guide to use recommended protocol for front-line screening at school This is a tool to be used for in-school screening for students and staff, but it could also be applied in different circumstances. Please review it before you start screening. As you become more familiar with the tool, you may have additional questions which may be answered in the accompanying scenarios. As a screener, you should have proper PPE before you start screening. Proper PPE includes health grade surgical mask/N95 and eye protection. Starting at the upper left, ask the exposure questions across the top. If these lead to quarantine at home (upper right), please note the return-to school and testing guidance. If no exposure, follow the arrows to the symptom screening questions. 1 start here If screening in person, wear proper PPE*. exposure: within the last 14 days, have you been in contact with a person who is diagnosed with COVID-19? yes within the last 14 days, were you within 6 feet for longer than 15 minutes with this person? yes quarantine at home return to school after 14 days from last contact unless symptoms develop If symptoms develop, isolate at home and seek evaluation by a health care provider 2 On the symptoms screen, if symptoms are present, the student/staff should seek evaluation by a health care provider. If no exposures and no symptoms, the student/staff can attend class/perform work. symptoms: within the last 48 hours, have you had any of the following signs and symptoms of illness? o new cough (or change in baseline) o vomiting/diarrhea o fever (>100.4°F) o loss of taste/smell o new onset severe headache o sore throat o abdominal pain 3 Those students/staff who are seen by their health care provider will isolate at home, returning to school based on guidance in boxes (orange if COVIDpositive, green if other): based on outcome of assessment and/or tests diagnosis of COVID-19 (notify school district and health department of positive) alternative diagnosis no diagnosis of COVID-19 isolate at home return to school after: • 24 hours afebrile, without fever reducing medicines isolate at home • AND 10 days since first symptoms return to school after: • 24 hours afebrile, without fever reducing medicines • AND symptoms improving • AND symptoms improving Return may depend on your diagnosis helpful contacts references Montgomery County Department of Health............937-225-6217 American Academy of Pediatrics COVID-19 Planning Considerations: Guidance for School Re-entry: https://services.aap.org/en/pages/ 2019-novel-coronavirus-covid-19-infections/clinical-guidance/covid-19planning-considerations-return-to-in-person-education-in-schools/ Greene County Department of Health......................937-374-5600 Clark County Department of Health.........................937-390-5600 Ohio Department of Health........................................1-800-427-5634 (1-800-4-ASK-ODH) Warren County Health Department warrenchd.com/about/contact-us/covid-19-contact-form Dayton Children's COVID Hotline...........................1-888-746-KIDS (5437) For hours of these contacts, please visit their websites. Burke, et al. Symptom Profiles of a Convenience Sample of Patients with COVID-19. United States MMWR, 17 July 2020. Vol 69(28)904-908. Center for Disease Control Schools and Childcare Program Guidance & Public Health Guidance for Exposures. CDC site last updated 7/31/2020: https://www.cdc.gov/coronavirus/2019-ncov/community/ schools-childcare/index.html https://www.cdc.gov/coronavirus/2019-ncov/php/ public-health-recommendations.html Greater Dayton Region COVID-19 Clinical Treatment Reference document: , but their resource page is found here: http://gdaha.org/resources/ Panovska-Griffiths, et al. Determining the optimal strategy for reopening schools… in the UK: a modelling study. Lancet, Aug 2020. In press, corrected proof. Accessed August 7, 2020. EP10034 © 2020 Dayton Children’s Hospital. All Rights Reserved. The Whirligig, Logo Mark and all trademarks are owned by Dayton Children’s Hospital • childrensdayton.org * Proper PPE includes: health care grade surgical mask/N95 and eye protection Isolate and quarantine are used throughout this document. For clarification, the definitions are: • Isolate: Separate a sick or contagious person from others who are not sick. • Quarantine: Separate or restrict movement of people who were exposed to a contagious illness to see if they become sick.