LTHS Health Office Info for Parents / Students

Doctor Notes for Injuries/Surgeries/Restrictions/Medical Concerns:  Please submit these to me @ SalgadoC@friscoisd.org as well as our Attendance Clerk, Ms. McBrayer via the Report an Absence tab on our homepage: https://schools.friscoisd.org/campus/high-school/lebanon-trail/home   Pertinent Dr notes such as restrictions may be shared with coaches, trainers, and pertinent additional staff to help with accommodations set up and elevator passes.  

Also, please note: If your physician told you to ice or heat an injury or procedure, then the school nurse will need a Dr note for that. 

Frisco ISD schools are fortunate to be equipped with emergency equipment and medications including:

·         Epinephrine injectors

·         Narcan

·         Albuterol via an inhaler

·         AEDs (ten throughout the campus)

·         Stop the Bleed kits

The following first aid products are stocked in the Clinic:

·         Alcohol

·         Antibacterial liquid soap

·         Aquaphor

·         Bactine

·         Benadryl cream/spray

·         Blistex/Carmex/lip balm

.   Burn Ointment/Gel

·         Caladryl

·         Calamine lotion

·         Contact lens cleaning solution

·         Contact lens saline solution

·         Cortisone cream

·         Eye wash – tap water flush via faucet-mounted station

·         Eye wash – isotonic solution

·         Glucose gel (ONLY for students/staff diagnosed with Diabetes)

·         Glucose tablets (ONLY for students/staff diagnosed with Diabetes)

·         Hand/body lotion

·         Hand sanitizer

·         Hydrogen peroxide

·         Icy Hot or generic equivalent

.         Saltine crackers

·         Lubricant eye drops

·         Salt water gargle

·         Vaseline

Athletic Injuries

• Any injury resulting from Athletics will always need to report their injury to the coach and see the athletic trainer.  Athletes need to see the appropriate people for the appropriate concern. Our trainers are specialized and are able to evaluate, treat if needed, refer, and follow up. 

• Athletes are NOT to miss any class time for an athletic injury.  

• Ice is available in the training areas.

• Trainers are available before/after school, there are designated treatment times, pre- and post-practice and/or competition.  

• A student should contact their coach and trainer via email or through SportsYou.

Student Illness:

It is the parent's responsibility to assess if your student is well enough to attend school for the day prior to campus arrival.   Our campus health office is not an entry point to medical care. If your student requires medical evaluation, please contact their medical practitioner. 

All students should stay home when feeling sick and individuals who come to school or work with symptoms of an illness may be isolated and sent home.  Students and staff should not attend school in the following circumstances:

• Temperature of 100 degrees or above. The student’s temperature must be below 100 degrees for a FULL 24 HOURS (without a fever reducer such as Tylenol/acetaminophen or Motrin/ibuprofen) before returning to school. A child with a fever suppressed by a fever reducer is still contagious as these medications only temporarily decrease the temperature & discomforts but do NOT treat the underlying illness.

• Diarrhea – A child with any diarrheal illness must be excluded from school until they are diarrhea free for 24 hours without the use of diarrhea suppressing medications. Please see a physician if this is an ongoing concern.

• Vomiting two or more times in 24 hours, unless a physician feels the cause of vomiting is not an infectious disease & the child is in no danger of becoming dehydrated. A child should have one or two meals without vomiting before returning to school. Your child may be sent home from school for vomiting one time.  Students who experience vomiting and/or diarrhea may be infectious, feel uncomfortable, and be unable to focus in the classroom.  The decision to exclude/not exclude a student with diarrhea or vomiting is made at the discretion of the school nurse or administrator.  When excluded, the student should not return to school until free of vomiting/diarrhea for 24 hours without medication.  

• Known Communicable Disease (impetigo, ringworm, strep, mono, scabies, pink eye, etc) must be treated for the appropriate amount of time as directed by a physician. Please provide a physician note if seen

• Questionable Rash until a physician has determined the rash is not caused by an infectious disease.  Please cover wounds for school to prevent infection, spread of illness.  Rashes: accompanied by other symptoms, such as fever, lethargy, or general discomfort, stay home and describe these symptoms to your doctor. An unexplained rash may be the first symptom of contagious illnesses and needs to be followed up with your doctor.  

