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- - Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time it was presented . The situation is fluid and unprecedented and I will continue to do our best to give the most up to date guidance 1

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Page 1: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

- -

Planning for School2020-2021

Denise Herrmann, DNP RN CPNP

COVID 19 Education and Childcare Team 8 / 1 8 / 2 0 2 0

T h i s i n f o r m a t i o n i s a s a c c u r a t e a s t h e t i m e i t w a s p r e s e n t e d . T h e s i t u a t i o n i s f l u i d a n d u n p r e c e d e n t e d a n d I w i l l c o n t i n u e t o d o o u r b e s t t o g i v e t h e m o s t u p t o d a t e g u i d a n c e

1

Page 2: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

COVID 19 Basics

• Infectious Disease

• Novel virus not found before in humans

• Respiratory virus • Spread by nose/mouth droplets vs airborne

• Person to Person primary method

• Surfaces contaminated by droplets and then touched and introduced into nose, mouth or eyes is secondary method

• A lot is unknown and changes as we have more experience

https://www.health.state.mn.us/diseases/coronavirus/basics.html

Presenter
Presentation Notes
Droplet transmission= respiratory droplets carrying infectious pathogens transmit infection when they travel directly from the respiratory tract of the infectious individual to susceptible mucosal surfaces of the recipient, generally over short distances (within 6 feet) , necessitating facial protection. Respiratory droplets are generated when an infected person coughs, sneezes, or talks or some healthcare procedures The distance droplets travel depends on the velocity and mechanism by which respiratory droplets are propelled from the source, the density of respiratory secretions, environmental factors such as temperature and humidity, ventilation and the ability of the pathogen to maintain infectivity over that distance. Droplets on surfaces touched by hands then introduced to your eyes, nose, mouth can cause illness Mitigation: Social distancing, use of face covering, cleaning / disinfection Airborne transmission occurs by dissemination of either airborne droplet nuclei or small particles than remain infectious over time and distance. Microorganisms carried in this manner may be dispersed over long distances by air currents and may be inhaled by susceptible individuals who have not had face-to-face contact with (or been in the same room with) the infectious individual. Remains in the air after the person leaves. Examples are TB, measles, chicken pox. Mitigation is vaccination, special air handling (negative pressure and ventilation), isolation, PPE
Page 3: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

"' 40% ..c .... "' QI Q 35% VI C .Q

30% .... "' N

"iii .... 25% "i5.

"' 0 :::c VI 20% QI

"' "' u 15% "' .... {2 - 10% 0 .... C QI u 5% ... QI

Cl.

• All cases

• Hospitalized cases

• Hospitalized in ICU

• Deaths

All cases

Non-hospitalized cases

Hospitalized cases

Cases hospitalized in ICU

Deaths

l!!i.,. N

.115

6-19 years years

1,430 7,704

61 141

13 34

1 0

.,. m N

years

14,699

443

63

4

Median Age (Range)

36 (<1 month-109)

34 (<1 month - 109)

59 (<1 month - 105)

61 (<1 month - 99)

83 (<1 - 109)

.,. ~

40-49 years years years

11,502 9,117 8,077

602 667 1,031

116 203 346

14 24 88

Demographics: Age

.,. m

_I years years years

4,790 2,567 2,023

1,047 851 671

397 278 182

206 32S 566

.,. ...

:Ii 90-99 years

1,019

218

38

425

100+ years

57

9

0

32

Unt/ missing

8

1

1

0

Minnesota Department of Health Weekly COVID-19 Report: Updated 8/13/2020 with data current as of 4 p.m. the previous day. 20 3

Presenter
Presentation Notes
US average age of teachers is 42.4 National Center for Educational Statistics 2011-12 MN average age of teachers is 42.4. 18.5 % greater than age 55 11.9 % are 50-54 years of age 54.8 % are 30-49 years of age Implementing mitigating strategies is not just to protect kids. It will protect staff working, families as home.
Page 4: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

0 0000

0 0000

0

Swiss Cheese

Layer mitigating efforts to reduce

the risk of transmitting

COVID 19

Presenter
Presentation Notes
We will not be able to have a risk free environment. We don’t have that as a society now. Goal is to layer the efforts because they alone they are not all full proof but together they provide the reduced risk.
Page 5: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Planning Guide for 2020-21

• COVID-19 program coordinator

• Social distancing and minimizing exposure

• Cloth face coverings

• Protecting vulnerable populations

• Hygiene practices

• Cleaning and materials handling

• Monitoring and excluding for illness

• Handling suspected or confirmed positive cases of COVID-19

• Water and ventilation systems

• Transportation

• Support mental health and wellness

5

Presenter
Presentation Notes
Cloth Face Coverings: Strongly recommended. New social norm for schools, students and staff. A key piece of swiss cheese especially because social distance of 6 feet in special ed services can be challenging. Prepare to handling bullying related to wearing a mask Face shields could be an option especially for speech therapist, DHH, etc. Hygiene practices: INTENTIONAL planning for frequent hand washing. Take a play from health care: Hand hygiene entering schools, classrooms etc and when you leave again. Meals, bathroom, sharing materials etc Cleaning – High touch surfaces, testing and teaching manipulatives Mental health and wellness-Use your resources to help everyone adjust to change, new social norms and how to cope with the unknown in the future .
Page 6: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Planning for 3 Scenarios

Look at all the various aspects of your program or school.

