Nurse's Page

SRHS School Nurse Homepage  

School nurse:

Rachel Pettis, RN
(Updated 1/30/2020)

National Eating Disorder week is coming up February 23, 2020 through March 1, 2020.  

What Are Eating Disorders?

Eating disorders are real, complex, and devastating conditions that can have serious consequences for health, productivity, and relationships. They are not a fad, phase or lifestyle choice. They are potentially life-threatening conditions affecting every aspect of the person’s functioning, including school performance, brain development, emotional, social, and physical well-being.

Eating disorders can be diagnosed based on weight changes, but also based on behaviors, attitudes and mindset. Be alert for any of these signs in your child.

       Key Things to look for when your child is around food:

  • Eating a lot of food that seems out of control (large amounts of food may disappear, you find a lot of empty wrappers and containers hidden)
  • Develops food rules—may eat only a particular food or food group, cuts food into very small pieces, or spreads food out on the plate
  • Talks a lot about, or focuses often, on weight, food, calories, fat grams, and dieting
  • Often says that they are not hungry
  • Skips meals or takes small portions of food at regular meals
  • Cooks meals or treats for others but won’t eat them
  • Avoids mealtimes or situations involving food
  • Goes to the bathroom after meals often
  • Uses a lot of mouthwash, mints, and/or gum
  • Starts cutting out foods that he or she used to enjoy

    Key things to look for around activity:

  • Exercises all the time, more than what is healthy or recommended – despite weather, fatigue, illness, or injury
  • Stops doing their regular activities, spends more time alone (can be spending more time exercising)

    Physical Risk Factors:

  • Feels cold all the time or complains of being tired all the time.Likely to become more irritable and/or nervous.
  • Any vomiting after eating (or see signs in the bathroom of vomiting – smell, clogged shower drain)
  • Any use of laxatives or diuretics (or you find empty packages)

    Other Risk Factors:

  • Believes that they are too big or too fat (regardless of reality)
  • Asks often to be reassured about how they look
  • Stops hanging out with their friends
  • Not able to talk about how they are feeling
  • Reports others are newly judgmental or “not connecting”


If Your Child Shows Signs of a Possible Eating Disorder


Seek assistance from a medical professional as soon as possible; because they are so complex, eating disorders should be assessed by someone who specializes in the treatment of eating disorders. The earlier a person with an eating disorder seeks treatment, the greater the likelihood of physical and emotional recovery. 

If you think your child may be showing signs of a possible eating disorder, please contact your primary health care provider, school nurse, guidance counselor or one of the resources listed below.


  • Families Empowered and Supporting Treatment of Eating Disorders (F.E.A.S.T.)


  • National Eating Disorders Association

Toll free, confidential Helpline, 1-800-931-2237

Clinic Reminders :

Emergency Cards need to be turned in ASAP!‚Äč  In the event of an emergency, and computer systems are not working, we will need accurate emergency cards on file to notify you.  These are also required to be on file before any student is allowed to go on a field trip.

Vision/hearing/scoliosis screenings have been completed on all 10th graders and any new students transferring from out-of-state schools, private schools or those whom have been home schooled. Those students who were found with a concern will have a letter mailed to the parent to notify them in November and December.  Follow up with a physician is recommended and we are asking if update can be given to school nurse.  There is a portion of the letter that has an area for physician to fill out.  


Winter is here...   With the change of season comes more prevalent allergy symptoms and possible cold/flu.

We want 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.

*** The Acetaminophen we supply in the clinic is for pain relief or fever discomfort.  A permission form must be filled out and on file in clinic for your child to receive this medication.  Please note that if your child complains of a headache, other interventions will be offered before medication due to a headache being one of the first symptoms present with flu sickness.  If your child has a problem with chronic headaches or migraines that require medication intervention (or other interventions), we recommend that you provide the school a Medical Health Care Plan from their Physician's office and/or a parent provided medication to the clinic (prescription or over the counter).***

Is it a cold or is it the Flu?!?!

Image result for is it a cold of flu

If your child has flu symptoms, seek medical care from their physician ASAP!  If your child has a fever greater than 100 degrees, they need to be kept home until fever free for 24 hours without fever-reducing medications.
If you have any new changes to your address or phone number please contact the school to notify them of the change as these are what we rely on to contact you in an emergency. 

If your child requires a daily and/or as needed medication to be given at school, then all required paperwork must be completed by you and/or physician (if a prescription).  Students ARE NOT permitted to bring medication to school on their own, all medications must be dropped off by a parent or trusted adult.  

I mailed asthma, allergy, seizure, daily meds, diabetic and health service careplan forms home for the 2019/2020 school year.  The individuals receiving these forms have been determined from this year’s emergency card information.  Please have them filled out and signed by the physician and returned to the clinic as soon as possible.  These medical forms expire at the end of each school year and last years forms will not be valid this school year. Thank you for your cooperation.


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 child 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. 


 I am available Monday through Friday during school hours from 8:30am to 4:00pm.  Please feel free to call me with any questions or concerns at 540-297-7151 and ask to be directed to the nurse.

Thanks for helping keep our community healthy!
Rachel Pettis, RN
School Nurse

Helpful Information

Healthy Snack List
HPV Information for Parents

Click Here for School Entrance Health Form Instructions

Click here for School Entrance Physical Exam Form

Click here for school immunization requirements




If you have not signed up for CAREDOX yet please use the instructions in the document below to do so. This will streamline communication between you and the clinic about your child's health information. 

CareDox Health Registration Flyer- English
CareDox Health Registration Flyer- Spanish

The BCPS nurses are excited to receive Grant Funding from the 
Bedford Community Health Foundation to move the school clinics into the digital age.  A BIG thank you to the Foundation Board for recognizing and supporting this need. Watch for more information to follow as we connect to CAREDOX for our Electronic Medical Records in the school clinics. As a parent you will have an active role in this process to allow for a quicker easier way of communicating your child's health information.  



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