lost or taken by another student. If the medication is found on the student it could be considered as a drug with consequences according to the Code of Conduct, which prohibits any medication (other than rescue medication) to be kept -on person by a student at school. To ensure the health and safety of our students, all medication must be brought in by the parents in the original container and logged in with the school nurse or certified medication assistant. The only exception would be asthma inhalers, Epi-pens, or insulin with written permission from a physician.
Q. Why does the school need to count medication?
A. Counting medication keeps the parent and the school informed of the amount of medication the school has on hand.
Q. How long will my child's over-the -counter (OTC) medication be given at school?
A. OTC medication will be given as needed throughout the school year, if appropriately completed Parent/Prescriber Medication form is signed by the parent and physician. OR OTC medication may be given to a student at school without a physician's signature for 7 schools days with a Parent/Prescriber Medication form signed by the parent.
Q. What happens to my child's medication at the end of the school year?
A. All medications not picked up by the parent/guardian by the last day of school will be destroyed.
Pediculosis Procedure It is the position of the Madison City School System that the management of Pediculosis (infestation of head lice) should not disrupt the educational process. Head lice is not a disease and should not be associated with poor hygiene. Children found with live head lice or nits should be referred to the parents for treatment. The Alabama Department of Public Health does not require that a student with nits (eggs) be denied attendance to school. This position is supported by the Center for Disease Control (CDC), the American Academy of Pediatrics, and the National Association of School Nurses. The CDC (2010) cites the following reasons to discontinue “no nit” policies in school: • Many nits are more than 1/4” from the scalp. Such nits are usually not viable and unlikely to hatch to become crawling lice, or may in fact be empty shells, also known as casings. • Nits are cemented to hair shafts and are unlikely to be transferred successfully to other people. • The burden of unnecessary absenteeism to the students, families, and community ar outweighs the risks associated with head lice. • Misdiagnosis of nits is very common during nit checks conducted by nonmedical personnel. The school nurse is the most knowledgeable professional in the school community and ideally suited to provide education and guidance to parents/guardians regarding “best practices” for Pediculosis management. The goal of any actions by the nurse is to contain infestation, provide appropriate health information for the treatment and prevention, prevent overexposure to potentially hazardous chemicals, and minimize school absences. Please note the following protocol for managing Pediculosis in schools: • The school nurse will verify by visual examination the student suspected of having Pediculoisis. • The parent will be notified of positive findings of live lice and/or nits and proper instructions will be provided on how to clean the hair, clothes, the environment and other items that may contribute to the spread of lice. • Students found to have live lice will be sent home, with an excused absence for the day, for appropriate treatment and return after the appropriate treatment has begun. • Parent must accompany student to school for the student to be rechecked by the school nurse for readmission. Through visual examination the school nurse will make a determination as to whether a student can return to class. • Although students can return to school with nits, the ultimate goal is for the parents to work toward removing all of the nits. • Over the next 7 days after the student has begun treatment, the nurse may periodically monitor the student’s hair for live lice and for the elimination of the nits. • It is the responsibility of the parent/guardian to follow procedure and return their child to school promptly. Pediculosis Procedure Madison City Schools: updated 4/8/13
Over-the-counter Medications (Copied from the CDC website)
Many head lice medications are available "over-the-counter" without a prescription at a local drug store or pharmacy. Each over-the-counter product approved by the FDA for the treatment of head lice contains one of the following active ingredients. If crawling lice are still seen after a full course of treatment contact your health care provider.
Pyrethrins combined with piperonyl butoxide; Brand name products: A-200*, Pronto*, R&C*, Rid*, Triple X*.
Pyrethrins are naturally occurring pyrethroid extracts from the chrysanthemum flower. Pyrethrins are safe and effective when used as directed. Pyrethrins can only kill live lice, not unhatched eggs (nits). A second treatment is recommended on day 9 to kill any newly hatched lice before they can produce new eggs. Pyrethrins generally should not be used by persons who are allergic to chrysanthemums or ragweed. Pyrethrin is approved for use on children 2 years of age and older.
Permethrin lotion 1%; Brand name product: Nix*.
Permethrin is a synthetic pyrethroid similar to naturally occurring pyrethrins. Permethrin lotion 1% is approved by the FDA for the treatment of head lice. Permethrin is safe and effective when used as directed. Permethrin kills live lice but not unhatched eggs. Permethrin may continue to kill newly hatched lice for several days after treatment. A second treatment often is necessary on day 9 to kill any newly hatched lice before they can produce new eggs. Permethrin is approved for use on children 2 months of age and older.
