Tuberculosis (TB) Clinic

Poway Unified School district provides TB clinics for PUSD Employees and School Site Volunteers ONLY.  Please read all the information provided on the TB Clinic Schedule before attending a TB clinic.  If you have a history of a positive TB test, please call Health Services before coming to a clinic.

IF YOU HAVE QUESTIONS OR NEED DIRECTIONS TO THE TB CLINIC PLEASE CALL HEALTH SERVICES AT 858-521-2812.

• TB Clinic Schedule
• 4 Year TB Clearance Questionnaire
• 4 Year TB Clearance Questionnaire - Spanish
• Alternative Clinic - Public Health

Communicable Disease

Communicable disease is a disease that spreads from person to person.  It means a germ such as a bacteria or virus, is in the school environment (air, water, plants, animals, and humans).  Early identification of signs and symptoms (runny nose, cough, sore throat, fever, etc.) of communicable disease is of paramount importance to increase the health of the school population and decrease school absenteeism.

Effective control of the spread of communicable disease includes vaccination, proper hand washing, covering sneezes and coughs, appropriate cleaning of classrooms and gathering places, early recognition of symptoms, prompt diagnoses and treatment.  Poway Unified School District’s resource nurses work closely with the San Diego County public Health Department in identifying cases of communicable disease in our schools.  Nurses provide education regarding proper hygiene at school and home, and the importance of vaccinations.  For your student’s protection and reassurance, please assure up-to-date emergency numbers are on file at school!  Information regarding locations and times of vaccination centers is available to parents on our website under immunizations.

HOW YOU CAN HELP KEEP OUR SCHOOLS HEALTHY:

• When notified of a communicable disease in your child’s classroom/school; review the communicable disease information sheet (H-3) sent home with your student.  Observe your student for specific symptoms and consult your health care provider as needed.
• In some cases a doctor’s note is required when a student has been diagnosed with a communicable disease, to indicate when the student may return to school.  For more information on when a doctor’s note is required, click on communicable disease list (H-3) below.
• Encourage effective hand washing! It is the MOST effective way to prevent the spread of infectious disease.  Scrub wet hands with soap for a minimum of 30 seconds.  Scrub vigorously wrists, tops of hands, between fingers, palms, and fingernails.  Rinse thoroughly with running water and dry.  When done correctly, hand washing will help students and staff members avoid spreading and receiving germs.
• Keep hands away from eyes, nose, and mouth.
• Cover mouth and nose when coughing and sneezing with elbow or tissue.
• Discard tissues promptly in an appropriate waste container.
• Wash hands after discarding tissue.

• Communicable Disease List (H-3)
• Communicable Disease List - Spanish
• Parent Letter - Attendance (H-16)
• Parent Letter - Attendance - Spanish
• Parent Letter - Attendance - Tagalog

Diabetes

California Education Code, Section: 49423.5 allows for specialized health care services such as a Diabetes Management Plan to be performed by trained designated school staff under indirect supervision of a Credentialed School Nurse.

All supplies/equipment (medication, food, glucose tester, lancets, etc.) must be supplied by the parent/guardian.

The Diabetic Management Plan must be completed by the parent/guardian AND physician, and must be signed on appropriate page(s) of procedure.  Diabetic Plans from medical facilities (i.e. Children’s Hospital) are acceptable, but the front page of the PUSD Diabetic Management Plan must be signed by the parent/guardian and included with the packet.

FORMS:

• Diabetic Management Plan
• Emergency Procedure Severe Low Blood Glucose - Gel or Injection
• Emergency Procedure Severe Low Blood Glucose - Gel Only
• Procedure for Blood Glucose Testing
• Procedure for High Blood Glucose
• Procedure for Mild or Moderate Low Blood Glucose

Life Threatening Allergic Reactions

Parents of children with life threatening allergies (i.e. eggs, milk, peanuts, tree nuts, fish, shellfish, wheat, and soy, latex, insect stings, etc.) may contact the District Resource Nurse assigned to their school, prior to the first day of class, if they have additional concerns not addressed below.

• There are staff members on each school campus who are trained to administer the epinephrine auto injector (Epi-pen, Adrenaclick, etc.) for your student, should it become necessary.
  
  
• Designated staff members on each campus are made aware of all students on campus who have life threatening allergies.
  
  
• Arrangements can be made for an allergen free snack/lunch table.
  
  
• A general letter regarding food allergy precautions is available to send home in certain classes, if needed. Please contact the Resource Nurse for your student’s school for more information.
  
