Welcome to the MCE Clinic
Nurse: Mrs. Lori Tourish, BSN, RN
Phone: (281) 237-3975
Fax Number: (281) 644-1556
Nurse Assistant: Cynthia Zamora
About the Nurse
University: The University of Texas - Health Science Center Houston
Hobbies: Spending time with my family, traveling, cooking and crafts – lots and lots of crafts!
Reasons why I got into nursing: Helping people makes my heart sing – and nursing gives me the ability to help people feel better or help them manage their diseases and live long productive lives. Working with kids gives me the ability to help teach healthy thinking and living early in their lives!
When Your Child is Sick – KISD 24 Hour Rule UPDATED during the COVID-19 Pandemic
KISD Administrative Regulation FFAD is in place to ensure the health and safety of all students and states that students who exhibit vomiting, diarrhea, or a fever ≥ 100, must be excluded from school. Re admittance is allowable as follows:
Free of fever (<100) for at least 24 hours without the use of fever-reducing medications such as acetaminophen or ibuprofen. Common trade names of products containing these medications include, but are not limited to Tylenol, Motrin and Advil. All aspirin-containing products should be avoided.
Students who experience the symptoms of COVID-19 must stay at home throughout the infection period, and cannot return to campus until the campus nurse screens the individual to determine any of the below conditions for campus re-entry are met:
- 24 hours have passed since recovery (no fever, no fever reducing medication); AND
- Improvement in symptoms; AND
- At least 10 days have passed since symptoms first appeared.
NOTE: A student who has symptoms that could be COVID-19, but is not evaluated by a medical professional or tested for COVID-19, will need to be assumed to have COVID-19. The student will not be able to return to the campus until the student has completed the same three step criteria listed above and cleared by the campus nurse for re-entry. A student who wants to return to school before completing the conditions listed above for staying at home must either submit a medical professional note clearing the student on an alternative diagnosis OR negative COVID-19 test result at an approved testing location.
Documentation must be submitted to the campus nurse for school re-entry clearance.
Food and liquids have been tolerated for at least 24 hours without vomiting and/or diarrhea, and without the use of medication to relieve symptoms.
Students diagnosed with a contagious illness that is being treated with prescription medication, must complete a minimum of 24 hours of the prescribed medication dosage prior to returning to school.
If the guidelines indicated above have been met, your child must report to the Campus Nurse for school re-entry.
Please refer to this flow chart in deciding whether your child should come to school.
Please call the clinic if your child has been diagnosed with a contagious condition such as pink eye, strep throat, chicken pox, head lice, impetigo, ringworm, flu or has vomiting and/or diarrhea. This not only alerts me to the illness, but also allows us to perform deep cleans of your child's classroom when necessary.
Parents, please call the school attendance clerk Melissa Caro at 281-237-3955 anytime your child is absent from school. If you forget to call in for your child, please make sure to send in a parent note to excuse the absence when your child returns to school. If your child sees a doctor, please always send in the doctor's note.
From time to time, your child may require the use of medications at school. While there are no "stock medications" in the clinic such as Tylenol, Tums, Neosporin, etc., medications can be administered to students if they were brought in to the clinic by the parent or guardian and meet all of KISD's medication requirements. It is important to understand that ALL MEDICATIONS must be administered from the clinic. Children are not permitted to carry medication with them during the school day unless it has been approved by the district, this includes cough drops. ALL over-the-counter-medication must be in the original container. All prescription medication must also be in the original pharmacy container with the child's name, medication, date, and dosing instructions. (A second bottle can be requested from the pharmacy by the parent for the school clinic if needed.) Medications such as antibiotics for 3 times a day or every 8 hours are to be given at home
Medication to be given for less than 15 days must be accompanied by a KISD Administration of Medications at School for 15 Days or Less form completed by the parent or legal guardian authorizing administration of the medication. Parents must deliver the medication to the clinic and bring only the necessary amount for school.
