Nurse: Karen Vrana RN
Clinic Assistant: Annette Benitez
Clinic Number: 832-484-5506

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.

The following conditions require exclusion from school attendance in accordance with guidelines adopted by the Texas Department of Health, effective September 1, 1987:
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.

Texas state law requires proof of current immunization for students to remain in school. Your son/daughter needs
the following in order to meet these requirements:
Diphtheria/Tetanus - 3 doses, with at least one does on or after 4th birthday and every 10 years thereafter.
Children under the age of 7 are required to have 4 doses.
Polio - Series of 3 or 4 doses, one dose on or after the 4th birthday. Student may have 4 doses of any combination of OPV/IPV prior to the fourth birthday.
Measles (Rubeola) - Two doses. One dose on or after the 1st birthday; the second at least 28 days later.
Rubella - one dose on or after 1st birthday.
Mumps - one dose on or after 1st birthday.
Hepatitis B - 3 doses
Varicella (Chickenpox) - One dose on or after their 1st birthday, or serologic evidence, or a written statement from the
physician or parent stating the approximate date the child had the disease.
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.

<www.aap.org/advocacy/archives/septlice.htm>
www.tdh.state.tx.us/ideas/headlice/links/
www.tdh.state.tx.us/schoolhealth/lice.htm