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We are proud to announce that Lancaster ISD is the winner of the 2018 HEB Excellence in Education Award!
Health Services | 972-218-1827 » Important Health Issues at School

Important Health Issues at School


Medication at School

All medication taken at school must be prescribed by a physician or dentist licensed to practice in the State of Texas. All medication must be in the original container and properly labeled with the student’s name, name of medication, dosage and times to be taken.  Loose medication in baggies will not be accepted.  All medication must be accompanied by  (1) a signed doctor’s order giving specific instructions for medication administration and (2) a signed parental request for administration.


Over-the-counter medications will not be administered at school unless accompanied by

a signed parental request for administration and will be administered for two weeks only (doctor’s order is required if medication is to be given longer than 2 weeks).

§ Medication Physician Order Needed

§  Over the Counter Medication

Health Problems at School


Asthma is the most common chronic childhood disease.  Asthma is characterized by excessive sensitivity of the lungs to various stimuli.  With asthma, it is very hard to get air in and out of the lungs.  Changes in the airways block the flow of air, making it very hard to breathe.  Each child reacts differently to the various triggers that may cause asthma symptoms.  Asthma cannot be cured, but it can be prevented and controlled.

Only in rare cases do children with asthma need emergency care.  However, even a mild asthma episode can be frightening.  

Some symptoms of asthma are:

§  Shortness of breath

§  Wheezing

§  Tightness and/or discomfort in chest

§  Coughing

Some asthma triggers are:

§  Upper respiratory infections (colds)

§  Smoke from cigarettes, wood or burning materials

§  Fumes from automobiles, cleaning products, or aerosol sprays

§  Scents from cosmetics, lotions, or perfumes

§  Odors from paints, glues or cooking

§  Air pollution

§  Pet dander, cockroaches, dust mites, molds and pollen

§  Exercise

§  Emotional stress

§  Weather or temperature changes

To control asthma episodes you must treat symptoms early, use medication regularly as prescribed, and know when medical help is needed.  Please contact your school nurse for more information.


An allergic reaction occurs when the body detects the presence of a substance or food that it deems harmful.  In an attempt to protect the body, the immune system produces antibodies and releases chemicals, such as histamine, into the bloodstream.  The chemicals released cause many different reactions.  Each allergic reaction is unique.  An allergic reaction can be mild or severe; can happen immediately or a few hours after a person have eaten.  The best treatment for food allergies is to simply avoid the foods.  Please contact your school nurse for information and medical forms.


Allergies are a growing concern in schools across America.  Millions of children must watch every single bite they eat, or risk suffering a severe or even life threatening reaction.  Food allergies claim over 200 lives and are responsible for over 30,000 emergency room visits each year.  This is a major health issue and must be taken seriously.  It is the policy of our school to make the safety and well being of our students our top priority. An allergic reaction can be mild or severe; can happen immediately or a few hours after a person have eaten. The best treatment for food allergies is to simply avoid the foods.  Please contact your school nurse for information and medical forms.


If your student has insect allergies that require emergency medical treatment such as an epinephrine injection, please contact your school nurse for information including necessary medical forms.

Diabetes HB 984

Diabetes is a life long condition, requiring monitoring and judgment in all areas of an individual’s life, including exercise, nutrition and illness.  Students with diabetes need the support of caring adults to guide them in their disease management to maintain wellness and prevent or delay complications.

HB 984 amends the Health and Safety Code (Chapter 168) to ensure that the students with diabetes obtain appropriate care at school and while participating in any school activity to enhance their health and ensure their safety and optimize academic performance.


Special Needs / Specials procedures

The school nurses for Lancaster ISD are committed to providing individualized, specialized care for students with special health needs including specialized nursing procedures such as glucose monitoring, insulin administration, tube feeding, catheterization, tracheostomy care, suctioning, and chest percussion therapy (CPT) with appropriate physician’s orders.  Please contact your child’s school nurse for additional information, to schedule a conference, and to get copies of the appropriate forms for your physician to sign.

Health Screenings

Vision and Hearing

This screening is mandated by Texas law in grades EC, PK, KN, 01, 03, 05, 07, and students in other grades who are new to LISD.  Parents of students who fail two vision screenings will receive a referral letter from the school nurse recommending a more comprehensive exam by an eye doctor.  Parents of students who fail hearing screening will receive a letter from the school nurse recommending a more comprehensive exam by a hearing specialist.


