Close alert

Health Services

Paula Rust
Coordinator of School Health Services

"You cannot educate an unhealthy child and you cannot keep an uneducated child healthy."
-Dr. M. Jocelyn Elders, former US Surgeon General

The Kenton County School District Health Services Department agrees with the opinion of Dr. M. Jocelyn Elders.  Our mission is to support education by advancing and promoting health for all students through the implementation of professional nursing skills, health education, and the development of individualize health management so that all students can achieve their greatest potential as lifelong learners and to be responsible, contributing citizens in an ever-changing global society.

We recognize each child's individual needs and acknowledge the importance of a cooperative relationship between families, health care providers, and the school community to provide a holistic approach and a supportive system that meets the needs of students.  Using this holistic approach and professional school nursing practice, our vision is to promote a supportive and health conscious environment which will provide optimal learning for all students.   

For information and resources from the KCSD on COVID-19, click here: 

Talking with children about Coronavirus Disease 2019: Messages for parents, school staff, and others working with children

 As public conversations around coronavirus disease 2019 (COVID-19) increase, children may worry about themselves, their family, and friends getting ill with COVID-19. Parents, family members, school staff, and other trusted adults can play an important role in helping children make sense of what they hear in a way that is honest, accurate, and minimizes anxiety or fear. CDC has created guidance to help adults have conversations with children about COVID-19 and ways they can avoid getting and spreading the disease.

What can I do so that I don’t get COVID-19?

  • You can practice healthy habits at home, school, and play to help protect against the spread of COVID-19:
    • Cough or sneeze into a tissue or your elbow. If you sneeze or cough into a tissue, throw it in the trash right away.
    • Keep your hands out of your mouth, nose, and eyes. This will help keep germs out of your body.
    • Wash your hands with soap and water for at least 20 seconds. Follow these five steps—wet, lather (make bubbles), scrub (rub together), rinse and dry. You can sing the “Happy Birthday” song twice.
    • If you don’t have soap and water, have an adult help you use a special hand cleaner.
    • Keep things clean. Older children can help adults at home clean the things we touch the most, like doorknobs, light switches, and remote controls. (Note for adults: you can find more information about cleaning and disinfecting on CDC’s website.)
    • If you feel sick, stay home. Just like you don’t want to get other people’s germs in your body, other people don’t want to get your germs either.
Video from Governor Beshear
"Talking to your child about COVID-19"
Major Points
  • explaining the importance of social distancing
  • honestly discussing the topic and how to take precautions
  • alternatives to in person visits
  • get information from good sources
  • what can we do when kids feel stress
  • finding time for fun
  • the need for routines at home
  • good communication 

Vaccine Partnership

 logo          st e

Kenton County School District’s Health Services Department is pleased to announce a partnership with St. Elizabeth Outpatient Medical Village Pharmacy to offer vaccinations to KCSD students.  Most vaccines will be available to students regardless of their primary care physician/pediatrician or payment methods.  If you have been notified that your student is in need of immunizations, don’t miss this opportunity.  

Immunization compliance will be required for all students returning to the KCSD next school year.

St. Elizabeth Outpatient Medical Village Pharmacy

20 Medical Village Drive Suite 103

Edgewood, KY 41017


Please have insurance information available when you call to make an appointment and bring it with you to the appointment.

Contact Paula Rust, KCSD Coordinator of School Health Services, at 859-957-2640 with questions.                               





October 9, 2017

Dear Parent or Guardian:

Re: New Kentucky Immunization Requirements for School Entry


A recent amendment to the Kentucky Administrative Regulation on the immunization schedules for attending school added new immunization requirements for the school year beginning on or after July 1, 2018.


Effective July 1, 2018:

  • ALL students in kindergarten through twelfth grade must show proof of having received two doses of Hepatitis A vaccine to attend school
  • Students aged 16 years or older, must show proof of having received two doses of Meningococcal ACWY vaccine (MenACWY) to attend school.  If the first dose of MenACWY was received at age sixteen (16) years or older, the second dose is not required for school entry.

