Student Presents with COVID-19 Symptoms

UPDATE 10/19/2020 – Criteria 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 to return to school.
See Exclusion under SYMPTOMS for criteria details.

Flow chart

Flow Chart for when Student Presents with COVID-19 Symptoms

Positive Screening Protocols

For Students During the School Day

EXPOSURE, NO SYMPTOMS

Student shares they were exposed to someone with COVID-19 within the last 2 weeks but is NOT symptomatic

Exclusion
Separate student in a designated area with supervision by a delegated staff person until the transportation is available

School must notify designated parent/guardian/family member, or another individual to facilitate student getting home and to medical care safely.

Once the student is able to leave school, the student may return to school 14 days after last close contact, if no symptoms develop nor do they have a positive COVID-19 test

If symptoms develop consistent with COVID-19 and/or the student shares a positive laboratory test result during the period of quarantine, then exclusion rules apply as to the new situation. A negative laboratory result does not change the 14-day exclusion period per this protocol.

Student should participate in remote learning (if applicable) while out.
Infection Control
Ensure that all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors follow school district policies concerning the wearing of face coverings. Cloth face coverings should be encouraged to be worn by all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors on buses or other transportation vehicles, inside school buildings, and anywhere on school grounds, including outside.

Delegated staff person supervising while the student is held before safely returning home must wear a cloth face covering and any necessary PPE given symptoms while remaining at least six feet away.

Individuals excluded from school for exposure must continue to self-screen for symptoms and report daily according to district policies and procedures.
Transportation
Person may not utilize group transportation such as the bus in order to leave the school facility
Notification of Public Health
No notification actions by the School are required.

Local health departments may provide technical assistance for tracking persons excluded for exposure.
Closure
No closure actions by the School are required.
Cleaning
No additional cleaning actions by the School are required.
Communication with students, families, and staff
No communication actions by the School are required.

DIAGNOSIS, NO SYMPTOMS

Student shares they were diagnosed with COVID- 19 less than 10 days ago, but is NOT symptomatic

Exclusion
Separate student in a designated area with supervision by a delegated staff person until the transportation is available

School must notify designated parent/guardian/family member, or another individual to facilitate student getting home and to medical care safely

Student may return to school 10 days after the date of their first positive COVID-19 diagnostic test, assuming they have not subsequently developed symptoms since their positive test. If student develops symptoms within the 10- day isolation, go to Exclusions as per Screening Protocol for Diagnosis with Symptoms to determine the exclusion period.

Student should participate in remote learning (if applicable) while out.
Infection Control
Ensure that all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors follow school district policies concerning the wearing of face coverings. Cloth face coverings should be encouraged to be worn by all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors on buses or other transportation vehicles, inside school buildings, and anywhere on school grounds, including outside.

Delegated staff person supervising while the student is held before safely returning home must wear a cloth face covering and any necessary PPE given symptoms while remaining at least six feet away.

Individuals excluded from school for exposure must continue to self-screen for symptoms and report daily according to district policies and procedures.
Transportation
Student may not utilize group transportation such as the bus in order to leave the school/facility.
Notification of Public Health
School must notify the local health department of laboratory-confirmed COVID-19 case(s) among students or staff (as required by Texas Health and Safety Code Chapter 81).

School must follow the directions shared by local health department for this particular instance, such as for contact tracing students, staff, and families, and/or specific cleaning protocols.
Closure
Close off areas used by the sick person, do not use these areas until after cleaning and disinfecting.

Consult with the local health department as to whether closure of a classroom or entire building is required. There may be no need to close the school if LOCAL HEALTH DEPARTMENT determines that close contacts are excluded and there is sufficient space to continue normal operations.

LOCAL HEALTH DEPARTMENT may in some situations determine that closure of a facility is to be considered. In conjunction with the TEA, the local health authority may recommend school closure. This will be determined on a case-by-case basis.
Cleaning
If seven (7) days or less since the individual with the positive case was on campus, close off areas used by the person, including school transportation vehicles, and do not use these areas until after cleaning and disinfecting.

Wait at least 24 hours after the last presence of the person at the facility before cleaning and disinfecting. If 24 hours is not feasible, wait as long as possible.

People should not be in the classroom, room, or another area of the facility while it is being cleaned.

Open outside doors and windows to increase air circulation in the area.

Use an EPA-registered disinfectant that is active against coronaviruses. Clean and disinfect frequently touched surfaces.

Remember to clean items that might not ordinarily be cleaned daily such as doorknobs, light switches, countertops, chairs, cubbies, and playground structures.

Follow CDC Guidance for Disinfecting Schools for additional cleaning and disinfection recommendations.

