School Nurse

School nurse:

Kamella Peirce BSN RN NCSN

Health Update (revised 5/15/18)

  • Medical care plans will be mailed home in May for the following school year. Please remember that medical forms expire each school year. Forms can also be found on this page under Medical Forms. 
  •   All medications kept in the clinic should be picked up by the parents the last day of school or the medications will be discarded. Students may pick up medications if they are NOT bus riders. 

With allergy season underway, we wanted to remind you that we do not have allergy or cold medicines in the clinic.  Should your child require an allergy or cold medicine, please medicate him/her prior to their arrival at school.

The Benadryl we do stock is for emergency allergic reactions involving acute respiratory distress only.  (i.e.: bees, peanuts, etc…) It is not given for stuffy noses or itchy eyes.

Health  Information:
Every year, the Asthma and Allergy Foundation of America (AAFA) declares May to be National Asthma Awareness Month.  May is peak season for asthma and allergy sufferers and a perfect time to educate parents and students who suffer from one of these conditions.

What is asthma?
Asthma is a disease that causes the airways of the lungs to tighten and swell. It is common among children and teens.

What is an asthma attack?

An asthma attack happens when your child has asthma and their lungs aren’t getting enough air to breathe. Your child may cough or wheeze during an attack.

What causes an asthma attack?

Things that cause asthma attacks are called triggers. Triggers are everywhere. Your child’s home or school can be full of triggers such as those listed below:
Here are a few potential triggers:
    • Secondhand smoke
    • Dust mites
    • Cockroaches and pests
    • Chemical irritants
    • Outdoor air pollution
    • Pets
    • Molds
    • Nitrogen dioxide
    • Wood smoke

    For other kids, running and playing may bring on an asthma attack.

    Be sure to work with the doctor to identify your child’s asthma triggers.

    Be aware of your child’s warning signs!

    Often your child may show warning signs. Warning signs are clues that your child’s asthma may be getting worse.  A very young child may not be able to tell you how he or she feels. So you may have to watch a younger child more closely to find out if something is wrong.

    How will I know if asthma is getting worse?

    Learn your child’s warning signs and catch an attack before it gets worse. While warning signs differ from child to child, parents report some common signs.

    Warning signs you notice:

    • Coughed at night
    • Had a cold or the flu
    • Had a fever
    • Had a stuffy or runny nose
    • Had a tickle in the throat
    • Sneezed and had watery eyes

    How he or she looked or seemed to feel:

    • Acted very restless
    • Face was pale
    • Had dark circles under the eyes
    • Had tightness in the chest
    • Seemed to feel weak or tired
    • Seemed to have a headache

    Emergency Warning Signs

    There are times when you need to take your child to the hospital or urgent care right away. Ask your child’s doctor what emergency signs to look for to help you know when your child is having a medical emergency with asthma.

    Some parents know their child is having a medical emergency with asthma if he or she:

    • Is breathing in a different way: faster, or slower, or more shallow than usual.
    • Is coughing or wheezing and can’t stop.

    • Has bluish fingernails or lips.


    Make an asthma action plan with your doctor.

     Share the asthma action plan with your child’s school, teachers, coaches, babysitters, and family members.

    Please note that if your child uses an inhaler for their sports activities they MUST HAVE AN ASTHMA CAREPLAN ON FILE in the clinic.

    Clinic Reminders

    If your student would like to participate in any off campus field trips or activities, he/she must have a completed and signed emergency form on file in the clinic as well as an updated infosnap page. This information is necessary should an emergency arise.  If you need another emergency form your student can pick up another copy from the clinic.

    Electronic Medical Documentation:

    All information is stored securely and is HIPAA and FERPA compliant. You should have received an email directly from CareDox with a personalized link to establish your child's record electronically. Once you open the email and link into CareDox, you will receive clinic passes electronically!

    The benefits of CareDox include:

    *Streamlined medical information sharing, limiting paper mail, faxing, or phone calls
    *Real-time or early evening notifications when your child visits the school clinic.
    *Accurate and portable vital information for daily and emergency use.
    *Fill out your child's health profile ONCE, and update any changes each year, ensuring it is always up-to-date.

    If you have not completed the caredox registration you will not receive any clinic visit information. It is important for you to complete the registration process.  

    If you do not have access to this technology you may request a printed copy of a specific clinic visit. 

    Facts about CareDox are located at this link:

    In the case of an illness, students are expected to come to the clinic prior to parental contact.
    This process is necessary to ensure the health and safety of all students and staff in our school.

    *Should the student contact the parent without coming to the clinic, the parent will be sent to the clinic to pick up their child.
    *The student will then be called to the clinic where an assessment will be completed prior to being dismissed with the parent.
    *While this assessment will be done in a timely manner, the students that are already in the clinic will be seen first as it is our priority to return students to class as quickly as possible.

      Thank you for your understanding and cooperation with this process.

    It is the goal of the school nurse to look out for the well-being of your children.  We always put forth our best effort to make your student feel better and send him/her back to class.  We understand the important relationship between attendance and good grades.  However, a request to call a parent will not be denied. 

     If your child feels the need to call you, they are allowed to do so from the clinic phone.  At this point, it becomes a decision for you and your child to make together regarding whether the child will remain in school or be dismissed.  

    Enjoy the unpredictable weather and if you have any questions or concerns, please feel free to call the clinic during school hours between 8:30am and 4pm at 540-586-7735. 

    Stay healthy and happy and remember to wash those hands!

    Kamella Peirce, BSN RN NCSN
    BMS School Nurse


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