Q: Does West Virginia
have nonmedical exemptions for compulsory school entry/attendance?
A: No, West Virginia only allows for
medical exemptions by a reputable physician, according to W.Va. Public
Health Code §16-3-4
Q: Does West Virginia allow attendance
without completion of all immunizations?
A: Yes, West Virginia will allow
student’s to provisionally enter school with one dose of each
required vaccinations listed in W.Va. Public Health Code §16-3-4
and WVDHHR/BPH-Immunization Interpretive Administrative Rule 64CSR95. The provisional enrollment period is based on the ACIP recommended time frames for next dose administration.
2014 Recommended Immunization Schedules
The schedules and the MMWRs describing the 2014 changes to each are listed below:
Code §16-3-4(online version) requires all
children entering school for the first time in West Virginia to be
immunized against diphtheria, polio, rubeola, rubella, tetanus and
whooping cough. The CDC, WVBPH-Immunization Program and American
Academy of Pediatrics(AAP) recommends immunizations at specific ages
to prevent communicable diseases. Please view these
recommendations to ensure your child stays healthy.
To download the WORD document
click on the following link, W.Va.
Code §16-3-4 .
for Public Health Immunization Interpretive Rule (64CSR95)- effective
on February 28, 2008. This new interpretive rule was based on
multiple laws with focus on the current 21st century recommendations
and school population thus including the PreK population, current
immunization reccommendations such as Varicella, Mumps and Hepatitis B
and recommendations for other age appropriate vaccinations.
FAQ for WV Public Schools:
Immunization Requirements for WV Public School New Enters and PreK:
WV Public School Pre-K Immunization Requirements
WV Public School New Enterers Immunization Requirements
DHHS/CDC Recommended Childhood and Adolescent Immunization Schedule
Starting in the 2012/13 school year, grades 7 and 12 will be required to show proof of certain vaccinations. Please go to http://www.dhhr.wv.gov/oeps/immunization/requirements/Pages/default.aspx to view the new requirements.
Commissioner and State Health Office of WV-BPH Memo on Two Week Grace Period for Adolescent Vaccinations
Please click on the above to read the two week grace period memo for the 2012/13 school year.
Requirements for WV Public Schools prior to Febuary 28, 2008:
The requirements and
interpretation below pertains to students who entered a WV Public
School system prior to Febuary 28, 2008.
WV Public School New Enterers in K-12 Immunization Requirements
Public School PreK Immunization Requirements
Interpretation on "Required Immunizations" was
published on July 28, 2005
An Ounce of
Prevention: Keep the GERMS Away-GET IMMUNIZED
for Infectious Disease website with frequently asked questions about
Launches Voices of Meningitis!
The Voices of Meningitis
campaign launches on Monday, August 24th, encouraging parents to talk
to their school nurse about meningitis prevention and
The campaign's website features public service announcements,
information about meningococcal meningitis and vaccination, and video
tributes from meningitis survivors and parents who lost children to
the disease. Also available on the site are a brochure and disease
fact sheet that can be downloaded and shared with your students and
Read the press release about this campaign, which includes access to
the campaign's web site: http://www.prnewswire.com/mnr/voicesofmeningitis/39732/
Resistant Staphylococcal Aureus (MRSA):
Q: What is
A: See websites below
Bureau for Public Health Information:
MRSA Parents and
Schools Fact Sheet
MRSA Parents and Schools Poster
Correctional Resident Fact Sheet
MRSA Sports Poster
MRSA Players Poster
Please visit the WVDHHR-Office of
Infectious Disease and Epidemiology for UP-TO-DATE information at http://www.wvdhhr.org/idep/a-z/a-z-staph.asp.
Disease Control and Prevention(CDC) MRSA Information:
CDC MRSA in
MRSA Prevention and Control
MRSA Outbreak Assistance and Information
MRSA Educational Materials
visit the CDC website at http://www.cdc.gov/index.htm.
Q: What screenings are required
prior to enrollment into a West Virginia school?
Speech and Language
Developmental- Preschool and Upon
parent/guardian request prior to kindergarten entry)
Dental- Preschool only
Exam(i.e.HealthCheck)- Preschool only
What if my child completed a
comprehensive physical exam or HealthCheck or physical within the past
year, will the school accept this for their required screenings?
