Leigh Kelly, BSN, RN

Hello! My name is Leigh Kelly and I am excited to be your student's school nurse at Stewart Creek Elementary this year. I received my Bachelor of Science in Nursing degree from The University of Texas at Arlington. My background is in oncology and pediatrics. I enjoy educating on all things health and wellness. 

I am married to my high school sweetheart, Joseph and we have 2 awesome children. Madelyn is in 8th grade and Collin is attending DBU. We also have a sassy french bulldog named Piper. We have been a part of the Montgomery community for over 16 years and wouldn't want to live anywhere else.

Open communication is important. Please do not hesitate to contact me with any questions or concerns. I am looking forward to a great first year at SCE! Go Trailblazers! 

 

Leigh Kelly, BSN, RN
 School Nurse
Leigh.Kelly@misd.org

Clinic 936-276-3509
Fax 936-276-3501
Main        936-276-3500

 Required Immunizations

https://www.dshs.state.tx.us/immunize/school/default.shtm

Health Clinics that Offer Vaccinations

Express Family Clinic
16145 Hwy 105 West #600
Montgomery, TX 77356
936-463-8104
936-242-6881 Fax
No appointment necessary. Immunizations $10 each. School Physicals $30

Montgomery County Public Health Clinic
1300 South Loop 336 West, Ste. 100
Conroe, TX 77304
936-523-5020

Vaccine-Preventable Diseases and the Vaccines that Prevent Them

Disease Vaccine Disease spread by Disease symptoms Disease complications
Chickenpox Varicella vaccine protects against chickenpox. Air, direct contact Rash, tiredness, headache, fever Infected blisters, bleeding disorders, encephalitis (brain swelling), pneumonia (infection in the lungs)
Diphtheria DTaP* vaccine protects against diphtheria. Air, direct contact Sore throat, mild fever, weakness, swollen glands in neck Swelling of the heart muscle, heart failure, coma, paralysis, death
Hib Hib vaccine protects against Haemophilus influenzae type b. Air, direct contact May be no symptoms unless bacteria enter the blood Meningitis (infection of the covering around the brain and spinal cord), intellectual disability, epiglottitis (life-threatening infection that can block the windpipe and lead to serious breathing problems), pneumonia (infection in the lungs), death
Hepatitis A HepA vaccine protects against hepatitis A. Direct contact, contaminated food or water May be no symptoms, fever, stomach pain, loss of appetite, fatigue, vomiting, jaundice (yellowing of skin and eyes), dark urine Liver failure, arthralgia (joint pain), kidney, pancreatic, and blood disorders
Hepatitis B HepB vaccine protects against hepatitis B. Contact with blood or body fluids May be no symptoms, fever, headache, weakness, vomiting, jaundice (yellowing of skin and eyes), joint pain Chronic liver infection, liver failure, liver cancer
Influenza (Flu) Flu vaccine protects against influenza. Air, direct contact Fever, muscle pain, sore throat, cough, extreme fatigue Pneumonia (infection in the lungs)
Measles MMR** vaccine protects against measles. Air, direct contact Rash, fever, cough, runny nose, pink eye Encephalitis (brain swelling), pneumonia (infection in the lungs), death
Mumps MMR**vaccine protects against mumps. Air, direct contact Swollen salivary glands (under the jaw), fever, headache, tiredness, muscle pain Meningitis (infection of the covering around the brain and spinal cord), encephalitis (brain swelling), inflammation of testicles or ovaries, deafness
Pertussis DTaP* vaccine protects against pertussis (whooping cough). Air, direct contact Severe cough, runny nose, apnea (a pause in breathing in infants) Pneumonia (infection in the lungs), death
Polio IPV vaccine protects against polio. Air, direct contact, through the mouth May be no symptoms, sore throat, fever, nausea, headache Paralysis, death
Pneumococcal PCV13 vaccine protects against pneumococcus. Air, direct contact May be no symptoms, pneumonia (infection in the lungs) Bacteremia (blood infection), meningitis (infection of the covering around the brain and spinal cord), death
Rotavirus RV vaccine protects against rotavirus. Through the mouth Diarrhea, fever, vomiting Severe diarrhea, dehydration
Rubella MMR** vaccine protects against rubella. Air, direct contact Sometimes rash, fever, swollen lymph nodes Very serious in pregnant women—can lead to miscarriage, stillbirth, premature delivery, birth defects
Tetanus DTaP* vaccine protects against tetanus. Exposure through cuts in skin Stiffness in neck and abdominal muscles, difficulty swallowing, muscle spasms, fever Broken bones, breathing difficulty, death

