Nurse - Ginny Krause

My name is Ginny Krause and I am the school nurse at Antietam
Elementary School. I received my master's in Science of Nursing and Family Nurse Practitioner from La Salle University in Philadelphia, PA. I have been a Registered Nurse (RN) for 26 years and a Family Nurse Practitioner (FNP) for 9 years. Most of my career as both a RN and FAP has been working with children.

Office personnel is on call if a child is not feeling well or has been hurt and the nurse is not available. Parents/Guardians are notified of any serious illness or injuries that occur at school. The clinic nurse should be notified of any medical or health concerns about your child. Please advise the main office and your child's teacher of any changes in contact information and the best way to get in touch with you.

My goal as a school nurse is to keep children happy, healthy and in school and ready to learn. Any questions or concerns please do not hesitate to contact me via email  or you can call the front office. "You can't educate a student who isn't healthy and you can't keep children healthy who are not educated."

When Should I Keep My Child Home From School?

Students will be sent home from school of should be excluded from school (per Regulation 757-1 Attachment) for the following reasons:

  1.  Fever of 100 degrees and over - exclude until student has been fever-free for at least 24 hours without the use of 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.
  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 drainage should remain at home
  7.  Diarrhea or vomiting - exclude until student has been symptom free for at least 24 hours
  8.  Stiff neck associated with fever and/or recent injury
  9.  Inadequate immunizations with known disease outbreak in school
  10.  Refer to the VDOH Communicable Disease Reference Chart for School Personnel or visit the Virginia Department of Health (VDH) website.

Medications at School and Special Health Conditions

Special Health conditions can be managed at school. If your student needs medication at school, it needs to be brought into the clinic by an adult, in the original sealed container, and accompanied by the proper paperwork. New paperwork is required for each school year. See below for medication authorization forms and other health treatment plan forms. Please don't hesitate to speak with me if you have any questions about managing your student's special health condition at school. 

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 the results of either screening. Vision screening is performed by volunteers with the Lake Ridge 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. For more information you can contact the Lake Ridge Lion's Club at 703-590-3170.


Parents 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 yo contact parents and/or emergency contacts regarding illness and/or injury at school.

Food Allergy Awareness

We have many students at Antietam Elementary school with life threatening food allergies. Please remind your student of the importance of not sharing food during snack or lunch. Also, please consider peanut and nut free snack items that will be eaten in the classroom. if your child has a food allergy and does not yet have an allergy action plan in the clinic please see the forms below.

5th Grade Parents/Guardians

All rising 6th graders are required to have a Tdap immunization BEFORE they enter 6th grade. Please send in a copy of your 5th grade's immunization record after receiving their Tdap booster shot. Your student will not be able to start 6th grade without proof of the Tdap vaccination on file at the school.

The Center for Disease Control and Prevention (CDC) recommends that girls and boys 11-12 years old receive the HPV vaccine. Please refer to the following website for additional information: VA Department of Health School Requirements

PWCS Health Forms and Regulations

Authorization for Medical Administration Reg 757-4
Allergy Action Plan Reg 757-2
Asthma Action Plan (PDF) 
Emergency Treatment Plan Reg 757-3
Head Lice Reg 753-2 
Immunization Requirements Reg 723-6
School Entrance Health Form (PDF)
Seizure Plan of Care Reg 757-7