Nurse News

Roles of the School Nurse

The Carroll County School Health Program, believing that each child's health has a direct effect on their ability to fully access the educational opportunities of our school division, strives to do everything possible to assist our students in achieving their full potential.

School nursing is a specialized practice of professional nursing that advances the well-being, academic success, and lifetime achievement of students.

The School Nurse plays many roles within the school.  Below are just a few of the many things that the School Nurse does within the school.
  • Vision and hearing screening for all 10th graders
  • Care plans for chronic health conditions
  • Teach Family Life during P.E. classes
  • Promotes healthy life styles
  • Health care counseling or guidance to students, their family, and to staff.
  • Identify health concerns by observation and assessment of needs, and provide appropriate care.
  • Medication management
  • Immunization verification according to state guideline requirements

What can parents / guardians do to make sure their student is ready to learn?

posted Oct 27, 2010 5:13 PM by JOANNA MYERS   [ updated Jan 6, 2012 10:15 AM ]
    • Make sure your student is getting 8-10 hours of sleep each night.
    • Make sure your student has breakfast every morning.
    • If your student has been prescribed glasses / contacts, make sure they wear them EVERY day, and that they are in good repair with a current prescription.
    • Take your student for regular physicals and dental care, especially if they have a chronic health condition.
    • Make sure the school has current orders from your Health Care Provider for any medications or procedures that need to be provided while at school.  New orders are required each school year.

      When is it medically suggested that your student stay home from school?

      posted Oct 27, 2010 4:52 PM by JOANNA MYERS   [ updated Oct 27, 2010 5:29 PM ]

      STD Awareness Month is well underway and CDC has developed three additional resources to help you continue raising awareness about the impact of sexually transmitted diseases and the important role health care providers can play in supporting the sexual health of their patients. Read more about an upcoming Twitter Chat, a new podcast, and a blog posting on

      Twitter Chat: STD Prevention and Young People

      Monday, April 23 at 1:00 PM EDT

      CDC Director Dr. Tom Frieden will host a live Twitter chat on STD prevention and young people with Dr. Gail Bolan, Director of CDC's Division of STD Prevention.

      Description: Photo: CDC Director Dr. Frieden

      What can providers do to help adolescents and young people avoid STDs? Encouraging testing and respecting privacy are just the beginning. To learn more, join Dr. Tom Frieden and Dr. Gail Bolan for a live Twitter chat on Monday, April 23 at 1:00 PM EDT, where they will answer your questions about STD testing and how providers can ensure that young people receive comprehensive information and care.

      This STD Awareness month, we’re urging STD testing among young people, a population particularly vulnerable to STDs. Even though young people represent only 25% of the sexually experienced population, nearly half of all STD cases occur in young people aged 15 to 24.  Research also shows that adolescent patients feel primary care settings are an appropriate place to discuss sexual health and would like their providers to initiate such discussions. To join the conversation:

      •       Follow @DrFriedenCDC on Twitter

      •       Follow @CDCSTD on Twitter

      Use the hash tag: #CDCchat

      STD Awareness Podcast – Reaching Youth

      Dr. Gail Bolan, Director of CDC's Division of STD Prevention, discusses the role that healthcare providers play in educating young patients about sexual health and STD prevention. Please share this two minute podcast with your web visitors by posting the link to your website.

      Blog on

      Dr. Gail Bolan, Director of CDC’s Division of STD Prevention, provides insight on how the important role health care providers can play in supporting the sexual health of their young patients on a blog on Check out “Encouraging Health Care Providers to Reach Youth for STD Awareness Month” at:

