Nurse's Office


Nurse
"Students must be healthy to be educated and educated to be healthy."


Breelyn Karr, BSN, RN

Office Hours:
7:20 am - 3:20 pm
Tuesday - Friday during school year
Phone:
(636)456-6902 x2327
Email:
[email protected]
Fax:
(636)456-6996


Medications

In order for medications to be administered at school, a Request for Administration of Medication Form must be completed.
All medications (both prescription and over the counter) must be brought to the school by the parent or guardian. Medications brought to school by a student will be unable to be administered and must be picked up by a parent or guardian.
PLEASE DO NOT SEND MEDICATIONS TO SCHOOL WITH YOUR STUDENT.

In accordance with school policy, students are not allowed to keep prescription or non-prescription medications with them while at school unless explicitly authorized.
Medications must be in their original container. Medications brought in ziploc bags or other unmarked containers will not be given and must be picked up by a guardian.

Prescription medications must be in the pharmacy container labeled with the student's name, name of medication, name of prescribing physician, date, and time(s) medication is to be given. You may consider asking the pharmacist to give you two labeled prescription bottles so that you have one bottle at home and one at school. 
Most medication schedules can be arranged so that all doses can be taken at home. Unless your student’s physician specifically states a time during the school day in which their medication is to be given, please administer prior to your student coming to school or once they return home. 
If you would like for your student to carry emergency medication (a prescription inhaler or epinephrine auto-injector), an Authorization to Carry Emergency Medication form must be completed, ensuring that the student is trained and capable of carrying and self-administering the listed medication.

  • The medication being carried must be labeled with a prescription label. You can ask for the pharmacy to label the actual product, not just the outer box.
  • It is preferable that a second prescription inhaler and/or epinephrine auto injector be kept in the school in case the first is lost or left at home.
 

Health Forms

With each new school year, it is necessary to update your student’s Health Forms in the school clinic. All students with life-threatening or severe medical conditions must submit new health care plans/action plans each school year. These are to be completed by your student’s physician and must also be signed by them. 

Your doctor may have a specific template they use, but there are also sample action plans included below.

Asthma: Asthma Action Plan 
Allergy/Anaphylaxis: Allergy/Anaphylaxis Action Plan
Special Dietary Needs: Special Meals Form
Seizures: Seizure Action Plan 
Diabetes: Diabetic Action Plan


Immunizations

Please ensure that your student is up to date on immunizations. Current Missouri school immunization requirements can be found here
Should your student still be non-compliant on the first day of school, your student will not be able to attend and will be sent home until the immunizations needed are received or the appropriate paperwork for exemption status is completed (Medical, Religious). 
If your student is in need of immunizations, you have likely received a letter in the mail, an email, and multiple phone calls if your information is updated and correct. Immunization locations include (but are not limited to): your family physician, Warren County Health Department (call (636) 456-7474 for an appointment),Walmart, Walgreens, and CVS
.


Online Registration

When completing your student’s online registration forms for the school year, please ensure you checkmark the medications (Acetaminophen, Ibuprofen, Tums, Cough Drops) you would like to allow the health office to administer to your student. Please also review, update, or add all of your student’s diagnoses and medications so we can keep an accurate, up-to-date record for this new year.

Guidance on Viruses, Illness, and Infections

Please do not send your student to school and/or school activities (THIS INCLUDES SPORT PRACTICES AND GAMES) if they are exhibiting symptoms of common illnesses such as influenza, respiratory syncytial virus (RSV), COVID-19, strep throat, a stomach virus or other contagious viruses and/or infections. 

Symptoms of common illnesses may include fever (100.0°F or greater), persistent cough/wheeze, fatigue, loss of appetite, muscle or body aches, headache, sore throat, congestion/runny nose, eye drainage, rash, abdominal discomfort, nausea, vomiting and/or diarrhea. Students with an unknown rash need to be seen by a healthcare provider to ensure it is not contagious to others. Students with a persistent cough should stay home until symptoms improve.

