Welcome to Health Services

Hampton City Schools employs registered nurses to provide school-based health services. All are licensed in Virginia and many have bachelors or masters degrees in the field. Most of our schools have a full-time nurse. Moton Early Childhood Center has a part-time 25 hour a week nurse. The nurse is responsible for providing care and serving as a medical resource and health consultant for students, parents and staff. The nurse reviews admission requirements, implements specialized health care plans, renders first aid, manages medications, provides in-service training, performs annual inspections, teaches health related topics, and serves as a vital link between parents and health care providers.

One Franklin Street Suite 363 Hampton, VA  23669 • Phone:  727-2363 • FAX: 727-2364

“You cannot educate a child who is not healthy, and you cannot 
keep a child healthy who is not educated.” -Jocelyn Elders

Clinic Staff

HCS provides a full-time registered nurse at most schools. Moton Early Childhood Center has a part-time nurse of 25 hours.  Bridgeport and The Performance Learning Center share a nurse. We also have health clerks providing clerical and medical assistance to the nurses at our secondary schools and our PreK through eighth grade schools.

School Nurses (PDF) | Health Clerks (PDF)

The primary focus of school nursing is to be an advocate for children’s health and safety within the educational setting. The School Nurse’s duties are many and include:

• Identifying, assessing, planning, intervening and evaluating the health needs of students with acute illness or injury
• Screening for health factors impacting student education (vision, hearing, etc.)
• Making referrals based on evaluation and need of the student (vision, hearing, Child Protective Services)
• Administering medications
• Training of medication administration to school personnel
• Creating individualized health care plans for students with disabilities or health conditions that might interfere with the learning process
• Providing health services for students with special health needs
• Serving as a health expert to the child study and eligibility team
• Educating parents, students and staff about chronic disease, health promotion, medications, and nutrition
• Counseling students, parents, and staff regarding health concerns
• Acting as a liaison between school, community, and health care providers
• Participating on the crisis team
• Identifying health and safety concerns in the school environment
• Advising administrators and others about health trends
• Serving on school committees
• Following local, state, and federal policies
• Maintaining confidential health records

The decision for medical care rests with the parents and parents are always contacted to take their child home or to the doctor as the need arises.  Transportation for students is also a parent responsibility. We hope that your child’s school experience will be happy and rewarding.  A portion of the school curriculum is devoted to teaching healthy behaviors, which hopefully will become life-long habits and help prevent the need for costly medical care.

Physical and Immunization Requirements for School Entry

SCHOOL HEALTH ENTRANCE REQUIREMENTS

All children entering Hampton City Schools for the first time must have health examinations and immunizations as described below:

• Students entering Prekindergarten must present prior to school entry a record of a comprehensive physical examination as well as a record of immunizations as required by their age level at the time of school entry.  Any student turning four (4) after the first day of school must complete all required shots within fifteen (15) calendar days after their fourth birthday to remain in the program.

• Students entering Kindergarten through grade five (5) MUST PRESENT PRIOR TO SCHOOL ENTRY a record of a comprehensive physical examination.  The examination must have been done within the last twelve (12) months prior to the date the student first enters public kindergarten or elementary school.  The school must have a copy of the physical examination findings.  The physical form (MCH213) can be obtained from the school office.
   
• All students entering Kindergarten through grade twelve (12) MUST PRESENT PRIOR TO SCHOOL ENTRY a record that the child has received the immunizations required by the Commonwealth of Virginia. For specific requirements, contact the school nurse, Health Services office, or the Hampton City Schools web site (www.sbo.hampton.k12.va.us). Immunizations must be documented with complete dates on form MCH213, official military shot record, or Health Department or doctor’s office form.

Immunization Requirements

Pre-Kindergarten: All state of Virginia four-year-old shots are required for a child to participate in a pre-kindergarten program.  Any student turning four after the first day of school must complete all required shots within 15 days after their 4th  birthday to remain in the program.
            
Kindergarten through twelfth grade:  All students must adhere to the state of Virginia’s Minimum Immunization Requirements for Entry into School:

Documentary proof shall be provided of adequate age appropriate immunization with the prescribed number of doses of vaccine indicated below for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center.  Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements.

Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap) - A minimum of 4 doses. A child must have at least one dose of DTaP or DTP vaccine on or after the fourth birthday. If the child has received six doses of DTaP or DTP before the fourth birthday, additional doses are contraindicated. DT (Diphtheria, Tetanus) vaccine is required for children who are medically exempt from the pertussis containing vaccine (DTaP or DTP). Adult Td is required for children 7 years of age and older who do not meet the minimum requirements for tetanus and diphtheria.  Effective July 1, 2006, a booster dose of Tdap vaccine is required for all children entering the 6th grade, if at least five years have passed since the last dose of tetanus-containing vaccine. This immunization is also required for new students grades 7th through 11th.

