Southern Garrett

High School

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Slider image 1 of 1. RAMS Image with pictures of students


Destiny Tichinel, RN
301-334-9447 ext: 2412
Welcome to Southern High School’s Nurse’s page! My name is Destiny Tichinel, R.N. and I am the school nurse here at Southern High School. On this page you will find information about good health practices, prevention of spreading communicable diseases, school health updates that may pertain to health, as well as links to medical forms. I also oversee the wellness Program at the high school. Our wellness program consists of myself, one of our guidance counselors, and several teachers. If you have ideas of activities you would like to see promoting wellness in our schools, please feel free to reach out to me. We would love your ideas!
Any information you may have concerning the Covid 19 virus can be found on the Garrett County Health Department website following this link


Medication Authorization Form

A medication authorization form must be filled out for all medication both prescription and over-the-counter. The form must be filled out entirely and signed by a physician and parent or guardian for a student to take the medication in school. Only Emergency medications will be permitted to be carried by the students and in order to do so must be signed off on the appropriate section of the form. All other medication must be dropped off in the nurse's office where it can be counted and documented as received. Once medication is brought in, students may go to the nurse's office as needed to receive their medicine. Click here to download the form.


Nurses Notes

Welcome Ram family!
It looks like we are going to have yet another crazy year, but we are committed to keeping students healthy and safe! Please look at the following chart for information on how school health will be addressing children with signs and symptoms of illness: Student Process Map
GCPS Guidelines For Acceptable Face Coverings for Students and Staff will give you guidance as to what is acceptable to use as a face covering. If you are having trouble obtaining a face covering, masks are available upon request. We ask that you encourage your student to use proper face coverings as well as maintain social distancing. Policies and procedures are put in place for the sasfety of our students and staff. If you have questions you may call the school or refer to the GCPS Recovery and Reopening Plan.

School requirements

Physical Exam

A physical examination by a physician or certified nurse practitioner must be completed within nine months prior to entering the public school system or within six months after entering the system. A Physical Examination form designated by the Maryland State Department of Education may be used.

Lead Testing

Evidence of blood testing is required for all students who reside in a designated at risk area when first entering Pre-kindergarten, Kindergarten, and 1st grade. The blood-lead testing certificate (DHMH 4620) or another written document signed by a Health Care Practitioner shall be used to meet this requirement. (All of Garrett County is designated as an at risk area.)


All students must meet the immunization requirements. Contact your nurse if your child has a bonafide religious objection or a permanent or temporary medical contraindication documented by your primary care provider. or have a signed exemption form to be enrolled in Garrett County Public Schools. Your child's school nurse will be able to answer any questions you might have.
PRE-KINDERGARTEN (3 year old and 4 year old):
  • 4 dtap
  • 3 Polio
  • 3 Hepatitis B
  • 1 MMR
  • 1 Hib
  • 1 Prevnar
  • 1 doses of Varicella or History of Chickenpox
  • Must have a second dose of MMR and Varicella by age 5 to remain in school)
  • 4 Dtap
  • 3 Polio
  • 3 Hepatitis B
  • 2 MMR
  • 2 Varicella or documented history of chickenpox
  • 3 DTaP
  • 1 Tdap *
  • 3 Polio
  • 3 Hepatitis B
  • 2 MMR
  • 1-2 Varicella-or documented history of chickenpox
  • 1 Meningococcal *
* Please note that these two immunizations must be obtained prior to entering 7th grade


In general, the administration of medication to students while they are in the schools is to be discouraged. If a student must have medication while in school, treatment schedules which allow doses to be given at times other than during the school hours are preferred and encouraged. The medication must be provided to the school by the parent/guardian in the original container. The Medication Administration Form must be completed and signed by the parent/guardian and prescribing health care provider. This includes any prescription medications and over the counter medications. Inhalers for asthma, insulin for diabetes, and auto-injectors with epinephrine for severe allergic reactions are all considered EMERGENCY MEDICATIONS. These medications can be carried and self-administered by the student when appropriate and with authorization from the prescriber, parent, and school nurse.


Vision and hearing screenings are routinely provided to all students in grades Pre-K, K, 1st and 8th. Screening is also provided to new students and by those referred by a teacher or a parent/guardian. If your child should show abnormal results, a letter of notification will be sent home with referral recommendations.

Health Emergencies

In the case of an emergency at school, the parent or guardian will be notified. If the parent/guardian cannot be reached, the emergency contact will be notified. Be sure to provide accurate and updated contact information. Changes/updates can be made by emailing or calling the school. If an emergency situation should arise and emergency medical services are needed, 911 will be called. Any and all measures will be taken to support the health and safety of the student.
Please notify the school nurse immediately of any medical conditions, such as diabetes, asthma, seizures or life threatening allergies to such things as peanuts, other foods, insect bites or medications, which may cause an emergency situation with your child. Please provide the EpiPen and/or inhaler if ordered. The school nurse will work with you to develop a Health Care Plan to meet your child's health needs.
When your child is sick……
School attendance is important but there are times that your child may need to stay at home. The following is a guideline that may help with making this decision should it become necessary.
  • Sore throat; unable to swallow with swollen, painful neck glands
  • Chills
  • Fever of 100.4 degrees or higher with an oral thermometer
  • Headache plus one other symptom
  • Earache
  • Rash, unexplained
  • Flushed face, especially cheeks
  • Runny nose with thick white or greenish mucous
  • Severe cough, persistent enough to be disruptive or that causes vomiting
  • Diarrhea
  • Vomiting: 2 episodes in 24hrs. (If sick through the night, stay home.)
  • Reddened eye/s with discharge (pus)
  • Asthmatics who: Have a respiratory infection, fever over 100 degrees, wheezing or coughing that does not get better one hour after taking medication, weakness or fatigue that makes daily activities difficult, or breathing difficulty.
Please feel free to consult the nurse by phone or email in the morning if you are unsure about keeping your child home.
During the cold and flu season. If you or someone you know may need a flu shot, check with your doctor’s office to see what their clinic hours will be. Most pharmacies are also administering this vaccine.
Symptoms of influenza include:
  • Fever, usually high
  • Headache
  • Extreme fatigue
  • Dry cough
  • Sore throat (sometimes)
  • Runny or stuffy nose (sometimes)
  • Muscle aches
  • Chest discomfort
  • GI symptoms such as nausea, vomiting, and diarrhea can occur but more often in kids than adults
If you or your child experiences flu symptoms, contact your family doctor immediately. There are medications that may shorten the course and severity of the illness.
Remember, your best protection from illness is to wash your hands frequently. If your child’s illness requires a doctor’s visit remember to get an excuse, otherwise please send a parent note. If you are ill stay home until you are better and upon return, please remember to sneeze and cough into your sleeve!

Chronic Illness





Food allergies

Resource Links