Medications to be given at school for more than 15 days must be accompanied by a KISD Administration of Medications at School for More Than 15 Days form completed by the parent or legal guardian and the prescribing physician authorizing administration of the medication.
Medication forms can be found using the KISD Health Services link and selecting Medication Administration from the Medications drop down menu or you can come by the Clinic and pick up a copy.
Texas state law and Katy Independent School District require that every student have current immunizations or have a current physician-provided medical exemption or a current state-issued affidavit for reasons of conscience exemption on file in order to attend school. If you have any questions, please call the school nurse BEFORE your child's immunizations are due. For specific immunization requirements, use the KISD Health Services link and select Immunizations.
Every student (all grades) should have a change of clothes (including underwear + socks) rolled up or placed in a baggie in the bottom of their backpack. Students often need a change of clothing due to drink / food mishaps in the cafeteria, mud puddles on the playground and changes needed for bathroom accidents. Having clothing available for your child in his or her backpack, prevents the parent from being called to the school for a change of clothes and helps to ensure that your child is not missing valuable class time.
Health & Nutrition
Please encourage your child to start each day with a healthy breakfast. Look at the lunch menu with your child and encourage healthy choices. All students will have time in class to have a snack that you provide from home. Please remind your child that food/snacks are not to be shared at school due to food allergies.
If your child has a food allergy, please notify the nurse prior to school. A KISD Allergy Action Plan is required yearly for food allergies. Allergy Actions Plan forms are available in the clinic and online. You may access the online forms at any time by using the KISD Health Services link.
Parents please ensure that your child has a good night's sleep before coming to school.
Per State and KISD Policy, head checks will be done only on students who present with signs and / or symptoms of lice, such as an itchy head, visible nits or lice. Children with live lice are excluded from school. Parents, it is always a good practice to check your children on a regular basis at home. For further information, please use the KISD Health Services link and select Head Lice from the Resources drop down menu.
TIPS FOR PREVENTING THE SPREAD OF FLU
- Avoid close contact with others who are sick or are beginning to display symptoms
- Stay home if you feel sick and see a doctor as soon as possible
- Fever of 100.0 must remain home and stay home for at least 24 hours without the use of fever reducing medication
- Cover your mouth and nose with tissues when coughing or sneezing
- Wash your hands thoroughly and frequently with antibacterial soap to kill and avoid spreading germs
- Avoid touching eyes, nose and mouth as germs and bacteria can enter this way and cause illness.
- Get your flu vaccine
Vision & Hearing
Grades Kindergarten, 1st, 3rd, and 5th are screened annually in the first semester for vision and hearing. Any student in grades 2 and 4 who did not attend a Texas school previously may also be screened. Parents may also request screening if they have concerns about their child's vision or hearing. Parents will be contacted by the campus nurse if their child has failed the screening and a referral for a professional exam will be sent home.
Type 2 Diabetes Risk Assessment (formerly called ANTES)
Acanthosis Nigricans is a skin condition that signals high insulin levels in the body. It is believed that higher than normal insulin levels in the bloodstream cause growth of darkened skin over parts of the body (neck, knuckles, elbows, knees, groin or stomach). These markings can help identify persons who run risk of developing diabetes in the future. The campus nurse will do a risk assessment screening of 3rd grade students, looking at the neck. Parents of students who were positive for the marker will be notified by phone and will receive a written referral letter recommending a physician's evaluation.
Scoliosis screenings will be performed on 5th Grade girls. During this screening, the spine will be assessed for any curvatures. If a curvature is found, the parent will be notified via phone and written referral form will be sent home recommending a physician's evaluation. Written communication will be sent to parents in advance of the screening to notify them of the screening and to provide them with the opportunity to opt out of the screening.
Change in Medical and Contact Information
Please notify the nurse if your child has any new allergies or other medical changes that arise during the school year. It is also important to keep your contact information, phone numbers, and emergency contacts current. Please feel free to contact the campus nurse with any concerns or questions.
Health Services Resources