Notes From The Nurse

Mrs. Mary Kay Rogowski x201
Mrs. Julie Duffy x201
email: STSnurse@sainttimothyschool.org

Although all of the epi pens in the clinic are safe, please read this information on the epi pen recall.

StT0624Health Forms

Commonwealth of VA Health Form 
Medication Authorization Form 
Asthma/ Inhaler Action Plan
Inhaler Autorization Form
Severe Allergy/Anaphylaxis Action Plan and Treatment Authorization
Additional Severe Allergy Information Form
Antihistamine Authorization Form
Epinephrine Authorization Form
Safe Snack Guide

For those students who are new at St. Timothy School, please ensure that all ” Commonwealth of Virginia School Entrance Health Forms ” are in the office no later than August 5th. For those students who have transitioned from preschool to kindergarten, please have the physician’s office complete the VA Health Form.  Remember to copy the original health assessment for your records before submitting the original to the school.

Emergency care information is due by the first day of school for each child in a family. This information must be entered by parents via our PowerSchool parent portal.

Medication Authorization Form

For all medication(s), prescribed by a physician, or over-the-counter medications, except Inhalers or Epi-Pens, please print and complete a Medication Authorization Form..

Asthma Medication Authorization Forms

For students with asthma, please download and complete the  Asthma Action Plan and Inhaler Authorization Form.

Allergy Treatment Plans and Authorization Forms

For students with allergies that use only Benadryl, please download and complete the Antihistamine Authorization Form .

For students with allergies that use an Epi-Pen, please download and complete the Severe Allergy/Anaphylaxis Action Plan and Treatment Authorization and the  Antihistamine Authorization Form and the Epinephrine Authorization Form.  For at home training, please access these websites:  www.allergyready.com and www.auvi-q.com/hcp.

Absences, Sickness and Injury Accomodations

Please reference the Student Handbook.  If your child develops a fever or has an upset stomach from a virus or cold, please give your child a day to recover.  In the Student Handbook, it is stated “a student should not return to school until at least 24 hours after an illness. Temperatures should be normal and other symptoms must have subsided.”   Students should remain at home until he/she can follow the regular school schedule.

Students with an injury and a treatment plan must submit a written note from the physician including the modifications in order to be excused from PE class for more than one day.

Absence Notification

Student absences must be accounted for by a written note to the classroom teacher upon return to school stating the reason for the absence.  We also ask that you notify the office if your child is absent for more than three days.  Parents of Junior High students must call the office each day that a student will be absent.  Following these simple procedures will decrease the classroom and parental interruptions.

Communicable Diseases

If your child contracts a communicable disease, i.e., chicken pox, please inform the clinic immediately.  (Preschool parents:  Please notify the school of any household communicable disease. From the Standards for Licensed Child Day Centers: “When children at the preschool have been exposed to a communicable disease listed in the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center’s having been informed unless forbidden by law, except for life threatening diseases, which must be reported to parents immediately.”)

Classroom Food Allergies- Click here for 2016/2017 information

If you are sending a class treat or craft project during the year, please speak with your teacher prior to the event.  Please reference the classroom allergy list located on your teacher’s webpage and below and check the food labels to ensure the allergens are not present prior to sending in any food products.  When providing a class treat,  a purchased item  is preferred, so that ingredients can be checked.    Snack Safely Guide 

School Celebrations:  Birthday Celebrators are recognized by allowing your student to dress out of uniform in appropriate street clothes. Please do not send food treats in for this celebration.  Other celebrations will be organized by your room mothers and teachers. Please remember to provide healthy snacks and drinks (with ingredient labels, if appropriate): Fruits – Fruit Kabobs, Dried Fruits, Frozen Fruits, Fruit Salad, Fruit Cups, Vegetables, Popcorn, Goldfish, 100% Fruit Juices or Bottled Water, Muffins (without frosting), Bagels, Pretzels, Breadsticks, Flatbreads-Whole Grain, Low Salt, Baked Chips-Salsa, Vegetables, Popsicles-100% Fruit Juice, Low Fat Yogurt.

