Shorecrest Health Office

                                   



    

Free and Reduced Lunch	* Medications	* Life Threatening Conditions
Immunizations	Overnight Field Trips	Home Hospital
Information for Seniors	Health Screening	Preventing Illness
** Resources	Head Lice	Sport Physicals
Head Bump Information	Coaches	* Back to School Event

Back to School Event

What if my student gets sick at school?

We are very fortunate at Shorecrest to have a licensed nurse in the building every day unless there is no nursing substitute available when the nurse is out of the building.

The student handbook instructs students to ask their teacher for a pass to come to the Health Office during class time if they are feeling ill.  They are NOT to use their cell phone to call a parent unless they are in the Health Office and have checked in with the nurse.  They may stop by at any time during TAP or lunch without a pass but still need to NOT use their cell phone to call a parent because of possible illness unless they are in the Health Office and have checked in with the the nurse.

If your student uses their personal cell phone to call you to let you know they are ill, please first ask them if they are in the health office.  If they are not in the health office, please ask them to go there to check in and then call you back. 

I never refuse to allow a student to use my phone to call a parent.  Having your student check in with me allows me to touch base with them and see how they are doing.  It also avoids parents showing up in the health office looking for their student who had called them to be picked up but their student is not in the health office.  We then have to try and track that student down.  If it is during a break time, that can be very difficult. 

If your student calls from the health office, I can also excuse that absence for the day which avoids much confusion, and a phone call and email to you that your student was absent. 

I record students that I see in the health office.  If your student checks in with me, I will have a written record if there are any attendance questions that may come up later.  Teachers often email me to see if I have seen a student or sent them home. 

return to top


Medications


?    Permission to Administer Medications at School forms must be completed by parents and physicians for what medications?

•  Non - Prescription medications commonly known as over-the-counter medications examples are:

•     Prescription medications

?    Does that mean we have to make a special trip to our health care providers office to get this completed?

•    No!  Your Shorecrest nurse is happy to help you in this process by faxing Permission to Administer Medications at School to your health care provider if you sign the parent portion authorizing the health care provider to return fax the forms to us.  I can even fax you the form for your signature if you have a fax available to you.  I really try to make this as painless as possible!  

?    How long are the completed forms valid?

• For the current school year only.  New Permission to Administer Medications at School forms must be completed for each school year.

?    My student gets occasional headaches or cramps or upset stomachs etc….  what can we do?

• I am happy to keep a supply of those over-the-counter medications that may help quickly relieve the discomfort we all get from time to time.  I need to have a  Permission to Administer Medications at School form completed by the parent/guardian and physician – even for over-the-counter medications.

?    May my High School student carry an inhaler for their asthma?

• Yes they may with the signed permission of the parent/guardian, physician and agreement of the Shorecrest principal and nurse(s).  The student must follow the written procedures on page 4 of the Shoreline School District Policy Manual #3416P.

• I actually encourage parents/guardians of  High School students to have their students carry their inhalers with them, it is often a long way to the health office!  Many students are turning out for sports and other activities after school when the health office may be closed.  I am happy to keep an extra inhaler in the health office in case the one that is suppose to be in their backpack gets left at home! 

?    My student takes medications every day at home, but none are needed for school.  What if there is some sort of event that keeps students at school overnight?  What could I do to be prepared?

•    I recommend you provide the health office with a 3 day supply of “emergency” medications especially if your student is taking medications for:

ADD/ADHD	Depression/Anxiety	Asthma
Seizures	Diabetes

Permission To Administer Medications at School forms need to be completed for those emergency medications.

Please refer to Shoreline School District Policy Manual #3416 and #3416P


Forms may be downloaded by going to the Documents button on the top left of this page.

Return to top


Life Threatening Conditions

Substitute House Bill (SHB) 2834 mandates students with life-threating health conditions may not attend school until they have medication and/or treatment orders and a nursing plan in place.

These plans and orders need to be completed before the beginning of each school year even if there have been no changes in the plans from the previous year.

There are treatment order forms in the documents area of this site.  I provide them as a potentially useful framework for physician orders.  They provide step by step orders that trnaslate well into emergency care plans for students.  Physicians are free to write orders within a different format.

Diabetes and any student requiring orders for Epi-Pens for allergies are considered to have life threatening conditions.
Please note: A licensed nurse may not delegate the assessment of symptoms to a non licensed person.  If an antihistamine, such as Benadryl, is ordered a non licensed person will administer the Epi-Pen and call 911 first.   They could then administer the antihistamine after giving the Epi- Pen and calling 911 if it was ordered.  Shorecrest has a licensed nurse on site every day unless there is no sub when the nurse is out of the building.  If there are orders for an antihistamine, such as Benadryl, to be given at sighns of exposure and then orders to administer the Epi-Pen if symptoms progress, the licensed nurse will first give the antihistamine, and then administer the Epi-Pen if symptoms progress. 

Students with asthma that have been hospitalized two or more times in the past year because of their asthma are considered to have a life threatening condition at least for that school year.  Students with asthma that are controlled with medication and have not required hospitalization in the past 12 months are not automatically considered to have a life threatening condition.

Some students with seizure disorders are considered to have life threatening conditions, please consult with the nurse about your student if they have seizures.

Life threatening conditions are not limited to the above conditions, please consult the nurse if your student has health concerns that would be considered life threatening.  The goal is to keep all of our students safe and healthy.  Parents are an important piece in formulating this plan for their students.  The treatment plans this process produces help insure the best care for students.

Available for Download:

    Treatment plans for
    * Diabetic
    * Allergies
    * Asthma
    * Other - any other conditions

    * Permission to Give Medicaitons at School form needs to be completed by both the parent and physician if the student will require medications at school.

    * Mutual Exchange of Information Form is often helpful for the nurses to have  completed by the parent so we may consult with the student's physican regarding the care plan.

Forms may be downloaded by going to the Documents button on the top left of this page.



return to top

Free and Reduced Lunch 

New Free and Reduced Lunch Applications must be completed at the beginning of EACH school year.

Please be aware that even if a student does not intend to eat lunch at school, we urge students to apply for free or reduced lunch.  If a student qualifies, they will be given a letter verifying qualification.  SAVE THE QUALIFYING LETTER   to be used for documentation for a variety of fee waivers/fee reductions such as:

• Class Fees
• Athletic Fees
• Summer school scholarships
• Fielt trip fees
• College application fees
•  PSAT fees
• SAT fees
• ACT fees
• AP fees

Students should see their counselor regarding fee waivers.  If you choose to do so, you may give a copy of your qualifying letter to your school counselor to be filed in a confidential file in the Counseling Center.  Doing this will enable  you to be contacted about possible waivers, reductions and opportunities based on free/reduced lunch qualification.

Students that attended any school in the Shoreline School District the previous school year and qualified for Free or Reduced Lunces will have a 30 day "Grace" period at the beginning of the school year.  It is very important for families to complete the new applications and turn them in as early as possible in September of each school year so there will not be any disruption of services.

Applications are mailed to all families in August and there are extra copies available all year long in the Shorecrest health office.  Please complete an application at any time during the school year as family needs change.

