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 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

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Communicable Disease

COMMUNICABLE DISEASE is defined as any disease that may be transmitted directly or indirectly from one individual to another.

Whenever your child's school is notified that a communicable disease has occurred or is occurring at school, a Communicable Disease Information sheet (H-3) is sent home. The purpose of the form is to give you information about health concerns happening at your child's school.

When is A doctor's note required to return to school?

In general, a doctor's note is only required when your child has a known contagious disease that is NOT being treated.  A doctor's note is also required when  you wish your child to return to school before they have been on medication for 24 hours.

BUT I HAVE MORE QUESTIONS? 

Contact your school site Health Technician or a Resource Nurse in the Health Services department. We are available to work with you and get your child back into the classroom.

• Communicable Disease List
• Communicable Disease List - Spanish
• Parent Letter - Attendance
• Parent Letter - Attendance - Spanish
• Parent Letter - Attendance - Tagalog

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Food Allergies

Parents of children with life threatening food allergies (i.e. peanuts, tree nuts, milk etc.) may contact the District Resource Nurse assigned to their school prior to the first day of class if you have additional concerns not addressed below.

• We have staff members on each school campus who are trained to administer the epi-pen 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.
• 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 is encouraged for all students in our district.
• You may download the form for epi-pen administration at school by clicking on Potential Anaphylactic Reaction listed under medication.
  
  

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

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Health Check-ups (CHDP)

General Information:

The Child Health and Disability Prevention (CHDP) Program is a state-mandated program which requires that all entering first-grade students 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.

• School Entry Health Checkup - English
• School Entry Health Checkup - Spanish
• Report of Medical Exam - English
• Report of Medical Exam - 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

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NEW REQUIREMENT!

Starting in July 2011 a new law (AB 354) will require that all students entering into grades 7 through 12 will need proof of an adolescent whooping cough (Pertussis) booster shot (Tdap) before starting school.

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.

Polio(4-6 years)	4 doses at any age…But…3 doses if at least one was given on or after the 4th birthday. *
Polio (7-17 years)	4 doses at any age…But…3 doses if at least one was given on or after the 2nd birthday. *
Diphtheria, Tetanus, Pertussis (DPT, DT, DtaP) 6 years and under (pertussis is required)	5 doses at any age…But…4 doses if last dose was given on or after the 4th birthday. *
Diphtheria, Tetanus 7 years and older, (pertussis not required)	4 doses at any age…But…3 doses if last dose was given on or after the 2nd birthday. *
Measles, Mumps, Rubella Kindergarten 7thgrade	2 doses both on or after 1st birthday. *
Measles, Mumps, Rubella Grade 1-6 and 8-12	1 dose must be on or after 1st birthday. *
Varicella  (Chickenpox) Kindergarten	1 dose OR health care provider documentation of Chickenpox disease.
Varicella  (Chickenpox) All grades – first time in   California school	1 dose for children under 13 years; 2 doses are needed if immunized on or after 13th birthday.
Hepatitis B Kindergarten	3 dose series
Hepatitis B 7th grade	3 dose series OR 2 doses if health care provider documentation shows 2 dose formula was received.
* Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirements.

IMMUNIZATION REQUIREMENTS FOR CHILD CARE/PRESCHOOLERS

Polio	3 doses
Diphtheria, Tetanus, Pertussis (DTP,DTaP/DT)	4 doses
Measles, Mumps and Rubella (MMR)	1 dose	Dose must be given on or after first birthday.
Hepatitis B (3 dose formula)	3 doses	2nd dose received one 1-2 months after 1st dose. 3rd dose received 2-6 months after 2nd dose and at least 4 months after 1st dose.
Varicella (Chickenpox)	1 dose	1 dose OR health care provider documentation of Chickenpox disease.
Hib	1 dose	Dose must be given on or after first birthday.

• San Diego County Immunization Clinics - (English and Spanish)
• www.immunization-sd.org
• Keep your immunization records online! (click here for more info...)

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Medication

WHAT TO DO WHEN YOUR CHILD NEEDS MEDICATION WHILE AT SCHOOL

1. Complete An Authorization of Medication Administration form (H-26).  The form requires the signatures of you and your physician.

2. Give the completed form to the site Health Technician at the same time you deliver the medication. 

3. Be sure the medication is in a pharmacy-labeled container stating the child's full name, proper dosage and time of medication.

Long-Term Medication: Give the Health Technician a two-week supply of medication.  The Health Office does not have enough room to store larger quantities.  Be sure to replenish the medication supply as needed.

THE DISTRICT HAS A "ZERO TOLERANCE" DRUG POLICY.  WHAT DO I NEED TO DO SO MY MIDDLE OR HIGH SCHOOL CHILD MAY CARRY HIS/HER MEDICATION AT SCHOOL?

Parent, student, and doctor must complete and sign an Authorization to Carry Medication While at School form (H-26B). Deliver the completed form along with your child's medication to your school Health Technician.

MY CHILD GOES TO ESS, WHAT DO I NEED TO DO?

Follow the steps for medication at school.  Inform the ESS Coordinator.  The Health Technician and ESS Coordinator will communicate and share information and forms as needed.

MY CHILD IS IN HIGH SCHOOL, ALMOST AN ADULT, AND VERY RESPONSIBLE.  DOES ANY OF THIS APPLY TO HIM/HER?

YES!  The District has a "Zero Tolerance" drug policy.  Don't put your child at risk of disciplinary action!  As the parent you can avoid potential problems for your student.  Don't send any medications to school with your student.  Remember that even aspirin is considered a drug. 

EXCEPTION - MEDICATIONS THAT NEEDS PARENT AUTHORIZATION ONLY!

The medications listed below may be administered to your child without a physician's signature.  Remember to complete the top part of the Authorization for Medication Administration (H-26), sign and deliver it to the Health Technician with the medication:  Sunscreen, Lip Balm, Throat Lozenges, Cough Drops.  NOTE: medication must be in the original package marked with student's name.

PUSD MEDICATION PHILOSOPHY

Parents bear the primary responsibility in providing medication for their students.  Whenever possible, medication is to be administered at home.  A parent has the option to personally administer medication(s) to his/her student at any time.  Health assistance at school is provided to support student learning and attendance.  Medication administration is provided under the direction of the Health Services Department. 

• Authorization for Medication Administration
• Authorization to Carry Medication While at School
• Potential Anaphylactic Reaction
• 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

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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 

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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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Staff
Position	Name	Email	Phone
Director	Melanie Brown	mbrown@powayusd.com	521-2824
Office Specialist	Dottie Hurt	dhurt@powayusd.com	521-2812
Nurse	Schools	Email	Phone
Gayle Cohen	WHS, DNHS, MVMS, DC, GR, SD	gcohen@powayusd.com	521-2805
Judy French	MBMS, CV, DS, MR, PV, POM,	jfrench@powayusd.com	521-2806
Michelle Gerrity	AHS, OVMS, SR, TBK	mgerrity@powayusd.com	521-2807
Barbara Hockman	RBHS, BHMS, CRS, MC, SC, WW	bhockman@powayusd.com	521-2809
Karen Sanchez	CH, HR, LP, VAL	ksanchez@powayusd.com	521-2810
Cathy Schmitz	PHS, TPMS, MID, PR, TB	cschmitz@powayusd.com	521-2808
Janet Speer	MCHS, BMMS, AB, RH, SH, WG	jspeer@powayusd.com	521-2811