Provide all foods in packaging so that ingredients listings are available.  Thank you for your cooperation in providing healthy snacks to our students. Please organize all celebrations with your teacher and reference the “Classroom Food Allergies” list for classroom allergies.  If you have any questions, comments, or concerns please feel free to notify me via e-mail.

Immunization News

Current 5th grade parents: When your student enters 6th grade, their TDaP must be administered prior to the first day of school; the Commonwealth is not allowing any extensions! There are two different types of vaccines dependent upon your child’s age: the Boostrix vaccine for 10 year olds and the Adacel vaccine for 11 year olds. If your physician wishes to defer the immunization until your child is 11 y.o., the parent is responsible for providing a medical exemption letter from the physician. If the student had a tetanus shot within the last 5 years, he does not need the TDaP for the 6th grade; however, we need the documentation reflecting the Tetanus immunization date from the physician. Please provide documentation of this immunization once received and no later than August 5th.

For those students who have transitioned from preschool to kindergarten, please have the physician’s office complete the VA Health Form.

1. New Immunization Requirements: The Virginia Department of Health has issued new immunization requirements for the upcoming school year. According to the publication, “No student shall be admitted by a school unless at the time of admission the student or his parent submits documentary proof of immunization to the admitting official of the school.” Vaccines must be administered in accordance with the Centers for Disease Control spacing and age requirements.

The requirements mandate that the following four immunizations must be in place for students:

  • second dose of Varicella Vaccine is required before entering kindergarten.
  • second dose of Mumps Vaccine is required before entering kindergarten.
  • Four (4) doses of Polio Vaccine are required, with one dose being administered on or after the fourth birthday, for all new students enrolling in your schools (Kindergarten – 12th grade).
  • Four (4) doses of DTaP Vaccine are required, with one dose being administered on or after the fourth birthday, for all new students enrolling in your schools (Kindergarten – 12th  grade).

These changes supersede the “Requirements” listed under “Section III” of the Commonwealth of VA School Entrance Health Form!  It is the parents responsibility to ensure that all immunizations are up-to-date and complete, or that a medical or religious exemption is obtained and provided to the school.

2. Varicella Vaccine (Chickenpox): The Center for Disease Control recently released a revised schedule for the varicella vaccine (chickenpox). It includes a two-dose schedule for children who have never had chickenpox by the following ages:

  • 1st dose: – 12-15 months of age
  • 2nd dose – 4-6 years of age (may be given earlier if at least 3 months after the 1st dose)
  • Students 13 years old or older should receive 2 doses 28 days apart (if they have never had chickenpox or the varicella vaccine before.

In addition to the varicella update, the chickenpox vaccine may be given along with the MMR vaccine (Measles, Mumps, Rubella) known as the MMRV. Please reference the Chickenpox Vaccine fact sheet and the Minimum Immunization Requirements for School & Day Care

3. Other Health Immunizations for Consideration: Recommended immunizations for discussion with your pediatrician. Whenever your child receives immunizations, send a copy of the updated immunization record to the school nurse to file with your child’s health record.

  • 11-12 Year old: Meningococcal Immunization: Recommended for 11-12+ year olds who are going away to sleep-a-way camps. This immunization is not mandated until the child enters college.
  • 11 year old females: HPV (Giardisil x3 doses) – rising 6th grade girls: Letters from the Commonwealth, as well as the Diocese, were sent home explaining this recommendation.
  • Hepatitis A – Given to younger and older children…especially recommended if traveling abroad.

Chicken Pox (Varicella)

If your child develops chicken pox, please report this to the school clinic ASAP.

From WebMD: Chicken pox is caused by the varicella-zoster virus. It can spread easily. You can get it from an infected person who sneezes, coughs, or shares food or drinks. You can also get it if you touch the fluid from a chickenpox blister. A person who has chicken pox can spread the virus even before he or she has any symptoms. You are at risk of chickenpox if you have never had the illness and have not had the chickenpox vaccine.

The first symptoms of chickenpox often are: a fever, a headache and a sore throat. You or your child may feel sick, tired and not very hungry. The chickenpox rash usually appears about 1 or 2 days after the first symptoms start. Some children get the chickenpox rash without having a fever or other early symptoms. It usually takes 14-18 days to get the symptoms of chickenpox after you have been around someone with the virus. This is called the incubation period.