Haemophilus Influenzae Type b (Hib) Vaccine - This vaccine is required ONLY for children up to 60 months of age. A primary series consists of either 2 or 3 doses (depending on the manufacturer) followed by a booster dose at age 12-15 months. However, the child’s current age and not the number of prior doses received govern the number of doses required. Unvaccinated children between the ages of 15 and 60 months are only required to have one dose of vaccine.

Hepatitis B Vaccine - A complete series of 3 doses of hepatitis B vaccine is required for all children born on and after January I, 1994. However, the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine issued. The 2 RECOMBIVAX HB Adult doses must be separated by a minimum of 4 months. If the 3-dose hepatitis B vaccine schedule is used, there should be at least 1 month spacing between the 1st and 2nd doses and 4 months spacing between the 1st and 3rd doses.

Measles, Mumps, & Rubella (MMR) Vaccine - Measles, Mumps, & Rubella (MMR) Vaccine - A minimum of 2 measles, 2 mumps, and 1 rubella. (Most children receive 2 doses of each because the vaccine usually administered is the combination vaccine MMR). First dose must be administered at age 12 months or older. Second dose of vaccine must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2. 

Pneumococcal (PCV) Vaccine:  Two to four doses, dependent on age at first dose, of pneumococcal 7-valent conjugate vaccine for children less than two years of age.

Polio Vaccine - A minimum of 4 doses of polio vaccine. One dose must be administered on or after the fourth birthday.

Varicella (Chickenpox) Vaccine - Varicella (Chickenpox) Vaccine - All susceptible children born on and after January 1, 1997, shall be required to have one dose of chickenpox vaccine administered at age 12 months or older. Effective March 3, 2010, a second dose must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2.

Human Papillomavirus (HPV)- state legislation requiring the HPV vaccine for female students entering the sixth grade will go into effect on October 1, 2008. The first dose shall be administered before the child enters sixth grade (Code of Virginia §32.1-46, subdivision 12). After reviewing educational material approved by the Board of Health, the parent or guardian at the parent’s or guardian’s sole discretion, may elect for the child not to receive the HPV vaccine. The letter went home with all 5th grade girls in the spring.  A copy of the letter can be found here.

Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements (available at: http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm)

Virginia School entrance requirements can also be located at:
http://www.vdh.state.va.us/epidemiology/immunization/requirements.htm

Medication at School

General Information

If your child is on medication, it is recommended that arrangements be made with the prescribing doctor so that the medicine may be taken before or after school hours.  If this is not possible, please see the school nurse for specific School Board policies regarding medication.  It is the responsibility of the parent to provide refills as necessary throughout the school year and to pick up all unused medication at the end of the school year.  Medication not picked up will be discarded.
Please note the following:

• Proper medication permission forms must be completed by the prescribing doctor.
• Medication must be brought to the school clinic in a properly labeled, pharmacy issued bottle by a parent or guardian. If the parent or guardian is unable to bring the medication to the school or retrieve such medication by the last student day of the year, another adult may be designated by the parent/guardian via phone or in writing to transport the medication.  For this purpose, an adult is defined as someone 18 years of age or older.
• Narcotic analgesics, such as Tylenol with Codeine or Vicodin, will not be given in school.

Tylenol Policy Change Letter
Medication Request Form SBO 23 pdf

Carrying Medication:
Students may not possess medication at any time during school hours or activities. Exceptions may be made for those students who require certain inhaled asthma medications, self-injected epinephrine, or other emergency medication.  Student possession of such emergency medications shall require an additional form signed by a physician, parent, student, and the school nurse.  Students who abuse this privilege may lose the ability to carry and self-administer medications.
Authorization to Carry and Self-Administer Medications SBO 28 pdf

Important Forms/Information for Students with Life-Threatening Allergies:
Parent and Student Responsibilities for Life-Threatening Alleries
Checklists for Parents of Students With Life Threatening Allergies
Life-Threatening Allergy Management Plan (LAMP) to be completed by a parent
Life-Threatening Allergy Management Plan (LAMP) to be completed by a health care provider

Other Medication Forms:
Asthma Action Plan

Emergency Preparedness 

• Hurricane Supply Kit
• Hurricane: A Prevention Guide to Promote Your Personal Health and Safety
• Family Emergency Preparedness Guide for Severe Weather Situations              
• Tornado Preparedness www.fema.gov/hazard/tornado/index.shtm and www.bt.cdc.gov/disasters/tornadoes/
• City of Hampton Emergency Management
• Pandemic Influenza Response Plan

Health Corner

• Bed Bug Information Sheet
• Meningococcal Vaccine Statement
• Human Papillomavirus (HPV) Vaccine | Cervarix | Gardasil
• Wellness Policy & Guidelines (movie)
• Backpack Safety (pdf)
• Whooping Cough/Pertussis Information
• Tdap Information (pdf)

