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Flu Vaccine Clinic Forms 2011
(Date to administer vaccine at Kickapoo - November 17th)
Flu Vaccine Consent Form
(REQUIRED if student wishes to receive a flu vaccine - return to school no later than November 15)
Flu Vaccine Letter to Parents
Live, Intranasal Influenxa Information Page (Flu Mist) Live, Inactivated Influenxa Information Page (Flu shot)

Medical Forms

Medication Administration Record Page One

Medication Administration Record Page Two

Self-Administration of Medication Record

 

Immunization Requirements
Immunization Vaccine Abbreviations

Kickapoo is served by a full-time registered nurse. Her office is located behind the Attendance Office. Students who become ill or are injured are to report to the Nurse’s Office. If the nurse is not in her office, students should check with the secretaries in the front office, the attendance office or an Assistant Principal for assistance.

Students should always have a pass from the classroom teacher to see the nurse. If a student wants to see the nurse between classes, the student should first check in with the next period’s teacher and get a pass before going to the Nurse’s Office. Should it become necessary for a student to leave campus due to illness or injury, the nurse will contact a parent or guardian before releasing the student to leave.

Students with long term health conditions are to report to the nurse during the first days of the school year. This allows the nurse, as well as other faculty and staff members, the opportunity to better care for emergencies that might arise.

The nurse also serves as a health counselor to students and is familiar with a wide variety of community resources that are available. Students are encouraged to take advantage of this service when necessary.

The nurse has established the following Health Office Hours:

7:30 – 7:50 Drop off medication, health
information, and make appointment for non-emergencies.

7:50 – 11:00 Conference with parents, doctors and students with chronic health concerns.EMERGENCIES ONLY PLEASE

11:00 – 3:00 Available for all health concerns and requested appointments
4th Lunch The nurse will be unavailable during 4th lunch. If a student has an emergency, he or she should report to the Attendance Office.

The following is a brief explanation of the medication policy JHCD of the Springfield Public Schools:

Student’s medication should be administered at home if at all possible. However, if the physician’s orders, relative to the time of day that the medication is required, do not fit into the prescribed time frame, the medication may be administered at school with proper procedures being followed. Those procedures are as follows:

Prescription medication

  • The student’s authorized prescriber must provide a written request that the student be given medication during school hours. The request must state the name of the student, medication, date prescribed, purpose, dosage, time of administration, frequency of administration, route of administration, termination date of administration and the physician’s name. In lieu of the prescriber’s written request, the nurse may accept a prescription label, properly affixed to the medication. The label must contain all pertinent information listed above.
  • Parents or guardians will complete a District Medication Administration Form to give permission for school personnel to administer medication. District personnel will NOT administer the first dose of any new medication.
  • Prescription medication that is to be taken for two weeks or less may be carried and self-administered by the student. Only a daily dose may be carried and must be in the prescription bottle or original container.
  • Students taking prescription medication for longer than two weeks must have a written request from the authorized prescriber and the medication must be kept in a locked cabinet in the office.


Over-the-counter medication

  • School personnel do not provide any over-the-counter medication for students at any time. Examples include but are not limited to aspirin, ibuprofen, acetaminophen, sinus medication, eye drops, etc.
  • All over-the-counter medication must be provided by the parent and/or guardian.
  • If it is necessary for a student to take an over-the-counter medication on a regular or occasional basis over a long period of time, students may carry and self administer a daily dose of over the counter medication if parent’s written request on the authorized medication administration form is on file in the Nurse’s Office.
  • Any over-the-counter medication that is to be given by the nurse must have a written request from an authorized prescriber on file in the Nurse’s Office.
  • All medications must be in their original containers.

 

Medication by injection

  • If a student has a known health condition that requires medication by injection, an individual healthcare plan (IHP) will be developed that includes the physician’s orders, parent authorization and identifies the designated school personnel who are trained to administer the medication.

» Nurse Tammy Holley's Profile

Degree(s): BS in Nursing

Number of Years in Education: 17

Number of Years at KHS: 12

Hobbies: Hiking, canoeing, camping, reading, photography, cooking.

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Last Updated: February 4, 2012
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Website Designed by: Karen Maxwell

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