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NURSE'S STATION        

Our Nurse:

Ms. Be Grizzard

                           

Medication

Downloads

Head Lice Info.

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Medical Forms to Download:
Stewart County Schools Medication Policy
Stewart County Schools Medication Authorization Form

 

 

 

 

 

 

 

 

Free medical clip art

 

 MEDICATIONS:

 When there is an outbreak of cold and virus, leaving your child not feeling their best, I understand you would like for your child to have over the counter medication to help them feel better. However, I must ask you to refer to your child's hand book received at the beginning of this school year. Under the section of Health Services it states, "Students are not permitted to bring prescription or non-prescription drugs to school. All medicine must be brought to the office by the parent." "This is state law." This law refers to all medications, to include, but not limited to Tylenol, Motrin, cough syrup, and cough drops.

For the safety of your child Health Services request that all medication be in a sealed unopened container, this insures that the medication on the label and that in the bottle are the same. Understand that no medication will be given with out a completed Medication Authorization form, and only medication you provide will be given. Medication will not be sent home with the child at any time. At the end of the school year, you will receive a notice stating the amount of medication left and requesting your instructions, you may either pick up the medication or it will be destroyed.

Call the school and ask for a Medication Authorization form, this covers both prescription and non-prescription medication. Please take a few minutes to review the reverse side of this form for more information. Thank you for your assistance in helping us maintain a safe environment for all of our children.

 

Our nurse is NOT allowed to give any medications at school other than those brought by parents. For example:  If your child is running a fever, the nurse is not able to provide them with any type of fever reducer unless it has been provided by the parent.

 

 

 

Head Lice

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  History of Head Lice

Since the Egyptians have sailed the Nile there has been head lice, even Cleopatra herself is said to have had them. So what is head lice, and why is it the minute someone mentions it I start itching? They are a pesky little bug that lives close to the scalp and feed on blood, much like a mosquito on your arm. They can not fly, they can not jump, but can move rapidly through out your hair. They are very intent on their survival so they have learned to adapt to their environment. For example head lice on a person with dark hair may be dark in color, on a blonde may be much paler, and on a red head may in fact be red.

All too often a rumor will be passed around that one school or another has had a sudden outbreak of head lice. The truth here is, it is not a sudden outbreak, but a large scale screening has taken place. If you are looking for head lice, look long enough and you will find it. Try to notice when you hear of an outbreak, if it is close to the 1st month of school, after Christmas break or after Spring break, these are the times we do school wide screenings. Throughout the year I will do class screenings or grade screenings, and on occasion an unscheduled school wide screening.

"I found head lice in my child's hair, what do I do?" Treat the hair according to the best Treatment method for your child, manually remove all nits, and call the school nurse. I know you want to keep this a secret, but call the nurse; all I need to know is what class your child is in. With this information I will go to that class and do a classroom head check, and send home any other student with head lice I may find. Parent cooperation has been a key factor in this battle.

 

 

 

 

 

The Battle Begins

" I just got a call from the school nurse, she said two of my three children have head lice..........what do I do next???" Take a deep breath, count to three, and go get the kids. Keep in mind that head lice can happen to everyone, and no one person is immune. The children have not done anything wrong, and the easiest way to get head lice, is being a real friendly person. Head to head contact is needed for the head lice to travel from one person to another. Hugging, telling secrets, sharing sweaters, hats or scarves, huddling up to read a book, the younger the children the more friendly they are.

"Ok, I have the children, what next?" Take a minute write down a list for the store. Decide what hair treatment method you are going to try and make sure you have all the necessary ingredients. Look for a magnifying glass or reading glasses to help see the nits; the Dollar General sells reading glasses for as little as $1.00.  Include a fine tooth metal comb, RID makes a nice set called the Dual Combing System you can find it at Wal-Mart and it runs about $8.00. Some research companies state a flee comb works just as well, all that is recommended is very fine teeth and metal. Check your vacuum cleaner bags, make sure you have two new bags, if not add them to the list. Last check to see if you will need laundry soap, if so add it.

 

 

 

 

 

Store List

2 vacuum cleaner bags

1 Magnifier, at least 2 times larger

1 fine tooth metal comb

hair treatment ingredients

laundry soap

 

"That doesn't look too bad, what about all the sprays for the furniture?" Every where I have read that recommends the sprays is marketing the sprays and looking to make money off you. The research companies state ".......pesticidal sprays for furniture and bedding are unnecessary and a serious risk to health. Vacuuming is the safest and best way to remove lice or fallen hairs with attached nits from furniture, rugs, stuffed animals, or cars." {National Pediculosis Association} "Spraying the house and bedding is NOT recommended. Fumigants and room spays can be toxic if inhaled or absorbed through the skin." {Center for Disease Control, Division of Parasitic Diseases}

 

"I am back from the store, where do I start?" I would start with the hair, do the treatment you selected, follow the instructions closely. The hair will be the most time consuming and tiring thing you do, so use the housework as a break or rest period for both you and the children. Take a second to read over the Helpful Hints section below, and be sure if you purchased a product from the store to read ALL the warnings and follow the directions exactly.