* DTaP combines protection against diphtheria, tetanus, and pertussis.
** MMR combines protection against measles, mumps, and rubella.

 



 

 

**CHANGES FOR THE 2020-2021 SCHOOL YEAR**

This year the clinic WILL NOT be accepting over the counter medications that could mask /treat symptoms of COVID-19 such as cough, shortness of breath, headache, sore throat and body aches.  These medications include Tylenol, ibuprofen, cough drops, cough and cold medications and allergy medications not part of an allergy plan.  If your student needs one of these medications, I must have a doctor’s note and the condition for which to give the medication specified.  At this time, nebulized medications WILL NOT be administered.


Montgomery ISD Medication Policy

All medications must be brought to the clinic by an adult.  This includes cough drops, over the counter creams, etc.

Prescription drugs and Non-prescription drugs:

The school must receive an authorization to administer medication form before a medication can be given. The form is available in the clinic or on our website. This form must be signed by the parent/guardian. Any medication being taken for >14 consecutive days, must also have the physician’s signature. In addition, the following must occur:

  1. The medicine must be in the original container and not expired.
  2. All medicine must be brought to and removed from the clinic by the parent/guardian, not the student.
  3. For prescription medicine, the label must contain the student’s name, name of medication, directions for use and date.
  4. Any changes to a prescription regimen require a new medication label.
  5. For over the counter medicine, such as Advil, we can only give the recommended dosage on the bottle; any amount exceeding that requires a physician’s approval in writing.
  6. The following conditions require additional paperwork: Diabetes, Asthma, Food allergies, severe allergies requiring emergency medication and Seizure Disorders.
  7. Please only bring small quantities of over the counter (OTC) medicine due to limited space available.
  8. Medicine cannot be stored during the summer months. Please make arrangements to pick up any medication left in the clinic prior to the end of the school year. Also, each school must have a new and updated Medication Authorization form every year.

This is a MAJOR change from previous years.  Reducing the risk and spread of COVID-19 is one of the most important parts of our jobs this year.

If your child is exhibiting symptoms consistent with COVID-19,  you will be required to pick them up from school in a timely manner and follow the return to school guidelines.    

These symptoms include:fever equal or over 100.0 degrees, loss of taste or smell, cough, difficulty breathing, shortness of breath, fatigue, headache, chills, sore throat, shaking or exaggerated shivering, significant muscle pain or ache, diarrhea, nausea or vomiting. 

If a student is sent home with any of these symptoms, they are suspected to have COVID-19 unless otherwise diagnosed by a licensed healthcare provider.  

They will then have to remain home until they meet all three of the following criteria for return: 

  • At least 10 days from positive test result and/or 10 days have passed since symptoms first appeared AND
  • Has improvement in symptoms

    AND

  • At least 24 hours has passed with no fever, without the use of fever-reducing medications such as Tylenol or Ibuprofen

If you wish for your student to return before completing the above stay at home period you must:

  1. See a licensed medical professional and obtain a note clearing the child for return to school based on an alternate diagnosis AND be 24 hours fever, vomit or diarrhea free without symptom-reducing medications,
  2. Obtain an acute infection test at an approved testing location(https://tdem.texas.gov/covid-19/ (opens external link in new window)) that comes back negative for COVID-19 AND be 24 hours fever, vomit or diarrhea free without symptom-reducing medications.