This screening is mandated by Texas law in grades 06 and students in grades 09.  Spinal screening is designed to detect abnormalities that may be indicative of conditions such as scoliosis, kyphosis, or lordosis.  This is done in a private environment by school nurses or a licensed physician.  Parents of students who have any positive findings will receive a letter from the school nurse with recommendations.

Acanthosis Nigricans

This screening is mandated by Texas law in grades 01, 03, 05, and 07 and is usually done at the same time as vision and hearing screening.  Acanthosis Nigricans (AN) is a skin discoloration that may indicate high levels of insulin in the blood which results from insulin resistance.  Insulin resistance can create a potential risk for the development of Type 2 Diabetes.  The skin on the nape of the neck will be visually examined.  If the AN marker is noted, then the student will have blood pressure, height, and weight measured individually and privately at a later date.  Parents will be notified of these specific findings.

If you have any questions about any of these screenings or your child’s results, please contact the school nurse on your child’s campus.

 Healthy Practices

The most important thing that you can do to keep from getting sick is to wash your hands with soap and water.

Wash your hands before meals, after using the bathroom and when hands look and/or feel dirty. 

Germs and viruses can enter the body through touching your mouth, nose and eyes.  So avoid touching your face. 

Germs that you have picked up from other people or from contaminated surfaces can be removed by frequently washing your hands with soap and water. 

Help your children develop life-long healthy habits: cover your mouth when coughing or sneezing then wash your hands.

Health Information


Heat-Related Illness

Information on Heat-Related Illness

Lice / Pediculosis

Information on Lice (Pediculosis)

Should I Keep My Child Home? 

When to Keep Your Child Home

Conjunctivitis / Pink Eye

Information on Conjunctivitis

Strep throat / Sore throat

Information on Strep Throat

Tuberculosis (TB)

Tuberculosis Facts- Exposure to TB

Bacterial Meningitis

The following information on Bacterial Meningitis is for information only and does NOT indicate an outbreak in our area. The Texas Legislature recently passed SB 31, which requires that a school district provide information relating to bacterial meningitis to all students and their parents each school year.

Meningitis is an inflammation of the covering of the brain and spinal cord. Viruses, parasites, fungi, and bacteria can cause meningitis. Someone with meningitis will become very ill. The illness may develop over one or two days, but it can also rapidly progress in a matter of hours. Not everyone with meningitis will have the same symptoms. Children (over 1 year old) and adults with meningitis may have:

§  Severe headache

§  High temperature

§  Vomiting

§  Sensitivity to bright lights

§  Neck stiffness, joint pains

§  Drowsiness or confusion

If diagnosed early and treated promptly, the majority of people make a complete recovery. In some cases it can be fatal or a person may be left with a permanent disability, such as deafness, blindness, amputations or brain damage (resulting in mental retardation or paralysis) even with prompt treatment.

Fortunately, none of the bacteria that cause meningitis are as contagious as such diseases as the common cold or the flu, and they are not spread by casual contact or by simply breathing the air where a person with meningitis has been. The germs live naturally in the back of our noses and throats, but they do not live for long outside the body. They are spread when people exchange saliva (such as by kissing; sharing drinking containers, utensils, or cigarettes). The germ does not cause meningitis in most people. Instead, most people become carriers of the germ for days, weeks or even months. Being a carrier helps to stimulate your body's natural defense system. The bacteria rarely overcomes the body's immune system to cause meningitis or another serious illness.

Bacterial meningitis can be prevented by not sharing food, drinks, utensils, toothbrushes, or cigarettes. A vaccine is available that can prevent certain types of meningitis caused by meningococcal bacteria. This vaccine is recommended by some groups for college students, particularly freshmen living in dorms or residence halls. The vaccine is safe and effective (85%-90%). It can cause mild side effects, such as redness and pain at the injection site lasting up to two days. Immunity develops within 7 to 10 days after the vaccine is given and lasts for up to 5 years. For additional information, contact your school nurse, family doctor, or the staff at your local or regional health department.

Staph / Methicillin-resistant Staphylococcus Aureus (MRSA)

What You Need to Know About Staph/MRSA Skin Infections


Health Promotion and Education

Age appropriate health education classes are presented by school nurses during the school year.  Some of the topics are listed below.  If you have questions about any of these presentations, please contact the school nurse on your child’s campus.

§  Growth & Development

§  Dental health

§  Disease prevention

§  Hygiene

§  Safety Awareness