Important Health Information


Tips From the School Nurse: Help Keep Your Child Healthy and Flu-Free

Welcome to the Churchill County School District - Student Health Services Home Page. This site has been designed to provide important information regarding Student Health Services and our policies, programs, people, and services.

The quality and quantity of learning of each child is directly related to his physical, mental, emotional, and social levels of health. The professional school nurse is part of the health services program that assures a high level of physical, mental, and emotional well being for each student.

Some of the services that the school nurse provides are:

  • student health appraisal and assessment (including the handicapped student)
  • management of student health problems (including written protocols)
  • screening programs (vision, hearing, scoliosis, dental)
  • parent-teacher-counselor conferences
  • medical referrals (dental, vision, hearing, and medical)
  • health counseling
  • communicable disease control
  • health education (smoking, dental, nutrition, etc.)
  • school hygiene and safety appraisal
  • child abuse assessment and referral
  • school staff inservice on health related topics
  • health consultation
  • enforcement of Health Services policies
  • immunization auditing

Dear Parents

Your student's health will affect how they feel, look, and learn. Proper nutrition, a good nights sleep, exercise, and good hygiene should be encouraged at home. It is our goal in Health Services to make sure that health problems do not get in the way of your child's learning. This page will explain common problems and questions concerning school health. If you have any questions please contact your school nurse. This information has been prepared by the Churchill County School Nurses for parents of our children in the Churchill County School District.

Important Policies

Health Problems

In order for your child to be safe and healthy in school, health problems, including, but not limited to the following, must be brought to the attention of the school nurse:

  • Diabetes
  • Eating Disorders
  • Blood Disorders
  • Kidney Problems
  • Depression
  • Cancer
  • Seizures
  • Migraines
  • Ulcers
  • Asthma
  • Hearing Aides
  • New Glasses/contacts


To comply with minimum state law requirements, NRS 392.420, vision and hearing screening will be performed on all new students and students at designated grade levels. Also, students referred by teachers, parents, or the child will be screened. Parents with concerns regarding the screening of their child's vision and hearing are encouraged to contact the school nurse. Scoliosis screening will be performed in Junior High School.

Too Sick for School?

Determining whether or not to send your child to school when they may be sick can be difficult. The following will help you to determine if you should keep you child at home:

  1. If a rash is present that has not been evaluated by a physician.
  2. If your child's oral temperature exceeds 100 degrees Fahrenheit, or 1 or 2 degrees above the child's normal temperature. A child with such a fever should remain home for 24 hours after the temperature returns to normal.
  3. If your child vomits and continues to experience nausea and/or vomiting.
  4. If your child complains of severe, persistent pain, the symptoms should be referred to a physician for evaluation.
  5. If your child shows signs of upper respiratory infection (cold symptoms) serious enough to interfere with the child's ability to learn.
  6. If there are signs of conjunctivitis ("pink eye") with matter coming from one or both eyes, itching, or crusts on eyelids; the child should be evaluated by a physician.
  7. If there are open sores that have not been evaluated by a physician.
  8. If there are signs of infestation with lice (nits in the hair, itchy scalp), the child should be evaluated for treatment with a pediculocide.

Communicable Diseases

Students suspected of having a communicable disease may be temporarily excluded from school until an appropriate medical authority determines that the student is not a health or safety threat to other students or staff members. Written documentation may be required from the medical care provider if so determined by the school nurse.

Students will be excluded for any of the following conditions:

  1. Fever 100 degrees F or higher
  2. Signs or symptoms of possible severe illness
  3. Diarrhea, defined as having more than 6 loose stools in a 24-hour period, or 3 in a 7 1/2 hour school day.
  4. Vomiting
  5. Mouth or nose sores
  6. Rash
  7. Suspicious skin lesions
  8. Conjunctivitis (pink eye)
  9. Unusual color of skin, eyes, stool, or urine

Exclusion may also occur for the mildly ill child if the child is unable to participate in normal activities or if the child needs more care than can be provided by school staff.

