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Contact Tracing Protocol

Contact Tracing Protocol (PDF)

  • MAINTAIN CONFIDENTIALITY AT ALL TIMES.
  • Positive Cases, Medical Conditions, and Close Contacts involve highly sensitive student and employee medical information and should be shared only on a need to know basis.
  • Avoid Mass communications and radioing confidential information where it can be heard by others.
  • Campus designate a Contact Team (AP, Counselor, Nurse, perhaps Teacher) to receive and process COVID reports with a Contact Team Lead.
  • See Updated Supervisor Guide for detailed leave and absences for employees. The guide below is specific to contact tracing.


SYMPTOM LIST
Have you recently begun experiencing any of the following symptoms in a way that is not normal for you?

● Feeling feverish or a measured temperature greater than or equal to 100.0 degrees 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

SCENARIO #1
POSITIVE TEST
PARENT/EMPLOYEE CALLS IN & NOT AT SCHOOL

  1. Parent/Employee calls-in with a positive test.
    1. For students-call should be forwarded to a member of the Contact Team. 
    2. For employees-Call should be forwarded to supervisor.
    3. Contact Team starts COVID-19 Reporting Form-Student over the phone with parent. Supervisor starts COVID-19 Self-Reporting Form-Employee over the phone with employee or directs employee to complete. Submit form. Public Communications routes to Central Custodial, Deputy Sups, Assistant Sup., Central Admin Nursing.
    4. Central Admin Nursing will notify Public Health Authority. 
    5. Verbally communicate to parent/employee that student/employee who tested positive may not return until he/she has met all 3 Re-Entry Criteria. Contact Team follow-up by email.
      Re-Entry Criteria:
      1. 24 hours since recovery (for example-no fever without use of medications; no diarrhea without medications, etc.); AND
      2. Symptoms have significantly improved; AND
      3. 10 calendar days have passed since symptoms first started; or if asymptomatic 10 calendar days from the date of the test.
  2. Notify Principal and Contact Team Lead. Principal works on closing off highly used areas and communicates with custodial staff regarding areas to clean/disinfect.
  3. Start Close Contact Tracing (CCT).
    1. Verify close contacts.
      1. Names identified in student/staff questionnaire.
      2. For the last 2 days, pull class rosters and bus rider roster if any.
      3. Talk to each teacher/staff member where the student/employee was present (emphasize confidentiality).
      4. Questions:
        1. Was the student/staff physically on campus in the last 14 calendar days? If no, no Contact Tracing needed. If yes, Contact Trace and proceed with questions #2-4.
        2. Were any students/staff directly exposed to infectious secretions while the positive case was infectious? (A person is infectious: 2 days before symptoms started to 10 days after symptoms started, OR if asymptomatic, 2 days before taking the COVID-19 test to 10 days following receipt of the positive test result). If yes-close contact
        3. Were the students/staff within 6 feet for 15 minutes or more while the positive case was infectious? (A person is infectious: 2 days before symptoms started to 10 days after symptoms started, OR if asymptomatic, 2 days before taking the COVID-19 test to 10 days following receipt of the positive test result). Check both bus, classroom and extracurricular rosters (if any). 
          1. If yes:
            1. Were both parties wearing masks/face coverings?- If yes-not a contact
            2. Was the contact outside with good ventilation? - If yes-not a contact
            3. Were they separated by dividers? - If yes-not a contact
        4. If not sure, err on the side of designating as a close contact.
    2. Input verified/narrowed list of close contact students and staff with student/staff ID#s into Contact Tracing Spreadsheet (make a copy of this spreadsheet for each new case until final documentation process is created).
    3. Call/verbally communicate with identified close contacts.
      1. Close contacts are encouraged to consult with a medical provider or seek testing. Humble ISD has free testing for employees.
      2. Employees will be away from campus 14 calendar days.
      3. Parents are encouraged to keep students who are close contacts home for 14 calendar days. Online learning will be immediately available to close contact students.
    4. Contact Team Lead follows-up by email to close contact students (See Student-Close Contact Notice Email). Supervisor sends follow-up email to close contact employees (See Employee-Close Contact Notice Email template).
    5. Close Contact Team provide completed Contact Tracing Spreadsheet to Public Communications, which includes sheets for close contacts, class rosters, and bus rosters (if applicable). 
    6. Public Communications will send written Class-Wide & Campus-Wide Notice to all students and staff.


