Health Services
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Health Services

Health Services

"Healthy Children Learn Better, School Nurses Make it Happen!"


School nursing, a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potentials.

~Approved by the NASN Board of Directors Feb 2017.

Health Services
New Braunfels ISD Health Services


Coadministration of COVID-19 vaccines with other vaccines:

  Covid-19 vaccines may be administered without regard to riming of other vaccines.  This includes simultaneous administration of COVID-19 vaccine and other vaccines on the same day.  

COVID-19 vaccine details for those children 6 mos - 5 years:

COVID-19 vaccine details for ages 5 and older:  

COVID-19 vaccine details for those ages 12 or older: 

The following locations giving the COVID Vaccine to students age 12 or older but a parent must be present and accompany the student. All locations listed below request a call or go online to schedule an appointment. 
Walgreens Pharmacy (All locations in NB)

CVS Pharmacy (All locations in NB)

Briggs Family Medicine 
910 Gruene Road, Bldg 2
New Braunfels, TX 78130
Comal County Health Department 
Comal County now has the vaccine available for students. Parents should check the website or call the Comal County Health Department at 830-221-1150 to inquire when appointments are being scheduled and when vaccines are being administered.

Comal County Drive-Thru Testing

Appointment Hotline 830-221-1120
Call to call to schedule a COVID-19 PRCR test for possible active infection.
Location: 1297 Church Hill, Suite 102, New Braunfels, TX 78130
Current testing is on Tuesday and Friday. Please call for an appointment.

Texas Division of Emergency Management & the Texas Department of Health & Human Services
Texas COVID-19 Test Collection Sites

COVID Health & Safety FAQs

Q: If my child is COVID-19 positive, do I keep them at home?

A: Yes, if your child is positive, please contact the school so that they may provide guidance as to the timelines for which your child must remain at home. As per the guidance issued by TEA, DSHS  and the CDC, it is essential to keep a COVID positive student home to mitigate the spread of the virus. 

Q: Will my child be required to quarantine if they are found to be in close contact of someone who tested positive for COVID-19?
A: NBISD recommends that parents follow CDC guidelines when deciding to quarantine their child in this particular situation.  As per TEA and CDC guidelines, it is expected that those in close contact with a COVID-19 positive person remain home to limit the potential spread of the virus. Please see the Student Process Map for more information.  You  may also contact the school for guidance as to next steps and timelines that will assist you in making the best decision for your child.  

Q: Are students and staff required to wear masks? 
A: As a result of GA-36, public school institutions cannot require students or staff to wear masks. It does allow parent/staff choice with regard to face coverings.

Q: If my child is showing COVID-19 symptoms or has been exposed to someone that is COVID positive, do I still need to contact the school?
A: Yes, please contact the school to assist you in making decisions regarding the next steps for your child. 

Q: If it is up to a parent to quarantine their child, does that mean that as long as the child never develops symptoms, they can continue going to school even if potentially exposed?
A: It is the responsibility of the parent/guardian to assist in the mitigation of the spread of COVID-19. If a parent believes their child is in good health and there are no concerns for returning to school, that is the decision of the parent/guardian. Parents are encouraged to contact their child’s school nurse or healthcare provider for further guidance. 

Q: Does the campus require a negative test or a certain amount of days to return from possible exposure if the student is asymptomatic?
A: The school is required to keep students at home that are COVID-19 positive and work to ensure that those determined to be in close contact are contacted to watch for symptoms of the virus. Due to many carriers of the virus being asymptomatic, it is possible for a student never to develop symptoms but still be COVID-19 positive. If you believe your child has been in close contact with a COVID-19 positive person, please contact your healthcare provider for further guidance on returning to school. For more information, see the Student Process Map. 

Q: Are students required to wear a mask on the bus? 
A: Under GA-36, students are not required to wear a mask while on the bus as it is a parent’s choice.

Centers for Disease Control (CDC)
Texas Department of State Health Services
Comal County Office of Public Health
Department of State Health Services - Public Health Region 8
World Health Organization (WHO)

Comal County Public Health
Monday-Friday, 8 to 5 p.m.

