Wolf Ranch Elementary School Clinic

  • Elizabeth Frazier BSN, RN

      
    Hello and welcome to the Wolf Ranch Elementary Nurse's Page! My name is Elizabeth. I am dedicated to the mission of compassionate patient care. I am hardworking, energetic, and motivated. I feel my experience has prepared me for the challenges ahead and I am dedicated to the duty of keeping your kiddos safe and providing important information to parents. I focus on advancing the health and wellness of the students. My goal as a school nurse is to collaborate with teachers to promote a safe educational environment where children can learn to the best of their abilities. As a school nurse, I am here to promote happy growth and development, health, and safety.

    Please feel free to contact me with any questions or concerns! 

    Hablo Español, por favor tenga la confianza de llamarme si tiene alguna pregunta o duda en la que le pueda ayudar! 

    Posso anche parlare un po di Italiano! 

    COVID process map!

    Medication information: Please remember that we need new doctor’s orders each school year in order to be able to give any medication at school. We also need doctor’s orders for over-the-counter medication that will last longer than 10 calendar days.

    COVID symptoms may include fever or chills, cough, shortness of breath, fatigue, muscle or body aches, headache, congestion or runny nose, nausea or vomiting, diarrhea, new loss of taste or smell, night sweats, or sore throat. Fever is not the first indicator.

    If a student tests positive for COVID-19

    • Student may not attend school.
    • Student remains home for 5 full days from symptom onset. Student may return on day 6 if there is an improvement of symptoms and 24 hours fever free without the use of fever-reducing medications. 

    Clinic Hours: Monday-Friday 7:30am-3:30pm

    Contact Information:
    F: 512-943-5059
    P: 512-943-5050 ext: 5051
    E: fraziere@georgetownisd.org

    I wanted to take this opportunity to highlight a few important Georgetown ISD policies regarding illness and medication. 

    Medication Administration: 

    • Medications administered at school require written parent requests and physician's orders. This includes over-the-counter medication lasting longer than 10 calendar days.  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 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 may self-medicate, and an Individual Health Care Plan is on file in the school health clinic.

    o   The nurse has counseled the student and parents to determine the student's competency and make realistic plans.

    o   The student complies with the 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 rationale 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 the use of any fever-reducing medication (such as Motrin/Tylenol) before returning to school.
    • Students vomiting, unless released by a physician that the cause of vomiting is not infectious and the child is in no danger of dehydration (Dr's note required).
    • 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.

    Sickness Exclusion

    GISD follows the Texas Department of Health Guidelines for illness-related exclusions from school. A student will be sent home if they have a fever of 100.0 Fahrenheit or above or any other contagious symptoms (vomiting, diarrhea, rash, etc.) and will need to remain home until symptom-free for twenty-four (24) hours, without the use of medication. If it is determined that the child should go home, the staff will contact the parent/guardian. A listed emergency contact will be contacted if the parent/guardian cannot be reached. When it is determined that the student must go home due to a non-emergent illness/injury, it is the expectation that the student be picked up within the hour of parent/guardian/emergency contact being contacted. For our older students able to drive, parent permission must be obtained via email or fax after contact with the campus clinic before a student is allowed to drive home.

    If the doctor prescribes your child antibiotics, he/she must be on the antibiotic for 24 hours before returning to school.

    These guidelines are followed to prevent the spread of illness to other students.

    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 the risk of a healthy student being exposed to a student that is ill and removes 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.
    • Hangnails – apply fingertip bandaid to protect.
    • Rug burns – wash with soap and water or an antiseptic wipe.
    • Loose baby teeth – encourage the student to wiggle with the 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.