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School Nurse
Instructor: Mrs. Brownell   

I have a Bachelor of Science Degree in Psychology from Mary Washington College and an Associates Degree in Nursing from Germanna Community College.  I worked at a Family Physican's office for 6 years, and have been working as a School Nurse since 2000.  I have been the School Nurse at Pattie E.S. since 2003. 

My goal as a School Nurse is to promote healthy lifestyles in children and their families.  I do routine vision and hearing screenings, see children in the clinic daily, and collaborate with the teaching staff about children's health issues.  Feel free to call me anytime if you have any concerns about your child's health care needs.

Clinic News
Spring is in the air!
Welcome Spring!

The following information is from www

Spring is in the air, and so are billions of tiny pollens that trigger allergy symptoms in millions of people. This condition is called seasonal allergic rhinitis, commonly referred to as hay fever. Hay fever can affect your quality of life. It can lead to sinus infections, can disrupt your sleep and affect your ability to learn at school or be productive at work.

Symptoms include:
• Itching in the nose, roof of the mouth, throat, eyes
• Sneezing
• Stuffy nose (congestion)
• Runny nose
• Tearing eyes
• Dark circles under the eyes

Depending on where you live, there are generally three pollen seasons. The start and end dates of these seasons, as well as the specific plants, vary based on the climate.
• Trees generally pollinate in the spring. Birch, cedar, cottonwood and pine are big allergy triggers.
• Grass releases its pollen in the summer. Timothy and Johnson, and Rye grasses are examples of allergens in this category.
• Weeds cause hay fever in the fall. Ragweed is the biggest offender as it can grow in nearly every environment.

Avoiding your allergy triggers is the best way to reduce symptoms:
• Limit outdoor activities during days with high pollen counts.
• Keep windows closed (at home or in the car) to keep pollens out.
• Take a shower after coming indoors. Otherwise, pollen in your hair may bother you all night.

Over the counter antihistamines like Clartin, Zyrtec and Allegra work well for seasonal allergies. The once a day dosage makes it easy to take regularly. There are also OTC nasal spray and eye drops (Zaditor eye drops work very well). Consult with your child’s pediatrician about what medication is best for them to use.

Remember, you can supply the school clinic with medications, including eye drops, for your child to use at school. If it is an over the counter medication, you just need to fill out and sign the Medication Form. It is available on the Nurse Page on the Pattie School Fusion site. Prescription medications require a doctor’s signature. As always, an adult must transport the unopened bottle of medication to school.

The Medication Form is at the bottom of this page in the folder marked Medication and Health Treatment forms.
Auvi-Q recall
Sanofi US is recalling a large number of the Auvi-Q (Epinephrine) auto-injectors due to malfunction. I have contacted the parents of Pattie students who have an Auvi-Q auto-injector at school and asked them to replace it with a non-recalled brand as soon as possible.
Here is a small portion of the recall notice and a picture of the Auvi-Q:
Sanofi US Issues Voluntary Nationwide Recall of Auvi‑Q®
Due to Potential Inaccurate Dosage Delivery
Sanofi US is voluntarily recalling all Auvi‑Q® (epinephrine injection, USP). The recall involves all Auvi‑Q currently on the market and includes both the 0.15 mg and 0.3 mg strengths for hospitals, retailers and consumers. This includes lot number 2299596 through 3037230, which expire March 2016 through December 2016. The products have been found to potentially have inaccurate dosage delivery.
If a patient experiencing a serious allergic reaction (i.e., anaphylaxis) did not receive the intended dose, there could be significant health consequences, including death because anaphylaxis is a potentially life‑threatening condition. As of October 26, 2015, Sanofi has received 26 reports of suspected device malfunctions in the US and Canada. None of these device malfunction reports have been confirmed. In these reports, patients have described symptoms of the underlying hypersensitivity reaction. No fatal outcomes have been reported among these cases.
To view the entire recall notice and for more information please visit the website at:
Hearing and vision screenings
We screen hearing and vision on all kindergarten students, third grade students, and all students new to Prince William County Schools. The Lions Club is utilized for some of the screenings. If a child fails the first hearing screening, he/she is rescreened a few weeks later. If they fail a second time, a referral is sent home with the student. At that point, contact your physician regarding any follow up they feel is necessary. If a child fails the vision screening, a referral letter is sent home and the parent is to follow up as necessary. If you are unable to afford an eye exam and eyeglasses if necessary, please contact me - I may be able to provide an exam and eyeglasses for you.