Forms may be downloaded by going to the Documents button on the top left of this page.

Return to top

Sport Physicals

Sport physicals completed on the Shoreline School District Sport Physical Form are valid for 24 months. 

If you turn in a form from your health care providers office and it contains:

• All of the information contained on the Shoreline School District Form
• States it is valid for 24 months

Then it will be honored as valid for 24 months

PLEASE NOTE:

If the physician form does NOT contain all of the information on the Shoreline School district form, you will be asked to provide that additional information BEFORE the physical is accepted and the student is able to participate in practice or competition. 

If the physican sport physical contains all of the information on the Shoreline Sport Physical Form but the health care provider has not indicated it is valid for 24 months, then it will be considered valid for ONE YEAR - 12 MONTHS - ONLY.

Forms may be downloaded by going to the Documents button on the top left of this page.

Return to top


Home Hospital

Home/Hospital instruction is provided to students who are temporarily unable to attend school for an estimated period of four weeks or more because of a physical and/or mental disability or illness.  The program does not provide tutoring to students caring for an infant or a relative who is ill.

This allows students to continue their education through a School District tutor that contacts the student’s teacher(s) for assignments and then goes to the students home or to the hospital to deliver and pick up assignments and assist where needed.

Home Hospital is a state wide program that has guidelines we must follow
(WAC 392-182-218).  The maximum amount of time a student may use these services within a single school year is 18 weeks. 

The physician must state that the student may need to be out of school for at least 20 consecutive school days (4 weeks) in order for us to process an application for this program. The student may return to school before the 20 days is up if their recovery takes less time then anticipated with no penalty.  Student’s may also come to school for partial days as their condition improves and continue to remain getting Home Hospital services.

There are 4 forms needed to complete the application process:

• Shoreline Public Schools Special Programs Request for Home/Hospital Instruction

• Application for Home Hospital Instruction

• Authorization for Exchange of Confidential Information

• Nurses Report for Home Hospital Instruction

Shoreline Public Schools Special Programs Request for Home/Hospital Instruction.

This is the form that is filled out by the student's physician. The physician MUST state that the student will be out for at least 20 consecutive school days (4 weeks) or we may not process the application.  This form is returned to the nurses office.

Application for HomelHospital Instruction.

This is filled out by the student's parent/guardian and returned to the nurse's office

Authorization for Exchange of Confidential Information 

This allows the nurse to speak directly to your student’s physician to coordinate services and needs. I commonly limit the scope of my contact to the current concern that is keeping the student out of school.  This form is returned to the nurse's office.

Nurses Report for Home Hospital Instruction

This report is completed by your nurse from the information gathered from the physician and parent completed forms.  I then fax the forms to the School District person at the central office who manages the Home Hospital program.  The Home Hospital tutor will be contacted by them on the day the paperwork is   turned in. 

Forms may be downloaded by going to the Documents button on the top left of this page.


Return to top




Information for Coaches

At the beginning of the season, I will provide you will a print out of your student's that have health concerns their parents have reported to me that may impact them while participating in your sport.  Please remember this information is CONFIDENTIAL.

I have placed a copy of the School District Accident report in the documents section of this web page.  If a student has an injury that may require medical attention, please complete the form and put it in my box within 48 hours. It is also extremely important that you either call and leave me a message, 206-361-4308, or send me an email, nancy.dalan@shorelineschools.org, as soon as you get home that day so I will know about the injury when I arrive at school the next day.  An accident report must always be completed if you call 911.  Students that have minor ankle twists and the sort of bumps and bruises one would expect while participating in your sport, do not need accident reports completed.  It is important that you let me know of any head injuries sustained so I know what to look for the next day in my office. Do not rely on students to report injuries to me, leave me a message or send a quick email when you get home from your event that evening. 

Don't hesitate to call if you have any questions or concerns.  I hope you have an injury free and fun season!


Forms may be downloaded by going to the Documents button on the top left of this page.


Return to top
Head Bump Information 

What is a concussion?

Our brain is soft, sort of the consistency of gelatin.  Cerebrospinal fluid surrounds the brain and acts like a cushion between the brain and skull.  

A blow to the head can cause the brain to hit the inside of your skull tearing nerve fibers and blood vessels, cause bleeding and/or bruising.  

All concussions interfere temporarily with the way the brain works.  They can range in severity from mild to severe.  

What are some symptoms of a concussion?

• "seeing stars", feeling dazed, dizzy, or lightheaded
• memory loss, such as trouble remembering things that happened right   before and/or after the injury. Asking the same question over and over that has already been answered.
• Slow to answer questions, inability to focus or follow directions
• Disorientation such as walking in the wrong direction, not knowing date and time 
• nausea or vomiting
• headaches
• blurred vision and sensitivity to light
• slurred speech or saying things that don't make sense
• difficulty concentrating, thinking, or making decisions
• difficulty with coordination or balance, stumbling, not able to walk straight
• feeling anxious or irritable or crying for no apparent reason
• feeling overly tired

What should I do if the nurse calls me and reports my student has had a blow to the head at school?

It is never a bad idea to call your health care provider to talk to them about what happened at school and report what, if any symptoms, your student currently has.  They can best advise you if your student should be seen immediately or if you can just watch for symptoms and report back to them. 

The nurse may or may not ask you to come and pick up your student.  If there are no apparent symptoms, your student will be observed in the health office and then returned to class.  If your student has a PE class, the nurse will excuse your student from participating that day just as a precaution.  If your student returns to the nurse with any symptoms, you will be called immediately to pick your student up.  911 will be called if the symptoms are progressing.

One never knows just what sort of blow may lead to a concussion.  I strive to keep parents informed of any possible concussing blows that occur at school that students report.  I call parents to inform them of the incident, remind them of what to look for and to seek medical attention immediately if symptoms appear or progress.  I also encourage parents to call and let their health care provider know the incident happened and seek their advise if the student needs to be seen that day.

If your student sees their health care provider and/or if they have increasing symptoms at home, PLEASE call the nurse and share that information before the student returns to school.  I can best serve your student if I have current health information and appreciate being kept informed.  We can discuss if the information should remain confidential or if your student would benefit having their teachers also be aware of what to look for and report or possible side effects that may impact their performance in class.  

There are 3 grades of concussions commonly used to describe severity.

Grade 1

No loss of consciousness
Some confusion, not able to maintain a train of thought, inattentative
Grade 1 symptoms or mental status abnormalities resolve in less than 15 minutes

Grade 2

No loss of consciousness
Some confusion, not able to maintain a train of thought, inattentive
The symptoms or mental status abnormalities including amnesia last more than 15 minutes

Grade 3

ANY loss of consciousness
Seconds to minutes

What if my student does have a concussion?

Your health care provider is the best resource for treatment and any possible activity restrictions.  If you do not have health insurance or a current health care provider, the nurse would be happy to give you a selection of possible resources and/or help you apply for health care.  You may ALWAYS go to an emergency room to seek help if your student is having symptoms of a concussion.  Please seek medical attention immediately even if you do not have the ability to pay at that time.