DSHS Public Health Region 8
210-949-2000 (during business hours)
210-949-2121 (after hours & emergency reporting)
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Dr. Jennifer Garcia-Edwardsen
Chief of Elementary Schools
Dr. Jennifer Garcia-Edwardsen
Chief of Elementary Schools
Ingia Saxton, Chief of Secondary Schools
Ingia Saxton
Chief of Secondary Schools
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Karen Schwind

Karen Schwind, BSN RN NCSN

NBISD Director of Health Services

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  • In addition to a current immunization record, we must have a record that shows the following vaccines have been received:

    • 1 dose of Meningococcal Vaccine (meningitis)  Meningococcal vaccinesprotect against infection with a type of bacteria that causes meningitis and blood infection (sepsis). Adolescents are at increased risk of getting this infection. This is a rare, but extremely serious disease that kills up to 10 percent of those who get it. Up to 20 percent of survivors will have serious long-term or permanent complications such as brain damage, kidney damage, deafness, or amputations. Please note that adolescents need a booster vaccine at age 16. Parents should also ask about a second type of meningococcal vaccine (meningococcal B) that may be appropriate for their child between ages 16-18 years.
    • 1 dose of Tdap Vaccine (tetanus, diphtheria and pertussis) Tdap vaccine includes protection against pertussis (whooping cough), which has been on the rise in the US especially among children 10-19 years old and babies under five years old. Vaccination is important even if your child was vaccinated as an infant, because the protection from those vaccines may not last into the teen years.

    Please provide your shot record to the School nurse if your child has received these vaccines.  Your student will not be able to receive a schedule or attend school until the shots are received and written record is provided. 

    • Human Papillomavirius vaccine (HPV) HPV vaccine protects against a cancer-causing infection. The HPV vaccine is recommended and is a two dose series for boys and girls age 9-14.  After the age of 15 a three-dose series over a six-month period is needed to protect both females and males. Teens or young adults who have not gotten any or all of the recommended doses should make an appointment to be vaccinated. Younger adolescents have higher antibody levels to vaccination compared to older adolescents and young adults. This may result in longer lasting immunity for those vaccinated earlier in adolescence.
  • Frontline Health Portal

    NBISD has licensed the Frontline Health Portal to provide you with convenient, 24-hour online access to items in your child’s health record.  Using a secure username and password, you can view district-designated health information, communicate with our health & wellness staff, review/sign forms, and even provide the district with new information from outside health services received by your child.


    Learn more here.

Flu Vaccination Information from the Texas Department of State Health Services

The single best way to prevent seasonal flu is to get vaccinated each year, but good health habits like covering your cough and washing your hands often can help stop the spread of germs and prevent respiratory illnesses like the flu. There also are flu antiviral drugs that can be used to treat and prevent flu.

Go Blue and Kick the Flu!  Influenza Vaccination is the most effective method for preventing illness and reducing absenteeism.  New Braunfels ISD is partnering to provide flu vaccines for our staff and students in October 2018 at schools.  You may also consult your physician, local pharmacy or Health Department to get vaccinated!

1. Avoid close contact.

Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too.

2. Stay home when you are sick.

If possible, stay home from work, school, and errands when you are sick. This will help prevent spreading your illness to others.  Students and staff must be fever free (less than 100.0) for 24 hours without the use of fever reducing medication before returning to school. 

3. Cover your mouth and nose.

Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.

4. Clean your hands.

Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol-based hand rub.

5. Avoid touching your eyes, nose or mouth.

Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.

6. Practice other good health habits.

Clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

For more information visit the website or download the related CDC flyers.

Flu and You Flyer - English

Flu and You Flyer - Spanish

DSHS Immunization Branch Advisory No. 27 - CDC Recommends Two HPV Shots for Younger Adolescents

The Centers for Disease Control and Prevention’s (CDC’s) Advisory Committee on Immunization Practices (ACIP) has updated its recommendation regarding the three injection series of HPV vaccination in adolescents, beginning at age 11-12 years. CDC now routinely recommends two doses of HPV vaccine for 11 or 12 year olds to prevent HPV cancers.

