Health Care Responses

 The FSSD will follow the state’s guidance in its response to any health-related threats in schools. Health practices are followed in accordance with the recommendations made to all public schools by the Tennessee Department of Health. 
Emergency Allergy Response

Franklin Special School District Emergency Allergy Response Plan

 In order to minimize the incidence of life-threatening allergic reactions, Franklin Special School District (FSSD) maintains a system-wide “Emergency Allergy Response Plan.”   The plan focuses on education and training to effectively prevent and control the incidence of serious or life-threatening allergic reactions (anaphylaxis) and developing and maintaining an individualized healthcare plan (IHP) for managing the health and safety needs of children with life-threatening allergies (LTA). Food is the most common cause of anaphylaxis, but other causes include allergies to bee stings, latex and medications.

The information below provides a general overview of the plan. The comprehensive plan, which is utilized in all schools, includes detailed educational training and procedures for specific staff members and departments.


General School Procedures

  • No sharing of food between students will be allowed at school, including snack time and lunch time. Staff members who distribute food to students are to be aware of any student food allergies.
  • Foods distributed during class celebrations and special events will follow guidelines for the “Allergy Alert Classroom.”
  • No food is allowed to be consumed on school buses. The exception is an emergency snack for students with medical conditions, such as diabetes, and these should not contain nuts, peanuts or peanut butter which are the most common foods causing LTA.
  • Cafeteria protocols will be observed to prevent exposure incidences including an “Allergy Alert Table/Zone” as recommended in the student’s IHP, appropriate disinfection practices, and food allergy alerts on cafeteria accounts.
  • Each school will maintain emergency epinephrine auto-injectors, and protocol for use, at two designated locations (outside the main office and the school cafeteria) to be used in the event of suspected anaphylactic reaction. In the event the school nurse or other trained unlicensed assistive personnel (UAP) is unavailable to administer the Epipen, 911 will be called.
  • Students and staff who consume nuts/peanuts, or foods containing these items, will be educated on hand washing after consuming these potential allergens. Washing hands with soap and water is the most effective means of preventing cross contamination, but commercial hand wipes are acceptable. Alcohol-based hand sanitizers are NOT recommended as they have been shown as less effective in removing the peanut allergen from hands.
  • Provide education and training to FSSD employees regarding life-threatening allergies, including training in emergency administration of an epinephrine auto-injector (Epipen) and activation of 911 in the event of an emergency.
  • Develop an Individualized Healthcare Plan (IHP) for any student identified with a LTA in collaboration with the student’s parent/guardian and licensed healthcare provider.
  • Access to communication devices, including cell phones, will be available both in the school, outside the school and on field trips to communicate in an emergency.


Parent/Guardian Responsibility

  • Inform the school nurse of the student’s allergies as soon as possible after diagnosis and before the start of each school year (information may be included on the student health form during school registration).
  • Complete and have the student’s physician complete the IHP and provide it to the school nurse with all prescribed medications each school year, including Epipens.
  • Provide prompt replacement of Epipen upon notification of expiration. Expired Epipens cannot be administered at school.
  • Notify the school nurse of any changes in the child’s allergy status.
  • Promptly notify the school of any changes in contact information, including telephone numbers.
  • Educate your child on their allergens, symptoms of an allergic reaction, and the importance of notifying an adult of any suspected or known contact with allergen.
Enterovirus D68 Response

Enterovirus D68
Every year, millions of children in the United States catch enteroviruses that can cause coughing, sneezing and fever. The enterovirus that is most commonly causing respiratory illness currently is EV-D68.  The information below is provided by the Centers for Disease Control (CDC) to help parents learn more about EV-D68 so they can keep their children from getting and spreading the virus.

Who Is At Risk?
Anyone can get EV-D68, but infants, children and teenagers are at a higher risk because they have not been exposed to these types of viruses before and do not yet have immunity. Children with asthma are at a greater risk for severe respiratory illness with this enterovirus.
What Are the Signs and Symptoms?
Mild Symptoms:  Fever, runny nose, sneezing, coughing, body and muscle aches.
Severe Symptoms:  Wheezing and difficulty breathing.
• Notify your child’s physician if your child is experiencing symptoms.  
• Children with severe symptoms need immediate medical attention.
• Children with asthma need to be taking their prescribed asthma medications as directed and have their emergency asthma medications available at all times.
Tips to Avoid Getting and Spreading the Illness
• Wash hands often with soap and water for 20 seconds.  This is the most important thing you and your child can do to stay healthy.
• Avoid touching eyes, nose and mouth with unwashed hands.
• Avoid closed contact with people who are sick such as kissing, hugging, sharing cups or eating utensils.
• Cover your coughs and sneezes with a tissue or shirt sleeves, not your hands.
• Clean and disinfect frequently touched surfaces such as toys and doorknobs, especially if someone is sick.
• Stay home when you are sick and keep sick children out of school.
For more information visit the CDC online at
H1N1 Response

As the Centers for Disease Control (CDC) learns more about the H1N1 flu, it updates its guidelines for schools. Please review the following health practices in accordance with the recommendations made to all public schools by the CDC and the Tennessee Department of Health.

For all children and adults who develop a fever of at least 100°F along with flu-like symptoms:

  • Those with flu-like illness should stay home for 3 to 5 days or at least 24 hours fever-free without the use of medication and have no more symptoms of the flu.
  • Teachers and staff are on heightened surveillance to identify students who come to school with symptoms of illness.

We urge you to make plans now for child care at home if your child becomes ill or cannot go to school for a week or longer. Even if your child is not ill, schools may dismiss all students if the number of ill children or staff becomes high. Please discuss any developing situation with your employer and make plans with family, friends or other parents if you cannot stay home with your child. As information becomes available to the schools, we will share it with you.

If you have any questions, please contact your school nurse. We appreciate your support as we strive to maintain a healthy school environment for your child.


Zika virus is spread primarily through the bite of an infected Aedes species mosquito. The virus is not transmitted from person to person by casual contact and causes only mild symptoms in most people, but it can cause birth defects when a pregnant woman gets the virus. FSSD has developed the following response plan utilizing guidelines provided by the Centers of Disease Control. Preventing the spread of the virus is the primary focus to protect students, their families and our community.



  • School and building administrators will assure a process is in place to inspect the grounds on a weekly basis to identify and remove sources of standing water that can serve as mosquito breeding sites, such as buckets, trash cans, planters, and playground equipment.
  • If the presence of mosquitos remains high, despite prevention efforts, FSSD will report to the local mosquito control authorities to request and schedule spraying of pesticides near schools and in the surrounding community.
  • FSSD employees who work outdoors, such as landscape personnel, will be provided EPA- approved insect repellant as needed to prevent mosquito bites. They will be advised to wear long sleeves and pants to further prevent exposure.
  • Students will be allowed to possess and apply EPA-approved insect repellants provided by the parent along with written parental permission.



  • In the event of a known Zika virus infection among staff or students, confidentiality will be maintained. Accurate information regarding Zika virus will be provided to staff, students and families.

In the event of a known Zika virus infection among staff or students, FSSD will follow protocols recommended by the Williamson County Health Department.

If you have any questions, please contact your school nurse. We appreciate your support as we strive to maintain a healthy school environment for your child.

Return to Student Health Services


Student Health Services
Amy Fisher, RN, Nursing Coordinator
Johnson Elementary School
815 Glass Lane
Franklin, TN  37064