Nurse's Corner

SPECIAL ANNOUNCEMENT: Time To Pick Up Medication!

Hello!

In the rush of preparing for the summer break, please remember to stop by the clinic and pick up any unused medication. Any medication (over-the-counter and prescription) left at school by the end of the last school day, May 23rd, will be disposed of. I will be sending reminder letters home with the students on Monday, May 16th.

I have also started to mail care plans and medication forms to parents with students who have asthma, allergies requiring epi pens, seizures, migraines, etc. Please remember to have these completed and returned to the school either during the summer or at the beginning of the upcoming school year. For further information regarding school health services, medication, and forms you can go to the Cobb County website http://www.cobbk12.org/schoolhealth/index.htm

If there is anything I can help with please feel free to email me over the summer break.
I hope everyone has a safe, healthy and fun summer! I look forward to seeing you next year!

Sandy Ingram, RN

Is My child Well Enough To Come To School?

http://www.cobbk12.org/schoolhealth/wellenough.htm

1. Diarrhea/Watery Stools:
    a. Students will be sent home from school for:
        (1) More than two episodes of diarrhea occurring during a school
              day.
        (2) One episode of diarrhea if other symptoms are present
              (e.g. fever, abdominal discomfort, vomiting, etc.)
        (3) Soiling themselves or their clothing.
    b. Children may return to school 24 hours after the last diarrhea
        stool if they feel well and do not have a temperature over 99.5° F
        without taking a fever-reducing medication such as Tylenol.

2. Vomiting:
    a. Children will be sent home from school for:
        (1) More than one episode of vomiting occurring during a school
             day.
        (2) One episode of vomiting if other symptoms are present
             (e.g. fever, abdominal discomfort, diarhea, etc.).
        (3) Soiling themselves or their clothing.
    b. Students may return to school 24 hours after the last vomiting
        episode.

3. Fever (Normal oral temperature is 98.6 degrees F):
    a. Low-grade (Oral temperature 99.5 to 100.9 degrees F):
        (1) The school nurse will notify the parent/guardian of students
              with low-grade fever.
        (2) Students with low-grade fever may remain in school if no
             other symptoms are present.
        (3) Students will be sent home from school with low-grade fever if
             other symptoms (e.g. cough, sore throat, headache, abdominal
             discomfort, etc.) are present.
    b. High-grade:
        (1) Oral temperature of 101 degrees F or above:
             (a) Students will be sent home from school for a high-grade
                   fever.
             (b) Students may not return to school until free of fever for 24
                   hours.
             (c) Students will not be dismissed to the bus with a high-grade
                  fever.
        (2) Oral temperature of 104 degrees F or above:
             (a) The school nurse will institute measures to bring down the
                  child’s temperature:
                  1) Allow student to lie down on cot.
                  2) Ask/assist student to remove outer layers of clothing,
                      such as a jacket, sweater, second shirt, and shoes.
                  3) Do not place blanket on student.
                  4) Apply cool washcloth or towel to student’s forehead and
                      arm pits (if area is accessible). Keep cloths cool and
                      damp.
                  5) Offer sips of cool water only if student is not vomiting
                      and is free of abdominal pains.
             (b) The parent/guardian will be notified immediately.
             (c) The school nurse will initiate the school’s Emergency
                  Management Plan if the parent/guardian is unable to arrive
                  at school within fifteen minutes to pick up their student.
                  (See Section E of Rule JLC)
             (d) The school nurse will notify school administrator that 911
                   has been called.

4. Drainage:
    a. It is not necessary to exclude every student from school who has
        drainage from the nose, eye, ear or open sores.
    b. Exclusion from school will be at the discretion of the school nurse,
        and/or principal or designee based on the following criteria:
        (1) Color of discharge
        (2) Child’s personal hygiene skills and need for assistance
        (3) Classroom setting
        (4) Child’s developmental level

Flu Information & When to Return to School

The Center for Disease Control has some great information regarding the flu.

http://www.cdc.gov/flu/school/

Please encourage all children to cover their coughs/sneezes in the crook of their arm, NOT hands to decrease the risk of spreading germs. As always, handwashing is essential. If soap and water are not available, please use an alcohol based hand sanitizer. Everyone should wash their hands before eating and after using the restroom.

Questions And Answers

If My child is sick, why can't I bring them medicine and send them back to class?

                You can, unless your child has a fever, vomiting, two episodes of diarrhea, a rash that may be  contagious, or any other condition that the school nurse or administrator believe may be contagious or    disruptive to the class or teacher.

If If I give my child Tylenol for a fever, can I still send them to school?

                      If the fever is more than 100.9 degrees F before you give them Tylenol, then your child cannot come to school. Your child may return to school when his/her temperature is below 101 degrees F without Tylenol or any other fever reducing medication for 24 hours, if s/he feels well and is not showing any signs of illness. 

Does the school provide medications? 

       No, the school does not provide medication. Medication must be brought to the front office or school clinic by the parent/guardian. An “Authorization to Administer” medication form must be completed.

Where can I find authorization forms?

