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  2. Nurse

Nurse

   Christie Hickman, BSN, RN

Christie Hickman graduated from the University of Texas at Tyler with a Bachelor of Science in Nursing degree. She has been a Texas Board Certified Nurse since 2011 with previous clinical experience including Neurological Intensive Care, Pediatric Acute Care and Nursing Management. Employed in WISD since 2021, this is the first year serving full time as the school nurse for Cain Elementary.

Email: hickmanc@whitehouseisd.org

PH: 903-839-5600  x 2150

Fax: 903-839-5604

 

Here you will find the District Health Policies and required Health Forms for the Nurse 

Students Must be Healthy to be Educated and Educated to be Healthy

Policy for Fever, Vomiting and Diarrhea

If a student goes home or stays home from school with a fever (100.0), vomiting or diarrhea they should remain at home until they no longer have fever, vomiting or diarrhea for at least 24 hours without the use of fever reducing, antiemetic’s or antidiarrheal medications.

WISD Illness Policy

Immunizations

  • According to Texas law, all immunizations must be completed by the first date of attendance. 
  • If vaccinations are not completed, your child can be excluded from school. A child may be enrolled provisionally under certain circumstances. Contact your campus nurse for questions.
  • Exemptions are allowed. If your child has an affidavit of exemption for reasons of conscience, we must have the original affidavit and it has to be renewed every 2 years.
  • Unless a medical exemption states a lifelong condition, the exemption is only valid for one year.

K-12 Texas Vaccine Requirements
PreK Texas Vaccine Requirements
Texas Immunization Exemptions

Action Plans

Action Plans are essential to your child’s safety and management of their chronic conditions.
They must be completed every school year.  
Please remember, it is the parents responsibility to complete the action plan and alert the school nurse of any health conditions your child has.

Asthma
If your child may require the use of an Inhaler at school, please provide a physician signed asthma action plan along with medications and required health forms to the Nurse.

Asthma Action Plan
Asthma Self-Carry/Administration

Allergy
If your child may require the use of an Epi-Pen at school, please provide a physician signed life threatening allergy action plan along with medications and required health forms to the Nurse.

Allergy Action Plan
Allergy Self-Carry/Administration
Allergy Addendum
Food Allergy Dietary Accommodations

Other
If your child may require any other type of monitoring or special procedure for a chronic illness, please provide a physician signed action plan or doctor's orders along with medications, supplies and required health forms to the Nurse.

Seizure Action Plan
Diabetes Management Plan

Medication Information

School nurses do not provide medication. Medication has to be brought by the parent.

Medicine that is not in the original container (such as a plastic bag) or is expired cannot be administered in school, this is for your child’s safety.  

  • WISD Medication Administration Form must be complete with parent's signature. 
  • All prescription medication given over 10 days will REQUIRE a physician's signature. 
  • Over the counter medications given for more than 5 consecutive school days will REQUIRE a physician's signature.

Medication Policy

In accordance with the Nurse Practice Act, Texas Code, Section 217.11, the school nurse has the responsibility and authority to refuse to administer medications that in the nurse's professional judgment are not in the best interest of the student.

    • Medication has to be brought to school by the parent, in its original container and with the appropriate label intact.
    • Children are not permitted to transport controlled substances.
    • Ask your pharmacist for an extra bottle to keep at school, they will attach the appropriate label on the extra bottle for you. 
    • If a student’s medication changes, a new doctor's note must be received.
    • It is the responsibility of the student to report to the designated area to take his/her medicine.

    Documents Needed:
    WISD Medication Administration Form 
    Prescription medication given over 10 days will REQUIRE a physician's signature.

    • Written notes from the doctor should include the medication, dosage, method of administration, time of administration, for what condition or symptoms the medication is given for, and a timeline for the nurse to administer the medication.(end of school year)

  • Directions on the OTC packaging regarding age, dose and frequency will be strictly adhered to.

    • A parent’s request for changes of the packaging guidelines will REQUIRE a doctor’s written note stating the dosage and frequency of the medication to be given.

    All OTC medication given over 5 consecutive school days will REQUIRE a physician's signature.

    • Written notes from the doctor should include the medication, dosage, method of administration, time of administration, for what condition or symptoms the medication is given for, and a timeline the school nurse should administer the medication.(end of school year)

    Please be aware that even topical creams/ointments and cough drops/lozenges cannot be given without a WISD Medication Administration Form being completed.

    Documents Needed:
    WISD Medication Administration Form 
    Written note from the doctor as needed

  • All medication must be stored in the clinic except in special circumstances.

    A responsible and trained student is allowed to carry and self-administer medication for asthma, diabetes and/or a life threatening allergy provided the Authorization for Self-Carry/Administration form is filled out. (see Action Plan section)

    Self-carry privileges can be revoked if a student is irresponsible with self-carry and administration.

    Documents Needed:
    WISD Medication Administration
    Appropriate Action Plan
    Authorization for Self-Carry/Administration

  • Antibiotics ordered twice a day should be given at home, with doses spaced as close to 12 hours apart as possible.

    Antibiotics ordered three times a day should be given at home in the morning, after school, and at bedtime.

    School nurses will not administer antibiotics at school.

  • Medication that requires a dose in the morning should be given at home by the parent.

    • Since oral medication typically takes 60 minutes to take effect, it is best practice that parents give medication before school to ensure the best learning environment for their child.

    Medication to be given before 8:30 am by the school nurse, will ONLY be given if a doctor’s note is provided that explains why the medication should be given at school versus at home before school.

  • Medication has to be picked up by the parent by the end of the school year. If it is not picked up, it will be disposed of using proper disposal procedures. This includes, but is not limited to Epipens, Benadryl, Tylenol, and inhalers.

    We do not keep medication stored over the summer.

  • Whitehouse ISD has a no tolerance policy for students in possession of medication of any kind.

    • This includs herbal supplements, vitamins, and all over the counter medications including cough drops/lozenges

    All medications must be delivered and picked up by a parent or guardian.

    All medications are to be stored in the nurse's office.

    • With the exception of medications for asthma, anaphylaxis and diabetes with the appropriate documentation 

    Failure to store medication in the campus clinic or follow the medication procedure may result in serious disciplinary action.

    Medication No Tolerance Policy

https://www.cdc.gov/flu/symptoms/coldflu.htm