After you have completed the treatment, you must manually remove each and every nit you find.  Unhatched eggs and empty shells are so small that with out a microscope it is next to impossible to determine which ones will hatch and which ones already have.  However if you miss one unhatched egg, in tens days or so you will be back in the same shape you are now.  The absolute best approach you can take is "when in doubt, take it out!" Also keep in mind, if you received the letter from the school, because Stewart County Schools recognize a NO NIT POLICY, your children must be cleared by the school nurse before returning to class.  In short, as long as the nurse finds nits your children will not be permitted in school.

 

Helpful Hints
 

  1. Do not use a crème rinse or combination shampoo/conditioner before using lice medicine.

  2. Do not re-wash hair for 1-2 days after treatment.

  3. If items cannot be washed, dried, or vacuumed, they can be dry cleaned or frozen.

  4. Continue to check daily for any nits or lice that may have been missed, and remove them.  Do this for at least 2 weeks then twice a week as part of a regular hygiene routine.

  5. No comb or lice treatment alone will rid of head lice.  Manual removal is a key factor.

  6. Wash brushes and combs in rubbing alcohol.  Soak 1-2 hours.

  7. Work under a good light, such as a lamp or the natural sunlight from sitting by a window or going outdoors.  A good magnifying glass or 2X reading glasses will be rather handy.

  8. Separate the hair off and work with 1/4 inch sections at a time.

  9. If you do not have enough fingernail to remove the nits, use a dull knife blade and rake it down the hair shaft.

  10. That plastic comb that came in the kit can be pitched.  No one recommends it.

  11. Do not spend all the extra money on "Linen Spray".  Only the people making money on them say they work.  Everyone else says they are dangerous.

  12. Manual removal is the most recommended and safest treatment, but the most time consuming and tiring, so hang in there, we all know it is hard.

 

 

 

 

 

 

Cleaning List

 

 Hand pick and remove all nits. 
 *This is the very most important step. 


1 Check all family members
2 Treat family members with head lice.

 
 Washed in 130 degree water.
 
1 sheets
2 blankets
3 combs & brushes
4 Hair accessories
5 recently worn clothes*
6 recently used towels*
 *recent = within the last 3 days


Placed in dryer for 20-40 minutes on high 
 
1 pillows
2 stuffed animals
3 coats
4 blankets

 Vacuumed
 

1 furniture
2 rugs
3 stuffed animals
4 car seats
5 beds
6 sport helmets
7 earphones / headsets

 

 

 

 

 

HOW TO USE THE METAL COMB

1.  Hold the comb with the flat side resting in your fingertips. Make sure that the teeth are facing you.

2.  Lift a small strand of hair (about 1/4" thick) . Begin combing in a ‘scooping’ motion: gently push the teeth as close to the hair roots as possible and drag comb firmly from the roots to the ends of the hair (newly-laid eggs are found near the roots of the hair, so it is important to get the teeth very close to the scalp). Make sure the teeth are deeply embedded into the strands as you comb through.

3.  Always comb away from the head. Wipe eggs & nits from the teeth of the comb with a tissue or paper towel. Discard all the used tissues or cloths into a bag and dispose of when combing procedure is done.

4.  Pin back the 1/4-inch strand you just finished combing with a bobby pin or hair clip.

5.  Lift up another 1/4-inch strand and repeat the combing procedure.

6.  Continue to comb hair 1/4 inch at a time until entire head has been combed and pinned.

7.  After you have combed and pinned the entire head, remove all bobby pins or hair clips and rinse hair thoroughly with warm water.

8.  Repeat these steps every two to three days for at least thirty days.  As the hair grows eggs imbedded in scalp will grow out and need to be removed.

Note:  If one egg escapes you all this time will be for nothing.  It is very important to remove all nits and eggs.

 

 

 

Picking a Treatment Method

Options:

 
Your ready to decide what treatment method will be best for your family.  Check this list and remember that you are answering these questions for the person being treated and the person doing the treatment. 
 
_______ Has the child being treated for head lice been treated with a chemical treatment this time or an earlier case?
 
_______ Has the child's home or bedding been treated with lice spray?
 
_______ Does the child have asthma, allergies, epilepsy, AIDS, cancer, or any other illness?
 
_______ Is the child currently or recently been on medication?
 
_______ Is the home or school treated by a monthly exterminator or frequent bug bombs exposing the child to pesticides?
 
_______ Is the person applying the treatment pregnant or nursing? 
 
If you or the child can answer yes to one of the above questions, it it recommended a non-chemical alternative be used. 
 
