Wednesday, November 14, 2007

SBISD Medication Policies

SBISD has very specific policies regarding medication use at school. There is a link to the required forms on the RCE campus home page. I also have the forms in the school clinic.
ANY PRESCRIPTION MEDICATION must have a form signed by both the doctor and the parent...NO EXCEPTIONS, and they MUST be in the pharmacy container! NON-PRESCRIPTION MEDS may be signed for by the parent, and must be given according to the label on the package (age /weight). All medications must be in the original container. Children are not permitted to transport medication to school. All of these policies are for your child's protection.
Here are a few tips to make this easier for you:
1. If the pediatrician prescribes med for your child and you do not have the SBISD form, ask them to write a note to the school on an "official" pad, with your child's name, the name of and schedule for medication(times of day and for how many days), and then their signature. We can attach that to the SBISD form which the parent signs.
2. When you have the prescription filled, ask the pharmacist for duplicate containers. Measure medication for school and bring only that container to school. Prescription meds must have the pharmacy label.
3. Liquids that need refrigeration (many antibiotics) lose potency when they are not kept cold. DO NOT have your child carry these medications back and forth every day....it is not good for the medication and so not good for your child.
4. Do not wrap Tylenol or Motrin in a bag or foil and put it in your child's lunch box, just in case they need it later in the day! Teachers are always on the lookout for contraband! and they will send your child to me with the medication. We cannot give them any medication that is not provided according to SBISD policies. It is not safe for your child to carry medication. Have you seen our lost and found pile???...things get lost at school! We want to protect ALL of our children from contact with unknown substances at school.
11/14/07
STREP THROAT seems to be on the rise at RCE. Several parents have told me in the past few days that their child was diagnosed with it.
Symptoms to watch for include: sore throat, sometimes accompanied by stomach ache, and fairly high fever, occasionally vomiting. Sometimes children have NONE of these!
Strep throat is diagnosed by strep tests, one rapid and one that takes longer. The rapid strep test can give false negative readings, so many doctors will do both if they suspect strep but get a positive result from the rapid test.
Strep throat needs to be treated by a full course of antibiotics. That means USE ALL OF THE MEDICINE!!! NO EXCEPTIONS!!! It might help to ask the doctor to prescribe medication that needs to be given 2 or 3 times per day rather than 4 times per day…it’s just easier to remember to give all of the doses that way. Leave reminders around the house where you will see it. Stopping the antibiotic early, “because they feel better” can help the bacteria get stronger and mutate, requiring even stronger antibiotics. DON’T DO IT! Remember that untreated strep throats can progress to Scarlet Fever and eventually Rheumatic fever, which is rare but can effect your child’s heart. So take notice!

Monday, November 12, 2007

Pre- K and Kindergarten ailments

We have seen several ilnesses recently in Pre-K and Kindergarten that parents need to know about. The stomach virus that has been making the rounds is sometimes accompanied by high fever (may get to 103 or 104 before Tylenol/ Motrin) for a day or two, and stomach upset/ diarrhea that lasts for several days. Children seem to begin to feel better, but diarrhea persists for several days. Remember to gradually re-introduce solid food. Begin with clear fluids, such as water, ginger ale, clear soups, while they are having severe diarrhea. Ask your pediatrician about using pedialite during this time, helpful in preventing dehydration. There is new thought about what foods to use with children who are just getting over severe diarrhea, but who still have episodes of it, especially after they eat. Ask your doctor about the BRAT diet. Some pediatricians favor it, others do not. And, please keep your child at home while your child has diarrhea. Place extra clothing in your child's backpack when they are ready to return to school, just in case.
The other thing to watch for is persistent coughing (lasting for several days), with later fever development. If the fever (over 103) is untouched by medication (Tylenol, Motrin) and other interventions (lukewarm bathing), call your pediatrician. With 2 of our kiddos, chest films (xray) revealed pneumonia, even after the doctor heard nothing when listening to each child's chest. Hearing nothing may be a sign that part of their lung is blocked by the pneumonia. Both doctors remarked at the difficulty of diagnosis, because it didn't sound like typical pneumonia sounds.

Thursday, November 1, 2007

Flu Shots

11/1/07
I was a little bit concerned when I realized that we gave only 30 FLU SHOTS at RCE this year. In past years we have given between 80-100. I am hoping that our reduced numbers are due more to the easy availability this year (you can get it at most pharmacies in local supermarkets right now) rather than apathy about the approaching flu season. If you have not yet received your flu shot or provided this for your children, now is the time to do this. We can’t predict how severe this year’s flu season will be. So, get ready for it now!
From the Centers for Disease Control: This year, Tuesday November 27, 2007, is set aside as Children’s Flu Vaccination Day, with a focus on vaccinating high-risk children. Each year, over 20,000 children are hospitalized as a result of influenza. This day will help raise awareness about the value of vaccinating children—especially high-risk children—and their close contacts.
We do have a number of children at RCE who are considered “high risk”.
If your child is one of them (and children with a history of asthma are considered high risk for flu) hopefully you have already taken care of this. Even if your child is super-healthy, remember that they come in contact with other family members, teachers and students, who may either transmit the flu to them, or become very ill if they contract the flu. Do your part now to protect your family and community.