Attention: If your student has an updated Health Exam or updated Immunizations please bring a copy to the clinic.
Thank You!

My name is Elaina White and I am happy to be the school nurse at Marshall Elementary School. Please do not hesitate contacting me with any of your concerns or questions. You may contact me via email or you may call the front office, 703-791-2099.

When Should I Keep My Child Home From School?

Illness or Injury Exclusion Criteria (per regulation 757-1) for the following reasons:

  1. Fever of 100.4 degrees F and over– exclude until student has been fever-free for at least 24 hours without the use of fever reducing medications.
  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 with fever and/or behavioral changes, until a primary care provider has determined that the illness is not a communicable disease.
  4. Head injury
  5. Severe coughing or difficulty breathing
  6. Colds – a child with thick or constant nasal drainage should remain at home
  7. Diarrhea - sudden increase in the frequency to more than three loose/watery stools per day. Exclude until student has been symptom free for at least 24 hours.
  8. Stiff neck associate with fever and/or recent injury
  9. Vomiting-unless the vomiting is determined to be caused by a diagnosed non-communicable/non-infectious condition(such as dysmenorrhea, dysphagia, etc.)
  10. Abdominal pain that continues for more than two hours or intermittent abdominal pain associated with fever or other signs or symptoms. 
  11. Inadequate immunizations with known disease outbreak in school
  12. Refer to the VDOH Communicable Disease Reference Chart for School Personnel for other exclusions/information.

Medications at School and Special Health Conditions

If your student needs medication at school, the medication needs to be brought into the clinic by an adult, in the original sealed container, and accompanied by the proper paperwork. Please note that prescription medications need a physicians signature on the medication form--medication authorization formsasthma action plans, and other health treatment plan forms. Please do not hesitate to speak with me if you have any questions about managing your student’s special health condition at school.

Food Allergy Awareness

We have many students at Marshall Elementary school with life threatening food allergies. Please remind your student of the importance of not sharing food during snack, lunch or on the bus. If your child has a food allergy and does not yet have an allergy action plan in the clinic ,please contact me.

Hearing and Vision Screening

Kindergarten and third grade students have their vision and hearing screened during the first months of the school year. You will be notified only if there is a problem with results of either screening. Vision screening may be performed by volunteers with the Lion's Club. They use a Spot Vision Screener which takes a picture of the eye and screens for a variety of eye and vision problems. 

Kindergarten Parents

Please consider packing a change of clothes in your student’s backpack. We have a very limited supply of clothing available in the clinic.

Emergency Cards

Parents and guardians please make sure the school has up-to-date contact information for all persons listed on the emergency card. This is crucial when trying to contact parents and/or emergency contacts regarding illness and/or injury at school.

What Does A School Nurse Do?

The National Association of School Nurses defines school nursing, as a specialized practice of professional nursing ,protects and promotes student health, facilitates optimal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential.(NASN, 2017)

School Entrance Physicals:

Commonwealth of Virginia School Entrance Form

Health Treatment Plans






Guidelines for Medication at School

Medication-Regulation 757-4: 

Administering Medication 

                                             PLEASE CLICK HERE FOR FULL MEDICATION REGULATION

Helpful Links

Centers for Disease Control

Virginia Department of Health

PWCS Concussion Information

CDC Concussion Information

Head Lice

Immunization Requirements

Prior to entrance into PWCS, students are required to be immunized according to Virginia Department of Health and Centers for Disease Control guidelines. Find the PWCS regulation regarding each vaccination here.