Clinic

Emergencies & Illness at School

A Student Health Information Form will be sent home with your child at the beginning of the school year. It is very important you complete and return this form immediately. This form will give you an opportunity to list any medical conditions, allergies, medications and concerns you may have. It also includes emergency information for the clinic staff. This information is used to contact you or a person you designate if needed for your child. If a student has a medical emergency at school or a school-related activity when the parent cannot be reached, the school may have to rely on previously provided written parental consent to obtain emergency medical treatment and information about allergies to medications, foods, insect bites, etc. Therefore, parents are asked each year to complete an emergency care consent form. Parents should keep emergency care information up-to-date (name of doctor, emergency phone numbers, allergies, etc.) Please contact the school nurse to update any information that the nurse or the teacher needs to know.  In the case of an emergency requiring the care of a physician and school staff are unable to contact you or the person(s) you have designated as your emergency contact, school officials will determine what steps will be taken to protect the health of your child, including calling 911 and transporting your child to a medical facility. Note that the District has no financial responsibility for the emergency care or transportation of your child.

When your child is ill, please contact the school to let them know he or she won’t be attending that day. It is important to remember that schools must exclude students with certain illnesses for periods of time as identified in state rules. For example, if your child has a fever over 100 degrees, he or she must stay out of school until they are fever free for 24 hours without fever-reducing medications.

In addition, students with diarrheal illnesses must stay home until he/she is diarrhea free without diarrhea-suppressing medications for at least 24 hours. Illness at school is evaluated by the health service staff in the clinic area. A child who demonstrates the following symptoms should be sent home from school.

1. Fever of 100 degrees or more.
2. Suspected contagious condition or disease.
3. Vomiting or diarrhea.
4. Severe stomachache, headache, or earache.
5. A child who is too ill to function in the classroom.

A full list of conditions for which the school must exclude children can be obtained from the school nurse.

Conroe ISD policy allows school nurses to train authorized school employees to administer medication to students during school hours should it be necessary for the student’s optimum health and for maintaining maximum school performance. Texas Law requires districts to have the following information on file for all students who receive medication at school.

Non-prescription drugs and Prescription Drugs:

The school must receive a written and dated request from the parent or legal guardian to administer any medication. This permission must include the name of the drug, the exact dosage and reason or purpose the student is to receive the medication. Prescription and non-prescription drugs must be in the original container and properly labeled. Medications given at school must be approved by the Federal Drug Administration (FDA). Only the guidelines printed on the container will be followed unless a physician order is present. 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”, aspirin or products containing aspirin not be given to children under 18 years of age. If your physician orders aspirin for your child, please send a copy of the physician order.

Additional guidelines for medication to be administered at school:

1. All medication must be kept in the clinic during the school day.
2. 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.
3.  The use of “sample” medication from the physician, dentist, or orthodontist must have signed written instructions from that doctor accompanied by the parent written permission.
4.  In the interest of safety for all students, medications cannot be transported to or from school on the school bus. Should your child need to have medication at school please bring or make arrangements for the medication to be brought to the clinic. For your convenience, many of the local pharmacies will provide a second labeled container for medications needed at school. Please note:  If a medication is required daily or twice-a-day, please administer at home. Many three-times-a-day orders may also be given at home unless the doctor requests specific time during school day.
5. A record of each medication given at school is maintained in the clinic.
6. Inhalers: Students with asthma may experience times when symptoms worsen and a physician requests that the student carry an inhaler to be used as needed. Please provide a letter from the physician with complete instructions for inhaler use and permission for the student to carry the inhaler. It is strongly recommended that a spare inhaler be kept in the clinic in case a student is unable to locate their personal inhaler.
7. For medication for anaphylaxis, such as an “epi-pen”, to be in the possession of a student, the student must have a written letter from a physician stating that the student is capable of self-administering the medication if needed. This procedure is also evaluated by the school nurse to insure that the student is adequately prepared to self-administer the medication. It is strongly recommended a spare “epi-pen” be kept in the clinic.
8. All medication is to be picked up in the clinic by a parent or a designated adult at the end of the school year. No medication will be kept over the summer months. Please make arrangements with your campus clinic staff regarding pick-up of medications.