The following is information should NOT be used to diagnose or treat your student.  It is given only as a resource for general information about concussions and current information from studies and observations by health care providers and researchers.

After a concussion, the brain needs time to heal. It's really important to wait until all symptoms of a concussion have cleared up before returning to normal activities. The amount of time someone needs to recover depends on how long the symptoms last. Healthy teens can usually resume their normal activities within a few weeks, but each situation is different. A doctor will monitor the student closely to make sure everything's OK.

The Brain Injury Association has compiled recommendations for student athletes who sustain concussions.  They recommend an evaluation of the student covering mental status, physical activity and neurological tests.  The following are their suggested evaluations.  There are many possible evaluation resources including a computer generated test.  This example is given just to provide an idea of what an evaluation may look like. 

Mental status testing:

Orientation –     time place, person and how they got injured
Concentration – Months of the year in reverse order
                         Saying numbers in reverse order
Memory –          Recall of 3 words and 3 objects at 0  and at 5 minutes after the
                        injury Details of the game they are currently playing. Recent news
                        items they would normally know

Physical Tests:

40 yard sprint
5 push-ups
5 sit-ups
5 knee-bends

Any appearance of associated symptoms is abnormal, e.g., headache, dizziness, nausea, being bothered by light, blurred or double vision, emotional and/or mental status change

Neurological Tests:

Individual can perform finger-nose-finger exercise
Individual can perform tandem walking
Sensation:
Individual performs finger-nose-finger exercise with eyes closed
Romberg – this is a test that has the student stand with their head tilted slightly back and their eyes closed.  They are instructed to say stop when they think 30 seconds has passed after the tester says go.  Most adults/high school students that are not impaired will simply count slowly to 30 and come very close to saying stop at exactly 30 seconds.

Strength:

Individual is fully strong in all muscle groups. The tester will have them grip fingers, do some pushing exercises etc.

Suggestions for when a student athlete may return to play:

Grade 1 Concussion        15 minutes
Multiple Grade 1 concussions    1 week

Grade 2 concussion        1 week
Multiple Grade 2 concussions    2 weeks

Grade 3 Concussion    2 weeks
Multiple grade 3 concussions     1 month or longer based on the decision of the evaluating physician

There are other opinions that greatly increase the amount of time a student should be out with an initial Grade 1 concussion – minimum of 1 week and Grade 2 for 2 weeks
The recommendation for multiple concussions was doubled.  

All resources seemed to agree that having more than one concussion especially if they are close in time, greatly increases the negative effects on the brain and prolong recovery.

Second Impact Syndrome

Second impact syndrome occurs when the already swollen brain is re-injured and swells further.  

Repeat concussions significantly worsen the long-term outcomes.  After a person sustains one concussion, they are 3 times more likely to sustain another compared to those who have never sustained one concussion.  The brain has been rendered vulnerable to further injury.  

What may have been a Grade 1 injury now may go to a Grade 2 because the brain has already been injured with a second blow to the head.  Headaches, memory loss and difficulty concentrating are much more at risk of happening with a second injury.  

The more concussions a person sustains, the higher the risk for long-term memory functions.  

Sustaining a second concussion within 2 weeks of the first also greatly increases the possibility for more severe symptoms.

Tests have also been done showing those who have sustained multiple concussions are more likely to get Alzheimer’s Disease 8 years earlier than those who had no known earlier brain injury.


Resources:
Brain Injury Association
kidshealth.org
mayoclinic.com
emedicinehealth.com

return to top

Student and Parent Information

Staff Information

Overnight Field Trips


Extended Field Trip Instructions for Shorecrest Staff

What is an extended field trip?
•    Cheer, Flag, Dance, etc., Camp
•    DECA Trips
•    Sport Team overnight Camps, Tournaments, Games, etc.,
•    Band or Choir overnight trips
•    Regular Classroom overnight field trip
•    Club overnight trips
•    Any School Sponsored overnight trip
•    A one day field trip that extends beyond the regular school hours.

Please begin planning and gathering forms for your trip early – 2 months before would be really wonderful.  It is a big job and can be very time consuming.  Lots of steps and pieces of paper to gather!

Teachers are to download the Overnight field trip forms from the health office web page.  Please make sure you fill in the destination at the top of the medical forms before you make copies.
  I suggest you put the Contact and medical information form and the Permission to give medications form on the same piece of paper.

All students and adults going on the trip MUST have proof of insurance in order to go on the trip.  It would be wonderful if you used a travel service that automatically provided this coverage, reduces your work load a LOT.  If you do not, please begin gathering the front and back copies of each person’s medical insurance card.  If the contact information is on the front, you do not need to get the back copied.  As soon as you begin talking to students about insurance, please let the health office know of any students that are not covered. 

There are other options for families to use but we need to know who needs it very early so it can be set up.  This is not a last minute process and will cost the family extra money ($99 currently).  I will also need to know as soon as possible if the extra cost will be a concern for them.  Those applications are in the main office, currently Dawn is the person collecting the money, recording the purchase and sending it off to the insurance company.  Families DO NOT mail the applications off themselves, they MUST be turned in to Dawn. NO student will be denied going on the trip because they do not have/are not able to pay for insurance.

One month before you leave, email the health office a list of all possible students going on the trip.

All medications, even over-the-counter medications MUST have a physician signature as well as parent signature on the permission to give medication form. 

Please put all of the forms in a three ring binder by alpha with all of each student's forms together.  It is your responsibility to have a check off sheet and monitor who has turned in what.  Three weeks before you leave on your trip, turn in the Completed notebook to the nurse for review.  All paperwork should be completed by students and turned in to you at least 3 weeks before your trip date.

I am happy to fax forms to physicians and will do so as I am checking the forms in the binder,  which is one reason I need the binder so early.  It is usually the last thing on the list for physicians to sign and then last for their staff to return to me – I need a lot of time to have it returned before the trip.

These forms need to remain with the adults who are supervising the specific students while you are on your trip.  If you are in groups that will be going different places, make sure those forms travel with the adults that have those students.  It can get complicated and be a volume concern if you have a large group that is traveling. 

What will the nurse do?

I will give you a spread sheet with the

• student name,
• allergies
• health concerns, and
• if they are bringing medication along with them.

Provide information for what to do with specific common health concerns.  Information  on CPR and oter general first aid. 

Provide you with a first aid kit to take on the trip if you request one.

A week before you leave, please set up a time to come to the health office to review medical and medication information you may need to know.

Summary:

•    2 months before departure, begin gathering forms
•    Download the following forms from health office web page
•    Write the name of the trip on the top of the forms and distribute to students
•    Email nurse a list of all possible attending students
•    Need proof of insurance copies
•    Notify nurse of any students needing insurance
•    Medication forms for ALL medications taking on trip
•    Notebook to nurse at least 3 weeks before the trip for review
•    Set up a time to review/get instructions from nurse re student health and
      medication needs and pick up first aid kit if requested.
•    Organize all of the forms so they will be with the adults supervising specific
      students at all times


Forms may be downloaded by going to the Documents button on the top left of this page.

Return to top


Student and Parent Information for Overnight Field Trips

? Do I need to complete another Permission to give medication for if my student already has one on file in the health office for this year?