      When is it medically suggested that your child stay home from school?
      If they have...
      • Fever
      • Rash along with a fever
      • Crusty, red, or "weepy" eyes
      • Head lice
      • Vomiting / Diarrhea within 8 hours before coming to school
      • Elevated blood sugars above normal
      • Asthma symptoms that are not responding to medication
      • Still taking narcotic pain medicine after surgery or injury
      • If seen and told to stay home by your family doctor.  Please bring a note clearing child to return to school.
      Please be respecful of the teachers/staff and other students.  If you send your child to school with the above symptoms, you are exposing everyone else in the school.
Energy drinks
Energy drinks are under-studied, overused and can be dangerous for children and teens, warns a report by doctors who say kids shouldn't use the popular products.
FILE-In this Feb. 17, 2010 file photo, Dakota Sailor, who suffered a siezure after consuming several Nos energy drinks, poses for a photograph in Carl Junction, Mo. Energy drinks are under-studied, overused and can be dangerous for children and teens, warns a report by doctors who say kids shouldn’t use the popular products. (AP Photo/The Joplin Globe, Roger Nomer, File)

 The potential harms, caused mostly by too much caffeine or similar ingredients, include heart palpitations, seizures, strokes and even sudden death, the authors write in the medical journal Pediatrics. They reviewed data from the government and interest groups, scientific literature, case reports and articles in popular and trade media.

Dakota Sailor, 18, a high school senior in Carl Junction, Mo., says risks linked with energy drinks aren't just hype.

Sailor had a seizure and was hospitalized for five days last year after drinking two large energy drinks — a brand he'd never tried before. He said his doctor thinks caffeine or caffeine-like ingredients may have been to blame.

The report says some cans have four to five times more caffeine than soda, and Sailor said some kids he knows "drink four or five of them a day. That's just dumb."

Sailor has sworn off the drinks and thinks other kids should, too.

The report's authors want pediatricians to routinely ask patients and their parents about energy drink use and to advise against drinking them.

"We would discourage the routine use" by children and teens, said Dr. Steven Lipshultz, pediatrics chairman at the University of Miami's medical school. He wrote the report with colleagues from that center.

The report says energy drinks often contain ingredients that can enhance the jittery effects of caffeine or that can have other side effects including nausea and diarrhea. It says they should be regulated as stringently as tobacco, alcohol and prescription medicines.

"For most children, adolescents, and young adults, safe levels of consumption have not been established," the report said.

Introduced more than 20 years ago, energy drinks are the fastest growing U.S. beverage market; 2011 sales are expected to top $9 billion, the report said. It cites research suggesting that about one-third of teens and young adults regularly consume energy drinks. Yet research is lacking on risk from long-term use and effects in kids — especially those with medical conditions that may increase the dangers, the report said.

The report comes amid a crackdown on energy drinks containing alcohol and caffeine, including recent Food and Drug Administration warning letters to manufacturers and bans in several states because of alcohol overdoses.

The report focuses on nonalcoholic drinks but emphasizes that drinking them along with alcohol is dangerous.

The American Association of Poison Control Centers adopted codes late last year to start tracking energy drink overdoses and side effects nationwide; 677 cases occurred from October through December; so far, 331 have been reported this year.

Most 2011 cases involved children and teens. Of the more than 300 energy drink poisonings this year, a quarter of them involved kids younger than 6, according to a data chart from the poison control group.

That's a tiny fraction of the more than 2 million poisonings from other substances reported to the group each year. But the chart's list of reported energy drink-related symptoms is lengthy, including seizures, hallucinations, rapid heart rate, chest pain, high blood pressure and irritability, but no deaths.

Monday's paper doesn't quantify drink-related complications or deaths. It cites other reports on a few deaths in Europe of teens or young adults who mixed the drinks with alcohol, or who had conditions like epilepsy that may have increased the risks.

Maureen Storey, senior vice president of science policy at the American Beverage Association, an industry group, said the report "does nothing more than perpetuate misinformation" about energy drinks.

Many of the drinks contain much less caffeine than coffee from popular coffeehouses, and caffeine amounts are listed on many of the products, she said in a written statement.

Caffeine is safe, but those who are sensitive to it can check the labels, she said.

A clinical report on energy drinks is expected soon from the American Academy of Pediatrics that may include guidelines for doctors.

Dr. Marcie Schneider, an adolescent medicine specialist in Greenwich, Conn., and member of the academy's nutrition committee, praised Monday's report for raising awareness about the risks.

