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Nurse Teresa



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FAQ

  1. What is MRSA and how can I prevent it?
  2. Emergency and Medical Needs of students
  3. Peanut Allergies
  4. Asthma Law
  5. Diabetes
  6. Toy Recalls
  7. Immunization (Shots for School)



What is MRSA and how can I prevent it?

  
 MRSA is the short name for methicillin-resistant Staphylococcus 
aureus, a 
common bacteria that lives on the skin and in the nose of as many 
as one in 
ten people. In some otherwise healthy people, MRSA causes a skin 
infection 
that usually begins with a small bump resembling a pimple or 
insect bite, 
that may become red, swollen and painful or have pus or other 
drainage. 
People with those symptoms should see a doctor and follow the 
doctor�s 
advice. Most MRSA infections can be treated with antibiotics. 
More rarely, 
MRSA can cause pneumonia or other severe infections.

Outbreaks of MRSA occur in places and during activities where 
people have 
close contact with one another and share equipment and personal 
items, 
including gyms, daycare centers, and during sports activities, as 
well as in 
healthcare settings. MRSA is usually spread through direct 
physical contact 
with an infected individual, but can sometimes be spread by 
touching objects 
such as bandages, towels, sheets, or clothing that have been 
contaminated 
with the bacteria. 

To prevent the spread of MRSA in sports teams and health clubs, 
athletes with 
draining lesions should not participate in contact sports unless 
the abrasion 
or cut can be covered completely with a clean, dry bandage. 
Public health 
experts also recommend that all athletes:
� shower with soap and water immediately after each game, meet or 
practice;
� keep abrasions or cuts covered with a clean dry bandage, and 
change the 
bandage at least daily;
� do not share personal items, such as towels, razors, soap, or 
deodorant 
with others;
� use a barrier such as clothing or a towel between their skin 
and shared 
equipment;
� wipe down surfaces of equipment or gear before and after use 
with alcohol 
or an approved antibacterial solution (such as Lysol�, Mr. 
Clean�, or a 
household bleach solution); and
� report skin lesions to the school or facility nurse, coach or 
manager 
immediately.

People with MRSA can prevent spreading staph or MRSA skin 
infections to 
others by covering their wounds, washing their hands frequently 
with soap and 
water or an alcohol-based hand sanitizer; not sharing personal 
items; washing 
clothes and bedding in hot water with detergent and drying them 
in a hot 
dryer; and carefully following doctor�s directions, including 
taking all 
prescribed antibiotics.
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Emergency and Medical Needs of students

Emergencies: We try to prevent emergencies through awareness and 
education. 
Emergency Action Plans are developed for all students who have 
chronic 
conditions like Asthma, Diabetes, Severe Allergies etc.  Please 
contact me 
with any health information you believe to be important.  This 
way we can 
work together and be pro-active and can respond to emergency 
situations with 
a plan.   All medical information is confidential. After I 
develop an 
Emergency Action Plan for a student, I will copy all teachers on 
a need-to-
know basis.
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Peanut Allergies

 

 Several children at our school have a severe allergy to peanut 
and nut
products. Strict avoidance of nuts is the only way to prevent an 
allergic
reaction. The allergy can be life threatening.

Along with ingesting the peanut or nut product, these students 
could also have
a reaction if another student shares food or if that student�s 
hands have
peanut butter or any nut products on them and he/she shares an 
item such as a
pencil.

If your child has a classmate with peanut allergies, we ask that 
you do not
send in any foods containing peanuts or nuts.  When sending in 
special goodies
for parties, please let the teacher know the ingredients. 
Ideally, items
purchased from a store or bakery would be best, since they come 
with an
ingredient list.  Many non-peanut products such as popcorn are 
cooked with
peanut oil.  If you do send peanut butter or any food containing 
nut products,
please notify the teacher so that the allergic student can sit 
away from
him/her. Planning ahead and notifying the teacher will allow 
students with nut
allergies to participate by bringing a special snack from home.  
Please see me
with any questions.
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Asthma Law

This law permits students with asthma or subject to anaphylactic 
(allergic)
reactions to possess and self-administer asthma medication.  New 
Hanover
County Schools requires that an additional inhaler be kept in the 
locked
medicine cabinet, even in cases where the student carries the 
inhaler with
them.  The physician also needs to circle the appropriate box on 
the Physician
Authorization Form and the student must demonstrate competence in
self-administration to the School Nurse.  Please see me with any 
questions.
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Diabetes

A new bill that impacts schools is The Care for School Children 
with Diabetes
Act (Senate Bill 911),which passed unanimously in the NC 
Senate.   Some Guide 
lines that are outlined in this bill includes:

1. Children who have diabetes should have immediate access to 
diabetes
supplies. They may monitor their blood sugar anywhere, in the 
classroom or my
office or wherever they need to. This means they may carry their 
insulin and
needles and glucometer around with them.

2. Because the students with diabetes may have low or high blood 
sugar, they
are also allowed to eat anywhere, and have access to fluids 
anytime. What goes
in must come out so they need to be allowed to use the bathroom 
as necessary.

3. Their lunch should not be excessively early or late, no PE 
classes right
before lunch.

4. With either high or low blood sugar these students may 
experience many
symptoms such as irritability, drowsiness, disorientation, lack of
coordination, hunger, thirstiness, personality change, they may 
not feel well
and not be able to perform academically. If a student experiences 
a high or
low blood sugar, teachers must allow the student to take a test 
at another
time. If a student has a low blood sugar, this is potentially a 
life
threatening situation.

Please do not hesitate to come talk to me to discuss your 
concerns and let me
know how I can best help you.