Why does my child need HPV vaccine

HPV vaccine is important because it protects against cancers caused by human papillomavirus (HPV) infection. HPV is a very common virus; nearly 80 million people—about one in four—are currently infected in the United States. About 14 million people, including teens, become infected with HPV each year.

Most people with HPV never develop symptoms or health problems. Most HPV infections (9 out of 10) go away by themselves within two years. But, sometimes, HPV infections will last longer, and can cause certain cancers and other diseases. HPV infection can cause:

  • cancers of the cervix, vagina, and vulva in women;
  • cancers of the penis in men; and

  • cancers of the anus and back of the throat, including the base of the tongue and tonsils (oropharynx), in both women and men.

Every year in the United States, HPV causes 30,700 cancers in men and women. HPV vaccination can prevent most of the cancers (about 28,000) from occurring.



Measles (rubeola) is a highly contagious acute viral respiratory illness. It is characterized by a prodrome of fever (as high as 105°F) and malaise, cough, coryza, and conjunctivitis – the three “C”s, Koplik spots followed by a maculopapular rash. The rash usually appears about 14 days after a person is exposed, however, the incubation ranges from 7 – 21 days. The rash characteristically spreads from the head to the trunk to the lower extremities. Patients are considered to be contagious from 4 days before to 4 days after the rash appears. Please note that immunocompromised patients may not develop the rash. Complications can include otitis media, diarrhea, bronchitis, pneumonia, encephalitis, seizures and death.

While it is rare that vaccinated individuals develop measles, it does happen. Vaccinated individuals may have an atypical clinical presentation—typically shorter rash duration or atypical rash presentation, and possible lack of fever, cough, coryza or conjunctivitis. People at high risk for severe illness and complications from measles include: infants and children <5 years, adults aged >20 years, pregnant women, and those with compromised immune systems.

Department of State Health Services Infectious Disease Control

Fact Sheet English

Fact Sheet Spanish


Meningitis is an inflammation of the covering of the brain and spinal cord.  It can be caused by viruses, parasites, fungi, and bacteria. Viral meningitis is most common and the least serious. Meningitis caused by bacteria is the most likely form of the disease to cause serious, long-term complications. It is an uncommon disease but requires urgent treatment with antibiotics to prevent permanent damage or death.

Bacterial meningitis can be caused by multiple organisms. Two common types are Streptococcus pneumoniae, with over 80 serogroups that can cause illness, and Neisseria meningitidis, with 5 serogroups that most commonly cause meningitis.


Someone with bacterial meningitis will become very ill. The illness may develop over one or two days, but it can also rapidly progress in a matter of hours. Not everyone with meningitis will have the same symptoms.

Children (over 1 year old) and adults with meningitis may have a severe headache, high temperature, vomiting, sensitivity to bright lights, neck stiffness, and drowsiness or confusion. In both children and adults, there may be a rash of tiny, red-purple spots. These can occur anywhere on the body.

The diagnosis of bacterial meningitis is based on a combination of symptoms and laboratory results.


If it is diagnosed early and treated promptly, most people make a complete recovery. If left untreated or treatment is delayed, bacterial meningitis can be fatal, or a person may be left with permanent disability.


Bacterial meningitis cased by Streptococcus pneumoniae and Neisseria meningitidis may be prevented through vaccination.   Vaccination with available meningococcal vaccines offers longer-term protection and is routinely recommended for adolescents and others at increased risk. 

The vaccine which protects against Streptococcus pneumoniae is called pneumococcal conjugate vaccine or PCV. There are two types of vaccinations for meningococcal disease available in the US. Meningococcal conjugate vaccines (Menactra® and Menveo®) available in the US provide protection against 4 of the 5 most common serogroups of N. meningitidis (serogroups A, C, W, and Y). Serogroup B vaccines (Trumenba® and Bexsero®) provides protection for the other most common serogroup, serogroup B. Meningococcal vaccinations are generally recommended for those beginning at 11-12 years of age with a booster between 16-18 years of age; however, for those persons at an increased risk for meningococcal disease the age recommended is different.