• Sniffles and Coughs: Doctors agree that you can go to work and school with the sniffles as long as you feel all right otherwise. Stay home if you have a heavy cough accompanied by a steady stream of mucus. Also, stay home if the cough is accompanied by rapid or labored breathing or fever.  Prolonged coughing (several weeks) may warrant physician evaluation.

• According to the Texas Department of State Health Services, children that test positive for COVID-19 should be excluded from school until fever-free x 24 hours, without the use of fever-reducing medication.

• Recommendation of a physician or school nurse.

• Signs of Severe Illness, including fever, irritability, difficulty breathing, crying that doesn’t stop with the usual comforting, or extreme sleepiness.

• Head Lice – If your child has head lice they must be excluded from school until after receiving treatment with a special shampoo. Your child will be allowed to return to school once there are no live lice remaining on their head. Please notify the school nurse if your child has a known or suspected case of lice. Re-treat in a week to prevent any new eggs/nits/lice.

• Do NOT send your child to school for the school nurse to decide if they should be here – Refer to the above circumstances or contact your physician. In addition, school nurses will NOT give an excuse for truant concerns. If a child becomes ill during the school day, faculty & staff do their best to isolate him or her & contact parents promptly for pickup. Please be sure to keep the front office up to date with any phone number or email changes; be sure to clear your voice mailbox on a regular basis – many times myself or other staff members attempt to leave a message but are unable due to full voice mailboxes.

Attendance:

• Consistent attendance is important. With the State-mandated 90% attendance requirement, every day counts. Maintaining strong attendance is vital for academic success and to avoid potential course failure.  Student Attendance is regulated by Texas law, the Texas Education Code and FISD Board policies: https://www.friscoisd.org/departments/school-attendance/home

• All absences, excused and unexcused, count toward the state’s compulsory attendance law. When a student's attendance rate drops below 90%, the student may earn credit for the class or a final grade by completing a plan approved by the principal - as long as their attendance rate remains above 75%. Students below 75% are not eligible for the principal plan. All absences can easily be submitted in the form at the top of our campus website. Learn more about the attendance policy.

Here is the TLDR version:

 ~ 90% Rule = based on class-by-class attendance, even for excused absences; can result in loss of credit for graduation.

~ Truancy = unexcused absences from class: carries legal consequences.

~ Both are State of Texas laws, not Frisco ISD or Lebanon Trail policies; we have to follow the law.

• Online Absence Report for Lebanon Trail High School:  https://schools.friscoisd.org/campus/high-school/lebanon-trail/home

• Do not send known sick and/or injured students to school for the school nurse to send back home with a nurse pass. The school nurse will not excuse your absence just because you are out of parent notes and/or in truancy. Please keep them home, submit your absence report online and/or refer to your family physician or use a telehealth provider, (you can also submit doctor's notes with the online absence report).  Keeping sick students home decreases the spread of illness in our school and community.  

• First-aid and medical care provided by the school nurse is mainly for illness or injury that occurs at school during the school day. The School Clinic is not a Primary Care Office or Urgent Care.  The nurse is qualified to collaborate with you and your child's physician to provide an educational environment in which your child can learn and thrive. The nurse does not make medical diagnoses nor prescribe treatments or medications, but can provide treatments and medications as prescribed by a physician with a doctor's order. 

• DO NOT send a sick or injured child to school for the school nurse to decide whether they should be in school. If in doubt, call your family physician. 

Medication Policy Guidelines:

If you would like for your student to have approved medication in the clinic,  you will need to bring it here with the completed parent request for medication administration form. 