Beginning to end of school day

Characteristics of student and adult population (high risk, role, place, etc.)

6

Page 7: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Descriptor Lower Risk Higher Risk

Movement Directed Undirected -

Proximity/ Duration < 6 feet/ > 6 feet/ < 15 min. > 15 min.

Group Size Small Large

Respiratory Output Normal Increased

Touch Low High -

Congestion Low High

Evaluating

7

Presenter
Presentation Notes
Framework for Adapting Guideline CDC Foundation https://www.cdcfoundation.org/covid-19-seminars
Page 8: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Goal

• Evaluate processes or programs and make changes to lower risk when appropriate and possible.

• Implement Requirements for all the Scenarios

• Implement as many of the Recommendations as possible for all the Scenarios

8

Page 9: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

K12 Planning Guidance Updates: Cleaning and Disinfecting

• Identify staff who will be responsible for handling antimicrobial products

• Provide initial and ongoing training so staff understand and follow all product label directions and precautions appearing on (or included within) product containers.

• Some disinfectants can irritate the lungs, skin, and eyes or trigger asthma.

• Schedule routine environmental cleaning when students and teachers are not occupying the space.

• Encourage users of registered disinfectants and other cleaning products to always carefully read, understand, and follow all product label directions and precautions appearing on (or included with) the containers.

• Statements such as “Keep out of reach of children” means that students should not use the product and should not participate in cleaning or disinfecting routines.

• Securely store products away from students.

• Handle non-disposable food service items minimally and wash them with hot water and soap or in a dishwasher. Check product label to ensure product is meant to be used on surfaces that come into contact with food.

9

Page 10: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Libraries and Materials Handling

• Wash hands before/after handlingmaterials (or use sanitizer)

• Paper-based materials do notrequire specific cleaning ordisinfection.

• Non-porous materials with plastic covers or coatings can be wiped with a disinfectant wipe.

• Materials that can’t be cleaned may be set aside for up to 24 hoursbefore recirculating.

• Electronics are high touch – clean following manufacturer’s instructions:

• If no guidance, use an alcohol-based wipe or spray with at least 60% alcohol.

• Let surface dry thoroughly.

10

Presenter
Presentation Notes
This is the same guidance in the Spring.
Page 11: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

COVID 19 Program Coordinator

• Understands overall district and school plan

• Collaborator & Communicator

• Leads the Team

• Identifies point person/s who with local public health / MDH related to exposures and quarantine

• Helps to monitor fidelity to the plan and leads team when modifications are needed

• Identifies or acts as liaison for students, parents, staff and community

• Promotes new social norms such as wearing a face covering, staying home when ill, social distancing

11

Presenter
Presentation Notes
Coordinator: Point person for each location. Leads the location. Understands the plan and play book. Collaborator. Communicator. Doesn’t do everything.
Page 12: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

CDC: Screening Students for Symptoms

Screening Students for Symptoms: https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/symptom-screening.html

Based on the best available evidence at this time:

• CDC does not currently recommend universal symptom screenings (screening all students grades K-12) be conducted by schools.

• Parents or caregivers should be strongly encouraged to monitor their children for signs of infectious illness every day.

• Students who are sick should not attend school in-person.

12

Page 13: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

MN K-12 Planning Guide

Symptom Screening updated language:

Conduct symptom screening where feasible for any person entering the school building. This includes staff, students, family members, and any other visitors physically entering the school building. Several example screening methods are outlined in CDC: Examples of Screening Methods: www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/guidance-for-childcare.html#ScreenChildren

If it is not feasible to conduct health screenings given thesetting:

Provide parent education about the importance ofmonitoring symptoms and staying home while ill throughclassroom applications and other district messaging.

Ask about access to thermometers and consider implementing temperature checks for households that do not have one.

Use existing outreach systems to provide text and emailreminders to staff and families to check for symptoms ofhousehold members in the morning and evening.

