COVID-19 Health Response Handbook – Launch to Learning 2020-21

COVID-19 DASHBOARD

UPDATE 10/19/2020Criteria for return to school after symptoms listed more clearly.
If your child is sent home or kept home based on COVID-19 symptom(s), they must meet one of the two criteria in order to return to school.
See Exclusion under SYMPTOMS for criteria details.

UPDATE 10/15/2020
GUIDANCE FOR CAMPUS OR CLASSROOM COVID-19 EXPOSURE
A negative COVID-19 test result does not meet the return to school criteria. If a negative test result is received during a quarantine or isolation period the negative result will not end/shorten the duration of the required days the individual has been given to remain out of in-person learning or participation in any school event.

INTRODUCTION

PURPOSE
In this time of uncertainty, we know school is a place of comfort and consistency for our students. It is important to us that we provide clarity regarding LISD’s COVID-19 Health Response Plan so campus staff may design protocols to protect the safety and health of our students and staff. Campus leaders will work with their staff to ensure the implementation of these guidelines throughout the school year.
GUIDING PRINCIPLES
● Ensure Classroom and Campus Health and Safety Guidelines
● Practice Social Distancing and Student Health
● Provide Clear Structures to Support Academic Growth

VISITORS AND TRAVEL

VISITOR RESTRICTIONS
Visitor limitations will help prevent the spread of COVID-19 and reduce the risk of exposure to our staff and students. All campus approved visitors must complete a health screening and wear appropriate facial coverings before entering the building. Only parents and guardians that have completed screening will be allowed past the front office for scheduled appointments. The campus will need to limit the number of visitors based on social distancing guidelines.
DAILY BUILDING USAGE
Building access will be limited to 5:30 p.m., except for after school care, in order to allow for the cleaning necessary to protect staff and student health.
TRAVEL RESTRICTIONS
Leander ISD will discontinue staff and student travel to conferences, workshops, and non-UIL contests until further notice unless pre-approved by the Campus Activities and Support Area Superintendent, John Graham, or Sr. Executive Director, Jody Hormann. Budgets for travel have been removed. Employees shall not travel together within the district or in personal vehicles (except for Transportation employees as required by their job).
ADDITIONAL FAQs: Visitors and Travel
If traveling out of state, will a student be required to quarantine before returning to in-person learning?
It will depend on what the Country Transmission Level is that they are traveling to. We will follow the local, state, and federal recommendations/guidelines.

SANITIZING AND CLEANING

WORKSPACE/CLASSROOM 
Sanitation of classroom and workspaces will take place throughout the school day and each evening after the dismissal of students. LISD campus and district leaders will provide appropriate signage to indicate a room that requires disinfecting. Teachers meeting in teams or visiting other classrooms shall wear facial coverings, wash their hands, and have appropriate social distancing. Employees are asked to sanitize their own personal workspaces with district-provided materials throughout the day, giving special attention to commonly touched surfaces. This includes:

● Door handles
● Personal desk area
● Technology spaces
● Commonly used surface spaces

There will be limited access to certain workspaces to reduce exposure to risks and ensure employee safety. Workspace usage is as follows:

Capacity – Campus staff will self-monitor the number of employees gathered together. 

Conference Rooms – Conference rooms that cannot provide adequate social distancing should not be used. Signage indicating capacity limits will be placed on conference room doors. Meetings will use a virtual option when possible, even for employees in the office or school. 

Breakrooms or Teacher Lounge/Multipurpose Room – Social distancing will be enforced in this area at all times. Shared appliances, such as Keurig machines, refrigerators, and microwaves, will be sanitized after each use. Disposable utensils, plates, cups, etc. should be used as much as possible.

Copy Room – The number of staff allowed in a copy or workroom will be limited to ensure social distancing. Signage indicating capacity will be posted. Materials will be provided to help self-clean after each use.
FACILITIES CLEANING
The safety and health of our employees and students is our top priority. In addition to the thorough cleaning of the office and school before employees and students return, the cleaning steps outlined below are to be taken to disinfect workplace surfaces, chairs, tables, etc. to protect employees and reduce the risk of spread of infection. We will require employees to maintain this safety standard by continuously cleaning and sanitizing based on the frequency stated below.

