Welcome to the Nurse's Clinic

The school nurse does not diagnose illnesses but observes symptoms and informs the parent/guardian of her findings. If a child becomes ill or injured at school, they will receive first aid and the parent/guardian will be notified if necessary.

Children should stay home when ill and must be fever-free (temperature below 100.0°F) and not contagious to return to school. According to the Texas Administrative Code, students must be excluded from school until they are fever-free for 24 hours without using fever-reducing medications. Fever is defined by the Texas Department of State Health Services as a temperature of 100.0°F or higher.

Nurse Amanda Bynum, MSN, RN-BC

If a nursing assessment determines that a child is ill, possibly contagious, injured at school, or needs further evaluation or treatment, the student will receive first aid, and the parent/guardian will be notified. We will make every effort to contact the parent/guardian first. If they cannot come for the child, the parent/guardian must arrange alternative care. In an emergency, the student will be transported by EMS.

The nurse has the responsibility if they suspect a contagious health condition to request that the child be picked up by the parent/guardian and examined by a physician for diagnosis and treatment. In all circumstances, the judgment of the school nurse prevails. Please notify the school of any confirmed contagious illness.

Please keep all emergency phone numbers updated for our information.

Parents are encouraged to schedule the administration of a student’s medication in such a manner that medication required at school is kept to a minimum.

1. Long-term medication may be administered at school with a signed physician’s order and written parent/guardian authorization.
   1. Prescription medication must be brought to school in the original prescription labeled bottle.
   2. Over-the-counter medication may be administered long term at school with a signed physician’s order and written parent/guardian authorization, and must be brought to school in an unopened, original manufacturer’s package.
      
2. Short-term prescription medication medication may be administered at school with a signed physician’s order and written parent/guardian authorization.
   1. Prescription medication (such as antibiotics, etc) must be brought to school in the original prescription labeled bottle.
      
3. Over-the-counter (nonprescription) medications may be administered to students without a physician’s order, provided the following requirements are met:
   1. Parental Permission: A written and signed permission form from the parent or guardian must be submitted to the school.
   2. Original Packaging: Non-expired medication must be brought to school in its unopened, original packaging and be clearly labeled with the student’s name.
   3. Dosing Guidelines: The medication will strictly be administered according to the manufacturer’s instructions listed on the packaging.
   4. Extended Use: A physician’s note is required if the medication needs to be administered for a duration longer than the manufacturer’s recommended timeframe.
      
4. NISD employees will not administer any medications that are not FDA approved. This includes but is not limited to herbal substances, anabolic steroids and dietary supplements. Exceptions may be granted if prescribed by a physician and required by the IEP or Section 504 plan of a student with a disability. Reliable information must be provided in writing and signed by the prescribing physician regarding the safe use of the product including side effects, toxicity, drug interactions and adverse effects.
   
   Please Note: Per the Texas Nurse Practice Act, the school nurse uses professional clinical judgment for all medication administration. If an over-the-counter medication is requested past the manufacturer’s guidelines, further guidance and authorization from a healthcare provider will be required.
   
5. All non-expired medication must be delivered to the clinic or school office by an adult. If sent with the child, the parent/guardian is responsible for the medication until it reaches a school district employee.
   
6. All medications will be stored in the clinic, except for students with physician orders for asthma, diabetes, or severe allergies who are permitted to carry and administer their own medication.
   

*NISD General medication forms may be obtained in the school clinic and on the NISD District webpage.*

https://co-request.dshs.texas.gov/

Families are encouraged to check their immunizations records to be prepared for the school year. Please contact your campus nurse for any questions.

DTaP/DTP/DT/Td/Tdap: K – 6th grade: 5 doses of diphtheria-tetanus-pertussis vaccine are required; 1 dose must have been received on or after the 4th birthday. However, 4 doses meet the requirement if the 4th dose was received on or after the 4th birthday. Doses are also required for students entering Pre-K – school nurses will evaluate.

7th grade: 1 dose of Tdap is required if at least 5 years have passed since the last dose of a tetanus-containing vaccine.

8th – 12th grade: 1 dose of Tdap is required when 10 years have passed since the last dose of a tetanus-containing vaccine.

Polio: K – 12th grade: 4 doses of polio are required; 1 dose must be received on or after the 4th birthday. However, 3 doses meet the requirement if the 3rd dose was received on or after the 4th birthday. Doses are also required for students entering Pre-K – school nurses will evaluate. Not required of 18 yr old students.

Measles/Mumps/Rubella: K – 12th grade: 2 doses are required, with the 1st dose received on or after the 1st birthday. Students vaccinated prior to 2009 with 2 doses of measles and one dose each of rubella and mumps satisfy this requirement. One dose is required for Pre-K.

HIB (Haemophilus Influenzae): Mandated for students 3 and 4 years of age. The school nurse will evaluate the number of doses needed or if the student is complete to enter Pre-K.

Hepatitis A: K – 12th grade: 2 doses are required, with the 1st dose received on or after the 1st birthday. Two doses are required for Pre-K. The second dose of Hep A is administered six months after the first dose.

Hepatitis B: K – 12th grade: 3 doses are required. Three doses are required for Pre-K.

Varicella (Chicken Pox): K – 12th grade: 2 doses are required, with the 1st dose received on or after the 1st birthday. If a student has had the chickenpox illness, please request a form from the school nurse. One dose required for Pre-K.

PCV (Pneumococcal Conjugate Vaccine): Mandated for students 3 and 4 years of age. The school nurse will evaluate the number of doses needed or if the student is complete to enter Pre-K.

Menactra (Meningococcal Conjugate Vaccine): 7th – 12th grade: 1 dose of quadrivalent meningococcal conjugate vaccine is required on or after the student’s 11th birthday. If a student received the vaccine at 10 years of age, this will satisfy the requirement.

For more information, please access the Department of State Health Services Website:

Immunization Requirements:

Texas Minimum State Vaccine Requirements for Students Grades K - 12

Immunization Exemptions:

DSHS Exemption Information – School Immunizations

*Immunization records can be dropped off by student to the Nurse's Clinic, emailed to myself at amanda.bynum@nisd.net or faxed to 210-298-1237

1256 Pinn Road
San Antonio,TX 78227

Schedule an appointment:210-644-2060

Facility Hours

• Monday8 a.m. - 4:30 p.m.
• Tuesday8 a.m. - 4:30 p.m.
• Wednesday8 a.m. - 4:30 p.m.
• Thursday8 a.m. - 4:30 p.m.
• Friday10 a.m. - 4:30 p.m.
• SaturdayClosed
• SundayClosed