Admin

School Nurse

Welcome from Gwen Natyzak, R.N.
Boonsboro Elementary School Nurse for 16 years
and 29 years as a Registered Nurse

 Contact me with any questions or concerns at (434) 384-2881
Email:  gnatyzak@bedford.k12.va.us
Clinic hours:  7:15 - 2:45


Health Forms
Immunization Requirements
School Entrance Health Form
Physician and Parent Authorization to Administer Medication Form
Oral Antihistamines Parent Authorization Form
Asthma Healthcare Plan and Medication Authorization Form
Acute Concussion Short Term Care Plan




How to Protect Yourself and Others from COVID-19

 

Know how it spreads

    The best way to prevent illness is to avoid being exposed to this virus which is spread mainly from person to person.

  • Between people who are in close contact with one another (within 6 feet)
  • Through respiratory droplets produced when an infected person coughs, sneezes, talks
  • You may also be able to get it by touching a surface or object that has the virus on it and then touching your mouth, nose, eyes.
  • COVID-19 may be spread by people who are not showing symptoms

 

Avoid close contact with people who are sick

Put distance between yourself and other people.

 

Please complete this short health check each morning before school:

Does your child have a temperature of 100 degrees or higher, sore throat, new uncontrolled cough, runny nose, diarrhea, vomiting, abdominal pain, poor appetite, new onset of severe headache, loss of taste or smell, muscle pain, flu-like symptoms?

 

Keep them home with any symptom of illness. Keep them home if COVID-19 test results are pending.

 

Keep your child at home when anyone in your home has these symptoms of COVID-19 or if COVID-19 test results are pending for anyone in your home and notify our school nurse.

Telephone our school office when your child is absent at (434) 384-2881   




Can a COVID-19 vaccine make me sick with COVID-19?

No. None of the authorized and recommended COVID-19 vaccines or COVID-19 vaccines currently in development in the United States contain the live virus that causes COVID-19. This means that a COVID-19 vaccine cannot make you sick with COVID-19.

There are several different types of vaccines in development. All of them teach our immune systems how to recognize and fight the virus that causes COVID-19. Sometimes this process can cause symptoms, such as fever. These symptoms are normal and are a sign that the body is building protection against the virus that causes COVID-19. Learn more about how COVID-19 vaccines work.

It typically takes a few weeks for the body to build immunity (protection against the virus that causes COVID-19) after vaccination. That means it’s possible a person could be infected with the virus that causes COVID-19 just before or just after vaccination and still get sick. This is because the vaccine has not had enough time to provide protection.

After getting a COVID-19 vaccine, will I test positive for COVID-19 on a viral test?

No. Neither the recently authorized and recommended vaccines nor the other COVID-19 vaccines currently in clinical trials in the United States can cause you to test positive on viral tests, which are used to see if you have a current infection.

If your body develops an immune response—the goal of vaccination—there is a possibility you may test positive on some antibody tests. Antibody tests indicate you had a previous infection and that you may have some level of protection against the virus. Experts are currently looking at how COVID-19 vaccination may affect antibody testing results.

If I have already had COVID-19 and recovered, do I still need to get vaccinated with a COVID-19 vaccine?

Yes. Due to the severe health risks associated with COVID-19 and the fact that re-infection with COVID-19 is possible, vaccine should be offered to you regardless of whether you already had COVID-19 infection. CDC is providing recommendations to federal, state, and local governments about who should be vaccinated first.

At this time, experts do not know how long someone is protected from getting sick again after recovering from COVID-19. The immunity someone gains from having an infection, called natural immunity, varies from person to person. Some early evidence suggests natural immunity may not last very long.

We won’t know how long immunity produced by vaccination lasts until we have more data on how well the vaccines work.

Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are trying to learn more about, and CDC will keep the public informed as new evidence becomes available.

Will a COVID-19 vaccination protect me from getting sick with COVID-19?

Yes. COVID-19 vaccination works by teaching your immune system how to recognize and fight the virus that causes COVID-19, and this protects you from getting sick with COVID-19.

Being protected from getting sick is important because even though many people with COVID-19 have only a mild illness, others may get a severe illness, have long-term health effects, or even die. There is no way to know how COVID-19 will affect you, even if you don’t have an increased risk of developing severe complications. Learn more about how COVID-19 vaccines work.

Will a COVID-19 vaccine alter my DNA?

No. COVID-19 mRNA vaccines do not change or interact with your DNA in any way.

Messenger RNA vaccines—also called mRNA vaccines—are the first COVID-19 vaccines authorized for use in the United States. mRNA vaccines teach our cells how to make a protein that triggers an immune response. The mRNA from a COVID-19 vaccine never enters the nucleus of the cell, which is where our DNA is kept. This means the mRNA cannot affect or interact with our DNA in any way. Instead, COVID-19 mRNA vaccines work with the body’s natural defenses to safely develop immunity to disease. Learn more about how COVID-19 mRNA vaccines work

At the end of the process, our bodies have learned how to protect against future infection. That immune response and making antibodies is what protects us from getting infected if the real virus enters our bodies.




