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Billings School Nurse


The Nurse's Page is the place to go for the latest in school health related information.  This page contains alerts, medical forms, important links and other helpful information.  If you do not see what you are looking for, please feel free to contact me through the school office (417) 744-2552, ext 12.  If you have any questions or concerns regarding your child, please let me know. 

Dawn Moore, RN
Billings School Nurse

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Contacts
+ Dawn Moore, RN
Click on name to see details.
Upcoming Events:
Cox CARE Mobile will be at Billings Schools on January 21st, 2016 from 9:00 a.m. to 2:00 p.m. The CARE Mobile will see any child age 2 months of age to 18 years of age for well child visits, athletic physicals, sick visits and some immunizations. If you are interested in your child being seen, please call Nurse Moore at 744-2552 ext 12 to schedule an appointment.
Nursing Announcements
IMMUNIZATION CHANGES for the 2016-2017 School Year
There will be some changes of the immunization requirements for the 2016-2017 school year.
Please note the following changes:

MCV (meningococcal) being required with the Tdap shot prior to entering grade 8.
K-6 graders are required to have 2 varicella doses on file next year.
K-6 need to have had a Polio dose on or after the 4th b-day. If not, another dose is required.

Attached is the link to the official/approved Missouri School Required immunizations for the 2016/2017 school year (http://health.mo.gov/living/wellness/immunizations/pdf/1617schoolrequirements.pdf)

If you have any questions, please call Nurse Moore at (417) 744-2552 ext 12., your primary care physician or the Christian or Greene County Health Departments to answer your questions.
Changes to Immunization Exemption
A change was made in August regarding early childhood immunizations and children with exemptions.

The link to the Statute ishttp://www.moga.mo.gov/mostatutes/stathtml/21000000031.html,

Essentially:

Part 1 is that the facility shall notify parents/guardians uponinitial enrollment in or attendance that they can request to know if there are children with an exemption.
All public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child at the time of initial enrollment in or attendance at the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.”

Part 2 is that beginning December 1, 2015 the facility shall notify parent/guardians of childrencurrently enrolled or attending that they can request to know if there are children with an exemption.
“Beginning December 1, 2015, all public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child currently enrolled in or attending the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.”

Part 3 is that upon request of a parent or guardian, they shall notify the parent or guardian asking if there are children with an exemption.
“Any public, private, or parochial day care center, preschool, or nursery school shall notify the parent or guardian of a child enrolled in or attending the facility, upon request, of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.”

If you have further questions, please feel free to call and speak with Nurse Moore about this at (417) 744-2552 ext. 12.
IMMUNIZATIONS
IMMUNIZATIONS!!!!!
PARENTS.... Please check your child's immunization status (especially if your child is entering preschool, Kindergarten, 8th grade or if your high schooler has not had a tetanus booster done yet). If your child needs to have immunizations done, please have those completed prior to school starting. Students who are not meeting Missouri State Immunization Requirements will not be allowed to attend school the 2015-2016 school year! If you have questions, please contact Nurse Moore at 744-2552 ext 12 to see if your child is up to date or call your child's physician. You can all click on the below link to see what the actual requirements are.
http://health.mo.gov/living/wellness/immunizations/pdf/1516schoolrequirements.pdf
Weight, Nutrition and Exercise!!!!
Weight, Nutrition and Exercise!!!!

We have just completed the annual health screenings here at Billings Elementary. In these screenings we conduct vision and hearing screenings as well as measure the height and weight of each student. In doing the height and weight it gives me a chance to see where some of the health and education needs need to be focused.   Health risks go along with a person being either underweight or overweight.   Information has been sent home if it was found your child is consider extremely overweight or underweight.  If you would like further information regarding healthy eating habits, health risks, healthy foods, and appropriate calorie intake please contact me at (417) 744-2552 or the information is also available by clicking on links below.  I am always willing to speak with you, your child or you and your child regarding healthy eating habits and assist you in setting goals for a healthy future.  

http://www.healthykidsmo.org/services_community/SnackGreatforClassroomPartiesTooAFHKMO09.pdf

http://www.choosemyplate.gov/

http://www.choosemyplate.gov/STEPS/getmoving.html

http://www.choosemyplate.gov/STEPS/howmuchshouldyoueat.html

http://www.choosemyplate.gov/budget.html

http://kidshealth.org/parent/general/body/overweight_obesity.html?tracking=P_RelatedArticle

http://kidshealth.org/parent/nutrition_center/weight_eating_problems/childs_weight.html#cat20743

http://cdc.gov/healthyweight/children/index.html

http://kidshealth.org/parent/growth/feeding/hunger.html#cat20743

Please contact me with any further questions or concerns!