 

You MUST contact the school nurse the day BEFORE reentering school to be cleared for return based on the criteria above.  The student may not ride the bus or be dropped off at school until they have been cleared.

Students with the following NON-COVID-19 Related conditions shall be excluded from school:

  • Eyes inflamed with purulent discharge, suspected conjunctivitis 
  • Head lice (must be live lice-free with continued progress toward removing nits to come back to school)
  • Skin lesions (i.e. impetigo, ringworm and scabies) until under treatment and can be covered 
  • Communicable disease 

** You must contact the school nurse BEFORE reentry.  Please send a doctor's note or parent note upon returning to school when your student is out due to illness**

 

 

 


Domestic Violence and abuse is rising, especially during this time as families may not feel safe presenting at a hospital or have knowledge of the 24 clinic at MCHD.
 
Should you or someone you know suspect or experience any type of abuse, please contact your local police department and/or Texas Forensic Nurse Examiners for forensic nursing services & advocacy. Children and Adults can be seen at MCHD 24 hour clinic 1300 South Loop 336 West, Conroe, 77304.
 
Texas Forensic Nurse Examiners 24 hour number 281-306-6893 option 1
Montgomery County Sheriffs Office 936-760-5800

Montgomery Police Department 936-597-6866

Conroe Police Department 936-522-3200
Montgomery County Constable's Office 281-364-4211
Shenandoah Police Department 281-367-8952

For Emergencies please call 911

 

 

Gallon/Quart sized Zip lock bags

New Underwear (all sizes boys/girls)

Bottoms (elastic waist)

Soft peppermints

Ginger Ale

Sanitizer

Clorox Wipes

Please refer to the following reliable resources to learn about more information regarding the COVID-19 pandemic.

 

At this time social distancing and basic preventive hygiene is key to remaining healthy and slowing the spread.

 

Please click on the following link on How to Protect Yourself

CDC - COVID 19 Homepage(opens external link in new window) (opens external link in new window)

 

HealthyChildren.org(opens external link in new window) (opens external link in new window) - This website is recommended by the American Academy of Pediatrics and is updated regularly regarding the COVID-19 pandemic.  It has a lot of great information concerning the virus and children and families.

Texas Department of State Health Services (opens external link in new window) (opens external link in new window)- for information about the COVID-19 pandemic from the state of Texas

Montgomery County Health Department(opens external link in new window) (opens external link in new window) - for information regarding closures, precautions and cases in Montgomery County.

Montgomery County COVID19 Hub(opens external link in new window) (opens external link in new window) - Not only provides information on cases in Montgomery County, but also school and government closures

Johns Hopkins Real Time COVID-19 Case Map(opens external link in new window) (opens external link in new window) - This is a reliable and interesting real time tracking website of cases across the world.

It's Cold and Flu season. Don't forget to get your flu shot for your family!  https://www.cdc.gov/flu/

Action Steps for Parents to Protect Your Child and Family from the Flu and other Contagious Illness this School Year

As you know, cold and flu season is upon us again.  We have had children absent from school with diagnosed cases of the flu as well as other contagious illness, (Strep throat and the good ole common cold among them).  Please read the following information and share with your children.    
                
 Symptoms of FLU                                                               Symptoms of the Common Cold

·Fever
· Coughing and/or sore throat
·Runny or stuffy nose
·Headaches and/or body aches
·Chills
·Fatigue/exhaustion
·Sometimes vomiting/diarrhea esp. in children

 

  • Stuffy nose
  • Sneezing, sore throat
  • Hacking cough
  • Runny nose
  • Headaches
  • Sometimes earaches from congestion

THE DISTRICT POLICY STATES THAT YOUR CHILD MUST BE FEVER FREE FOR 24 HOURS (AND NOT ON FEVER REDUCERS) FOR 24 HOUR PERIOD AFTER RUNNING A TEMPERATURE OF 100.0 OR GREATER IN ORDER TO RETURN TO SCHOOL.  If your child is sick, it is important for them to stay home from school, rest, and drink plenty of fluids. If your child is truly sick, he/she cannot do his/her best at school and risks exposing others to the same illness.

