There is a nominal fee for immunizations, diagnostic services, medications, and some office procedures. Payment for these services may be made by CINO card, cash, credit card or placed on student account (student account balances should be paid in full before the start of the next semester). SHS does not bill insurance companies or other responsible parties; however, proper documentation will be provided to enable students to pursue reimbursement from insurance companies.

Available Immunizations

• Hepatitis A & B
  • The Hepatitis A vaccine prevents a serious liver disease caused by the hepatitis A virus (HAV).
  • The Hepatitis B vaccine can prevent hepatitis B. Because Hepatitis B has been linked to primary liver cancer, the Hepatitis B vaccine has been recognized as the first anti-cancer vaccine .
• Meningitis
  • The meningitis vaccine can prevent 4 types of meningococcal disease, including 2 of the 3 types most common in the United States and a type that causes epidemics in Africa. Meningococcal disease is a serious illness, caused by a bacteria that may cause an infection of fluid surrounding the brain and the spinal cord.
• Flu
  • The flu (or influenza) vaccine can prevent a contagious disease caused by the influenza virus, which spreads from person to person through coughing or sneezing.  Influenza viruses are always changing. Therefore, influenza vaccines are updated every year, and an annual vaccination is recommended.
• MMR (Measles, Mumps, Rubella)
  • MMR vaccine can prevent the Measles virus which causes rash, cough, runny nose, eye irritation, and fever.  Measles can also lead to ear infection, pneumonia, seizures (jerking and staring), brain damage, and death.
  • MMR vaccine can prevent the Mumps virus which causes fever, headache, and swollen glands.  Mumps can also lead to deafness, meningitis (infection of the brain and spinal cord covering), painful swelling of the testicles or ovaries, and, rarely, death.
  • MMR vaccine can prevent the Rubella virus which causes rash, mild fever, and arthritis (mostly in women).  If a woman gets rubella while she is pregnant, she could have a miscarriage or her baby could be born with serious birth defects.
• Tetanus
  • The tetanus vaccine prevents Tetanus which is caused by a germ that enters the body through a cut or wound.  Tetanus causes serious, painful spasms and rigidity of the skeletal muscles. This neuromuscular dysfunction can be fatal.
• Human Papillomavirus (HPV)
  • The HPV vaccine is indicated for girls and women ages 9-26 to prevent cervical cancer and genital warts caused by HPV types 6, 11, 16 and 18. These strains of HPV are responsible for approximately 70% of all cervical cancer and 90% of genital wart cases.

Diagnostic Services

-The following services are a sample of what SHS can provide:

1. Peak flow
   1. Peak expiratory flow (PEF) measures how fast air comes out of the lungs when one inhales fully and then exhales forcefully. PEF is measured using a small handheld device. PEF readings can help to determine if the large airways of the lungs are tightening.
2. Pulse oximetry
1. Pulse oximetry measures the amount of oxygen the body's hemaglobin molecules are carrying. Pulse oximetry is an important tool for assessing symptoms related to lung disease or injury, shock, anemia, and other conditions.
3. Urine pregnancy testing
   1. Urine pregnancy tests can detect the presence of a pregnancy hormone (called human chorionic gonadotropin, or hCG) in a sample of urine. High levels of hCG are produced during pregnancy.
4. STD testing
              -The following are a sample of common STD tests done at SHS:
   
   
   1. Human Immunodeficiency Virus (HIV)- A human immunodeficiency virus (HIV) test detects antibodies to HIV in the blood. This determines whether an HIV infection is present (HIV-positive). HIV infects white blood cells called CD4+ cells, which are part of the body's immune system that help fight infections. HIV causes acquired immunodeficiency syndrome (AIDS), a long-term chronic disease that cannot be cured.
   2. Gonorrhea- Gonorrhea is a sexually transmitted disease (STD) that is usually spread during sexual contact. It does not always cause symptoms. Gonorrhea tests involve testing a sample of body fluid or urine to determine if gonorrhea bacteria (Neisseria gonorrhoeae) are present and may be the cause of an infection.
   3. Chlamydia- Chlamydia tests involve testing a sample of body fluid or urine to determine whether chlamydia bacteria (Chlamydia  trachomatis) are present and may be the cause of an infection.  Chlamydia is the most common bacterial sexually transmitted disease (STD) in the United States.
   4. Herpes- Herpes testing is done to detect the presence of the herpes simplex virus (HSV). An HSV infection can cause small, painful blister-like sores of the skin or the tissue lining (mucous membranes) of the throat, nose, mouth, urethra, rectum, and vagina. A herpes infection may cause only a single outbreak of sores, but in many cases the person will have recurrent outbreaks.  A herpes select test is done at SHS to distinguish between HSV type 1 (usually causes cold sores on the lips) and HSV type 2 (usually causes sores in the genital area), such as on or around the vagina or penis.
   5. Syphilis- Syphilis tests detect antibodies to the bacterium that causes syphilis (Treponema pallidum) in blood, body fluid, or tissue. The tests are used to screen for or to confirm a syphilis infection.  Syphilis is a sexually transmitted disease (STD) that is usually spread during sexual contact, including kissing or oral sex.   The RPR test is done at SHS to detect syphilis antibodies.
5. Strep testing
   
