Health Services
School Nurse and Health Clerks
Roxanne Vollmer, BSN, RN
Email rvollmer@esusd.k12.ca.us
Phone (310) 615-2662 x2376
Fax (310) 640-8079
Our students' health and safety is a top priority! As a school nurse I oversee and supervise the delivery of health care in our schools. I develop individualized health care plans for students with medical conditions requiring health care during the school day. I also create emergency care plans for students at risk for medical emergencies. As a member of the Special Education team, I perform nursing assessments on students being evaluated for Individual Education Plans. I also perform vision and hearing screenings, and scoliosis screenings. Additionally, I review student records and help facilitate compliance with immunizations to prevent the spread of infectious disease in our community.
As the district nurse I oversee the health and safety of students throughout the entire school district. I travel between all campus sites: Center St. Richmond St. El Segundo Middle School, El Segundo High School, Arena, and Eagles Nest. My office is located at El Segundo High School, however I do not have set office hours and I travel throughout the district. It is best to contact me via email.
Immunizations
https://www.shotsforschool.org/
• Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses, 4 doses OK if one was given on or after 4th birthday, 3 doses OK if one was given on or after 7th birthday. For 7th-12th graders, at least 1 dose of pertussis-containing vaccine is required on or after 7th birthday.
• Polio (OPV or IPV) — 4 doses, 3 doses OK if one was given on or after 4th birthday
• Hepatitis B — 3 doses
• Measles, Mumps, and Rubella (MMR) — 2 doses, both given on or after 1st birthday
• Varicella (Chickenpox) — 2 doses
California schools are required to check immunization records for all new student admissions at TK/Kindergarten through 12th grade and all students advancing to 7th grade before entry. Parents must show their child's Immunization Record as proof of immunization.
Food Allergies
What Are Major Food Allergens?
While more than 160 foods can cause allergic reactions in people with food allergies, the top 8 common allergenic foods are listed below. These foods account for 90 percent of food allergic reactions and are the food sources from which many other ingredients are derived.
1. Milk
2. Eggs
3. Fish (e.g., bass, flounder, cod)
4. Crustacean shellfish (e.g., crab, lobster, shrimp)
5. Tree nuts (e.g., almonds, walnuts, pecans)
6. Peanuts
7. Wheat
Cardiac Emergencies
Head Lice
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/AParentsGuidetoHeadLice.pdf
Medications
Health Examinations
https://www.dhcs.ca.gov/formsandpubs/forms/Forms/ChildMedSvcForms/pm171a
Richmond St—Jana Pandula-Park, jpandulapark@esusd.k12.ca.us
Health Screenings
Color-blindness screenings are performed on 1st grade boys.
Scoliosis screenings are performed on 7th grade girls and 8th grade boys.
Access to Health Care
Application for health insurance https://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/2014_CoveredCA_Applications/ENG-CASingleStreamApp.pdf
Offices in Redondo Beach/ Gardena/ Inglewood
For appointments call: 310-802-6170
123 Manchester Blvd
Call: 310-419-5376
604 Rose Ave / Also locations in Santa Monica/ Mar Vista
For appointments call: 310-392-8636
1711 Ocean Park Blvd – Santa Monica
Call: 310-517-4784
2300 W. Carson – Torrance
Call: 310-222-6571
https://www.bchd.org/resources-category/mental%20health?page=1
Asthma
Watch this video on proper use of an asthma inhaler-https://youtu.be/BbONuRXJdr0
1. They have symptoms no more than 2 days a week, and these symptoms don’t wake them from sleep more than 1 or 2 nights a month.
2. They can do all of their normal activities.
3. They have no more than 1 asthma attack per year.
4. Their peak flow (a measurement of how well air moves in and out of your lungs) doesn’t drop below 80% of their personal best number.