Conroe ISD Health Services

If you have been given a physical activity restriction note from your student’s physician at any time throughout the year due to illness or injury, please send it in immediately.  Students who have a note to refrain from physical activity for the day will be allowed to sit out of PE class and recess.  A parent note is acceptable to refrain from physical activity for up to 3 days, then a physician’s note should be provided.  If a student requires the use of assistive devices such as crutches, wheelchairs, or scooters, at any time during their years here at Birnham Woods Elementary, it is district policy that a physician note be provided documenting the need for crutches or other assistive devices.

Texas Flu

Health Related Services

Please always call ahead to verify all listed services are still available.

CHIP/Children’s Medicaid
http://chipmedicaid.org/
$50 a year or less covers all children if your family qualifies.

Christus Healthy Living Mobile Clinics
Free Immunizations monthly to first 50.

Express Family Clinic (2 locations):
610 Rayford Rd #644, Spring 77386
#281-742-0624;
16145 HWY 105 W Ste 600
Montgomery, TX 77356
#936-463-8104
They take walk-ins and charge only $10 per vaccine for children. Low cost office visits for sick visits.

Interfaith of The Woodlands
Medical/Dental/ Mental Health Services:
http://woodlandsinterfaith.org/

Interfaith Community Clinic
101 Pine Manor Drive
Oak Ridge North, TX 77385
Ph. 281-364-7889

Lone Star Family Health Clinic
Medical/Dental/Mental Health services
Onsite Case Manager to assist
440 Rayford Rd. Suite 150 Spring, 77386
Phone: 936.539.4004
www.lonestarfamily.org

Tomagwa Healthcare Ministries
Medical and Dental Clinic
#281-357-0747
Magnolia and Tomball locations
http://www.tomagwa.org/

Vision Assistance: Contact your School Nurse

Montgomery County Health Department
1300 South Loop 336 West Suite 200
Conroe, Tx 77304
Phone 936-523-5020
Call for an appointment. Costs $10 for one vaccine, $20 for two vaccines, $30 for 3 or more vaccines.

Shriners Hospital for Children
Specific Care: orthopedic, cleft lip/palate
6977 Main St. Houston 77030
713-797-1616
http://www.shrinershospitalsforchildren.org/en/Locations/houston

Texas Children’s Hospital offers two mobile vans that are at different sites downtown daily.  They give FREE immunizations and do physicals for sports, and sick visits.  This is good if you have limited resources or need a lot of immunizations to start school. Of course, transportation (and gas) will be needed to meet the van.  There are two vans; you can find the daily location schedules here:

https://www.texaschildrens.org/departments/superkids-mobile-clinic

Poison Control
1-800-222-1222

Prescription help
www.NeedyMeds.org

Local Flu resources
www.texasflu.org

Conroe ISD Health Services
District health information and services
http://www.conroeisd.net/health-services

Asthma Daily Treatment Planpdf

Severe Allergy Action Planpdf

What to do About Food Allergies at School

More and more, children are being diagnosed and experiencing food allergies. Although any food can cause an allergic reaction in a person, the top 8 offenders (90% of food allergies) include milk, peanuts, eggs, tree nuts, wheat, fish, soybean, and shellfish. The best practices in dealing with food allergies are avoidance and being prepared for an allergic reaction at any time.
What can parents do to help? Even if your child does not have an allergy, be mindful that many other students do have allergies and be considerate of those when sending in treats for the class. Talk with your child’s teacher(s) about how the food allergies are being managed in class. Have a written plan in place with the teacher for parties in class and/or provide alternate foods. Provide snacks for your child in class that you know the child can tolerate. Remember when packing classroom snacks that nut containing snacks are not allowed to be eaten in the classroom for any student. Provide the school nurse with written documentation from the child’s doctor that includes and individual emergency plan if necessary. Provide properly labeled medications per school policy and replace after use or when expired. Keep emergency contact information up to date. Teach your child age-appropriate ways to assist in avoiding reactions. (Knowing what foods to avoid, practice asking what is in foods, role play talking to friends about their allergy and enlisting their help to avoid the food, never share or trade food, etc.) Clean hands with soap before and after eating.
Be prepared the first day your child enters school each year. Reactions are never planned, emergency supplies and an allergy action plan should be on hand at all times in the nurse’s office. Call to update or ensure your allergy plan is still accurate. Make sure the nature of previous reactions are known at school. If your student requires an allergen free table at lunch, please call and request anytime with the nurse or teacher. Remember that all birthday treat food items must be store bought and in the package with the nutrition label for easy allergen identification. Consider sending in non-food items instead for treats.

Diabetes Medical Management Planpdf

Seizure Questionnairepdf

Severe Allergy Action Planpdf