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Contact Information
Nurse: Karen Vrana RN
Clinic Assistant: Anita Latawiec
Clinic Number: 832-484-5506
Clinic Fax: 832-484-7295
Administering Medication
Klein school personnel are not permitted to give medication of any kind, including analgesics, similar preparations, or any other drugs, unless the parent requests in writing that there is a need for such medication and the parent provides the medication. If the circumstances are questionable, the school employee reserves the right to deny the parent's request. Students will be scheduled to come to the clinic for medicines. Due to the large number of medicine administrations each day, a request to administer medication may result in lost instructional time each day.
When administering prescription medicines, the school district would prefer to have a written statement from a physician or dentist licensed to practice in the United States. Information, however, placed on a prescription label, if it is precise and clear to the school nurse, may be substituted for the above-noted statement.
The prescription must be filled by a pharmacist licensed to practice in the United States. If prescription medicine is required, it must be in its original container, kept in locked storage in the office of the school nurse or of the principal's designee, and administered by the nursing staff or a school employee. The school may accept a sufficient quantity of medicine for one month. All prescription medications must be brought to the clinic and picked up at the clinic by a parent or guardian. Upon receipt, the medicine will be inventoried and discrepancies reported to parents. Only prescription medication needed for the student to remain in school will be administered. No vitamins, health food, or herbal preparations will be given by the school nurse.
The above is not intended to prevent a student from having in his or her possession and taking analgesics, allergy tablet, or other similar non-prescription medication during the school day. The medication must be in its original container. It is strongly recommended that the student go to the clinic or nurse's office, since he consumption of pills in any form during the school day or on the school campus increases the likelihood of a student being mistakenly charged with a violation of the district's policy on drug abuse.
Medication with limited duration will be administered for the time prescribed on the label, and any leftover medicine not picked up by the parent will be destroyed after two weeks.
Communicable Disease Control Measures
The following conditions require exclusion from school attendance in accordance with guidelines adopted by the Texas Department of Health, effective September 1, 1987: (Revised 8/2004)
Chicken pox:
Readmit after 7 days from onset of rash, except immunocompromised individuals who should not return until all blisters have crusted over (may be longer than 7 days).
Conjunctivitis (bacterial and/or viral):
Readmit after a physician's certificate or health pemmit is obtained or after prescription medication has been initiated.
Diphtheria:
Readmit after a physician's certificate or health permit is obtained. Reportsuspected cases immediately to local health department.
Fever (100.4F or greater):
Readmit when the child has been free of fever for 24 hours. Must be free of fever without the assistance of Tylenol or Ibuprofen.
Gastroenteritis, viral:
Readmit when diarrhea subsides.
Head lice (pediculosis):
Students found to have nits less than 1/4 inch from the scalp or live lice will be excluded from school. They will be readmitted when:
one medicated shampoo or lotion treatment has been given and documentation indicating type of treatment is provided to the school nurse
nits within 1/4 inch of the scalp have been removed
the school nurse finds no evidence of nits within 1/4 inch of the scalp and no lice.
The student must be checked by the nurse before returning to class. (If the nurse finds live lice still in evidence, the parent will be notified and the student excluded.)
Hepatitis, viral type A:
Readmit after 1 week from onset of illness. Immune globulin should be given to household contacts. If more than one case occurs in a school, immune globulin should be considered for all children and parents involved.
Impetigo:
Readmit when treatment has begun.
Influenza:
Readmit when symptoms subside and the child has been free of fever for 24 hours.
Measles (rubeola):
Readmit after 4 days from rash onset. In an outbreak, unimmunized children should also be excluded for at least 2 weeks after last rash onset occurs.
Report suspected cases immediately to local health department.
Meningitis, bacterial:
Readmit after a physician's certificate or health permit is obtained. Depending on which bacteria are causing the illness, prophylactic antibiotics may be recommended for family members. Occasionally, close contacts at a school are also treated.
Meningitis, viral (Aseptic meningitis):
Rarely serious. Usually caused by common viruses such as herpes simplex, adenovirus, or coxsackie virus. Investigation of contacts and source of infection usually not indicated. Readmit to school if no fever.
Mumps:
Readmit after 9 days from the onset of swelling.
Pertussis (whooping cough):
Readmit after 5 days of antibiotic therapy. Unimmunized contacts should be immunized and receive antibiotic prophylaxis. Report suspected cases immediately to local health department.
Poliomyelitis:
Readmit after a physician's certificate or health permit is obtained. Report suspected cases immediately to local health department.
Ringworm of the scalp:
Readmit when treatment has begun.
Ringworm of the skin:
Admit provided lesions are covered. Treatment is recommended.
Rubella (German measles):
Readmit after 7 days from rash onset. In an outbreak, unimmunized children should be excluded for at least 3 weeks after last rash onset occurs. Report suspected cases immediately to local health department.
Salmonellosis:
Readmit when diarrhea subsides.
Scabies:
Readmit when treatment has begun. Careful examination of close contacts required to identify early infection. Household members should be treated prophylactically.
Shigellosis:
Readmit when diarrhea subsides.
Streptococcal sore throat and scarlet fever:
Readmit after 24 hours from time antibiotic treatment began.
Tuberculosis, pulmonary:
Readmit after antibiotic treatment has begun, and a physician's certificate or health permit is obtained. All classroom contacts should have TB skin tests. Antibiotic prophylaxis indicated for newly positive reactors.
Tuberculosis skin test, positive:
If the student has a reactive skin test and is symptomatic of TB, he/she will not be admitted to school until documentation of the chest X-ray is submitted to the school. Admit to school with documentation of a negative chest X-ray or proof of a scheduled appointment for a chest X-ray. Documentation of a negative chest X-ray and evaluation for preventive therapy must be presented to the school after the appointment.

