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LAMOILLE NORTH MODIFIED UNIFIED UNION SCHOOL DISTRICT

Health Services

If your child shows one or more symptoms of covid-19 listed below, they need to stay home from school:

Fever (100.4 degrees Fahrenheit or higher), Cough, Shortness of Breath, Sore Throat, Runny Nose, Loss of Taste or Smell, Nausea, vomiting, Diarrhea, Fatigue, Muscle Aches, Headache.  

Obtain a COVID PCR test and consult medical home (doctor, nurse practitioner etc.) regardless of vaccine status.

It has been clarified by our state EPI team that vaccinated people (students, staff) who get tested because they have symptoms, should stay home until test results are available, even if their symptoms resolve.

If your child shows one or more of COVID-19 symptoms listed above at school, you will be called to come pick up your child as soon as possible.  Please make sure that your emergency contact information is up-to-date.  It is expected that your child will be picked up in a timely manner, so please have a plan in place.  

Covid-19 Information for Families-return to School Following Illness:  CYF_VTBacktoSchoolAfterIllness-August21.pdf

Pediatric Patient Flow Chart: vchip-aap-uvmch-vdh_covidpediatric_flowchart_current_9_10_21.pdf

Covid-19 Resources and information

From the Vermont Department of Health: 

Vaccines

Vaccines are the best way for Vermont's children to stay healthy as the school year approaches. Make sure that your children age 12 and older are vaccinated. Find a location near you, including many clinics in Vermont schools. https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine

People 12 to 17 years old:

You can get a vaccine at a walk-in clinic (without an appointment) or you can make an appointment. Be sure you are getting the Pfizer vaccine since that is the only vaccine that is authorized for people age 12 to 17. A child must have reached their 12th birthday to be eligible.

If you are making an appointment online through the state website, you will only see appointments for the Pfizer vaccine.

Certain pharmacies, including CVS and Kinney Drugs, are also offering the Pfizer vaccine to this age group, and some have walk-in opportunities.

For appointments made through the state website and appointments made through CVS, you will either need to:

Make an appointment through the website https://vermont.force.com/events/s/selfregistration or

Come to get your vaccine with a parent or guardian who can give consent or

Come to get your vaccine with a completed Immunization Clinic Consent Form https://www.healthvermont.gov/sites/default/files/documents/pdf/Vermont-Dept-Health-Walk-In-Consent.pdf and completed Prevaccination Checklist for COVID-19 Vaccine https://www.cdc.gov/vaccines/covid-19/downloads/pre-vaccination-screening-form.pdf

Walgreens requires a parent or guardian to be present and give consent at the appointment.

Vermont's high vaccination rates mean the vast majority of Vermonters are protected from the virus, which also helps keep the virus from spreading to others. With continued vaccination and common sense personal prevention efforts, it will stay safe for most Vermonters to return to the activities they enjoyed before the pandemic. 

Cases of COVID-19 have been rising this summer, in large part because of the highly transmissible Delta variant. The vast majority of cases continue to be among people who are unvaccinated. This is why we strongly encourage everyone who is eligible to protect themselves by getting vaccinated as soon as possible.

A smaller percentage of cases have occurred among vaccinated people. However, data shows that the vaccine does what it’s supposed to do. People who are fully vaccinated are highly protected from severe illness, hospitalization and death.

For frequently asked questions regarding vaccines:  https://www.healthvermont.gov/covid-19/faqs

After Your Vaccine

When do I need to get my second dose of the Pfizer or Moderna vaccine? How do I make my appointment?  https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine#seconddose

What should I know about side effects?  https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine#sideeffects

I’m sick. Are my symptoms from the vaccine or sickness from COVID-19? https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine#sickafter

What can I do after I am fully vaccinated?  https://www.healthvermont.gov/covid-19/vaccine#vaccinated

Is it possible to get COVID-19 even if I’m fully vaccinated? https://www.healthvermont.gov/covid-19/vaccine#breakthrough

How long does protection from the vaccine last?  https://www.healthvermont.gov/covid-19/vaccine#lastingprotection

Do I need a booster shot to increase my protection against COVID-19?  https://www.healthvermont.gov/covid-19/vaccine#booster

How can I get a copy of my vaccine record? Can I get a new vaccine card if I lose it? https://www.healthvermont.gov/covid-19/vaccine#record

Call the Health Department at 802-863-7240 (toll-free 833-722-0860). We’re ready to respond to COVID-19 health-related questions. Calls are answered Monday - Friday 8:15 a.m. - 4:30 p.m.

For vaccine registration, call 855-722-7878, Monday - Friday 8:15 a.m. - 4:30 p.m. and Saturdays 10:00 a.m. - 3:00 p.m.