Why is it important to get a flu vaccine during the COVID-19 pandemic?

Efforts to reduce the spread of COVID-19, such as stay-at-home and shelter-in-place orders, have led to decreased use of routine preventive medical services, including immunization services. Ensuring that people continue or start getting routine vaccinations during the COVID-19 pandemic is essential for protecting people and communities from vaccine-preventable diseases and outbreaks, including flu. Routine vaccination prevents illnesses that lead to unnecessary medical visits and hospitalizations, which further strain the healthcare system.

For the upcoming flu season, flu vaccination will be very important to reduce flu because it can help reduce the overall impact of respiratory illnesses on the population and thus lessen the resulting burden on the healthcare system during the COVID-19 pandemic.

A flu vaccine may also provide several individual health benefits, including keeping you from getting sick with flu, reducing the severity of your illness if you do get flu and reducing your risk of a flu-associated hospitalization.



3 W's to reduce your risk of COVID-19

Wear a mask
Wash your hands
Watch your distance ( keep 6 feet of space between you and your friends)

COVID-19 Resources:
Virginia Department of Health

http://www.vdh.virginia.gov/surveillance-and-investigation/novel-coronavirus/

Centers for Disease Control and Prevention
https://www.cdc.gov/coronavirus/2019-ncov/index.html



Recommendations to support and protect children’s emotional well-being during the pandemic

Create a safe physical and emotional environment by practicing the 3 R’s: Reassurance, Routines, and Regulation.

First, adults should reassure children about their safety and the safety of loved ones, and tell them that it is adults’ job to ensure their safety. Second, adults should maintain routines to provide children with a sense of safety and predictability (e.g., regular bedtimes and meals, daily schedules for learning and play). And third, adults should support children’s development of regulation. When children are stressed, their bodies respond by activating their stress response systems. To help them manage these reactions, it is important to both validate their feelings (e.g., “I know that this might feel scary or overwhelming”) and encourage them to engage in activities that help them self-regulate (e.g., exercise, deep breathing, mindfulness or meditation activities, regular routines for sleeping and eating). In addition, it is essential to both children’s emotional and physical well-being to ensure that families can meet their basic needs (e.g., food, shelter, clothing). 

Increase children’s self-efficacy.

Self-efficacy is the sense of having agency or control—an especially important trait during times of fear and uncertainty. Children often feel more in control when they can play an active role in helping themselves, their families, and their communities. For example, children can help by following safety guidelines (e.g., washing their hands), preparing for home confinement (e.g., helping to cook and freeze food), or volunteering in the community (e.g., writing letters or creating art for older adults or sick friends, sharing extra supplies with a neighbor).

Emphasize strengths, hope, and positivity.

Children need to feel safe, secure, and positive about their present and future. Adults can help by focusing children’s attention on stories about how people come together, find creative solutions to difficult problems, and overcome adversity during the epidemic. Talking about these stories can be healing and reassuring to children and adults alike.

Read the full article here:   https://www.childtrends.org/publications/resources-for-supporting-childrens-emotional-well-being-during-the-covid-19-pandemic


 

Resources for children on COVID-19 and staying healthy

BrainPOP: Coronavirus (4-minute video, activities, and games)

National Public Radio: Just for Kids: A Comic Exploring the New Coronavirus

PBS Kids: How to Talk to Your Kids About Coronavirus (includes a list of videos, games, and activities about handwashing and staying healthy at the bottom of the article)

Sesame Street:  https://www.sesamestreet.org/caring
Content you can use to spark playful learning, offer children comfort, and breathe deeply together. 


Multisystem inflammatory syndrome in children (MIS-C) is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. We do not yet know what causes MIS-C. However, we know that many children with MIS-C 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 who were diagnosed with this condition have gotten better with medical care.

What to do if you think your child is sick with MIS-C

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

  • Fever
  • Abdominal pain
  • Vomiting
  • Diarrhea
  • Neck pain
  • Rash
  • Bloodshot eyes
  • Feeling extra tired

Be aware that not all children will have all the same symptoms.

Seek emergency care right away if your child is showing any of these 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

How doctors will care for your child

Doctors may do certain tests to look for inflammation or other signs of disease. These tests might include:

  • Blood tests
  • Chest x-ray
  • Heart ultrasound (echocardiogram)
  • Abdominal ultrasound

Doctors may provide supportive care for symptoms (medicine and/or fluids to make your child feel better) and may use various medicines to treat inflammation. Most children who become ill with MIS-C will need to be treated in the hospital. Some will need to be treated in the pediatric intensive care unit (ICU).

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.

