Nurse's Notes & Forms

<p class="editor-paragraph"><span style="white-space: pre-wrap;">The Trumbull County Health Department has a monthly walk-in clinic located at 194 West Main Street Cortland, OH 44410. The dates are </span><b><strong class="editor-text-bold" style="white-space: pre-wrap;">August 11, September 8, October 13, November 10, December 8 2026.</strong></b><span style="white-space: pre-wrap;">&nbsp;Walk-in times are during the hours of 9-11 am and 1-3 pm. If you are behind on vaccines and are unable to make those dates or for more information, please call </span><a href="tel:330-675-2489" class="editor-link"><span style="white-space: pre-wrap;">330-675-2489</span></a><span style="white-space: pre-wrap;"> for an appointment time.</span></p><p class="editor-paragraph"><a href="/documents/cf0bc2d9-4427-5faf-a5df-554485296222/Children_Immunization_Clinic_2026.pdf?fingerprint=ppb20260709190018" class="editor-link"><span style="white-space: pre-wrap;">Children Immunization Clinic 2026.pdf</span></a></p>

<p class="editor-paragraph"><span style="white-space: pre-wrap;">Parents, for purposes of tracking influenza activity in the district, refer to the symptoms below when reporting your child off with the flu.&nbsp; If you child has been diagnosed with respiratory influenza and is under a Doctor’s care please let the school know.&nbsp; We track the number of reported flu cases and notify district families when the numbers are high.&nbsp; Refer to </span><a href="http://www.cdc.gov/flu/" class="editor-link"><b><strong class="editor-text-bold" style="white-space: pre-wrap;">www.cdc.gov/flu</strong></b></a><span style="white-space: pre-wrap;"> for comprehensive influenza information and current state by state flu activity. As always, prevention is your best weapon in the fight against the flu, frequent hand washing, avoiding individuals known to be ill, avoiding crowds, as well as proper rest and nutrition will all help decrease the likelihood of contracting influenza.&nbsp; Thank you</span></p><p class="editor-paragraph"><b><strong class="editor-text-bold" style="white-space: pre-wrap;">Influenza Symptoms</strong></b></p><p class="editor-paragraph"><span style="white-space: pre-wrap;">Influenza (also known as the flu) is a contagious respiratory illness caused by flu viruses. It can cause mild to severe illness, and at times can lead to death. The flu is different from a cold. The flu usually comes on suddenly. People who have the flu often feel some or all of these symptoms:</span></p><ul class="editor-list-ul"><li value="1" class="editor-listitem"><span style="white-space: pre-wrap;">Fever* or feeling feverish/chills</span></li><li value="2" class="editor-listitem"><span style="white-space: pre-wrap;">Cough</span></li><li value="3" class="editor-listitem"><span style="white-space: pre-wrap;">Sore throat</span></li><li value="4" class="editor-listitem"><span style="white-space: pre-wrap;">Runny or stuffy nose</span></li><li value="5" class="editor-listitem"><span style="white-space: pre-wrap;">Muscle or body aches</span></li><li value="6" class="editor-listitem"><span style="white-space: pre-wrap;">Headaches</span></li><li value="7" class="editor-listitem"><span style="white-space: pre-wrap;">Fatigue (tiredness)</span></li><li value="8" class="editor-listitem"><span style="white-space: pre-wrap;">Some people may have vomiting and diarrhea, though this is more common in children than adults.</span></li></ul><p class="editor-paragraph"><i><em class="editor-text-italic" style="white-space: pre-wrap;">* It's important to note that not everyone with flu will have a fever</em></i><span style="white-space: pre-wrap;"> (cdc.gov)</span></p>

<p class="editor-paragraph"><span style="white-space: pre-wrap;">If you watch the news you have no doubt heard the flu is starting to show up across the country.&nbsp; The CDC reports it is especially strong in young adults.&nbsp; Please remember to reinforce good flu precaution habits like covering coughs &amp; sneezes, frequent hand washing, proper nutrition &amp; rest.&nbsp; For more comprehensive, current influenza information check out the CDC website at: </span><a href="http://www.cdc.gov/flu/" class="editor-link"><span style="white-space: pre-wrap;">http://www.cdc.gov/flu/</span></a></p>