GENERAL DISINFECTING OR SANITIZING MEASURES

CategoryAreaFrequency
Workspacesclassroom, officesAt the end of each use/day
Appliancesrefrigerators, microwaves, coffee machinesDaily
Electronic Equipmentcopier machines, shared computers monitors, TV’s, telephones, keyboardsAt the end of each use/day and/or between use
General Used Objectshandles, light switches, sinks, restrooms, water fountains, science lab equipmentAt least 4 times a day
Busesbus seats, handles/railing, belts, window controlsAt the end of each use/day
Common Areascafeteria, library, conference rooms, gyms, common areasAt the end of each use/day; between groups
The goal is to establish a sanitary baseline before the site opens.
The site should be 100% disinfected prior to anyone returning to work.  
GENERAL DISINFECTING MEASURES PROTOCOL  
General measures should be followed regularly. The Custodial staff will clean all instructional and common areas and will disinfect every night, starting right after the building becomes unoccupied. 
DEEP CLEANING AND DISINFECTION PROTOCOL 
The added measures of deep cleaning happen when an employee or student is identified as exhibiting multiple symptoms (including fever and/or vomiting) of COVID-19 based on the campus nurse’s assessment or a positive test has been reported. The campus nurse will communicate immediately with the campus custodial team with the area(s) identified to be cleaned and disinfected. The area will be maintained unoccupied and open for air circulation after disinfection. 
PREVENTATIVE MATERIAL INVENTORY
District and campus leaders will establish a protocol to ensure each campus has an adequate supply of soap, surface and hand sanitizer, paper towels, and tissues.

District and campus leaders will establish a protocol to ensure each campus has an adequate supply of personal protective equipment.
BUS DRIVERS/BUS PROTOCOLS
Social distancing protocols, sanitizing, and the wearing of facial coverings will be implemented on school buses to protect student safety.  

● Social Distancing – Students who do not live in the same household will be seated at least six feet from other students on the bus (in most cases, this will mean one student per row, on opposite sides of the bus). 

● The seat directly behind the driver should be left empty for distancing purposes.

● Whenever possible, windows will be opened to improve airflow by allowing outside air to circulate in the bus.

● Facial coverings will be worn and hand sanitizer used prior to boarding the bus. 

● Buses will be thoroughly cleaned after each bus trip, focusing on high-touch surfaces such as bus seats, steering wheels, knobs, and door handles. A log of cleaning will be submitted to the route supervisor at the end of each route.

● When students are loading and unloading, the campus administration will ensure social distancing.

STUDENT HEALTH PROTOCOLS

STUDENT SCREENING AND PROTOCOLS 
NOTE:  All student COVID-19 related concerns should be addressed with the campus nurse.

Parents are asked to health screen their children prior to coming to school each morning.  Students should stay home if they have any indication of symptoms. This includes a procedure by which adults will complete a Google Form accessed through a QR code at the entrance of the school. Students will complete a self-screening through a pending app that will be shared soon.

Self -Screening is an activity that campus staff, students, and visitors will conduct prior to entering a Leander ISD facility or bus to identify and temporarily exclude those who may have been exposed to COVID-19, in an effort to maintain a healthy and safe learning/working environment.

Per the Texas Education Agency (TEA): 
“Schools have the ability to prevent anyone who either does not complete or does not pass a screening from entering their campus.
Parents must ensure they do not send a child to school on campus if the child has COVID-19 symptoms or a positive COVID-19 test. School systems may also establish a screening process for students.

By coming to school, you are attesting that you confidently answered “NO” to ALL of the questions related to COVID-19 symptoms and have a very low risk of carrying or spreading COVID-19. If you answered “YES” to ANY of the questions, you are to stay home.  All screening information will be kept confidential by the campus administration and the campus nurse.  
GUIDANCE FOR CAMPUS OR CLASSROOM COVID-19 EXPOSURE  update 10/15/2020
When a student displays symptoms of COVID-19, the school nurse will assess and determine if and when a student needs to be sent home.  

Students who are sick will maintain a face covering, move to a separate sick room, and should be picked up within an hour from contacting the student’s parent or guardian.  

Staff/teacher displaying COVID-19 symptoms or has a confirmed case must follow district protocols. 

Campus COVID Team will identify those who have been in close contact with a confirmed COVID-19 positive individual. Those individuals will be required to self-quarantine for 14 days from their last exposure to that individual.
During that 14 day quarantine, the student will take part in virtual learning.

Personal communication will be provided to the parents of students who came in close contact with a COVID-19 positive student or staff member.

District communication will be provided to the parents of all students who were in the classroom with a COVID-19 positive student or staff member.

Students who have tested positive for COVID-19 will be required to provide a doctor’s release before returning to school.  

The classroom or area will be disinfected once unoccupied.

Per local health department guidance, there is a possibility that an entire classroom and staff will be excluded due to exposure of a COVID-19 positive student or staff member.