2020-2021 Planning Guide for Schools (PDF):https://www.health.state.mn.us/diseases/coronavirus/schools/k12planguide.pdf

13

Presenter
Presentation Notes
In light of CDC update we made these changes….. For more additional update please review the document
Page 14: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Delivering Student Services

• Guidance for Delivering Direct Student Support Services https://www.health.state.mn.us/diseases/coronavirus/schools/directsupport.pdf

• Continue to layer other mitigation efforts

• Small groups size, cohorts

• Reducing student/staff mixing

• Frequent hand washing

• Cleaning and disinfecting shared materials, frequently touched surfaces

• Screening students and staff, keeping sick / symptomatic persons at home

• Identify high risk staff and students

14

Page 15: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

MINN ESOTA DEPARTMENT OF HEALTH

STAY SAFE

Appendix A: Guide for Choosing Protective Equipment Staff must wear a face covering and/or face shield when providing direct student support services. See the " Face coverings" section for details.

Types of Close Services Eye Protection: Face N95 Medical/Surgical Disposable Gloves Disposable Gowns, Smock, Shield or Goggles Disposable Mask (non-latex) Other Body Coverings

Activities such as special ed ucation assessments and early Optional if unable to Not Not Required, if sharing Not childhood and vision/hearing screen ings. tolerate face covering required required materials required

Transportation-related support (e.g., buckling/unbuckling, Optional if unable to Not Not Required

Not wheelchair lockdown). tolerate face covering required required required

Activities such as instruction, t herapy, related services, and Optional if unable to

Not Not Required, if sharing crisis/behavior response.

tolerate face covering required required materials

Optional or if risk of splash

Speech therapy and articulation therapy services. Required Not Not Required, if sharing Not

required required materials required

Personal care (e.g., diapering, toileting, oral and G-tube Optional

Not Not Required Optional

feeding) that could expose st aff to student's bodily fluids. required required

Direct care (e.g., first aid, m edications, diabetes care) and Optional

Not Not Required

Not monitoring of students unrelated to illness. required required required

Direct care and monitoring c,f staff/students for symptoms Required

Not Required Required Optional

of illness in the health office. required

Nebulization t reatments, peak flow meter monitoring, oral/ nasal suctioning, or closed trach system suctioning. Includes Required Optional Required Required Required

staff cleaning the room afte·r these procedures.

Performing or are present during aerosol-generating Not

procedures, including open trach suctioning and trach cares. Required Required required

Required Required

Includes staff cleaning the room after these procedures.

Note: This resource is not intended to be exhaustive; schools and programs should evaluate additional scenarios based on type of service being provided

and associated infection r isks while taking into account an individual assessment of student/staff health considerations. 07/30/ 2020

Page 13 of 16 15

Presenter
Presentation Notes
Talk about gowns
Page 16: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Monitoring for Illness

• Establish a dedicated space for symptomatic people who are waiting to go home.

• Distinguish this space from areas where student health services will be delivered to those who are well and need routine types of care (e.g., medication administration or first aid).

• The designated space should accommodate social distancing of at least 6 feet for multiple people if needed.

• Develop cleaning processes for thededicated space between uses and asneeded.

• Ensure that symptomatic studentswho are waiting to be picked up remain under the visual supervision ofa staff member who is at least 6 feet away.

• Both the symptomatic student wears a cloth face covering and adult wears a surgical mask.

• PPE training for health office staff

16

Presenter
Presentation Notes
MDH is not asking schools to build, renovate, space or use portables.
Page 17: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Transportation for Sick Students

• We may need to providetransportation to children with COVID like symptom home fromschool, what PPE would be required for drivers inenclosed spaces withsymptomatic students and where can we find guidance on cleaning the vehicle after it has held a ill student?

• Please review page 16 of 18 Transportation section of the 2020-20221 Planning Guide for Schools: https://www.health.state.mn.us/diseases /coronavirus/schools/k12planguide.pdf

• The student should be 6 feet away from the driver, both should be wearing a face covering, increase ventilation such as the window, clean high touch surfaces.

• There should be no other students on this bus.

17

Page 18: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

MINNESOTA DEPAR T MENT OF HEALTH

Decision Tree for People with COVI D-19 Symptoms in Youth, Student, and Child Care Programs

For people (e .e.., children, care providers, or staff) who have symptoms cons istent with COVID-19, send home or deny entry and reference the exclusion criteria in th is document to determine when they may return .

Symptoms of C O V ID-19 include: new onset cougl, o r sho rtness of breat h by themselves O R at least 2 of the followi ng: fever (100.4°F o r higher) , c hi lls , muscle pain, sore throat , loss of sen se of smel l o r taste , and g astrointestinal sym ptom s o f

diarrhea, vom iting , or na usea.

If a pe r..o n has a new sympto m Cfor exa mpl e, new loss of smell o nly) with no ot her diagnosis to expla in it , th ey should stay home and ta lk to t heir hea lth care provide r about testing for COVID- 19 , even if it is the only sym pt om t hey a re experiencing.