  
• Food Services is “peanut free” and ingredient lists for all foods served by them are available on the PUSD website by clicking on their department.
  
  
• Frequent hand washing and NOT sharing food are practices that are encouraged for all students in our district.
  
  
• You may download the only form required for epinephrine auto injector administration at school (PUSD form H-58) by clicking on Potential Anaphylactic Reaction listed below.

Nutrition and Allergen Information
www.powayusd.com/Nutrition/allergen.shtml

Medication Statement to request Special Meals and/or Accommodations
www.powayusd.com/Nutrition/does/MedicalStatement.pdf

H-58 Anaphylactic Reaction

Head Lice

Head lice (Pediculosis capitis) are tiny insects that live on the human scalp and feed on blood.  While feeding, lice inject saliva into the skin that causes itching.  Persistent scratching on the scalp and behind the ears is a sign that head lice may be present.  Anyone, adult or child, can get head lice.  Nearly three million Americans, most, of them children, get head lice every year.  IT HAS NOTHING TO DO WITH CLEANLINESS AND DOES NOT REFLECT POORLY ON YOU AS A PARENT.  Although head lice are highly communicable, the problems can be managed.  However, it does take work.

HOW DID MY CHILD GET HEAD LICE?

Head lice easily crawl from one warm body to the next.  Has your child recently shared close space with siblings or friends (sleepovers); shared combs, brushes, hats/batting helmets (Little League); lovingly given hugs to others?  If the answer to any of these questions is YES, you have probably found the "bridge" used by head lice to infest your child.

WHAT DO I DO NOW?

1. Check every member of the family for head lice.  Determine who is infected.  Head lice look like tiny, white specks on the hair shaft, near the scalp, and are found especially at the nape of the neck and behind the ears.  You will notice that these specks (head lice eggs) don't move or flake off easily.

2. Use a recommended head lice treatment on all infected family members and follow the directions carefully.  Do not assume that if a little is good, a lot is better.  Overuse of any lice medication may result in adverse effects.

3. Remove all NITS from your child's hair.  PUSD has a "No Nit" policy.  Children cannot be readmitted to school until all nits are removed from the hair.

4. Contact your child's school.  Let them know your child has head lice and you are treating it at home.

5. Vacuum carpets, furniture, car interior, toys.  Immediately dispose of or empty the vacuum bag.  Lice WILL CRAWL OUT of the bag and re-infest your home.

6. Wash and dry clothes, bed linens, and towels.

7. Soak combs and brushes in hot (l30^oF) water for 5-10 minutes.

8. Place non-washable items (stuffed animals, pillows, etc.) in a dryer for 20 minutes on HOT setting.  If this is not possible, double-bag the non-washable items in a plastic trash bag, seal tightly (remember, these critters can crawl), and set aside for 30 days.

9. Check your child's hair on a monthly basis for head lice.  Early detection prevents a severe infestation and means fewer "nits" to remove.

• Just the Facts - Head Lice

First Grade Physical
Child Health and Disability Prevention (CHDP)

The Child Health and Disability Prevention (CHDP) Program is a state-mandated program which requires that all students entering first-grade receive specific health screenings within 18 months prior to or 90 days after entry into first grade. CHDP forms are included in the kindergarten registration packets. PEPP students should complete CHDP requirements in their second year of Kindergarten to be in compliance with the 18 month mandate.

The purpose of the health screenings is early identification and remediation of health problems of California's children.  Approximately 1 out of 10 children who receive the CHDP health screening are identified as having some health problem which has previously gone undetected.  By identifying and treating or preventing at an early age these diseases or disabilities, CHDP health screenings help students achieve their fullest learning potential at school.

CHDP physicals are also available yearly for any child 0 – 18 years of age and can be requested at no cost.  The state pays the cost of the initial exam for those who meet income eligibility and may pay for medial follow up to any conditions found during the exam.

Click here for CHDP no cost physicals

• School Entry Health Checkup - English
• School Entry Health Checkup - Spanish
• Report of Physical Exam (CHDP) - English
• Report of Physical Exam (CHDP) - Spanish

Low cost Insurance Programs:

Healthy Families 

Phone: 1-800-880-5305    Website: www.healthyfamilies.ca.gov
SD - KHAN  

Phone: 1-800-675-2229    Website: www.sdkhan.org

Immunization

IMMUNIZATION REQUIREMENTS FOR SCHOOL AGE CHILD:
All children are required to have their vaccinations fully completed before enrolling in Kindergarten, unless exempted as provided by law.