A negative COVID-19 test result does not meet the return to school criteria. If a negative test result is received during a quarantine or isolation period the negative result will not end/shorten the duration of the required days the individual has been given to remain out of in-person learning or participation in any school event. (update 10/15/2020)
POSITIVE COVID-19 TEST RESULT PROTOCOL
COVID TEAMS

Campus: Principal, Assistant Principal, School Nurse, Attendance Clerk
District:  Executive Director of Campus Support, Director of Risk Management, District Nurse

Teams will collaborate to ensure all protocols and processes in place for a positive case are followed. After reporting to the local health department LISD will provide appropriate communications to students, staff, and parents.

Communication
Schools are required to notify in writing all teachers, staff, and families of all students in a school if a lab-confirmed case is identified.

The notice to staff and families must maintain confidentiality in accordance with Texas Health and Safety Code Chapter 81 and all other state and federal laws.

A public health professional will contact staff and families if they are identified as a close contact to the individual who tested positive.

Contact Tracing
Per TEA: “Case investigation and contact tracing will be conducted by the local health entity.” 

For in-depth details on protocols specific to students presenting COVID-19 situations during the school day.
SOCIAL DISTANCING AND CLOSE CONTACT
While it is not possible to completely eliminate possible exposure to COVID-19, social distancing, defined as keeping a safe distance of six feet when contact is longer than 15 minutes, is an effective way to prevent potential infection. Efforts should be made to avoid close contact.

Close contact (exception: School Nurse wearing appropriate PPE) if you were:
● Within 6 ft for at least 15 minutes during the 2 days before the person got sick up until when they began isolation
● Sneezed or coughed on or somehow got the infected person’s respiratory droplets on you
● Rode on a bus with the person for at least 15 minutes during the 2 days before the person got sick up until when they began isolation
● In a classroom with the person for least 15 minutes during the 2 days before the person got sick up until when they began isolation
● Cared for a COVID-19 infected person at home
● Shared eating or drinking utensils with the person
● Had direct contact (touched, hugged, or kissed) with the person


LISD employees, students, parents, and visitors will practice and model maintaining social distance in all settings and avoiding close, sustained contact with others. Additionally, staff will ensure
ARRIVAL
Arrivals should be staggered and separated between entry points to avoid crowding in the hallways. This may interrupt instructional time.

Students will be dropped off and enter the school building without visitors.

Campus principals will provide a plan for students to find their classrooms.

Staff on duty assisting students entering vehicles, busses, daycare vans, etc. will wear face coverings and gloves.
DISMISSAL
Dismissal procedures should be staggered and separated between entry points to avoid crowding in the hallways.  

Parents will need to minimize visits inside the school building for only essential needs to reduce the number of individual interactions. (e.g., have parents drop off and pick up students outside the school rather than inside). 

If parents need to pick up their child early from school, they will need to properly self-screen, wear a mask, or wait in the secured front vestibule, etc. 

Parents should maintain social distancing when arriving at the campus. 

Staff on duty assisting students entering vehicles, busses, daycare vans, etc. will wear face coverings and gloves.
HALLWAYS AND TRANSITIONS
Schools will implement one-way hallways whenever possible to limit traffic in a given area.

Transitions between classes should be staggered to avoid student to student close contact. When possible, the teacher should rotate to the student location (Elementary).

Teach and reinforce hallway transition procedures. 

Consider campus bathroom practices to minimize the number of students in the bathroom at the same time.  

A teacher may choose to take the entire class for a restroom break at once and monitor distancing.
Restroom use for portable buildings will allow for two students at a time to allow for use of the buddy system moving from portable to main building. Assign regular buddies to limit exposure to multiple partners.
● Place posters at handwashing stations near restrooms.
Minimize the amount of students handwashing at the same time. 

Transitions to and from breakfast and lunch should be staggered to ensure social distancing within lines and at tables. This may require some students to have lunch in the classroom or outside.

Procedures for accessing classroom lockers and cubbies should be staggered and separated to allow for appropriate distancing.
PERSONAL PROTECTIVE EQUIPMENT (PPE)
Facial coverings provide a barrier to viruses to protect themselves and others. All students and staff will wear facial coverings during arrival, dismissal, transitions, and within classrooms. Facial coverings must be worn over the mouth and nose, and the face-covering must be made out of material that adequately blocks the transmission of air and droplets (no valved/vented masks). Students requesting a medical exemption will need to work with their school’s nurse. Staff members will need to work through human resources (HR).

CDC How to Select, Wear, and Clean Mask

Neck Gaiter or neck warmer, also known as a buff, is an article of clothing worn about the neck for warmth. It is a closed tube of fabric, often thick fleece, merino wool, synthetic wicking, or knit material, which is slipped on and off over the head.