For people who received a laboratory test for COVID-19

W hat to do if y ou're waiting for

CoVIP-12 test results CPPEl (www.health. state.rnn .us/diseases/coro navirus/wa it ing .pdf)

Positive test resu lt: Stay home at least 10 days since symptoms first appeared AND until no fever for at least 3 days without medicat ion AN D improvement of other symptoms.

Siblings and household members also st ay home fo r 14 days.

Negative test resu lt b ut sympto ms with no other diagnosis : Stay home at least 10 days since symptoms fi rst appeared AND until no fever for at least 3 days without medicat ion AN D improvement of other symptoms.

Siblings and household me mbers also st ay home fo r 14 days.

For people with a COVID-19 d1agnos1s without a lab test OR people with symptoms consistent with COVID-19 without a medical evaluation (e.g., monitoring symptoms at home)

Stay home at least 10 days s ince sympt oms first a ppeared AND unti l no fever fo r at least 3 days wit hout medicat ion AND improvement of other symptoms.

Siblings and household members also stay home fo r 14 days.

m, MINNeSOTA

For people with other diae.noses (e.g ., norov1rus, strep throat) that explain the symptoms, or when a health care provider says symptoms are connected to a pre-existing condition

Stay home until sym ptoms have improved. Fo llow specific return guidance from the hea lth ca re provide r or follow the Infectious Diseases in C hildcare Se t tings and Schools Manual (www.hennegin .us/da:ycaremanual) .

If symptoms related to a pre-ex isting condit ion cha nge o r wo rsen , talk to a health care provider to determ ine next st eps.

Siblings and household members do not need to stay home.

Minnesota Department of Health I health.mn.gov I 651-201-5414 I 1-877-676-5414 I 625 Robert Street North PO Box 64975, St. Paul, MN 55164-0975 Contact health .communicat ions(.@sta te .m n.us to re quest an alte rnate format .

06/02/2020

Exclusion Guidance

• Identify who: Ongoing daily work

• Will work closely with Regional Team/local public health / MDH

• Communicator to parents and staff

• Guidance is under review for future updates

• https://www.cdc.gov/coro navirus/2019-ncov/if-you-are-sick/quarantine.html

18

Presenter
Presentation Notes
Current guidance. While waiting for test results person should be out of school/work. Positive results out for 10 days, and 24 hours fever free, symptom improved. Test negative. Is there another diagnosis like strep throat. Follow that guidance. If no other diagnosis and have COVID like symptoms same criteria as if positive test. Test negative and no symptoms. Why tested? If close contact you are out for 14 days as a close contact. Incubation period is 2-14 days.
Page 19: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

WihatTo Do Wh.en Notliffi:ed air a La1b--{!onfirmedl case of COVID-19 in

a Sdmoll o:r dhild Care Setting

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Waiting for Follow-up

• If you are alerted to a lab-confirmed case of COVID-19 in your school or child care setting please reach out toour new case follow-up inbox immediately.

[email protected]

• Appoint ONE point person to communicate with theMDH Follow-up Team per case.

• Please try to gather as much information pertaining tothe case prior to reaching out.

• What To Do When Notified of a Lab-Confirmed Case of COVID-19 in a School or Child Care Setting (PDF):https://www.health.state.mn.us/diseases/coronavirus/schools/casenotify.pdf

19

Presenter
Presentation Notes
Currently this data is gathered via phone or email. Moving forward we will have an electronic method to assist with data collection that is more secure to protect the cases privacy. Ex: Nurse vs. AD for sports etc. Clarification: If a parent tested positive you don’t need to shut down or notify all families because the parent tested positive, though we certainly want the child to exclude.
Page 20: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Wha1t to do if you're waiting for COVID-19 test results

COVJI>B' is cau~d b',1 -?1 'Wm t:t1 11t ca r.1 si,;iread easft,t rrom :;ier~ 11 to person. Fallo-.- tr..ee in7.ructl:on:S to he :;no ten yo~ elf. vu.Jr iramiJr, 11r.d your COffL"Tl!,:l'l ity •ti· 'fC".J 11re w eitir: ... :Or t est resi£:s.. There

s,e instnJctions;tar peop:1e wt10 11\'e ~ rru a p,eopk •111;hci,ao not 11 11 \le Sljmptorru.

If you have symptoms of COVID-19

sy::np,:o·::ns; an ioouc:.e o:rJ~ sbortnez 01' re e1t11, re.er, chills, lt~~acbe. m:udle ain. sore tt.10st:, or

1oz 01' :iam o,- SL'llell. Less on.e r... ~pto!Tls;c:11n inclUde vo:!Tlitin&, n ~a •. and d·i 11u h ea. Follow ttee

1inmuct:iorz wll ile you 1ue w 11· • .5 01' ycr.u :t6t rBUIU.

