About the Nurse
Shelley A. Spencer, MSN, RN
Forbes Middle School
Phone: (512) 943-5151 Fax: (512) 943-5159
My name is Shelley Spencer. I have been a nurse for 32 years. I graduated from Boston College with an undergraduate degree in Nursing and from Simmons College in Boston, MA with a Masters Degree in Nursing. I specialized in emergency medicine working in ERs in Massachusetts and Austin, TX. I live in Georgetown with my husband and twin 9th grade daughters who go to GHS (go Eagles). We have two dogs and a cat. In my spare time I love to run, hike, attend all/any sporting event, read, and travel. This is my 10th year with the district and 4th with Forbes (go Falcons). I'm happy to be a part of this team and look forward to working with you and your student!
SpencerSh@georgetownisd.orgPhone 512-943-5151 Fax 512-943-5159I wanted to take this opportunity to highlight a few important Georgetown ISD policies regarding illness and medication.
Medication Administration: A request for medication form is on my website.
· Medications administered at school require written parent request and a physician order, this includes over the counter medication. A faxed order is acceptable.
· Prescription and over the counter medication must be in the original container.
· Prescription medications require a current and accurate prescription label. Pharmacies will provide you will provide you with a labeled bottle for school if you request it.
· Medication must be delivered to the nurse by the parent and will be kept in the clinic. This includes emergency medication.
· Students are allowed to self-administer emergency medications like rescue inhalers, epi-pens, and/or diabetes treatment ONLY if there is:
o Written permission from the physician the student my self-medicate, and Individual Health Care Plan is on file in the school health clinic.
o The nurse has counseled with the student and parent to determine competency of the student and make realistic plans.
o The student complies with campus safety policy.· No district employee may administer herbal/dietary supplements unless prescribed by a physician, provided by the parent, and if required by the Individualized Education Program or 504 plan. The rational for this policy is related to the fact that herbal/dietary supplements are not FDA approved.
Illness: When to keep your child home – Additional information on my website
· Students must be fever free, less than 100 degrees, for 24 hours without fever reducing medication (ibuprofen/Tylenol) before returning to school.
· Students vomiting 2 or more times in a 24 hour period unless released by physician that the cause of vomiting is not infectious and the child is in no danger of dehydration.
· Diarrhea or stools with blood or mucus
· Mouth sores and drooling until a physician or the health authority does not feel the condition is infectious.· Fever or rash or change in behavior until a physician has determined that the problem is not caused by an infectious disease.
I would also like to share with you a resource I provided for teachers along with a first aid bag that contains bandaids, antiseptic wipes, tooth boxes, Vaseline for chapped lips, and gloves.
Guidelines for Appropriate Nurse Referrals
PLEASE DO NOT HESITATE TO SEND A STUDENT TO THE NURSE IF YOU ARE NOT SURE OF THE NEED FOR A NURSE ASSESSMENT
The following guidelines are basic first aid tasks that do not require nursing assessment and are designed to assist you with determining the appropriateness of referring a student to the nurse. Inappropriate referrals to the clinic increase risk of a healthy student being exposed to a student that is ill and remove them from the classroom unnecessarily.
· Paper cuts – wash with soap and water or antiseptic wipe, bandaid if needed.
· Old scratches, insect bites/stings, or wounds unless they appear infected (inflamed, drainage, red)
· Old scabs that are bleeding - – wash with soap and water or antiseptic wipe and bandaid.
· Hang nails – apply fingertip bandaid to protect.
· Rug burns – wash with soap and water or antiseptic wipe.
· Loose baby teeth – encourage student to wiggle with tongue and put it in a tooth box (in the first aid kit) when it falls out.
· Superficial scrapes and scratches - wash with soap and water or antiseptic wipe, bandaid if needed.
· Blisters - wash with soap and water or antiseptic wipe, bandaid.
· Chapped lips – apply Vaseline with a q-tip from the first aid bag.
· Old injuries that parents are aware of unless there is a change in status – increased swelling or pain.
· Splinters deep under the skin - wash with soap and water or antiseptic wipe, bandaid if needed.
· Vague complaints unless the student feels feverish.· Please avoid sending more than one student at a time unless it is an emergency or the student requires a buddy.Please call or email me if you have any questions or concerns