Recommendations specific to Neck Gaiters: Face coverings that are made of multiple weaves [i.e., higher thread counts] seem to block more respiratory droplets than those with lower thread counts, In addition, there is some evidence that [face coverings] made of blended materials (cotton plus another material) may be somewhat more effective as well.
Limited Use of Neck Gaiters as a face covering is encouraged: Examples: outdoor extra-curricular practices, use with football helmets, grounds staff. 
To promote safer use, when wearing a gaiter. It’s encouraged that the wearer folds the gaiter to provide a double layer of material. Maintain social distancing of 6 feet or more.


*Note:  The use of gaiters continues to be researched and the limited use is subject to change as new information is provided.  

Hand Sanitizing: Washing your hands regularly is a highly effective defense against any virus. Please note that social distancing should still be practiced even with the use of gloves and facial coverings.

In addition to using facial coverings: 

● Campus and classroom procedures will determine regular procedures throughout the day for students and staff to wash hands often with soap and water for at least 20 seconds. Students and staff may use hand sanitizer with at least 60% alcohol if soap and water are not available.
● Students and staff should be reminded to avoid touching eyes, nose, and mouth.
● Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow during any time facial coverings are not worn.
FOOD AND ITEM DELIVERY
Bringing or sharing refreshments during meetings is not allowed in order to limit risk. Food delivery for students and staff, as well as personal package delivery, is not allowed.  Should a student leave their lunch at home, the parent should contact the school to follow campus procedures.
CAFETERIA AND MEAL PERIODS
Ensuring student health during meal times will be necessary through social distancing and cleaning procedures. All students will be socially distanced within the cafeteria to the greatest extent possible. The meal will be served to the student. Salad bars will no longer be self-serve. Most secondary options will be prepackaged with hot and cold entrée selections available. Campus leaders will also prepare the markings of social distancing in the cafeteria and service lines.

BREAKFAST
● Students will wash/sanitize hands before entering the cafeteria and after breakfast and lunch.
● No self serve options. 
● Tables will be spaced at maximum capacity with the goal of social distancing. 
● Utilize 50% of table capacity for student use.
● Utilize paper sack breakfast as an option if social distancing can’t be done in the cafeteria.   

LUNCH (in the cafeteria)
● Students will wash/sanitize hands before entering the cafeteria.  
● The schedule will incorporate social distancing within serving lines.
● Tables would be sanitized between uses (need a 5 min break in between). 
● Utilize 50% of table capacity for student use.
● No self serve options. 
● Tables will be spaced at maximum capacity with the goal of social distancing. 
● Mark the floor with distancing for students to stand on upon entry of the cafeteria line. 
● No visitors at lunch, see visitor guidelines. 

Campuses will work collaboratively with CNS to decrease the time students are in
line deciding what they want for lunch. (Ex: google form, circled choices, Nutrislice Mobile App.)  

Campuses will work collaboratively with CNS to determine the best process to get students through the line with maximum efficiency (ex: scanning barcodes on cards or a roster). 
PE AND RECESS ELEMENTARY
Plan for one grade level at one time with staggered shifts and keep individual classroom groups at least 10 feet apart from other groups to prevent potential exposures during physical activities. Students are to wash or sanitize hands before and after PE and recess.   

Indoor PE: students will practice six feet of social distancing and wear a face mask.  Limit the use of shared equipment and clean after each group.   

Outdoor PE: students will practice six feet of social distancing.  During exercising and structured physical activities, students may remove masks. Individual class groups must be at least 10 feet apart from other class groups when masks are off. Limit the use of shared equipment and clean after each group.

Outdoor Recess: recess should be a time for unstructured playtime, students will practice six feet social distancing and wear a face mask. Students may play on the playground equipment but limit the number of students to allow social distancing.  Students are to wash or sanitize hands after recess. Focus on keeping hands clean instead of the surface.   

Be creative and introduce games such as:
● relays, red light/green light, and other activities not needing equipment
● start walking and running clubs
● organize track and field type of events, such as long jump
● rotate playtime on the playground

Resources needed
Lunch monitors in the cafeteria so all teachers can be at recess for maximum supervision as well as providing flexible time for recess to decrease the number of classes outside at the same time. 

Additional playground equipment to keep with each classroom teacher (ex: balls, jump ropes, hula hoops, etc).

Hand washing sanitizing resources outside.
CLASSROOM ARRANGEMENTS
Student seating/desks will be spaced apart to the greatest extent possible within the classroom. Large spaces, such as the school gym, may be converted into classroom spaces to provide greater social distancing. Campus leaders and the principal will be responsible for implementing these guidelines and communicating them to parents. Additionally, Leander ISD will comply with the latest social distancing, health, and hygiene recommendations set forth by the Texas Education Agency and coordinated with the local health department. Campus leadership teams will work to ensure the following within each instructional space.