What we don’t know about MIS-C

CDC is still learning about MIS-C and how it affects children, so we don’t know why some children have gotten sick with MIS-C and others have not. We also do not know if children with certain health conditions are more likely to get MIS-C. These are among the many questions CDC is working to try to understand.

All CDC recommendations are based on the best data and science available at the time, and we will update them as we learn more.

How to protect your child from COVID-19

Based on what we know now about MIS-C, the best way you can protect your child is by taking everyday actions to prevent your child and the entire household from getting the virus that causes COVID-19.



Acute flaccis myelitis

Acute flaccid myelitis (AFM) is a rare but serious condition that affects the spinal cord. It can cause sudden weakness in the arms or legs, loss of muscle tone, and loss of reflexes. The condition mainly affects young children.

Most children have a mild respiratory illness or fever caused by a viral infection about one to four weeks before developing symptoms of acute flaccid myelitis.

If you or your child develops symptoms of acute flaccid myelitis, seek immediate medical care. Symptoms can progress rapidly. Hospitalization is needed and sometimes a ventilator is required for breathing support.

Since experts began tracking acute flaccid myelitis following initial clusters in 2014, outbreaks in the United States have occurred in 2016 and 2018. Another outbreak is expected in 2020. Outbreaks tend to occur between August and November.

Symptoms

The most common signs and symptoms of acute flaccid myelitis include:

  • Sudden arm or leg weakness
  • Sudden loss of muscle tone
  • Sudden loss of reflexes

Other possible signs and symptoms include:

  • Difficulty moving the eyes or drooping eyelids
  • Facial droop or weakness
  • Difficulty with swallowing or slurred speech
  • Pain in the arms, legs, neck or back

Uncommon symptoms might include:

  • Numbness or tingling
  • Inability to pass urine

Severe symptoms involve respiratory failure, due to the muscles involved in breathing becoming weak. It's also possible to experience life-threatening body temperature changes and blood pressure instability.

When to see a doctor

If you or your child has any of the signs or symptoms listed above, seek medical care as soon as possible.

Causes

Acute flaccid myelitis might be caused by an infection with a type of virus known as an enterovirus. Respiratory illnesses and fever from enteroviruses are common — especially in children. Most people recover. It's not clear why some people with an enterovirus infection develop acute flaccid myelitis.

In the United States many viruses, including enteroviruses, circulate between August and November. This is when acute flaccid myelitis outbreaks tend to occur.

The symptoms of acute flaccid myelitis can look similar to those of the viral disease polio. But none of the acute flaccid myelitis cases in the United States have been caused by poliovirus.

Risk factors

Acute flaccid myelitis mainly affects young children.

Complications

Muscle weakness caused by acute flaccid myelitis can continue for months to years.

Prevention

There's no specific way to prevent acute flaccid myelitis. However, preventing a viral infection can help reduce the risk of developing acute flaccid myelitis.

Take these steps to help protect yourself or your child from getting or spreading a viral infection:

  • Wash your hands often with soap and water.
  • Avoid touching your face with unwashed hands.
  • Avoid close contact with people who are sick.
  • Clean and disinfect frequently touched surfaces.
  • Cover coughs and sneezes with a tissue or upper shirt sleeve.
  • Keep sick children at home.


 Medication Administration Reminder (includes cough drops):
  • Please do not send medication or cough drops to school by your child.
  • A parent or guardian needs to bring all medicine to school.
  • All medicine must be in the original container.
  • A parent or guardian signature is required on our authorization form before medication will be administered.
No nebulizer treatments will be administered at school. A spacer is required for inhalers.


Healthy Tips

  • Encourage your child to eat breakfast at home or school every day.
  • Make sure your child gets at least 8 hours of sleep each night.
  • Teach your children to wash their hands well and often with soap and water.
  • Sneakers are best for active participation and safety.

 

Student Wellness Policy
The objectives of our Student Wellness Policy are to promote student health and reduce childhood obesity. Teachers are using other options for instruction/incentives rather than food items. Attention to individual student allergies and health care plans within the class population is required. No sharing of outside food and drinks among students. Do not send cupcakes, candy, or food treats for birthday celebrations.

  • Celebrations with food are limited to three times per year per class.
  • Food items are to be selected from BCPS Healthy Snack List or from our school cafeteria. 
  • Teachers must notify parents of events involving foods.      

 

SchoolCare (formerly CareDox)
Bedford County Public Schools are utilizing SchoolCare as a  tool for nurses to notify parents when their child visits the clinic as well as for parents to provide us with accurate medical information. All information is stored securely and is HIPAA and FERPA compliant. You will receive an email directly from SchoolCare with a personalized link to establish your child's record electronically.


You may email the Parent Support Team at SchoolCare if you have not received an email from them. 
Their email address:   Activation@CareDox.com

Facts about CareDox are located at this link: 
www.caredox.com/category-faq/parents/

   

 
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