For school transportation vehicles:
– Do not use the vehicle until after cleaning and disinfection.
– Wait at least 24 hours after the last presence of the person in the vehicle before cleaning and disinfecting (or if 24 hours is not feasible, wait as long as possible).

School must follow any other directions shared by LOCAL HEALTH DEPARTMENT for this particular instance.
Communication with students, families, and staff
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.
– If needed, a template letter can be provided by LOCAL HEALTH DEPARTMENT.
– 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 close contacts to the individual who tested positive.

TEA Letter: Notification of Confirmed COVID-19 Case on Campus

Remember to include/cc Corey Ryan, Matt Mitchell, Darla Humes, Cristin Wicketts, and Area Superintendent in the communication that goes out.
Local Health Department Next Steps
LOCAL HEALTH DEPARTMENT will ensure the case and all close contacts as provided by the school are documented in the contact tracing system.

Public health staff will interview the person who tested positive for COVID-19 (or their family member, if it is a young child). As part of the interview, public health staff will identify additional individuals who were in close contact (defined as within 6 feet for 15 minutes or longer).

Public health staff will attempt to reach out to close contacts and inform them that they need to quarantine at home for 14 days after their last contact with the person who tested positive for COVID-19 and monitor themselves daily for the development of symptoms.

Public health staff will recommend the close contacts be tested to identify additional positive cases.

Public health staff will share that close contacts testing negative and remaining without symptoms will still need to complete the full original 14-day quarantine.

SYMPTOMS

Student presents with at least one of the following COVID-19 symptoms (Fever • Sore throat • Shortness of breath • Difficulty breathing • New cough • New loss of taste or smell • Diarrhea, vomiting, abdominal pain • New headache)

Exclusion Update 10/19/2020
Immediately isolate student in a designated area with supervision by a delegated staff person.

School must notify designated parent/guardian/family member, or another individual to facilitate student getting home and to medical care safely.

Student must stay home and may seek medical care.

Student may participate in remote learning while out.

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:

Criteria 1:
At least 1 day (24 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications; and
– Improvement in respiratory symptoms (e.g., cough, shortness of breath); and
– At least 10 days have passed since symptoms first appeared.

– OR –

Criteria 2:
– Student can return to school with a doctor’s note that contains DATE SEEN, DATE STUDENT CAN RETURN TO SCHOOL DOCTOR’S SIGNATURE; and
– Once the student has been fever-free for 24 hours without the use of fever-reducing medicines; and
– They have felt well for 24 hours or the person has met other routine return-to-school policies. updated 10/19/2020
Infection Control
Ensure that all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors follow school district policies concerning the wearing of face coverings. Cloth face coverings should be encouraged to be worn by all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors on buses or other transportation vehicles, inside school buildings, and anywhere on school grounds, including outside.

Delegated staff person supervising while the student is held before safely returning home must wear a cloth face covering and any necessary PPE given symptoms while remaining at least six feet away.

The symptomatic student must wear a cloth face covering or surgical mask unless a family member states that an exception applies.
Transportation
Person may not utilize group transportation such as the bus in order to leave the school facility
Notification of Public Health
School must notify LOCAL HEALTH DEPARTMENT of suspect COVID-19 case(s) among students or staff (as required by Texas Health and Safety Code Chapter 81).

School must follow the directions shared by LOCAL HEALTH DEPARTMENT for this particular instance, such as for contact tracing students, staff, and families, and/or specific cleaning protocols.
Closure
Close off areas used by the sick person, do not use these areas until after cleaning and disinfecting.

Consult with LOCAL HEALTH DEPARTMENT as to whether closure of a classroom or entire building is required. There may be no need to close the school if LOCAL HEALTH DEPARTMENT determines that close contacts are excluded and there is sufficient space to continue normal operations.

LOCAL HEALTH DEPARTMENT may in some situations determine that closure of a facility is to be considered. In conjunction with the TEA, the Local Health Authority may recommend school closure. This will be determined on a case-by-case basis.
Cleaning
Close off areas used by the sick person, including school transportation vehicles, and do not use these areas until after cleaning and disinfecting.

Wait at least 24 hours before cleaning and disinfecting. If 24 hours is not feasible, wait as long as possible.

People should not be in the classroom, room, or another area of the facility while it is being cleaned.

Open outside doors and windows to increase air circulation in the area.

Use an EPA-registered disinfectant that is active against coronaviruses. Clean and disinfect frequently touched surfaces.

Remember to clean items that might not ordinarily be cleaned daily such as doorknobs, light switches, countertops, chairs, cubbies, and playground structures.

Follow CDC Guidance for Disinfecting Schools for additional cleaning and disinfection recommendations.

For school transportation vehicles:
– Do not use the vehicle until after cleaning and disinfection.
– Wait at least 24 hours before cleaning and disinfecting (or if 24 hours is not feasible, wait as long as possible).

