Health Services
School Nurse Roles and Responsibilites:
- Management of communicable diseases through infection control measures and ensuring immunization compliance.
- Provide health assessments and interventions for students and staff who become ill or injured at school.
- State mandated screenings including vision, hearing, scoliosis, and acanthosis nigricans (risk assessment for Type II Diabetes).
- Administer medications according to district policy.
- Management and education for student and families with chronic illnesses.
- Coordination of health care status and plan with parents, physicians, and school personnel.
- Provide health education to students, staff, and parents.
School Nurse Directory:
Linzi Feagin, RN (District Nurse) – Tom Bean Elementary & Tom Bean High School
linzi.feagin@tbisd.org
903-290-2606
Amy Ramey, MA – Tom Bean Middle School
amy.ramey@tbisd.org
Immunizations Requirements:
Kindergarten - 12th grade Requirements
Affidavit Information:
Immunizations Exemption Form – Printable
Request for Exemption from Immunizations – By Mail
Vision and Hearing Screening
The Texas Health and Safety Code requires that all children enrolled for the first time in any public, private, parochial, or denominational school or in a Department of Family and Protective Services licensed child-care center and licensed child care home in Texas, or who meet certain grade criteria (specified below), must be screened or have a professional examination for possible vision and hearing problems.
The requirements apply each year for children enrolled in any licensed child-care center and licensed child care home or school program at the ages or grades listed below:
- Children who turn 4-years-old by September 1st, kindergartners, or any other first-time entrants (4 years through 12th grade)- screening must be done within 120 days of admission
- 1st, 3rd, 5th, and 7th graders- screening must be done anytime within the school year (preferably within first semester)
Acanthosis Nigricans Screening
The Texas Risk Assessment for Type 2 Diabetes in Children is a legislatively mandated program developed, coordinated, and administrated by the University of Texas Pan-American Border Health Office (BHO). The program assesses children who may be at high risk of developing Type 2 Diabetes in Texas Education Agency Regional Education Service Centers 1, 2, 3, 4, 10, 11, 13, 15, 18, 19, and 20. During vision/hearing and scoliosis screenings of 1st, 3rd, 5th, and 7th graders in public and private schools, certified individuals assess children for acanthosis nigricans marker, a skin condition that signals high insulin levels. Children who are positively identified with the marker undergo additional assessments of body mass index (BMI), BMI percentile, and blood pressure. Referrals are issued to the parents of these children, alerting each parent of their child's risk factors and encouraging further evaluation from a health professional. Becoming aware of and understanding what the risk factors suggest can help stimulate the changes necessary to prevent or delay future health problems for children at risk of developing Type 2 Diabetes and other conditions.
Spinal Screening
In 1985, the Texas Legislature passed House Bill 832 which requires screening for abnormal spinal curves for students in grades 6 and 9 (or 5 and 8) attending public and private schools. The guidelines were updated in the 2018-2019 school year based on new recommendations for evidenced based practice.
In compliance with Health and Safety Code, Chapter 37, all children shall undergo screening for abnormal spinal curvature in accordance with the following schedule:
- Girls will be screened two times, once at age 10 (or fall semester of grade 5) and again at age 12 (or fall semester of grade 7).
- Boys will be screened one time at age 13 or 14 (or fall semester of grade 8).
It is incumbent on schools to identify outliers (i.e. children promoted to higher grades or held back) and ensure their screenings align with appropriate ages rather than grades.
The school is then required to notify the parents if a child shows any signs of a possible curvature.
Screening Exemption:
Forms must be signed and notarized to exclude from school state-mandated screenings
-
School Nurse Roles and Responsibilites:
- Management of communicable diseases through infection control measures and ensuring immunization compliance.
- Provide health assessments and interventions for students and staff who become ill or injured at school.
- State mandated screenings including vision, hearing, scoliosis, and acanthosis nigricans (risk assessment for Type II Diabetes).
- Administer medications according to district policy.
- Management and education for student and families with chronic illnesses.
- Coordination of health care status and plan with parents, physicians, and school personnel.
- Provide health education to students, staff, and parents.
