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 15th 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.

                    Notes from the Clinic

 As another school year comes to a close, I have a few reminders before school ends:

 Please pick up your child’s medications at the end of the school year. Any medication not picked up by May 28, 2021 will be discarded. If your child will need any medications for the next school year, please contact the nurse to send home the forms that are required before the end of this school year.

 Lastly, have fun in the sun this summer!! When you are outside protect your skin from the sun’s ultraviolet rays. Shirts, hats, and sunscreen protect your skin from UV rays.

 SLIP! On a shirt. Protect your skin with clothing.

SLOP! On sunscreen. Use a sunscreen with a sun protection factor (SPF) of 15 or higher.

SLAP! On a hat. Wear a hat with a wide brim. Your ears, neck and face get lots of sun.

SLIP! SLAP! SLOP!  Is a campaign adopted by the American Cancer Society to remind us how to prevent skin cancer.

 Have a safe, healthy, and enjoyable summer! 

 Valerie Cote, RN

TJES School Nurse

Important Information for Parents/Guardians with Children Entering Kindergarten

Each parent or guardian is responsible for providing written proof from a healthcare provider that documents their child's age-appropriate immunizations(s). This will include the prescribed number of doses of vaccine(s) and administration dates. All students enrolled in Bedford County Public Schools must provide this information, regardless of whether participating in person or with remote learning. Vaccines must be administered as outlined by the Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), and American Academy of Family Physicians (AAFP) and must be administered within time and age requirements (VDH School Requirements: Immunization).

What are the NEW changes regarding kindergarten school entry vaccination requirements?

  • Before children enter kindergarten they now need two properly spaced doses of the hepatitis A vaccine (HAV). The first dose should be administered at age 12 months or older. The HAV vaccine requirement is an addition to the existing kindergarten vaccine requirements. Prior to the law going into effect children entering kindergarten were not required to have the HAV vaccine.


    With the new requirements, are students in first grade and above required to receive the HAV vaccine doses?

  • No, rising first grade students and above will be considered “grandfathered” and will not be required to receive the HAV vaccine doses.


    If a first grade student comes to Virginia from out of state, will they be required to have the HAV vaccine doses for school entry?

  • No, the first grader is not required to have the Hep A series, however, it is recommended.


    If a Kindergarten student presents with only one dose of the HAV vaccine on the first day of school, can the student receive a conditional enrollment?

  • Yes, the student can receive a conditional enrollment as long as the student has received the first dose of the HAV 2-dose series. The conditional enrollment period is 180 days.


If your child has NOT had these required vaccines you must provide the proper documentation prior to the start of the 2021-2022 school year for these immunizations. Phone calls or notes from parents are not acceptable forms of meeting this requirement.  To avoid delay in getting your child’s schedule please make every effort to meet this requirement by providing the school with one of the following by July 15, 2021:

  1. Proof of having the booster vaccines required for school entry.
  2. A notarized religious exemption form with a raised seal or registration number.
  3. Medical exemption form signed by your physician indicating temporary or permanent exemption on the Virginia School Entrance Health Form.


The school division may exclude your child from school attendance if this requirement is not met. Teacher assignment or class schedules will not be released until this health information is provided to the school and verified. If you need a copy of your child’s current school immunization record, please request a copy from the nurse and one will be provided within three business days. It is strongly suggested you discuss these changes with your health care provider in order to schedule your child soon to meet this school health requirement. Thank you for your prompt attention to this requirement.

                           COVID 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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