Karen Switzer, RN, CCM
Coordinator of Occupational and Student Health Services
3601 Ferncliff Ave., NW                                            
Roanoke, VA 24019   
phone (540) 853-1430
fax (540) 853-1238


Ellen Carroll, RN, CSN
Carilion School Nurse Manager
phone (540) 853-6323                                                
fax (540) 853-1238                                                    

                                
   School Nurse Services
• Provide acute and emergency health care
• Assist in performing state mandated Health Screenings
• Plan and/or implement in-school care for students with chronic or on-going illnesses
• Administer or supervise medication administration
• Provide healthcare counseling and education
• Review student health records for compliance with state mandates
• Facilitate student access to health care providers
• Facilitate communication between school, parents, and health care providers and/or community resources
• Monitor health status and trends
• Control communicable disease
• Promote health and safety
 
Virginia Department of Health Requirements for School Enrollment
State laws require that children receive a comprehensive physical examination and be adequately immunized appropriate to the child's age before entering public kindergarten or elementary school. The physical examination must be completed no longer than one year before the child's entry into kindergarten or elementary school. Accommodations for meeting the immunization requirements may be made for students who are military dependents, homeless, or in foster care. TheSchool Entrance Health Form and Certificate of Religious Exemption are available from your child's school or may be accessed at the following Virginia Department of Health Web site
http://www.vdh.virginia.gov/Epidemiology/Immunization/requirements.htm

Reasons a Child Needs to Stay Home from School
• Your child has a contagious illness such as strep throat, chickenpox, or the flu.
• You have been advised by your child's health care provider to keep your child home to recover from an illness/injury.
• Your child has a fever of 100ºF or higher in the last 24 hours - Children should be fever-free for 24 hours,  without taking      fever-reducing medication, before returning to school.
• Your child is vomiting or has diarrhea.
• Your child has live head lice and has not completed treatment for head lice.
• Your child has red/pink eyes or has drainage from the eyes.
 
Medication Policy
RCPS encourages medication be administered at home, if possible. The first dose of any new medication should be given at home. When medication is needed during school hours, the following procedures must be followed:
• Prescription medication must be in the pharmacy-labeled container with the student's name and dosing instructions. There must be a completed Medication Permission Form with doctor's orders and written parent permission. If the medication is not in the pharmacy/manufacturer labeled container, the Medication Permission Form is incomplete, or there is a discrepancy, medication cannot be given.
• Over-the-counter medications must be in a sealed, original-labeled container. The parent must complete a Medication Permission Form with specific dosing instructions. For safety reasons, if your child needs OTC medications given outside the manufacturer's label directions, on a routine basis, or if your child takes prescription medication regularly, a doctor's order is needed for OTC medication.
• Due to the lack of safety standards for dietary, nutritional, or herbal supplements, those OTC products will be treated the same as a prescription medication.
• Medications are usually kept in the school office/clinic and should be brought to school by an adult, not the child.
• If your child has a health condition and needs to carry medication such as an inhaler, auto-injectable epinephrine, or if you have questions, please contact the school or school nurse for additional information.
• A Medication Permission Form is on this Web site or may be obtained from your child's school.
 
Health Screenings
In accordance with state and local requirements, health screenings are performed at the following grade levels.
 

 

 
 
 
PK
 
K
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
11
 
12
Initial Enrollment (NEW STUDENT) Staff Responsible
Hearing
 
X
 
 
X
 
 
 
X
 
 
X
 
 
X (All) Speech
Speech
 
X
 
 
 
 
 
 
 
 
 
 
 
 
X (PK-3) Speech
Language
 
X
 
 
 
 
 
 
 
 
 
 
 
 
X (PK-3) Speech
Voice
 
X
 
 
 
 
 
 
 
 
 
 
 
 
X (PK-3) Speech
Fine and Gross Motor
 
X
 
 
 
 
 
 
 
 
 
 
 
 
X (K-3)
Fine Motor - Classroom Teacher
Gross Motor - PE Teacher
Vision
 
X
 
 
X
 
 
 
X
 
 
X
 
 
X (All) Nurse
Height/ Weight
 X
X
X
X
X
X
X
X
X
X
X
X
 
 
X(All) PE/ Nurse (New)
Scoliosis
 
 
 
 
 
 
X
X
X
X
X
X
 
 
X (5-10) PE and Nurse(New)
Dental
 
X
 
 
X
 
 
 
 
 
 
 
 
 
X (PK, K, 3, 5) Nurse

 

Information about scoliosis that is from the United States Department of Health and Human Services and the National Institutes of Health may be found here: http://www.niams.nih.gov/Health_Info/Scoliosis/scoliosis_ff.pdf
 
Important Links
 
FAMIS - Family Access to Medical Insurance Security
Virginia's affordable health insurance plan for children
http://famis.org/
 
Health Requirements for School Entry and Certificate of Religious Exemption 
Virginia Department of Health information on immunization requirements for school and day care.  This site also has links to the School Entrance Health Form (physical examination) and the Certificate of Religious Exemption
http://www.vdh.virginia.gov/Epidemiology/Immunization/requirements.htm

Influenza
Centers for Disease Control
Key Facts about Flu and Flu Vaccine
http://www.cdc.gov/flu/keyfacts.htm

Virginia Department of Health
Pandemic Influenza
http://www.vdh.state.va.us/pandemicflu/index.htm

MRSA Information
Personal Prevention of MRSA - Centers for Disease Control
http://www.cdc.gov/mrsa/prevent/personal.html

MRSA Fact Sheet - Virginia Department of Health
http://www.vdh.virginia.gov/Epidemiology/factsheets/pdf/methicillin.pdf

Pediculosis (Head Lice)
Centers for Disease Control Fact Sheet
http://www.cdc.gov/lice/head/factsheet.html
40 Douglass Avenue NW, Roanoke, VA 24012 Phone 540-853-2502