SCENARIO #2
POSITIVE TEST
STUDENT/EMPLOYEE AT SCHOOL

  1. Direct the positive test student to the nurse’s office immediately.
  2. If positive test is an employee, direct them to call their supervisor and to go home immediately. Do not send a sick employee to the nurse’s office unless they are in need of immediate medical attention. Supervisor direct employee to complete the COVID-19 Self Reporting Form-Employee from home or call the employee and complete over the phone that day.
  3. Notify Principal and Contact Team Lead. 
  4. Nurse will have positive student put on a mask unless not developmentally appropriate. 
  5. Isolate the student in the nurse’s isolation area and contact the parent or emergency contacts to pick-up the student. Driving age students with a car may drive themselves home if feeling well enough to do so safely with parent consent. 
  6. Principal works on closing off highly used areas and communicates with custodial staff regarding areas to clean/disinfect. 
  7. Nurse complete standard nursing documentation like prior years and COVID-19 Student Questionnaire (in HealthOffice or separate fillable form) as much as possible while waiting for the student to be picked-up or before releasing.
  8. Verbally communicate to parent that student must stay home/not return to school until student has met all 3 Re-Entry Criteria. Nurse follow up by email.
    1. 24 hours since recovery (for example-no fever without use of medications; no diarrhea without medications, etc.); AND
    2. Symptoms have significantly improved; AND 
    3. 10 calendar days have passed since symptoms first started; or if asymptomatic 10 calendar days from the date of the test. 
  9. Nurse provide Student COVID-19 Student Questionnaire to Close Contact Team Lead. Contact Team input information into COVID-19 Reporting Form-Student
  10. Staff member walk student out to meet parent instead of having the parent come in the building.
  11. Nurse sends follow-up email for parent of student sent home. 
  12. If positive test student, Close Contact Team submits COVID-19 Student Questionnaire form for routing. If positive test employee , supervisor ensures COVID-19 Self-Reporting Form-Employee is completed. 
    1. Public Communications routes to Central Custodial, Deputy Sups, Assistant Sup., Central Admin Nursing
    2. Central Admin Nursing will notify Public Health Authority
  13. Contact Team start Close Contact Tracing (CCT).
    1. Verify close contacts.
      1. Names identified in student/staff questionnaire
      2. For the last 2 days, pull class rosters and bus rider roster if any
      3. Talk to each teacher/staff member where the student/employee was present (emphasize confidentiality)
      4. Questions:
        1. Was the student/staff physically on campus in the last 14 calendar days? If no, no Contact Tracing needed. If yes, Contact Trace and proceed with questions #2-4.
        2. Were any students/staff directly exposed to infectious secretions while the positive case was infectious? (A person is infectious: 2 days before symptoms started to 10 days after symptoms started, OR if asymptomatic, 2 days before taking the COVID-19 test to 10 days following receipt of the positive test result). If yes-close contact
        3. Were the students/staff within 6 feet for 15 minutes or more while the positive case was infectious? (A person is infectious: 2 days before symptoms started to 10 days after symptoms started, OR if asymptomatic, 2 days before taking the COVID-19 test to 10 days following receipt of the positive test result). Check both bus, classroom and extracurricular rosters (if any). 
          1. If yes:
            1. Were both parties wearing masks/face coverings?- If yes-not a contact
            2. Was the contact outside with good ventilation? - If yes-not a contact
            3. Were they separated by dividers? - If yes-not a contact
        1. If not sure, err on the side of designating a close contact.
    2. Input verified/narrowed list of close contact students and staff with student/staff ID#s into Contact Tracing Spreadsheet (working on permanent solution).
    3. Call/verbally communicate with identified close contacts.
      1. Close contacts are strongly encouraged to consult with a medical provider or seek testing.
      2. Employees will be away from campus 14 calendar days. 
      3. Parents are encouraged to keep students who are close contacts home for 14 calendar days.
    4. Contact Team Lead follows-up by email to close contact students (See Student-Close Contact Notice Email). Supervisor sends follow-up email to close contact employees (See Employee-Close Contact Notice Email template).
    5. Close Contact Team provide completed Contact Tracing Spreadsheet to Public Communications, which includes sheets for close contacts, class rosters, and bus rosters (if applicable).
    6. Public Communications will send written Class-Wide & Campus-Wide Notice to all students and staff.


SCENARIO #3
STUDENT/EMPLOYEE FEELING SICK (NO TEST)
AT SCHOOL

  1. Sick student should be directed immediately to the nurse’s clinic.
  2. Sick employee should be directed to their supervisor. Do not send a sick employee to the nurse’s office unless they are in need of immediate medical attention. 
    1. Supervisor should evaluate with common sense in the best interests of the employee regarding sending employee(s) home.
    2. Notify Principal and Contact Team Lead if employee is sent home.
    3. Supervisor follow-up by email if sent home (See Employee-Has Symptoms Notice Email template).
  3. For sick student, nurse will:
    1. Have student reporting COVID-19 symptoms put on a mask unless not developmentally appropriate.
    2. Nurse assess a student
      1. Observe the student in the illness clinic area
      2. Assess the symptoms according to normal Humble ISD protocol
        1. Interview with history
        2. Nursing assessment
        3. Implement plan (isolation area if suspect COVID-19)
        4. Communicate with parent about the assessment results based on nursing judgment of assessment skills:
          1. Return to class; OR
          2. Send the student home. Recommend medical attention or testing.
    3. If student is suspected to have COVID-19:
      1. Isolate the student in the nurse’s isolation area and contact the parent or emergency contacts to pick up the student. Driving age students with a car may drive themselves home if feeling well enough to do so safely with parent consent.
      2. Notify Principal and Contact Team Lead are suspected student.
      3. Nurse completes standard nursing documentation like prior years and COVID-19 Student Questionnaire (in HealthOffice or fillable form) as much as possible while waiting for the student to be picked-up or before releasing.
      4. Nurse provide Student COVID-19 Student Questionnaire to Close Contact Team Lead.
      5. Staff member walk student out to meet parent instead of having the parent come in the building.
      6. Nurse sends follow-up email for parent of student sent home. 
      7. If further information is needed for the COVID-19 Student Questionnaire, Contact Team will contact parent.
  4. Verbally communicate to parent/employee to let the Contact Team/Supervisor (campus designate) know if the student/employee is feeling worse or tests positive. 
  5. Verbally communicate that student/employee must stay home/not return to school until:
    1. Option 1: Student has met all 3 Re-Entry Criteria:
      1. 24 hours since recovery (for example-no fever without use of medications; no diarrhea without medications, etc.); AND
      2. Symptoms have significantly improved; AND
      3. 10 calendar days have passed since symptoms first started; or if asymptomatic 10 calendar days from the date of the test.
    2. Option 2: Student is cleared by a medical professional with an alternate diagnosis (ex. Asthma, some other illness, etc.) 
    3. Option 3: Student tests negative for COVID-19 (provide approved testing sites from the Texas Department of Emergency Management- List of Approved Testing Sites)
  6. If student/employee later tests positive, begin Positive Test Protocol above to trigger quarantine, cleaning and contact tracing.


SCENARIO #4
STUDENT/EMPLOYEE FEELING SICK (NO TEST)
CALLING-IN & NOT AT SCHOOL

  1. Parent/Employee calls to notify school of feeling sick with COVID-19 symptoms. Student/Employee has not been tested yet or is waiting on test results (no positive test confirmed).
  2. Attendance Clerk handles incoming call for students per normal attendance procedures. 
  3. If parent believes COVID-19, refer to the Nurse. Nurse document per usual for parent sick calls and start COVID-19 Student Questionnaire. Submit questionnaire to Contact Team Lead and notify Principal.
    1. Encourage parents to contact a medical professional or seek testing for the student.
    2. Communicate with parent verbally to let the Contact Team Lead know if the student is feeling worse or tests positive. Follow normal attendance procedures for noting student’s absence.
  4. Sick employee should be directed to their supervisor. See Supervisor Guide
    1. Supervisor should evaluate with common sense in the best interests of the employee regarding sending employee(s) home.
    2. Notify Principal and Contact Team Lead if employee is sent home.
    3. Supervisor follow-up by email if sent home (See Employee-Has Symptoms Notice Email template).
  5. If student/employee later tests positive, begin Positive Test Protocol above to trigger quarantine, cleaning and contact tracing. 


SCENARIO #5
CLOSE CONTACT

  1. Call identified close contacts.
    1. Close contacts are encouraged to consult with a medical provider or seek testing.
    2. Employees will be away from campus 14 calendar days.
    3. Parents are encouraged to keep students who are close contacts home for 14 calendar days.
  2. Contact team follows-up by email with Student Close Contact Notice to close contact students. Supervisor verbally call employees
  3. Public Communications will send Campus-Wide Notice to all students and staff.