<p class="editor-paragraph"><a href="/documents/1f23873b-d01a-5662-ab7f-4ef88645e6ae/Nurse_s_Desk_Winter_Newsletter_25_26.pdf?fingerprint=ppb20260709190007" class="editor-link"><span style="white-space: pre-wrap;">Nurse's Desk Winter Newsletter 25-26.pdf</span></a></p>

<p class="editor-paragraph"><a href="/documents/accd272a-124e-5223-bba0-83d1e644bccb/Summer_Nurse_s_Newsletter_2025.pdf?fingerprint=ppb20260709190016" class="editor-link"><span style="white-space: pre-wrap;">Summer Nurse's Newsletter 2025.pdf</span></a></p>

<p class="editor-paragraph"><span style="white-space: pre-wrap;">Parents,</span></p><p class="editor-paragraph"><span style="white-space: pre-wrap;">In preparation for the upcoming school year the clinic needs a few things in order to help keep students safe at school.</span></p><ul class="editor-list-ul"><li value="1" class="editor-listitem"><span style="white-space: pre-wrap;">Please review/complete </span><a href="/go/de9ae234-2ed4-5c66-a475-5128d0f62c1c" data-permalink="" class="editor-link"><span style="white-space: pre-wrap;">FinalForms</span></a><span style="white-space: pre-wrap;"> for each of your students prior to the first day of school</span></li><li value="2" class="editor-listitem"><span style="white-space: pre-wrap;">Provide current action plans for students with asthma, seizures, or anaphylaxis as well as needed rescue medications. These need to be in the clinic before school starts. If your student carries their inhaler etc on them during the school day we still need the action plan on file in the clinic.</span></li><li value="3" class="editor-listitem"><span style="white-space: pre-wrap;">If your child has a food allergy make the cafeteria aware. If substitutions are required a doctor’s order is needed if not already on file. &nbsp;</span><b><strong class="editor-text-bold" style="white-space: pre-wrap;">Contact </strong></b><a href="mailto:sally.deehr@labrae.school" class="editor-link"><b><strong class="editor-text-bold" style="white-space: pre-wrap;">sally.deehr@labrae.school</strong></b></a><b><strong class="editor-text-bold" style="white-space: pre-wrap;"> for cafeteria issues.</strong></b></li><li value="4" class="editor-listitem"><span style="white-space: pre-wrap;">Medications that are required to be given daily in school require a written doctor’s order. An adult must bring the medication to school.&nbsp; Do not send medications to school with students.</span></li><li value="5" class="editor-listitem"><span style="white-space: pre-wrap;">Generic action plans and medication orders are available at the </span><a href="/go/63699bab-fc20-5cb0-8600-5871af3c1165" data-permalink="" class="editor-link"><span style="white-space: pre-wrap;">Nurse’s Notes &amp; Forms</span></a><span style="white-space: pre-wrap;"> page.</span></li><li value="6" class="editor-listitem"><span style="white-space: pre-wrap;">Finally, students in grade 7 need to show proof of a Tdap &amp; meningitis shot, Students in grade 12 must show proof of a meningitis booster shot or, if they were over 16 when the first shot was given, the date of the first meningitis shot. Any K student who was not up to date at the time of registration must provide a current shot record.&nbsp; All students newly enrolled in the district, regardless of grade level, need an up to date shot record on file also.&nbsp; Immunization records are due by September 30.</span></li></ul><p class="editor-paragraph"><span style="white-space: pre-wrap;">Elizabeth Sutliff MSN, APRN, FNP-C</span><br><span style="white-space: pre-wrap;">School Nurse</span><br><a href="mailto:liz.sutliff@labrae.school" class="editor-link"><span style="white-space: pre-wrap;">liz.sutliff@labrae.school</span></a></p>