Separate yourself from other-s Staybiome. Conot. 50-to-wcct. ~o:J l;. ,or 1u:iy,o~r 2..z:e on.rtside tl"~home. lt p.J need ed iCII

a re, rouow the inffl\Xtiom •belo-•.

smy •war :from Dtlle1t people m y 011r hom.e.. .M m mi:b 11s r:i z ~ le, stsy m 11 :se te rDO!n 111Y.I u2 '!i

:separate •b11tJ-.100m., 1ir 11\.' II ·:i~ .

Wea1t a hlca·nas k iryou r~ ed to- ~ ~ur.)j othu p,eopk. ~d o:rver your rn.out 1n·~ nme witti ,11 tizue wl".ai you 0: 11.~ 1 ,:11· me,eze_ W~ h11r~s t:h01'C11.1;6'1>f ,11f't9w11 rd..

ATOid S:hllr.iDg per:Klnal homeMld itans.. DI> r.ot sh•~ toad, dist-.ie:s_. ,dri r:al.i r-15 f;)ll.52:5;, e11t rl5

atensils.. :tow~l!.., ,or bed di~ wit:h other eo le ill your borne. A.."ter usir-5 t tiee ~ 'TI~ WWI tllem wiih :sa11p ar..:I Yo' lbe;r_ C~an 11 ll tre<1u~r;Df to~ slldD~ ill y:,ur ho m~ dn'i¥, irou 5door blobs, '&,:it. aitt:M ~ Ii lt :ice,ts.

wam }'Dm tnnwl s- ofl:.en wit:tt ~ 11.r ,11nd ~ · fllr 11'1: .acst 2:0 ~ conds., ,or 112 ,111n 11·1mt11d·ba~ ha~

:s11nrt: iz.e r cant11inir--£; eo'li, :tD -;:, li, ,11lcx:il10I. Avoid t:cr.Jctiin,5 your ~--::e w rt:h Un--A",!i:i;h ~ 11nds.

Monitor your symptoms

M~ eop h 11"¥e: ild~pto:n~U1 .s.t :5et ~ tter in 11 W1·e ek or t'•"D . ·Sorn~ ea le •do not have ,11 ny sym:;toms. Pe,:,Jl le as~ s, arJ:l ,olC~ o r eo le who t: ·n other ur~er · 5 medical ,cancfl:i011s rn. sr 5,e,t

very ~CIC tro:n •COVJD-13.

What to do if Waiting for Test Results

• If you (or a household contact) are waiting for test results whether you are symptomatic or not, you need to remain home from school or child care.

• What to do if you’re waiting for COVID-19 test results: https://www.health.state.mn.us/dis eases/coronavirus/waiting.pdf

20

Page 21: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

What To Do if You Have Had Close Contact With a Person

With COVID-19 To protect yourself, your family, and your community, you must separate yourself from ot hers, get tested and

watch yourself for symptoms such as fever, cough, shortness of brea th, chills, headache, muscle pain, sore throat,

or loss of taste or smell. Fo llow t hese instructions for at least 14 days after t he last day you were in close contact

w ith t he person who has COVID-19.

Separate yourself from others Stay home. If you need medical care, it

is important t hat you fo llow t he

instructions below. Do not go to work,

school, or any other place outside t he

home.

ii

Stay away from people who may be at

high-risk for getting very sick from

COVID-19, including older adults, t hose

living in long-term care facil it ies, and

people w rth health condrtions like

asthma, diabetes, heart disease, liver

d isease, severe obesity, and those who

have weakened immune systems.

If you become sick, separate yourself

from other people in your home. As

much as possible, stay in a specific room

and away from other people in your

home. Use a separate bathroom, if

available.

Do not use public tra portat ion, ride-­

sharing (such as Uber or Lyft), or taxis.

W ear a facemask if you need to be

around other people, and cover your

mouth and nose with a tissue when you

cough or sneeze. Wash hands

thoroughly.

Avoid sharing personal household

items. Do not share food, dishes,

17 lllJ drinking glasses, cups, eating utensils,

a:i r towels, or bedding w ith other people in

your home. After using these items,

wash t hem t horoughly wit h soap and

water.

""

• Wash your hands often with soap and I. ~ wat er for at least 20 seconds, or use an

• alcohol-based hand sanitizer contain ing

at least 6()0..0 alcohol. Avoid touching

your face with unwashed hands.

Guidance for Close Contacts

• Guidance for anyone who is a close contact.

• Provided upon exclusion with the MDH template letter.

• Follow these instructions for at least 14 days after the last day you were in close contact with the person who has COVID-19.

