Welcome to Health Services
Hampton City Schools employs registered nurses to provide school-based health services. All are licensed in Virginia and many have bachelors or masters degrees in the field. Most of our schools have a full-time nurse. Moton Early Childhood Center has a part-time 25 hour a week nurse. The nurse is responsible for providing care and serving as a medical resource and health consultant for students, parents and staff. The nurse reviews admission requirements, implements specialized health care plans, renders first aid, manages medications, provides in-service training, performs annual inspections, teaches health related topics, and serves as a vital link between parents and health care providers.
HCS provides a full-time registered nurse at most schools. Moton Early Childhood Center has a part-time nurse of 20 hours. We also have health clerks providing clerical and medical assistance to the nurses at our secondary schools and our PreK through eighth grade schools.
The primary focus of school nursing is to be an advocate for children’s health and safety within the educational setting. The School Nurse’s duties are many and include:
The decision for medical care rests with the parents and parents are always contacted to take their child home or to the doctor as the need arises. Transportation for students is also a parent responsibility. We hope that your child’s school experience will be happy and rewarding. A portion of the school curriculum is devoted to teaching healthy behaviors, which hopefully will become life-long habits and help prevent the need for costly medical care.
“You cannot educate a child who is not healthy, and you cannot keep a child healthy who is not educated.” -Jocelyn Elders
Physical and Immunization Requirements
for School Entry
Prekindergarten Health Entrance
Kindergarten Health Entrance
SCHOOL HEALTH ENTRANCE REQUIREMENTS
All children entering Hampton City Schools for the first time must have health examinations and immunizations as described below:
Pre-Kindergarten: All state of Virginia four-year-old shots are required for a child to participate in a pre-kindergarten program. Any student turning four after the first day of school must complete all required shots within 15 days after their 4th birthday to remain in the program.
Kindergarten through twelfth grade: All students must adhere to the state of Virginia’s School & Day Care Minimum Immunization Requirements for Entry into School:
Documentary proof shall be provided of adequate age appropriate immunization with the prescribed number of doses of vaccine indicated below for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center. Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements (available at http://www.vdh.virginia.gov/Epidemiology/Immunizations/acip.htm).
Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap) - A minimum of 4 doses. A child must have at least one dose of DTaP or DTP vaccine on or after the fourth birthday. If the child has received six doses of DTaP or DTP before the fourth birthday, additional doses are contraindicated. DT (Diphtheria, Tetanus) vaccine is required for children who are medically exempt from the pertussis containing vaccine (DTaP or DTP). Adult Td is required for children 7 years of age and older who do not meet the minimum requirements for tetanus and diphtheria. Effective July 1, 2006, a booster dose of Tdap vaccine is required for all children entering the 6th grade. This immunization is also required for new students grades 7th through 11th.
Haemophilus Influenzae Type b (Hib) Vaccine - This vaccine is required ONLY for children up to 60 months of age. A primary series consists of either 2 or 3 doses (depending on the manufacturer) followed by a booster dose at age 12-15 months. However, the child’s current age and not the number of prior doses received govern the number of doses required. Unvaccinated children between the ages of 15 and 60 months are only required to have one dose of vaccine.
Hepatitis B Vaccine - A complete series of 3 doses of hepatitis B vaccine is required for all children born on and after January I, 1994. However, the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine issued. The 2 RECOMBIVAX HB Adult doses must be separated by a minimum of 4 months. If the 3-dose hepatitis B vaccine schedule is used, there should be at least 1 month spacing between the 1st and 2nd doses and 4 months spacing between the 1st and 3rd doses.
Measles, Mumps, & Rubella (MMR) Vaccine - Measles, Mumps, & Rubella (MMR) Vaccine - A minimum of 2 measles, 2 mumps, and 1 rubella. (Most children receive 2 doses of each because the vaccine usually administered is the combination vaccine MMR). First dose must be administered at age 12 months or older. Second dose of vaccine must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2.
Pneumococcal (PCV) Vaccine: One to four doses, dependent on age at first dose, of properly spaced pneumococcal (PCV) vaccine for childrenup to 60 months of age. This is not required for kindergarten.
Polio Vaccine - A minimum of 4 doses of polio vaccine. One dose must be administered on or after the fourth birthday.
Varicella (Chickenpox) Vaccine - Varicella (Chickenpox) Vaccine - All susceptible children born on and after January 1, 1997, shall be required to have one dose of chickenpox vaccine administered at age 12 months or older. Effective March 3, 2010, a second dose must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2.