 

  • Please take your child’s temperature if you think he/she has a fever.
  • Do not send your child to school if your child has vomited in the last 12 hours, is achy, and/or has a really bad cough and/or sore throat.
  • Do not send your child to school if your child has had a temp in the last 24 hours or been on fever reducers 24 hours after temperature.
  • YOU may bring medication for your child to the clinic, including cough drops, headache meds, etc. Your child may not bring medications to the school.

SIMPLE STEPS FOR KEEPING YOU AND YOUR CHILD HEALTHY

  • Get yours/your child’s flu shot (it’s not too late, but it does take 2 weeks to start working)
  • Please don’t share drinks, food, cell phones, etc. This is an excellent way to pass germs.
  • Wash, Wash, Wash….we can’t say this enough. This is the single most important thing you can do to prevent the spreaof germs.Wash for a full 20 seconds (Happy Birthday song twice).If you cannot wash, please use Germ-X.The passing of germs can be reduced/stopped with this simple step.Cold and flu germs can live on porous surfaces like paper, books, and clothes for up to 12 hours.The viruses can live on nonporous surfaces like computers, cell phones, doorknobs, desks, pencils, remote controls, toys, fridge handles, etc for up to 2 days.Use anti-bacterial wipes or spray to help with the viruses on these surfaces.
  • Cover your mouth and nose with a tissue when sneezing or coughing and dispose of the tissue in a proper trash receptacle.If you don’t have a tissue, cough or sneeze into your elbow or shoulder; not into your hands. Wash your hands after using a tissue or use Germ-X.
  • Don’t touch your mouth, nose or eyes without washing your hands or using Germ-X.

Antiviral medication is generally available for the flu, but must be taken within the first 24-48 hours to be effective.  At this time of year, with the flu season so high, it may be difficult to find.

 

 IS IT A COLD OR THE FLU?

Knowing the difference between a cold and the flu can speed up recovery:

SYMPTOMS                              …..OF A COLD                     …..OF THE FLU

Fever

Rare

Usually present. Higher than 100°F is associated with the flu

Chills

Mild

Moderate to severe

Headache

Uncommon

Common

Body Aches, Pain

Slight

Usual; often severe

Fatigue, Weakness

Fairly mild

Moderate to severe

Runny/Stuffy nose

Common

Sometimes

Sneezing

Yes

No

Sore Throat

Common

Not Common

Chest Discomfort

Mild to Moderate

Often Severe

Cough

Hacking, Productive

(Mucus producing)

Non-productive

(non-mucus producing)

Treatment

Antihistamines,

Decongestants,

Pain relievers

Antiviral medications-

See your doctor

Prevention

Wash your hands often with soap and water/Germ-X; Avoid close contact with anyone with a cold

Wash your hands often with soap and water/Germ-X;

Annual vaccination;

Antiviral medications-see your doctor

Complications

Sinus infection, Ear infection, Asthma, Bronchitis

Sinus infections, Bronchitis, Pneumonia; Can worsen chronic conditions; Can be life-threatening.

Complications more likely in the elderly, those with chronic conditions, young children and pregnant women

 This content is provided for informational purposes only and is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health professional before starting any new treatment of vigorous physical activity or making any changes to existing treatment or activities.  Do not delay seeking or disregard medical based on the content presented here. 

Lice Life Cycle

MISD has a NO Live Lice Policy concerning head lice.  A child that is found to have live head lice will be sent home.  Please do Not send a child to school that you know has live lice.  The child is not to return to school until they have been properly treated and all live lice are gone from the hair.  After treatment is done at home, the child must return to the school nurse for inspection BEFORE returning to the class room.  If live lice are found, the student will be sent back home.  If nits (eggs) are found the child will be monitored by the school nurse.  Please retreat your child one week after the first treatment as any missed eggs may hatch and causing the problem to start over again.