● Space seating/desks to ensure social distancing as much as possible.
● Turn desks to face the same direction, or have students sit on only one side of tables, spaced apart.
● Remove unnecessary furniture from the classroom to help aid social distancing.
ELEMENTARY – CLASSROOM ARRANGEMENTS
Specials 
● Specials group rosters are constructed to increase tracking opportunities
● Utilize outside space, as weather appropriate, to increase social distancing
● Promote games and activities which do not require physical contact with other students
● If balls/equipment is used, sanitize after use prior to a new group
● Require students to wash hands/hand sanitizer before and after specials
● For art class, students do not share manipulatives, resources (brushes, clay, scissors, glue sticks, etc.)
● Performing Arts does not engage in vocal singing/instrumentation activities which conflict with TEA Public Health guidance.
● When possible, the teachers should rotate into a student classroom location to minimize student movement
SECONDARY – CLASSROOM ARRANGEMENTS
Locker-Rooms
Campus leaders will work with PE and Athletics staff to ensure locker room protocols maintain six feet of distance when contact is 15 minutes or longer and appropriate post-student group sanitation of high touch surfaces.
RESTROOM USAGE DURING THE WORK DAY
Campus leaders will establish the maximum capacity for the facility that allows for social distancing and post the maximum capacity sign on the door. Supplies will be provided to employees to sanitize after themselves in staff only restrooms. Campus leaders will work with staff to establish hallway access and restroom protocol that ensures social distancing. Water fountains will not be accessible, but access to water bottle filling will be made available. Parents are encouraged to send their students to school with a refillable water bottle each day.
SUPPORT STAFF
Students will receive support as outlined in their IEP, 504 plan, or RtI plan to the fullest extent possible. We will work with families to communicate plans for service delivery and to seek feedback about services. Staff will follow CDC and LISD safety guidelines and be mindful of limiting contact, sanitizing procedures, and social distancing.  Principals will need to consider Master scheduling options: consider/discuss with Special Programs team the possibility of grouping students in classes (as appropriate for students and staff) to limit contact of Sprog staff with multiple classes, dividing support staff when possible in order to serve specific grade levels, and the location of services (in neighborhoods, open spaces or classrooms close to general education setting). Support staff will sanitize in between groups/classrooms and wear a facial covering if social distancing of 6 ft. is not instructionally possible.
COVID-19 INFECTION CONTROL MEASURES
Below you will find a brief description of infection control measures that were prepared in collaboration with the Leander ISD Health Services Department, local, state, and federal public health departments. These measures will be practiced to prevent the spread of infection and break the chain of infection. 

Healthy Hygiene Practices 
Ensure optimal healthy hygiene practices, including handwashing or the use of alcohol-based hand sanitizers, to prevent infections and reduce the number of viable pathogens that contaminate the hands. Handwashing is the single most effective infection control intervention (CDC). Students, staff, and volunteers will be encouraged to wash hands/use hand sanitizer often.

Encouraging Preventative Measures 
Preventative measures signs will be posted in high-traffic areas that will educate students and staff and serve as reminders of ways to prevent the spread of COVID-19.  

Staff: must complete self-symptom checks prior to coming to work
Students: must complete a self-screening at home prior to coming to school or getting on a school bus. Screening questions will be administered as needed in the campus clinic. 
ADDITIONAL FAQs: Student Health Protocols
Will UIL sports be allowed in the coming school year? If so, what restrictions will be in place?
Fall sport start dates were released by UIL sports on July 21. To view the updates in detail, please visit https://www.uiltexas.org/policy/covid-19. Similar to summer strength and conditioning activities, practices and contests will follow protocols established by UIL, TEA, and Leander ISD. In-season and off-season activities will follow the most current guidelines available. Per UIL guidelines, attendance at scrimmages and games for spectators is limited to 50% capacity. Ticket sale information will be released in the coming weeks.

How will Physical Education (PE) classes work?
Whenever possible, PE classes will be held outside and utilize as much social distancing as instructionally possible. Hand sanitizing and hygiene practices will be utilized at the beginning and end of class. Specific guidelines appropriate to age will be shared with teachers prior to the beginning of the school year.

How will social distancing be implemented in extra-curricular activities?
These guidelines are under development and will follow the pending guidance of the Texas Education Agency and the University Interscholastic League.

Will the use of facial coverings be enforced?
Failure to wear a facial covering will be a dress code violation. Campuses will have a stock of disposable masks to provide students a mask if a student fails to bring a mask to school, or if a student’s mask is no longer clean and safe to properly wear.

Will the district provide facial coverings to students and staff?
Campuses will be provided a supply of masks for staff and students unable to provide their own.