<p class="editor-paragraph" id="docs-internal-guid-7080ab17-fc70-f4e1-c227-e21ebf74698e"><span style="white-space: pre-wrap;">Parents, schools are required to track the incidence of influenza for the County Health Department. &nbsp;If you are calling your child off for the flu please keep in mind, for the purpose of reporting, the following are considered symptoms of Influenza:</span></p><ul class="editor-list-ul"><li value="1" class="editor-listitem"><span style="white-space: pre-wrap;">Sudden onset of symptoms</span></li><li value="2" class="editor-listitem"><span style="white-space: pre-wrap;">Fever&gt;100 degrees</span></li><li value="3" class="editor-listitem"><span style="white-space: pre-wrap;">Headache</span></li><li value="4" class="editor-listitem"><span style="white-space: pre-wrap;">Muscle aches</span></li><li value="5" class="editor-listitem"><span style="white-space: pre-wrap;">Cough</span></li><li value="6" class="editor-listitem"><span style="white-space: pre-wrap;">Sore throat</span></li><li value="7" class="editor-listitem"><span style="white-space: pre-wrap;">Fatigue</span></li></ul>

<p class="editor-paragraph"><span style="white-space: pre-wrap;">Your student may need a booster shot to be in compliance. Please check with your health care provider.</span></p><p class="editor-paragraph"><a href="/documents/893d5784-ce58-5245-bec6-172a8535f138/Meningitis_Flyer.pdf?fingerprint=ppb20260709190014" class="editor-link"><span style="white-space: pre-wrap;">Meningitis-Flyer.pdf</span></a></p>

<p class="editor-paragraph"><b><strong class="editor-text-bold" style="white-space: pre-wrap;">Regarding immunization requirements for students in 7</strong></b><b><sup style="white-space: pre-wrap;"><strong class="editor-text-bold">th</strong></sup></b><b><strong class="editor-text-bold" style="white-space: pre-wrap;"> &amp; 12</strong></b><b><sup style="white-space: pre-wrap;"><strong class="editor-text-bold">th</strong></sup></b><b><strong class="editor-text-bold" style="white-space: pre-wrap;"> grades</strong></b></p><ul class="editor-list-ul"><li value="1" class="editor-listitem"><span style="white-space: pre-wrap;">7</span><sup style="white-space: pre-wrap;"><span>th</span></sup><span style="white-space: pre-wrap;"> grade students are required to show proof of having a Tdap booster shot &amp; a meningitis shot (MCV)</span></li><li value="2" class="editor-listitem"><span style="white-space: pre-wrap;">12</span><sup style="white-space: pre-wrap;"><span>th</span></sup><span style="white-space: pre-wrap;"> grade students are required to show proof of a Meningitis booster shot </span><b><strong class="editor-text-bold" style="white-space: pre-wrap;">if their initial vaccine was given before age 16</strong></b></li><li value="3" class="editor-listitem"><span style="white-space: pre-wrap;">If a student </span><b><strong class="editor-text-bold" style="white-space: pre-wrap;">is older than 15,</strong></b><span style="white-space: pre-wrap;"> and getting their first meningitis shot, they will only require one vaccine</span></li><li value="4" class="editor-listitem"><span style="white-space: pre-wrap;">The Trumbull County Health Department has added a walk in clinic for students in grades </span><b><strong class="editor-text-bold" style="white-space: pre-wrap;">7 &amp; 12 only on Tuesday September 20</strong></b><b><sup style="white-space: pre-wrap;"><strong class="editor-text-bold">th</strong></sup></b><b><strong class="editor-text-bold" style="white-space: pre-wrap;"> from 12pm-4pm.&nbsp; The clinic for September 21 is full.</strong></b></li><li value="5" class="editor-listitem"><b><strong class="editor-text-bold" style="white-space: pre-wrap;">The clinic is first come, first served. Vaccine supplies are limited.</strong></b></li><li value="6" class="editor-listitem"><span style="white-space: pre-wrap;">The TCHD will only vaccinate students </span><b><strong class="editor-text-bold" style="white-space: pre-wrap;">if: </strong></b><span style="white-space: pre-wrap;">They are on Medicaid ,they have no insurance, or the insurance they have does not cover vaccines</span></li><li value="7" class="editor-listitem"><span style="white-space: pre-wrap;">Remember to take your child’s shot record with you if you go to the TCHD</span></li><li value="8" class="editor-listitem"><span style="white-space: pre-wrap;">If you have questions, call the TCHD at 330-675-2590 #3</span></li><li value="9" class="editor-listitem"><span style="white-space: pre-wrap;">Shot records are due in the clinic by </span><b><strong class="editor-text-bold" style="white-space: pre-wrap;">Sept. 30th</strong></b></li></ul>