Healthy LREI Dashboard

July 9, 2021

Dear Families, 

I hope that this note finds you well.  

Below you will find the message that Ava Dawson, LREI's health director, sent to all families in mid-May. I resend it, in part, as a general reminder, though more importantly to strongly encourage you to plan on having your twelve year-old or older child vaccinated against Covid-19 by the time school begins in September, or by the time pre-season practice begins for those high school students who will participate in our fall athletic program (more information on this coming soon.)  

It takes a minimum of 35 days from the day of first injection for someone to be considered fully vaccinated. Please plan accordingly. This is especially important for rising ninth and tenth graders as it will make the start-of-school trips safer for all.  

From Ava’s letter:

Covid-19 Vaccinations
  • We strongly encourage all students who are 12-years-old or older to complete their Covid-19 vaccination series. 
  • The Covid-19 vaccine no longer needs to be spaced from other routine childhood immunizations.
  • The more students who are vaccinated the safer school-life will be for all. 
  • Vaccinated students will surely be able to take advantage of all that our program has to offer, participating in athletics with other schools, for example.
  • Vaccinated students will not have to quarantine if exposed to a Covid positive person.
  • It is possible that we will ask for all unvaccinated students to have periodic Covid tests.  This will possibly be the same for adults when attending in-person events.
  • A reminder that vaccinated adults at home further protect students who are yet to be eligible for the vaccine. 
And, of course, in addition to making sure your child has all necessary immunizations and the Covid-19 vaccine, please complete all Magnus requirements.  

Be well, 

Phil
 
---

Ava's May letter to all families:
 
Dear Families:
 
While I know that fall may seem a long way off, in thinking about next school year, I wanted to remind you about the school health requirements now. We will be in touch if procedures or requirements change over the summer. If your child will not be returning to LREI in the fall, you can disregard this letter. 
 
All health forms must be completed and signed within Magnus, our online school health portal. The information can be uploaded from a phone, tablet, or laptop, via Magnus.  Most of the forms are a simple electronically signed parent/guardian document. Current parent/guardian forms expire on June 1 and must be completed by August 1 for the 2021-22 school year. 
 
We ask that you do your best to complete all of the other electronic forms available in our school’s Magnus Health account and upload any physical forms you may have already completed now. We greatly appreciate you submitting all of the forms that you can complete today! As this system is child-centric, it will be necessary to repeat the login process for each of your children.  Please upload your forms directly to Magnus; do not email forms to the nurses.
 
You may want to watch the tutorial on the Magnus website before you begin to refresh your memory on how to navigate the site.

  https://helpdesk.magnushealth.com/customer/en/portal/articles/1449116-getting-started-video

To access your Magnus Health Account:

This is a single sign on process, which means that you will only need your Connect user ID and password.   Once you are logged into Connect, you simply click on “Resources” and then  the orange “Magnus Health SMR” button, and you will be logged into Magnus from there. Here is a checklist of information and documents that must be completed in Magnus:
  • Student Health Record (data) – please review and revise the information you provided in past years to ensure that it is up-to-date and accurate. This section includes updating your child’s emergency contacts, please make sure that all phone numbers and associations are current.
  • Parent Consent to Treat and Consent for Communication – electronic signatures required annually
  • Health Policy Confirmation - please review to ensure you understand the health policies of the school. Parent electronic signature required annually. 
  • Parent Over-The-Counter Permission – electronic signature required annually
  • Immunization Form –  Vaccines are due according to the NYS required schedule. We have emailed families  individually if a child is missing a vaccine required for their rising grade. Per NYS regulations, students will not be permitted to attend school after September 22, 2021 if they are missing any required immunizations.
  • Physical Form – CH-205 or equivalent. Physicals are due one year from the date of the physical exam completion (example: Your child’s physical was completed on 10/12/2020, you need to upload a new physical on 10/12/2021).
  • Athletic Participation Form- required only if your child will be playing a sport
  • Prescription Medication Form- required annually if applicable
  • Asthma Action Plan Form- required annually if applicable
  • Food Allergy Action Plan Form- required annually if applicable
  • Diabetes Action Plan Form- required annually if applicable
  • Seizure Action Plan Form- required annually if applicable
A note on medications:
 
Students are not permitted to carry medications in their bag or on their person during the school day, with the exception of students with asthma or life-threatening allergies who require inhalers or epi pens, and who are deemed competent to administer their own medication. If your child will require medication during the school day, please bring it to the nurse for your child's division at the start of the day. All medications to be administered in school require a provider's order and a parent signature on both pages of the "Permission to Administer Medication" form.
 
