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Home of the New Braunfels Unicorns!
Karen Schwind BSN RN NCSN
Health Services Coordinator
"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.
Karen Schwind, BSN RN
NBISD Health Services Coordinator
New Braunfels ISD Health Services
The NBISD situation summary, parent communication and additional resources can be found at the NBISD Coronavirus (COVID-19) site: https://nbisd.org/page/Coronavirus_COVID-19
Updated information from the CDC on coronavirus in the United States can be found at: https://www.cdc.gov/coronavirus/2019-ncov/index.html. The most recent information about coronavirus in Texas may be found from the Texas Department of State Health Services at: https://dshs.texas.gov/coronavirus/.
Take the same steps to protect against coronavirus as you would to prevent the spread of everyday illnesses like the common cold or the flu:
The 2019 novel coronavirus is believed to be spread through the air when an infected person coughs or sneezes, much in the way the flu and other respiratory viruses are spread. Symptoms can be fever, cough, or difficulty breathing. At this time, persons considered at risk are those with travel to China, or those in close contact with persons infected with novel coronavirus.
What you need to know about COVID-19 What you need to know about COVID-19 Spanish
Differences between Influenza, Seasonal Coronavirus and Novel Coronavirus
Stop the Spread of Germs Stop the Spread of Germs Spanish
New Braunfels and Comal County Community Resources
(How to Access Community Resources)
Find Help.org: Find food assistance, help paying bills and other free or reduced cost programs, including new programs for the COVID-19 pandemic.
Ask Aunt Bertha: Find free or reduced cost services like medical care, food, job training and more.
Additional documents can be located on the NBISD Health Services Health Resources page under individual topics. Feel free to download and print off and fax or email to the Campus Nurse. Thank you!
NBISD Campus Nurses Contact information
NBISD Nurse Information Card
Asthma Action Plan
Allergy and Anaphylaxis Action Plan
Seizure Action Plan
Diabetes Treatment Plan
Physician Authorization for Medication
Special Care Request
Texas Minimum State Vaccine Requirements for Students Grade K-12
A student shall show acceptable evidence of vaccination prior to entry, attendance, or transfer to a child-care facility or public or private elementary or secondary school in Texas.
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.
Texas Minimum State Vaccine Requirements for Students Grades K-12
In addition to a current immunization record, we must have a record that shows the following vaccines have been received:
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 CDC.gov website or download the related CDC flyers.
Flu and You Flyer - English
Flu and You Flyer - Spanish
December 23, 2016
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 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
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
WHAT IS MENINGITIS?
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.
WHAT ARE THE SYMPTOMS?
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.
HOW SERIOUS IS BACTERIAL MENINGITIS?
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.
FOR MORE INFORMATION
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): https://www.cdc.gov/meningitis/index.html and the Texas Department of State Health Services (DSHS): https://www.dshs.texas.gov/immunize/PreteenVaccines.aspx or https://dshs.texas.gov/IDCU/disease/meningitis/Meningitis.aspx
Link to Texas Department of Health and Human Services - Meningitis Information for Students and Parents
Free Texas Prescription Card
As a resident of Texas, you and your family have access to a statewide Prescription Assistance Program (PAP). Create and print your FREE discount prescription drug card coupon. The pharmacy coupon card will provide you with Rx medication savings of up to 75% at more than 68,000 pharmacies across the country including CVS, Walgreens and Walmart.
Create and print your FREE discount prescription drug card coupon at: https://www.texasrxcard.com/
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 inTexas here.
Listed below are some steps to help prevent mosquito-borne illnesses.
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: https://www.texaszika.org/materials/ZikaPoster11x17English.pdf
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.
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: https://www.cdc.gov/features/ecigarettes-young-people/index.html
Texas Dept. of Health and Human Services
Stay aware. Stay Healthy.
iHealth 101 brings awareness to public health issues and promotes healthy living. Watch our informative programs to see how these issues could affect you or your loved ones.
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