The following medications approved by the U.S. Food and Drug Administration (FDA) for the treatment of head lice are available only by prescription. If crawling lice are still seen after a full course of treatment contact your health care provider.
Malathion lotion 0.5%; Brand name product: Ovide*
Malathion is an organophosphate. Malathion lotion 0.5% is approved by the FDA for the treatment of head lice. The formulation of malathion approved in the United States for the treatment of head lice is a lotion that is safe and effective when used as directed. Malathion is pediculicidal (kills live lice) and partially ovicidal (kills some lice eggs). A second treatment is recommended if live lice still are present 7-9 days after treatment. Malathion is intended for use on persons 6 years of age and older. Malathion can be irritating to the skin and scalp; contact with the eyes should be avoided. Malathion lotion is flammable; do not smoke or use electrical heat sources, including hair dryers, curlers, and curling or flat irons, when applying malathion lotion and while the hair is wet.
Benzyl alcohol lotion (5%); Brand name product: Ulesfia lotion*
Benzyl alcohol is an aromatic alcohol. Benzyl alcohol lotion 5% is a white topical lotion approved by the FDA for the treatment of head lice; it is considered safe and effective when used as directed. Benzyl alcohol kills live lice (it is pediculicidal) but does not kill unhatched lice eggs (it is not ovicidal). A second treatment with benzyl alcohol lotion is necessary on day 9 after the first treatment (or as recommended by the manufacturer) to kill any newly hatched lice before they can produce new eggs. Benzyl alcohol lotion is intended for use on persons who are 6 months of age and older. Benzyl alcohol can be irritating to the skin and eyes; contact with the eyes should be avoided.
Lindane shampoo 1%; Brand name products: None available
Lindane is an organochloride. The American Academy of Pediatrics (AAP) no longer recommends it as a pediculocide. Although lindane shampoo 1% is approved by the FDA for the treatment of head lice, it is not recommended as a first-line therapy. Overuse, misuse, or accidentally swallowing lindane can be toxic to the brain and other parts of the nervous system; its use should be restricted to patients for whom prior treatments have failed or who cannot tolerate other medications that pose less risk. Lindane should not be used to treat premature infants, persons with HIV, a seizure disorder, women who are pregnant or breast-feeding, persons who have very irritated skin or sores where the lindane will be applied, infants, children, the elderly, and persons who weigh less than 110 pounds.
When treating head lice
Do not use extra amounts of any lice medication unless instructed to do so by your physician and pharmacist. The drugs used to treat lice are insecticides and can be dangerous if they are misused or overused.
Do not treat an infested person more than 2-3 times with the same medication if it does not seem to be working. This may be caused by using the medicine incorrectly or by resistance to the medicine. Always seek the advice of your health care provider if this should happen. He/she may recommend an alternative medication.
Do not use different head lice drugs at the same time unless instructed to do so by your physician and pharmacist.
*Use of trade names is for identification purposes only and does not imply endorsement by the Public Health Service or by the U.S. Department of Health and Human Services
TREATMENT OF HEAD LICE Information from the Centers for Disease Control and Prevention (CDC)
GENERAL GUIDELINES Treatment for head lice is recommended for persons diagnosed with an active infestation. All household members and other close contacts should be checked; those persons with evidence of an active infestation should be treated. Some experts believe prophylactic treatment is prudent for persons who share the same bed with actively-infested individuals. All infested persons (household members and close contacts) and their bedmates should be treated at the same time. Retreatment of head lice usually is recommended because no approved pediculicide is completely ovicidal. To be most effective, retreatment should occur after all eggs have hatched but before before new eggs are produced. The retreatment schedule can vary depending on whether the pediculicide used is ovicidal (whether it can kill lice eggs). Treat the infested person(s): Requires using an over-the-counter (OTC) or prescription medication. Follow these treatment steps:
WARNING: Do not use a combination shampoo/conditioner, or conditioner before using lice medicine. Do not re-wash the hair for 1-2 days after the lice medicine is removed.
