School Health & Nursing Services

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Staying Healthy During Flu Season & All Year Long

The Charlotte County Health Department advises you follow these simple practices.

  1. Don't spread your germs:
    • Cover your nose & mouth with a tissue when sneezing, coughing or blowing your nose (or cover sneeze with your elbow).
    • Throw out used tissues in the trash as soon as you can.
    • Always wash your hands after sneezing, blowing your nose, or coughing, or after touching used tissues or handkerchiefs.
    • Wash hands with warm water & soap - or with alcohol-based hand sanitizer.
    • Wash hands often if you are sick.
    • Stay home if you are sick, especially if you have a cough & fever.
    • See your doctor as soon as you can if you have a cough & fever, and follow their instructions. Take medications as prescribed & get lots of rest.
  2. Don't pick up germs from others:
    • Wash your hands before eating or touching your eyes, nose or mouth.
    • Wash your hands after touching anyone else who is sneezing, coughing, blowing their nose or whose nose is running.
    • Don't share things like towels, lipstick, toys, cigarettes or anything else that might be contaminated with respiratory germs.
    • Don't share food, utensils or beverage containers with others.

Vision

Provide Services to Assure Optimal Student Success

Mission

Although parents hold the main responsibility for the health of their children, the primary mission of the Charlotte County Public School Nurse is to promote and enhance the educational process for children and youth by assisting them to improve or adapt to their health status. The nurse is located within the school to promote wellness and disease prevention by early identification of health problems that might interfere in the educational process. As provided in the school setting, health services include identification of health problems, preventative health, which includes education, health maintenance, health screening, necessary therapeutic intervention, and first aid.

Through nursing assessments and screening programs, school nurses will prevent or identify student health problems and intervene to promote the well being and academic success of all students. School nurses will assist parents and students in the management of health needs and the coordination of care in the home, school, and community.

Health Alerts

Did You Choose to not Vaccinate Your Child?

The Florida Department of Health has recently released an informational flyer intended for parents who have exercised their right to opt out of vaccinating their children.

We would like to encourage all families who have exercised this right to please view the informational flyer.
Did You Choose to not Vaccinate Your Child?

Measles

The Florida Department of Health has released a statement in regards to the multistate measles outbreak. The following is a summary of the statement. To view the full statement and the visual guide they sent out please Click Here.


While there have been no confirmed measles cases in Florida residents, we have seen confirmed cases in visitors, some of whom were evaluated by Florida healthcare providers but not tested or diagnosed.

Measles is a highly contagious disease, transmitted by respiratory aerosols when an infected person coughs or sneezes. The virus can live for up to two hours on surfaces or in an airspace where the infected person coughed or sneezed. The incubation period ranges from 7-21 (average 10-12) days and an individual can pass the virus to others before feeling ill. The prodromal signs and symptons of measles include:

  • Fever
  • Malaise
  • Coryza
  • Cough
  • Conjunctivitis
  • Pathognomonic Enanthema—Koplik spots—on the oral mucosa
Please note: the presence of Kiplik spots confirms measles, but the absence of Koplik spots does not rule it out, as it is present in only a small percentage of cases.

An erythematous maculopapular rash typically appears—behind the ears, on the forehead, spreading down the neck, upper extremities, trunks, and lower extremities (including palms and soles)—3 days after onset of illness and the ill person continues to be infections for about 4 days after rash appears. Rash may last 5-7 days before fading.

Complications from meales may include:

  • Otitis Media
  • Bronchopneumonia
  • Laryngotracheobronchitis
  • Diarrhea
  • Acute Encephalitis
  • Death

Remember, the best way to prevent the spread of measles is to ensure full MMR vaccine coverage in our community.
Click Here for more information.

HPV (Human Papillomavirus) Vaccine

What You Need to Know:

HPV is the most common sexually transmitted virus in the United States. There are about 40 types of HPV. About 20 million people in the U.S. are infected, and about 6.2 million more get infected each year. Most HPV infections do not cause any symptoms, and go away on their own. HPV is important mainly because it can cause cervical cancer in women and is the second leading cause of cancer deaths among women around the world.

