Health Services Department
1575 Hwy 96 North
Silsbee, Texas 77656
Immunizations (see below)
Carrie Franco, R.N., B.S.N.
Silsbee High School
Lee Ann Sheppard, R.N.
Edwards-Johnson Memorial Silsbee Middle School
Laura Reeves Elementary
Paula Barclay, R.N.
Michelle Hardy , R.N.
|Candace Tate, L.V.N.||
Silsbee High School
Every student must be fully immunized against certain diseases or must present a certificate or statement that, for medical reasons or reasons of conscience, including a religious belief, the student will not be immunized. For exemptions based on reasons of conscience, only official forms issued by the Texas Department of State Health, Immunization Branch, can be honored by the district. The school nurse can provide information on age-appropriate doses or on an acceptable physician-validated history of illness required by the Texas Department of State Health Services. Proof of immunization may be established by personal records from a licensed physician or public health clinic with a signature or rubber-stamp validation.
For more information regarding immunizations, refer to the Texas Department of State HealthServices Web site.
Exemptions for Immunizations
The law allows (a) physicians to write a statement stating that the vaccine(s) required would be medically harmful or injurious to the health and well-being of the child, and (b) parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a religious belief. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (a record is lost or incomplete and it is too much trouble to go to a physician or clinic to correct the problem).
For children needing medical exemptions, a written statement by the physician should be submitted to the school. Instructions for the affidavit to be signed by parents/guardians choosing the exemption for reasons of conscience, including a religious belief can be found by clicking here.
Silsbee ISD is following the guidance of the Centers for Disease Control and Prevention (CDC) in response to influenza during the 2009-2010 school year. This guidance applies to any flu virus circulating during the 2009-2010 school year, not only 2009 H1N1 flu. Both seasonal flu and H1N1 flu are circulating at this time, and the recommended responses are the same.
The CDC guidance includes a recommendation that school closure is not advised for a suspected or confirmed case of novel influenza A (H1N1) and, in general, is not advised unless there is a magnitude of faculty or student absenteeism that interferes with the school’s ability to function.
Silsbee ISD is taking the following steps to help keep students and staff from getting sick with flu:
Encouraging respiratory etiquette by providing staff and students at all campuses with education and reminders about coughing or sneezing into a tissue or their elbow or shoulder; not into their hands.
Reminding staff and students to practice good hand hygiene by washing their hands often with soap and water, especially after coughing or sneezing, and providing access to alcohol-based hand cleaners.
Sending sick students and staff home. Our district policy states that students must be sent home from school with a temperature of 100 degrees or higher and must stay home until at least 24 hours after they no longer have a fever (without the use of fever-reducing medicine).
Cleaning surfaces and items that are more likely to have frequent hand contact with cleaning agents that are usually used in these areas. Additional disinfection beyond routine cleaning is not recommended by the CDC.
Moving students and staff who become sick at school to a separate room (usually the nurse’s office) until they can be sent home. All school nurses have surgical masks to provide for sick people to wear if they can tolerate it.
Parents, you can help us by also following and reinforcing respiratory etiquette and good hand hygiene at home.
Silsbee ISD will maintain close communication with Hardin County Health Department, Texas Department of State Health Services, and other government agencies in our effort to respond appropriately to the flu season. We will make any recommended changes and keep you informed of any additional pertinent information as it becomes available to us.
The following web sites will provide additional information:
It is the intent of the school health program to provide health counseling, appraisal, screening, referral, and follow-up through program planning development and evaluation.
The primary purpose of Silsbee Independent School District's school health program is the optimal maintenance, promotion, protection, and improvement of student, staff, and community health. The school health program personnel work collaboratively with students, parents, educators, staff members, and other community resources to assist the student to develop competence to confidently cope with the complexities of life. The program is designed to assure a safe, healthy environment that is conducive to learning and provide professional care for those who become ill or injured while at school.
The school health program is no substitute for the health care that parents should provide for children. Rather than relieving parents' responsibilities, this program is established to encourage individuals to utilize the services of a private physician, dentist, optometrist and/or community health agency.
- To augment health instruction which guide students toward reaching full capacity as individuals who make responsible decisions about personal, family, and community health.
- To advocate and help provide an environment conducive to the promotion and maintenance of health.
- To detect and to provide nursing care for any physical condition that impedes learning or threatens optimum health. (Nursing care is defined as assessment, intervention, counseling, and/or referral of any physical conditions.)
- To provide liaison among the school, home, community agencies, physicians, and other health personnel.
- To provide a physical, mental, and emotional health advocate for children within the school.
- To achieve acceptable levels of compliance with federal, state, and local health regulations.
- To maintain and utilize current individual and collective health data.