How will students who need breakfast/lunch acquire access when they are attending virtual empowered learning that day? Will there be locations for families to pick up food?
Virtual learners will be provided the opportunity to pick up meals at designated sites. Additional information will be provided on the menu, ordering processes, and pick up locations in the near future.

SCHOOL HEALTH SERVICES PROTOCOLS

VISITS TO THE CAMPUS CLINIC
In order to prevent potential exposure to infectious diseases for vulnerable students receiving other medical treatments, all student visits to the Campus Clinic will follow campus procedures. When possible, care may be provided in the classroom. 

If a staff member believes a student needs to be seen in the clinic:

● Staff will be asked to call or radio the Campus Nurse with a request for an ill student visit.
● Nurse will prioritize the student for a visit and direct them to the campus designated “well” or “sick” clinic area based on symptoms. 
● Students will independently walk to the campus clinic unless it is unsafe to do so or considered an emergency. 
● If it is an emergency, 911 should NEVER be delayed. Activate EMS and delegate as appropriate.
FIRST AID
First aid to the degree possible, should be handled by the student and in the classroom to prevent office congregation and possible cross exposure.  
The following recommendations are:

1. All classrooms will be stocked with limited first aid supplies. 
2. To the extent possible, students provide self-care with staff direction and physical distancing.
3. Teachers will be able to consult over the phone with the campus nurse if guidance is needed. If it’s determined that care cannot be done in the classroom the student will be sent to the designated “well” clinic area for care.

Teachers are encouraged to contact the campus nurse prior to sending the student to the clinic if they are uncertain or need guidance about student care. Ideally, teachers will consult with the campus nurse over the phone prior to sending students to the clinic. If a student arrives at the clinic prior to a phone consultation, they will be expected to wait in the designated clinic waiting location on campus until the campus nurse or principal delegated trained staff member can get to them. 
EXAMPLES OF CLASSROOM BASED CARE
● Minor Toothache / Primary Tooth comes out
● Small paper cuts, abrasions, picked scabs.
● Localized bug bites. (no HX of allergy)
● Minor headache or fatigue with no other symptoms.  
● Mild stomach ache or nausea.  
● Readily controlled nosebleeds, where the student can deliver self-care.
● Anxiety/stress/psychological issue- try calming techniques and/or contact the school counselor.

Paper cuts, small abrasions, picked scabs
– Wash hands.
– Direct to the classroom first aid kit to wash and apply band-aid if needed.
– Wash hands.
Minor headaches and/or fatigue & student is not acting ill in the classroom, especially immediately after lunch or recess
– Encourage snack or drink water.
– Apply cool water to the face and neck.
– Rest 30 minutes.
– If worsening, contact the nurse for a clinic visit.
Mild indigestion and/or upset stomach especially immediately after lunch or recess
– Allow to use the restroom.
– Drink water.
– Rest 30 minutes.
– If worsening, contact the nurse for a clinic visit.
Localized bug bite (no known Hx of allergy) 
– Apply a cool damp paper towel.
Clothing or Glasses repair
– Email or call the campus clinic to determine what supplies are needed.
– Soiled underwear or clothing
– Classroom teachers need to encourage parents to keep supplies and multiple – changes of clothing in all student backpacks.
– Students may be directed to self-clean up and discard fecal contaminated clothing in a double bag by a first aid provider, paraprofessional, or IA.
– If the student needs to be sent home for hygiene, the parent/guardian may be contacted by the teacher, staff, or campus nurse.

CAMPUS DESIGNATED CLINIC LOCATIONS

  • Well Student Area
  • Sick or Symptomatic Student Area 

Students that have scheduled medical needs (eg. procedures, meds) 
Students waiting to be triaged w/ first aid needs (present to the office with unscheduled needs)


● Area for well students with health care needs that cannot be addressed in the classroom (e.g. diabetic and other noncontagious health care needs).
● Students with non-COVID-19 symptoms (e.g., injury, assessments)
● Ask if they have been around someone with COVID-19 or have signs and symptoms of COVID-19. If yes, send immediately to COVID-19 isolation and call parent/send home. 
● Physical distancing marked off

A campus nurse OR campus principal delegated clinic trained staff member provides care. Staff delivering care may need to consider wearing a mask, face shield & gloves.

Students that present with any COVID-19 symptoms (May need multiple spaces)

● Area for students with confirmed fever, vomiting, or diarrhea
● Areas for students with possible COVID-19 symptoms; away from others
● Physical distancing marked off or in separate rooms.