Many students have received the Hepatitis A vaccine, but the dates were not indicated on the certificate currently at school. The two doses of Hepatitis A vaccine must be given 6 months apart.  If both doses of Hepatitis A can't be administered before the start of the 2018-19 school year, your healthcare provider will give you a new certificate when the first dose is received that will allow your child to start school. The nurse at your child's school will gladly accept new certificates as soon as they are available.  Please make a copy or ask the school to make a copy to keep for your records.




  • It is important to check your child's immunization records and ensure they are up-to-date on all vaccines.
  • Vaccination throughout childhood helps prevent potentially life-threatening, but vaccine- preventable diseases

Cases of measles have been on the rise in the U.S.

See the informational notes to parents from the NKY Health Department located on the right margin.​​​​​


The CDC is currently investigating over 450 cases of severe lung illness in at least 33 states, including five
deaths, that are potentially linked to the use of e-cigarettes. Recently, health care providers in Kentucky were
asked to begin reporting cases.

The most common symptoms of this severe lung illness include cough, shortness of breath and chest pain.
Based on reports from several states, patients have also experienced fatigue, nausea, vomiting, diarrhea, fever
or weight loss. Although some of these symptoms may be common at this time of year, those who use
e-cigarettes and experience any of the above symptoms should contact their health care provider immediately.

Use of e-cigarettes by youth in Kentucky is higher than the national average, and the rate of use
has more than doubled from 2016 to 2018, as measured by the Kentucky Incentives for Prevention (KIP)
Survey.  To help prevent more cases, NKY Health recommends the following actions:
● Talk with your students about e-cigarette use and warn them of the potential hazards of using these
● Advise parents to contact their child’s doctor immediately if the child has any of the above symptoms ,
especially if they are having serious breathing problems for no known reason .

According to NKY Health’s District Director of Health, Lynne Saddler, MD, MPH, “This illness highlights the
potential dangers of vaping, especially with THC, but also with nicotine. Many people think that e-cigarette
liquid just contains water and flavorings; however, most e-cigarettes contain nicotine and/or other chemicals.
They do not realize the very serious impact on their lungs and the rest of their body. If you are not using
e-cigarettes or vaping, do not start. If you are currently using e-cigarettes or vaping, get help to quit.”
For more information on e-cigarettes, health risks associated with vaping, and how to quit using e-cigarettes or
tobacco products, please visit 


Please take a minute to show your teens these public service announcements from other teens in our state.


National Association of School Nurses, 2016

"School nursing, a specialized practice of public health nursing, protects and promotes student health, facilitates normal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders that bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potentials."

Health Requirements

Meeting health requirements for school attendance is an important part of making sure your child is ready for school.  These requirements provide the assurance that your child is not only up-to-date on necessary immunizations, but also that he/she is healthy to attend school.  Keep your child “on track” by making sure that he/she meets the health requirements every school year. The Essential Health Enrollment Information and Forms located on the right margin of this webpage outlines the health information required for students. If you have additional questions or concerns, refer to the school nurse assignments below and contact your child's school nurse or the District Health Coordinator.


Student Accident Insurance

The Kenton County School District has selected the Student Insurance Plan from K&K Insurance Group to make reliable coverage available to parents. If you don’t have other insurance, this plan may be a resource to consider. Additionally, even if you have other coverage, this plan can help fill expensive “gaps” caused by deductible and co-pays. Coverage may be purchased at any time during the school year by visiting



Visit this webpage to learn more about the importance of immunizations

The Centers for Disease Control and Prevention Immunization Schedules


The Centers for Disease Control and Prevention (CDC), the American Academy of Pediatrics (AAP), and The American Academy of Family Physicians (AAFP) have updated their childhood immunization “basics” disease fact sheets in English and Spanish. and they are now available on CDC’s website. 

These fact sheets, now available on CDC's website, are written for parents of children birth-2 years old. Each of the 14 sheets provides an overview of a vaccine-preventable disease and vaccine information.

Diseases include:


The Importance of Sleep

Many of the common complaints seen in the nurse's office (headache, stomachache, etc.) are the result of sleep deprivation.  The following article from the Center for Disease Control and Prevention discusses the importance of sleep and the recommended hours of sleep needed.

 “… Sufficient sleep is not a luxury—it is a necessity—and should be thought of as a vital sign of good health.”