YES! Those orders cover the school day, we need 24 hour coverage for the trip.

? My student almost never needs their inhaler or allergy meds anymore, do I need to bother with the paperwork?

YES! They will be going to a different environment that may trigger allergic reactions or asthma.

? Do I have to make a special trip to the Dr.?

NO I certainly appreciate having parents do this themselves if possible but I am also happy to help if needed. Complete the parent portion of the Permission to give medications form and write in the name(s) of the medications you want to send. Part of the parent portion asks for the name and phone number of the Dr. I will Fax the form if you are not able to get the signature yourself.

? What should I get Dr. orders to send? Remember – even over the counter mediations need a parent and physician signature.

All prescription medication your student takes on a regular basis.

If your student is prone to motion sickness, something like Dramamine may be helpful. Pain relief such as Tylenol or Ibuprofen may be helpful especially for young women who may get cramps on the trip. A change in environment sometimes upsets the system, an anti-diarrhea medication would be something to consider if your student has particular sensitivities.

I would suggest not sending regular vitamins or herbal supplements for the trip as the short time they will be gone will probably not have a negative effect on their health if they miss a few doses.

? How much medication to I send?

Please only send enough medications for the number of days of the trip + three just in case they have flight concerns and are not home the day they plan.

? How do I send the medications?

If your student is going to self administer, just have them pack their medications in their carry on luggage. MUST BE IN THEIR ORIGINAL BOTTLES. No baggies or weekly pill holders.

If you are having a staff person carry and administer the medications please make arrangements to get those to the school a day or two before the trip. MUST BE IN THEIR ORIGINAL BOTTLES. No baggies or weekly pill holders.

? What about insurance?

If your group is not using a tour company that is providing insurance for everyone, we need copies of the front and back of all student’s insurance cards.

? What if I don’t have insurance?

Please let the teacher know right away so we can begin making arrangements for your student to have coverage. There is coverage available, currently the cost is $99 but that is subject to change.

? What if I can’t afford the coverage?

Please let the teacher know you will need assistance paying for part/all of the insurance coverage. Do this as early as possible so plans can be made. NO STUDENT WILL BE DENIED GOING ON THE TRIP BECAUSE THEY ARE NOT ABLE TO PAY FOR INSURANCE COVERAGE.

? What about Medical Coupons?

Those are just great. We need a copy of the front and back for the month of the trip if possible.

? Anything else?

Please let the teacher know if your student has been ill or injured in the last few weeks. Information helps us care for your student and keep them safe.

Forms may be downloaded by going to the Documents button on the top left of this page.

Return to top

Immunizations

Washington State immunization requirements and more immunization information may be found at the Department of Health web site 
www.doh.wa.gov/cfh/Immunize/forms/default.htm
The WAC, Washington Administrative Code, WAC 246-105-040, may be found at 
apps.leg.wa.gov/WAC/default.aspx
The Certificate of Immunization form may be downloaded from the documents section of this site. 

Requirements for 9th,10th and 11th and 12th  grade students 2009/2010 school year

DTaP, DT or Td:

3 doses with the 3rd given on or after the 4th birthday. Tdap may substitute for 1 of the 3 doses

Polio:

3 doses with the 3rd given on or after the 4th birthday

MMR:

2 with the 1st given on or after their 1st birthday and at least 28 days apart

Hepatitis B:

3 doses

2nd dose given at least 1 month (24 days) after the 1st dose

3rd dose given 2 months after 2nd dose BUT

3rd dose not given less than 4 months after 1st and

3rd dose not be given before 6 months (24 weeks) of age

  Immunizations are available from your private physician or licensed health care provider.  If you don’t have a doctor, please call your local health department or public clinic listed below.  This list of providers is being supplied as a courtesy by the Shoreline School District.  The list is not an endorsement of providers, services or fees.  The Shoreline School district in no way assumes liability associated with providing this list, nor actions of the providers.  You may use the services of other individuals, who are not included on the list at long as they are appropriately licensed and/or certificated.

North Public Health Center
10501 Meridian Ave N.
Seattle, WA  98133
206-296-4765
you need to call and make an appointment




What is DTaP?

The DTaP vaccine protects your child against three diseases: diphtheria, tetanus, and pertussis (whooping cough).

What is DTP?
This is the old vaccine that protects against diphtheria, tetanus and pertussis.  Physicians are now using the newer DTaP vaccine which has fewer side effects.

•    diphtheria — a serious infection of the throat that can block the airway
    and cause severe breathing difficulty

•    tetanus (lockjaw) — a nerve disease, which can occur at any age, caused
    by toxin-producing bacteria contaminating a wound

•    pertussis (whooping cough) — a respiratory illness with cold symptoms
    that progress to severe coughing (the "whooping" sound occurs when the
    child breathes in deeply after a severe coughing bout); serious
    complications of pertussis can occur in children under 1 year of age.
    Children under 6 months old are especially susceptible.

What is DT?
Diphtheria Tetanus immunization

I'm confused about the various vaccines that contain tetanus, diphtheria, and pertussis. Can you explain?

There are two basic products that can be used in children younger than age 7 years (DTaP and DT)

and two that can be used in older children and adults (Td and Tdap).

It is very easy to get confused between DTaP and Tdap and get confused between DT and Td.

Here's a hint to help you remember. The pediatric formulations usually have 3-5 times as much of the diphtheria component than what is in the adult formulation. This is indicated by an upper-case "D" for the pediatric formulation (i.e., DTaP, DT) and a lower case "d" for the adult formulation (Tdap, Td). The amount of tetanus toxoid in each of the products is equivalent, so it remains an upper-case "T."

What is IPV?
Inactivated Poliovirus Vaccine

Until recently, the oral poliovirus vaccine (OPV) was given in the United States. Updated recommendations by the Advisory Committee on Immunization Practices now call for IPV injections. This change eliminates the previous small risk of developing polio after receiving the live oral polio vaccine.

What is MMR?

Measles, Mumps and Rubella

•    Measles
o    Measles (also known as rubeola) is a highly contagious respiratory infection that's caused by a virus. It causes a total-body skin rash and flu-like symptoms, including a fever, cough, and runny nose.

•    Mumps
o    Mumps is a disease caused by a virus that usually spreads through saliva and can infect many parts of the body, especially the parotid salivary glands. These glands, which produce saliva for the mouth, are found toward the back of each cheek, in the area between the ear and jaw.  In cases of mumps, these glands typically swell and become painful.  Complications may increase as the age of onset increases and may include all parts of the body. 

•    Rubella

o    Rubella — commonly known as German measles or 3-day measles — is an infection that usually affects the skin and lymph nodes. It is caused by the rubella virus (not the same virus that causes measles).   Rubella is usually transmitted by droplets from the nose or throat that others breathe in.  It can also pass through a pregnant woman's bloodstream to infect her unborn child. As this is a generally mild disease in children, the primary medical danger of rubella is the infection of pregnant women, which may cause birth defects in developing babies.

What is Hepatitis B?

Hepatitis B virus (HBV) affects the liver. Those who are infected can become lifelong carriers of the virus and may develop long-term problems such as cirrhosis (liver disease) or cancer of the liver.