              There are two types of tests to determine if a person has strep throat:
   
   
   1. A rapid strep test can only determine the presence of streptococcal bacteria, but will not tell if the sore throat is caused by another kind of bacteria. The results are available in about 20 minutes.
   2. For a throat culture a sample of swabbed material is cultured, or  grown, in the laboratory on a medium that allows technicians to determine what kind of bacteria are present. Results take 24-48 hours. The test is very accurate and will show the presence of other kinds of bacteria besides Streptococci.
6. Urine testing for bladder infection
   1. The dipstick contains specially treated plastic strips (dipsticks) that are dipped into a sample of your urine. The strips measure 10 aspects of the urine in order to determine if an infection is present.
   2. Urine can be checked under a microscope for bacteria and infection-fighting cells. A urine culture may also be sent to the laboratory where a sample is allowed to grow on a medium. This allows technicians to determine the type and number of bacteria present and what antibiotics work best against them.
7. Venipuncture
1. A procedure where a sample of the patient's blood is withdrawn from a vein into a vacuum tube and sent to a laboratory for testing. This procedure usually takes approximately five minutes.
8. Electrocardiogram
   1. An electrocardiogram (EKG or ECG) is a test that checks for problems with the heart by recording its electrical activity. An EKG translates the heart's electrical activity into line tracings on paper.
9. Visual acuity
   1. Visual acuity testing measures the eye's ability to focus and to see details at near and far distances. It can help detect vision loss and other problems.
10. Tuberculosis (TB) testing
    1. A tuberculin skin test is done to see if you have ever been exposed to tuberculosis (TB) (Mycobacterium tuberculosis). It is done by injecting a small amount of TB protein (antigens) under the top layer of skin on your inner forearm. If you have ever been exposed to the TB bacteria, your skin will react to the antigens by developing a firm red bump at the site within 2 days.
11. Fingerstick Hemoglobin
    1. Used to check patient’s hemoglobin levels in their blood to rule out anemia
12. Fingerstick Glucose
    
    
    1. Used to check patient’s blood sugar level, this test provides a result in approximately one minute.

Treatment of Acute Illness

• Sore Throat
  • Sore throat, also called pharyngitis, is a painful inflammation of the mucous membranes lining the pharynx. It is a symptom of many conditions, but most often is associated with colds or influenza. Sore throat may be caused by either viral or bacterial infections or environmental conditions. Most sore throats heal without complications, but they should not be ignored because some develop into or are caused by serious illnesses.
• Urinary Tract Infection (UTI)
  • UTIs are serious infections that should be treated by a doctor. If not, the infection can travel to the bladder and kidneys. Most cases of UTIs are easily treatable.
• Asthma
  • Asthma is a chronic disease that causes inflammation of the lungs, making it hard to breathe.
• Bronchitis
  • Bronchitis is an inflammation of the air passages between the nose and the lungs, including the windpipe or trachea and the larger air tubes of the lung that bring air in from the trachea (bronchi). Bronchitis can either be of brief duration (acute) or have a long course (chronic).
• Migraines
  • Migraine is a type of headache marked by severe head pain lasting several hours or more.
• Intestinal ailments
  • Intestinal ailments are common diseases or disorders of the intestine that may cause abdominal pain.
• Conjunctivitis (Pink eye)
  • Conjunctivitis is an inflammation or redness of the lining of the white part of the eye and the underside of the eyelid (conjunctiva) that can be caused by infection (either viral or bacterial), allergic reaction, or physical irritants such as chlorine in pools, or air pollution.
• Common cold
• The common cold is a viral infection of the upper respiratory system, including the nose, throat, sinuses, Eustachian tubes, trachea, larynx, and bronchial tubes. Although more than 200 different viruses can cause a cold, 30-50% are caused by a group known as rhinoviruses. Almost all colds clear up in less than two weeks without complications.
• Flu
  • Influenza — commonly shortened to "the flu" — is an extremely contagious viral disease that appears most frequently in winter and early spring. The infection spreads through the upper respiratory tract and sometimes invades the lungs. Classic symptoms are fever, chills, bodyaches, headache, and fatigue lasting 3 to 4 days, sometimes followed by a dry cough, sore throat and runny nose for about another week.
• Skin rashes
  • A rash indicates an abnormal change in skin color or texture. Rashes may be caused by skin irritation, (which can have many causes).  Or a rash can be a symptom of something more serious such as an allergic reaction, or an infection in the body or skin.
• Acne
  • Acne vulgaris, or acne, is a skin problem that starts when oil and dead skin cells clog up your pores. Some people call it blackheads, whiteheads, pimples, or zits. When you have just a few red spots, or pimples, you have a mild form of acne. Severe acne can mean hundreds of pimples that can cover the face, neck, chest, and back. Or, there may be bigger, solid, red lumps that are painful (cysts). Acne can be treated topically (e.g., lotions or creams) or systemically (e.g., antibiotic pills by mouth).

