Nurse Notes

Important Health Paperwork

School Health Entrance Form
Immunization Requirement Form
BCPS Medication Form
BCPS Anihistamine Form   
Acute Concussion Care Plan
Asthma Action Plan
Seizure Action Plan
Medical Form - Diabetic
Allergy Action Plan

Dietary Form
Bus Driver Medical Information Form
Care Plan for Health Services
Release of Information Form
Eating Disorders-Parent Info Sheet


                             Valerie Cote, RN

Welcome to Thomas Jefferson Elementary School. I am starting my 16th year at TJ. 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.

I want to highlight a few important reminders. Any medication to be administered 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. This school year because of Covid 19 restrictions there will be no nebulizer treatments done at school also please provide a spacer with your child's inhaler. Please keep your child's emergency card up to date. If your child gets sick or injured at school, these cards are our means of contacting you without delay. 
Please make prompt arrangements to pick up your child when the school notifies you that your child is ill. Pick up should be in less than one hour.

Please register/update your information in CAREDOX which is the BCPS digital health platform so you will receive emails of your child’s clinic visits. The link to register for CAREDOX is

When your child is absent for any reason, please notify the school (call the office at 534-6159). In addition, 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. Thank you.

Hand, Foot, and Mouth Disease (Coxsackievirus)

Hand, foot, and mouth disease is a mild viral disease caused by coxsackievirus.

Symptoms may include fever, sore throat, stomach pain and diarrhea, and a rash of tiny blisters on the palms of the hands, soles of the feet, and in the mouth (lasting 7 to 10 days). This illness is most commonly seen in the summer and fall.

 Transmission:  The virus that causes hand, foot, and mouth disease is transmitted by direct contact with nose and throat discharges and feces of infected people (who may be asymptomatic) and aerosol droplet spread. Adults and children are susceptible; however, incidence is highest in young children. A person can be a source of infection as long as the virus is shed in the stool, usually several weeks (as long as 8 to 12 weeks). The incubation period is 3 to 6 days.


                 Covid Vaccine Information  

The Covid vaccine is now available for children ages 5-11  years of age. Please see the Virginia Department of Health website for details.

                           COVID 19 INFORMATION

FOR PARENTS:  Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19.

 This condition causes different body parts to become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal (digestive) organs. We do not yet know what causes MIS-C, however, many children with the syndrome had the virus that causes COVID-19, or had been around someone with COVID-19. MIS-C can be serious, even deadly, but most children diagnosed with this condition have gotten better with medical care.

 Contact your child’s doctor, nurse, or clinic right away if he or she is showing symptoms of MIS-C:

 • Fever

• Abdominal pain

 • Vomiting

 • Diarrhea

• Neck pain

• Rash

• Bloodshot eyes

• Feeling extra tired

Children may only have one or a few of the symptoms. Not all children have the same symptoms. Seek emergency care right away if your child is showing any emergency warning signs of MIS-C or other concerning signs:

• Trouble breathing

 • Pain or pressure in the chest that does not go away

 • New confusion

 • Inability to wake or stay awake

• Bluish lips or face

 • Severe abdominal pain

Parents or caregivers who have concerns about their child’s health, including concerns about COVID-19  or MIS-C, should call a pediatrician or other healthcare provider immediately. Healthcare providers can follow CDC recommendations to keep children and their parents or caregivers safe if an in-person visit is needed.

 Keeping Parents and Partners Informed

CDC activities to investigate MIS-C are one piece of the CDC Response to COVID-19. For more information, visit our Responder Stories and read about CDC in Action.

                        COVID 19

Below is an article from the CDC on the Corona Virus and how to protect yourself and others from getting it. Please stay safe and healthy during this challenging time. 

Know How it Spreads

Illustration: woman sneezing on man



  • There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).
  • The best way to prevent illness is to avoid being exposed to this virus.
  • The virus is thought to spread mainly from person-to-person.
    • Between people who are in close contact with one another (within about 6 feet).
    • Through respiratory droplets produced when an infected person coughs, sneezes or talks.
    • These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
    • Some recent studies have suggested that COVID-19 may be spread by people who are not showing symptoms.


More details: How COVID-19 Spreads

Everyone Should

Illustration: washing hands with soap and water



Clean your hands often

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
Illustration: Woman quarantined to her home



Avoid close contact

    • Remember that some people without symptoms may be able to spread virus.
Person with cloth face covering



Cover your mouth and nose with a cloth face cover when around others

  • You could spread COVID-19 to others even if you do not feel sick.
  • Everyone should wear a cloth face cover when they have to go out in public, for example to the grocery store or to pick up other necessities.
    • Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
  • The cloth face cover is meant to protect other people in case you are infected.
  • Do NOT use a facemask meant for a healthcare worker.
  • Continue to keep about 6 feet between yourself and others. The cloth face cover is not a substitute for social distancing.


More details: Cloth Face Covers

woman covering their mouth when coughing



Cover coughs and sneezes

  • If you are in a private setting and do not have on your cloth face covering, remember to always cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
  • Throw used tissues in the trash.
  • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.
cleaning a counter



Clean and disinfect

  • Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
  • If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.



  Covid-19 vs. Cold vs. Flu vs. Allergies



Thank you.

Valerie Cote, R.N.

School Nurse, TJES


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