The HPV vaccine is an inactivated (not live) vaccine, which protects against four major types of HPV. This vaccine is routinely recommended for girls 11 to 12 years of age.

The amendment to HB 561 requires that schools provide information concerning the relationship between HPV and cervical cancer, a vaccine is available which prevents HPV infection. It is recommended that it be given to girls before they enter grade 8 beginning with the 2008-2009 school year.

How Can I Learn More?

  • Ask your doctor or nurse. They can show you the vaccine package insert or suggest other sources of information.
  • Call your local or state health department.
  • Contact the Centers for Disease Control and Prevention (CDC) by calling 800-232-4636 or visit CDC's website

Meningococcal Disease

Meningococcal disease, commonly known as meningococcal meningitis, is a potentially fatal bacterial infection that can cause severe swelling of the brain and spinal cord (meningitis) or a serious blood infection (meningococcemia). Teenagers and college students can help reduce their risk of contracting meningococcal disease by being vaccinated.

MRSA

Staph (staphylococcus aureus), is a common bacterium found on the skin and in the noses of healthy individuals.

MRSA (Methicillin Resistant Staphylococcus Aureus) is a specific type of staph which is resistant to antibiotics. Since 2002, outbreaks of a new form of MRSA have been reported among healthy individuals, particularly among athletes participating in contact sports. This type of infection is community associated, and is called CA-MRSA.

Early lesions often appear similar to spider bites. There may be soft tissue infection which presents as a boil, abscess or cellulitis. If parents suspects their child may have any of these symptoms, they should seek medical evaluation and notify the school if the child is positive for CA-MRSA. The child may attend school with the lesion covered.

MRSA is not a reportable issue for the Florida Department of Health unless there is a "cluster" outbreak. A cluster outbreak is if more than 3 students are found to be positive for CA-MRSA in a specific setting.

The very best prevention for CA-MRSA is good personal hygiene—especially hand washing—and not sharing personal items.

Immunization Requirements

Effective SY: 2011-2012

Florida Statute 1003.22 requires each child entering a Florida school for the first time to present a certificate of immunization from a licensed practicing physician or the county health department prior to entry into school. Pre-kindergarten and kindergarten students must have current immunizations and physical examinations before registration. Seventh grade students have five (5) school days to become compliant with immunizations or they will be excluded from school. Other students including children enrolling under emergency or homeless conditions will be allowed thirty (30) days from the registration date to present the certification requirement. All immunizations must be recorded on the Florida Certificate of Immunization (Form 680).

*The Centers for Disease Control and Prevention currently recommends the tetanus, diphtheria, pertussis (Tdap) vaccine be given in place of the tetanus and diphtheria (Td) booster to protect children against pertussis. The Tdap fulfills the Td requirement for entrance into 7th grade.

It is our sincere hope that the information shared with you on this web site may help your child have a positive school year and achieve student success.

For Early Childhood Programs Only

  • 4 DTP
  • 3 OPV
  • 1 MMR
  • Hib-series of 4 or 1 after 15 months of age
  • 3 doses of Hepatitis B Vaccine Series
  • 1 Varicella (Var) Vaccine or documented history of the disease

Kindergarten Through Fifth Grade Minimum Requirements

  • 5 DTP/DtaP (Diphtheria, Tetanus, Pertussis) unless the 4th DTP was given on or after the age of 4.
  • Fifth dose of Poliovirus Vaccine (Kindergarten Only) The fifth does is needed only if the fourth dose was administered prior to the 4th birthday.
  • 4 IPV (Inactivated Polio Vaccine) unless the 3rd IPV was given on or after the age of 4.
  • 2 MMR (Measles, Mumps, Rubella) The first dose valid if given on or after 1st birthday. Second dose valid if given at least 1 month after first dose.
  • 3 doses Hepatitis B Vaccine Series
  • 1 dose of Varicella (Var) Vaccine or documented history of the disease. Second dose of Varicella (Var) Vaccine is required for children entering, attending or transferring to Kindergarten, then each year an additional grade (See Varicella Vaccine Table Attached).