HEAD LICE  
                                   

What are Head Lice?

Lice are parasites, little insects that live only on human scalp and hair.  Away from the scalp, lice can survive only 1 – 2 days.  Head lice are harmless, however may cause extreme itching.  The female louse attaches approximately 60 – 150 eggs (nits) to the hair shaft near the scalp with a cement-like substance.  The average life span of each louse if untreated is 30 days.

How are they spread?

Head lice are spread by direct contact with an infested person or indirectly by sharing clothing, bedding, combs, brushes, upholstered furniture in home and car etc.  Lice cannot jump or fly; they are only capable of crawling.  Lice and nits are responsible for transmission from one person to another.

Where are they found?

Nits (eggs) are most commonly detected at the crown of the head, behind the ears and at the nap of the neck.  Nits firmly attach to the hair shaft, close to the scalp and are very difficult to remove due to the cement like substance they produce.  Dandruff, hair sprays etc., are commonly seen during examination (careful attention needs to be made to avoid misdiagnosis due to the similarities in appearance).  Nits are difficult to remove from the hair shaft.  Dandruff is easily flaked away from the hair shaft. A bright light or sunlight helps to visualize the nits. 

Recommended Treatment:

  1. Use a medicated shampoo or cream rinse that your Health Care Provider recommends.Apply the solution following the directions and consult a physician before treating infants, pregnant or nursing women, or people with extensive cuts or scratches.
  2. In addition to using the medicated shampoo or cream rinse, you can also use a white vinegar and water rinse.A 50/50 solution has been found to loosen the nits and aid in their removal.After the treatment a fine tooth stainless, steel comb should be used to remove the nits, working from the scalp outward.
  3. Check for nits daily for the next 10-14 days, Repeat treatment as directed by product information.
  4. Put on clean clothes. Clothing, jackets, backpacks, bedding and cloth toys can be disinfected by machine washing or drying using hot cycles for at least 20 minutes.
  5. Dry cleaning, or storing articles in plastic bags for 48 hours is also effective.
  6. Disinfect combs and brushes by soaking in hot water for 10 minutes.You may choose to wash them with the chosen lice removal solution.
  7. All carpets, sofas, chairs and interior of cars must be vacuumed and the vacuum bag must be tied tightly and thrown away.
  8. Family members must be instructed on the importance of using only their own comb, brush, hat, coat, etc

 

 

Resources

https://www.cdc.gov/parasites/lice/

https://fairytaleshaircare.com/

https://vamousselice.com/

https://theliceplace.com/


  • Please screen your child every morning before school for symptoms of COVID-19.  It is imperative that you keep them home and take them to the doctor if they are showing any symptoms of illness.  Please call me if you are uncertain or have questions.
  • Face coverings or face shields are mandatory for students ages 10 and up and HIGHLY RECOMMENDED for all students.  Masking will be taken into consideration when determining close contacts in a positive COVID-19 situation.
  • Practice wearing masks at home to help younger students adjust to wearing them at school.
  • It is important to clean face shields or cloth face coverings every day if possible. Your child should wear a clean mask or face shield to school every day.
  • Please send a refillable water bottle as water fountains will not be used.  Teachers will assist students in refilling water bottles as needed.
  • Please send a change of clothes in your child’s backpack.  I recommend this for all grade levels.  This is useful not only for potty accidents but for food spills, mud, paint, rips etc. I have a small supply of clothes in the clinic, but your child will feel more comfortable if they have their own clothes.
  • Label jackets and lunch kits.  Students will be carrying their own personal items.
  • Please remind your child of cough and sneeze etiquette: Cough or sneeze into a tissue or sleeve and not into hands. Always wash hands with soap and water for 20 seconds after coughing or sneezing into hands. 
  • Please remind your child of the proper hand washing technique: vigorous friction rub for 20 seconds with soap and rinse with water.