For general questions (not health-related) dial 2-1-1 or 1-866-652-4636.

EMAIL Send the Health Department an email at AHS.VDHPublicCommunication@vermont.gov.

BOOSTER VACCINE INFORMATION:  Pleaseseetheattachedinformationregardingwhoiseligibleforboostershots.docx

CONSENT FORM:  Vermont Department of Health-Walk in Clinics:  Vermont-Dept-Health-Walk-In-Consent.pdf

CODES FOR EDUCATORS:  CODES.xlsx

CLOSE CONTACTS & CONTACT TRACING

Close Contacts & Contact Tracing

When someone tests positive for COVID-19, the Health Department works with them to identify their close contacts, or the people who were in close contact with them. NEWThe definition for close contact for students in school settings is updated to the following:

Within 3 feet of an infected person, for a total of 15 minutes or more over a 24-hour period.

The 4-hour rule:  When students are in the same classroom/pod for 4 or more hours they are considered close contacts, even if the students change physical location together during this time.

Outdoor environments are generally low risk.  Schools should not contact trace close contacts of cases that occurred outdoors.  Schools should no longer send low-risk exposure letters.

Schools should only contact trace the seatmate of a case, if known.  Schools should enforce assigned seatings in or der to make indentifying the seatmate of close contacts easier.  It is strongly recommended that schools require busses to operate with windows open to increase ventilation, following guidelines at least as strict as those outlined in A Strong and Healthy Year:  Safety and Health Guidance for Vermont Schools, Spring 2021-page 9.  

It is strongly recommended that schools continue to reinforce assigned seating, or eating in classrooms.  

The infectious period is when the person with COVID-19 is contagious. It starts two days before symptoms began and continues until they are recovered. For people who have not had symptoms, the infectious period starts two days before they had a positive test.

What to do if you are identified as a close contact: Whattodoifyouareaclosecontact.pdf

How activities are assessed for risk of transmission:  UPDATEDCOVID-19-ContactTracing-Checklist-School-Care.pdf

Check list for Contact Tracing-Schools:  UPDATEDCOVID-19-ContactTracing-Checklist-School-Care.pdf

COVID Testing

On site Surveillance Testing for Staff and Students: Registration and Consent Information:  Reminder-covid19-testing-letter--families-9-24-21.docx

Please note that Green Mountain Technology and Career Center, Lamoille Union High School, and Lamoille Union Middle school will have on-site COVID-19 PCR testing EVERY MONDAY from 7:30 AM to 11:30 AM.  Location is just outside the library.  

The Health Department recommends that unvaccinated close contacts get tested twice – as soon as two days after you were exposed to the person with COVID-19, and again seven days after the exposure. If your first test is negative, remain in quarantine and follow guidance from the Health Department. If it is positive, follow isolation guidance from the Health Department.

Quarantine if you are vaccinated, have symptoms, and are awaiting COVID test results: Vaccinatedpersonswhohavesymptomsandtest.docx

Testing is not recommended for unvaccinated close contacts who have recovered from COVID-19 within the past three months and do not have symptoms of COVID-19. See attached: ThisistheCDC.docx

Testing Guide: COVID-19-Follow-up-Testing-Guide_1.pdf

If you are fully vaccinated and do not have symptoms of COVID-19:

You are well protected from COVID-19 once you are fully vaccinated. If you’d like reassurance, consider getting tested 3 to 5 days after you were exposed to someone with COVID-19.

If you are fully vaccinated and you have symptoms of COVID-19:

If you develop any symptoms within 14 days of being exposed to someone with COVID-19, you should get tested. COVID-19 vaccines are highly effective, but occasionally people who are fully vaccinated can get COVID-19. Most often your symptoms will be mild. Being vaccinated protects you from severe illness, hospitalization and death.

Close contacts will need to quarantine (see exceptions below). Quarantine means staying home and away from others for 14 days. Your quarantine period starts on day 0, which was the last day you were in close contact with the person who tested positive.

You can end quarantine after 14 days if you don’t get sick. If you develop symptoms at any point during your quarantine, contact your health care provider and the Health Department right away. See the timeline for close contacts of people with COVID-19.

You have the option to end quarantine early if you:

  • get tested on or after day 7 and get a negative test result. The test should be for a current infection (like a PCR test), except it should not be an antigen test (also known as a rapid test), and
  • did not have any symptoms of COVID-19. You must continue to monitor yourself for symptoms for the full 14 days.
  • If you are an unvaccinated inpatient or an unvaccinated resident of a long-term care facility, you do not have the option to test out of quarantine early.

You do not need to quarantine if you do not have symptoms of COVID-19, and:

  • you are fully vaccinated, unless you are an inpatient or resident in a health care setting, or
  • you have recovered from COVID-19 within the past three months, or
  • you had close contact with someone who is a close contact (for example, you live with someone or take care of someone who is in quarantine).

If you think you had close contact with someone who has COVID-19 but were not contacted, you may take precautions by quarantining for 14 days since the last day you were in contact with that person, and get tested on day 7 or after if you have not had any symptoms. From the CDC:

From the CDC:

When You’ve Been Fully Vaccinated    https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html

Travel   https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html

COVID variants    https://www.cdc.gov/coronavirus/2019-ncov/variants/variants.html

COVID 19 Prevention: Steps for parents/guardians and students: COVID19preventionsteps.docx

Covid-19 Guidelines for parent/students 

These are current COVID-19 guidelines for fall of 2021 as of 8-5-21:  edu-vdh-memo-french-levine-advisory-covid19-prevention-measures-fall-2021.pdf

Updated guidance as of 9/28/21: 9-22updateoncontacttracing.pdf

Masks:    During all in-service events and when school starts, all staff in school buildings, vaccinated and unvaccinated, will be required to wear masks while indoors until further notice.  Masking is not required when you are outside.

Letter to families from C. Gallahger 8-15-21:  AdvisoryMemo-August152021.pdf

This will be an in-person and virtual platform to accommodate as many people as possible.  People in attendance at the CEC are required to wear masks-virtual information will be provided before the event.

Return to school after illness :      CYF_VTBacktoSchoolAfterIllness-August21.pdf

Return to play/athletics after COVID-19:  

Pediatricians Reinforce Recommendation for "Return to Play" Protocol for Students who have had COVID-19.  Pediatric cardiology at UVM Larner College of Medicine recommend that all students over age 5 who had had COVID-19 be evaluated by their medical home to determine the need for a return to play protocol.  This could be related to any physical activity, including but not limited to physical education and organized sports.  This recommendation, updated in March 2021, does no tchange due to relaxation of any other COVID-19 protocols.  Kaitlyn Kodzis, MSN, BSN, RN, State School Nurse Consultant, Division of Maternal and Child Health.  

Return-to-play-after-COVID-19.pdf

http://contentmanager.med.uvm.edu/docs/cardiac_screening_in_pediatric_patients_after_covid19_infection_current_as_of_3_3_2021/vchip-documents/cardiac_screening_in_pediatric_patients_after_covid19_infection_current_as_of_3_3_2021.pdf?sfvrsn=d8e57527_2

 

 

School Health Services

School health services are a vital component of the multi-tiered system of supports needed to create and sustain learning environments that are equitable, culturally responsive and aligned to the needs of our students. Well trained, supervised and supported school nurses are vital to optimize health and academic outcomes for children and the school community. School nurses must be prepared to address the needs of today’s students and to plan for and respond to trending issues.

The Health Office is staffed by licensed school nurses during the scheduled school year Monday through Friday from 8 AM to 3:30 PM.  The nurses provide health services to LUMS, LUHS, and GMTCC students and staff.

We utilize The Vermont Standards of Practice: School Health Services Manual, (the Manual) addresses Vermont school health services in partnership with PreK-12 education. This Manual is Vermont’s guide for school nurses, school administrators, and others, who develop, implement, and evaluate continuous improvement activities of school health services. 

Health Information Updates, Prescription Medication Forms, Asthma Action Plans, and Allergy Action Plans are required to be completed every year. Our phone number is (802) 851-1212 and Fax number is (802) 888-2997

Forms:  

Health Information Update Form-go here

Prescription Medication Form-go here

Asthma Action Plan-go here

Allergy Action Plan-go here

Bee Sting Allergy Action Plan-go here

EPIPEN/INHALER-Prescription Form-go here

The following are required functions of the school nurse every year :

• Vermont Annual Immunization Reporting

• Vermont Annual School Nurse Report on Asthma, Insurance, and Well Care Visits, Dental Exams, and Health Appraisals

• Screening as required by law (vision and hearing)

 

General Illness and Injury:

The nurse(s) will administer basic first aid to your child during clinic hours as needed.  The nursing staff will contact the student’s parent/guardian with symptoms or injuries that are felt to require further medical assessment or emergent treatment beyond first aid.  If the emergency is life threatening or we are unable to reach you, EMS (Emergency Medical Services) will be called immediately.   Children are required to participate in physical education or outside activities unless we have received a note from their medical provider which specifies that they are unable to perform these activities.

