Health Services

The goal of health screening within a school setting is to detect possible health problems. Early identification and correction of defects will enable students to maximize their educational opportunities during the school year.

A good screening program is well organized, runs smoothly and rapidly; is acceptable to students, teachers, and parents; utilizes personnel efficiently; has neither too many over referrals nor too many under referrals; and is not diagnostic.

Olivia Carreño
Health Services Administrative Associate
Sandy Headley
Director of Health Services


Who is screened: Four year olds, kindergarten, or other first-time entrants into Texas schools and Special Education students.
When: Within 120 days of admission, or before the end of the first semester.
Who is screened: Students in grades 1, 3, 5 and 7
When: Anytime within the school year.

Acanthosis Nigricans (AN) is a skin discoloration that may indicate high levels of insulin in the blood which results from insulin resistance. Insulin resistance can create a potential risk for the development of Type 2 Diabetes.
Who is screened: Students in grades 1, 3, 7 and 7
When: At the time of the Vision and Hearing test.

Spinal screening is designed to detect unnatural curvatures of the spine.

Who is screened: Students in grades 6 and 9
When: All students entering grades 6 and 9 who have not been previously screened. Or, any student by special request.

A student is exempt from screening if it conflicts with the tenets and practices of a recognized church or religious denomination of which the student is an adherent or a member. The minor student’s parent, managing conservator, or guardian must submit an affidavit stating the objections to screening. This affidavit shall be submitted to the school nurse on or before the day of the screening procedure each year the screening is performed.

Each school nurse will submit an annual report of the screening results to the Health Services Director. Results are submitted to the Texas Department of State & Health Services annually.

Medication may be administered at school with:

  1. A parent or guardian’s written request that there is a need for medication during the school day and the parent provides the medication. This includes both prescription and over-the-counter medications.
  2. No medication is provided by the school.
  3. Medication must be kept in the school clinic and administered by the school nurse, health assistant or school employee.
  4. No medication will be sent home with a student. Parents/Guardians must pick up all medications whether prescription or over-the-counter.
  5. Over-the-counter medication must be in the original bottle or box with the label intact and non-expired. Dispensing directions regarding age, dose and frequency will be strictly adhered to. Request to alter the standard dosage or frequency on over-the-counter medication must be accompanied by a physician’s written note and signature.
  6. Prescription medication must be in the original container and non-expired. It must be properly labeled in a prescription bottle/box with the student’s name, medication name, directions for dispensing the drug and written by a physician licensed to practice in the United States. A physician’s signature is required for any dosage or medication change on prescription medication. All PRN (as needed) prescription medications will need a physician’s signature.
  7. Short-term prescription medication can be administered for up to 10 consecutive days without a physician’s signature. The prescription label can be no more than 7 days old upon receipt by the school clinic. A written request/signature from a physician must be obtained if the medication needs to be administered for more than 10 days.
  8. Medications (controlled substances) will be counted by the school nurse or the health assistant upon arrival at school and documented as to the number of pills received. Medications must be delivered by the parents/guardians.
  9. Medications prescribed or requested to be given three times a day or less will not be given at school unless a specific time of administration during school hours is prescribed by a physician.
  10. A student may be allowed to self-administer inhaled asthma medication, an Epi-pen, or diabetes treatment ONLY if the following conditions have been complied with:
    a. Written permission from the physician allowing the student to self-medicate or treat
    b. The nurse has counseled the parent and the student on the school’s inability to monitor the student’s health condition during the school day while self-medicating or treating.
    c. The student complies with all campus safety policies.
  11. No district employee will administer herbal substances, anabolic steroids or dietary supplements except as provided in RRISD Policy: FFAC (local). Herbal substances or dietary supplements may be administered as prescribed by a physician if it is required by the IEP or Section 504 plan of a student with a disability. Medication must be provided by student’s parent or guardian. Reliable information must be given by the physician regarding the safe use of the product including side effects, toxicity, drug interactions and adverse effects.***In accordance with the Nurse Practice Act; Texas Administrative Code, Section 217.11, the Registered Nurse and the Licensed Vocational Nurse have the responsibility and authority to refuse to administer medications that, in the nurse’s judgment, are contra-indicated for administration to the student.***

The Flu

CDC recommends a three-step approach to fighting the flu

The first and most important step is to get a flu vaccination each year. However, if you get the flu, there are prescription antiviral drugs that can treat your illness. Finally, everyday preventive actions may slow the spread of germs that cause respiratory (nose, throat, and lungs) illnesses, like flu.

How does the flu spread?

Flu viruses are thought to spread mainly from person to person through coughing or sneezing. Flu viruses also may spread when people touch something with the flu virus on it and then touch their mouth, eyes, or nose. People infected with flu may be able to infect others beginning 1 day before symptoms develop and up to 5-7 days after becoming sick. That means you may be able to spread the flu to someone else before you know you are sick as well as while you are sick.

What are everyday preventive actions?

Everyday preventive actions are steps that people can take to help slow the spread of germs that cause the flu. These include the following personal and community actions:

  • Cover your nose and mouth with the crook of your elbow or upper arm when you cough or sneeze. This will block the spread of droplets from your mouth or nose that could contain the flu virus.
  • Proper and consistent hand washing is essential. Wash hands with soap and water for 20 seconds. Use a paper towel to turn off the faucet if it is not automatic. If soap and water are not available, use a hand sanitizer; apply to palm of one hand; rub hands together covering all surfaces until dry.
  • Avoid touching your eyes, nose, and mouth as germs spread this way.
  • Avoid sharing objects. If an activity requires the passing around of an object, be sure to wash hands afterwards.
  • Try to avoid close contact with sick people.
  • If you or your child gets sick with a respiratory illness, like flu, limit contact with others as much as possible to help prevent spreading the illness. Stay home (or keep your child home) for at least 24 hours after fever is gone except to seek medical care. Fever should be gone without the use of a fever-reducing medicine.
  • Disinfect common surfaces.
  • If an outbreak of flu occurs, follow public health advice. This may include information about how to increase distance between people and other measures

It is recommended that all students receive a flu shot it not medically contraindicated.

Texas Department of State Health Services website

If your child is uninsured or under-insured, visit the Williamson County Health Department or Travis County Health Department for a listing of immunization and flu shot clinics.

For questions about immunization, contact your campus nurse.

For more information, visit the Center for Disease Control

Protect your “T zone”:

  • Avoid touching your eyes, nose and mouth
  • Touching your face is the easiest way for germs to enter your body

Stay home if you are sick:

  • Stay home if your fever is over 100 degrees
  • Must be fever free for 24 hours without the aid of medication

Wash your hands:

  • Wash your hands with soap and warm water for a minimum of 20 seconds. Tip: try singing the “ABC song” twice to yourself
  • Make sure to wash all areas thoroughly, including: fingers, between the fingers, palms, wrists and the back of your hands.