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JSerra Nursing Guidelines during COVID-19

Phone: 949.493.9028
Fax: 949.493.2763
Email: nurse@jserra.org

The following information is based on continued compliance with State and local authorities to understand current disease and implement control measures to mitigate further spread of COVID-19. The local California Department of Public Health (CDPH) Industry Guidance: Schools and School-Based Programs guidelines is a resource of recommendations that will be tailored to our JSerra school community in order to resume in-person school instruction. This continues to be a fluid situation and the JSerra Nursing Department is committed to identify, protect and support the health and welfare of their students and staff.

Throughout this resource we will provide you ways to access posters and videos that may help to make the vast amount of COVID-19 information more understandable and memorable.

COVID-19 Overview

This coronavirus can be spread from respiratory droplets from person to person. (Know about COVID-19.) Symptoms appear from 2-14 days after exposure. Some people may be asymptomatic. Symptoms include:

  • Fever (100.4) or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Other symptoms: fatigue (feeling tired), muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea

If you feel you may have symptom, DO NOT COME TO SCHOOL. Immediately notify the Nursing Department at nurse@jserra.org and the Attendance Department at attendance@jserra.org. See your provider for further medical advice or access one of the OC Testing centers listed here: Orange County COVID-19 Testing Locations.

Contact Tracing

  • You must report immediately to the JSerra Nurses Office if you have been diagnosed with COVID-19, suspect you may have it and/or if you were exposed to someone who has the virus.
  • Contact Tracing information for those diagnosed with COVID-19 and/or exposed to someone with COVID-19.
  • We will coordinate with the COVID Schools Response Team which is a part of the Orange County Health Agency for assistance with contact tracing activities. They will provide help with post-exposure recommendations, answer questions and provide up to date COVID-19 progress.

Infection Control Measures
JSerra Nurse's Department COVID-19 Infection Prevention and Control

Infection Control Program and Infrastructure

  1. The school will follow recommended local, state, and federal protocols in terms of preventing the spread of viruses. Such guidelines include, but are not limited, to those found at: https://content.acsa.org/coronavirus-in-ca-schools/cdph-guidance-for-schools
  2. Nursing staff is available to consult with and manage this area as it pertains to infection control in the school environment through collaborative relationships with school nursing staff, athletic trainers, coaches, faculty and staff.
  3. JSerra Nursing Staff along with the local governing medical boards will offer guidance for early detection and management of potentially infectious persons.

Standard Transmission-based Precautions

Infection control practices apply to all patient care regardless of infection status of the patient.

Hand Hygiene

  • Everyone will be made aware of the importance of appropriate hand hygiene techniques as noted in this film by MD Anderson.
  • Supplies necessary for adherence to hand hygiene including soap, water, paper towels, hand sanitizer (at least 60% alcohol) are readily accessible to healthcare, staff and students in patient care areas and throughout the buildings on campus.
  • Students entering the nurses' office shall use hand sanitizer before entering and after exiting the office via nearby hand sanitizer stations.

Personal Protective Equipment (PPE)

  • Universal implementation of PPE compliance will depend on which Covid-19 Phases 1-4, the State of California has deemed appropriate.  Adherence is vital. Proper use of PPEs is important when trying to stop the spread of disease. (The Do's and Don'ts of Wearing Masks and Gloves.)
  • Used PPEs will be discarded in appropriately designated containers and disposed of through recognized school custodial protocols.
  • Extra precautions will be taken when dealing with potential contamination and aerosolization, including the use of disposable gowns.

Respiratory/Cough Hygiene

  • Any student with COVID-19 symptoms will be triaged and isolated in a predesignated location to minimize exposure to other patients. Stop the spread of COVID-19 and other respiratory illnesses.
  • Staff members that exhibit symptoms will leave the campus immediately.
  • All persons are instructed to Cover That Cough and sneeze and not to touch their mouth, face, eyes and nose.
  • Proper social distancing will be practiced with 6 feet of physical space between each other.
  • 9-9-1-1 to be called with warning signs of COVID-19, which include:
    • Trouble breathing
    • Persistent pain or pressure in the chest
    • New confusion
    • Low pulse oximeter saturation (<95% unless they have low O2 saturation)
    • Inability to wake or stay awake or collapse
    • Bluish lips or face

Screening
This is a very important point that we mitigate any spread of infection prior to coming into the buildings. All designated persons doing screenings will wear the appropriate PPEs and discard in the appropriate receptacles.

Screening will include:

  • Taking each person's temperature
  • No entry for anyone with symptoms of cough, sore throat or short of breath
  • No pain/fever reducing medication taken before coming to school
  • Maintaining physical distancing 6 feet between persons

Isolation Area

  • For patients suspected of having COVID-19, the student(s) must be wearing a PPE and will be sent to a designated isolation area after nursing staff has been alerted by the teacher/staff member when:
    • Person(s) have symptoms of fever, shortness of breath, sore throat, cough or other related symptoms.
  • This location will be outside with a 4-sided tent giving as much privacy to student/staff as can be possible.
  • It will be staffed outside the entrance of the tent by a designated and trained volunteer or JSerra personnel behind a barrier. They will keep track of isolation patients, calling parents and arranging pick up.
    • The parent/guardian will be called to pick up the student promptly.
    • Location will be designated and clearly marked for proper pick up areas.
  • The patients will be triaged by a nurse.
  • If more than one isolation spot is needed, a barrier will be provided between patients.

Managing Movement within the Facility
PPEs will be mandatory for all those in the Nursing Office/Station (face mask will be issued if staff and/or student do not have one).

  • Patients with non-COVID-19 symptoms who wish to be seen, will line up outside the Nurse's Station window, 6 feet apart, via the hallway shared with Attendance. They must always wear a PPE during the designated COVID-19 Phases.
  • All Asthma and Diabetic patients without COVID-19 symptoms should report to the Nurse's Office door via the Admissions hallway and practice social distancing.
  • Nurses in the Nursing Station will use a barrier when dealing with patients unless giving First Aid and/or medication administration.
  • Considerations for case-by-case situations will be assessed in further detail by the RN. Parents/guardians/staff need to contact the nurse in the event they have special circumstances so the appropriate care can be administered, or a referral made.

Workplace Sanitation in Nursing Department

  1. Sanitizing (with asthma safe ingredients) the Nurse's Station/Office between patients and other surfaces will be done frequently throughout the day.
  2. Custodial services staff clean sinks, counters, and floors per school/organization procedures and standards.
  3. Notify custodial services for cleanup in the event of a hazardous waste episode.

Reentry for Student after Isolation
Students and staff returning to school after an absence due to COVID-19 related illness may discontinue home isolation when symptom-based:

  • 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.

https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html

References

https://content.acsa.org/coronavirus-in-ca-schools/cdph-guidance-for-schools  https://occovid19.ochealthinfo.com/
CSNO: COVID-19 Recovery Plan

This continues to be a fluid situation.