Wayne H. Giles, MD, MS, Director,
Division of Adult and Community Health,
National Center for Chronic Disease Prevention and Health Promotion



Public Health Concerns

Hand, Foot, and Mouth Disease

Hand, foot and mouth disease is a viral infection usually in young children. It is commonly seen in the spring and the fall. It is usually mild and self limiting. The disease is not reportable, but the Northern Kentucky Health Department has received several calls from schools and child care centers that are experiencing cases.  The problem is not limited to Northern Kentucky.  Increased reports of hand, foot and mouth are coming from throughout the United States. 

Children present with fevers, followed by tiny blisters on fingers, hands and soles of feet. The blisters can be painful, and if in the mouth, create uncomfortable swallowing and eating. Cold-like symptoms may also be seen with a sore throat and runny nose or cough. Hand, foot and mouth is not the same virus that causes the animal illness of a similar name (Hoof and mouth disease).

Hand, foot and mouth is spread two ways, through both respiratory droplets and stool. Coughing and sneezing cause infected droplets to come in contact with objects or people. Infected droplets can also be rubbed into the eyes or mouth causing infection. The virus also leaves the body through the stool of an infected person and enters another person when hands, food or objects (such as toys) contaminated with stool are placed in the mouth.


  • Practice and teach good hand hygiene, coughing and sneezing etiquette.
  • Be sure children use frequent, careful hand washing before eating, and after using the toilet.
  • Teach children to cover mouths when coughing and sneezing, either into a tissue or into the sleeve.
  • Disinfect commonly touched surfaces, such as light switches, toilet and faucet handles, desks, handrails and  door knobs
  • Disinfect toys daily.


Measles is a highly contagious respiratory disease caused by a virus. It spreads through the air through coughing and sneezing. Measles starts with a fever, runny nose, cough, red eyes, and sore throat, and is followed by a rash that spreads all over the body. About three out of 10 people who get measles will develop one or more complications including pneumonia, ear infections, or diarrhea. Complications are more common in adults and young children.

From January 1 to January 30, 2015, 102 people from 14 states were reported to have measles. Most of these cases are part of a large, ongoing multi-state outbreak linked to an amusement park in California.

Measles can be serious, especially for children younger than 5 years old. It can lead to pneumonia, encephalitis (swelling of the brain), and death. Learn how you can protect your child from measles.

Click on theses links for more information:

Enterovirus D68 (EV-D68)

 Almost all of the Centers for Disease Control and Prevention (CDC) confirmed cases this year of EV-D68 infection have been among children. Many of the children had asthma or a history of wheezing. Many parents continue to be worried about the outbreak and want information about what they can do to prevent illness and protect themselves and their families. The CDC has developed information and resources for parents about EV-D68.  

Web Feature, “What Parents Need to Know About Enterovirus D68”

General questions and answers for the public

Recently the CDC developed a new lab test for EV-D68 which will allow more rapid testing of specimens. Because of this new test, confirmed cases of EV-D68 will appear to rise rapidly over the next 7-10 days as specimen testing accelerates. However, changes in case counts won’t represent a real-time influx of new cases.

Remember, too, as enterovirus season is expected to taper off, flu activity usually begins to increase in October. While there is not a vaccine to prevent illness from enteroviruses, the single best way to protect against the flu is to get vaccinated each year. Many resources for parents and others can be found on the CDC flu website. CDC recommends that ALL children 6 months old or older get a flu vaccine.



Our national health system has the capacity and expertise to quickly detect and contain this disease and is working with states and school districts to ensure the safety of our students and school employees. As you likely know, the CDC is continually updating its information on Ebola; information that can be found here:

Ebola FAQ

Talking with Children about Ebola

Recognizing and Reducing Signs of Anxiety in Times of Crisis


E. coli

The Kentucky Department for Public Health is warning consumers about the dangers of consuming unpasteurized milk and other products (juices and ciders) that could lead to E. coli infection, following a recent outbreak in North Central Kentucky.