School Nurse Directory:
Linzi Feagin, RN (District Nurse) – Tom Bean Elementary & Tom Bean High School
linzi.feagin@tbisd.org
903-290-2606
Amy Ramey, MA – Tom Bean Middle School
amy.ramey@tbisd.org
-
Immunizations Requirements:
Kindergarten - 12th grade Requirements
Affidavit Information:
Immunizations Exemption Form – Printable
Request for Exemption from Immunizations – By Mail
-
Vision and Hearing Screening
The Texas Health and Safety Code requires that all children enrolled for the first time in any public, private, parochial, or denominational school or in a Department of Family and Protective Services licensed child-care center and licensed child care home in Texas, or who meet certain grade criteria (specified below), must be screened or have a professional examination for possible vision and hearing problems.
The requirements apply each year for children enrolled in any licensed child-care center and licensed child care home or school program at the ages or grades listed below:
- Children who turn 4-years-old by September 1st, kindergartners, or any other first-time entrants (4 years through 12th grade)- screening must be done within 120 days of admission
- 1st, 3rd, 5th, and 7th graders- screening must be done anytime within the school year (preferably within first semester)
Acanthosis Nigricans Screening
The Texas Risk Assessment for Type 2 Diabetes in Children is a legislatively mandated program developed, coordinated, and administrated by the University of Texas Pan-American Border Health Office (BHO). The program assesses children who may be at high risk of developing Type 2 Diabetes in Texas Education Agency Regional Education Service Centers 1, 2, 3, 4, 10, 11, 13, 15, 18, 19, and 20. During vision/hearing and scoliosis screenings of 1st, 3rd, 5th, and 7th graders in public and private schools, certified individuals assess children for acanthosis nigricans marker, a skin condition that signals high insulin levels. Children who are positively identified with the marker undergo additional assessments of body mass index (BMI), BMI percentile, and blood pressure. Referrals are issued to the parents of these children, alerting each parent of their child's risk factors and encouraging further evaluation from a health professional. Becoming aware of and understanding what the risk factors suggest can help stimulate the changes necessary to prevent or delay future health problems for children at risk of developing Type 2 Diabetes and other conditions.
Spinal Screening
In 1985, the Texas Legislature passed House Bill 832 which requires screening for abnormal spinal curves for students in grades 6 and 9 (or 5 and 8) attending public and private schools. The guidelines were updated in the 2018-2019 school year based on new recommendations for evidenced based practice.
In compliance with Health and Safety Code, Chapter 37, all children shall undergo screening for abnormal spinal curvature in accordance with the following schedule:
- Girls will be screened two times, once at age 10 (or fall semester of grade 5) and again at age 12 (or fall semester of grade 7).
- Boys will be screened one time at age 13 or 14 (or fall semester of grade 8).
It is incumbent on schools to identify outliers (i.e. children promoted to higher grades or held back) and ensure their screenings align with appropriate ages rather than grades.
The school is then required to notify the parents if a child shows any signs of a possible curvature.
Screening Exemption:
Forms must be signed and notarized to exclude from school state-mandated screenings
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Forms
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- All medications given at school must have a properly signed form by either the parent for over-the-counter medications and physician AND parent for all prescription medication.
- Medications (including over-the-counter) will need to be brought in by a parent/guardian and will be stored in the school nurse’s office.
- Prescription medication must be in the original contains with pharmacy label matching the student and correct administration instructions.
- The school nurse will need written consent for the administration of standing order medications provided by the school. These medications include:
- Tylenol, Motrin, Benadryl, Tums, Throat Lozenge, Calamine Lotion, Eye Wash, Aloe Vera Gel
Medication Administration Consent – Doctor signature required for any prescription medication.
Standing Order Medication Consent – School provided medication.
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Asthma Action Plan – English
Medication Consent – Required with Action Plan
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Medication Consent – Required with Action Plan
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Medication Consent – Required with Action Plan
It is important to completely fill out your child's student health form so in case of an emergency, the district has the correct medical history and contact information. If any information changes during the year (telephone numbers, address, etc.), please contact the campus to update your child's form.
Nurse Linzi Feagin's office is located on the elementary campus.