Immunization Requirement! Starting in July, 2011 a new law (AB 354) required that all students entering into grades 7 – 12 needed proof of an adolescent whooping cough (Pertussis) booster shot (Tdap) before starting school.

For the 2011-2012 school year and beyond, a Tdap booster (given on or after the age of 7 years) will be required for all incoming 7th graders by the first day of school.

IMMUNIZATION REQUIREMENTS FOR
CHILD CARE/PRESCHOOLERS

• San Diego County Immunization Clinics - (English and Spanish)
• www.immunization-sd.org
• CAIR~SDIR San Diego Regional Immunization Registry

Medication

Poway Unified School District philosophy is that parents bear the primary responsibility in providing medication for their students.  Whenever possible, medication should be administered at home.  Parents have the option to personally administer medication to their child at any time during the school day.  Health assistance can be provided to support student learning and attendance.  Medication administration is provided under the direction and indirect supervision of the resource nurses in Health Services.  If a student needs mediation during the school day, the following procedure must be followed, according to Ed Code:

• Complete an Authorization for Medication Administration form (H-26) for all prescriptions, over the counter, and herbal medication.  The form requires signatures by both the parent and the student’s physician.  The physician must be licensed in the state of California.
• The completed form should be given to the Health Technician at the same time as you deliver the mediation.
• The medication must be in a pharmacy-labeled container stating the student’s full name, medication name, proper dosage, and time to be given.

Please check  the expiration date on all medication you provide to the school site and update this medication as needed.

• Long term medication:  Provide no more than a 1 month supply and replenish the medication as needed.
• Over-the-counter medication (i.e. Benadryl, Tylenol, or herbal medication):  Medication must be in original container clearly labeled with student’s name.
• Sunscreen, lip balm, throat lozenges, cough drops, and contact lens solution:  May be given with parent authorization only by completing and signing the top portion of the H-26 form.  A physician signature is not required.  All products must be in orininal packaging and labeled with student’s name.
• Epipens and Epinephrine auto-injectors:  A Potential Anaphylactic Reaction form (H-58) should be completed and signed by physician and parent.  (H-26 form is not necessary)
• Asthma:  Please provide spacers for inhalers, if indicated, and review your child’s use of the inhaler with the school site Health Technician.
• ESS and Medication:  Health Technician and ESS Coordinator can communicate and share forms.  However, you must provide separate containers of medication for each location.

Note:  Poway Unified School District has a “zero tolerance” drug policy for all students.

Do not put your child at risk of receiving disciplinary action!  Don’t send your child to school with any medication unless you have followed the medication procedure.  Remember, even Tylenol or Advil are considered to be drugs.

Students may carry their own medication only if they are responsible and an Authorization to Carry Medication While at School form (H-26B) has been signed by the physician, parent, and student.

• Authorization for Medication Administration (H-26 )
• Authorization to Carry Medication While at School (H-26B)
• Potential Anaphylactic Reaction (H-58)

Oral Health Assessment (OHA) 

California law requires that all children entering public school for the first time (kindergarten or first grade) are required to have a dental check-up by May 31st of their first school year.  The evaluation must be completed by a licensed dental professional.  Oral health evaluations that occurred within the 12 months prior to school entry also meet this requirement.

• OHA Parent Letter
• OHA Parent Letter - Spanish
• Oral Health Assessment
• Oral Health Assessment - Spanish

For more information:

• www.cde.ca.gov/ls/he/hn/oralhealth.asp 

Specialized Physical Health Care

Specialized Physical Health Care services means those health services prescribed by the child's licensed physician requiring medically related training for the individual who performs the services and which are necessary during the school day to enable the child to attend school.

Examples of such services are; providing care and/or administering insulin for diabetic students, administering an epinephrine auto-injector for a student with anaphylaxis, assisting a student with a pulmo-aid treatment, providing a gastrostomy feeding or performing a catheterization, etc.

All medication and equipment for any Specialized Physical Health Care Procedure must be provided by the parent/guardian.

Specific forms must be completed by the child's physician and parent/guardian along with attached procedure(s).

If your child requires a Specialized Physical Health Care Procedure, please contact the Health Technician at your child's school site.  They will direct you to or provide you with the necessary forms.  They will also direct you to the Resource Nurse assigned to your child's school as necessary.

• Parent Authorization for Specialized Physical Health Care (H-49)
• Physician's Authorization for Physical Education - (H-64)
• Authorization for Release/Exchange of Information - (OF102)

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