Immunization Requirements
Texas state law requires proof of current immunization for all students in school.

Diphtheria/Pertussis/Tetanus –3 doses at least one dose on or after 4th birthday. Children under the age of 7 are required to have 4 doses, with at least one dose after the 4th birthday. 7th graders are required to have a Tdap five years after the last tetanus. 8th -12th graders are required to have a Tdap ten years after the last tetanus dose.

Hepatitis A– two doses for Early Childhood, Pre-school and Kindergarten

Hepatitis B – 3 doses

Hib CV (Haemophilus influenza type B conjugated vaccine) – students under the age of 5 are required to have one on or after 15 months of age unless a primary series and booster were completed prior to or at 15 months of age.

Measles (Rubeola) – two doses with the first on or after the first birthday. One dose is required for Pre-Kindergarten and Early Childhood.

Mumps – one dose on or after first birthday. Two doses are required for Kindergarteners.

Rubella – one dose on or after first birthday. Two doses are required for Kindergarteners.

Meningococcal – one dose by 7th grade.

Pneumococcal – Completed schedule for Early Childhood and Pre-Kindergarten. - 4 doses, at least one dose after 1st birthday, or one dose after the age of 2.

Polio –series of three with one dose on or after 4th birthday.

Varicella (chickenpox) –Two doses are required for Kindergarten, 7th grade and any student who received their first dose at age 13 or older. One dose is required for all other grades. The first dose must be given on or after first birthday. Written documentation of illness is acceptable proof of immunity.

TB (Mantoux, intradermal) – students who have resided outside the US within the last year and who respond affirmatively to the HCPHES tuberculosis screening questionnaire are required to have a TB test administered in the US, with a validated result within the last 12 months. Positive reactions are required to be followed by a chest x-ray.

Immunizations may be obtained from private physicians or from Harris County Clinics listed below at $15 per child. The fee will be waived if the student is unable to pay. Additional immunization clinics are listed at www.kleinisd.net.


1st Friday
9:00 AM-12 PM
1:00-3:30 PM
Immanuel United Church of Christ
26501 Border St. @ Spring Cypress
(5 blocks east of I-45)

3rd Thursday
9:30-11:15 AM
1:00-3:15 PM
First Baptist Church of Tomball
412 West Houston
Tomball, TX

3rd Wednesday
10 AM – 1:30 PM
During regular school year
Nitsch Elementary School
4702 West Mt. Houston
Houston, TX

Monday-Friday
Antoine Health Center
5815 Antoine @ Tidwell, Houston
713- 602-3300
8:00 AM-4:00 PM

Humble Health Center
1730 Humble Place Dr., Humble
Tel: 281-446-4222
Mon. &Tues. 7:30-11:30AM; 1:00-7:00 PM
Wed. & Thurs. 7:30-11:30AM; 1:00-4:30 PM
Friday 7:30-11:00 AM

Clinic Hispaña
9720 Jones Rd. #240
281-897-8142
12:00-7:30
Not a HCPHES clinic. Call for current prices.
Lice Information Websites
www.headlice.org/

www.cdc.gov/lice/head/

From the CDC's website:

Current evidence does not support the efficacy and cost-effectiveness of classroom or school-wide screening for decreasing the incidence of head lice among school children. School administrators are encouraged to help educate parents and staff about the diagnosis, treatment, and prevention of head lice.
“No-nits” policies that require a child to be free of nits before they can return to school are not recommended. Children should be permitted to return to school or child care after appropriate treatment is started. Head lice can be a nuisance but they have not been shown to spread disease.
The informational materials on CDC's Lice Web site are in the public domain and can be printed for further copying and distribution by choosing "printer-friendly version" located at the upper right side of the Web page.
Page last modified: May 16, 2007
Page last reviewed: May 16, 2007
Content Source: Division of Parasitic Diseases (DPD)
National Center for Zoonotic, Vector-Borne, and Enteric Diseases (ZVED
©2005 Klein ISD - All rights reserved.