Health Protocols


  • Please click here to view the newest TEA Guidebook for Public Health Operations - 7.28.20

    COVID-19 Symptoms
    In evaluating whether an individual has symptoms consistent with COVID-19, consider the following question:

    Have they recently begun experiencing any of the following in a way that is not normal for them?

    • Feeling feverish or a measured temperature greater than or equal to 100.0 degreed Fahrenheit
    • Loss of taste or smell
    • Cough
    • Difficulty breathing
    • Shortness of breath
    • Fatigue
    • Headache
    • Chills
    • Sore Throat
    • Congestion or runny nose
    • Shaking or exaggerated shivering
    • Significant muscle pain or ache
    • Diarrhea
    • Nausea or vomiting

    Individuals Confirmed or Suspected with COVID-19

    1. Stay at Home and notify the school nurse to determine if you or others qualify as a Close Contact. NOTE:  One case in a classroom does not necessarily impact everyone in the classroom or require a school shutdown.
    2. Contact your family physician for further test and/or treatment recommendations.
    3. School Nurse will contact Tarrant County Health Department to share Case Investigation and Contact Tracing details.
    4. If no symptoms, stay at home for 14 days following CDC/TEA for Stay at Home  guidance. 
    5. If you experience symptoms, follow CDC/TEA Self-Isolation guidance before returning.

    Key Definitions

    Close Contact: Defined as “close contact” with an individual who is lab-confirmed to have COVID-19. The definition of close contact is evolving with our understanding of COVID-19, and individual scenarios should be determined by an appropriate public health agency. In general, close contact is defined as:

    1. being directly exposed to infectious secretions (e.g., being coughed on); or
    2. being within 6 feet for a cumulative duration of 15 minutes; however, additional factors like case/contact masking (i.e., both the infectious individual and the potential close contact have been consistently and properly masked), ventilation, presence of dividers, and case symptomology may affect this determination.

    Either (a) or (b) defines close contact if it occurred during the infectious period of the case, defined as two days prior to symptom onset to 10 days after symptom onset. In the case of asymptomatic individuals who are lab-confirmed with COVID-19, the infectious period is defined as two days prior to the confirming lab test and continuing for 10 days following the confirming lab test.

    Close contacts should follow the stay at home protocol as outlined by the CDC. COVID-19 testing for close contacts is not necessary, as negative test results can occur at any time while the virus is incubating. The role of schools in identifying close contacts is to provide relevant information to local health departments, not to determine close contacts in the absence of public health guidance.

    Screening: Screening is an activity that campuses conduct to identify and temporarily exclude from campus those who may have been exposed to COVID, in an effort to keep the virus out of campuses. 

    Screening is accomplished by asking questions via electronic methods, by phone, and/or in person to determine that individuals:

    • Are not lab-confirmed with COVID-19
    • Do not themselves have COVID-19 symptoms
    • Have not come into close contact with an individual who is lab-confirmed with COVID-19

    Schools have the ability to prevent anyone who either does not complete or does not pass screening from entering their campus. More information on screening protocols and potential screening tools is included in this guidebook.

    Case InvestigationDiscussions with a COVID-19-positive individual to determine who may have spread and/or been infected and how that spread may have occurred.

    Contact Tracing: The identification of individuals who have been exposed as close contacts to COVID-19 and are as a result possibly infected themselves, but presymptomatic.

    Case investigation and contact tracing will be conducted by the local health entity. If an infected individual was on campus during the infectious period, school personnel will need to provide information to inform the case investigation and contact tracing process.

    Staying Home: Staying home allows individuals who may have been exposed to COVID-19 to monitor their symptoms during the period in which they may be infectious. These individuals should separate themselves from others outside their home, monitor their health, and follow directions from their state or local health entity.

    Because doctors believe a positive person can infect others with COVID-19 for two days prior to experiencing symptoms, and symptoms may take 14 days to appear, if an individual is made aware that they are a close contact to someone who tested positive for COVID-19, they should immediately begin to stay home and continue to do so during the virus incubation period. It is important for schools to keep track of the individuals who have been directed by local public health entities or asked by the school to stay at home so they can temporarily remain home. In most cases, local health entities will notify close contacts that they should:

    • Stay home until 14 days after last close contact with confirmed positive COVID-19 individual
    • Check temperature twice a day and watch for symptoms of COVID-19
    • If possible, stay away from people who are at higher-risk for getting very sick from COVID-19

    Self-Isolation: Self-isolation is used to separate people infected with COVID19 (including those who are sick with the virus and those with no symptoms) from people who are not infected. People who are in isolation should stay home until it’s safe for them to be around others. In the home, anyone sick or infected should separate themselves from others by staying in a specific “sick room” or area and using a separate bathroom (if available).

    Self-isolation allows individuals who may have been infected with COVID-19 to recover while trying not to infect others. Based on medical professionals’ understanding of how long an individual is infectious after fever and other symptoms disappear, self-isolation can end when a symptomatic or lab-confirmed individual meets all three of the following conditions for return to school:

    • 24 hours with no fever;
    • Symptoms improved; and
    • 10 days have passed since symptoms first appeared

    Or:

    Or:

    • A doctor’s note indicating an alternate diagnosis

    Staying Home vs. Self-Isolation
    Staying Home:
     Purpose of this period is to prevent presymptomatic or asymptomatic individuals from spreading the virus.

    • Asks individuals to stay at home, but no further precaution required
    • Applies to close contacts of confirmedpositive individuals
    • Individuals don’t have symptoms, but they have been identified as having a higher likelihood that they may have the virus
    • Duration lasts for 14 days from close contact
    • There is no need to get a test, because the individual could be incubating the virus until the 14-day incubation period ends regardless of result

    Self-Isolation: Purpose of this period is to prevent symptomatic/ lab-confirmed individuals from spreading the virus.

    • Asks individuals to stay at home and stay isolated while at home, encourages others in home to wear masks, disinfect frequently
    • Applies to individuals who are symptomatic and/or lab-confirmed
    • If the individual has symptoms, but doesn’t think it’s COVID, the individual can end self-isolation with a medical professional’s diagnosis that the symptoms are something other than COVID –or– by obtaining an acute infection test at an approved testing location (https://tdem.texas.gov/covid-19/) that comes back negative for COVID-19.
    • Otherwise, it ends when the virus can no longer spread from the individual, with all three of these being true:
      • 24 hours with no fever;
      • Symptoms improved; and
      • 10 days have passed since symptoms first appeared

    Personal Protective Equipment (PPE) & Masks 

    UPDATED 7.7.20: Schools are required to comply with the Governor's Executive Order regarding the wearing of masks. In addition to the executive order, school systems may require the use of masks or face shields for adults or students for whom it is developmentally appropriate. Schools MUST require students, teachers, and staff to wear masks or face shields as they arrange themselves in positions (entering/exiting buildings, walking to/from classrooms in the hallway, etc.) that will allow them to maintain safe distancing.

    • Some CISD staff may be wearing PPE, to include face coverings, masks or shields as needed.
    • Desk dividers/shields may be used by elementary students as necessary in classrooms to protect/divide students in close proximity to other students. Masks should be worn by students age 10 and above in compliance with Governor Greg Abbott's Executive Order.
    • The Texas Education Agency recently announced that PPE would be purchased and provided to each district for use as needed. 
      From the state, Carroll ISD will receive:
      • 76,088 disposable masks
      • 19,022 reusable masks
      • 33,524 gloves
      • 63 thermometers
      • 895 gallons of hand sanitizer
      • 986 adult face shields

    School Health Clinic Procedures 

    • Registered Nurses and substitute nurses will be trained in COVID-19 safety protocols.
    • Minor health needs will be handled in the school health clinic. Screening will be conducted before anyone may enter the clinic.
    • Anyone with a fever or COVID-like symptoms will be moved to a designated patient waiting room where a registered nurse will assess symptoms and contact the child's parent.
    • School Health Clinics and patient waiting rooms will be cleaned and disinfected regularly.

    NEW/UPDATED 7.28.20: The Texas Education Agency just released new guidelines as part of a Public Health Operational Guidebook for the 2020-2021 school year. Carroll ISD will use these guidelines when handling confirmed COVID-19 cases as part of in-person instruction. The district follows the recommendations of the Tarrant County Health Department when managing infectious diseases.

    The decision about how to respond in a particular case will depend on the number of individuals with whom the infected individual had close contact and the next steps that the school must take in coordination with public health entities. For Carroll ISD this entity is the Tarrant County Health Department.

    NOTE: Staff members testing positive, showing COVID-19 symptoms or having been exposed to someone who tests positive to COVID-19 must stay home, notify your direct supervisor and email jaclyn.hemmila@southlakecarroll.edu for instructions before being cleared to return to work. 

    TEA defines Close Contact as: 1) Being directly exposed to infectious secretions (e.g., being coughed on); or 2) Being within 6 feet for a cumulative duration of 15 minutes; if either occurred at any time in the last 14 days at the same time the infected individual was infectious. Individuals are presumed infectious at least two days prior to symptom onset, or in the case of asymptomatic individuals who are lab-confirmed with COVID-19, two days prior to the confirming lab test.

    Close contacts should follow the stay at home protocol as outlined by the CDC. COVID-19 testing for close contacts is not necessary, as negative test results can occur at any time while the virus is incubating. The role of schools in identifying close contacts is to provide relevant information to local health departments, not to determine close contacts in the absence of public health guidance.

    Case investigation and contact tracing will be conducted by the local health entity. If an infected individual was on campus during the infectious period, school personnel will need to provide information to inform the case investigation and contact tracing process.

    Carroll ISD Registered School Nurses will serve as the campus contacts for keeping track of COVID-19 cases, reporting to the Lead Nurse who will be the main CISD contact to work with the Tarrant County Health Department.