The District shall not purchase oral nonprescription medication for students. In order for students to receive District-approved oral nonprescription medication (Tylenol, Advil, Benadryl, Tums) while at school, the parent/guardian must complete & sign the Request for Administration of Medication form & the parent/guardian should bring the age-appropriate medication to the school nurse in the original container (smallest container available) & it must be properly labeled & not expired. The nurse may give up to 10 doses of the District-approved oral nonprescription medications with this form. When students take 10 doses of a medication, the parent/guardian will be notified a doctor’s note will be needed to continue to give the student the medication. Form: https://www.friscoisd.org/docs/default-source/health-services/parent-request-for-administration-of-medication.pdf?sfvrsn=4a0c76d7_0

All other nonprescription medication must have a doctor’s note & must be in the original container & be properly labeled. The parent/guardian must complete & sign the Request for Administration of Medication form & the parent/guardian should bring the medication to the school nurse. This is anything other Tylenol, Advil, Benadryl or Tums.

All prescription medication that cannot be scheduled for other than school hours may be given at school. The parent/guardian must complete & sign the Request for Administration of Medication form & the parent/guardian must bring the medication to the school nurse. The medication must be in the original container and be properly labeled.

When the duration of the medication is completed, unused portions of the drug should be picked up by the parent/guardian. Any abandoned or expired medication not picked up by the parent/guardian at the end of the school year (by dismissal on last day of school) will be disposed of properly by Frisco ISD via an authorized medical waste management contractor.

Medication Responsibility at the High School Level

At the high school level, students are expected to take increasing responsibility for their own health care needs. While the nurse provides medication as prescribed, it is not the nurse’s role to track down students or provide daily reminders for scheduled medications.

Teachers and students have already been notified of medication schedules, and medications are securely available in the clinic. If a student forgets to come at the scheduled time, it is considered a missed dose.

This approach encourages students to build self-care awareness and accountability for their own medical plan—important life skills that will serve them well after graduation. If a student misses five consecutive doses, parents/guardians will be notified.

Immunization Requirements for Texas Students

The campus nurse must first approve your student’s immunizations before enrollment can be completed.  If your student needs any additional immunizations, the nurse will email you directly. Once all enrollment requirements have been met, your student will be enrolled and you will receive a Welcome to LTHS email with your student’s start date from the campus registrar.  Please keep in mind that we are a high volume campus and registrations are processed in the order received complete.

• Do you know the minimum state vaccine requirements? View the Texas School Vaccine Requirements for Students Grades K-12 for details on required vaccines before students can attend schools in Texas. For soon-to-be-graduates, review the Texas Minimum State Vaccine Requirements for College Entry for college and university students. 

• Information relating to bacterial meningitis for students and parents: https://www.dshs.texas.gov/sites/default/files/LIDS-Immunizations/pdf/pdf_stock/11-15233.pdf

Elevator Nurse Pass

An elevator nurse pass is a pass that allows a student to use the elevator when they have an injury or illness that requires it to ensure their safety and comfort while navigating the school environment. To get an elevator nurse pass, a student must provide a written note from a doctor or athletic trainer to the nurse's office. The note should include the reason for needing to use the elevator and how long the student will need to use it. 

Here are some other things to know about elevator nurse passes:

• The student must keep the pass visible while using the elevator. 

• The student must return the pass to the clinic when they are no longer using the elevator. 

• Students must follow the student code of conduct while using the elevator. 

• Students should not use the elevator during a fire or tornado drill, or if there is an actual fire or tornado. The student is to  request assistance from a nearby staff member.

• If an elevator is not working, students should notify the front office from a classroom or other school phone.

Here are some key reasons for this practice:

• Safety: Navigating stairs can be hazardous for students with mobility impairments. Using the elevator reduces the risk of falls or further injury.

• Accessibility: Elevators provide easier access to different floors, ensuring that students can attend classes and participate in school activities without undue strain or difficulty.

• Dignity and Inclusion: Allowing students to use the elevator helps maintain their dignity and promotes inclusion. It ensures they can move around the school without feeling singled out or limited by their injury.

• Health Considerations: Students with injuries may experience pain or fatigue. Using the elevator can help them conserve energy and avoid exacerbating their condition.

• To accommodate students with temporary disabilities, which may include issuing elevator passes as part of a broader support system.