Chronic Allergies and Illnesses:

 A child with a chronic illness or allergy may have a life-threatening reaction while at school or during a school event or field trip requiring an immediate response to save the child’s life.  Therefore it is the intent of the Health Office to ensure that an individual student treatment plans and appropriate rescue medication be readily available so that we can provide a safe environment for your child.  Parents can obtain additional information at www.leg.state.vt.us to view legislation including “H.748 An Act Relating to Permitting Students to Possess and Self –Administer Emergency Medication” and “158 An Act Relating to Life-Threatening Chronic Allergies and Illnesses in Schools.”  In accordance with this legislation, we are required to have Action Plans from your child’s physician/medical home.   See Forms Above.

Requests to go home ill once a student is at school:

Should a student request to contact their parent/guardian or to go home due to illness or injury we request they do so through the health office.  Please be sure that you provide and update the school with your most current contact information and that phone mail boxes are functioning.  Be prepared for a call should you send your child to school ill and have indicated to them that they can call should they not feel better.

Students will be excused through the health office to go home if:

  • They have a fever (eardrum temperature of 100.4 or above)
  • They have been witnessed vomiting

 Flu:

Every year, some students get sick with the seasonal Flu during the fall and winter months.  Symptoms can include: fever, chills, sore throat, cough, headache and body aches (sometimes nausea, vomiting and diarrhea.)  Flu can spread from person to person.  The CDC recommends that individuals with influenza like illness remain at home until at least 24 hours after they are fever free without the use of fever-reducing medications.

Head Lice:

Parents/guardians will be notified when head lice have been identified on their child.  The Vermont Department of Health and the Department of Education do not support the practice of exclusion (nit free, no nit) policies or practices.  Further information on head lice can be obtained on the Vermont Department of Health  website or by calling our local Vermont Department of Health office in Morrisville at 888-7447.

Medications:

Over-the-counter and prescription medications are kept in the Health Office and dispensed by Health Office staff.  Students are not allowed to carry medications unless the medication is an emergency rescue medication and we have received written permission from their physician to do so in the current school year.

Over-the-counter medications must be age appropriate and will be dispensed according to the manufacturer’s recommendations.  We dispense ibuprofen, acetaminophen, Benadryl for allergic reactions only, and antacids.  If you want your child to take any other over-the-counter medications while at school, we need your written permission along with the medication in the original container with your child’s name written on it.  Should your child’s medical provider recommend a dosage or frequency that exceeds the manufacturer’s recommended dose, a physician order is required.   

Written orders from a physician or health care provider detailing the name of the student, the drug, the dosage, route and time to be dispensed and/or schedule with the physician name and signature must be received by the health office before any prescription medication can be given.  Prescription medications must be in an appropriately labeled pharmacy container.  Your pharmacy will provide a second labeled bottle to you upon your request.  All prescription medication must be brought to school by an adult and kept in the Health Office during school hours.  For safety reasons, students should not bring medicine to school on the bus.  Please notify health office personnel should your child need to take prescription medication at school.  A student’s first dose of any medication that they have not taken before should occur at home.  Narcotic medications will not be dispensed at school.  A Prescription Medication Form can be found in our on-line Links.

Student Health Screens:

All seventh, ninth, and 12th grade students will be scheduled for health screening.  Students will undergo eye and hearing testing as part of this screening process.  If testing is initially found to be abnormal, the student will be re-screened to verify results.  If after a second screening the student still has not passed testing, parents will receive a letter providing them with their child’s specific results.

Immunizations:  

Vermont law requires the following:

  • students must meet school entry requirements for immunization
  • schools must notify parents when the student does not meet school entry requirements for immunization
  • schools must assure that students initially provisionally admitted meet vaccine requirements as soon as possible, not exceeding 6 months from enrollment

For entry into the seventh grade, or if your child is newly enrolling in our school, proof of the following immunizations are required:

  • 5 doses of DTaP (diphtheria, tetanus, and pertussis) vaccine
  • 4 doses of polio vaccine
  • 2 doses of MMR (measles, mumps, and rubella) vaccine
  • 3 doses of hepatitis B vaccine
  • DTap booster (Tetanus, Diphtheria, Pertussis)
  • Varicella (chicken pox) – (2) doses; or proof of immunity; or history of disease

Vermont Department of Health Documentation of Varicella -Chickenpox Disease form-go here

Immunization Exemption Form-go here

Education for Parents-Religious Exemption-go here

For more information on the Vermont Recommended Child and Teen Vaccination Schedule contact the Vermont Department of Health Immunization Program at (802) 863-7638 or toll free in VT (800)-640-4374 or visit their website:  HealthVermont.gov