Conjunctivitis (pink eye)

Any student who presents with conjunctivitis ("pinkeye") will be excluded from school. Bacterial conjunctivitis can be treated with antibiotics. There is NO treatment for viral conjunctivitis, but only a physician can determine the difference between viral and bacterial conjunctivitis.

The student may return to school:

  1. 24-48 hours after treatment has started and proof of treatment must be sent to school, and
  2. when colored or purulent drainage has resolved, or
  3. after symptoms have subsided in non-treated cases.

PLEASE NOTE: Conjunctivitis can lead to serious complications. Please contact your physician immediately if symptoms such as severe swelling, redness, pain and fever develop.

Information for Parents

Conjunctivitis is an inflammation (irritation) of the eyes. It can result from infection with a virus or bacterium; it can also be caused by allergies or chemicals (medication, gas, fumes, chlorine from swimming pools, etc.)

Infectious (viral or bacterial) conjunctivitis is very contagious. It spreads from person to person by direct contact with discharge from the eyes.

Signs and Symptoms

Conjunctivitis can cause redness, itching, or pain. There is usually a discharge, which may be thick (yellow or green) or watery. the eyelids may be swollen and slightly pink, and the eyelashes may be stuck together when the child awakens in the morning.

Children with conjunctivitis sometimes develop an ear infection. Contact your physician if you observe any of the following signs: irritability, poor sleep, loss of appetite, or tugging or hitting at the ears.

Conjunctivitis does not usually cause fever. High fever may signal a more serious condition, such as cellulitis - a bacterial infection characterized by swelling, warmth, tenderness, and a red or purple discoloration around the eye. Cellulitis requires prompt medical attention.

Prevention and Treatment

Bacterial infections are treated with antibiotics. Some are taken by mouth; others are in the form of drops or ointment and are put directly into the eye. Children with infectious conjunctivitis are considered contagious until twenty-four hours after antibiotic treatment is begun. Careful hand washing is important in preventing spread of the disease.

If you suspect infectious conjunctivitis, keep your child at home and contact your physician.

Undiagnosed Skin Conditions (rash)

Any child who has a suspicious skin rash or who is suspected of having a contagious disease must be excluded from school until adequately diagnosed by a doctor as non-contagious. Evidence that contagious conditions such as impetigo, ringworm, or scabies are under treatment must be provided to school officials before a child may return to school. School personnel including the school nurse, cannot diagnose skin conditions.

A child who has been diagnosed with Fifth's Disease by a physician need not be excluded from school, unless the physician or health care provider directs exclusion.

This policy is for the protection of other children in the classroom as well as for the child having the condition.

Medications at School

The Churchill County School District policy prohibits the administration to students of any medication, prescriptive or non-prescriptive, without written permission of the physician, parent/guardian and the school nurse. Non-prescriptive medications include, but are not limited to, all aspirin, acetaminophen, cough syrup and other medicinal health aides. Senior and Junior High School students are permitted to carry and self-administer over the counter medications.

Message For Parents

Dear Parent,

You have requested that the school district assist your child with his or her medication during the school day, and we are happy to comply with your request.

Our department takes this responsibility very seriously, as we know that you do, and we must make certain that this procedure is not only safe for your child, but also safe for the individual who will be assisting your child with the medication. It is in your best interest to clarify a few very important points of our Administration Regulation and department protocol regarding medication:

  • Any medication that is to be given by school personnel must have a physician's order and a parent consent
  • Any change in the dosage of the medication, or the time to be given requires a new written consent from your physician.
  • The discontinuation of certain medication can have adverse side effects on your child. You may be asked by the school nurse for a written physician order or physician's notification to discontinue or restart medication.
  • Medication must be sent to school in the appropriate pharmacy container. Medication that is sent in a baggie or envelope will not be given by school personnel.

Thank you for your cooperation in this effort. If you have any questions or concerns, please contact your school nurse.

Go to "Document Downloads" at the top of this page to download a copy of the "Consent for Medications at School" form.



