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Health Services

School Health Services

Amanda Michael, BSN RN

District Nurse

JH/HS Office Hours: 7:30a-4:00p

Lunch: 12:10p-12:40p


Cristina Briseno

Elementary Campus Nurse’s Aide

Elementary Office Hours: 7:30a-4:00p

Lunch: 12:30p -1:00p




*Notice to Parents: Each campus does not have a full-time nurse. 

Annual Health Screenings

Vision and Hearing

These screenings are mandated by Texas law in grades KG, 01, 03, 05, 07, and students in other grades who are new to ST-ISD. Parents of students who fail vision screening will receive a referral letter from the school nurse recommending a more comprehensive exam by an eye doctor. Parents of students who fail hearing screening will receive a letter from the school nurse for a more comprehensive exam by a physician.


This screening is mandated by Texas law as follows: 

  • 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).

Spinal screening is designed to detect abnormalities that may be indicative of conditions such as scoliosis, kyphosis, or lordosis. This is done in a private environment by the school nurse. Parents of students who have any positive findings will receive a letter from the school nurse with recommendations.

Acanthosis Nigricans

This screening is mandated by Texas law in grades 01, 03, 05, and 07 and is usually done at the same time as vision and hearing screening. Acanthosis Nigricans (AN) is a skin discoloration that may indicate high levels of insulin in the blood which results from insulin resistance. Insulin resistance can create a potential risk for the development of Type 2 Diabetes. The skin on the nape of the neck will be visually examined. If the AN marker is noted, then the student will have blood pressure, height, and weight measured. Parents will be notified of these specific findings.

If you have any questions about any of these screenings or your child’s results, please contact the school nurse.

Exclusion from School for Health Reasons

To decrease the spread of communicable illnesses, students with certain symptoms or diagnosed diseases are not allowed to come to school while they are contagious.  Please contact the STISD school nurse if you are not sure whether or not your child should return to school.  STISD  Health Services utilizes recommendations from the Texas Department of State Health Services (DSHS), Texas Administrative Code and the CDC to determine these guidelines.



Students with a temperature of 100º F or greater will not be allowed to attend school.  Students should stay home until fever-free for 24 hours without the use of a fever suppressing medication (ie Tylenol, Motrin, Aleve, Advil, Ibuprofen, Acetaminophen).



Students who vomit 2 or more times in 24 hours should not attend school until free of vomiting for 24 hours without vomiting suppressing medication (ie Dramamine,Pepto-Bismol) .  However, there are many reasons a child may vomit.  All students who vomit will be evaluated by the school health professional.  The judgment of the school health professional will be utilized to determine if the cause may be infectious and the need to send home and/or allow readmission. 



Students with frequent loose stools (three or more episodes in 24 hours) must not attend school until diarrhea free for 24 hours without diarrhea suppressing medication (ie Imodium,Pepto-Bismol) .  The judgment of the school health professional will be utilized to determine if the cause may be infectious and the need to send home and/or allow readmission.


Pinkeye (conjunctivitis):

Students with pink or red sclera will be evaluated by a school health professional.  If conjunctivitis is suspected, the student will be sent home until a doctor provides a note clearing the student to return to school, the student has been taking antibiotics for 24 hours, and/or until the student is symptom free. 

COVID-19 symptoms:

Please follow the S-T District Student Process Map. 





*When antibiotics are prescribed, your child must complete a full 24 hours of doses before returning to school. They must also be fever-free (without fever reducing medications) and well enough to participate in the entire school day program.


In addition, STISD will follow the exclusion criterion for any conditions listed in the most recent version of the Communicable Disease Chart and Notes for Schools and Child-Care Centers, Texas DSHS.

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