Diabetes Corner

Helpful Information

• Elementary and Secondary Diabetic School Menu - coming soon!
• Nutritional Breakdown
• CHKD diabetes
• Parent and Student Responsibilies for handling diabetes in the school setting
• Diabetes School Check List

Virginia Diabetes Medical Management Plan

• Parent Contact Form
• Conventional Therapy
• Intensive Therapy
• Pump Therapy Supplement
• Permission Self Carry
• Virginia DM Management Protocols
• Diabetes Tracking Record

Resources

• Pharmaceutical Assistance
• http://www.virginiadiabetes.org/resources.html
• Signs and Symptoms of Hypo/Hyper-glycemia (PDF)
• Helping the Student with Diabetes Succeed (PDF)
• Diabetic Tracking Record (PDF) or (XLS)
• Diabetes Support Groups: Children's Support | Yearly Diabetes Camps
• Diabetes Care Tasks at School: What Key Personnel Need To Know

Influenza Information

• www.cdc.gov/flu/about/qa/coldflu.htm
• www.cdc.gov/flu/  
• Helpful hints for the Flu Season
• Action Steps for Parents of Children at High Risk for Flu Complications
• Influenza Like Symptoms
• Get a Flu Shot, Not The Flu

Special Forms

• Special Dietary Needs
• Enteral Feeding Oders

FAMIS Health Insurance for Children 

Healthy students are more successful in school and are absent less often.  Children without health insurance are more likely to miss school, have untreated health problems, and have less academic success.   
 
Health insurance is important to make sure that kids are able to get all the help they need to grow up healthy. Family Access to Medical Insurance Security (FAMIS) is Virginia's program that helps families provide health insurance to their children. FAMIS covers all the medical care growing children need to avoid getting sick, plus the medical care that will help them get better if they do get sick or get hurt. 

Services covered by FAMIS
Doctor visits 
Well-baby checkups 
Hospital visits 
Vaccinations 
Prescription medicine 
Tests and X-rays 
Dental care 
Emergency care 
Vision care 
Mental health care 

Cost to the Family
There are no enrollment costs or monthly premiums for FAMIS. For some services, the family will have to pay a co-payment. Most co-payments are just $2.00 or $5.00. Some services, like regular check-ups, are free. 
For more information or to apply:
·        Talk to your school nurse or parent involvement facilitator
·        Contact The Peninsula Institute for Community Health for local help at (757) 952-0179
·        Contact your local department of human services (in Hampton, Department of Human Services, at 1320 La Salle Avenue, Hampton, VA 23669 or call (757) 727-1800 to request to be sent an application)
·        Contact FAMIS toll free at 1-866-87FAMIS (1-866-873-2647) or apply online at www.famis.org <http://www.famis.org/
For more information or to determine if your child is eligible for FAMIS go to www.famis.org <http://www.famis.org/> and click on FAMIS eligibility.

School Health Advisory Board

Mission Statement:  
School Health Advisory Board for Hampton City Schools will advise and advocate for a variety of school health issues.

Purpose:
The School Health Advisory Board for Hampton City Schools shall advise, support, and assist with the development of effective board practices and procedures, review relevant school health policies, foster family and community support and involvement in developing and implementing school health programs.  This will include health instruction, healthy school environment, school health services, school counseling, physical education, family life education, school services, and health promotion for staff members.

SHAB Contact person:
Linda Lawrence RN, BSN
Coordinator of Health Services
Hampton City Schools  
One Franklin Street
Hampton,VA  23669
757 727-2363
llawrence@hampton.k12.va.us

2011-2012 Members:
Teresa Morewitz, Healthy Family Partnership
Pat Thompson, Curriculum Leader for Health and PE
Julia Bryant, Director of Food and Nutrition Services
Jackie Claiborne, Assistant Principal
Lora Howerton, Guidance Counselor
Eleanor Kimball, School Nurse
Linda Lawrence, Coordinator of Health Services
Nancy Lemis, Epidemiologist, Hampton Health Department
Karin Pace, Newport News/Hampton Community Service Board
Kathy Pfeiffer, School Nurse
Matt Scott, Pastor
Two Student Representatives from Hampton High
Gloria Smith, Minority Health Coalition
Dr. Arne Hasselquist, Horizons Unlimited
Jesse White, Curriculum Leader for Career and Technical Education
Cpl. Brian Snyder, Hampton Police
Susan Garrett, parent 
Sharon Warren, Community Member, Retired Educator
Andrea Williams-Roots, Health and PE Teacher
Amy Jordan, Parent

2012-2013 Pre-scheduled Dates: (all these meetings are held in the 5th floor conference room at the Ruppert Sargent Building, One Franklin Street. Meetings are from 4-6PM.)