A: Yes, West Virginia public
schools will gladly accept a comprehensive physical exam or
HealthCheck within the past one year from the child’s physician
or mid-level provider. West Virginia public schools will
rescreen students during their academic career when signs and symptoms
are identified. The process of duplicating screenings are not a
productive utilization of time for school nurses or school personnel
Code §18-5-17 requires
county boards of education to conduct preenrollment hearing, vision,
and speech and language testing to detect any impairments. This
law pertains to all children entering public school for the first time
in West Virginia.
requires county boards of education to provide proper medical and
dental inspections for pupils and specialized health care procedures
under the direction of the school nurse.
Code §16-3D-3 requires students
transferring from a school outside of the state of West Virginia to
have a read and evaluated Tuberculosis (TB) test prior to attending
public school. The above link will take you to the W.V. Code
site then find 16-3D-3 listed and click on it. Dowload the
WORD document of
WV Code 16-3D-3.
Q: What if my school has a
“No Nit” policy?
A: Current research and No Child
Left Behind do not support “No Nit” policies. Lice
are not a communicable disease only a social stigma with time
consuming treatment. School should move toward a “No
lice” policy since most nits do not hatch unless ¼ of an
inch from the scalp and many nits are misdiagnosed by school nurses
and school personnel who should not be diagnosing. Please
review research and policy statements from Centers for Disease
Control, American Academy of Pediatrics, Harvard School of Public
Health and the National Association of School Nurses at:
Head Lice Infestation by the Center for disease Control and
Load the PDF version
School of Public Health headlice information and frequently asked
Load the Lice Information Sheet
Tune-In to NASN
Radio! - Handling Head
Lice and No Nit Policies
Dr. Anthony Mancini debunks
popular myths about head lice and explains how to identify, treat
and handle head lice infestations. Mancini discusses various
treatments, no nit policies, and talks about how to avoid
stigmatizing children who are found to have head lice.
NASN and BAM Radio Network have
partnered to bring you NASN Radio. Executive Director Amy
Garcia hosts the program that will focus on the topics you really
care about. Each brief segment of NASN Radio will help keep
school nurses abreast of the latest development in student health
and professional development of school nurses.
Click on the NASN Radio graphic or go to http://www.podcast-directory.co.uk/episodes/handling-head-lice-and-no-nit-policies-9539748.html to listen
to this newest topic and access archived topics as well.
August 25, 2009
National Association of School Nurses, Inc.
8484 Georgia Avenue, Suite
420 Silver Spring, MD 20910 - www.nasn.org
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of Parents in Teens' Sexual Decisions
Positive parent-teen relationships,
high parental awareness and monitoring of whom their children are
with, and family dinner routines are all linked to delayed sex among
teens, according to a recent Child Trends research brief.
The brief, Parents
Matter: The Role of Parents in Teens' Decisions about Sex located at http://www.childtrends.org/Files//Child_Trends2009_11_11_RB_Parents&TeenSex.pdf,
explores how parenting practices that occur before adolescents have
had sexual intercourse are associated with the probability of first
sex by age 16.
Q: Will West Virginia public
schools administer dietary supplements?
A: No, Dietary supplements no
longer fall under the safety of the Federal Drug Association (FDA)
thus eliminating research to prove the efficacy and safety of these
supplements utilized for medical treatment. No school
nurse or school personnel will be able to administer these supplements
to students in West Virginia public schools. Currently the
American Academy of Pediatrics and the West Virginia Board of Nursing
do not recommend the administration of these supplements to
children Parents/Guardians are welcome to come to the school and
administer a dietary supplement to their child at anytime during the
school day. Please view the AAP research at http://www.aap.org/pubed/ZZZFP21YQ7C.htm?&sub_cat=1 or the WV Board of Nursing response.
Q: Are West Virginia schools
required to provide nursing services for all field trips?
A: Schools are to provide
nursing/health services only if the field trip is curricular or
co-curricular and related to the Content Standards and
objectives. Schools will make every effort to provide school
health services to children with specialized procedures but must check
the ability to delegate certain procedures in other states and the
time frame for delegating or practicing nursing in another
state.. Arranging a field trip can be a lengthy process and
requires ample notification to the school nurse and parent. The
school will do everything in it’s power to ensure health
services to any student but state limitation in practice of school
nursing may inhibit schools from providing services and require
parent/guardian involvement, please work closely with the school
system to ensure a collaborative, coordinated effort in meeting the
needs of your child. Sometimes school are forced to make
decisions which are best for the majority of students in an emergency
situation, again please work with the schools in all arrangements.