2nd dose given 1-3 months after the 1st dose
3rd dose given 2-6 months after 2nd dose BUT
3rd dose not given less than 4 months after 1st and
3rd dose not be given before 24 weeks of age


Forms may be downloaded by going to the Documents button on the top left of this page.


Return to top


Information for Seniors

Immunizations

Copies of Senior immunization forms are available in the career center in each student's portfolio by October 1st of their Senior year. The health office has made every effort to add all immunizations families have provided the school district, including those added on sport physicals.
Students may take the immunization form home at any time - not the entire portfolio! Please make a copy for your home records and put it in a safe place (these records are rarely used and very easily lost in our homes!). Employers, Colleges etc. may ask for this information.

Meningococcal Meningitis

Your Shorecrest nurse  recommends families have a conversation with their health care providers about the need for their individual students to receive the Meningococcal immunization. Especially if your student is going to college and will be living in a dorm.  Please click on this link for more information prepared by the National Meningitis Association .  There is also a brochure in the documents section of the health office site for you to view.

I also recommend all students have their Hepititis A and B  and Tetanus immunizations up to date no matter what their after high school plans happen to be.
 
Return to Top


Head Lice

Two words that make parents cringe when they hear them!

There are the live lice
        
 
And their egg sacks called Nits 
 


Remember, head lice do not fly or jump, they crawl.

ANYONE can be infected with head lice.  It is not about being clean, just about  being in the right palce at the right time for a louse to walk on to your head or be transferred there by :

    * sharing hats
    * sharing coats or other clothing that would supply a route to your head
    * sharing combs, brushes or other hair items
    * upolstered furnature
    * beding
    * stuffed animals

There are chemical shampoos available but frankly, I do not recommend using them, especially on children.  The head lice have become resistant to the pestisides and often the harsh chemical treatments are not effective.

The most effective way of removing all nits (eggs) and live lice is to use a long tooth lice comb.


Comb your student's hair until you no longer can find any more nits or lice.  It is also recommended to use the lice comb at least daily for up to two weeks to be sure no new eggs have hatched and your student has not become re-infested.

Below, you will find the directions for a shampoo that has been effective in helping to remove head lice safely.


I Cup Apple Cider Vinegar  -  DO NOT USE WHITE VINEGAR
¼ Cup shampoo – any kind will do

How to use:

Wet hair with warm water

Add 2 ounces of vinegar/shampoo mixture to hair and massage for 5 minutes – DO NOT RINSE

Add 2 more ounces and massage 5 more minutes.  DO NOT RINSE

Leave produ t on hair and scalp for 15 minutes

With shampoo still in the hair, comp through the hair with any finetooth comb to assist in removing the nits that have been released.

Rinse thoroughly with a strong spray of very warm water.  The lice and the nits will rinse out

Inspect under bright light

This shampoo does not contain harsh chemicals and should not harm your child. 

It is recommended that you use this shampoo mixture every day until all nits and lice are removed from the hair.

A copy of these instructions may be downloaded by going to the Documents button on the top left of this page filed under Resources.

The shampoo and cider vinegar solution helps to loosen the grip the nits have on the hair shafts so it will be easier to comb out with the fine, long tooth comb.  Using the special comb frequently for the first 3 days and then at least daily for then next two weeks is the most effective way of controlling head lice.

There are countless suggested ways to rid one of these dreaded infestations.  We ask you to use a large dose of common sense as you come across unique suggestions.  Please DO NOT EVER use a flamable substance on your student's head or body as a treatment.

Nothing beats nit picking when it comes to  effectively removing nits from the hair.
Remember, head lice do not fly or jump, they crawl.
Reinfestation of lice usually does not come from household items such as carpets or furniture.  For some chronic cases, intense cleaning may be necessary.  Keep reading for tips on cleaning your home.
Remember...

*    Off the head, adult lice usually cannot survive for more than a day or two. 
      Nits off the hair will die within hours of hatching if they can't find a meal
      (blood).  So, there is no point in cleaning every nook and cranny.
*    Pets do not carry human head lice.  They do not need any special cleaning.
*    Evidence shows that lice sprays are not effective in killing lice or nits.  They
      only put poisons into the air.  Save your money and avoid buying lice sprays!

Things to wash in a washing machine:

*    Bath towels
*    Coats
*    Washable rugs, hats and scarves
*    Sheets, blankets, and pillow cases
*    Stuffed animals in contact with head and neck

Wash items using very hot water or dry items in the dryer using high heat for 30 minutes. The heat will help kill the lice and nits.

Things to sanitize:

*    Brushes, combs, and special nit loosening combs
*    Barrettes, other hair holders
*    Detachable foam pads inside bike and sport helmets

To sanitize these items, soak the item in 1/4 cup bleach to 1 quart cold water for one hour.

Things to vacuum:

*    Rugs and carpets
*    Car seats
*    Chairs and couches
*    Pillows from a couch or bed (wash the pillowcases)
*    Bed mattresses
*    Stuffed animals in contact with head and neck

Another cleaning option:
Items exposed to lice, such as stuffed animals, should be placed in a plastic bag and closed tightly for two weeks.  During these two weeks the lice and nits will not have food (blood) and will die.

A copy of these instructions may be downloaded by going to the Documents button on the top left of this page filed under Resources.

It is very annoying and extremely time consuming to rid your student and home of nits and lice.  Comb, Comb, Comb using the special lice comb - it is the best defense and offense against head lice.  Rather than think if it as a chore, think of it as an opportunity to spend time with your son or daughter.  We are all so busy and rarely get to spend larger blocks of time with individual children.  Good luck and don't hesitate to call the health office if you have further questions.

Health Screening

         

School districts are no longer required to screen for Scoliosis. I will only screen for vision and hearing.

Freshman who have world geography and PE will particpate in vision, hearing, each year beginning in mid October. 

Freshman who do not have world geography will be screened later in November. On the assigned screening day students who wear corrective lenses should bring them to the screening.

Screening is provided by the school nurse and trained volunteers.  

Results of screening are sent home only if a student does NOT pass the vision and/or hearing  screens.       

A student may be exempted from vision and hearing screening by sending a note to the school nurse, by e-mailing your request to nancy.dalan@shorelineschools.org, or by phoning and leaving a message at the SC health office, (206) 361-4308.   Requests for exemption should be received by October 15th.  Please contact SC nurse if you have any questions about screening.

Any parent wishing to exempt their student from screening must
notify the SC Health Office BEFORE Oct. 15 by
phone (206-361-4308),
FAX (206-361-4284),
e-mail (nancy.dalan@shorelineschools.org),
mail or other means.


Return to Top



   
This list of providers is being supplied as a courtesy by the Shoreline School District.  The list is not an endorsement of providers, services or fees.  The Shoreline School district in no way assumes liability associated with providing this list, nor actions of the providers.  You may use the services of other individuals, who are not included on the list at long as they are appropriately licensed and/or certificated.

