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Seawell Nurse's Blog

Welcome to the Blog of Nurse Eileen Stough, serving the health needs of students at Seawell Elementary School.  

For CHCCS District Health Information and Medication/Health Forms:

For Healthy Tips and Recipes, go to Seawell's Health Corner:


posted Sep 11, 2017, 7:16 AM by Eileen Stough   [ updated Sep 11, 2017, 7:17 AM ]

All kindergarteners and new students to the NC public school system must have a complete immunizations record and health assessment submitted with the first 30 days of school in order to complete their registration.  Parents will receive 2 additional reminders (the first notice was when you registered your child) prior to the 30th day.  On the 31st day, your child will not be allowed to remain in school until the missing items have been received.  For all students who started on the first day of school, your child will not be allowed to stay in school starting on Wed, Sept 27, 2017.  You will be contacted to come pick up your child if the item(s) are not submitted on/before the deadline.


posted May 24, 2017, 9:47 AM by Eileen Stough

Please access the health plans or action plans as well as the medication administration request form through this link:  All new students to NC public schools and kindergartners must submit a complete immunization record and a health assessment form within the first 30 calendar days of school PER NORTH CAROLINA LAW.  The health assessment form can also be found on the same link previously mentioned.

Please submit any health plans, action plans, or medication administration request forms starting August 21, 2017.  Please note that the action plans and medication administration request forms are to be filled out by the parent and the physician.  If your child has a doctor's appointment over the summer, that would be the best time to get them to complete the required school health forms.


posted May 24, 2017, 9:31 AM by Eileen Stough

Please make plans to come pick up your child's medications by then end of the school year or by the end of June 2017.  Medications cannot be sent home with your child.  They are to be picked up by the parent.  All medications remaining after June 30th will be properly disposed.


posted Sep 21, 2016, 6:06 AM by Eileen Stough

District leaders have decided that students in kindergarten to third grade will not be able to use the microwaves in the cafeteria during lunch since they are to do it without any assistance.  Please make sure that you provide your child with lunches that don't require heating up.  Thank you for your understanding.


posted Sep 15, 2016, 8:18 AM by Eileen Stough

10 Things for Parents to Know About the 2016-2017 Flu Vaccine 

​By: Kathleen Berchelmann MD, FAAP

​It's time to get flu shots for your family before your house is full of fevers and dripping noses. 

Here are 10 things you need to know about the 2016-2017 influenza vaccine:

1.  The flu vaccine is essential for children.

The flu virus is common and unpredictable, and it can cause serious complications and death, even in healthy children. Immunization each year is the best way to protect children. 

Each year, on average, 5% to 20% of the U.S. population gets the flu and more than 200,000 people are hospitalized from complications. At least 77 children died from the flu in the 2015-2016 season, although the actual number is probably much higher since many flu deaths aren't reported and are caused by secondary flu complications such as pneumonia. If you choose not to vaccinate your child, you not only endanger your own child but also others.

Although influenza can be treated with antiviral medications, these drugs are less effective if not started early, can be expensive, and may have bothersome side effects. 

The American Academy of Pediatrics (AAP) and the Center for Disease Control and Prevention (CDC) strongly recommends annual influenza immunization for all people ages 6 months and older, including children and adolescents. In addition, household contacts and out-of-home caregivers of children with high risk conditions and all children under the age of 5 especially should be vaccinated.

Young children, people with asthma, heart disease, diabetes, weakened immune systems, and pregnant women are at high risk for complications of influenza, such aspneumonia

About half of all Americans get vaccinated against the flu each year, including 50% of pregnant women. This number needs to get better. Ask your child's school, child care center, or sports coach, "How are we promoting the flu vaccine for these children?"

2.  Now is the time to get vaccinated.

Influenza vaccine shipments have already begun, and will continue through the fall and winter. Call your pediatrician to ask when the vaccine will be available. 

Infants and children up to 8 years of age receiving the flu shot for the first time may need two doses of the vaccine, administered four weeks apart. It is important that these children get their first dose as soon as possible to be sure they can complete both doses before the flu season begins. 

3.  This year's flu vaccine is only available as a shot. 

The inactivated influenza vaccine (IIV) is given by intramuscular injection and is approved for children 6 months of age and older. Depending on the number of flu strains it contains, it is available in both trivalent (IIV3 – two A and one B virus) and quadrivalent (IIV4 – two A and two B viruses) forms.

During the last three flu seasons, the nasal spray vaccine (the live attenuated quadrivalent influenza vaccine, or LAIV) did not offer protection against the predominant strain of influenza virus, and therefore it is not recommended for use this season.

4.  It doesn't matter which form of the vaccine you get.

The quadrivalent influenza vaccines for the 2016-2017 season contain the same three strains as the trivalent vaccine, plus an additional B strain. Although this may offer improved protection, the AAP does not give preference for one type of flu vaccine over another. 

Please don't delay vaccination in order to wait for a specific vaccine. Influenza virus is unpredictable. What's most important is that people receive the vaccine as soon as possible. 

5.  You can't get the flu from the flu vaccine.

Flu vaccines are made from killed viruses. Mildsymptoms, such as nausea, sleepiness, headache, muscle aches, and chills, can occur.

The side effects of the flu vaccine are mild (and nothing compared to having the flu). The most common side effects are pain and tenderness at the site of injection. Fever is also seen within 24 hours after immunization in approximately 10% to 35% of children younger than 2 years of age but rarely in older children and adults. These symptoms are usually mild and resolve on their own in a couple of days.