After a chickenpox red spot appears, it usually takes about 1 or 2 days for the spot to go through all its stages. This includes: blistering, bursting, drying, and crusting over. New red spots will appear every day for up to 5 to 7 days. Your child can return to school when all blisters have crusted over. This is usually about 10 days after the first symptoms start.

More information is available at http://www.webmd.com/a-to-z-guides/Chickenpox-Varicella-Topic-Overview .

Flu

Please refer to your local county health dept. website for Flu information and free clinics

Information on the Flu is also available from the Centers for Disease Control (CDC) website and VA Dept of Health www.vdh.virginia.gov . This flu virus is spread from person-to-person through coughing/sneezing or contact (lives on surfaces 24 hours or longer). The symptoms are any or all of the following: fever, lethargy, coughing, runny nose, sore throat, nausea, vomiting and/or diarrhea. Antivirals are available if the patient is seen within 2 days of symptoms. Remind students to cover their cough/sneeze, wash their hands/alcohol-based cleaners and keep their hands away from their face as an effective way of prevention. Your child must be fever-free for 24 hrs. before they return. Please notify the clinic of the diagnosis.

If your child is out of school 3 days due to an illness, please e-mail our nurse with the symptoms or diagnosis at STSnurse@sainttimothyschool.org . If your child has the flu, it is recommended to keep your child home until they are fever free without taking any anti-fever medications for 24 hours.

We are taking extra housekeeping precautions; as well as, reminding our students to cough in their sleeves, dispose of tissues, wash their hands, and keep their hands away from their faces

The following table may be useful in determining the difference between symptoms of a cold vs symptoms of the flu.

Know the Difference between Cold and Flu Symptoms

Symptom Common Cold Flu
Fever Fever is rare with a cold. Fever is usually present with the flu in up to 80% of all flu cases. A temperature of 100°F or higher for 3 to 4 days is associated with the flu.
Coughing A hacking, productive (mucus- producing) cough is often present with a cold. A non-productive (non-mucus producing) cough is usually present with the flu (sometimes referred to as dry cough).
Aches Slight body aches and pains can be part of a cold. Severe aches and pains are common with the flu.
Stuffy Nose Stuffy nose is commonly present with a cold and typically resolves spontaneously within a week. Stuffy nose is not commonly present with the flu.
Chills Chills are uncommon with a cold. 60% of people who have the flu experience chills.
Tiredness Tiredness is fairly mild with a cold. Tiredness is moderate to severe with the flu.
Sneezing Sneezing is commonly present with a cold. Sneezing is not common with the flu.
Sudden Symptoms Cold symptoms tend to develop over a few days. The flu has a rapid onset within 3-6 hours. The flu hits hard and includes sudden symptoms like high fever, aches and pains.
Headache A headache is fairly uncommon with a cold. A headache is very common with the flu, present in 80% of flu cases.
Sore Throat Sore throat is commonly present with a cold. Sore throat is not commonly present with the flu.
Chest Discomfort Chest discomfort is mild to moderate with a cold. Chest discomfort is often severe with the flu.

Medications

If your child needs a medication, please ask the physician to space the dosages around school time (for home administration).  If this is not possible, please print and complete the appropriate medication form.  Remember that each medication has its own form.  All medications must be in the original prescription container with the following information: student’s name, license prescriber’s name, medication name, medication dosage, administration frequency, and the prescription fill/expiration dates.  Medications cannot be administered out of plastic bags or other non-original containers.  NO MEDICATION (PRESCRIPTION OR NON-PRESCRIPTION) IS PERMITTED IN THE CLASSROOM AT ANY TIME INCLUDING ASPIRIN, TYLENOL, COUGH DROPS, ETC..   All over-the-counter medications must be brought to the office in their original container upon arrival to school. At the end of the school year, the parents/guardians must pick up the remaining medication.  We are not able to release medications back to the student.  Upon school closure, any remaining medication will be disposed of.  THIS IS FOR THE PROTECTION OF ALL OF OUR CHILDREN!