• What To Do if You Have Had Close Contact With a Person With COVID-19 (PDF): https://www.health.state.mn.us/diseases/coron avirus/contact.pdf

• Use in conjunction with the Exclusion Guidance.

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Presenter
Presentation Notes
This can be used when there is a staff person who was in close contact with someone who tested positive and they need to exclude because of their risk of exposure. We only need to be notified of a positive case in your school or child care staff or attendees.
Page 22: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Scenario 1: Close contact with someone who has COVID-19-will not have further close contact I had close contact w it h som eone who has COVID- 19 and will not have further contact or interact ions with the person w hile

t hey are sick (e.g., co-worker, neighbor, or friend).

Your last day of quarant ine is 14 days from the date you had close contact .

Date of last close contact w ith person w ho has COVID-19 + 14 days= end of quarant ine

mon tue e thu fri sat sun Last close G

contact with person who .•• ■■■ • ■■■ •••••••••••► 1

has COVID-19 2 3 4 5

6 7 8 9 10 1 1 12

13 14 c~---}§. ..... .l 7.. ...... J -~-...... J. ~-.... ,.,, day ol ~ quarantine

20 21 22 23 24 25 26

27 28 29 30 31 14 DAY QUARANTINE

Please note if your quaranrine sram a moon on day 1, then it would end at noon on the last day.

Quarantine if You Might Be Sick

Quarantine if you Might be Sick: https://www.cdc.gov/coronavirus/201 9-ncov/if-you-are-sick/quarantine.html

Calendar visualizations for 4 different case scenarios.

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Page 23: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Scenario 1: Close contact with someone who has COVID-19- will not have further close contact I had close contact with someone who has COVID-19 and will not have further contact or interactions with the person while

they are sick (e.g., co-worker, neighbor, or friend).

Your last day of quarantine is 14 days from the date you had close contact.

Date of last close contact with person who has COVID-19 + 14 days= end of quarantine

mon tue thu fri sat sun contact with ,...... G

person who • •••••••• • • • • • • • • • • • • ► 1 has COVI0-19

2 3 4 5

6 7 8 9 10 1 1 12

13 14 c~ . ..l9. .... ..!.7... ... ..J.~ ..... .J.~ ..... w,,.,., ~ quarantine

20 21 22 23 24 25 26

27 28 29 30 31 14 DAY QUARANTINE

Please note if your quaranr;ne scans ar noon on day 1, rhen ;r would end ar noon on rhe last day.

Examples

• Classroom Teacher is Positive for COVID19

• Who were the close contacts in the 48 hours prior to getting sick/tested and not being in School.

• Students-could be entire class

• Staff

They will need to quarantine for 14 days starting with the last day of contact.

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Page 24: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Examples

• Student is Positive for COVID19

• Who were the close contacts in the 48 hours prior to getting sick/tested and not being in School.

• Other Student/s

• Teacher, Bus Driver, etc.

They will need to quarantine for 14 days starting with the last day of contact.

• Student siblings will also need to quarantine for 14 days so will not be in school.

• A member of the teacher’s / student’s household becomes sick/tested.

• The teacher/student as household members need to quarantine for 14 days.

• The other students and staff are not impacted unless they were somehow a close contact of that household member

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Page 25: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Face Coverings

• Governor’s Executive Order 20-81, people in Minnesota will be required to wear a face covering in all public indoor spaces and businesses. This Executive Order includes exemptions for people who are unable to wear or tolerate a face covering due to medical or other reasons. There are also situations in which a face covering may be temporarily removed or where face coverings are not required.

• Requiring Minnesotans to Wear a FaceCovering in Certain Settings to Preventthe Spread of COVID-19 https://mn.gov/governor/assets/EO%2020-81%20Final_tcm1055-441107.pdf

• Frequently Asked Questions About theRequirement to Wear Face Coverings (https://www.health.state.mn.us/diseases/coronavirus/facecoverfaq.html)

• How to Wear Face Cloth Coverings https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wear-cloth-face-coverings.html

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Page 26: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Face Coverings

• 2021 Planning Guide for Schools(https://www.health.state.mn.us/diseases/coronavirus/schools/k12planguide.pdf)

• Types of allowable face coverings include: • Paper or disposable mask • Cloth face mask • Scarf • Bandanna • Religious face covering

• The covering should cover the nose and mouth completely, should not be overly tight or restrictive, and should feel comfortable to wear. A face covering is not meant to substitute for social distancing, but is especially important in situations when maintaining a 6-foot distance is not possible.

• Any masks that incorporate a valve that is designed to facilitate easy exhaling, mesh masks, or masks with openings, holes, visible gaps in the design or material, or vents are not sufficient face coverings because they allow droplets to be released from the mask.

