Health Services

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About the Health Services Department

Credentialed School Nurse

The Credentialed School Nurse is a bachelor’s degree prepared Registered Nurse, Public Health Nurse licensed by the California Board of Registered Nursing and credentialed as a school nurse by the California Commission on Teacher Credentialing.

The Credentialed School Nurse uses the nursing process, clinical expertise and professional judgment to design and implement health services programs that ensure that all students will receive the optimum benefit from their educational experience. This is accomplished by working collaboratively with students, families, teachers, other members of the multidisciplinary team, and utilizing resources within the community, to meet the physical, mental, emotional and social health needs of students.

Health Office Staff (Health Assistant or LVN)

Under the direction of the assigned administrator and the professional direction of a licensed credentialed school nurse, the health office staff performs specialized physical health care services for pupils with disabilities and chronic health problems. The site health office staff is also available to provide basic first aid to students who present to the health office.


First Grade Physical

All students need to have a complete health exam 18 months before or up to 90 days after enrolling in first grade (Health and Safety Code 124085). The exam results must be provided to the schools on the Report of Health Examination for School Entry (PM 171 A) form, which is also available through the local CHDP program, schools, and provider offices.

The completed exam is due no later than December of the first grade year.


Vision and Hearing Screenings

Vision Screening

Students receive vision screenings during the kindergarten year or upon first enrollment in an elementary school, and in grades 2, 5, and 8. For male students, color vision is be tested one time, in grade 2. Any visual defects found as a result of the vision examination will be reported to the parent/guardian with a request that remedial action be taken to address the defect.

Hearing Screening

Students receive hearing screenings from a credentialed school audiometrist during the kindergarten year or upon first enrollment in an elementary school, and in grades 2, 5, and 8. Students who do not pass their first screening will be given a threshold test no less than two weeks after the screening exam. Referrals will be made after this.


Immunizations

Whooping cough booster shot requirement information
Required Immunizations For School Entry
For more information, visit ShotsForSchool.org
Immunization Letter

Local Immunization Sources

American Indian Health & Services
4141 State Street
Santa Barbara, CA 93110
(805) 681-7356
Santa Barbara County Public Health
Franklin Clinic
1136 East Montecito Street
Santa Barbara, CA 93103
(805) 568-2099

Eastside Neighborhood Clinic
915 N. Milpas St.
Santa Barbara, CA 93103
(805) 963-1641

Westside Neighborhood Medical Clinic
628 W Micheltorena St
Santa Barbara, CA 93101
(805) 963-1546

Isla Vista Neighborhood Clinic
970 Embarcadero Del Mar
Isla Vista, CA 93117
(805) 968-1511


Medication at School

In accordance with California Education Code Section 49423, the following must be provided if you and your child’s physician determine that medication(s) must be taken during the school day or during school sponsored trips/outings/events.

  1. An Authorization to Administer Medication(s) form is required for ALL medications, prescription and over-the-counter.
  2. The Authorization to Administer Medication(s) form must be completed by BOTH the parent/guardian and the physician BEFORE they can be administered.
  3. Medications are kept in a locked cabinet in the Health Office unless the physician and parent authorized the student to carry and self-administer without assistance or supervision.
  4. If the medication is to be carried and self-administered by the student, he/she must read and sign the Student Statement at the bottom of the form.
  5. A new Authorization to Administer Medication(s) form must be completed whenever a change occurs.
  6. The Authorization to Administer Medication(s) form must be renewed annually at the beginning of every school year.
  7. Medication must be provided by the parent/guardian in the original, labeled container. Prescription medications must have the original pharmacy label, which includes the student name, physician name, medication name, medication dose/strength, and specific administration directions.*Medications will NOT be accepted in unlabeled containers, in baggies, or transferred from another container.
  8. Medications should be brought to school by the parent/guardian or other authorized adult. Medication should not be sent to school with the student.
  9. It is the parent/guardian responsibility to maintain an adequate supply of medication to ensure no disruption in the student’s medication regime at school.
  10. ALL medications must be picked up by the parent/guardian or other authorized adult, the last week of school. Medications left at the school will be disposed of by the Health Assistant or the District Nurse.
  11. If an Authorization to Administer Medication(s) form is suspected to be forged, the medical provider and site administrator will be notified at a minimum. Falsifying a medical provider signature or medication form is illegal and reportable. All future Authorization to Administer Medication(s) forms will be required to be sent to the school directly from the medical provider and parents will be required to come to the school site to sign the form.

The Authorization to Administer Medication at School form is available here.


Oral Health

Students in their first year in public school must submit proof of oral health assessments. The assessments must be performed by a licensed or registered dental health professional, and proof of assessment is due on an annual basis by May 31. The oral health assessment form is available here.

Dental Clinics

East Side Dental Clinic
923 N. Milpas St.
Santa Barbara, CA 93103
(805) 884-1998

American Indian Health & Services Dental Clinic
4141 State Street
Santa Barbara, CA 93110
(805) 696-1002


Type 2 Diabetes Information

Type 2 diabetes is the most common form of diabetes in adults.

  • Until a few years ago, type 2 diabetes was rare in children, but it is becoming more common, especially for overweight teens.
  • According to the U.S. Centers for Disease Control and Prevention (CDC), one in three American children born after 2000 will develop type 2 diabetes in his or her lifetime.