Preschool Medications

Over-the counter medications, such as Children’s Benadryl, will only be held in the clinic for 10 working days unless a physician and parent have signed the medication form (in accordance with the Preschool Licensing Requirements). Long-term prescription and over-the-counter medications will be allowed only with written authorization from the child’s physician and parent.

TB Testing of Volunteers

To ensure the health of our students, the Diocese of Arlington requires that all staff and volunteers provide a medical statement regarding being “free of communicable tuberculosis”. The original test must be performed within the last 12 months.

You may choose to have this testing done at any of the following locations: your physician’s office or the local Fairfax County Health Departments:

  • Falls Church Clinic, 6245 Leesburg Pike, Suite 500, Fall Church 703-534-8343
  • Herndon-Reston Clinic, 1850 Cameron Glen Drive, Suite 100, Reston, 703-481-4242
  • Mount Vernon Clinic, 8350 Richmond Highway, Suite 233, Alexcandria, 703-704-5203
  • Springfield Clinic, Cary Building, first floor, Suite A100, 8136 Old Keene Mill Rd., Springfield
  • Joseph Willard Health Center, 3750 Old Lee Highway, Fairfax 703-246-7100

Scoliosis Screening

Please refer to this information sheet for a home test for scoliosis.  This test is recommended especially during the middle school years.  Ask your physician to screen your child during your child’s annual health assessment.

Pediculosis (Head Lice)

Please contact our school nurse if you notice lice or nits on your child’s head. A class room letter will be sent home to the grades involved, so please check your child’s backpack for the reference material.

Lice can happen to any child and is nothing to be embarrassed about; so, if you determine that your child has a case, please notify the school nurse directly to assist with the spread of further cases. If you receive a letter in your child’s envelope, then a case was reported in that class. Follow the information sent home at that time. Detailed information on the life cycle of lice, how to find it and treat it is available online.

WHAT ARE HEAD LICE? The head louse (pediculous capitus) is one of three types of lice that infest people. Head lice are tiny insects (about 1/10 to 1/8 of an inch long) that live in human hair and feed on human blood. They multiply rapidly laying little silvery-colored oval-shaped eggs (called nits) which they glue to the base of the hair, close to the scalp.

CAN YOU SEE HEAD LICE? Although it’s hard to see head lice, you can see the nits if you look closely. They are most often found in the hair behind the ears and at the back of the head and neck. Nits should not be confused with dandruff. Dandruff can easily be flicked off the hair; nits cannot because they are firmly attached to individual hairs.

HOW ARE HEAD LICE SPREAD AND HOW LONG IS A PERSON ABLE TO SPREAD THEM? Head lice have no wings and do not fly or jump; they crawl. They are spread through direct contact with an infested person, or with shared items such as combs, brushes, towels, pillowcases, hats, headphones, other headgear, and clothing.

HOW LONG DO LICE LIVE? Head lice need human blood to survive. They usually do not survive for more than 2 days away from the human body. The nits (louse eggs) cannot hatch at the lower temperatures found away from the scalp. Therefore, please remind your children not to share hats and scarves.

WHAT IS THE TREATMENT? Treatment should be given only to people who have active lice or viable eggs present. The recommended treatment is a medicated shampoo that contains either pyrethrin, such as RID, A-200, or Clear brands, or permethrin, as in the Nix brand. A second treatment 7-10 days after the first is recommended to assure that no nits have survived. The hair should be carefully checked and nits removed every day for 2 weeks to be sure the infestation has been cured.

RETURNING TO SCHOOL: Once you have treated your child, your student must report to the clinic on their first day back to be checked by the school nurse before reporting to the classroom. Parents are asked to wait in the front office until the student is checked in case the child needs to be sent home.

Tick Borne Diseases and Zika Virus

Please use this website for information on Lyme’s Disease and other tick borne diseases.  For Zika information, visit this website.

Concussion Awareness

Excellent concussion information can be accessed at www.cdc.gov/concussion or here.  Please notify the nurse and your child’s teacher immediately if your student has been diagnosed with a concussion. It is necessary to submit a written doctor’s note including accommodations for treatment. Recognition and proper response to concussions when they first occur can help aid recovery and prevent further injury, or even death.

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