The Commercial Appeal

Le Bonheur provides COVID-19 guidance to schools

Hospital addresses isolation protocol

- Laura Testino

To localize guidance for school reopening during COVID-19, Le Bonheur Children’s Hospital has published its own set of guidelines.

The guidelines, published Friday, were developed by a task force of local medical profession­als over the last three weeks, Dr. Jon Mccullers, pediatrici­an-in-chief at Le Bonheur, said Thursday at a news conference. Mccullers is also a department chair and professor at University of Tennessee Health Science Center and has advised the university and Memphis and Shelby County leaders throughout the COVID-19 pandemic.

The 21-page report addresses reopening across four areas, including communicat­ion to schools and parents, written policies around COVID-19 for schools, infection prevention and children themselves, particular­ly those who have additional medical or learning needs.

The full report can be found at www.lebonheur.org/coronaviru­s.

Mccullers said Thursday that the guidance was “in concert” with guidelines from the Shelby County Health Department.

The guidance published by Le Bonheur’s task force covers many of the same topics as guidance published by national organizati­ons like the Centers for Disease Control and Prevention and the American Academy of Pediatrics. But the document to schools offers localized specifications, including detailed charts for nurses about how to respond to potential cases of COVID-19.

Found on Le Bonheur’s website, the guidance includes informatio­n for the following topics:

Entering school and screening Sick children or staff members Protection for school nurses, educators and staff members

Masks and social distancing Protocol for ill child or adult in school

Process to handle a COVID-19 case in school

Protocol for isolation and return to school for cases and contacts

School sports

School supplies and communal equipment (including balls, jump ropes and playground equipment)

Participat­ion in band, orchestra or choir

Hand hygiene

Riding the bus

Eating at school

Appropriat­e restroom etiquette Influenza vaccine Recommenda­tions for policies and procedures for children with special medical, educationa­l and behavioral needs

Additional­ly, the document’s guidance asks schools to work in conjunctio­n with the health department in contact tracing efforts within schools.

A standard 6 feet of social distancing in the classroom matches the 6 feet that is used in determinin­g close contacts: People who are within 6 feet of an individual with COVID-19 for longer than 15 minutes are considered “close contacts” that should quarantine due to potential exposure.

The guidance also calls for masks to be worn daily and “as much as possible” by students and staff, “with the exception of individual­s who have a medical exemption for masking for behavioral or medical reasons.”

Influenza vaccines for all children are also strongly recommende­d by the task force.

The vaccine would reduce transmissi­on of the flu and keep more children in school, but also “make identification of COVID easier clinically, and reduce demand for testing.”

The guidelines recommend schools consider administra­tion of the vaccine in schools.

“We anticipate that we’ll be updating the written guidance as we learn,” Mccullers said.

“I think there’s a lot we’re going to learn from the front-line teachers, from the administra­tors of how we’re going to have to evolve and maybe change some of those guidelines.”

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