School Nurse
Information Page
Find Forms Policies and Procedures and Concussion Information HERE!!
SCROLL DOWN
Embedded Files
Gina Votovich, BSN, RN
Gina Votovich, BSN, RN
gina.votovich@jpthegreat.org (703) 445-0236 Direct Fax: (703) 445-0301
Saint John Paul the Great Staff and Parent Alumni Parent (2017)
BSN Waynesburg University, Waynesburg , PA
Licensed as a Registered Nurse in both West Virginia and Virginia. Previously held licenses in Pennsylvania, Georgia, Alaska, and Hawaii.
30+ years of experience in various locations including U.S. Army Hospital/Health Clinic Vicenza, Italy; West Virginia University Hospital; University of Pittsburgh Medical Center; Alaska Native Medical Center, and Madigan Army Medical Center.
Nursing experience includes labor and delivery, maternal child, infectious disease, public health, and medical management.
Established and implemented the School Health Aide Position for Damien Memorial School Honolulu, Hawaii.
The School Nurse and Athletic Trainers at John Paul work closely together to to provide continuity and quality health care for the students and student athletes at our school.
ADMISSION REQUIREMENTS
All new (transfer) students and incoming freshmen (rising 9th graders) must submit following
to the school nurse either in person or via email at: gina.votovich@jpthegreat.org
A physical examination dated no sooner than August 1 of the previous school year.
-VISAA Athletic Participation Physical Examination forms dated no sooner than August 1 of the previous school year will also be accepted.
Up to date immunization records, requirements can be found below.
Commonwealth of Virginia School Immunization Requirements
Proof of immunization is required for school attendance per Commonwealth of Virginia Law.
Click HERE to access the Virginia Department of Health School Immunization Requirements page.
Immunization records must be submitted by August 1st.
Students who do not provide documented proof of immunization will not be admitted to school per Commonwealth of Virginia law.
Immunization records received from an elementary school will not be accepted.
Immunization records must contain a medical provider's signature/stamp.
Records will be reviewed for completeness.
**Human Papaloma Virus (HPV) and COVID-19 vaccines are NOT required for attendance.
Forms: Action Plans and Physicals
If your student requires and action plan for Anaphylaxis, Asthma, Insulin Dependent Diabetes, or a Seizure disorder, please print the corresponding packet .
You and your student's medical provider will need to complete ALL of the forms in packet.
Be sure to sign in all indicated areas. Forms missing signatures will be considered incomplete.
Action Plans are to be turned in to the school nurse along with any ordered medication on the first day of school.
Action Plans are to be updated each school year for students. If a parent chooses not to provide an action plan and or medication an Appendix F-25 Refusal to provide Action Plan and or Medication MUST be completed.
Students who do not have completed action plans or are missing forms, signatures or medications will not be permitted to stay at school.
Action Plans and Medication Forms
Appendix F-4 Anaphylaxis Care Plan with Indemnification - 2025 (1).pdfAnaphylaxis Action Plan Appendix F-4
Appendix F-21B Self Carry Epi Agreement_2023 (1) (1).pdfEpi-Pen Self Carry Form
Epi-Pen Self Carry Form
Appendix F-21B
APPENDIX F-3 Asthma Action Plan with Indemnification 2024 (3).pdfAsthma Action Plan
Appendix F-3
Inhaler Self Carry_2023 (1).pdfInhaler Self Carry Form
Inhaler Self Carry Form
Diabetic Action Plan-11-11-22 (1).pdfDiabetic Medical Management Plan
APPENDIX F-20 Seizure Action Plan 2020.pdfSeizure Action Plan
APPENDIX F-25 Refusal to provide medication and Waiver of Liability 2023 All APs.pdfRefusal to Provide Action Plan/Medication
Appendix F-25
APPENDIX F-6 Diocese Medication Authorization Form 2023(2pages)instructions (3).pdfDiocese Medication Authorization Form
Appendix F-6
For prescription and non prescription medications.
NOT for Epi Pens Inhalers or medications listed on Action Plans
Physical Forms: School Physical and Sports Physical
MCH213G_School_Entrance_Fillable-Form.pdfCommon Wealth of Virginia School Entrance Health Form
VISAAAthleticParticipationForm.pdfVISAA Sports Physical
Under NO circumstances will verbal requests by parents/guardians to administer medications be accepted.
Elevator Passes and Accommodations
Elevator Passes and Accommodations
Elevator Passes:
There are a LIMITED number of elevator passes available for use by students when indicated.
Elevator Passes are available with a doctor's note and MUST specify reason for the pass and length of time the pass will be needed.
Passes will only be extended with a doctor's note.
Students who lose their assigned pass or do not turn in their elevator passes on the day it is due to be returned will have their student account charged for the lost pass.
Due to limited availability, students who forget to bring their elevator pass to school may not be able to "borrow" one for the day and will need to ask a teacher to call the elevator for them.
Students must notify the nurse immediately of lost passes so they they can be traced.
Accommodations:
Students requiring accommodations related to uniform, shoes (see regulation below), back packs, etc. need to see the nurse to obtain a nurse's pass.
Students requesting a shaving accommodation will need to complete the form below.
STUDENT SHAVING ACCOMMODATIONS.pdfStudent Shaving Accommodation Letter and Form
STUDENT FOOTWEAR ACCOMMODATION FORM updated 6_25.docx.pdfStudent Footwear Accommodation Guidelines and Letter
Concussion Information and Procedures
Concussion Information and Procedures
ACE
Acute Concussion Evaluation and Care Plan
ace_care_plan_school_version_a.pdfJP has procedures in place for students diagnosed with a concussion.
Your primary point of contact is the School Nurse and/or the Athletic Trainer
Concussions CANNOT be diagnosed by x-ray, CT or MRI
Concussion diagnosis is symptom based.
Students suspected of having a concussion should be evaluated immediately by a medical provider using the ACE Concussion form.
It is imperative that page 2 (the Accommodations page) of the ACE form be completed by your student's medical provider so that the student can receive the necessary accommodations at school to aid in their recovery.
The Accommodations page of the ACE concussion form below needs to be returned to the school nurse as soon as possible.
The Accommodations Page provides the school nurse and athletic trainer (if the student is involved in athletics at JP) with instructions for your student's concussion care from the medical provider.
The school nurse (and athletic trainer) will involve your student's guidance counselor and teachers when the accommodations are received.
Saint Catherine of Sienna, Pray for us.
Page updated
Report abuse