• 2 layers of tightly woven fabric made of cotton suggested CDC

• https://www.health.state.mn.us/di seases/coronavirus/prevention.ht ml#masks

26

Presenter
Presentation Notes
Schools must provide face coverings and/or face shields to employees and students. Employees and students may choose to wear their own face covering as long as it meets the minimum requirement of covering the nose and mouth. While schools may choose to initially allot a certain number of face coverings and/or face shields to each employee and student, they should also maintain extra supply for staff and students who forget to bring them.
Page 27: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

K12 Planning Guidance Updates: Masking

• During indoor practices or performancesinvolving singing, acting, or playing musicalinstruments where face coverings cannot be worn or are impractical to wear while playingthe instrument or participating in the activity.

• Maintain 12 feet or greater of physical distancefrom others while participating in the activity to the extent possible

• Replace their face covering as soon as the activity is completed.

• Depending on the activity, face shields shouldalso be considered as an alternative if 12 feet of social distancing cannot be consistentlymaintained.

• While teachers and students may temporarily remove their face coverings when public speaking, lecturing, or engaging in classroom instruction

• Face coverings should only be removed in such situations when 12 feet of distance from others can be consistently maintained.

• If a face covering would impede these activities but 12 feet of social distancing cannot be consistently maintained, a face shield should be considered as an alternative.

Presenter
Presentation Notes
Because these activities often generate aerosols, performers
Page 28: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

What is a Face Shield?

• For optimal protection, the face shield should extendbelow the chin anteriorly, to the ears laterally, and thereshould be no exposed gap between the forehead andthe shield’s headpiece.

• It is an alternative to a face covering in the followingsituations:

• Among students in Kindergarten through grade 8, whenwearing a face covering is problematic.

• By teachers (all grades), when wearing a face covering mayimpede the educational process.

• For staff, students, or visitors who cannot tolerate a facecovering due to a developmental, medical, or behavioralhealth condition.

• For staff providing direct support student services, when a face covering impedes the service being provided.

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Page 29: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Not Face Shields

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Page 30: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

COVID-19 Saliva1 Testing for Public and Private Teachers and Scho,ol Staff: Frequently Aslked

Questions What is the new saliva test? Tl"--e; se. l[WJ ~ ~ ~ tm t'r:l r 1COVID-19 that mn e:Jc ,done 11t ho:._'11 e l!lSin5, v:id~ supe;rmion t ram a c11 1th

~e.siDn11i'I. Thi!. kind at :t'6I: ~ camf.:lrt11b~ nl:d c u y. -11.s pe::iph~ can collect th - D'ATI sampl·6 by ~ mine; .-Ito ,a rube ana mlilin5 • to II lab tDI' p-oOB!.in5,. n-..e tcrt ,.-.!3 i:lcv~ o: eel tiy :tr--e m.!npmy V.!::llt

He wortin 5,witti RUCDIU n it·e e.i • iD..

Who can get a test? Ec".J~t ors, .11,dm inimllton, mff, ;!.nel !i<: l"_..:iol ~.J.pp:irt ~Dt~ sio.n11 l!. are el i&ib t 'r:l r ,r:ine m,e; ~t -ho...'lle

te.~ tram dlis 1pf"06'1lm-Tim ~05,nm ii imit ed to :rt.!.ff at p-.Jblic d priv11te schools 11 ~ •5~nun t1y n·~s

l\dt 1in~.11:t·e t~m.e Klloots. na nnie~ o r r~ chool st11rtru -~ th~ ~schOo lB on-ae,:l in -11 Kboo'ld istrict.

~ r-"'6- st l.w.l e r.U w.i ll not e :ce.i~ t ~ t!. 11s pst of this ~nnn ..

How do I get a saliva test? Toward the end ,ur k J.5,u:rt. school dis:tricts wil c;umnwnic-n:te din:tttywit:11 -e lo.y-ce:s .:.':>out s;ettir.;; 11 f.tee ,at-bo~ se. liwi te .. You cui ,order att:stlit 1it' you siB,,o,. ir youw11nt to,t:4~ it: ,onhsnd U'l ,OSi!ie rui.inu d - in:tl"..ie:n.rtr.l r,e; .

