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FAQ: Signs of Illness, Nurse’s Office, and Wellness Activities

Last Updated: 7/29/2020 10:58 PM

Signs of Illness, Nurse’s Office, and Wellness Activities (Revised July 29, 2020)

1). How will the district respond to a student or staff member with COVID-19 in a school?
 In general, this is what will take place:
· Closing the school is a local decision, which will be done in consultation with the health department. School closure scenarios will be handled on a case-by-case basis depending on the data that is shown and the current situation.
· Quarantine is for well individuals who were in contact of a case. Isolation is for sick individuals who are waiting for symptoms to resolve so they are no longer infectious before returning to school.
· If an individual tests positive there are no requirements regarding the number of tests they need to take or a requirement to have a negative test.
· An individual would need to quarantine if they are a direct contact of an index case.  A contact of a contact would not need to quarantine. For example, if Student A has a parent who is positive, only Student A would need to quarantine. Student A’s classmates and teacher would not need to quarantine.
· Schools must report positive cases to the local health department. The Summit County Health Department (SCHD) is working 
on a flow chart. Local health departments will determine primary contacts (more than 10-15 minutes of contact within 6 ft of someone without medical grade PPE). Because of the requirements for isolations, often the ill person has potential to come back prior to the contacts. For a case, symptoms must resolve, a minimum of 10 days have passed and they must be without fever for 10 days to return to school. Contacts quarantine for 14 days because they may have been just exposed and viral replication take time.
· Schools are not permitted to disclose an individual’s personal health information due to HIPPA.


2.)    When should staff come to school or stay home based on symptoms?
Staff should stay at home when they register a fever of 100 degrees F or higher or any of the symptoms related to COVID-19. Staff should also stay home if any member of their household is registering a fever of 100 degrees F or any of the symptoms related to COVID-19.
All staff member with a fever over 100 degrees F should stay home.
Any staff member that has the following symptoms of COVID-19 should stay home from school and should see their primary care provider to be assessed for COVID-19:
o   Any of the following symptoms: cough, shortness of breath, or difficulty breathing.
o   Two of the following symptoms: fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new loss of taste or smell, GI issues (nausea and vomiting or diarrhea) AND an epidemiological link to a case of COVID-19.

Returning to School After Illness
If a staff member is diagnosed as having COVID-19, they must meet the following criteria to return to school:
o   3 days with no fever (without using fever reducing medication) AND
o   Others symptoms improved AND
o   10 days since symptoms first appeared

Staff members that only have a fever and no other symptoms and have not had any contact with an individual that has COVID-19 may return to school after they are fever free for 24 hours without using any fever reducing medications.

3.)    When should students come to school or stay at home based on symptoms?
Students should stay at home when they register a fever of 100 degrees F or higher or any of the symptoms related to COVID-19. Students should also stay at home if any member of their household is registering a fever of 100 degrees F or higher or any of the symptoms related to COVID-19.
Students should stay at home when they register a fever of 100 degrees F or higher or any of the symptoms related to COVID-19. Staff should also stay home if any member of their household is registering a fever of 100 degrees F or higher or any of the symptoms related to COVID-19.
Any student with a fever of 100 degrees F or higher should stay home.
Any student who has the following symptoms of COVID-19 should stay home from school and should see their primary care provider to be assessed for COVID-19:

o   Any of the following symptoms: cough, shortness of breath, or difficulty breathing
OR
o   Two of the following symptoms: fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new loss of taste or smell, GI issues (nausea and vomiting or diarrhea)
OR
o   Any of the following symptoms: cough, shortness of breath, or difficulty breathing, fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new loss or taste of smell, GI issues (nausea and vomiting or diarrhea) AND am epidemiological link to a case of COVID-19

Returning to School After Illness
If a student is diagnosed as having COVID-19, they must meet the following criteria to return to school:
o   3 days with no fever (without using fever reducing medication) AND
o   Other symptoms improved AND
o   10 days since symptoms first appeared

Students that only have a fever and no other symptoms and have not had any contact with an individual that has COVID-19 may return to school after they are fever-free for 24 hours without using any fever-reducing medications.

Any other illnesses should be handled in the routine manner according to district policies.

To return to school, the child must be transported to school by the parent and must be checked in by the school nurse.

4.)    What if a student or staff member becomes ill while at school?
Any student who develops COVID-19 symptoms while at school will be quarantined in an area other than the clinic until a parent or guardian arrives to pick them up from school. A mask will be placed on the student unless other health issues prevent it.

Any staff member who develops COVID-19 symptoms while at school will be sent home immediately. Steps will be taken to limit exposure to others, including the wearing of a mask unless other health issues prevent it.

o   All exposed areas will be immediately cleaned and disinfected. Students may need to leave their classroom while cleaning occurs.

5.)    How will students who are not sick but need medical attention in another way be treated? (e.g. medicine distribution, injury, cut, etc.)

Students who are sick or injured, not related to COVID-19, will be treated by the school nurse and standard of care as always.

6.)    Will medication administration happen in a site other than the clinic?
Maybe. Medication will still be administered by the school nurse but a location may change due to exposure circumstances.
 

7.)    Will the delegation of health care procedures still be done with staff and will these still happen in classrooms?
Yes. Health care procedures will still happen in classrooms with proper safety protocols.


8.)    Where will sick students or staff be held until they leave the school?
Quarantined students will be held in an area other than the clinic. This site will be determined by each building administrator with proper supervision assigned.


9.)    Will the nurse go to students instead of the students coming to the office?
Maybe. Some circumstances may result in the nurse traveling to see students but, in most cases, students will still travel to see the nurse.


10.)    How will immunization requirements be enforced if doctor’s offices are not administering them?
We are not aware of any doctors who are not administering immunizations at this time. Normal protocol is to be followed.
We expect that most students with chronic health issues or comprised immune systems will participate in remote learning.