Health Services

• TSC Health Services Exclusion and Medication Policy Revisions for 2022-2023
• Revisiones de la póliza de exclusión y medicación de los servicios de salud de TSC relacionados con COVID 2022-2023

Students with vomiting, diarrhea, undiagnosed skin rashes, eye infections, or fever over 100° should not attend school. Students exhibiting these symptoms at school will be sent home.

With vomiting and diarrhea, the school nurse will evaluate any associated circumstances and other symptoms before making an exclusion decision. Children vomit for reasons other than illness, including coughing, stress, exertion, reflux and food intolerance.

Students with vomiting, diarrhea, or fever over 100º should not return to school until the symptoms have resolved without medication for 24 hours.

Students with pink eye may return to school with a doctor’s note when the symptoms subside or when a student shows treatment has begun with appropriate eye drops. Contagious skin rashes should be reported to your school nurse and a note will be required by your child’s physician to return to school.

Per ISDH and TCHD-Doctor’s notes for students sent home from school for suspected COVID symptoms should state that the student has been evaluated and cleared to return for a non-COVID related illness.

• Examples of what the note might say: “Student may return to school on [date], and his/her illness was not related to COVID-19,” or, “Student’s illness was not COVID-related, the student has an alternate diagnosis and may return to school on [date].” 
• This is not a HIPAA violation. 
• The provider’s contact information also must be included. 
• The provider should note any additional criteria to return to school.

Please remember with all of these exclusion criteria that our job is to facilitate students remaining in school. Our goal is to have the child miss as little class time as possible.

Students will not be sent home for having nits in their hair, but will be sent home for live lice. Students sent home with live head lice must be checked by health office personnel before they return to class.

Head lice is very distressing to kids as well as parents, but they do not pose a health threat. Lice do not transmit diseases, and are spread most commonly by close person-to-person contact. Dogs, cats or other pets do not play a role in transmission. Lice move by crawling, and do not jump or fly.

Common places that lice are transmitted include school, daycare, home, sporting activities and slumber parties.Transmission may occur in the following ways:

• Wearing clothes, such as hats, scarves, coats or helmets of an infested person.
• Sharing combs, brushes, hair ties or towels with an infested person.
• Lying on a bed, pillow, couch, carper or stuffed animal of an infested person.

All reasonable measure will be taken to prevent the spread of lice at school. Students will be reminded not to share coats, hats and brushes/combs at school. We recommend that you routinely check your child for head lice at home. Below is a head-lice treatment checklist that should be followed in the event your child has lice.

• Head Lice Treatment Checklist
• Head Lice Treatment Checklist - Spanish

Vision screenings: Measurement of Visual Acuity only (Distance and Near) are completed annually for all students in 1st, 3rd, 5th and 8th grades or any student with a suspected visual defect can be performed by the school nurse and/or health assistant. A Modified Clinical Technique are visual tests performed on all 1st Grade students by an optometrist or ophthalmologist.

Hearing screenings are completed annually for all students in 1st, 4th, 7th and 10th grades; a student who has transferred into the school corporation; and a student who is suspected of having hearing defects.

Based on State of Indiana referral recommendations, parents/guardians will be notified by a referral letter if a concern is identified during the screening process. Further medical evaluation will be recommended and should be obtained.

IN State Department of Health Required and Recommended School Immunizations

Previous Years

• 2018-2019 School Year
• 2019-2020 School Year
• 2020-2021 School Year Spanish

Current Year

• 2021-2022 School Year
• 2021-2022 School Year Spanish

Next Year

• 2022-2023 School Year
• 2022-2023 School Year Spanish

Reminders

• Grade 6 Immunization Recommendations
• Grade 6 Immunization Recommendations Spanish
• Hepatitis A Requirement Letter 2020

All minimum intervals and ages for each vaccination as specified per 2018 CDC guidelines must be met for a dose to be valid. A copy of these guidelines can be found at http:/www.cdc.gov/vaccines/schedules.

According to Indiana Code 20-8.1-7-10.1 (c) (1): When a student enrolls for the first time in a school corporation, a statement of the student's immunizations will be supplied to the school by a parent or guardian. This record must show that the student has received at least the minimum number of immunizations at the required intervals for the student's age. Students may not attend school until required immunizations are up to date.

Please refer to the TSC policy 5320-Immunization for further information.

Medication Administration

• TSC Health Services Exclusion and Medication Policy Revisions for 2022-2023
• Revisiones de la póliza de exclusión y medicación de los servicios de salud de TSC relacionados con COVID 2022-2023

Medication Requirements

All prescription and over-the-counter (OTC) medications must be FDA-approved and will be kept in the school health office. Your child may not carry any medication at school. All prescription and Over-The-Counter (OTC) medications must be in the original container with the current pharmacy or package, labeled correctly with the most current date, student’s name, dosage, frequency and match the current doctor’s orders on file with the health office. At no time will medications be transported by a student. Any change in prescription medication, dosage or time to be given must be in written form from the parent with an accompanying doctor’s order.

Written permission with instructions from the parent/guardian are required for all prescription and OTC medications. Permission forms are available at your school's health office and in the button marked Health Services Forms.

Emergency Medications

Your child may not carry any medication at school, with the exception of inhalers, diabetic supplies and epinephrine (Epipen). These emergency medications may be carried only with written permission from your child's physician and from the parent/guardian.

Students in Prep K through 4th grade will keep emergency medications in the nurse’s office unless we have a physician’s note indicating the medication should be carried by the student. Students administering emergency medications outside of the nurse’s office will report to the nurse that the medication was administered.

Return of Medications to Parent/Guardian

Medications must be picked up in the health office by a parent, guardian, or designee who is at least 18 years old and with written permission from the parent/guardian. Medications (with the exception of emergency medications with permit to carry) CANNOT be sent to school or sent home with a student. Failure to comply with this may result in disciplinary action for your child

• TSC Health Services Newsletter February 18, 2022 
• Servicios de Salud de TSC 18 de Febrero de 2022