Treatment of Minor Sprains/Strains

• Sprain
  • A sprain is an injury to a ligament - a stretching or tearing.
• Strain
  • A strain is a twist, pull, or tear of a muscle or tendon.
• Treatment: Various treatments for sprains and strains can be provided by SHS including the use of crutches, slings, finger splints, and ace wraps.

Treatment of Wounds/Lacerations

• Wound/Laceration
  • An opening, injury or tear in the skin.
    Treatment: Various treatments for wounds and lacerations can be provided by SHS including wound care, sutures and staples.

Other Medical Procedures

• Removal/drainage of cysts
  • Removal or draining of a cyst (swollen fluid-filled lump) may be done for a variety of different reasons.
• Wart or skin tag removal
  • Warts are small, benign growths caused by a viral infection of the skin or mucous membrane.
  • SHS have many ways of removing warts, including using stronger topically applied chemicals than those available in drugstores, and simple excisions.
• Minor suturing
  • Small lacerations on the body may be sutured along with staple suturing for head injuries at SHS.
• Removal of foreign body
  • "Foreign" means "originating elsewhere" or simply "outside the body." Foreign bodies typically become lodged in the eyes, ears, nose, or other body cavities of human beings.
  • Removal technique varies according to where the foreign body is located.
• Treatment of burns
  • Treatment method is dependent on the severity of the burn.
  • SHS will typically clean the burn area, perform a debridement, and apply the appropriate dressing.
• Eye irrigation
  • Used to remove a foreign body or obstruction by flushing the eye with a saline solution.
• Ear irrigation
  • It involvesthe removal of cerumen (earwax) from the ear canal using a stream of warm water which sometimes contains a small amount of hydrogen peroxide..

Gynecological Exams/Contraception

• Pap smears
  • Pap smears are used for screening women for changes of the cervix that could lead to cervical cancer. They are often taken  during routine annual gynecological exams. Cells collected from the cervix are sent to a laboratory where they are checked under a microscope for abnormalities. If Pap smears do lead to detection of precancerous cells at an early stage, these cells can be treated with great success. Precancerous cell changes usually cause no symptoms. That is why it is important to have routine Pap smears.
• Yeast or bacterial infections
  • Vaginal yeast infection, or candidiasis, is caused by an overgrowth of the fungus Candida albicans. Candida are organisms  normally found in the vagina in small numbers.
• Oral contraception
  • After consultation, SHS can prescribe birth control pills to females to be taken by mouth (oral) every day.
• Depo provera injections
  • After consultation, SHS can inject Depo Provera which is a hormonal medication that is given by injection every three months.
• NuvaRing
  • After consultation, SHS can prescribe Nuva Ring which is self-inserted vaginally once a month to slowly release a low dose of hormones in order to prevent pregnancy.

Physical Exams

• Physical Exams can be completed at SHS for a variety of purposes.  Some of these include: athletic, camp physicals, school  transfers, pre-employment, pre-travel physicals.

Other Services

• Prescription Delivery Service
  • Walgreens Pharmacy provides same and/or next day prescription delivery to Student Health Services. Students are required to sign up for this service in advance at Walgreens.com; select "Express Pay", a pre-payment account, and the CCU delivery option.
• After Hours Consult-a-Nurse
  • When Student Health Services is closed, students can receive medical advice, via telephone, from a licensed registered nurse. To access this service, call Student Health Services after hours, and press "2" when prompted. Students must be taking classes during the current term to utilize service.