Covid-19 Vaccinations
  • We strongly encourage all students who are 12-years old or older to get a Covid-19 vaccination.  If/when the vaccines become available to students younger than 12, we encourage families to vaccinate these students as well.  
  • The Covid-19 vaccine must be spaced at least 2 weeks after and prior to any other vaccines. Please discuss the timing of this with your pediatrician if your child has other vaccines due. This article may be helpful to you. 
  • The more students who are vaccinated the safer school-life will be for all. 
  • Vaccinated students will be able to take advantage of all that our program has to offer, participate in athletics with other schools and are less likely to have to have periodic Covid tests. 
  • It is possible we will ask for all unvaccinated students to have periodic Covid tests.  This will possibly be the same for adults when attending in-person events.
  • We are optimistic that younger students will become eligible for the vaccine in the fall.  We encourage families to vaccinate their younger children as soon as possible. 
  • A reminder that vaccinated adults at home protect students who are yet to be eligible for the vaccine. 
Please plan to complete Magnus forms for each enrolled child by (August 1st, 2021). We encourage you to complete these requirements as soon as possible!
 
Questions or Problems?
If you are having difficulty navigating the Magnus system, entering data online, or downloading the hardcopy cover sheets and forms, or if you have any other questions, please contact customer support at Magnus Health SMR by phone at 877.461.6831 or by email at service@magnushealthportal.com.
 
Also, please feel free to consult the Magnus Health page for Parents: http://magnushealth.com/parents/ and Privacy and Security page at www.magnushealth.com/privacy-and-security/ .  
 
If you have trouble accessing Connect, the LREI helpdesk is available via email at help@lrei.org.
 
Sincerely,
Ava Dawson, DNP, RN, CPNP-PC
Health Director

COVID Q&A - Symptoms/School Exclusion/Isolation/Quarantine/Contact

List of 17 items.

  • What are the symptoms of COVID-19 that require school exclusion?

    Per the CDC and NYS Department of Health:
    • Fever (100.0) or chills
    • Cough
    • Shortness of breath or difficulty breathing
    • Fatigue
    • Muscle or body aches
    • Headache
    • New loss of taste or smell
    • Sore throat
    • Congestion or runny nose
    • Nausea or vomiting
    • Diarrhea
  • What is isolation?

    Isolation applies to individuals with a suspected or confirmed case of COVID-19. It involves the diagnosed person having no interaction with other members of the household. The person must have their own bathroom and a door to their quarters. Meals are delivered to the room. This is difficult in a private residence, and may be impossible if the person in isolation is a young child. 

    Per the NYS DOH guidelines, a person diagnosed with COVID-19 must isolate for 10 days after the onset of their symptoms OR 10 days from the date they were tested (if they were asymptomatic). Repeat COVID testing is not recommended after the 10 day isolation period.
  • What is quarantine?

    Quarantine applies to individuals exposed to a suspected or confirmed case of COVID19, or who have recently traveled internationally or in states with widespread COVID-19 transmission. People in quarantine feel well, but may be pre-symptomatic. A person in quarantine must monitor themselves closely to determine if they have developed symptoms of COVID-19. The person must have their own bathroom or clean the bathroom between each use. They must sleep in a separate room from anyone not in quarantine, in case symptoms develop at night. If they develop symptoms, they must be tested and start an isolation period. 

    Per the NYS DOH guidelines, a contact must quarantine for 10 days after their date of last contact with a person diagnosed with COVID-19, and continue to monitor closely for symptoms for 14 days. If a person has ongoing contact with a case during their isolation period, they must quarantine for the case’s 10 day isolation period, plus an additional 10 days (potential 20 day quarantine). 

    If your child has been quarantined due to contact with a positive case, LREI requests that they be re-tested for COVID-19 by PCR on or after day 7 of their quarantine period prior to returning to school.
  • What happens if my child gets sick?

    If your child develops any symptoms of COVID-19 at school, as defined by the CDC and NYS Department of Health above, they will be evaluated by a nurse, placed in an isolation room, and a parent/guardian will be called to pick them up. We expect that you will be available to answer a call from the school at all times during the day, and will pick up your child within 1 hour of contact. Young children and children requiring ongoing nursing care will be accompanied into isolation by a nurse. Older children will be visually monitored by a nurse while in isolation. 

    Any child sent home with COVID-like-symptoms must have the following to return to school:
    • A negative COVID test (PCR) AND a clearance note from their doctor to return 
    • At least 48 hours fever-free without fever-reducing medication
    • Symptom improvement and the ability to self-manage any lingering symptoms in school
    If a child is not tested for COVID-19, they must stay home and isolate (as if they were positive) for 10 days after the onset of symptoms. We will be required to quarantine all of their contacts from the preceding 2 days. 