No treatment method is recommended for pregnant women, nursing mothers, or children under the age of two without seeing a doctor first.  Chemical treatments are pesticides or more accurately pediculicides.  These chemicals can build up in the human body and are not always washed away at the end of treatment, as people would like to think. 
 
 

 
{Special Note:  Treatments listed below are information about products obtainable in our area.  This nurse does not recommend any one product over another.} 

Non-Chemical Choices

Please remember that no treatment kills eggs. Hand pick and remove all nits. This is the very most important step.


LiceFreee

Active Ingredients: Natrum Muriaticum 1X (Sodium Chloride, USP)

Directions:

Important:  Read Warnings Before Using.  Shake well.  Do not wet or shampoo hair before using product.  Keep out of eyes.
  1. Apply product to dry hair and entire scalp, starting at the nape of neck and behind ears (where lice congregate) and work forward.  Thoroughly saturate all hair and scalp.  to be effective, all lice and nits must come in full contact with the product.
  2. Put plastic cap on head and leave on for at least 60 minutes.  For best results, stay in a warm room.
  3. With product still in hair, remove plastic cap, and comb out all dead lice and nits with enclosed fine tooth nit comb.  Rinse comb out under running water.
  4. Once all lice and nits are combed out, rinse hair thoroughly with warm, running water.
  5. Thoroughly inspect and comb hair and scalp a second time to assure complete removal of all lice and nits.
  6. Hand pick and remove all nits. This is the very most important step.
  7. Lice Freee! may be used as often as necessary.  A second treatment in 7-10 days is recommended to kill any newly hatched lice.

 

 This can be purchased at:  CVS Eckerd, RiteAid, Walgreens, Wal-Mart

Cost:   about $9.00 for 1 four-oz bottle

Cost:   about $20.00 for

  • 2 four-oz (118.3ml) bottles for two complete applications:  Each 4-oz bottle is enough for one complete application. 
  • Professional stainless steel nit/egg removal comb:  A fine-toothed, metal comb specially designed to help remove the dead lice and eggs (nits)
  • Two application caps:  The plastic caps help hold moisture in, keep the product from drying out, and make it more comfortable to move around during the 60-minute treatment period.

The Melaleuca Way 

can be purchased at:     mydeltafire@yahoo.com    or     www.momswin.com/gracelikerain  or buy calling 1-931-232-6310 or 1-931-305-8783

Active Ingredients: Melaleuca oil

Directions:

Important:  Read Warnings Before Using.  Read all packaged instructions before use.
  1. Shampoo scalp and hair with the T-36-C5 shampoo to soften and dislodge nits.
  2. Comb through the hair to fumigate the live insects. 
  3. Wrap in towel for 10 minutes.
  4. Hand pick, comb and remove all nits. This is the very most important step.
  5. Repeat immediately.
  6. Then repeat every other day for 5 days.

 

Company offers a preventative plan as well. 

 can be purchased at:  www.momswin.com/gracelikerain  or buy calling 1-931-232-6310 or 1-931-305-8783

Cost:   Melaleuca oil 8oz  $10.00, Solu-Mel 4oz 13.00, T-36-C5 Shampoo 1oz 14.00 {Max price listed, please call rep for current promotional pricing.}

Product codes to ask about:

  • Melaleuca Shampoo oil  8oz (#4118)   32oz (#4906)  twin pack 8oz each (#5050)
  • Solu-Mel  4oz (#110) twin pack 4oz each (#5023) 16oz (#130)
  • ReNew Bath oil 4oz (#108)
  • T-36-C5 1oz (#199) 0.5oz (#3650)
  • Mela-Power 32oz (#3441 or #4333)  96oz (#3440 or #4332) 

Tea Tree Oil 

Active Ingredients: Deionized Water, Tea Tree Oil, (Oil of Melaleuca alterifolia), SD-40 Alcohol (Pure Grain Alcohol), Polysorbate-60

Directions:

Important:  Read Warnings Before Using.  Read product's information and instructions first.
  1. Apply Tea Tree Oil to dry hair and entire scalp, starting at the nape of neck and behind ears (where lice like live) and work forward.  Soak all hair and scalp to be effective, all lice and nits must come in full contact with the product.
  2. Put plastic cap on head and leave on for at least 60 minutes.  For best results, stay in a warm room.
  3. With Tea Tree Oil still in hair, remove plastic cap, and comb out all dead lice and nits with a fine tooth nit comb.  Rinse comb out under running water.
  4. Once all lice and nits are combed out, rinse hair thoroughly with warm water, shampoo as normal.
  5. Inspect and comb hair and scalp a second time to assure complete removal of all lice and nits.
  6. Hand pick and remove all nits. This is the very most important step.
  7. May be used as often as necessary.  May be repeated daily as needed, and weekly as a preventative.

