Fostering a healthy learning environment.

Nursing Services

Karen Klayman (retired PUHSD nurse) & Sarena Muzzi

What We Do
Between MRSA, Pertussis, H1N1, and all other important health issues affecting young people, our nurses play a critical role in keeping our students safe, healthy and learning. Email them your questions at the following address:

Vaccine (Tdap) Frequently Asked Questions
What are the diseases tetanus, diphtheria and whooping cough (pertussis)? 
  • Tetanus – (also called lockjaw) causes painful tightening of the muscles. It can lead to “locking” of the jaw so the person cannot open his/her mouth or swallow. 
  • Diphtheria – is a throat infection that can lead to breathing problems, paralysis, heart failure and death. 
  • Whooping cough – (also called pertussis) is a contagious disease that causes violent coughing fits that make it hard to breathe. It spreads easily when someone with the disease coughs or sneezes. Symptoms can last for months. Whooping cough is very dangerous for young babies. 
When should my child get vaccinated? 
Now's the time! A large number of students need a Tdap (or other) shot to start school. Keep documentation of your child’s Tdap booster and other vaccines in a safe place. Your child will need proof of immunization. 

Can my child be exempted? 
Yes, but it is not recommended. There are several means by which a parent can exempt their child. Please check in at your school office for more information. 

What if my child has had whooping cough recently? 
Your child will still need a Tdap booster shot. Immunity developed after having whooping cough disease wears off, leaving your child at risk for getting whooping cough again. A Tdap booster shot is needed to both protect your child in the future and to meet the school requirement. 

Why should my child get vaccinated? 
In addition to it being a requirement for school, children who get a Tdap booster shot will be better protected during their school years. Immunization also helps to protect others within the home, in the community, and at school. Immunizations help to prevent school closures. Many schools in California have suffered from outbreaks of whooping cough. Students got very sick and parents missed work and lost wages to care for their sick children. In some cases, schools had to close because there were not enough healthy teachers to keep schools open. 

What if my child has received a Tdap booster shot before 10 years of age? 
Your child will be considered to have met the school requirement with proof of getting a dose of Tdap on or after their 7th birthday. However, we recommend that children receive Tdap on or after their 10th birthday to provide better protection throughout their adolescent years. 

What other immunizations should I consider for my child? 
Preteens and teens are also recommended to receive vaccines against meningococcal disease (brain or blood infection), flu (influenza), HPV (human papillomavirus, a cause of cervical cancer), and any vaccine they may have missed during childhood. The recommended vaccine schedule may be found at Talk with your healthcare provider for more information. 

Where can my child get vaccinated? 
Children should visit their regular doctor or health care provider to get their Tdap shot. Children 18 years old and younger who are uninsured or underinsured may qualify for the Vaccines for Children Program. To find a provider near you, call 1-877-243-8832. Some local pharmacies and Health Departments may also offer the Tdap vaccine. 

Where can I go for even more information? 
Visit the California Department of Public Health, Immunization Branch website at

Resources for Students

Resources for Parents

Resources for Staff



Lisa Facha
Administrative Assistant

Sarena Muzzi

Jenny Serrano

Health Docs
Please see our Family Notices webpage. Click here.

What's IHCP?
(Individualized Health Care Plan.) 

Who should have an one? 
Students with mild to severe health care needs and require frequent nursing services at school, or students who have health conditions that has the potential to result in a medical emergency. Each IHCP is individualized to meet the needs of the student. 

What is the purpose of an IHCP? 
The IHCP helps assure consistent and safe health care for the student, and sets procedural guidelines that provides specific directions about what to do in a particular emergency. The following are a list of health conditions that the school nurses will create IHCP for and email to the student's teachers. These are serious health conditions that teachers need to know in the event of a medical emergency, including procedures to follow. 

Conditions that merit an IHCP: 
Seizures, Asthma, Diabetes, Irritable bowel syndrome (ex: Crohn’s Disease or Ulcerative Colitis), Heart related issues, Severe Allergic Reactions (ex: bee stings, sea food allergies), History of fainting, Bleeding, Blood issues, Concussions. Any condition that you think may be critical or just want the nurses opinion, please contact us at: 530.886.4421. 

Conditions that IHCP is not created for: 
ADHD/ ADD, mental illness or mental issues. Below are attachments of Individualize Health Care Plan (IHCP) templates that are used in the school system. **If you do not want your child to have an IHCP, or for their IHCP to be emailed to their teachers, please send an email to the school nurses at

Gregg Ramseth,
Apr 11, 2018, 2:27 PM
Gregg Ramseth,
Apr 11, 2018, 2:27 PM
Gregg Ramseth,
Apr 11, 2018, 2:26 PM
Gregg Ramseth,
Apr 11, 2018, 2:26 PM
Gregg Ramseth,
Apr 11, 2018, 2:26 PM