Staff should wear a mask, face shield & gloves. Restroom facilities need to be nearby for sick students (separate space) as younger students may have GI symptoms

Additional campus principal delegated trained non-health compromised staff may be necessary to monitor students in areas not visible by the school nurse or health technician.

STUDENT MENTAL HEALTH
As students return, the primary goal will be to support the whole child. The LISD Health Services Department and Counselling Department will work closely together to identify ways to support students appropriately.  
MEDICATION ADMINISTRATION
To the degree possible, make every effort to identify ways that medications may be taken at home, instead of during school hours. The following steps should be taken to ensure the safety of all students and minimize office clustering.

1. A letter should be sent home to all parents explaining that students that must take medication during school will need to make an appointment prior to the start of school to bring the medication in so that delivery time may be staggered. 
2. Any nebulizer medication delivery must be converted to an inhaler with a spacer to avoid Aerosolized Transmissible Diseases (ATD) of COVID-19 (Taras, 2020). The school nurse will work with the primary care physician and parents. 
3. Parents will bring in the medication coupled with the completed and signed LISD Medication Request Form and /or orders to the campus nurse.
4. Follow district policy for student medication(s) required to be given during the school day and appropriate. 
5. Stagger student times of coming into the designated “Well” room for medication administration.  Social distancing reminders will be placed on the floor to remind students to keep their distance. 
BRINGING MEDICATIONS TO SCHOOL
1. Make an appointment with the school office or wait in line, while maintaining social distancing to drop the medication off at the school. 
2. Medication must be delivered to the school by the parent/guardian or another responsible adult.
3. Medication must be in your student’s original, pharmacy-labeled container, or a sealed over-the-counter container.
4. All liquid medication must be accompanied by an appropriate measuring device.
5. Any tablets requiring partial doses (1/2 or 1/4) must be sent to the school already cut.
RETURNING MEDICATIONS TO PARENT
1. Medication must be picked up by the parent/guardian or another responsible adult.
2. Any medication that has not been picked up by the end of the school year will be appropriately disposed of.
SPECIALIZED HEALTHCARE SERVICES
Please note the healthcare services discussed below do not include a full encompassing list of health services offered/provided by LISD. The mentioned services are examples of commonly provided care. If a specific healthcare service is not mentioned or is mentioned without a detailed explanation and there is a need for further discussion in order to support a specific student need, please do not hesitate to reach out to the campus nurse to schedule a time to discuss further.
EXAMPLES OF COMMONLY PROVIDED CARE
Asthma Care
Please note; during COVID-19, nebulizer use is discouraged since nebulizers aerosolize medication. The Campus Nurse will work with the student’s parent/guardian and health care provider to switch to an inhaler with a space chamber. 

Aerosol Generating Procedures (AGP) are those that are more likely to generate higher concentrations of infectious respiratory aerosols than coughing, sneezing, talking, or breathing.  These procedures potentially put healthcare personnel at an increased risk for pathogen exposure and infection. 

Diabetes Care
In the event that a child needs supervision and management by a member of the school health team, he/she should be permitted to report to the well-child area (where other students report for medication administration, first aid, etc.) when needed.  

Diapering
G-Tube Feedings
Catheterization Care
Oral / Nasal / Pharyngeal Suctioning and Tracheostomy Care
Daily Living Assistance (ADL) such as Feeding or Toileting 