Sixth Grade Minimum Requirements

  • 5 DTP/DtaP (Diphtheria, Tetanus, Pertussis) unless the 4th DPT was given on or after the age of 4. Pertussis Vaccine is omitted from the required immunizations for children 7 years or older.
  • 4 IPV (Inactivated Polio Vaccine) unless the 3rd IPV was gifen on or after the age of 4.
  • 2 MMR (Measles, Mumps, Rubella) The first dose valid if given on or after 1st birthday. Second dose valid if given at least 1 month after first dose.
  • 3 doses of Hepatitis B Vaccine Series
  • 1 Varicella (Var) Vaccine or documented history of the disease.

Seventh Through Twelfth Grade Minimum Requirements

  • 5 DTP/DtaP (Diphtheria, Tetanus, Pertussis) unless the 4th DPT was given on or after the age of 4. Pertussis vaccine is omitted from the required immunizations for children 7 years or older.
  • 4 IPV (Inactivated Polio Vaccine) unless the 3rd IPV was given on or after the age of 4.
  • 2 MMR (Measles, Mumps, Rubella) The first dose valid if given on or after 1st birthday. Second dose valid if given at least 1 month after first dose.
  • 3 doses of Hepatitis B Vaccine Series
  • 1 Varicella (Var) Vaccine or documented history of the disease for students entering 7th grade, then each year an additional grade (See Varicella Vaccine Table below).
  • 1Tdap (Tetanus, Diphtheria, Pertussis). Students entering grades 7, 8 and 9 should have documentation of the Tdap dose. Temporary Medical Exemptions for students who have had a Td prior to age 11 are valid for 2 to 5 years.

School Entry Requirements for One or Two Doses of Varicella Vaccine for Grades Pre-K and K-12
Florida 2008/2009 – 2020/2021

Beginning with the 2008/2009 school year, children entering kindergarten will be required to receive two doses of varicella vaccine. The light green highlighted area in the table indicates the year the two-dose requirement becomes effective. Each subsequent year thereafter, the next highest grade will be included in the requirement. The white areas indicates grades that fall under the one-dose varicella requirement. The one-dose varicella requirement started in the 2001-2002 school year.

Varicella vaccine is NOT required if there is a history of varicella disease documented by the healthcare provider in the space provided on the DH 680.

School Entry Requirements for Varicella Vaccine

Table Scrolls if Necessary.

1 Dose 2 Doses
Grade 2009
2010
2010
2011
2011
2012
2012
2013
2013
2014
2014
2015
2015
2016
2016
2017
2017
2018
2018
2019
2019
2020
PK
KG
1
2
3
4
5
6
7
8
9
10
11
12

Screenings

Florida state statute 381.0057 mandates school districts to provide health appraisals for the identification and management of actual or potential health problems which include but are not limited to nursing assessments, vision, hearing, scoliosis, and growth and development screenings. The purpose of the screenings are not to diagnose, but to separate those screened into two groups, those with no apparent problem and those who need further evaluation to determine if treatment is necessary. Screenings will be conducted within the first semester of the school year. Students enrolled in 1st, 3rd and 6th grades will be screened for growth and development (body mass index). Students in Kindergarten, 1st, 3rd and 6th grades will be screened for vision deficiencies; students in Kindergarten, 1st and 6th grades will be screened for hearing deficiencies; and 6th graders will also be screened for scoliosis.

The possible identification of deficiencies during the screenings will result in a referral letter to parents requesting further investigation by a licensed medical professional. It is the parents' responsibility to follow through on the referral process.

If the well being of the child is at stake, and if repeated contacts with the parent fail to produce a response, the case may be referred to a Charlotte County Public School Social Worker for review.