Use of Medications in Medical Practice:
Please review the following information:
American Academy of Pediatrics, Use of
Off-Labeled Drugs at http://aappolicy.aappublications.org/cgi/reprint/pediatrics;110/1/181.pdf
Institute of Neurological Research at http://www.nrimed.com/offlabel.htm.
Each county board of education is
required to develop a medication administration policy utilizing the
guidelines set forth in Policy
2422.8. Please review your county's medication administration
policy for county specific question.
requires children with asthma medication to be allowed to self
administer after a parent/guardian written authorization, a written
statement from a physician or advanced practice registered nurse with
specific requirements, and passing an assessment by the school
nurse technique of self-administration and knowledge. Please
review the law in it's entirety.
Asthma in Schools:
The American Association of School
Administrators (AASA) have developed "Asthma
Talks". Asthma talks is a compilation of AASA members and
partners discussing asthma in schools. Please listen to their
voices from the field at http://www.aasa.org/focus/content.cfm?ItemNumber=7449.
Virginia Department of Education's Guidelines for Allergies in the
School Nursing Services:
There are approximately 215 Certified
School Nurse serving 279,457 students in 765 public schools in the
state of West Virginia. In 2002-03 school year, approximately
36% of these students had a medical diagnosis.
Current law, W.Va.
Code § 18-5-22, requires each county board to employ 1 school
nurse per every 1500 children in grades kindergarten through seven;
provided that each county shall employee full time at least one school
Is YOUR School Nurse?
School Nurses Per County
What is a School Based Health Center?
Clinics located in schools that:
1) are sponsored and operated by community based health
organizations 2) provide primary health care services (including
but not limited to diagnosis and treatment of acute illness,
management of chronic illness, physical exams, immunizations and other
preventive services) to students who are enrolled in the health
center; and 3) follow state and federal laws, policies,
procedures and professional standards for provision of medical
There are presently 40 School-Based Health Centers and one
School-Linked program serving 50 schools in 24 counties in West
Virginia. To learn more about school based health centers
go to West Virginia School-Based
Health Assembly's web site. A directory can be found by clicking
What is the
difference in School Nursing Services and School Based Health Centers?
A certified school nurse is an employee
of the county board of education and functions in West Virginia public
schools to provide health services.
School nurses are available to all children participating in public
schools. School Based Health Centers provide medical
services to students who enroll in the centers for primary health
Health services in the school setting
are those activities rendered by professional school nurse:
- Physical and mental health assessments and referrals for
- Development and implementation of individualized health care
plans for students with special health care needs or those with
chronic health conditions
- Health counseling
- Mandated screenings, i.e., vision, hearing, immunization
status, evaluation of TB testing for out-of-state transfers and new
school employees, etc.
- Monitoring for the presence of infectious diseases and use
the public health precautions to prevent the spread of infestations
and infections in the school setting
- Skilled nursing services for students with complex health
- Case management for students with chronic and special health
- Student and family outreach
- Interpretation of health care needs of students to school
- Development and implementation of emergency health care
plans and the provision of emergency care and first aid
- Acting as a liaison for the school, parents, and community
- Collaboration with other school professionals to address the
health, developmental, and educational needs of students
- Participating on student assessment team as appropriate
- Serving as a school liaison to other health advisory
Medical services in the school setting
are those activities rendered by a physician and/or advanced nurse
practitioner, which include but are not limited to the following:
- Diagnosing diseases and other health impairments
- Ordering laboratory and other diagnostic tests
- Prescribing medications for treatment of health problems
- Issuing health care intervention orders
- Consulting with appropriate school personnel concerning the
health of a student
- Participating on student assessment team when appropriate
The professional school nurse and school based health center
also provide the following comprehensive health services by:
- Providing health education
- Identifying health and safety concerns
- Promoting healthy life styles
- Promoting community involvement
- Supporting and advocating for nutritious foods
- Helping develop district health related policies and
- Promoting Coordinated School Health Philosophy/Approach
Both the school nurse and the SBHC have
distinct roles and each contributes to students' health, academic
outcomes, life-long achievement, and over-all student and staff
well-being. One does not replace the need for the other.
National Association of School Nurses (June
2001). POSITION STATEMENT: Medical
Services vs. Health Services in the School Setting.
National Association of School Nurses
(June 2001). POSITION STATEMENT: Joint
Statement on the School Nurse/School-Based Health Center Partnership.