Please note your student must meet the following criteria before returning to school and/or school activities (THIS INCLUDES SPORT PRACTICES AND GAMES):

  • Your student must be fever free for a full 24-hour period without the use of fever-reducing medications (Tylenol, Ibuprofen/Advil/Motrin, most “Cold and Flu” medications).
  • Your student must be free of vomiting and/or diarrhea and back to their regular diet for a full 24-hour period. 
  • Rashes must be resolved or a doctor’s note must be sent stating the student is not contagious/ treatment has started.
  • Head Lice: Student must undergo a lice treatment AND have no live lice. Student will need to be seen in the nurse’s office before going to class for 3 school days, then once more in 7-10 days. A parent is NOT required to escort the student to the nurse’s office and the student may ride the bus to/from school. Student will be sent home if live lice are still found on the student's head.
  • Eye drainage must be resolved or a doctor’s note must be sent stating they are not contagious. If treatment is prescribed, student may return 24 hours after starting treatment.
  • Your student should also have an overall improvement in their symptoms and be able to tolerate their school day.
  • If an antibiotic has been prescribed, then the antibiotic must be administered for a full 24-hour period.
DO NOT SEND A SICK STUDENT TO SCHOOL FOR THE SCHOOL NURSE TO DETERMINE IF THEY SHOULD BE IN ATTENDANCE.
When in doubt, call your primary care physician. An absence of a sick student sent home via the school nurse rather than kept home by parents will still affect their attendance percentage and will only expose other students to illness.

Accidents/Injuries

 If an accident occurs at school, first aid is given as soon as possible. If an accident or injury involves a student and it is deemed necessary, the parent/guardian is contacted by the nurse or a designated person. In a serious accident or emergency, when the parent/guardian cannot be reached, the student will be transported to the emergency room by ambulance.

WHS is equipped with automated external defibrillators (AEDs) and limited emergency medications to respond promptly and effectively to medical emergencies that may arise, prioritizing the health and safety of all students, staff, and visitors.

 IT IS THE RESPONSIBILITY OF PARENTS/GUARDIANS TO KEEP EMERGENCY CONTACT INFORMATION AND MEDICAL CONDITIONS CURRENT


Physical Education Excuses and Assistive Devices

A written request from the student’s primary care provider must be submitted in order for the student to be excused from physical education classes. The request must include the reason and duration of the excuse. Requests alone from the parent/guardian/student will not be accepted unless specified in that class syllabus. Any student who has been granted a gym excuse due to the above is not permitted to physically participate in school sports for the duration of the excuse.


Students who require the use of crutches, canes, walkers, wheelchairs, or other assistive devices are to provide the required documentation upon returning to school following injury and/or after a surgical procedure. Specific physician orders are needed from the medical provider regarding the use of a physical assistive device in school. The orders should include the following:

  • A request from the medical provider that the student be allowed to use crutches, a cane, walker, wheelchair, or other named assistive device at school 

  • The diagnosis or reason the student needs to use the assistive device

  •  How long the student will need to use the assistive device  

  • Detailed P.E., sports, and other activity limitations, including the length of time for these limitations

An elevator pass will only be issued if the student is physically unable to safely use the stairs (i.e. use of crutches or lower extremity injury with supportive devices). Please have your healthcare provider include the need for an elevator pass in their note. Requests alone from the parent/guardian/student will not be accepted.

Students should be taught the proper use of their assistive device before returning to school and assistive devices will not be provided by the school.


Donations

The WHS “Care Closet” is always in need of a variety of clothing items for WHS students. Please consider donating any new/gently used and laundered items. In addition, our annual prom boutique is always taking new/gently used and laundered donations of both men’s and women’s formal clothing, dresses, accessories, bags, shoes, etc to give back to our students! All donations are appreciated and can be brought to the WHS main office!


Thank you for your help in keeping Warrenton High School healthy!

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