School Nurse - Enterprise ES

Clinic Information:
My name is Anke Blaine and I am the School Nurse at Enterprise Elementary.   I am a Registered Nurse and also a Certified Pediatric Nurse Practitioner.  I love being a school nurse because I care deeply about student health.  A healthy learner is better able to reach his or her academic potential. Please feel free to contact me if you have any questions or concerns related to student health.
Anke Blaine, RN, CPNP
Officer: 703-590-1558
Direct Line: 571-589-2421
Fax: 703-878-0404



Dear Parents/Guardians of Rising 7th 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 7th grade. 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.


Please send the documentation of this vaccine to the school nurse.  She will notify your child’s middle school that he/she has received the vaccine.  This will insure there will be no delay in beginning middle school. Your child will not be admitted to 6th grade on the first day of school without proof of the Tdap booster.


Hand Washing

According to the Centers for Disease Control, "the most important thing you can do to keep from getting sick is to wash you hands." Judicious hand washing can prevent not only common diseases like colds, but also more serious diseases like hepatitis A, meningitis, and infectious diarrhea.

Why hand washing is important

  • Children have weaker immune systems than adults and can become sick quicker.
  • 1 in 3 E.coli outbreaks is caused by poor hand washing by food preparers.
  • Germs that cause disease live in meat, vegetables, and more.
  • Germs are spread from unclean hands to food, usually when the food handler doesn’t wash after going to the bathroom. Germs are then passed on to those who eat the food.
  • Germs spread from uncooked foods like hamburger to the hands, then from the hands to other foods like salads. The germs can remain in the salads and eventually affect those who eat the food.
  • Putting cooked meat back into its original container re-contaminates the cooked food. - Cutting vegetables on the same board used to cut meat contaminates the vegetables.

6 Main Rules of Hand Washing

  • Always wash your hands after using the bathroom, changing diapers, cleaning up after your pets, or handling money.
  • Wash your hands when they’re dirty.
  • Always wash you hands before eating.
  • Don’t cough or sneeze into your hands.
  • Refrain from putting your fingers in your eyes, nose, or mouth.
  • Avoid touching people and surfaces with unclean hands.

Correct way of washing hands

  1. Wet hands with warm water (not hot) and use soap.
  2. Rub you hands together, making sure to scrub all areas.
  3. Rub for a minimum of 15 seconds or sing “Happy Birthday.”
  4. Rince thoroughly, then dry hands on a clean towel.
  5. Turn faucet off with the towel, not hands, to keep away from recontamination.


  • 2/3 of adults in the US wash hands after using the bathroom.
  • 1 in 4 adults don’t wash hands after changing diapers.
  • Less than 1/2 of Americans wash hands after cleaning up after pets.
  • 1 in 3 wash hands after sneezing/coughing.
  • Less than 1 in 5 wash hands after touching money.
  • 1 in 3 E.coli occurrences is caused from not washing hands before handling food.

By frequently washing your hands, you wash away germs that you have picked up from other people, or from contaminated surfaces, or from animals and animal waste. The simple act of consistently performing this basic task properly will make a big difference in your own household as well as in work, school and public settings.




 If you know that your child is going to be absent, please contact the school through our attendance hotline. This phone line is dedicated solely for attendance and can be reached 24 hours a day and 7 days a week:


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—Should be monitored at home for the first 24-48 hours

5. Severe coughing or difficulty breathing.

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

      * Colds are the most contagious during the first 48 hours.  

      * A child who has started antibiotics needs to be on the medication for 24

          hours,  before being considered non-contagious and able to return to school.

7.VOMITING or DIARRHEAEven if it only happened once.  When the child eats breakfast or lunch, it is very likely they will do it again! They need to be in a low stimulus environment, take in clear low sugared drinks and eat a bland diet.  They should return to school after they have NOT had vomiting or diarrhea for 24 hours.  Remember to wash hands after using bathroom and before eating anything!  The stomach Bug is very contagious!

8. STIFF NECK associated with a fever and/or a recent injury.

      9. INADEQUATE IMMUNIZATIONS with known disease outbreak in school.


Please remember it is an extremely long day for a child who is sent to school ill.  Remaining at home will help minimize the spread of the infections and viruses in the classroom and will allow your child a speedier recovery!