To o ~ae.. yo-J r ll'te.e tea kit:

Yot1 'lril \l isit s rtat-e: we:':l ~te ?11:!d ,enter yocs - romu1tion to c.omirm th11tyou, 11re empb(ed ?It.,,

,pt.ei iic or riv.!.t:e sehoot. n-..ie: test: i5 rre.e t.oy,:,rJ, bllt:pJwil n eed to roi,ri a·e yuJr ins ~

1inrorm. - n or il:!dic.e.tc ir you do notmve imunux :.e_

o ~ a,~ rm.ea , yo-J 5:et ?In CL"11 11i1 with instnxtion~ uia ?I ooiqUte cooe. FOl'o-M ttie instructi-:ms

to er:: t:e.- ~oor code ,and order II test

1. 01 3-

COVID-19 Saliva Testing for Public and Private Teachers and School Staff Frequently Asked Questions

• What is the new saliva test? • Who can get a test? • How do I get a saliva test? • When and how do I take the test? • How accurate is the saliva test? • Is there a deadline to order or use a test? • Who pays for my test (insurance, the state, the school district)? • Will I be excluded from going to school while being tested? • What if I need another test? • COVID-19 Saliva Testing for Public and Private Teachers and School Staff:

Frequently Asked Questions: https://www.health.state.mn.us/diseases/coronavirus/schools/salivatestf aq.pdf

30

Presenter
Presentation Notes
MDH will NOT be testing children without parental consent.
Page 31: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Lunchroom and Cafeteria Set-up

• How should we set up the cafeteria?

• Do student’s face each other?

• Should we socially distance?

• Use K-12 Planning Guidance

• Arrange classroom seating so that students are separated from one another by 6 feet when feasible. If it is not possible to arrange seating 6 feet apart, consider turning all desks to face in the same direction (rather than facing each other).

• Arrange lunch tables and seating using the same considerations as a classroom

• If social distancing is not possible in the cafeteria, have meals delivered to the classroom or have students bring food from the cafeteria back to their classrooms to eat.

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Page 32: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Regional Teams

• The Regional Support Teams will support districts by providing:

• Consultative support from MDH related to shifting learning models.

• Guidance and actions steps when there are COVID cases, close contacts or exposures in schools.

• Information and assistance related to both individual testing (including the saliva test for educators and staff) and mass/universal testing events.

• Each region will have four team members, including: A Regional Coordinator (staffed by the service coops), two MDH Health Consultants, and a Testing Coordinator.

• Lakes Services Coop.

• Metro

• North East Services Coop.

• Resource and Training Solutions

• Sourcewell

• South Central Services Coop.

• South East Services Coop

• South West Services Coop.

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Page 33: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

SAVE THE DATE!

Training for LSNs, COVID-19 Coordinators, Childcare Providers and Health Consultants

• Objectives:

• Understand the Decision Tree for People with COVID-19 Symptoms in Youth, Student, and Child Care Programs.

• Be able to apply the Decision Tree in three different scenarios.

• Define close contact, quarantine, and isolation.

• Be able to identify the three components necessary to identify close contacts.

33

• September 1, 2020 from 8:00 – 10:00a

• September 2, 2020 from 6:00 – 8:00p

• September 3, 2020 from 2:00 – 4:00p

• September 4, 2020 from 8:00 – 10:00a

Page 34: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

New WebEx Login for Use Starting 8/26/2020

• PLEASE NOTE: We have updated ourweekly WebEx meeting link and login information so that we can accommodate our partners at local public health and other organizations that will be supporting schools this fall.

• We will being using this NEW LINK andCALL-IN information next week on 8/26/2020 and it will be the link andcall-in information for this meetingmoving forward.

• It will also be posted to the SCHEDULEsection of Basecamp.

JOIN WEBEX MEETING https://minnesota.webex.com/minnesota/j.php?MTID=m1b 6e165df3c18328e986d247533ab0a8 Meeting number (access code): 146 930 1758 Meeting password: XSvBpiZ7A68

JOIN BY PHONE 1-855-282-6330 United States Toll Free +1-415-655-0003 United States Toll

JOIN FROM A VIDEO SYSTEM OR APPLICATION Dial sip:[email protected] You can also dial 173.243.2.68 and enter your meeting number.

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Page 35: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

MDH Inboxes

• General Public (parents, staff, non-nurse or child care provider) Inquiry Inbox: [email protected]

• Question/Positive Case in Youth and Adult Sports: [email protected]

• Questions about a Positive Case in Child Care, School, Day Camp: [email protected]. us

• Guidance Questions from School Nurse, Administration or Child Care Provider: [email protected]

35

Presenter
Presentation Notes
Do not have HR departments direct employee questions to the Schools COVID inbox. It is for nurses and child care providers. They can email the general inquiry inbox and our connect with your schools/district COVID coordinator.
Page 36: Planning for School 2020-2021...Planning for School 2020-2021 Denise Herrmann, DNP RN CPNP COVID 19 Education and Childcare Team 8/18/2020 This information is as accurate as the time

Thank You! MDE COVID-19 Inbox: [email protected]

(IEPs/504 plans, attendance requirements and drops, distance learning)

MDH Schools Inbox: [email protected]

(Exclusion guidance, health concerns, potential exposures, interpreting CDC/MDH guidance)