Nurse Notes

‚ÄčImportant Health Paperwork

School Health Entrance Form
Immunization Requirement Form
BCPS Medication Form
BCPS Anihistamine Form
Influenza information
Zika virus information
-  Talking to your kids
-  Help to control mosquitoes 
HPV letter


                     Valerie Cote, RN



Welcome to Thomas Jefferson Elementary School.  As your school nurse, I have many responsibilities that include caring for sick or injured students, and to act as a resource for parents, students, and staff.

 Hearing and vision screenings on all students in grades three, five and all students new to Bedford County Schools will be performed in the fall. Kindergarten students will only be screened if it was not done on the school entrance physical. Fifth grade students will receive scoliosis screening also. Height & weight screenings will be done early in the school year on all students. If you do not want your child screened please send a note to the clinic. Pediculosis (head lice) infestation is a prevalent concern among young school age children.  I will periodically check your child’s classroom for head lice for preventative reasons.

 I want to highlight a few important reminders.  Any medicine to be given to a student must be brought to the school by the parent/guardian in the original container. Please do not put medication in a sandwich bag with a note and send it to school with your child.  The “Physician/Parent Authorization to Administer Medication” form must be completed and signed by the parent and physician for any prescription medicine to be administered during school hours.  Please keep your emergency card up to date.  If your child gets sick or injured at school, these cards are our only means of contacting you without delay.
When your child is absent for any reason, please notify the school (call the office at 534-6159).  Also, when your child returns to school after an absence a note from the parent must be sent to the office so that your child can be excused.
I look forward to the many opportunities this school year will bring to further interact with you and help your children as needed.  If you have any questions or concerns, please feel free to contact me here at the school.     

                                  CAREDOX UPDATE

Dear Parent/Guardian:

We are excited to announce that Bedford County Public Schools is using CareDox as a new tool for nurses to notify parents when your child (children) visit the clinic as well as for parents to provide us with accurate student medical information. All information is stored securely and is HIPAA and FERPA compliant. You will receive an email directly from CareDox with a personalized link to establish your child's record electronically. Once you open the email and link into CareDox, you will receive clinic passes electronically! This will happen sometime over the summer. If you already have connected with Caredox with your other children should be able to go in and add the new child’s information.

The benefits of CareDox include:

  • Streamlined medical information sharing, limiting paper mail, faxing, or phone calls
  • Real-time or early evening notifications when your child visits the school clinic.
  • Accurate and portable vital information for daily and emergency use.
  • Fill out your child's health profile ONCE, and update any changes each year, ensuring it is always up-to-date.
  • If you complete the connection to CareDox, the school staff will have access and be aware of your child's medical conditions and you have a more efficient way to communicate. Please note, if you do not connect to CareDox, you will not receive electronic clinic passes.

Facts about CareDox are located at this link:

Student safety is a top priority for Bedford County Public Schools and CareDox helps to ensure an efficient, streamlined means for coordinating the care of your child.



Patricia D. Knox MN, BSN, RN, NCSN

BCPS School Nurse Supervisor






How do you know when your child is sick??

Here are some guidelines to help you make this “morning decision” a little bit easier.  Suggestions for keeping your child at home:

  • Diarrhea and/or vomiting within the prior 24 hour period. (If your child has diarrhea and is vomiting he/she should see a doctor.  Children can get dehydrated very quickly.)
  • Cold with fever and thickened yellow or green drainage from nose. 
  • Sore throat with fever and swollen neck glands.
  • Cough that keeps your child awake at night.
  • Fever that is more than 100 degrees, taken by mouth or ear.  (Your child should be without a fever for 24 hours before returning to school.)
  • Earache that is severe and persistent. 
  • Redness in white of eyes, yellow eye discharge and matted eyelashes.  (This may suggest pink eye.)
  • Rashes with blisters, oozing and is painful. 

A good question to ask yourself as a parent is, “Would I want my child to sit next to a child with these symptoms?” 

Head Lice

Head lice infestation, or pediculosis, is spread most commonly by close person-to-person contact. Bedford County Public Schools has a “no nit policy.” Please notify the school nurse when your child has head lice.  Children must be checked by the nurse prior to re-admission to school. 

Head lice may be difficult to see but signs to look for include:

  • Persistent scratching of the head or back of the neck.
  • Visible crawling lice on the scalp and/or hair.
  • White specks in the hair that may look like dandruff. Dandruff is easily removed but nits (eggs) are glued to the hair shaft and very difficult to remove. 


Thank you.

Valerie Cote, R.N.

School Nurse, TJES


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