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Amy Salce, CPNP

We are pleased to announce the addition of Amy Salce, CPNP to our Providers. Amy graduated cum laude from Vanderbilt University with a degree in Medicine, Health & Society. She received a Bachelor's in nursing and a Master's in Pediatric Nursing from Columbia University. Amy is a member of the National Association of Pediatric Nurse Practitioners. Prior to joining Northern Virginia Pediatric Associates, Amy worked as a Pediatric Registered Nurse and Pediatric Nurse Practitioner in New York. Amy was raised in Fairfield, Connecticut and currently lives in Washington, D.C.

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Allergies

Spring, summer and fall, seasonal allergies are very common. Symptoms include itchy, watery red eyes; sneezing; clear runny nose; and an itchy palate or throat. Common triggers are trees in the spring, grasses in the summer and weeds in the fall.

Over the counter medications which are quite effective and non-sedating are now available for children over the age of two. These include Nasacort (Triamcinolone Acetonide), Claritin (Loratadine) and for children four and up, Flonase (Fluticasone).

If you think your child has seasonal allergies and he or she is not responding to medication OR if you are not sure, please make an appointment with our office. Many children do not require allergy testing if they respond well to treatment with medication as needed.

Along with maintaining proper medication, reducing exposure to allergens can greatly decrease the effects of seasonal allergies;

Keep windows closed in home and autos. Use air conditioning when needed and available.
Use cool compress on eyes several times a day.
Remove pollen carried in and on body by changing clothing and showering daily.
Change bed linens every other day.
Dust and vacuum when those affected by allergies are not at home.(Ideally with an 8 hour window of return).

For more information on Seasonal Allergies, click here https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Seasonal-Allergies-in-Children.aspx

For more information on Allergies, click here https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Allergy-Causes.aspx

For more information on Hay Fever Triggers, click here https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Hay-Fever-Help.aspx

Accepting New Patients

All our providers are accepting new patients.

Sunblock

All sunblocks function by extending the amount of time it takes for the sun to burn or damage your child’s skin. Infants and young children are very susceptible to sunburns. Consequently reapplication and mechanical protections such as hats, umbrellas etc are imperative as well as avoiding peak sunrays from 10 AM-3 PM. Unscented products containing Zinc or Titanium Oxide are recommended. For more information on sunblock, click below https://www.healthychildren.org/English/safety-prevention/at-play/Pages/Sun-Safety.aspx

Super Hero Fridays!

Super Hero Fridays! Dress up as your favorite Super Hero or wear your favorite Super Hero t-shirt to your Friday appointment and have your picture taken with our "Super Hero" staff!

Camp, School and Sports Forms

Camp, School and Sports forms are to be filled out as much as possible prior to submitting to the office for completion. (If applicable, please be sure to complete medication section). Please also ensure that your child has had a physical exam within 12 months of form request. Some common forms can be found on this website under the forms tab. Once a form is received, it may take between 7 and 10 business days for completion. Once complete, a call will be placed for pick up unless prior arrangements have been made. There is an administrative charge of $15 per form. Expedited forms are completed within 48 hours with an administrative charge of $25 and same day for a fee of $50.

Forms can be dropped off, faxed to 703-532-8426. or emailed to This email address is being protected from spambots. You need JavaScript enabled to view it.; Due to HIPPA regulations, completed forms may be faxed back upon prior authorization and confirmation that a parent is present to receive the fax.

Please check all forms to confirm the date last physical is required. Patient’s last physical may satisfy requirements and a new physical may not be necessary. Verify and understand your coverage as some insurance companies may not cover a second physical within the same year.

**Some forms also require that a self Tuberculosis Risk Assessment be checked off. Checking off this box prior to dropping off the form will greatly speed up processing time.
Click below for a Tuberculosis Screening Certificate to assist with this process.
https://www.northernvirginiapediatrics.com/PDF/fillable/Form_Tuberculosis-Screening-Certificate.pdf

Tick Testing Policy

The overall risk of infection with Lyme disease after a recognized deer tick bite in our area is 1 - 3%. The risk is extremely low after brief attachment of less than 18 hours (flat, non-engorged tick) and gets higher after 36 hours of attachment. After reviewing the recent recommendations of the American Academy of Pediatrics, it was determined that analysis of a tick for Lyme disease infection is not helpful. During the early stages of Lyme disease (first four weeks of infection), diagnosis is best made clinically by recognizing the rash around the site of a recent tick bite. Other symptoms such a fever, fatigue, headache, mild neck stiffness, joint pain and muscle pain may accompany the rash. During this phase, blood tests are insensitive and are not routinely recommended. Preventative antibiotics after a deer tick bite are also not routinely recommended in young children. Please, talk to your doctors if you have additional questions or concerns.

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