Student Support Services » Health Services

Health Services

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.

 

At the school sites listed below we have Health Clerks who assist and manage our students and their health care needs on a daily basis. Among their many duties, Health Clerks also play a vital role in promoting and maintaining immunization compliance within our schools. 
 
Center St. Health Clerk
Mae Schobel mschobel@esusd.k12.ca.us
(310) 615-2676
 
Richmond St. Health Clerk
Jana Pandula-Park jpandulapark@esusd.k12.ca.us
(310) 606-6831
 
El Segundo Middle School Health Clerk
Kim Corrales kcorrales@esusd.k12.ca.us
(310) 615-2690

 

Each student enrolling for the first time in ESUSD shall present an immunization record from their private or public health care provider certifying that he/she has received all required immunizations in accordance with California law. Students shall be excluded from school or exempted from immunization requirements only as allowed by law.
 
For current school immunization laws please refer to the Shots for School website:
https://www.shotsforschool.org/
 
Students Admitted at TK/K-12 Need:
• 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
 
These immunization requirements also apply to students entering transitional kindergarten.
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.
Parents/guardians shall be responsible for notifying the school regarding any food allergies or other special dietary needs of their child. For severe food allergies with the potential of causing anaphylactic shock, an Anaphylaxis Emergency Care Plan is to be completed by the parent/guardian, and signed by the physician. To obtain this care plan click Anaphylaxis Care Plan 
 
https://www.fda.gov/food/buy-store-serve-safe-food/what-you-need-know-about-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
8. Soybeans
Throughout the district we have a total of 6 automated external defibrillators (AEDs) to be used in case of cardiac emergencies. Employees receive training on their proper use and handling annually.
 
If a student is found with active, adult head lice, he/she shall be excluded from attendance. Instructions will be provided and the student may return the next day after a thorough head check, having no presence of live lice.
 
For helpful care instructions please refer to the Parents Guide to Head Lice:
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/AParentsGuidetoHeadLice.pdf
Any medication to be stored and potentially administered during the school day is required to have a physician order and signature. The following Medication Authorization form is to be completed and signed by the designated health care provider and parent/guardian. One form is to be completed for each medication and is valid for 1 year maximum. To access the form, click Medication Authorization Form
In your Kindergarten registration packets you received two forms related to your child’s health:
 
• Report of Health Examination for School Entry
https://www.dhcs.ca.gov/formsandpubs/forms/Forms/ChildMedSvcForms/pm171a
 
California law requires both assessments to be completed to attend public schools. Please view, print and take with you to your child’s next scheduled appointments. Once completed, you can physically turn in your forms to the health office or email them to your respective health clerks.
 
Center St—Mae Schobel, mschobel@esusd.k12.ca.us
Richmond St—Jana Pandula-Park, jpandulapark@esusd.k12.ca.us
Vision and hearing screenings are routinely performed on all students in TK, K, 2nd, 5th, and 8th grade.
Color-blindness screenings are performed on 1st grade boys.
Scoliosis screenings are performed on 7th grade girls and 8th grade boys.
 
Free and Low-cost Health Clinics
https://www.freeclinics.com/cit/ca-los_angeles
 
South Bay Family Health Care
Offices in Redondo Beach/ Gardena/ Inglewood
For appointments call: 310-802-6170
 
Curtis Tucker Health Center
123 Manchester Blvd
Call: 310-419-5376
 
Venice Family Clinic
604 Rose Ave / Also locations in Santa Monica/ Mar Vista
For appointments call: 310-392-8636
 
Westside Family Health Centers
1711 Ocean Park Blvd – Santa Monica
Call: 310-517-4784
 
Torrance Health Center
2300 W. Carson – Torrance
Call: 310-222-6571
 
Nearby Free and Low-cost Mental Health Services
https://www.bchd.org/resources-category/mental%20health?page=1
If your child has asthma, please complete this form and return to school-Asthma Action Plan
Watch this video on proper use of an asthma inhaler-https://youtu.be/BbONuRXJdr0
 
Your child's asthma is well controlled if
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.
If your child has seizures, please complete this form and return it to school.
https://www.epilepsy.com/sites/core/files/atoms/files/SCHOOL%20Seizure%20Action%20Plan%202020-April7_FILLABLE.pdf
 
 
A Seizure Emergency Action Plan will be created and reviewed with your child's teacher(s) and other supportive school staff. If your child has emergency medication prescribed, additional training will be provided to staff on the administration per physician orders.
 
How to administer Rectal Diazepam (Diastat)
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
How to administer nasal Diazepam (Valtoco) 
 
No two students manage their diabetes in the exact same way. Some students get their insulin using a syringe and vial, others use insulin pens, and others have insulin pumps. Some students manage their diabetes independently. But younger or newly diagnosed students may need help with all aspects of their diabetes care. For this reason, doctor's orders for school care need to be specific for each student. The American Diabetes Association has created a DMMP template that can be customized for each student.
 
If your child has type 1 diabetes please complete this form and return it to school. Diabetes Management Plan.
An Individualized Healthcare Plan will be created based upon this Diabetes Management Plan.
 
How to administer Glucagon injection https://www.youtube.com/watch?v=OC-dcDgmXuI
How to administer Baqsimi (Glucagon nasal spray) https://www.baqsimi.com/how-to-use-baqsimi

Concussion Signs Observed
• 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.
 
Concussion Symptoms Reported
• 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.
• Just not “feeling right,” or “feeling down”.
 
Steps to return to regular activity
 
Returning to Sports and Activities
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.
 
6-Step Return to Play Progression
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

Nutrition

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?
MyPlate is a reminder to find your healthy eating style and build it throughout your lifetime. Everything you eat and drink matters. The right mix can help you be healthier now and in the future. This means:
• 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?
 
 
Water
 
https://www.medicalnewstoday.com/articles/290814
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.
 
 
Exercise

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.
These three types of physical activity should be included each week for children and adolescents:
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 annual training to be completed in September of each school year: