Carroll Health Clinic Protocols


  • PARENTS, please perform this short check in section 1 and section 2 each morning before your child leaves for school. Click here to see the daily parent health screening for students checklist

    Click here to view the CISD Student Clinic Assessment for COVID-19 Like Symptoms

    Purpose: Infection control will be the priority for CISD nurses to protect the health and safety of each student and staff, with ongoing guidance per CDC and TEA recommendations. Schools are not expected to screen or diagnose students or staff to identify cases of COVID-19. CISD clinics will be utilized for, well, non COVID-19-like illness areas for students on each campus.

    COVID-19 Symptoms: Symptoms can be mild to severe. They may appear in as few as 2 days or as long as 14 days after exposure.

    • 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

    Students Returning from Travel:

    • Students returning from out-of-country travel, must self-quarantine for 14 days prior to returning to school (per CDC Guidelines)

    Clasroom: To prevent potential exposure to infectious illnesses and promote isolation, students need to stay in place in the learning environment as much as possible. Procedures below are to aid teachers in determining the level of health aid that a student may need.

    • The teacher will be given a first aid kit containing band aids, gloves, gauze, tooth boxes to use with students as
    • The teacher will screen the students before sending to the clinic
      • Small cuts and abrasions have student wash with soap and water, apply band aid
      • Each grade level and/or content area will have access to a thermometer for a temperature check if needed
    • EVERY student sent to the clinic MUST have a pass

    Nurse Clinic:

    • Students will stop at the door of the clinic, ring the doorbell and wait for assistance.
    • Students receiving daily medications will come to the nurse clinic, ring the doorbell, wait at the door for the nurse to arrive with medication. Per CDC recommendations, at this time suctioning, nebulizer treatments or oxygen will not be given at the campus due to the risk of aerosolizing the
    • Students symptoms will be triaged at the door, including temperature, cough, sore throat and shortness of
    • Students with temperature >100° F and respiratory symptoms:
      • Will be given a mask to wear and taken to the separate waiting room for further assessment
      • Once isolated, student will be be asked “yes” or “no” questions about further COVID symptoms, close contacts and contact tracing
      • Parent/guardian will be called
    • Student will be held in the supervised waiting room until parent arrives and waits for child at the school entrance
    • Students will not be allowed to ride the bus and will need to be picked up within 30 minutes from time of notification. If unable to get to the school within 30 minutes, please do the following:
      • Parents / Guardians are expected to notify the school nurse of possible delays in picking up their
      • Emergency responders may be called to assist with the student’s medical

    This document refers to “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:

    • being directly exposed to infectious secretions (e.g., being coughed on); OR
    • 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  symptomatology  may  affect  this 

    Furthermore, close contact, if it occurred during the infectious period of the case is 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.

    • Nurse will inform custodial staff of room number of student with temperature for extra cleaning
    • Nurse will keep a spreadsheet of students sent home with temperature >0° F to ensure follow up
    • Notify Health Services Coordinator
    • If parent reports student was tested and positive for COVID-19
    • Nurse will immediately notify Campus Principal, Health Services Coordinator and Tarrant County Health Department
    • CISD Communications, in collaboration with Administration, will provide communication to

    Nurse Clinic Environmental:

    • Nurse should wear mask at all times
    • Nurse should wear new gloves with each student (as required per Texas Board of Nursing Standard of Care)
    • Keep clinic surfaces free from clutter
    • Well students will be assessed and served in the clinic
    • Arrange cots and chairs to be 6 feet apart
    • No more than 4 students in a clinic at one time
    • Require students in clinic to wear mask
    • Encourage hand sanitizing when entering and exiting the clinic
    • Disinfect each surface after each student with approved cleaning solution
    • Routinely disinfect frequently touched surfaces
    • End of day
      • Disinfect all surfaces with approved cleaning solution

    References and Resources:

     

CISD Criteria for Re-admittance to School After Confirmed/Suspected COVID-19 or Exposure