A parent may request that I do a hearing or vision screening at any time.
Reasons to be absent from school

Illness or Injury Exclusion Criteria

Reasons for which a child may be sent home from school or for a parent to keep the child home

from school.

1. Fever of 100ºF and over – exclude until student has been fever-free for at least 24 hours.

2. Conjunctivitis (pink eye), strep infections, ringworm, and impetigo are all infections and

must be treated with medication for a minimum of 24 hours before returning to school.

Please do not allow affected students back before this time so that other students are not

infected unnecessarily.

3. Rash of unknown origin (especially if accompanied by a fever).

4. Head injury.

5. Severe coughing or difficulty breathing.

6. Colds – a child with thick or constant nasal discharge should remain home.

7. Diarrhea or vomiting – exclude until student has been symptom-free for at least 24 hours.

8. Stiff neck associated with a fever and/or a recent injury.

9. Inadequate immunizations with known disease outbreak in school.

10. Refer to the VDOH “Communicable Disease Reference Chart for School Personnel” for

other exclusions/information.

Tdap vaccine required for ALL sixth graders
Dear Parents/Guardians of Fifth Grade Students:

This is a reminder that effective July 1, 2014, a booster dose tetanus, diphtheria, pertussis (Tdap) vaccine is required for all children entering the 6th grade regardless of their age. The Tdap booster is recommended by health experts to give adolescents added protection against tetanus, diphtheria, and pertussis (better known as whooping cough). These potentially serious ailments are largely preventable with proper vaccination. Children must meet all Virginia school immunization requirements. If you have not already done so, please arrange for the Tdap booster for your child as soon as possible.

Tdap boosters may be obtained from your doctor, military clinics, or the health department. Written documentation must be provided to your child’s school upon completion of this requirement.

Estimados Padres/Guardianes de Estudiantes del Quinto Grado:

Queremos recordarles que efectivo el 1 de julio de 2014, se requiere para todos los estudiantes que entran al 6to grado, una dosis de refuerzo de la vacuna contra el tétanos, la difteria, y la tos ferina independientemente de la edad. La dosis de refuerzo de Tdap es recomendada por los expertos en salud para dar a los adolescentes una protección adicional contra el tétanos, la difteria y la tos ferina. Estas enfermedades potencialmente graves son en gran parte prevenibles con la vacunación adecuada. Los niños deben cumplir con todos los requisitos de vacunación escolar de Virginia. Si aún no lo ha hecho, por favor haga los arreglos para que su hijo/a obtenga la vacuna de refuerzo de Tdap tan pronto como sea posible.
Cough drops
Students are allowed to bring cough drops to school for personal use. They may NOT share them with any other students.
Students may bring lotion sunscreen to school to use on their own bodies - they may NOT share with any other students.  They must apply it on their own.  A note from the parent is not required.  Spray sunscreen is not allowed, just the lotion type.
Is It a Cold or the Flu?

The cold and flu are both respiratory illnesses, but they are caused by different types of viruses with different symptoms. Use this chart to learn the difference between the two.

Signs and Symptoms Influenza Cold
Symptom onset Abrupt Gradual
Fever Usual; lasts 3-4 days Rare
Aches Usual; often severe Slight
Chills Fairly common Uncommon
Fatigue, weakness Usual Sometimes
Sneezing Sometimes Common
Stuffy nose Sometimes Common
Sore throat Sometimes Common
Chest discomfort, cough Common; can be severe Mild to moderate; hacking cough
Headache Common Rare

According to the CDC, the influenza vaccine is recommended for all people over the age of 6 months.  Although it is not 100% effective, it is the best way to prevent a bad case of the flu.  If you think you have influenza, contact your physician right away - he may want to prescribe antiviral medications to reduce the severity and length of illness.  

As always, washing hands and avoiding touching the eyes, nose and mouth also help prevent the spread of diseases.  Cough or sneeze into your elbow.  

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