School must follow any other directions shared by LOCAL HEALTH DEPARTMENT for this particular instance.
Communication with students, families, and staff
Schools must coordinate with LOCAL HEALTH DEPARTMENT to determine how to inform families and staff as appropriate – they may not necessarily need to be notified, depending on the situation. 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.

If notification is required please remember to include/cc Corey Ryan, Matt Mitchell, Darla Humes, Cristin Wicketts, and Area Superintendent in the communication that goes out.

DIAGNOSIS, WITH SYMPTOMS

Student shares they were diagnosed with COVID- 19 less than 10 days ago and IS symptomatic with one or more of the following (Fever • Sore throat • Shortness of breath • Difficulty breathing • New cough • New loss of taste or smell • Diarrhea, vomiting, abdominal pain • New headache)

Exclusion
Immediately isolate student in a designated area with supervision by a delegated staff person

School must notify designated parent/guardian/family member, or another individual to facilitate student getting home and to medical care safely

Student must stay home and may seek medical care

Student may participate in remote learning (if applicable) while out.

If diagnosed with confirmed COVID-19 based on laboratory testing, the student may return to school when:
– At least 1 day (24 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications; and
– Improvement in respiratory symptoms (e.g., cough, shortness of breath); and
– At least 10 days have passed since symptoms first appeared.
Infection Control
Ensure that all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors follow school district policies concerning the wearing of face coverings. Cloth face coverings should be encouraged to be worn by all students from Pre-K through 12th grade, and all teachers, staff, and adult visitors on buses or other transportation vehicles, inside school buildings, and anywhere on school grounds, including outside.

Delegated staff person supervising while the student is held before safely returning home must wear a cloth face covering and any necessary PPE given symptoms while remaining at least six feet away.

The symptomatic student must wear a cloth face covering or surgical mask unless a family member states that an exception applies.
Transportation
Person may not utilize group transportation such as the bus in order to leave the school facility
Notification of Public Health
School must notify the local health department of confirmed COVID-19 case(s) among students or staff (as required by Texas Health and Safety Code Chapter 81).

School must follow the directions shared by local health department for this particular instance, such as for contact tracing students, staff, and families, and/or specific cleaning protocols.
Closure
Close off areas used by the sick person, do not use these areas until after cleaning and disinfecting.

Consult with LOCAL HEALTH DEPARTMENT as to whether closure of a classroom or entire building is required. There may be no need to close the school if LOCAL HEALTH DEPARTMENT determines that close contacts are excluded and there is sufficient space to continue normal operations.

The local health Department may in some situations determine that closure of a facility is to be considered. In conjunction with the TEA, the Local Health Authority may recommend school closure. This will be determined on a case-by-case basis.
Cleaning
Close off areas used by the sick person, including school transportation vehicles, and do not use these areas until after cleaning and disinfecting.

Wait at least 24 hours before cleaning and disinfecting. If 24 hours is not feasible, wait as long as possible.

People should not be in the classroom, room, or another area of the facility while it is being cleaned.

Open outside doors and windows to increase air circulation in the area.

Use an EPA-registered disinfectant that is active against coronaviruses. Clean and disinfect frequently touched surfaces.

Remember to clean items that might not ordinarily be cleaned daily such as doorknobs, light switches, countertops, chairs, cubbies, and playground structures.

Follow CDC Guidance for Disinfecting Schools for additional cleaning and disinfection recommendations.

For school transportation vehicles:
– Do not use the vehicle until after cleaning and disinfection.
– Wait at least 24 hours before cleaning and disinfecting (or if 24 hours is not feasible, wait as long as possible).

School must follow any other directions shared by LOCAL HEALTH DEPARTMENT for this particular instance.
Communication with students, families, and staff
Schools must coordinate with LOCAL HEALTH DEPARTMENT to determine how to inform families and staff as appropriate – they may not necessarily need to be notified, depending on the situation. 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.

TEA Letter: Notification of Confirmed COVID-19 Case on Campus

Remember to include Corey Ryan, Matt Mitchell, Darla Humes, Cristin Wicketts, and Area Superintendent in the communication that goes out.
Local Health Department Next Steps
Will ensure the case and all close contacts as provided by the school are documented in the contact tracing system.

Public health staff will interview the person who tested positive for COVID-19 (or their family member, if it is a young child). As part of the interview, public health staff will identify individuals who were in close contact (defined as within 6 feet for 15 minutes or longer).

Public health staff will attempt to reach out to close contacts and inform them that they need to quarantine at home for 14 days after their last contact with the person who tested positive for COVID-19.

Public health staff will recommend the close contacts be tested to identify additional positive cases.

Public health staff will share that close contacts testing negative will still need to complete the full original 14-day quarantine.

Updated on October 20, 2020

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