 

 can be purchased at:  GNC

Cost:   unable to provide at this time.

 

Straight From the Kitchen:

Mayonnaise

Active Ingredients: Mayonnaise

Directions:

 
  1. Apply a small amount of mayonnaise on the head.
  2. Massage the mayonnaise into the hair and scalp.
  3. Keep adding more mayonnaise and massaging until scalp and hair are soaked in the mayonnaise.
  4. Wrap in plastic or cover with a shower cap for 8 hours
  5. Hand pick and remove all nits. This is the very most important step.
  6. Shampoo as normal.
  7. Repeat this treatment every week for three weeks.

 

 can be purchased at:  any grocery

Cost:   Prices vary depending on name brand.  I recommend a larger amount, but any brand will work.

 

 

The CHEMICAL Choices

 

 
Please see "Picking a Treatment" before deciding.  The Chemical Choice may not be right for you.

 Remember that no treatment kills eggs. Hand pick and remove all nits. This is the very most important step.

Rid

Active ingredients Piperonyl butoxide (4%) Pyrethrum extract (equivalent to 0.33% pyrethrins) 

Directions:

Before using, read Package Insert for complete directions.

 

  • Apply to affected area until all the hair is thoroughly wet with product.
  • Allow product to remain on area for 10 minutes but no longer.
  • Add sufficient warm water to form a lather and shampoo as usual. Rinse thoroughly.
  • A fine-toothed comb or a special lice/nit removing comb may be used to help remove dead lice or their eggs (nits) from hair.
  • A second treatment must be done in 7-10 days to kill any newly hatched lice.
 This can be purchased at:  Wal-Mart

Cost: Kit $17.88, 6 oz. shampoo and conditioner in one $11.97,  2 oz. shampoo and conditioner in one $7.88.

 Nix Complete Lice Treatment System

Active Ingredients: Permethrin 280mg (1%)

Directions:

Before using, read Package Insert for complete directions.

 

  • Wash hair with a shampoo without conditioner. Do not use a shampoo that contain a conditioner or a conditioner alone since this may decrease the activity of Nix. Rinse with water.
  • Towel dry hair so it is damp but not wet.
  • Shake the bottle of Nix well.
  • Completely saturate the hair and scalp with Nix. Begin to apply NIX behind the ears and at the back of the neck.
  • Keep Nix out of the eyes. Protect the eyes with a washcloth or towel.
  • Leave NIX on the hair for 10 minutes, but no longer.
  • Rinse with warm water.
  • Towel dry hair and comb out tangles.
  • Hand pick and remove all nits. This is the very most important step.
  • If live lice are seen seven days or more after the first treatment, a second treatment should be given.
can be purchased at:  Wal-Mart

Cost:   Multipak (2 bottles) $15.00

Rite Aid Lice Control Kit

Active Ingredients: Piperonyl butoxide, technical 4.00%, Pyrethrum extract 0.33%

Directions:

Before using, read Package Insert for complete directions.
  • apply to affected area until all the hair is thoroughly wet with product
  • leave on for 10 minutes but no longer
  • add enough warm water to form lather, and shampoo as usual
  • rinse thoroughly
  • a fine toothed or special lice/nit removing comb may be used to help remove dead lice or their eggs (nits) from hair
  • a second treatment must be done in 7 to 10 days to kill any newly hatched lice

can be purchased at:  Rite Aid Pharmacy (Murray)

Cost:  about $9.00 for 8 oz of shampoo.

Equate Lice Killing Shampoo 

Active ingredients Piperonyl butoxide (4%) Pyrethrum extract (equivalent to 0.33% pyrethrins) 

Directions:

Before using, read Package Insert for complete directions.

 

  • Apply to affected area until all the hair is thoroughly wet with product.
  • Allow product to remain on area for 10 minutes but no longer.
  • Add sufficient warm water to form a lather and shampoo as usual. Rinse thoroughly.
  • A fine-toothed comb or a special lice/nit removing comb may be used to help remove dead lice or their eggs (nits) from hair.
  • A second treatment must be done in 7-10 days to kill any newly hatched lice.
 This can be purchased at:  Wal-Mart

Cost: Kit Includes 4 oz. lice shampoo 2 oz. live egg remover (???) 2 combs $11.67, 6 oz. shampoo  $5.96,  2 oz. shampoo  $3.50.

 

 
{**subject in progress**more to come**}