Human Papillomavirus (HPV)- state legislation requiring the HPV vaccine for female students entering the sixth grade will go into effect on October 1, 2008. The first dose shall be administered before the child enters sixth grade (Code of Virginia §32.1-46, subdivision 12). After reviewing educational material approved by the Board of Health, the parent or guardian at the parent’s or guardian’s sole discretion, may elect for the child not to receive the HPV vaccine. The letter went home with all 5th grade girls in the spring. A copy of the letter can be found here. Also available in Español
Medication at School
If your child is on medication, it is recommended that arrangements be made with the prescribing doctor so that the medicine may be taken before or after school hours. If this is not possible, please see the school nurse for specific School Board policies regarding medication. It is the responsibility of the parent to provide refills as necessary throughout the school year and to pick up all unused medication at the end of the school year. Medication not picked up will be discarded.
Please note the following:
Medication Request Form SBO 23 pdf
Students may not possess medication at any time during school hours or activities. Exceptions may be made for those students who require certain inhaled asthma medications, self-injected epinephrine, or other emergency medication. Student possession of such emergency medications shall require an additional form signed by a physician, parent, student, and the school nurse. Students who abuse this privilege may lose the ability to carry and self-administer medications.
Authorization to Carry and Self-Administer Medications (SBO 28)
Authorization to Carry and Self Administer Epinephrine (auto-injector)
Authorization Part 4: Permission to Self-Carry and Self Administer Diabetes Care
Important Forms/Information for Students with Life-Threatening Allergies:
Parent and Student Responsibilities for Life-Threatening Alleries
Checklists for Parents of Students With Life Threatening Allergies
Life-Threatening Allergy Management Plan (LAMP) to be completed by a parent
Life-Threatening Allergy Management Plan (LAMP) to be completed by a health care provider
Other Medication Forms:
Asthma Action Plan
Medications for After School Activities/Events:
In regard to emergency medications a student may need available for after school activities/events, it is extremely important parents/guardians notify the school nurse and individual in charge of the activity/event about this need. Examples of emergency medications include Epi-pens, Insulin, Glucagon and asthma inhalers. After regular school hours, the clinic is closed and a nurse is not available. Please note a student may carry emergency medications when the proper procedure is followed as stated above. It is the parent/guardian's responsibility to develop a plan with the nurse and the individual in charge of the afterschool activity/event so a safe environment may be maintained.
• Hurricane Supply Kit
• Hurricane: A Prevention Guide to Promote Your Personal Health and Safety
• Tornado Preparedness www.fema.gov/hazard/tornado/index.shtm and www.bt.cdc.gov/disasters/tornadoes/
• City of Hampton Emergency Management
• Pandemic Influenza Response Plan
• Bed Bug Information Sheet
• Wellness Policy- "Celebrations and Recognitions"
• Backpack Safety (pdf)
• Whooping Cough/Pertussis Information
• Eating Disorders
• Vaccine Information Statements (VIS) can be located at http://www.cdc.gov/vaccines/hcp/vis/index.html?s_cid=cs_000
• Academy for Eating Disorders (AED)
• Families Empowered and Supporting Treatment of Eating Disorders (F.E.A.S.T.)
• National Eating Disorders Association
Toll free, confidential Helpline, 1-800-931-2237
No, if he/she has…
Vague complaints of aches, pains or fatigue
Sniffles or a mild cough without a fever
A single episode of diarrhea or vomiting without other symptoms
Yes, if he/she…
• Has temperature of 100.4° or higher. Keep them home until fever-free for 24 hours without medicine. Never give aspirin to a child under 19 years old.
• When your own judgment tells you that your child is not well. If you suspect your child may be ill, delay sending them to school until you have had enough time to observe their behavior and feel certain that they are well enough to be in school.
• Your child has been diagnosed with a contagious illness and has not yet received medication for a minimum of 24 hours, or until your doctor tells you your child is no longer contagious.
• A red eye with white or yellow discharge or matted eyelids after sleep
• An earache
• Constant, thick nasal discharge
• A sore throat, so bad that your child will not eat or drink
• A persistent productive cough or wheezing
• More than one episode of diarrhea or vomiting
• An undiagnosed rash or spot
• Chicken Pox. Your child may return when all of the blisters are scabbed over and dry.