"These drinks have no benefit, no place in the diet of kids," Schneider said.
Information obtained from Atlanta health diet and fitness news.

A Healthy Balanced Diet

A healthy balanced diet contains a variety of foods including plenty of fruit and vegetables, plenty of starchy foods such as wholegrain bread, pasta and rice, some protein-rich foods such as meat, fish, eggs and lentils and some dairy foods. It should also be low in fat (especially saturated fat), salt and sugar.

Wholegrain foods contain more fiber and other nutrients than white or refined starchy foods. We also digest wholegrain foods more slowly so they can help make us feel full for longer. Wholegrain foods include: · Wholemeal and wholegrain bread, pitta and chapatti · Wholewheat pasta and brown rice · Wholegrain breakfast cereals

Try to eat at least 5 portions of a variety of fruit and veg every day. It might be easier than you think. You could try adding up your portions during the day. For example, you could have: · a glass of juice and a sliced banana with your cereal at breakfast · a side salad at lunch · a pear as an afternoon snack · a portion of peas or other vegetables with your evening meal You can choose from fresh, frozen, tinned, dried or juiced, but remember potatoes count as a starchy food, not as portions of fruit and veg.

Most of us should be eating more fish - including a portion of oily fish each week. It's an excellent source of protein and contains many vitamins and minerals. Aim for at least two portions of fish a week, including a portion of oily fish. You can choose from fresh, frozen or canned - but remember that canned and smoked fish can be high in salt. What are oily fish? Some fish are called oily fish because they are rich in certain types of fats, called omega 3 fatty acids, which can help keep our hearts healthy. How much oily fish? Although most of us should be eating more oily fish, women who might have a baby one day should have a maximum of 2 portions of oily fish a week (a portion is about 140g). And 4 is the recommended maximum number of portions for other adults. Examples of oily fish Salmon, mackerel, trout, herring, fresh tuna, sardines, pilchards, eel Examples of white or non-oily fish Haddock, plaice, cod, tinned tuna, skate, hake Shark, swordfish and marlin Don't have more than one portion a week of these types of fish. This is because of the high levels of mercury in these fish.

To stay healthy we need some fat in our diets. What is important is the kind of fat we are eating. There are two main types of fat: · saturated fat - having too much can increase the amount of cholesterol in the blood, which increases the chance of developing heart disease · unsaturated fat - having unsaturated fat instead of saturated fat lowers blood cholesterol Try to cut down on food that is high in saturated fat and have foods that are rich in unsaturated fat instead, such as vegetable oils (including sunflower, rapeseed and olive oil), oily fish, avocados, nuts and seeds. Foods high in saturated fat Try to eat these sorts of foods less often or in small amounts: · meat pies, sausages, meat with visible white fat · hard cheese · butter and lard · pastry · cakes and biscuits · cream, soured cream and crème fraîche · coconut oil, coconut cream or palm oil For a healthy choice, use just a small amount of vegetable oil or a reduced-fat spread instead of butter, lard or ghee. And when you are having meat, try to choose lean cuts and cut off any visible fat. How do I know if a food is high in fat? Look at the label to see how much fat a food contains. Generally the label will say how many grams (g) of fat there are in 100g of the food. Some foods also give a figure for saturated fat, or 'saturates'. Use the following as a guide to work out if a food is high or low in fat. Total fat - what's high and what's low? High is more than 20g fat per 100g Low is 3g fat or less per 100g If the amount of fat per 100g is in between these figures, then that is a medium level of fat. Saturated fat - what's high and what's low? High is more than 5g saturates per 100g Low is 1.5g saturates or less per 100g If the amount of saturates per 100g is in between these figures, then that is a medium level of saturated fat. Remember that the amount you eat of a particular food affects how much fat you will get from it. Try to choose more foods that are low in fat and cut down on foods that are high in fat. Sugar Most people in the UK are eating too much sugar.