6.  If you catch the flu and are vaccinated, you will get a milder form of the disease.

We know that flu vaccines are about 60% effective--yes, we all wish that number were higher. The good news is that vaccinated people who get the flu usually get a mild form of the disease, just the sniffles, according to a recent study. People who are not vaccinated will be in bed with fever and miserable. 

7.  There should be plenty of vaccine for everyone this year.

For the 2016-2017 season, manufacturers have projected that they will produce between up to 170 million doses of flu vaccine. 

8.  The influenza vaccine doesn't cause autism.

A robust body of research continues to show that the influenza vaccine is safe and is not associated with autism.

9.  The flu vaccine can be given at the same time as other vaccines.

The flu vaccine may be given at the same time as other vaccines, but at a different place on the body. It is also important to note that children 6 months through 8 years of age may need two doses spaced one month apart to be fully protected. These children should receive their first dose as soon as the vaccine is available in their community. Live vaccines (like the MMR and chickenpox vaccines) may be given together or at least 4 weeks apart.

10.  Children with egg allergy can still get the flu vaccine.

Children with an egg allergy can safely get the flu shot from their pediatrician without going to an allergy specialist. For children with a history of severe egg allergy, your pediatrician may recommend you see an allergy specialist. 


posted Sep 15, 2016, 7:55 AM by Eileen Stough   [ updated Sep 15, 2016, 7:56 AM ]

Per North Carolina Law, it is required that all kindergarten students and new students to NC public schools must have a physical health assessment completed with complete immunization records submitted within the 1st 30 days of the start of school (  On the 31st day, your child will not be allowed to attend school until both have been submitted.  Sept 28th is the date that children (who started at the beginning of the 2016-2017 school year) will not be allowed to be at school until the health assessment and/or complete immunization records are submitted.

Please make sure that you send or bring in the required paperwork before Sept 28th.  If you have any questions, please contact Eileen Stough (School RN) at or 919-967-4343 ext 33237.


posted Apr 27, 2016, 10:46 AM by Eileen Stough


Kids in hot cars are a deadly combination.  Whether intentional or accidental, these deaths are preventable, which makes it all the more tragic. Here are some helpful tips to make sure it doesn’t happen to you. 

  • Never leave a child alone in a parked car, even with the windows rolled down, or air conditioning on. Children’s body temperature can heat up 3 to 5 times faster than adults. A core temperature of 107 is lethal. 
  • Always look in both the front and back of the vehicle before locking the door and walking way. 
  • Heatstroke can occur in temperatures as low as 57 degrees. On an 80-degree day, temperatures inside a vehicle can reach deadly levels in just 10 minutes. 
  • Never let children play in an unattended vehicle. Teach them a vehicle is not a play area. 
  • Always lock your vehicle doors and trunk and keep the keys out of a child’s reach. If a child is missing, quickly check all vehicles, including the trunk. 
Is dropping a child off not part of your normal routine? Come up with some ways to remind yourself that the child is in the car. 
  • Place an item that you keep on you, like a briefcase or purse, in the back seat next to the car seat, so that you’ll always check the backseat before you leave the car. 
  • Call your spouse after you drop the child off to make sure you didn’t forget. 
  • Have daycare call you if your child doesn’t show up. 
  • Write a note and place it on the dashboard of the car. Or set a reminder on your cell phone or calendar. You can also download the Baby Reminder App for iPhones. 

If you see a child alone in a hot vehicle: 
  • Always make sure the child is okay and responsive. If not, call 911 immediately. 
  • If the child appears okay, you should attempt to locate the parents; or have the facility’s security or management page the car owner over the PA system. 
  • If the child is not responsive and appears in great distress, attempt to get into the car to assist the child, even if that means breaking a window. 

Remember: kids in hot cars are a deadly combination. 
Don’t take the chance. 


Additional Resources: 
  • National Highway Traffic Safety Administration - 
  • San Francisco State University, Department of Earth & Climate Studies - 
  • Safe Kids - 
  • Children’s Hospital of Philadelphia -


posted Apr 27, 2016, 8:26 AM by Eileen Stough

Please remember that if your child has vomiting, diarrhea, and/or fever (temp >100F) then (s)he must stay home for 24 hours from the last episode WITHOUT any medications.  If your child is put on antibiotics for any contagious bacterial infections, (s)he must be on the antibiotics for 24 hours per district policy.  If in doubt, keep him/her home. 

In these recent few weeks, the main illnesses that we are still seeing are fevers (few diagnosed for flu; remember that flu season doesn't end until May), stomach viruses, and strep throat.  

Please help us keep everyone healthy as we get closer to the end of this school year. 


posted Apr 18, 2016, 8:58 AM by Eileen Stough   [ updated Apr 27, 2016, 8:27 AM ]

Seasonal allergies from trees, grasses, and weeds have been in full swing for the last few weeks and looks like they will continue for a few more.  One can develop seasonal allergies (or any allergy) at any point in his/her life.  What may not have bothered you last year may be wreaking havoc this year.  

You may experience one, some, or all of the following symptoms:
  • Sneezing
  • Runny nose
  • Nasal congestion
  • Itchy and/or watery eyes
  • Coughing
  • Dark circles under eyes
  • Sore throat (sometimes)
Talk with your child's doctor or your local pharmacist for treatments.  

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