1. Before applying treatment, it may be helpful to remove clothing that can become wet or stained during treatment. 2. Apply lice medicine, also called pediculicide, according to the instructions contained in the box or printed on the label. If the infested person has very long hair (longer than shoulder length), it may be necessary to use a second bottle. Pay special attention to instructions on the label or in the box regarding how long the medication should be left on the hair and how it should be washed out. 3. Have the infested person put on clean clothing after treatment. 4. If a few live lice are still found 8-12 hours after treatment, but are moving more slowly than before, do not retreat. The medicine may take longer to kill all the lice. Comb dead and any remaining live lice out of the hair using a finetoothed nit comb. 5. If, after 8-12 hours of treatment, no dead lice are found and lice seem as active as before, the medicine may not be working. Do not retreat until speaking with your health care provider; a different lice medicine (pediculicide) may be necessary. If your health care provider recommends a different pediculicide, carefully follow the treatment instructions contained in the box or printed on the label. 6. Nit (head lice egg) combs, often found in lice medicine packages, should be used to comb nits and lice from the hair shaft. Many flea combs made for cats and dogs are also effective. 7. After each treatment, checking the hair and combing with a nit comb to remove nits and lice every 2-3 days may decrease the chance of self-reinfestation. Continue to check for 2-3 weeks to be sure all lice and nits are gone. 8. Retreatment generally is recommended for most prescription and non-prescription (over-the-counter) drugs on day 9 in order to kill any surviving hatched lice before they produce new eggs. However, if using the prescription drug malathion, which is ovicidal, retreatment is recommended after 7-9 days ONLY if crawling bugs are found.
SUPPLEMENTAL CLEANING 1. Machine wash and dry clothing, bed linens, and other items that the infested person wore or used during the 2 days before treatment using the hot water (130°F) laundry cycle and the high heat drying cycle. Clothing and items that are not washable can be dry-cleaned sealed in a plastic bag and stored for 2 weeks. 2. Soak combs and brushes in hot water (at least 130°F) for 5-10 minutes. 3. Vacuum the floor and furniture, particularly where the infested person sat or lay. However, the risk of getting infested by a louse that has fallen onto a rug or carpet or furniture is very small. Head lice survive less than 1-2 days if they fall off a person and cannot feed; nits cannot hatch and usually die within a week if they are not kept at the same temperature as that found close to the human scalp. Spending much time and money on housecleaning activities is not necessary to avoid reinfestation by lice or nits that may have fallen off the head or crawled onto furniture or clothing. 4. Do not use fumigant sprays; they can be toxic if inhaled or absorbed through the skin.
All students in grades K through 12 of Alabama's public and private schools are required by law to have on file appropriate Alabama Certificate of Immunization IMM 50 (the Blue Immunization Card ). This document is necessary to ensure that our children are protected against vaccine-preventable diseases. All Blue Cards must have a valid expiration date documented.
The vaccines that are required by the State of Alabama for students attending school (including Pre-School) are listed below:
NUMBER OF DOSES
5 doses (4 if the 4th dose was received after the 4th birthday; A booster dose of Tdap vaccine must be given at 11 or 12 years of age beginning fall 2010
4 doses (3 if the 3rd dose was received on or after the 4th birthday)
2 doses Measles, 1 dose of Mumps, and 1 dose of Rubella
4 does up to age 5
4 doses for students attending the Pre-school Program
Beginning with the 2010-2011 school year, all students 11 years old AND entering the 6th grade in Alabama Schools must have a tetanus-diphtheria-acellular pertussis (Tdap) vaccine. Each pupil 11 years old AND is entering the 6th grade, is required to have a New Certificate of Immunization (Blue Card). The type of tetanus vaccine administered (Tdap) must be written and the month, day, and year the vaccine was administered must also be documented on the Blue Card. This is because the change from this booster dose from tetanus-diphtheria (Td) to tetanus-diphtheria-acellular pertussis (Tdap) vaccine. The Tdap vaccine will protect adolescents from pertussis (whooping cough) and keep them from spreading disease to siblings, other family members, and other students. The Tdap school requirement will go up by one higher grade each school year. For example, Tdap will be required for students entering seventh grade in 2011-2012, eighth grade in 2012-2013, up through twelfth grade in 2016-2017.
Each time your child receives a new vaccine, an updated Immunization Certificate (Blue Card) should be brought to the nurse at your child's school. Additionally, throughout the school year the nurse at your school will review the expiration dates on the Blue Cards in her school. You will be notified by a letter attached to your child's report card, progress report, or by mail if your child's Blue Card is expired or missing information. A copy of the current Blue Card on file at school will also be sent home so that your physician can determine what vaccines are needed and so that all of your child's vaccine information can be transferred to the new Blue Card. Prompt attention to this matter is greatly appreciated. If the updated Blue Card is not on file by the next school year, your child will not be able to receive his or her school schedule until the document is received.