We should all be trying to eat fewer foods containing added sugar, such as sweets, cakes and biscuits, and drinking fewer sugary soft and fizzy drinks. Having sugary foods and drinks too often can cause tooth decay, especially if you have them between meals. Many foods that contain added sugar can also be high in calories so cutting down could help you control your weight. How do I know if a food is high in added sugar? Take a look at the label. The ingredients list always starts with the biggest ingredient first. But watch out for other words used to describe added sugars, such as sucrose, glucose, fructose, maltose, hydrolyzed starch and invert sugar, corn syrup and honey. If you see one of these near the top of the list, you know the food is likely to be high in added sugars. Another way to get an idea of how much sugar is in a food is to have a look for the 'Carbohydrates (of which sugars)' figure on the label. But this figure can't tell you how much is from added sugars, which is the type we should try to cut down on. High is more than 15g sugars per 100g Low is 5g sugars or less per 100g If the amount of sugars per 100g is in between these figures, then that is a medium level of sugars. Remember that the amount you eat of a particular food affects how much sugars you will get from it. Sometimes you will only see a figure for total 'Carbohydrates', not for 'Carbohydrates (of which sugars)', which means the figure also includes the carbohydrate from starchy foods. 5.

Try to eat less salt - no more than 6g a day Lots of people think they don't eat much salt, especially if they don't add it to their food. But don't be so sure! Every day in the UK, 85% men and 69% women eat too much salt. Adults - and children over 11 - should have no more than 6g salt a day. Younger children should have even less. Three-quarters (75%) of the salt we eat is already in the food we buy, such as breakfast cereals, soups, sauces and ready meals. So you could easily be eating too much salt without realizing it. Eating too much salt can raise your blood pressure. And people with high blood pressure are three times more likely to develop heart disease or have a stroke than people with normal blood pressure. How do I know if a food is high in salt? Check the label to find out the figure for salt per 100g. High is more than 1.5g salt per 100g (or 0.6g sodium) Low is 0.3g salt or less per 100g (or 0.1g sodium) If the amount of salt per 100g is in between these figures, then that is a medium level of salt. Remember that the amount you eat of a particular food affects how much salt you will get from it. 6.

Get active and try to be a healthy weight It's not a good idea to be either underweight or overweight. Being overweight can lead to health conditions such as heart disease, high blood pressure or diabetes. Being underweight could also affect your health. If you're worried about your weight, ask your General Practitioner (Family Doctor) or a dietitian for advice. But if you think you just need to lose a little weight, the main things to remember are: · only eat as much food as you need · make healthy choices - it's a good idea to choose low-fat and low-sugar varieties, eat plenty of fruit and veg and whole grains · get more active It's also important to eat a variety of types of food so you get all the nutrients your body needs. Physical activity is a good way of using up extra calories, and helps control our weight. But this doesn't mean you need to join a gym. Just try to get active every day and build up the amount you do. For example, you could try to fit in as much walking as you can into your daily routine. Try to walk at a good pace. Whenever we eat more than our body needs, we put on weight. This is because we store any energy we don't use up - usually as fat. Even small amounts of extra energy each day can lead to weight gain. But crash diets aren't good for your health and they don't work in the longer term.

The way to reach a healthy weight - and stay there - is to change your lifestyle gradually. Aim to lose about 0.5 to 1kg (about 1 to 2lbs) a week, until you reach a healthy weight for your height. 7. Drink plenty of water We should be drinking about 6 to 8 glasses (1.2 litres) of water, or other fluids, every day to stop us getting dehydrated. When the weather is warm or when we get active, our bodies need more than this. But avoid drinking soft and fizzy drinks that are high in added sugar. Breakfast can help give us the energy we need to face the day, as well as some of the vitamins and minerals we need for good health. Some people skip breakfast because they think it will help them lose weight. But missing meals doesn't help us lose weight and it isn't good for us, because we can miss out on essential nutrients. There is some evidence to suggest that eating breakfast can actually help people control their weight. So why not go for a bowl of wholegrain cereal with some low-fat milk and sliced banana and a glass of fruit juice for a healthy start to the day? This information was provided by For more info you can logon to, , and