Crisis Clinic	Teen Link	Poison Control
The Works	Center for Human Services	Hopelink- Shoreline Emergency Services
Food Bank	North Seattle Public Health Center	Teen Clinic
Teen Hope	Metro Trip Planner	Community Service Office
Non Emergency Police	Child Abuse Reporting	Health, Dental and Food Resources
Planned Parenthood	Suicide	Health Point

Return to top


Crisis Clinic-

24 hour line 866.4CRISIS   
(866.427.4747)
206.461.3222 TDD 206.461.3219

This is a wonderful resource for persons who are actually in a crisis and it is also extremely helpful for anyone who is concerned about someone they feel may be in crisis but not currently seeking help. The people taking the calls can help you with possible ways to assist someone you are concerned about. They are a resource that nurses and counselors use for suggestions. Please don't hesitate to call them.

http://www.crisisclinic.org/

Return to the top


Teen Link-

Teen Link - Crisis Clinic-

This is a help line for teens who would like to speak anonymously and confidentially to another teen about anything you want to talk about.

206-461-4922

1-888-431-8336

Teen Link Hours - Daily 6pm-10pm
Use the regular Crisis Clinic line for help when Teen Link is not available
206-461-3222

24 hour Line 1-866-427-4747

Return to top

Poison Control-

Please call them before you begin any treatment.
An improper treatment can make possible damage much worse.
1-800-222-1222

Return to the top

The Works-
The PTA Council Clothing Room-

Now located at North City Protables

The Works is solely operated by the Shoreline PTA Council.
816 NE 190th Street
Shoreline, Wash 98155
No appointment necessary

Portables are located on the West side of the school. 

The second portable is The Works with the entrance on the north end of the building and is open 6:30 - 8:30

The first Portable is the Donations Drop Off and Sorting Room which is open 5:30 - 8pm

Open EVERY WEDNESDAY from 6:30pm to 8:30pm

ID required:  WA Drivers license with Shoreline address
               or Shoreline Student ID

The Works is closed when the Shoreline Schools are closed



Bus Routes MT  347 at 15th Ave. & Perkins Way
                  MT 348 at NE 185th Street & 5th Ave. NE


Return to top

Center for Human Services-

17018 15th Ave. NE
Shoreline, WA. 98155

206.362.7282

Provide FREE CONDOMS in their waiting area.


 
http://www.chs-nw.org/index.htm

They provide support for families by:

Providing information of all kinds

Education - especially English classes

They help with connecting families and individuals with resources
and referrals that are accessible to our very diverse community

Their Substance Abuse program includes the following:

* Outpatient Treatment

* Assessments

* Individual and Family Counseling

* Consultation and Training

* First Time Offender Program -- Case management, counseling, and parent education program for at-risk youth entering the juvenile court system for the first time. The goal is to prevent youth from becoming further involved in the juvenile justice system.

Youth ages 11-17. Medical coupons accepted.

* STARS Program - Students Taking Addiction Recovery Seriously
* Off-site services at Scriber Lake High School in Snohomish County. Assessments,

Intensive Outpatient, and Outpatient treatment

* CDDA - Drug Court Wraparound outpatient treatment and case management
* Drug testing
* PIP

Return to top

Hopelink-Shoreline Emergency Services-

HOPELINK SHORELINE CENTER          
15809 Westminster Way,
Shoreline, WA 98133
206.440.7300

If your family qualifies for free or reduced lunches, you will most likey quilify for the extra summer lunch program. Your student{s} will get an extra bag of lunch items you may use to provide lunches for 2 weeks.  Families need to call to make an appointment to register with Hopelink if you are not already using their services. 206-440-7300  See below for the times you may go and pick up your supplies.


 

http://www.hope-link.org/

Shoreline      Days of Operation                                     Start Time         End Time

---

Seniors and People With Disabilities
    
Tuesdays of 1st and 3rd full weeks of the month             10:30 a.m.        12:30 p.m.

---

Regular
    
Wednesdays of 2nd and 4th full weeks of the month     10:30 a.m.          12:30 p.m.

---

Evening
    
Tuesdays of 2nd and 4th full weeks of the month             5:30 p.m.        6:45 p.m.

---

Service Area: Cities of Shoreline and Lake Forest Park
Service by ZIP: 98133, 98155 and 98177 (North of 145th Street)

Bus Routes: Metro #312, 341, 342, 372; Sound Transit #522

* Financial assistance for rental needs (eviction prevention and move-in
  costs), utility needs (shut-off prevention), prescriptions
* Energy Assistance (LIHEAP: Low Income Home Energy Assistance Program)
* Referrals

Return to the top

FOOD BANK- Shoreline Free Methodist Church:

510 175th Street
Shoreline, WA 98155



Located kitty corner from the Shoreline Library
on the northeast corner of 175th Street and 5th Avenue

Hours:
Tuesdays - llam-2pm
The 2nd and 4th Monday of each month - 5:30-6:30pm

Return to the top

North Seattle Public Health Center-


10501 Meridian Ave N
Seattle, WA
206- 296-4765
You need to call to make an appointment - it is no longer a walk in facility



Monday, Wed.-Fri., 8:00 AM to 5:00 PM

Tuesday, 8:00 AM to 8:00 PM

http://www.metrokc.gov/health/sts_svs/north.htm


Return to the top


Teen Clinic - Also located at the North Seattle Health Center

Mondays 4:30 - 6:30 - Walk- in

Provide FREE CONDOMS

Teenagers and Confidentiality

In Washington State, all of health care services offered at a family planning clinic are considered "confidential." This means youth of any age can get these services without a parent or guardian signing a consent form. Clients are encouraged to talk with a parent or another trusted adult, if possible, but only the client decides whom to involve.

Question:

Do I need permission from my parents to use the Public Health Clinic?

Answer:

NO, you do not need permission from your parents to get the following services at Public Health:

* Birth Control

* Pregnancy Care (including Prenatal Care)

* STD (sexually transmitted disease) testing and treatment

* Emergency Services (if it is impractical to obtain consent first if needed)

Question:

Will they tell my parents that I came to the clinic?

Answer:

NO, they will not give your parents (or anyone else) any information about your visit(s) with them.

Health Point

Provide FREE CONDOMS
http://www.chckc.org/locations/bkhcdir.htm

Health Point
6016 NE Bothell Way
Kenmore, WA 98028
(425) 486-0658

Bus Routes

Metro Bus Routes: 306, 312, 331, 342, 372, and 522 all stop directly in front of our office (at the northwest corner of 61st and Bothell Way).

Call Metro for the latest schedules and drop-off sites (206) 553-3000 or go online at http://transit.metrokc.gov.

