School Nurse


Administration of medication is permitted at school when medically necessary
and under the direct supervision of appropriate staff members. Students are
not allowed to carry any medications in their backpacks or in their pockets for
self-administration, with the exception of rescue inhalers if permitted by their
physician. Medication should be given outside of school hours whenever possible.

Before any medication may be given at school, these guidelines must be followed:
1. A Medication Administration Form must be filled out.
2. Parent or Legal Guardian portion of the form must be filled out and signed.
3. Physician portion must be completed and signed for all prescription medications.
4. All medications must be brought to the school by the parent in the original container
and appropriately labeled with the student’s name.

For a copy of a Medication Administration Form, click here.


Should I keep my child home?

As parents, it is a judgment call on when to keep our kids home from school due to illness. The following are guidelines that Douglas County School District follows for when children must be excluded from school due to illness:

Fever – 100° or higher currently or within the last 24 hours

• Signs/symptoms of possible severe illness

Diarrhea – defined as having more than 6 loose stools in a 24-hour period, or 3 in a school day. The student is to remain excluded for 24 hours or until a medical exam indicates that it is not due to a communicable disease.

Vomiting – defined as two or more episodes in the previous 24 hours, or 1 episode in the school day.

Mouth/Face Sores (Impetigo) – The student must be seen and diagnosed and treated by a doctor. The doctor must then write a note that states when the student with impetigo may return to school. If the student returns to school with the mouth sores still weeping, the sores will be kept covered with a bandaid/bandage throughout the school day per the School Nurse.

. • Rash with fever or behavior change – The student remains excluded until a medical exam indicates that these symptoms are not those of a communicable disease that requires exclusion.

Suspicious skin lesions – The student remains excluded until treatment has begun.

Conjunctivitis (pink eye)– The student remains excluded until treatment has begun, when pus-like drainage has been resolved, or in non-treated cases, when symptoms have subsided.

Unusual color of skin, eyes, stool, or urine – The student is to remain excluded until a medical exam indicates no evidence of hepatitis (jaundice, gray or white stool, dark urine).

• Exclusion may also occur for the mildly ill child if the child is unable to participate in normal activities or if the child needs more care than can be provided by school staff.

If your child is ill and staying home, please remember to call the PHES office at 775-267-3622 that morning.


Kindergartners and new students enrolling in the Douglas County School District:

Nevada law requires that all children have up to date immunizations and boosters to be enrolled in a public school. We are required to remove children from school who are not fully immunized or have incomplete records. The immunizations below are required before your child can be admitted to school or an appointment card with the scheduled date for immunization(s) must be attached to this form.

DTP/DT/DTAP: 4 doses are required. A 5th dose must be given if the 4th dose was administered before the 4th birthday.

IPV/Polio: 3 doses are required. A 4th dose must be given if the 3rd dose was administered before the 4th birthday.

MMR/Measles Mumps Rubella: 2 doses are required. Ideally, the 1st dose is after the 1st birthday and the 2nd dose is after the 4th birthday.

Hepatitis A: 2 doses are required and must follow the ACIP schedule.

Hepatitis B: 3 doses are required and must follow the ACIP schedule.

Varicella (Chicken Pox): 2 doses are required. Ideally, the 1st dose is after the 1st birthday and the 2nd dose is after the 4th birthday. If students have had the chickenpox disease, the vaccination is not required.

TDAP (Tetanus Diphtheria Pertussis): 1 dose is required for all students entering the 7th grade.

MCV4 (Meningococcal Meningitis): 1 dose is required for all students entering the 7th grade.


Low cost Immunizations are available to qualified individuals at the following locations:

Douglas High School – 782-5136

Carson Valley Middle School – 782-2265

C.C. Meneley Elementary School – 265-3154

Jacks Valley Elementary School – 267-3267

Douglas County Community Health – Gardnerville – 775-782-9038

Carson City Community Health and Human Services – Carson City – 775-887-2190




Each year, a state-mandated screening of vision, and hearing is done on all kindergarten and 4th grade students.  At Piñon Hills Elementary School, a dental screening is also performed on these students.  Fluoride varnish is offered to kindergarten students.  Parents are notified in writing if any areas of concern are identified and a more extensive evaluation is indicated.

If you have a concern about your child’s vision or hearing, please contact the school nurse.

More about Fluoride Varnish
 Q.  What is Fluoride Varnish?
A. Fluoride varnish is one type of topical fluoride. This type of fluoride is painted onto teeth, and it is left on the teeth until the morning following application, when it is brushed away. Fluoride varnish helps to prevent cavities by putting minerals into the tooth enamel, making the enamel stronger.
Q. Is Fluoride Varnish safe?
A. YES! Fluoride varnish is a safe and effective way to help prevent cavities. Fluoride varnish is “painted” onto the teeth and no fluoride is swallowed by the child. Although rare, children with allergies to colophony (colophonium) and pine nuts could have allergic reactions to fluoride varnish.
Q. What if my child gets Fluoride treatments at their dentist?
A. Children can have fluoride applied to their teeth up to four (4) times annually. Most children receive fluoride twice a year by their dentist, so having it applied at school is a way of getting extra protection. Ideally, the fluoride applications are done 3 months apart for best protection.
Q. Why is the school using Fluoride Varnish?
A. Oral health is an important part of overall health. Piñon Hills Elementary School is concerned with oral health, too. Since many children do not get to the dentist when they are very young and many small children have trouble brushing their teeth properly, the school can play an important role in giving your child fluoride treatments to prevent cavities.
Q. What does my child do after they get Fluoride Varnish?
A. The fluoride varnish may make your child’s teeth look yellow and dull. This is normal, and your child’s teeth will be white and shiny again once the fluoride varnish is brushed off the next morning!
REMEMBER: You must sign the consent form for your child to receive this valuable oral health benefit!

Your child should eat soft foods for the rest of the day. The fluoride varnish should be brushed off that night or the next morning.