Happy and healthy kids!!!
Nurse Moore


INFORMATION FROM THE NURSE'S OFFICE
Missouri Department of Health Announcement:

Prevent Whooping Cough from Spreading - Educate Families in Your Community on the Importance of Vaccination
Staff and Teens Should Get a Booster to Protect Young Children
 
Whooping cough (pertussis) is a highly contagious, vaccine-preventable respiratory disease that can be passed easily from person-to-person.  Pertussis is caused by a bacteria found in the mouth, nose and throat of an infected person and is spread when that person coughs, sneezes or talks.  Pertussis is a year-round disease that peaks in fall and winter during cold and flu season.  The best way to protect against pertussis is vaccination. 
 
Children are not fully protected until they complete the DTaP vaccination series by six years of age.  The Centers for Disease Control and Prevention recommends a one-time pertussis booster, Tdap, for 11 to 64 year olds; especially, for those who are in close contact with a baby, including parents, siblings, grandparents and caregivers.  The Tdap booster is now required for eighth grade students.  
 
Pertussis most commonly affects infants and young children and can be fatal, especially in babies under one year of age.  Unvaccinated children are more likely to get pertussis than fully immunized children.  Older adults are responsible for transmitting more than half of whooping cough cases diagnosed in infants and young children.  In 2009, 798 children under 14 years of age were diagnosed with pertussis and 59 were hospitalized in Missouri.  Many more cases are undiagnosed and therefore not reported. 
 
Pertussis usually starts with cold and flu-like symptoms and after about two weeks, the coughing becomes more severe.  Pertussis is known for uncontrollable coughing which can make it hard to breathe.  After a coughing episode, someone with pertussis needs to take deep breathes which often times can result in a "whooping" sound.  After an episode, the patient commonly vomits and feels very tired.  Between episodes, there may be no signs of illness. Pertussis can last for weeks and even months and is nicknamed the 100-day cough.
 
Talk to the staff and students about getting vaccinated against pertussis today!
 
For more information about pertussis, visit the Missouri Department of Health and Senior Services’ web site at www.health.mo.gov/living/healthcondiseases/communicable/pertussis


____________________________________________________________





SERVICES
Billings School Nurse provides the following confidential services throughout the school day:
    • Illness assessment, care, and referral
    • Injury prevention, care, and referral
    • Medication administration and monitoring
    • Annual screenings, follow-up, and referral
    • Health education, counseling and promotion
    • Communicable illness control and prevention
    • Environmental health and safety
    • Care for children with special health needs
    • Assistance with access to health care services
    • Confidential management of student health records including immunizations & screenings
    • Emergency preparedness and response
    • Compliance with State mandates and reporting


    Thermometer

    WHEN SHOULD I KEEP MY CHILD HOME FROM SCHOOL?
    • Fever of 100 degrees or more within the last 24 hours, without fever reducing medication
    • If your child requires fever reducing medication or ongoing pain relief medication
    • Vomiting or diarrhea within the past 12 hours or unable to eat normally
    • A diagnosis of strep throat that has not been under antibiotic treatment for 24 hours
    • A diagnosis of pink eye that has not been under antibiotic treatment for 24 hours or been cleared by a physician
    • When your child has a contagious condition or a rash with an unknown cause
    • If your child is unable to participate fully in all school activities because of illness
    • Nurse's judgment or parental discretion
    • Swollen or painful joints from injury
    • Severe earache
    • Suspected contagious diseases (until on treatment for 24 - 48hrs)
        • chicken pox
        • conjunctivitis (pink eye) with drainage
        • pediculosis (head lice)
        • scabies
        • undiagnosed rashes
        • and other
    • Injury or illness requiring further immediate treatment
    • Suspected substance abuse
    • Preschoolers: continual yellow or green drainage from nose image
Files
 Athletic Physical Forms.pdf
MSHSAA Athletic Physical Form
 Cox CARE Mobile Forms.pdf
Cox CARE Mobile patient information forms.
 Tooth Truck Application 2016.pdf
Ronald McDonald Tooth Truck Application for 2016

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