- To provide learning and growth experiences for staff members.
- To evaluate the program's effectiveness.
Responsibilities of Personnel
The Silsbee I.S.D. Health Services Department consists of: Coordinator, school nurses (R.N.) - one for each school, and two LVNs. The approximate nurse to pupil ratio is 1 to 600. The ultimate goal of our school health program, with nursing services as its foundation, is to help children attain a health status that will enable them to take maximum advantage of their educational opportunities. Major education-related benefits involve both increasing pupil achievement and reducing unnecessary pupil absences.
If a student should have a medical emergency or become ill at school or at a school-related activity when the parent cannot be reached, the school will need to have alternate adults to contact and written parental consent to obtain emergency medical treatment. Therefore, parents are asked each year to complete an emergency care consent form. Each student receives an Emergency Care Form at the beginning of each school year. The information filled out by the parent and returned to the school nurse contains valuable information for the child's care. Parents should keep emergency care information (name of doctor, emergency phone numbers, allergies to medications, etc.) up-to-date: having current information will be of critical importance should as accident or injury occur that requires medical attention.
The District is not responsible for medical costs associated with a student's injury. The District does make available, however, optional, low-cost student accident insurance program to assist parents in meeting medical expenses. A parent who desires coverage for his or her child will be responsible for paying insurance premiums and for submitting claims through the nurse's office.
In accordance with the provisions of Section 21.914, Texas Education Code and the Board of Trustees, Silsbee Independent School District has adopted the following policy:
- No medication shall be administered to any student unless the school district has received a written request to administer the medication from the parent, legal guardian, or other person having legal control of the student.
- All medication to be administered must bear the original pharmaceutical label containing the name of the dispensing pharmacy and prescription number; the name of the student to receive the medication; the name of the prescribing physician or dentist; and full instructions for administering such medication, including the prescribed dosage and the time and frequency with which such medication is to be administered.
- All medication to be administered to students must be kept under the custody of the school nurse in a locked container, the same to be administered to the student only by the school nurse or by some other district employee specifically designated as persons authorized to administer medication to students in accordance with this policy (the only exceptions are some asthma medications as determined by individual physicians).
- All non-prescription medication brought by the student to school for administration by school personnel must be accompanied by a signed parental permission slip. The medication should have the label and dosage instruction.
Reinforcing the connection between health and learning:
Other Medical Information and Resources
Body Mass Index
BMI is a calculation that uses your height, weight, age, and sex to determine how you are growing. Click here for more information about BMI.
Centers for Disease Control and Prevention
Your online source for credible health information.
Parents of a student with a communicable or contagious disease are asked to telephone the school nurse or principal so that other students who have been exposed to the disease can be alerted. Students infected with certain diseases will not be allowed to attend school while the disease is contagious.
Controlling the Flu
For more information on the flu, click here.
The National Crime Prevention Council is undertaking a public advertising campaign aimed at preventing cyberbullying. Online bullying, called cyberbullying, happens when teens use the Internet, cell phones, or other devices to send or post text or images intended to hurt or embarrass another person. Cyberbullying is a problem affecting almost half of all American teens. Victims of cyberbullying may experience many of the same effects as children who are bullied in person, such as a drop in grades, low self-esteem, a change in interests, or depression. The campaign offers steps that can be taken to stop cyberbullying and stay cyber-safe. For more information on the campaign, click here.
The Silsbee Independent School District policy pertaining to a child with a temperature of 100 degrees or above requires that a parent/guardian be notified and the child be sent home from school. This policy is in the best interests of the child as well as the well being of the children who need not be exposed to a possible communicable illness. A child who is not well cannot learn to his/her full potential.
Head lice are passed from person to person by direct contact, on shared personal items or by contact with infested bedding, furniture, or carpeting. To find out more about treating lice, click here.
Methicillin-Resistant Staphylococcus aureus (MRSA)
Click here for recommendations on Students with Methicillin-Resistant Staphylococcus aureus (MRSA) in the School Setting.
U.S. Government avian and pandemic flu information, managed by the Department of Health and Human Services.
Prescription Asthma Inhalers
Click here for SISD's Asthma Action Plan.
Depending on the grade level of the student, screening for hearing, vision, and scoliosis are conducted each school year. Referrals are made after a second screening later in the year.
Texas STEP is the Silsbee ISD underage tobacco prevention initiative funded by the state comptroller's office. The past several years our district has received funds to support education efforts and enforcement. The initiative focuses on educating our students about the legal and health consequences of tobacco use. The education is provided through the Coordinated School Health Program, School Resource Officer and also through prevention education events such as the American Cancer Society’s Great American Smoke-Out.
Click here for Breakthrough Varicella Infection information.