Depending on the brand and your age you may receive different number of doses. Approximately 2 weeks are required following vaccination for the development of protective antibody levels.


Your school nurse, family doctor, and the staff at your local or regional health department office are excellent sources for information on all infectious diseases. You may call your family doctor or local health department office to ask about meningococcal vaccine.  Additional information may also be found at the web sites for the Centers for Disease Control and Prevention (CDC): and the Texas Department of State Health Services(DSHS): or      

SOURCE: Link to Texas Department of Health and Human Services - Meningitis Information for Students and Parents

Download PDF 

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As summer arrives, so do mosquitoes!  Mosquito activity increases with warmer weather, and so does the threat of illness. Pregnant women are particularly at risk of Zika; the virus can cause birth defects in unborn infants. The Zika virus spreads through the bite of certain types of mosquitoes. While it can cause fever, rash, joint pain, and red or pink eyes, about 80 percent of people with Zika do not become ill or have symptoms. Zika can also spread through blood transfusions and sexual contact. . Prevent mosquito breeding and protect yourself from mosquito bites. You can learn more about Zika in Texas here

Listed below are some steps to help prevent mosquito-borne illnesses.

  • Apply EPA-approved insect repellent.
  • Wear pants and long-sleeve shirts
  • Remove standing water in and around your home 
  • Cover trash cans or containers where water can collect
  • Talk to your doctor if you have concerns  

For additional information on Zika in Comal County visit Zika in Central Texas.  


Zika Virus Protection and Prevention from TEA


The Zika informational poster from the Texas Department of Health and Human services can be found at:

Posted: May 15, 2018  | Updated: Sept. 10, 2019

Severe Lung Disease and Vaping Health Alert (Issued: 08-06-19)


NBISD is committed to educating our students about living a healthy lifestyle as well as being responsible and safe. We want to take this opportunity to make you aware of a trend among students that is causing concern not only in NBISD, but across the country. Electronic Nicotine Delivery Systems (ENDS) have grown in use and popularity over the past few years particularly among youth and young adults.


ENDS, also called e-cigarettes, personal vaporizers, vape pens, e-cigars, e-hookah, or vaping devices, are products that produce an aerosolized mixture containing flavored liquids and nicotine that is inhaled by the user. ENDS can resemble traditional products like cigarettes, cigars, pipes, or common gadgets like flashlights, flash drives, or pens.


ENDS can resemble traditional products like cigarettes, cigars, pipes, or common gadgets like flashlights, flash drives, or pens.

These devices are being marketed as a safer alternative to cigarettes and students are also attracted to the sleek and inconspicuous designs offered. Devices such as Juul are the same size and shape as a flash drive and can be easily concealed. Kids are using words like “Juuling,” “vaping” or “dripping” to talk about these devices and their experiences. Additionally, the “e-liquid” or “e-juice” is sold in flavors like fruit, candy, coffee or chocolate and can be ordered online by someone under the legal age of 18.


Students are not allowed to possess these devices, however, we are still encountering them at school. We are asking for your assistance to address this issue and encourage you to speak with your child about the effects products like these can have on their health as well as the consequences they could face at school. Just like you, we are concerned about the health and welfare of our children.


Any student found in the possession of or use of a vaping device, vapors or tobacco on any NBISD campus will face disciplinary consequences.


If you have any questions, feel free to contact a campus administrator or one of your child’s teachers. For additional resources, click on the links below provided online by the American Academy of Pediatrics and the Center for Disease Control.

Sources and Image References:

American Academy of Pediatrics. “Electronic Nicotine Delivery Systems Quick Facts.” Available at:


Center for Disease Control. “E-Cigarettes and Young People: A Public Health Concern.” Available at:


E-cigarettes Infographic

Texas Dept. of Health and Human Services


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