Tetanus- diphtheria pertussis (Tdap): Students 11- 18 who have not received Tdap should receive a dose followed by a Td(tetanus) booster doses every 10 years thereafter.
Human papillomavirus vaccine (HPV): HPV is roecommended for the prvention of cervical precancers and cancers in females, and genital warts in females. This may also be administered to males to reduce their liklihood of genital warts.
Meningocccal conjugate vaccine (MCV4): MCV4 is required by many colleges for students living in dormitories to prevent bacterial meningitis.
Influenza vaccine (seasonal): Influenza Vaccine is recommended for students to help prevent seasonal flu.
For more information on these vaccines andto seeif which areappropriate for your child, please consult your child's physician or visit the Center for Disease Control athttp://www.cdc.gov/vaccines/recs/acip
Vision Research Corporation (not sponsored by Health Services) utilizes digital technology to detect eye problems in children. Vision Research offers this screening to students in Kindergarten and 2nd grade. For more information go to http://vision-research.com.
If you are concerned about your child's vision, per written request by the parent or guardian to the school nurse, a vision acuity screening can be performed at school.
Scoliosis Screenings: Spinal screening is required annually by law for schoolchildren in the state of Alabama in Grades 5-9. Scoliosis Screenings are performed during the spring semester.
Scoliosis screening takes place each school year for 5th through 9th grade students. The screening exam identifies the small number of children and teenagers who may have scoliosis. The screening process identifies differences between the right and the left side of the back while the student is first standing and then leaning forward. When the spine bends to the right or to the left, scoliosis may be present. When the spine bends forward too much between the scapula (or wing blades), kyphosis may be present.
What is the school nurse looking for during the exam?
Is one shoulder higher than the other
Are the wing blades even
Is there an uneven waistline
Is there a visible curve
Is there rib fullness on one side compared to the other
Is there a fullness or difference in the lower lumbar spine
Is there excessive "round back"
What is NOT Scoliosis?
A curve caused because one leg is shorted than the other
A curve caused by a painful ruptured disc
A curve caused only by poor posture
A high wing blade
What if your child or teenage "fails" the exam?
Passing the exam means that the school nurse found the right and left side of the spine to be equal. "Failing" the exam means that the school nurse measured a significant difference between the right and left side of the spine in the forward bend test. This does NOT mean that your child or teenage has a curve that will require bracing or surgery.
Any student with an abnormal screening examination by the school nurse should be seen by his/her physician to determine if a referral to a pediatric orthopedist is required.
X-rays are necessary to determine if your child does indeed have curvature of the spine.
Curvature of the spine does not come from slouching or heavy book bags..... and it doesn't come from poor nutrition. It is the result of a genetic message being sent to the spine that tells the spine to bend and twist while the child is still growing.
Breakfast is the most important meal of the day. Your body has been "fasting" all night and needs to refuel for the day's activities. Breakfast provides the energy to keep your child alert and focused so that he/she is ready to learn. Even if your child refuses to eat first thing in the morning, the cafeteria at each school offers a wide selection of breakfast foods for a $1.00. Another option would be to make sure you child brings a healthy snack to eat at school.
Remind your child to wash his/her hands after using the restroom, before eating, and throughout the day.
Teach your child to keep his/her hands away from his/her eyes, nose, and mouth. This helps to reduce the transmission of germs.
Instruct your child to cough and sneeze into his/her elbow instead of his/her hands.
When your child is sick, keep them at home; even if there is a big test at school or a project to turn in. A student with a fever, vomiting, or having diarrhea is contagious and is infecting the other students. Your child will probably not perform well on the test if he/she has a fever, has been up all night vomiting, or is constantly coughing. In addition, his/her body needs time to recover.
Energy drinks advertise that they make person more alert and enhance sports performance. However, energy drinks can be dangerous. Most energy drinks contain stimulants such as caffeine, guarana, ginseng, taurine, and gingko biloba. Some energy drinks have as much caffeine as 5 cups of coffee-or 10 times the amount in a can of soda. Many contain a large amount of sugar. Consuming too much of these ingredients can cause sleep problems, nausea, vomiting, high blood pressure, anxiety, heart palpitations, and even seizures. These substances can also alter a person's perception of fatigue and pain resulting in pushing a yourself past your limits or causing an injury.
The best energy drink is water. Keeping hydrated promotes clearer thinking and allows a person to exercising longer and harder.