EMPLOYEE HEALTH PROTOCOLS

EMPLOYEE MITIGATION AND SCREENING PROTOCOLS
To help prevent the spread of COVID-19 and reduce the potential risk of exposure to our employees and students, employees are required to follow the LISD Employee Protocols – Return to Work which discusses social distancing, facial coverings, and sanitizing requirements. Additionally, all employees will be required to conduct daily health screenings as outlined on the second page in the LISD Employee Protocols – Return to Work document. All employee screening information will be kept confidential by district staff and Human Resources. 
EMPLOYEE WITH COVID-19 SYMPTOMS
If an employee has COVID-19 symptoms (They recently began experiencing any of the following in a way that is not normal for them: feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit, loss of taste or smell, cough, difficulty breathing, shortness of breath, fatigue, headache, chills, sore throat, congestion or runny nose, shaking or exaggerated shivering, significant muscle pain or ache, diarrhea, nausea or vomiting), the employee MUST:
● Immediately leave LISD property 
● Immediately notify supervisor AND Colleen Corrigan in HR at 512-570-0113 or colleen.corrigan@leanderisd.org
● Contact your healthcare provider to determine if you should seek testing
● Remain home until cleared by HR to return to work
EMPLOYEE IS WAITING ON COVID-19 TEST RESULTS
If an employee has been tested for COVID-19 and is waiting on test results, the employee MUST:
● Immediately leave LISD property 
● Immediately notify supervisor AND Colleen Corrigan in HR at 512-570-0113 or colleen.corrigan@leanderisd.org 
● Remain home until cleared by HR to return to work
● With supervisor approval, some employees may be able to continue to work remotely depending on their role, ability to manage their job duties at home
EMPLOYEE DIAGNOSED WITH COVID-19 (POSITIVE TEST)
If an employee has received a positive COVID-19 test result, the employee MUST:
● Immediately leave LISD property 
● Immediately notify supervisor AND Colleen Corrigan in HR at 512-570-0113 or colleen.corrigan@leanderisd.org 
● Remain home until cleared by HR to return to work
EMPLOYEE WITH DIRECT EXPOSURE – PERSONAL CONTACT
If an employee has been directly exposed to an individual outside the work environment (e.g. family, housemate, friend) who has tested positive for COVID-19. The employee MUST:
● Immediately leave LISD property 
● Immediately notify supervisor AND Colleen Corrigan in HR at 512-570-0113 or colleen.corrigan@leanderisd.org 
● Remain home until cleared by HR to return to work
EMPLOYEE WITH DIRECT EXPOSURE – LISD EMPLOYEE
If an employee has tested positive for COVID-19, HR will directly contact any other employees to determine if they had direct exposure to the employee who has tested positive (direct exposure is defined as being within 6 feet for a duration of 15 minutes or more while not wearing a mask or face shield or being directly exposed to infectious secretions (e.g. being coughed on while not wearing a mask or face shield).

● If HR determines the employee did not have direct exposure with the employee who tested positive, the employee will be allowed to remain at work and self-monitor for symptoms. 
● If HR determines that the employee did have direct exposure with the employee who tested positive, the employee will remain home until cleared by HR to return to work.
EMPLOYEE WITH DIRECT EXPOSURE – LISD STUDENT
If an LISD student has tested positive for COVID-19, HR will directly contact any employees to determine if they had direct exposure to the student who has tested positive (direct exposure is defined as being within 6 feet for a duration of 15 minutes or more while not wearing a mask or face shield or being directly exposed to infectious secretions (e.g. being coughed on while not wearing a mask or face shield).

● If HR determines the employee did not have direct exposure with the student who tested positive, the employee will be allowed to remain at work and self-monitor for symptoms. 
● If HR determines that the employee did have direct exposure with the student who tested positive, the employee will remain home until cleared by HR to return to work.
EMPLOYEE COVID-19 LEAVE
An employee may be eligible for up to 10 days of paid leave (outside of their regular annual leave granted by LISD) for the following reasons:

● Employee is experiencing COVID-19 symptoms and is seeking a medical diagnosis
● Employee has been advised by a healthcare provider to self-quarantine related to COVID-19 and has provided the documentation to HR

An employee may be eligible for up to 10 days leave at ⅔ pay to care for a family member that is diagnosed with COVID-19.

An employee may be eligible for up to 12 weeks of paid sick leave and expanded family and medical leave at ⅔ pay if caring for his or her child whose school or place of care is closed (or child care provider is unavailable) due to COVID-19 related reasons.

Should an employee be eligible for any of these leaves, HR will code these into AESOP directly.

NOTE:  An employee who experiences multiple instances of symptoms, testing, or quarantine is only allowed a maximum of 10 days of paid leave per federal law.  If additional time is needed, the employee will be required to use their personal accrued leave or go into leave without pay as they would with any other illness.
ADDITIONAL FAQs: Employee Health Protocols
Will tests be provided at no cost when students and staff are tested positive?
Currently, if an employee or student is exposed they are encouraged to get tested based on their healthcare provider’s guidance. Most insurance covers the cost of the actual test (doctor office and urgent care visit fees would be covered based on their insurance plan design – deductibles would need to be met and then coinsurance). Multiple tests would still be covered the same as the initial test.

Will front line teachers/staff be receiving hazard pay?
Currently, LISD is not paying hazardous duty pay for teachers.

STAFF TRAINING

PRE-RETURN TO SCHOOL TRAINING 
Presented remotely to ensure understanding and preparedness to align with this manual.
NON-CAMPUS STAFF RETURN
Chiefs and department directors will provide specific training to all staff on LISD Employee Protocols and other information in this Handbook to ensure expectations and requirements are clear to staff.
FIRST DAY TRAINING/ORIENTATION
Align local protocols and procedures with this manual; meeting areas must adhere to social distancing protocols or present via digital platforms such as Zoom.
CLEANING CREW PROTOCOL
Disinfection methods, comprehensive cleaning training.

ADDITIONAL LAUNCH TO LEARNING 2020-21 GUIDANCE

Updated on October 20, 2020

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