October 16, 2012
December 18, 2012
February 19, 2013
May 21, 2013

2011-2012 Members:
Louise Bartlett, Healthy Family Partnership
Pat Thompson, Curriculum Leader for Health and PE
Julia Bryant, Director of Food and Nutrition Services
Jackie Claiborne, Assistant Principal
Lora Howerton, Guidance Counselor
Eleanor Kimball, School Nurse
Linda Lawrence, Coordinator of Health Services
Nancy Lemis, Epidemiologist, Hampton Health Department
Karin Pace, Newport News/Hampton Community Service Board
Kathy Pfeiffer, School Nurse
Matt Scott, Pastor
Student Representative
Gloria Smith, Minority Health Coalition
June Sullivan, Horizons Unlimited
Jesse White, Curriculum Leader for Career and Technical Education
Cpl. Brian Snyder, Hampton Police
Susan Garrett, parent 
Sharon Warren, Community Member, Retired Educator
Andrea Williams-Roots, Health and PE Teacher
Amy Jordan, Parent

2011-2012 Pre- Scheduled Meeting Dates (all these meetings are held in the 5th floor conference room at the Ruppert Sargent Building, One Franklin Street. Meetings are from 4-6PM).

October 11, 2011
December 13, 2011
February 21, 2012
May 15, 2012

2011-2012 Accomplishments:

1. Worked on revisions to the Wellness Policy all year.  Now working on the evaluation section of the policy in hopes to make all the recommended changes to the School Board next year.

2. Reviewed and Revised the By-laws.

3. Reviewed and made recommendations on several resources brought to the board for Family Life and CTE. (Videos for 4th and 5th grade Family Life, Special Education Family Life Curriculum for 11th and 12 grade, Smokey Sue and Life Form).

4. Reviewed draft of Bed Bug Protocol.

2010-2011 Accomplishments:

• Evaluated the Wellness Policy for comprehensiveness and strength by using the WellStat Tool
• Reviewed the new Middle School Family Life Curriculum that had been created in house. 
• Reviewed and made recommendations to revise the Medication Policy.  The policy revisions were taken to the Policy Review Committee and passed by the School Board effective June 2011.

2009-2010 Accomplishments:

• The SHAB decided to develop a survey to capture data on snack and juice habits that include vending machines usage.  SHAB members submitted various questions that were then discussed and refined.  A total of 13 questions were included in the survey.  SHAB worked with Mrs. Wellbrock, Research Assistant for HCS,, to develop and distribute the survey.  The survey was sent out to employees via e-mail from March 23, 2010 to April 19, 2010.  Data was collected and sent out to the principals on May 20, 2010.   The effectiveness of sending the survey will not be able to be evaluated until next school year but will be determined by the number of schools that make changes in the type of foods and beverages they sell at school. Most importantly, the survey was used to bring recognition to the types of beverages and foods that are being sold in the vending machines and assessed what employees would like to purchase from the machines.  Majority of the employees would like to see healthier choices.
• SHAB in conjunction with Human Resources put together an Employee Health Fair on May 3, 2010 at the SAC Building. It was very successful.
• Recommended changes to the Family Life Policy
• Reviewed FACS Curriculum “Baby Think it Over Program”. SHAB recommended continuing this program in all four high schools and suggested expanding it to the middle schools.

2008-09 Accomplishments:

• Employee Wellness Brochure was created.
• SHAB in conjunction with Human Resources put together an Employee Health Fair on May 5, 2009.
• Hampton City Schools Pandemic Influenza Plan was presented to the School Board.
• Recommended the use of two different videos by “Always” to be used as part of the fourth and fifth grade Family Life Curriculum. The videos were selected after receiving SOL information from the Curriculum Leader of Health and PE. The committee specifically wanted to make sure that the menstrual cycle was being addressed. The SHAB also recommended that all Family Life instruction for this age group be facilitated during the same week division wide.

2007-2008 Accomplishments:

• To market the Wellness Policy to staff and parents.
• Met with Hampton City Schools Public Information Officer and developed a marketing plan.
• Designed and published a Wellness Brochure to be mailed to all Hampton City Schools families in August of 2008 in preparation for next school year.
• Placed articles in the employee newsletter, Hampton Herald.
• Appeared twice on channel 46 talk show with Public Information Officer, to provide information to the public regarding the Wellness Policy.
• Reviewed and Revised 4th and 5th grade Family Life Curriculum. Still needs more review but made some important changes for this school year (07-08).
• Approved Power Point that is now being used to teach the Family Life Curriculum to 4th and 5th grade that also includes menstruation.
• Recommendation was made to improve accountability of teaching Family Life at this level. Now there is a new documentation process that was instituted to track opt-outs and actual teaching of Family Life at the Elementary Level.