     Authorization forms are found in the front office, school clinic, or online. To find forms online go to  http://www.cobbk12.org/schoolhealth/medicine.htm     Locate “Superintendent” on the left hand side of the page, and then click on “Administrative Rules.” Click on Section “J-Students.” Find Administrative Rule JLCD (Student Welfare: Medication).  Click on the Form needed

Portion Control!

Take the Portion Distortion Quiz! The link below reveals how portion size has changed through the years.   http://hp2010.nhlbihin.net/portion/index.htm

Biggest Loser: Week 4 1st Place Team is....

Team Larkin with a 3.85% weight loss! Great Job!!!

A close 2nd and 3rd were Fatty McFat Phats 3.75% and JITTs 3.51%

Everyone keep up the fantastic work!!

Biggest Loser's: A message from your fans!

I'M SO PROUD OF YA'LL!!!! (even though you kicked me off the teams)

My first instinct would be to make you some wonderful treat to celebrate...but I think that would be defeating the purpose!

Way to go JITT's and PHATTS! KEEP IT UP!

Amanda

Recipes - Main Dishes

These recipes come from Weight Watchers five ingredient 15 minute cookbook

Grilled Chicken with Roasted Red Pepper Sauce                       (Pair with a simple green salad!)

Points value: 5 (on core plan)

Prep: 3 minutes * cook: 10 minutes

Bottled roasted red bell peppers deliver intense flavor and color to this sauce and save you time and effort of roasting your own peppers. Find them in the condiment section of your grocery store.

1 (7-ounce) bottle roasted red bell peppers, drained    

2 teaspoons olive oil

1 tablespoon chopped fresh cilantro 

1 teaspoon fresh lime juice      

1/2 teaspoon salt, divided   

4 (6 ounce) skinless, boneless chicken breast halves 

1/4 teaspoon freshly ground black pepper         

cooking spray

1. Prepare grill. 

2. Place roasted red bell peppers and next 3 ingredients in a blender or food processor; process until smooth. Stir in 1/4 teaspoon salt, and set aside.

3. Sprinkle chicken evenly with remaining 1/4 teaspoon salt and black pepper. Place chicken on a grill rack coated with cooking spray over medium-hot heat. Grill, covered, 5-6 minutes on each side or until done.

4. While chicken grills, place red bell pepper sauce in a small saucepan, and cook over medium heat until warm. Serve with chicken. Yield: 4 servings (serving size: 1 breast half and 3 tablespoons sauce). 

Per Serving: CAL 216 (18% from fat); FAT 4.4g (sat 0.9g); PRO 39.3g; CARB 1.7g, FIB 0.1g, CHOL 99 mg; IRON 1.3mg; SOD 536mg; CAL 20mg

Spicy Beef and Black Bean Chili                                                                       (For these cold nights!)

POINTS value: 6

Prep: 2 minutes * Cook: 13 minutes

There's no need for Spicy Beef and Black Bean Chili to simmer a long time. It's full of flavor after 7 minutes. Top this hearty soup with a dollop of reduced-fat sour cream, and garnish with green onions or fresh cilantro sprigs, if desired.

1 pound ground sirloin

1 tablespoon 40%-less sodium taco seasoning

1 (15-ounce) can whole-kernel corn, drained

1 (15-ounce) can black beans, undrained

1 (10-ounce) can diced tomatoes and green chiles, drained

1 (10-ounce) can diced tomatoes and green chiles, undrained

1 cup water

1/2 teaspoon black pepper

6 tablespoons reduced-fat sour cream

Chopped green onions or cilantro sprigs (optional)

1. Cook beef in medium Dutch oven over medium-high heat until browned, stirring to crumble. Drain, if necessary; return beef to pan. Stir in taco seasoning and next 6 ingredients; cover and bring to a boil. Reduce heat, and simmer 7 minutes or until thoroughly heated. Ladle chili into bowls; top each with 1 tablespoon sour cream. Garnish with green onions or cilantro sprigs, if desired. Yield: 6 servings (serving size: 1 cup).

Per serving: CAL 298 (31% from fat); FAT 10.2g (sat 3.8g); PRO 22.6g; CARB 30.3g; FIB 8.6g; CHOL 52mg; IRON 3.4mg; SOD 610mg; CALC 57mg

Week 2 Biggest Losers!

We have a tie for 1st place:

The JITT's (junk in the trunk)  & Fatty McFat Phat's with 2.85% of their weight lost!

A close third was Team Larkin with 2.11%!

To all 47 participants... keep up the fantastic and inspirational work. I hear the kids talking and I think they are impressed!

Healthy Weight For Life!

Check out  the website below from We Can!  It has some wonderful information regarding everyday tips on healthy eating, maintaining energy balance and how to maintain a healthy lifestyle!

http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/live-it/healthy.htm

Stress Management!!

Need to unwind after a long day? Stress can lead to a variety of health problems, including headache, insomnia, back pain and weight gain. There are some many ways people choose to help relieve stress. Some examples are walking, reading, yoga, dance, painting, meditation and various exercise routines.

Below are links to some great information from the Mayo Clinic about stress management. I encourage you to check them out!

http://mayoclinic.com/health/meditation/MM00623

http://mayoclinic.com/health/relaxation-technique/SR00007