Type 2 diabetes affects the way the body is able to use sugar (glucose) for energy.

  • The body turns the carbohydrates in food into glucose, the basic fuel for the body’s cells.
  • The pancreas makes insulin, a hormone that moves glucose from the blood to the cells.
  • In type 2 diabetes, the body’s cells resist the effects of insulin, and blood glucose levels rise.
  • Over time, glucose reaches dangerously high levels in the blood, which is called hyperglycemia.
  • Hyperglycemia can lead to health problems like heart disease, blindness, and kidney failure.

Risk Factors Associated with Type 2 Diabetes

It is recommended that students displaying or possibly experiencing the risk factors and warning signs associated with type 2 diabetes be screened (tested) for the disease.

Researchers do not completely understand why some people develop type 2 diabetes and others do not; however, the following risk factors are associated with an increased risk of type 2 diabetes in children:

  • Being overweight. The single greatest risk factor for type 2 diabetes in children is excess weight. In the U.S., almost one out of every five children is overweight. The chances are more than double that an overweight child will develop diabetes.
  • Family history of diabetes. Many affected children and youth have at least one parent with diabetes or have a significant family history of the disease.
  • Inactivity. Being inactive further reduces the body’s ability to respond to insulin.
  • Specific racial/ethnic groups. Native Americans, African Americans, Hispanics/Latinos, or Asian/Pacific Islanders are more prone than other ethnic groups to develop type 2 diabetes.
  • Puberty. Young people in puberty are more likely to develop type 2 diabetes than younger children, probably because of normal rises in hormone levels that can cause insulin resistance during this stage of rapid growth and physical development.

Warning Signs and Symptoms Associated with Type 2 Diabetes

Warning signs and symptoms of type 2 diabetes in children develop slowly, and initially there may be no symptoms. However, not everyone with insulin resistance or type 2 diabetes develops these warning signs, and not everyone who has these symptoms necessarily has type 2 diabetes.

  • Increased hunger, even after eating
  • Unexplained weight loss
  • Increased thirst, dry mouth, and frequent urination
  • Feeling very tired
  • Blurred vision
  • Slow healing of sores or cuts
  • Dark velvety or ridged patches of skin, especially on the back of the neck or under the arms
  • Irregular periods, no periods, and/or excess facial and body hair growth in girls
  • High blood pressure or abnormal blood fats levels

Type 2 Diabetes Prevention Methods and Treatments

Healthy lifestyle choices can help prevent and treat type 2 diabetes. Even with a family history of diabetes, eating healthy foods in the correct amounts and exercising regularly can help children achieve or maintain a normal weight and normal blood glucose levels.

  • Eat healthy foods. Make wise food choices. Eat foods low in fat and calories.
  • Get more physical activity. Increase physical activity to at least 60 minutes every day.
  • Take medication. If diet and exercise are not enough to control the disease, it may be necessary to treat type 2 diabetes with medication.

The first step in treating type 2 diabetes is to visit a doctor. A doctor can determine if a child is overweight based on the child’s age, weight, and height. A doctor can also request tests of a child’s blood glucose to see if the child has diabetes or pre-diabetes (a condition which may lead to type 2 diabetes).

Types of Diabetes Screening Tests That Are Available

  • Glycated hemoglobin (A1C) test. A blood test measures the average blood sugar level over two to three months. An A1C level of 6.5 percent or higher on two separate tests indicates diabetes.
  • Random (non-fasting) blood sugar test. A blood sample is taken at a random time. A random blood sugar level of 200 milligrams per deciliter (mg/dL) or higher suggests diabetes. This test must be confirmed with a fasting blood glucose test.
  • Fasting blood sugar test. A blood sample is taken after an overnight fast. A fasting blood sugar level less than 100 mg/dL is normal. A level of 100 to 125 mg/dL is considered pre-diabetes. A level of 126 mg/dL or higher on two separate tests indicates diabetes.
  • Oral glucose tolerance test. A test measuring the fasting blood sugar level after an overnight fast with periodic testing for the next several hours after drinking a sugary liquid. A reading of more than 200 mg/dL after two hours indicates diabetes.

Type 2 diabetes in children is a preventable/treatable disease and the guidance provided in this information sheet is intended to raise awareness about this disease. Contact your student’s school nurse, school administrator, or health care provider if you have questions.

References:

American Diabetes Association Clinical Journal

Helping Children with Diabetes Succeed: A Guide for School Personnel

KidsHealth

Mayo Clinic

National Library of Medicine (NLM) and National Institutes of Health’s (NIH) MedLine

US Centers for Disease Control and Prevention


Contacts

Liz Christen, RN Lead Nurse lchristen@sbunified.org (805) 967-3486 x128
Cindy Cheung, RN District Nurse cchueng@sbunified.org (805) 722-8803
Michelle Meinzer, RN District Nurse mmeinzer@sbunified.org (805) 451-6081
Eileen Scott, RN District Nurse escott@sbunified.org (805) 450-2422
Maria Sorosky, RN District Nurse msorosky@sbunified.org (805) 319-8036
Sara Williams, RN District Nurse sawilliams@sbunified.org (805) 280-2219
Erika Heckman District Nurse eheckman@sbunified.org (805) 319-1220