Flu Shot Information

The Flu is beginning to run rampant in specific areas and, unfortunately, school is a place where it can become a problem very quickly.  

Parents, please call to schedule a time for your child to come get a flu shot from the school nurse.  Each school nurse will have the necessary paperwork for you to fill out in advance of the flu shot and bring an insurance or medicaid card if you have one. The schedule for flu shots is as follows:

October 9 8:30am-2:30pm - Carpenter 
October 10 8:30am-2:30pm - BQJ
October 11 8:30am-2:30pm - Raguet
October 16 8:30am-2:30pm - Nettie
October 17 8:30am-2:30pm - Fredonia 
October 18 8:30am-2:30pm -TJR
October 24 8:30am-2:30pm - NHS
October 31 8:30am-2:30pm - MMIS and McMichael


Right now, we are seeing a few cases of flu, but mostly, complaints of stuffy noses, coughs and headaches, sneezing, and stomachaches. The main "bad guy" is post nasal drip and drainage, which can cause a child to complain of their stomach hurting. 

With this being said, let's get a head start at stopping the spread of germs. The best thing we can do is encourage students to wash their hands with soap and water. As we all know, our hands pick up and pass every germ out there. Hand sanitizer is not a complete replacement for the "good old" soap and water. If we all work together, we can keep our campuses healthy.  Below is information from the NISD student handbook as well as the Center for Disease Control (CDC) guidelines.

Mary Whitten RN, Director of Nursing
Nacogdoches ISD
Mwhitten@nacisd.org 

Copied from the NISD student handbook for 17-18 school year.

Student Illness (All Grade Levels)

When your child is ill, please contact the school to let us know he or she won’t be attending that day. It is important to remember that schools are required to exclude students with certain illnesses from school for periods of time as identified in state rules. For example, if your child has a fever over 100 degrees, he or she must stay out of school until fever free for 24 hours without fever-reducing medications. In addition, students with diarrheal illnesses must stay home until they are diarrhea free without diarrhea-suppressing medications for at least 24 hours. A full list of conditions for which the school must exclude children can be obtained from the school nurse. 

If a student becomes ill during the school day, he or she must receive permission from the teacher before reporting to the school nurse. If the nurse determines that the child should go home, the nurse will contact the parent. 

The district is also required to report certain contagious (communicable) diseases or illnesses to the Texas Department of State Health Services (TDSHS) or our local/regional health authority. The school nurse can provide information from TDSHS on these notifiable conditions.

Contact the school nurse if you have questions or if you are concerned about whether or not your child should stay home.

CDC guidelines:  Tips for taking care of children and other household members with the flu >

  1. Stay home if you or your child is sick until at least 24 hours after there is no longer a fever or signs of a fever (without the use of fever-reducing medicine). Keeping sick students at home means that they keep their viruses to themselves rather than sharing them with others. Stay home even if taking antiviral medicines.
  2. Cover coughs and sneezesClean hands with soap and water or an alcohol-based hand rub often and especially after coughing or sneezing.
  3. Keep sick household members in a separate room (a sick room) in the house as much as possible to limit contact with household members who are not sick. Consider designating a single person as the main caregiver for the sick person.
  4. Monitor the health of the sick child and any other household members by checking for fever and other symptoms of flu. A fever is a temperature taken with a thermometer that is equal to or greater than 100 degrees Fahrenheit (37.8 degrees Celsius). If you are not able to measure a temperature, the sick person might have a fever if he or she feels warm, has a flushed appearance, or is sweating or shivering.

 Watch for emergency warning signs that need urgent medical attention. These warning signs include:

  • Fast breathing or trouble breathing
  • Bluish or gray skin color
  • Not drinking enough fluids
  • Not urinating or no tears when crying
  • Severe or persistent vomiting
  • Not waking up or not interacting
  • Being so irritable that the child does not want to be held
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness
  • Confusion
  • Flu-like symptoms improve but then return with fever and worse cough

 Department of State Health Services (DSHS)  Guidelines

School Exclusion Criteria

Children with influenza are required to be excluded from school and daycare for at least 24 hours after fever has subsided without the use of fever suppressing medications.  It is recommended that adults with influenza not return to work for at least 24 hours after fever has subsided without the use of fever suppressing medications.

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