All students entering Churchill County School District, upon enrollment, are to be in compliance with the Nevada State Law, NRS 392.435, requiring immunizations for Diphtheria, Tetanus, Pertussis, Polio, Measles, Mumps, Rubella, Hepatitis A, Hepatitis B, and Varicella (Chicken pox). This includes pre-school students, students pre-registering for Kindergarten, as well as students entering from private school.

Parent/guardian of student must present to the student enrollment office secretary a current immunization record prior to enrollment. Immunization records are required for student registration. If the immunization information is incomplete or reveals deficient doses, the student may be conditionally enrolled if the parent/guardian submits a certificate/appointment card from a physician or local health official (Community Health Nurse), indicating the student will be receiving the required vaccine within 90 days. The student will be allowed to attend school until the appointment date. If the appointment is missed, the student will be excluded from school until the required vaccine is given.


Students who have had a disease that requires immunization (i.e.: Varicella, Rubeola, and/or Rubella) and developed a natural immunity as a result, are not required to get the immunization. The parent or guardian will need to provide a written statement explaining the dates of infection and if applicable medical treatment.

The School Board may grant a religious exemption if the parent or guardian submits a written statement indicating that religious belief prohibits immunizations.

The School Board may grant a medical exemption if a licensed physician submits a written statement of the medical fact.

The parent or guardian requesting exemption must sign a statement agreeing to comply with the conditions outlined in NRS 392.446 and NRS 392.448, statutes that govern non-immunized students.

New Immunization Requirements

NRS 439.550 currently states that timing and schedule of immunizations for school aged children and children in childcare should be set by the local health officer under the direction and supervision of the Health Division.

Nevada’s Health Officer, Dr. Tracey Green, is providing the direction on the timing (schedule) and number of doses for all required immunizations for school aged children.

The following immunization requirements are based on ACIP recommendations (Advisory Committee on Immunization Practices). Direction provided on behalf of the state health officer is intended to create consistency (statewide) and reduce confusion for providers, parents and school districts and private schools who must comply with the schedules.

The new immunization requirements will go into effect for all K-12 students new to the school districts beginning with the 2011-2012 school year.

Changes going into effect are:

  • Polio Vaccine - 1 dose of Polio Vaccine is required after the child’s 4th birthday. If a 4th dose is provided prior to the 4th birthday, it is invalid.
  • Varicella Vaccine - Second dose of Varicella is required after the child’s 4th birthday as recommended by the ACIP.
  • ACIP’s recommended ages and intervals between doses of routinely recommended vaccines are required for school entry.
  • Utilize ACIP’s recommended minimum age and intervals when a child is behind on required immunizations.
  • Doses are only valid if they follow the ACIP’s recommended ages and intervals (for “on time” or “behind” children.
  • A medical exemption requires a medical condition precluding the receipt of vaccines.

Summary of Nevada Immunization Requirements

For School Attendance

These charts are based on ACIP Recommendations and Nevada Requirements; NRS currently states that timing and schedule should be set by the local health officer under the direction and supervision of the Health Division

ACIP Recommended Schedule

Required Vaccines 2 mo. of age 4 mo. of age 6 mo. of age 12-15 mo. of age 18-24 mo. of age 4-6 years of age 11-12 yrs of age Total Doses Required prior to school entry


2 3 4 5* 4 or 5 (if dose #4 is given on or after 4thbirthday #5 is not needed)    
Polio (IPV) 1 2 3 4   4    
MMR       1   2   2
Hep B 1 2 3     3    
Varicella       1   2   2
Hep A       1 2     2
Tdap             1** 1**
Required Vaccines
(For primary series administered at age 10 yrs or later)
First Visit 1 mo. After 1stDose 1 mo. After 2ndDose 1 mo. After 3rdDose 4 mos. After 1stDose 6 mos. after Previous Dose Total Doses Required
TD** 1 2       3 3**

Immunization Resources

The information below is being provided as a courtesy. Please call the clinic/physician you plan to use for an appointment time. This will ensure you have the necessary paperwork ahead of time.