• Extreme fatigue
• A lot of pain for some reason (for example, a new injury)
• Head Lice. Your child may not return until treated and all nits are removed and checked by the school nurse.
During the summer months, children as well as adults enjoy many outdoor activities. These activities put people at a greater risk for dehydration and heat stress. Dehydration is the loss of both body water and electrolytes which are vital to the function of the human body. Not having enough water and electrolytes interferes with normal body processes and can lead to a serious and potentially fatal condition. The following are warning signs of dehydration and heat stress: fatigue, lethargy, rapid breathing, tenting (if the skin does not bounce back readily when lightly pinched and lifted), dark colored urine, low or no urine output, headache, and the inability to produce tears.
The best defense in the prevention of dehydration is proper hydration.
Here are some tips to help you and your child to stay well-hydrated:
1. Drink a minimum of eight glasses of water each day. A person who is more active will require even more water to properly rehydrate.
2. Drink plenty of fluids throughout the day. Don’t wait until you are thirsty to drink water. By the time a person becomes thirsty, they have probably lost two or more cups of their total body water composition.
3. Don’t substitute other beverages that contain caffeine and alcohol for water. Although all beverages help to hydrate the body, beverages containing caffeine and alcohol act as diuretics and cause loss of water by increasing urination.
4. Begin and end your day with water. Even while we sleep, we lose water.
5. Drink water throughout exercising. During a workout, take frequent water breaks. Many people underestimate the amount of fluids lost with perspiration.
6. Drink cool water instead of carbonated beverages or sports drinks for keeping hydrated when it is warm outside. Cool water is absorbed more quickly than warm fluids. Save the sports drinks for the long training sessions or for after exercise is completed.
7. Don’t forget that illnesses, such as the common cold, flu, etc. cause water loss that frequently leads to dehydration. Keep a bottle of water by your bedside and sip on it throughout the day if you are home sick.
Keeping these tips in mind while you are at home, work, or play, will help you stay healthy and hydrated! For more information about hydration as well as a Hydration Calculator, visit http://www.bottledwater.org/
Diabetes CornerHelpful Information
Virginia Diabetes Medical Management Plan
• Pharmaceutical Assistance
• Signs and Symptoms of Hypo/Hyper-glycemia (PDF)
• Helping the Student with Diabetes Succeed (PDF)
• Diabetic Tracking Record (PDF) or (XLS)
• Diabetes Support Groups: Children's Support | Yearly Diabetes Camps
• Diabetes Care Tasks at School: What Key Personnel Need To Know
Healthy students are more successful in school and are absent less often. Children without health insurance are more likely to miss school, have untreated health problems, and have less academic success. Health insurance is important to make sure that kids are able to get all the help they need to grow up healthy. You can still get all the same great information about the FAMIS program by going to the Cover Virginia website at www.coverva.org and selecting FAMIS from the drop down list under Programs. However, the greatest benefit of the transition is that now, you can also get information about Medicaid and Plan First – all on the same website. You can find out who is eligible for each program by using the Am I Eligible screening tool, find out how to apply, and learn how to connect with the Cover Virginia Call Center or link to the online application through Common Help. Coverva.org provides reference and referral information about the Federal Health Insurance Marketplace, Navigators and application assisters.
Apply online at www.commonhelp.viriginia.gov Or contact your FAMIS Community Outreach Specialist Victoria Johnson at: email@example.com or (757)622-9268 Ext. 3042 For more information or to determine if your child is eligible for FAMIS go to www.commonhelp.virginia.gov an click on “Am I Eligible”.
School Health Advisory Board
The School Health Advisory Board shall assist with the development of health policy in the school division and the evaluation of the status of school health, health education, the school environment, and health services.
The School Health Advisory Board for Hampton City Schools shall advise, support, and assist with the development of effective board practices and procedures, review relevant school health policies, foster family and community support and involvement in developing and implementing school health programs. This will include health instruction, healthy school environment, school health services, school counseling, physical education, family life education, school services, and health promotion for staff members.
SHAB Contact person:
Linda Lawrence RN, BSN
Coordinator of Health Services
Hampton City Schools
One Franklin Street
HCS does not discriminate on the basis of race, color, national origin, sex, disability, age or other protected classes in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. The following person has been designated to handle inquiries regarding the non-discrimination policies: Robbin G. Ruth, Executive Director, Human Resources, One Franklin Street, Hampton, VA 23669 757-727-2000.