5. They need to take quick-relief medicines no more than 2 days a week.
Seizure Disorder
https://www.epilepsy.com/sites/core/files/atoms/files/SCHOOL%20Seizure%20Action%20Plan%202020-April7_FILLABLE.pdf
https://mail.google.com/mail/u/0/?tab=rm&ogbl#search/jana
How to administer nasal Midazolam (Versed) for ages 12+
https://www.youtube.com/watch?v=CfK8kgWA7ew
Diabetes
Concussion
• Can’t recall events prior to or after a hit or fall.
• Appears dazed or stunned.
• Forgets an instruction, is confused about an assignment or position, or is unsure of the game, score, or opponent.
• Moves clumsily.
• Answers questions slowly.
• Loses consciousness (even briefly).
• Shows mood, behavior, or personality changes.
• Headache or “pressure” in head.
• Nausea or vomiting.
• Balance problems or dizziness, or double or blurry vision.
• Bothered by light or noise.
• Feeling sluggish, hazy, foggy, or groggy.
• Confusion, or concentration or memory problems.
https://www.cdc.gov/headsup/pdfs/schools/TBI_schools_checklist_508-a.pdf
Fact Sheet for Parents
https://www.cdc.gov/headsup/pdfs/schools/TBI_factsheets_PARENTS-508-a.pdf
After a concussion, an athlete should only return to sports practices with the approval and under the supervision of their health care provider. When available, be sure to also work closely with your team’s certified athletic trainer.
Below are six gradual steps that you, along with a health care provider, should follow to help safely return an athlete to play. Remember, this is a gradual process. These steps should not be completed in one day, but instead over days, weeks, or months. See link above.
Step 1: Back to regular activities (such as school)
Step 2: Light aerobic activity
Step 3: Moderate activity
Step 4: Heavy, non-contact activity
Step 5: Practice & full contact
Step 6: Competition
Health Promotion
https://www.choosemyplate.gov/browse-by-audience/view-all-audiences/children/kids
How’s your diet? Is your child getting the nutrients they need to grow up healthy and strong?
• Focus on variety, amount, and nutrition.
• Choose foods and beverages with less saturated fat, sodium, and added sugars.
• Start with small changes to build healthier eating styles.
• Support healthy eating for everyone.
Eating healthy is a journey shaped by many factors, including our stage of life, situations, preferences, access to food, culture, traditions, and the personal decisions we make over time. All your food and beverage choices count. MyPlate offers ideas and tips to help you create a healthier eating style that meets your individual needs and improves your health. For a colorful visual of MyPlate and the 5 food groups, download What's MyPlate All About?
Are you drinking enough water? Is your child drinking enough water?
Children should be encouraged to drink water:
• as part of the daily routine, for example, after brushing teeth and before, during and after playtime at school
• when the weather is warm
• as an alternative to sweetened drinks and juices
Juice consumption should be limited to one glass a day.
Parents are advised to keep a pitcher handy to encourage healthful water-drinking habits, and schools should have water fountains or equivalent facilities.
Children who are sick with a fever
For children who are at risk of dehyration, for example, with a fever, the CDC recommend the following:
Age Amount of fluid needed
Up to 12 months 3 cups
1 to 3 years 4 cups
4 to 8 years 5 cups
6 to 13 years 8 cups
14 years and over 11 to 13 cups for males and 8 to 9 cups for females
If a child is sick with a fever, it is important to seek medical help. A doctor may also advise oral an rehydration solution to ensure an adequate electrolyte balance.
https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf#page
How much exercise to children need? See page 46 on link above.
1. Aerobic Activity
Most of your child’s daily 60 minutes of physical activity should be aerobic activities, like walking, running, or anything that makes their hearts beat faster. In addition, encourage them to do aerobic activities at least 3 days a week that make them breathe fast and their hearts pound.
2. Muscle-Strengthening
Include muscle-strengthening activities, such as climbing or doing push-ups, at least 3 days per week as part of your child’s daily 60 minutes or more.
3. Bone-Strengthening
Include bone-strengthening activities, such as jumping or running, at least 3 days per week as part of your child’s daily 60 minutes or more.
Staff Training