All students should wash hands before lunch and after using the 
bathroom. I 
can teach or arrange handwashing and other Health Education 
classes by 
request.
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Toy Recalls

Go to the website:
 Http://www.cpsc.gov to review the latest list of toys recalled. 

Because of globalization, environmental problems from anywhere in 
the world 
can send dangerous products to the neighborhood store. In recent 
months, 25 
million mostly Chinese-made toys have been recalled for 
containing dangerous 
amounts of lead or magnets, which can cause intestinal damage if 
swallowed. 
Toy industries have been retesting toys and stepping up quality 
control, but 
it is important to beware of toy dangers, shop safely and 
remember to check 
your child�s toys, especially new items received over the 
holidays.
Know your poisons.
When lead is ingested or inhaled, it can cause neurological 
problems and 
interfere with brain development. There is no safe level of lead 
in the 
bloodstream. Lead has been banned in U.S. toy paint since 1978, 
but has been 
coming into the country on imported toys. The U.S. can use lead 
as an 
additive to plastics, where it is not as accessible, but parents 
of teething 
toddlers should stick with toys made of natural materials such as 
wood, 
cotton terry cloth or those made by manufacturers who do not use 
lead in 
their plastics. Stuffed animals, books, videos and athletic gear 
may be a 
better choice than painted toys.
Phthalates, another group of chemicals, are used in soft vinyl 
toys. Experts 
disagree about their dangers, but they are banned in Europe and, 
starting in 
2009, in California. To avoid Phthalates, shop for toys made of 
latex, 
silicon or that claim to be �PVC free� on their tags.
Clean out the toy box.
Little children put toys in their mouth an average of 20 times an 
hour. If 
your toddler has a toy that is constantly chewed, check its 
pedigree with the 
manufacturer and against the Consumer Product Safety Commission�s 
recall list 
at cpsc.gov. Get rid of toys that are flaking, chipped or 
breaking down. 
Beware of your favorite characters. The toys with the most 
recalls are those 
licensed to be reproduced in enormous quantities: Mattel�s Doras, 
Diegos, 
Elmos � and the Thomases, made by RC2 Corp. You are better off 
with toys made 
in smaller batches.
Do your research.
A call to a toy company can get you product information. Also, 
environmental 
groups post safety rankings of 1,500 top toys at Healthytoys.org. 
Spend a 
little more and shop at reputable retailers, which have their own 
standards, 
controls and lead tests. Some to check out on the web are 
oompa.com, 
discoverytoys.com, nmctoys.com, playstoretoys.com and 
ebeanstalk.com. 
Recognize that products that have been recalled may still be 
available online 
through auction web sites.
Additional Information
This information is brought to you by ComPsych� GuidanceResources
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Immunization (Shots for School)

Immunizations  
  Frequently Asked Questions: This page contains answers to 
common questions 
of students and parents. 
  
 
What immunizations are required to enter public/private school in 
N.C.?
What N.C. statute requires immunizations for children?
What is the school's responsibility?
What if the student's immunization record is lost/ cannot be 
located?
Are there exceptions to the required immunizations?

-------------------------------------- What immunizations are 
required to 
enter public/private school in N.C.?
1. DIPTHERIA,TETANUS,PERTUSSIS(DPT/DTaP): 5 doses with second 
booster 
on/after age 4; 4 doses if last dose given on/after age 4. ALL 
INDIVIDUALS 
ENTERING 6TH GRADE ON/AFTER AUGUST 1,2008 MUST RECEIVE A BOOSTER 
DOSE IF 5 
YEARS OR MORE HAS PASSED SINCE THE LAST DOSE.
2. POLIO: 4 doses before enrolling in K-1 for first time; 3 doses 
if last 
given on/after age 4.
3. MEASLES: 2 doses on/after age 12 months at least 28 days apart 
or more.
4. MUMPS: 2 doses on/after age 12 months,HOWEVER, AN INDIVIDUAL 
ENTERING 
SCHOOL PRIOR TO JULY 1,2008 IS NOT REQUIRED TO RECEIVE A 2nd DOSE 
OF MUMPS 
VACCINE. 
5. RUBELLA: 1 dose on/after age 12 months.
6. HIB: 1 dose on/after age 1 or complete series. NOT GIVEN TO 
CHILDREN AGE  
5 OR OLDER. 
7. HEPATITIS B: 3 doses children born on/after 7/1/1994.
8. VARICELLA: 1 dose on/after age 12 months children born 
on/after 4/1/2001.
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-------------------------------------- What N.C. statute requires 
immunizations for children?
G.S. 130A-152(a) requires parent/guardian/person in loco to 
ensure children 
receive required immunizations. A certificate of immunization 
must be 
presented to the school for each child attending.
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-------------------------------------- What is the school's 
responsibility?
The school must notify all parent/guardian/person in loco that 
they have 30 
calendar days from the first day of school to present the 
required up-to-
date immunization record. If not complete, the required 
immunizations must 
be obtained within the same 30 day period. 
Upon termination of the 30 calendar day period, the principal 
shall not 
permit any child to attend school until he/she provides a 
certificate of 
immunization as required by law.
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-------------------------------------- What if the student's 
immunization 
record is lost/ cannot be located?
The law requires that the student be revaccinated on an age-
appropriate 
accelerated schedule to the minimum required by law.
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-------------------------------------- Are there exceptions to 
the required 
immunizations?
Medical Exemption: Permitted when an immunization is harmful to a 
student. 
Valid exemptions will be written/signed by a Physician licensed 
to practice 
in N.C. The exemption must correspond to the medical 
contraindications 
specified in the NC Immunization Rules.

Religious Exemption: Parent/guardian/person in loco must place a 
signed 
statement on file in the student's record.  An objection based on 
personal/philosophic beliefs are not acceptable.
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Last Modified: Tuesday, May 12, 2009
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