FAQs for the Nurse

PowerSchool is asking me for a bunch of health stuff I already turned into Magnus. Do I have to complete both?
Please ONLY complete health information in Magnus, and skip those sections in PowerSchool.
 
When can I deliver my student's emergency medications to the school?
All medications must be an adult-to-adult hand off, must not be expired, and must be in the original containers with the child's name/prescriber's information on them. They can be checked in to the clinic on Thrilling Thursday. If you are unable to make it on Thrilling Thursday, please deliver them on Monday, August 23, AFTER 9 am. Please do not send medications in your child's backpack. This creates a major safety hazard.
 
What is the Daily Health Attestation?
The Daily Health Attestation is one of the components of our Covid-19 mitigation plans, and is part of the most important step in our layered approach: keeping community members home when they are not healthy. The attestation asks 10 essential questions, and should be filled out every school daya morning BY 7:15 am. Please take a moment to familiarize yourself with them, paying special attention to numbers 8 and 9:

If the answer to any of these questions is YES, please do not come to school. You must consult the school nurse and your healthcare provider for further guidance.

1. Does this person have a temperature of 100.4 degrees F or higher, or the sense of having a fever?

2. Does this person have a NEW loss of sense of taste or smell?

3. Does this person have a NEW uncontrollable cough, especially accompanied with shortness of breath, that cannot be attributed to another condition (or a worsening from their norm if this person is asthmatic)?

4. Has this person vomited or had an episode of diarrhea in the last 24 hours?

5. Does this person have a NEW sore throat that can not be attributed to another condition?

6. Does this person  have a NEW severe headache that cannot be attributed to another condition?

7. Has this person tested positive for the virus that causes COVID-19 within the last ten days?

8. If this person has not been fully vaccinated against COVID-19, have they met the definition of a "close contact" of someone found to be COVID-19 positive within the last 7 days? 

9. Is this person currently awaiting COVID-19 test results?

10. Was this person absent from school/work for health related reasons yesterday/Friday (in the case of a Monday)? 
 
What happens if my child's classmate tests positive for Covid-19?
This is a major area of policy change for us this year. Under the guidance of the Virginia Department of Health, we will not have to consider students who are fully masked and distanced at least three feet "close contacts" of a child who has tested positive for Covid-19. Likewise, asymptomatic students who are fully vaccinated against Covid-19 will not be expected to quarantine from school if exposed inside or outside the school setting. These students should continue to monitor for symptoms, and should seek testing if they become symptomatic. This means that we do not anticipate routinely closing a classroom when there is a positive case at school. If there has been a positive case in your child's classroom, you will be notified in writing, asked to monitor your student for symptoms, but the expectation is that in person classroom learning continues for everyone but the child who has tested positive, who will complete a quarantine of ten days (or more if symptoms/health conditions dictate). Truly, our experience showed last year that when these parameters of masking and distancing were carefully followed, we did not have classroom spread, and that was before the adult vaccine rates in our community had reached the levels they are today. I look forward to calling a lot fewer families at home this school year!

What happens if my child feels ill during the school day?
Our teachers are empowered to help kiddos who might simply need a break from class, a drink of water, or a trip to the bathroom to do so without a trip to the clinic. Generally, clinic visits are for the 7 Bs: Burning up (fever), Breathing Bad (asthma attack), Barfing, Bee Sting, Broken Bone, Bad Bump (to the head, particularly), Bleeding (a lot-- there are band aids in the classrooms for the minor scrape and paper cut). We will hand out dozens of ice packs a day, patch up run ins with the parking lot (buy stock in tights right now), scan temperatures, and give pep talks to tummy aches. Our goal is to keep well children in class as much as possible. You will typically see a note in the student's Magnus account if they are assessed by the clinic staff (exceptions to this include a quick bandaid for a shallow recess scrape or other very minor, very quick items). Occasionally, we will have a situation that necessitates calling home and dismissing a student. Some examples include: throwing up, a bad headache, uncontrollable coughing, fever, being exposed to a known allergen, or a kiddo who just doesn't seem to be able to make it through the day. The expectation for a dismissal of a sick child is that a trusted adult will be able to pick the child up from school within 30 minutes. In this world of call screening, we ask that you take note for a call from the 703-528 exchange, because that's the school, and we don't typically call to check on your car warranty: if we are ringing, your child needs you. Please remember that if your child is home for symptoms of illness, whether we send them home or you keep them home, they need a provider's note to return to school. They only require a covid test to return if that is what the provider has recommended.
 