Bus route initial locations are listed below:

    * Route MT 306 Kenmore Express - Downtown Seattle Express
    * Route MT 312 Kenmore Park and Ride Express - Downtown Seattle Express
    * Route MT 312 UW Bothell Express - Aurora Village
    * Route MT 331 Kenmore Park and Ride - Shoreline - Shoreline Community College
    * Route MT 342 Renton Transit Center - Shoreline Park and Ride
    * Route MT 372 Kenmore Park and Ride Express - Woodinville Park and Ride – Express - University District Express
    * Route ST 522 Woodinville Park and Ride Express - Seattle Express

Driving Directions
From 405 North -

   1. Take exit #23, Hwy 522, West towards Seattle. 
   2. Veer left, staying on Hwy 522 (also known as Bothell Way).

The clinic is located 4.5 miles on the right side in the Uplake Towne Center shopping mall.
From 405 South -

   1. Take exit #23B, Hwy 522, W towards Seattle.
   2.  Veer left, staying on Hwy 522 (also called Bothell Way).

The clinic is located 4.5 miles on the right side in a shopping complex called Uplake Towne Center.
From I-5 North -

   1. Take exit 171 Bothell/Lake City Way NE (also known as Hwy 522).
   2. Follow for 6 miles. Highway 522 changes its name to Bothell Way
   3. The clinic is on the northwest corner of Bothell Way and 61st.  Take a Left at the traffic light on 61st St to turn into the parking lot.

From I-5 South -

   1. Take exit 171 (NE 71st/ NE 65th St)
   2. Turn Left at stop sign onto NE 71st St. Follow 1/4th mile.
   3. Turn Left onto 12th Ave NE
   4. Follow as 12th Ave merges with Lake City Way NE
   5. Follow for 6 miles as  Lake City Way turns into Bothell Way

Clinic is on the NW corner of Bothell Way and 61st.  Take a Left at the traffic light on 61st St to turn into the parking lot.
From Lake City Way East to Bothell -

Travel East on Lake City Way as it turns into Bothell Way.

Clinic is on the NW corner of Bothell Way and 61st.  To turn into our parking lot take a Left at 61st St and another Left into the first parking lot.




Return to the top
 
Metro Trip Planner-

How do I get there from here?

Enter the address you are at and the address of where you want to go.
The trip planner will tell you which bus to take and direct you to the bus schedule.

http://www.wmata.com/tripplanner_d/TripPlanner_Form_Solo.cfm

Return to the top

CSO - Community Service Office-

The Ballard office is the one used for this area

907 NW Ballard Way
Seattle, Washington 98107



The office is on the 1st floor

206-341-7424

Hours: 7am to 5:30pm

https://fortress.wa.gov/dshs/f2ws03esaapps/onlinecso/cover.asp


Return to the top

Non Emergency Police-

Shoreline Police Station - non-emergency-

546-6730

Child Abuse Reporting-

Child Abuse Reporting-

1-800-379-3395

Return to the top

Health and Food Resources-

Parents work hard to provide for their families. Sometimes they need a little help. ParentHelp123 can help you find out if your family may qualify for health insurance and food programs in Washington State!

www.parenthelp123.org/

Return to top

King County Children's
Oral Health Program

This program provides dental care coverage, at no cost, to children who qualify.  You are likely to be eligible if:

• You live in King County, Washington
• Your children are under the age of 20
• Your income meets certain guidelines
• Your children have no other dental coverage

You may enroll at:

Website:  www.ckcidsdental.org

Call them:  866-839-9466

This is a special program for 2008

In January 2009, families will need to apply forbenefits through the state of Washington.


 
You may download a copy of the flyer by going to the documents button at the top of this page.

return to top

Teen Hope-

Provides safe shelter, all basic necessities, counseling, case management, transportation and mediation services.

915 North 199th
Shoreline, Washington
206-546-1010



Return to top


Planned Parenthood-

Lynnwood Health Center

19505 76th Ave. West Suite. 200
Lynnwood, WA 98036
425- 775-3496

Provide FREE CONDOMS


 
www.plannedparenthood.org/health-center/findCenter.asp

You may call and make an appointment at any time or use the Teen Clinic Drop In hours at this office.  Drop in information is below-

Drop in Teen Clinic Hours  - 1st and 3rd Tuesdays from 2:30 - 5:00 pm

Services offered at Teen Clinic:

• Birth control (without exam)
• Pregnancy testing
• Sexually transmitted infection (STI) testing and treatment
• Emergency contraception
• Answers to your personal questions

When you're at teen clinic:

• Bring a friend, if you don't want to come alone.
• Bring a list of questions for the medical staff.
• You will fill out forms. (Bring your social security number.)
• You might get weighed and give a urine sample.
• You might have an exam.
• You might talk with an educator or play games in the lobby before you are seen by a clinician.
• Bring a book or homework, there could be a long wait. Those who arrive before you will be seen first.
• You will need to turn off your cell phone and put it in your purse or backpack.
• You can get free condoms, too.

Hours:

Monday and Friday 8:30am to 4:45pm
Tuesday, Wednesday, Thursday 9:30am to 5:45pm


Planned Parenthood
University District Health Center

4500 9th Ave. NE, Suite, 324
Seattle, WA 98105
206 - 632-2498

Provide FREE CONDOMS 



www.plannedparenthood.org/health-center/centerDetails.asp

Hours:

Monday 10:30am 6:00pm
Tuesday 11:00am 7:00pm
Wednesday 9:00am 5:00pm
Thursday 7:40am 4:30pm
Friday 8:30am 4:30pm
Saturday 8:00am 12:15pm

Planned Parenthood Kenmore

6610 NE 181st #2
Kenmore, WA 98028
(425) 482-1122

Provide FREE CONDOMS 



http://www.plannedparenthood.org/centerDetails.asp?id=16

Hours:

Monday         8:30am - 4:30pm
Tuesday        8:00am - 4:00pm
Wednesday  10:00am - 6:00pm
Thursday       8:30am - 4:30pm
Friday            8:00am - 4:00pm
Saturday        Closed
Sunday           Closed

Return to the top

Suicide-

Suicide is about Pain, overwhelming pain.

1. Take it seriously.

Myth: “The people who talk about it don't do it.”

Studies have found that more than 75% of all completed suicides did things in the few weeks or months prior to their deaths to indicate to others that they were in deep despair. Anyone expressing suicidal feelings needs immediate attention.

Myth: “Anyone who tries to kill himself has got to be crazy.”

Around 10% of all suicidal people are psychotic or have delusional beliefs about reality. Most suicidal people suffer from the recognized mental illness of depression; but many depressed people adequately manage their daily affairs. The absence of “craziness” does not mean the absence of suicide risk.

Myth: “Those problems weren't enough to commit suicide over”

Those words are often said by people who knew someone who completed suicide. You cannot assume that because you feel something is not worth being suicidal about, that the person you are with feels the same way. It is not how bad the problem is, but how badly it's hurting the person who has it.

2. Remember: suicidal behavior is a cry for help.

Myth: “If a someone is going to kill themselves, nothing can stop them.”

The fact that a person is still alive is sufficient proof that part of them wants to remain alive. The suicidal person is ambivalent - part of him wants to live and part of him wants not so much death as they want the pain to end. It is the part that wants to live that tells another “I feel suicidal.” If a suicidal person turns to you it is likely that they believe that you are more caring, more informed about coping with misfortune, and more willing to protect their confidentiality. No matter how negative the manner and content of their talk, they are doing a positive thing and have a positive view of you.

