Return Health Response Protocol

Procedures for Managing and Preventing the Spread of COVID-19 in the SCUSD Community
Return to Health

Overview

All reports of COVID-19 illness and/or exposures must be immediately reported to Health Services

The following protocols help the district quickly identify communicable diseases, prevent the spread within the SCUSD community, and reduce potential harm. The district response depends on the type and amount of disease. and upon direction from Sacramento County Public Health (SCPH). 

The district is following enhanced preventative measures and heightened surveillance directed by state and county health departments. Protocols and procedures may change depending on the public health situation. 

International and domestic experiences and research have demonstrated that even when a school carefully coordinates, plans, and prepares for delivering in-person services, supports and  instruction, cases of COVID-19 may still occur . Expecting and planning for the occurrence of one or more cases of COVID-19 helps us respond immediately to mitigate the impact, minimize spread of COVID within school/work site, and allows the school/work site to remain open. To help prevent the spread of COVID-19 in the community,  Sac City Unified Health Services will be supporting SCPH and meeting employer mandates by conducting COVID-19 contact tracing within the district. Below are the action guidelines followed when a person within the district becomes ill with suspected or confirmed COVID-19 or is exposed to COVID-19. These guidelines were developed based on CDPH and SCPH guidelines. Prompt and coordinated actions, including case investigation and contact tracing, may inform decision-making about strengthening and focusing mitigation strategies

Responsibilities of School Site Staff

  1. When a student or staff member has one  or more COVID-19 symptoms they must follow the Screening and Stay at Home Requirements (Appendix B).  If an individual has symptoms when present at a work or school site, follow the guidance in Taking Care of a Sick Person at School (Appendix F).

  2. When a student or staff member is diagnosed with or tests positive for COVID-19 or is a close contact of someone with COVID-19 they must report to the Site COVID Response Team Lead or site administrator. 

The Site COVID Response Team Lead must immediately contact Student Support and Health Services via email and/or cell phone:

  • Lisa Musser, RN, Health Services Coordinator II - (916) 826-4863 (district cell); email:  lisa-musser@scusd.edu
  • Paula Kuhlman, RN Lead School Nurse - (916) 320-1538 (district cell); email:  paula-kuhlman@scusd.edu
  • Victoria Flores, Director III, Student Support and Health Services -  (916) 752-3643 (district cell); email: victoria-flores@scusd.edu
  • Rebecca Wall, Health Services Technician - (916) 643-7963; cell (916) 826-3513; email:  rebecca-wall@scusd.edu
  • Health Services Main Line - (916) 643-9412

Additional activities may be required as advised by Student Support and Health Services following county health department orders.

  1.  Alert COVID Response Team Lead or site administrator in the additional high risk situations which must also be immediately reported to Health Services per above:  

    – 10% absence of school population with similar symptoms.

    – 25% of a classroom are absent with similar symptoms.

  2. Follow HIPAA confidentiality laws noting that communicable disease concerns are confidential, and all staff are expected to protect health information except to report to SSHS per below.

  3. Sites must prepare for when someone gets sick. Individuals who have symptoms of illness must be immediately separated in an identified care room to prevent possible transmission of disease to others. Individuals who are sick should go home or to a healthcare facility depending on the severity of their symptoms. (See Appendix E for more information and ideas for setting up a sick room vs first aid room on your campus, and Appendix F for How to Take Care of Sick Students during COVID-19 Pandemic).

Sick students and sick staff must: 

  • Be quickly separated from other students/staff in the care room until picked by parent/guardian or able to go home

  • Wear a disposable face covering 

  • Staff must be identified to care for sick students and be provided and advised to use PPE including disposable face mask, face shield/eye covering and gloves.

  • Attending staff must use standard precautions when assisting a sick individual.  For suspected COVID-19 this includes, disposable face coverings, eye covering/face shield and gloves.

  • Attending staff should maintain at 6 ft distance as much as practicable.

  • Call parent/guardian for immediate pick up

  • If a parent/guardian cannot pick up students, consider procedures for arranging transportation to their home

  • Provide parent/guardian or staff member with Stay at Home/When to Return to School instructions

  • Disinfect all surfaces after the student/staff leaves and before use by others 

  • Advise the individual with COVID-19 symptoms not to return to the school site until they have met the Return to School requirements.  See Appendix B.

  • If COVID-19 is suspected, contact your school nurse or Health Services.  Follow Procedures for COVID-19 Procedures in the SCUSD Community, Appendix X.

  • There is no need to exclude contacts of the sick individual from school until test results are known.

  1. Collect and track illness-related absence information at the time of student or staff absence
  • Train attendance staff to support communicable disease follow-up as directed by the Sacramento County Health Department
  • School site staff responsible for entering attendance data into Infinite Campus may be advised to list reasons for illness, symptoms, and date of onset in the “Comments” section
  1. Require students and staff to remain home per Stay at Home Requirements (Appendix B)
  • Stay home if experiencing the following symptoms of illness:  fever or chills (100.4 degrees or higher), cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea* Subject to change as revised by CDC 
  • Stay home if advised to isolate or quarantine by your doctor or the health department due to COVID-19 precautions. Reasons include
    • Recent contact with a person with COVID-19
    • Recent diagnosis with COVID-19
    • Recent travel outside the local area
  • Individuals may return to school when one of the following criteria is met (see Appendix B):
    • at least 24 hours with no fever and symptoms have improved AND
    • a COVID-19  test is negative 

OR

  • at least 10 days since symptoms first appeared 

OR

  • Their healthcare provider provides documentation that the symptoms are from an underlying chronic condition or other disease process

Responsibilities of Student Support and Health Services (SSHS) 

Communicable disease monitoring and response is an ongoing responsibility of Health Services staff. SSHS will follow the guidelines and procedure outlined in Procedures for COVID-19 Cases in the SCUSD Community to respond to positive cases and close contacts in order to reduce the spread of COVID-19 in the community. 

  • SSHS will keep up to date with current information and update district and school site administrators regarding the guidance received from SCPH, CDPH and CDC.
  • SSHS staff will verify any reported concern and initiate contact tracing procedures, including speaking directly to families and/or staff.
  • SSHS will coordinate the response to a reported case. Health Services staff will provide information and guidance to individuals, families, administrators and staff regarding quarantine, isolation and testing to ensure public health protocols are followed.