What happens if my child has a major medical emergency during the school day?
Unlike the public schools in our area, STM is privileged to have full time Registered Nurse coverage in the clinic 5 days a week. In the event of an emergency that goes beyond the scale of what Mrs. Burnside/Mrs. Crawford are trained and educated to do, 911 is called. We are located very closely to Engine 1, and their response time to us is excellent. When EMS has been summoned to the school, either for an adult or a child, parents will be notified via one of the school notification systems as soon as conditions are appropriate to do so. We take health privacy extremely seriously and specific details of these incidents will not be disclosed by the school.
 
What do I do if my child needs to take medication during the school day?
There is specific paperwork in Magnus to be completed for these circumstances. We ask that you generally try to dose medications such as antibiotics, attention medications, allergy/asthma maintenance medications, nebulizer treatments, etc. at home whenever possible. This includes over the counter medications and ointments like chapstick, sunscreen, cough medicine, pain medication, etc. Under no circumstances should a child be sent to school with medications-- even cough drops-- in their backpack. Please remember that although I am sure your 8th grader can manage taking a Tylenol at home, our school has children as young as 4. You wouldn't leave medications where a four year old could access them, and yet when you send medications in your child's backpack to school, that's the risk you're creating.
 
How do I get my child cleared to return to school after they have been out sick?
If your child has been out sick, please have them assessed by a health care provider (a physician, a physician's assistant or a nurse practitioner). Virtual visits can be exceptionally helpful for this purpose. PM Pediatrics is an example of a local children's urgent care that offers instant virtual visits, and takes all major insurance (including Tricare and non-Kaiser Medicaid [they do not take any Kaiser]).
 
Is there a standard form for healthcare provider clearance?
No. The Virginia Chapter of the AAP has a form they have widely distributed if your pediatrician is unsure what note to use, that is acceptable. While the note does not need to come from the child's regular provider (i.e. Minute Clinic, urgent care, ER, etc. are all acceptable), parent health care providers should be cautious about signing their own children's notes and should acknowledge the liability in doing so.
 
Who do I notify if my child has an injury?
If your child has an injury, please reach out to the nurse, the classroom teacher, and Mrs. Bauer, our PE teacher so we can coordinate accomodations for the classroom and PE/recess. Injuries requiring crutches must have a doctor's note for the crutches. Covid tests are not required of students out with an injury.
 
Some municipalities require tests from only certain vendors, even if they are PCR and not rapid. Are there testing locations that are approved/not approved?
The Diocese currently accepts any lab-processed covid tests. This includes PCR and rapid tests. We realize most families probably have a preferred vendor at this time for tests. At this time we do not accept serum antibody results as equivalent of the Covid-19 vaccine.
 
What is the protocol if a student's sibling is ill?
Generally, a student who is not displaying symptoms of illness may continue to come to school if a sibling is not well. The exception to this would be if that sibling has tested positive for Covid or is very strongly suspected to be Covid positive. Unvaccinated siblings/children of Covid positive household members must stay home, and should consult the school clinic at [email protected] for further guidance.
 
Are STM classrooms nut/food allergen free? 
No. Our classrooms are not nut or food allergen free. Students are strictly prohibited from sharing and swapping snacks. 
 
Where should I go if I have a question about the specifics of our health situation, including whether or not it is okay for my child to come to school?
Please contact the school clinic with any of these questions. The clinic phone forwards after hours and on weekends/holidays to Mrs. Burnside, and the [email protected] email is also regularly monitored. Please try and avoid Facebook/IG messaging or emailing Mrs. Crawford and Mrs. Burnside at their personal email addresses with clinic business.