3. Be willing to give and get help sooner rather than later.

Suicide prevention is not a last minute activity. Unfortunately, suicidal people are afraid that trying to get help may bring them more pain: being told they are stupid, foolish, sinful, or manipulative; rejection; punishment; suspension from school or job; written records of their condition; or involuntary commitment. You need to do everything you can to reduce pain, rather than increase or prolong it. Constructively involving yourself on the side of life as early as possible will reduce the risk of suicide.

4. Listen.

Give the person every opportunity to unburden their troubles and vent their feelings. You don't need to say much and there are no magic words. If you are concerned, your voice and manner will show it. Give them relief from being alone with their pain; let them know you are glad they turned to you. Patience, Sympathy, Acceptance. Avoid arguments and advice giving.

5. ASK: “Are you having thoughts of suicide?”

Myth: “Talking about it may give someone the idea.”
People already have the idea; suicide is constantly in the news media. If you ask a despairing person this question you are doing a good thing for them: you are showing them that you care about them, that you take them seriously, and that you are willing to let them share their pain with you. You are giving them further opportunity to discharge pent up and painful feelings. If the person is having thoughts of suicide, find out how far along his plan has progressed.

6. If the person is acutely suicidal, do not leave them alone.

If the means for the suicide are present, pills, fire arm etc., try to get rid of them. Detoxify the home.

7. Urge professional help.

Persistence and patience may be needed to seek, engage and continue with as many options as possible. In any referral situation, let the person know you care and want to maintain contact.

8. No secrets.

It is the part of the person that is afraid of more pain that says “Don't tell anyone.” It is the part that wants to stay alive that tells you about it. Respond to that part of the person and persistently seek out a mature and compassionate person with whom you can review the situation such as calling the Crisis Clinic 24 hour Line 1-866-427-4747. (You can get outside help and still protect the person from pain causing breaches of privacy.) Do not try to go it alone. Get help for the person and for yourself. Distributing the anxieties and responsibilities of suicide prevention makes it easier and much more effective.

9. From crisis to recovery.

Most people have suicidal thoughts or feelings at some point in their lives; yet less than 2% of all deaths are suicides. Nearly all suicidal people suffer from conditions that will pass with time or with the assistance of a recovery program. There are hundreds of modest steps we can take to improve our response to the suicidal person and to make it easier for them to seek help. Taking these modest steps can save many lives and reduce a great deal of human suffering.

WARNING SIGNS

A person may have one or many of the warning signs. There is not a specific number a person has to have before being considered at serious risk.

Conditions associated with increased risk of suicide

* Death or terminal illness of relative or friend.

* Broken relationship, Divorce, Separation, Stress on family.

* Loss of health (real or imaginary).

* Loss of self-esteem, personal security, job, home, money, status,

* Alcohol or drug abuse.

* Depression. In the young depression may be masked by hyperactivity or acting out behavior. In the elderly it may be incorrectly attributed to the natural effects of aging.

• Depression that seems to quickly disappear for no apparent reason is cause for concern.

The early stages of recovery from depression can be a high risk period.

• Recent studies have associated anxiety disorders with increased risk for attempted suicide. Emotional and behavioral changes associated with suicide

* Overwhelming Pain: pain that threatens to exceed the person's pain coping capacities. Suicidal feelings are often the result of longstanding problems that have been made worse by recent events. There may be new pain or the loss of pain coping resources.

* Hopelessness: the feeling that the pain will continue or get worse; things will never get better.

* Powerlessness: the feeling that one's resources for reducing pain are exhausted.

* Feelings of worthlessness, shame, guilt, self-hatred, “no one cares”. Fears of losing control, harming self or others.

* Personality becomes sad, withdrawn, tired, apathetic, anxious, irritable, or prone to angry outbursts.

* Declining performance in school, work, or other activities. (Occasionally the reverse: someone who volunteers for extra duties because they need to fill up their time.)

* Social isolation; or association with a group that has different moral standards than those of the family.

* Declining interest in friends, or activities previously enjoyed.

* Neglect of personal welfare, deteriorating physical appearance.

* Alterations in either direction in sleeping or eating habits.

(Particularly in the elderly) Self-starvation, dietary mismanagement, disobeying medical instructions.

Suicidal Behavior

* Previous suicide attempts, “mini-attempts”.

* Explicit statements of a suicidal plan or feelings.

* Development of suicidal plan, acquiring the means, pills, firearm etc., “rehearsal” behavior, setting a time for the attempt.

* Self-inflicted injuries, such as cuts, burns, or head banging.

* Reckless behavior.

* Giving away favorite possessions or making out a will .

* Inappropriately saying goodbye.

* Verbal behavior that is ambiguous or indirect:

“I'm going away on a real long trip.”
“You won't have to worry about me anymore.”,
“I want to go to sleep and never wake up.”
“I'm so depressed, I just can't go on.”
“Does God punish suicides?”
“Voices are telling me to do bad things.”
Requests for euthanasia information
Inappropriate joking
Stories or essays on morbid themes.

The above suicide prevention information is from the following web site.

http://www.metanoia.org/suicide/whattodo.htm

The following site is a local resource that is also extremely helpful.

http://www.yspp.org/

http://www.yspp.com/resources-Links/documents/YSPP_depression_Final_low.pdf

Return to the top



Helpful Health Information

What is the best way to prevent colds, the flu, almost any illness?


That's right Wash your hands Often

You want lots of soap bubbles and gently scrub your hands together
for as long as it take you to sing Happy Birthday to yourself.

We do not recommend using an antibacterial soap for two main reasons.

They often cause the skin to dry and crack making it easier for germs to enter our body.

Germs are very good at adapting to conditions, we don't want to
contribute to making "better bugs".

We use a very mild dishwashing soap diluted with water in a foaming pump dispenser in the Shorecrest health office to wash hands as well as clean minor wounds.

It is that time of year again! Colds and the Flu are Viruses
Drink lots of water

Get lots of rest

Most people recover in a week but symptoms can last up to 14 days.

High fever, significantly swollen glands, severe facial pain in the sinuses, and a cough that produces a colored mucus, may indicate a complication or more serious illness requiring a doctor's attention.

Antibiotics do not kill viruses. The medical community recommends that these prescription drugs should be used only for bacterial complications, such as sinusitis or ear infections, that can develop as secondary infections. The use of antibiotics "just in case" will not prevent secondary bacterial infections.

The American Academy of Pediatrics recommends children and teenagers not be given aspirin or any medications containing aspirin when they have any viral illness, such as a cold, the flu and chickenpox. Several studies have linked the use of aspirin to the development of Reye's Syndrome. Children with Reye's syndrome start vomiting and become drowsy within a few days of becoming sick. The disorder can affect all body organs and lead to brain damage and death.

Some medicine labels may refer to aspirin as salicylate or salicylic acid. Be sure to educate your student, who may take over-the-counter (OTC) medicines without your knowledge.

A solution of 1 part bleach mixed with 10 parts cool water is very effective in killing viruses on surfaces. This is an extremely effective and yet inexpensive way to kill viruses on counter tops, door knobs, floors, toys toddlers put in their mouths etc. If you smell the bleach, you have too much in your solution. Spray on surfaces and let set at least 1 minute before drying, or just let air dry. The solution needs to be prepared daily.

 
Return to Top