In addition to only consuming pasteurized milk, the public can help prevent E. coli infections by:

  • Thoroughly washing fruits and vegetables before eating
  • Washing hands often for at least 20 seconds with soap and water, especially after going to the bathroom, handling raw meat and eggs, or petting animals
  • Thoroughly cooking meat
  • Cleaning and sanitizing food preparation areas
  • Avoiding swallowing lake or pool water
  • Drinking only pasteurized apple cider
  • Frequently cleaning and sanitizing restrooms, including door knobs and faucets
  • Reporting diarrhea to your physician.


Zika Virus Disease

Zika virus disease (Zika) is a disease caused by the Zika virus, which is spread to people primarily through the bite of an infected Aedes species mosquito. The most common symptoms of Zika are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week after being bitten by an infected mosquito. People usually don’t get sick enough to go to the hospital, and they very rarely die of Zika. For this reason, many people might not realize they have been infected. However, Zika virus infection during pregnancy can cause a serious birth defect called microcephaly(, as well as other severe fetal brain defects. Once a person has been infected, he or she is likely to be protected from future infections.  To learn more about the Zika Virus, visit the Centers for Disease Control and Prevention website:

To help reduce the risk of virus transmission, students and staff should:

  • Wash hands often with soap and water for 20 seconds, especially after changing diapers if soap and water are not available use an alcohol based hand sanitizer.
  • Avoid touching eyes, nose, and mouth with unwashed hands.
  • Cover your mouth and nose with a tissue when you cough or sneeze and put your used tissue in the waste basket. If you don't have a tissue, cough or sneeze into your upper sleeve or elbow, not your hands.
  • Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick.
  • Stay home when feeling sick, and consult their health care provider as needed. Children with cold like symptoms that experience difficulty breathing should consult their health care provider for further evaluation.
  • Disinfect frequently touched surfaces, such as handrails and doorknobs, especially if someone is sick.
  • In addition, we encourage staff and students, especially those with chronic respiratory diseases such as asthma, to be vaccinated against influenza as soon as the vaccine becomes available. Getting the flu along with an upper respiratory virus could be very serious for someone with chronic respiratory diseases.
  • Do not come to school if you are sick.    

Use the following guidelines to determine when students should stay home. 

Please keep your child home if any of the following are present:

  • a fever of 100º F (37.8º C) in the past 24 hours
  • Tylenol or Ibuprofen used to control fever in the past 24 hours
  • an undiagnosed rash
  • vomiting or diarrhea in the past 24 hours
  • suspected conjunctivitis (pink eye) or yellow eye drainage
  • strep throat- if awaiting culture results or less than 24 hours of antibiotic treatment

It's often difficult to tell how sick your child is in the morning.  Remember if they stay home and improve, you can always bring them in to school. We appreciate your help as we work to prevent the spread of viruses and other communicable diseases throughout our communities. If you have any questions, contact the school nurse.

Information and resources available to help guard against the spread of flu

Each flu season, flu causes millions of illnesses, hundreds of thousands of hospitalizations and thousands or sometimes tens of thousands of deaths.Vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations. Flu most commonly peaks during the month of February. If you have not gotten vaccinated yet this season, you should get vaccinated now— It's Not Too Late!

Healthy people can get very sick from the flu and spread it to friends and loved ones.
Following are the most important steps to help protect your family against the flu this season.

For more information visit the Centers for Disease Control and Prevention website:

Flu facts from the

Northern Kentucky Independent District Health Department

cold or lfu


Tips to prevent flu

  • Try to avoid close contact with sick people

  • While sick, limit contact with others as much as possible to keep from infecting them.

  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone for 24 hours without the use of a fever-reducing medicine.)

  • Cover your nose and mouth with a tissue when you cough or sneeze.  After using a tissue, throw it in the trash and wash your hands.

  • Wash your hands often with soap and water,  If soap and water are not available, use an alcohol-based hand rub. 

  • Avoid touching your eyes, nose and mouth, Germs spread this way. 

  • Clean and disinfect surfaces and objects that may be contaminated with germs like flu.






2020-21 school year

          NURSE          SCHOOL                        EMAIL

Lois McCubbin, RN



Kristi Dixon, RN FT. WRIGHT
Michelle Racke, RN


Patricia Gausepohl, RN    




Meghan Williams, RN WHITE'S TOWER

Dee North, RN


Eliazbeth (Niki) Hon, RN SIMON KENTON




  • Medical Excuse Form