H1N1 News:

The purpose of this memorandum is to provide parents, students, teachers, and stakeholders of the Carroll County Public School Division information regarding the recent outbreak of the swine flu, which is currently being discussed in the media.  You may monitor this fluid situation by accessing the latest information on the U.S. Centers for Disease Control and Prevention's swine flu page. The following resources are provided for your information. Current information from the Virginia Department of Health (VDH) may be accessed at their Web site at: .  CDC Fact Sheet: Questions & Answers on Swine Flu may be accessed at: The Virginia Department of Education's Pandemic Influenza Guidelines for Virginia Public Schools may be found at: under "Publications."  

The Commonwealth of Virginia has a strong public health system and is well prepared to address the current situation.  The Virginia Department of Health encourages anyone with influenza-like illness to follow these standard guidelines:If  you get sick, stay home from work or school and limit contact with others to keep from infecting them. If you think you require medical attention, call your health care provider in advance so that they can take the necessary infection control precautions prior to your arrival.

Cover your nose and mouth with a tissue when you cough or sneeze and throw the tissue in the trash after you use it.Wash your hands often with soap and water (vigorously for at least 20 seconds each time), especially after you cough or sneeze.  Alcohol-based hand cleaners are also effective.Try to avoid close contact with sick people.Avoid touching your eyes, nose or mouth. Germs spread that way.Follow public health advice regarding school closures, avoiding crowds and other social distancing measures. Develop a family emergency plan as a precaution.  This should include storing a supply of food, water, medicines, facemasks, alcohol based hand rubs and other essential supplies. If you have additional questions, please contact Mr. Dennis Green, Director of Operations at (276)236-6292, or Mrs. Lynn Davies, Health Service/Nurse at (276)728-7504. 

Dental Health is important:

A list of dentists that accept Medicaid can be found on this website: .

When should you seek medical / dental care for your child?

posted Oct 27, 2010 4:57 PM by JOANNA MYERS   [ updated Oct 27, 2010 5:13 PM ]
  • Fever over 101 degrees with a sore throat
  • Any rash along with a fever
  • Fever with earach and / or drainage from the ear
  • Fever with a loose cough that produces yellow or green mucous
  • Worsening asthma symptoms
  • Crusted or "weepy" eyes that are red and swollen
  • Any illness that does not begin to get better within 2-3 days
  • If you child frequently misses school or calls to go home from school due to a specific problem
  • High Blood sugars with moderate to large ketones
  • Toothache / swollen gums / injured tooth
    When a permanent tooth is chipped or broken:
  • Collect all pieces of the tooth.
  • Rinse the mouth with warm water.
  • Hold a cold compress (such as an ice cube wrapped in cloth or gauze) against the injured tooth.
  • Contact a dentist.
Seek Medical Care if a Permanent Tooth is Knocked Out:
Go to the dentist or emergency room right away after following these steps:
  • Find the tooth.  Call a dentist or emergency room right away if you aren't sure if it's a permanent tooth (baby teeth have smooth edges).
  • Hold the tooth by the crown (the surface farthest from the gum line) - not the root.
  • Try to put the tooth back in the socket right away and have the child hold it in place.
  • If the tooth cannot be put back in the socket, store it in cold milk.  Do not store it in tap water.
  • Have the child bite down on a gauze pad or handkerchief to relieve bleeding and pain.
Think Prevention!
Make sure children wear mouth guard and protective gear for contact sports and helmets while biking or skateboarding. 

Flu season is HERE.

Remember to wash your hands for at least 20 seconds each time several times a day. Handwashing is the best way to prevent transmission of diseases. Cover you cough also. Flu shots are available in doctor's offices and at your local health department.

Reminder to students and parents:

When a student brings in a medication, I have to have written permission  from the parent before I can administer the medication. Also, it needs to be in the labeled container that it was purchased in and not expired. Thanks!  


Food allergies: (specifically for kids) (specifically for teens)
General health:
Dental health:
Asthma Allergies:
Childhood Heart Conditions: