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Student Health Services Page
If you have any questions or concerns, please contact the School Nurse, Ms. Kristie Threlkeld, at 251-380-8220 or via email at kthrelkeld@satsumaschools.com
If you have any questions or concerns, please contact the School Nurse, Ms. Kristie Threlkeld, at 251-380-8220 or via email at kthrelkeld@satsumaschools.com


The State of Alabama requires all students entering or re-entering school to have a current, original Alabama Department of Public Health Certificate of Immunization, Certificate of Medical Exemption, or Certificate of Religious Exemption on file at the time of registration.  Only Alabama issued certificates are acceptable.  For assistance in obtaining immunization information, please contact the school nurse, Mobile County Health Department, or your private physician.

 Students Entering 6th Grade

A booster dose of Tetanus-Diphtheria/Pertussis (Tdap) vaccine is required by the Alabama Department of Public Health for all students aged 11 or older entering the 6th grade in Alabama.  Pertussis is very contagious and is spread through moisture droplets in the air caused by coughing and sneezing. Adults and older children can spread Pertussis to babies, which can lead to serious illness, causing hospitalization, and even death. If your child has not reached their 11th birthday by the first day of 6th grade, please make prior arrangements for your child to receive the Tdap within the week after their 11th birthday.  A new Alabama Department of Public Health Certificate of Immunization (Blue Card) will be required.

 Chronic Health Concerns

Contact the school nurse at the beginning of the school year, or when your child has been diagnosed with an illness requiring monitoring at school.  Health plans will be created to ensure the student’s safety while at school and school-sponsored activities.

 First Aid

School personnel can treat cuts, scrapes, bug bites and bumps with soap and water, Calamine lotion, band aids and ice bags only.  In the event of illness/injury to a student, every effort will be made to contact a parent as quickly as possible to inform the parent of the student’s condition.  911 will be called for all potentially life threatening emergencies.  Parents/guardians will be required to pick up their student for the following:

·         Vomiting

·         Acute diarrhea

·         Fever of 100 or above

·         Suspected contagious infection

·         Head lice/nits

 When Your Child Should Stay Home:

In general, a child should stay home if he/she is too uncomfortable to participate in all activities and stay in the classroom, or if he/she might be spreading harmful diseases to others.  The following are a few of the most common reasons children should stay home or may be sent home from school. 

 1.  FEVER: Any child with a fever of 100°F or higher should not attend school and should not return until they have been fever free for 24 hours without the use of fever reducing medicine.

2.   VOMITING AND/OR DIARRHEA: Children who have vomited or had diarrhea should be kept at home and should return to school only after being symptom free for 24 hours.  If diarrhea continues for more than 48 hours, your child will need a doctor’s written statement to return to school.

 3.   PINKEYE:  Conjunctivitis can be very contagious. If the white of your child’s eye is red and has a thick yellow or greenish colored drainage, you should keep your child at home. 

o   Drainage due to allergies is usually clear and involves both eyes simultaneously.

o   pinkeye can involve only one eye at a time.

o   Children with pinkeye are usually light sensitive, and complain of itching,

o   burning in the eye(s), swollen eyelids, and dried discharge on eyelids upon awakening.

4.   HEAD LICE:  Children with live bugs will not be allowed in school until their heads have been treated and the nits removed.  All nits must be removed to prevent re-infestation.

 5.   IMPETIGO:  Impetigo is a contagious bacterial skin infection that usually begins with small fluid filled blisters that cause a honeyâ€┬Écolored crust on the skin after bursting. It is important to have these symptoms evaluated by a medical provider. An untreated infection can lead to serious complications. Your child can return to school 24 hours after starting prescribed antibiotics. Upon returning to school the parent will need to provide a written statement from the treating physician.

 6.   RINGWORM:  Ringworm is a fungal infection of the skin, hair, and nails.  Ringworms must be covered with a clean dressing while the child is at school.  Ringworm of the head (hair) will need to be evaluated by a physician. 

 7.   RASHES:  A child with an undiagnosed rash will not be allowed to remain at school.  When the child is sent home from school with a rash, a physician’s note is required for the child to return to school.


Your child should not come to school with excessive coughing, sneezing, and nasal drainage.  If the child has been kept awake at night with these interruptions, please allow the child to recover at home.

 9.  STREP THROAT: If your child has been diagnosed as having strep throat (this requires a special test by a health care provider), your child should stay home for 48 hours after antibiotic therapy has been started by a physician.

Medications at School

To ensure the safety of our students, there are strict guidelines regarding medications in the school setting. Students should not have in their possession prescription or non-prescription medication, unless a potential emergency condition exists and proper authorization has been obtained. Students shall not dispense any medication to other students. Dispensing or selling prescription medication is considered illegal drug use. A trained school board employee at each school will work with parents and their medication prescriber. A School Medication Prescriber/Parent Authorization Form must be completed for all prescription and over-the-counter medication.  The form will be available at each school and on the Satsuma City School System website.

 Prescription Medication

The School Medication Prescriber/Parent Authorization Form must be completed and signed by a primary health care provider and signed by the parent/guardian. The parent/guardian must bring the School Medication Prescriber/Parent Authorization Form and the medication (in the original container with the current pharmacy label, physician’s name, dose and instructions) to the school nurse. All prescription medication will be stored in the office. Students may not transport medication to or from school.  Emergency medications for asthma, diabetes, anaphylaxis or chronic illness may be carried by the student on his/her person with a completed School Medication Prescriber/Parent Authorization Form and approval by the school nurse.

 Over-the-Counter Medications

All over-the counter medication will require the same School Medication Prescriber/Parent Authorization form as prescription medications.   The school is not allowed to stock over-the-counter medications (such as Advil, Motrin, Tylenol, Pepto Bismol or syrups, etc.). Neither school personnel nor students are allowed to dispense nonprescription medications. All non-prescription medications must be in the original, unopened, sealed container bearing the entire manufacturer’s labeling and should be delivered to the school by the parent/guardian along with the authorization form.  A pharmacy label is preferred, if unable to obtain a pharmacy label, the student’s name should be written legibly on the container.  All liquid medications must have a calibrated medicine cup, spoon or syringe.

Meningococcal Disease and Vaccine

Meningococcal disease is a serious illness, caused by bacteria.  It is the leading cause of bacterial meningitis in children 2 – 18 years old in the United States.

 How Do You Catch the Disease?

The bacteria that cause meningococcal disease are very common.  The disease is most common in children and people with certain medical conditions that affect their immune system.  College freshmen living in dormitories also have increased risk of getting the disease.  The disease is spread through exchange of respiratory droplets or saliva with an infected person including kissing, coughing sneezing, and sharing drinking glasses and eating utensils.  In a few people, the bacteria overcome the body’s immune system and pass through the lining of the nose and throat into the blood stream where they cause meningitis.  Meningitis is a term that describes inflammation of the tissues surrounding the brain and spinal cord.

 What Are the Symptoms of the Disease?

·         Fever

·         Headache

·         Stiff neck

·         Red rash

·         Drowsiness

·         Nausea and vomiting

Meningococcal Vaccine:   Who Should Get the Vaccine and When?

 MCV4, or the meningococcal vaccine, is recommended for all children 11 – 12 years of age and for unvaccinated adolescents at high school entry (15 years of age).  High school seniors should also consider obtaining the vaccine prior to entering college, especially if they are planning on living in a dormitory.  Please consult your physician or local health department for more information.

For more information on this and other vaccine recommendations go to:  www.adph.org/immunization

Satsuma City School District does not discriminate on the basis of race, age, color, national origin, religion, sex, genetic information, or physical or mental disability in admission to, access to, treatment in or employment in its programs and activities. Satsuma City School District also provides equal access to the Boy Scouts and other designated youth groups. Title IX; 34 CFR 106.9 Section 504; 34 CFR 104.8

220 Baker Road | Satsuma, AL 36572 | Phone: 251.380.8200