    Siblings/other household members must stay home while a student has a pending COVID-19 test due to symptoms. 


  • What if my child develops symptoms at home?

    If your child develops symptoms of COVID-19 at home, we expect that you will keep them home from school and contact the nurse. 

    Any child who experiences COVID-like-symptoms must have the following to return to school:
    • A negative COVID test (PCR) AND a clearance note from their doctor to return 
    • At least 48 hours fever-free without fever reducing medication
    • Symptom improvement and the ability to self-manage any lingering symptoms in school
    If a child is not tested for COVID-19, they must stay home and isolate (as if they were positive) for 10 days after the onset of symptoms. We will be required to quarantine all of their contacts from the preceding 2 days. 

    Siblings/other household members must stay home while a student has a pending COVID-19 test due to symptoms.
  • What if a parent or household member (including nanny) develops symptoms of COVID-19?

    If a household member becomes symptomatic, the student must quarantine until the primary contact is tested and receives negative PCR results. Students may not attend school if a household member has a pending evaluation or test for COVID-19. 

    This means that if a parent or sibling has symptoms and is being tested, the student must stay home until those results are available and negative.
  • What if a parent or household member tests positive for COVID-19? 

    That household member must isolate for 10 days after the onset of their symptoms OR 10 days from the date they are tested. Any close or proximate contacts (including all household members) must quarantine away from the primary contact for 10 days from the date of last contact. If the student is not able to quarantine away from the parent or household member, the student could potentially require a quarantine lasting up to 20 days. 

    If a student is vaccinated, but they have a household COVID contact, they will be asked to quarantine.


  • I have more than one child in the school. What happens to a sibling if the other gets sick? 

    If you have more than one child in the school and are called to pick up one sick child, you will be asked to take any other children home as a precaution until the primary contact has a negative COVID-19 test. 
  • What if a student or teacher in my child’s class is diagnosed with COVID-19?

    The school will contact trace all positive COVID-19 cases within the community. You will be notified immediately if your child is a contact of anyone who is diagnosed with COVID-19. Due to privacy laws, we cannot inform you of the name of the person diagnosed, only that your child had contact with someone now diagnosed with COVID-19. Any contacts will be required to quarantine for 10 days from their date of last contact with the positive person. This will likely mean that the entire class will be home for up to 10 days, depending on the primary contact’s school attendance.

    We require that you fully quarantine for this period and not travel, interact with other members of the school community, or schedule play dates or group learning pods. 

    Siblings in other classes will no longer be required to quarantine for in-school exposures as long as the primary contact is feeling well.
  • What if a child or household member is designated as a contact of a case of COVID-19 and is required to quarantine?

    If a household member is placed on mandatory quarantine due to COVID-19 contact due to an outside of school exposure, all household members will be required to quarantine. Students may not attend school if a household member has a pending evaluation or test for COVID-19.

    If the primary contact is able to fully quarantine away in a separate residence from the student, then the student may be permitted to attend school after the primary contact tests negative. These decisions will be made on a case-by-case basis. 

    If the primary contact is not able to quarantine away from the student, then the student will be required to quarantine at home with the primary contact and not attend school until the primary contact is released from quarantine.

    If the primary contact is another child or adult exposed IN A SCHOOL setting (not inclusive of athletics), we will permit household members to attend school if separation and masking is adhered to at home. This is due to the proven low likelihood of transmission in the classroom. 

    Example 1) - A student is informed of an obligation to quarantine due to a COVID-19 diagnosis of a classmate. The Student's sibling may attend school during this quarantine period if Child A has no symptoms, sleeps in a different sleeping space and the family agrees to mask at home. If Child A develops any symptoms, the sibling may not attend school. 

    Example 2) A parent is exposed to COVID-19 by a friend at an unmasked dinner party and has no symptoms. The parent’s student may only attend school after the parent has a negative PCR test AND if the parent is able to fully quarantine away from their child.
  • What if a student or teacher in my child’s class has symptoms of COVID-19

    You will not be notified if a community member experienced symptoms until we receive documentation of a positive COVID-19 test.
  • What if my child has seasonal allergies and is coughing or congested?

    Cough and congestion are both symptoms on the list of COVID-19 symptoms. For any new onset or new worsening of symptoms, we are required by the NYS Department of Health to isolate and refer the student for testing. 

    To avoid this situation, we strongly recommend that you talk to your pediatrician regarding starting your child on daily allergy medications to prevent these symptoms before they start.
  • What if my child already had COVID-19?

    At this point, the research is unclear if a person can contract COVID-19 multiple times, though there have been case reports to suggest that it is possible. As a result, you will be required to follow the isolation, testing and return to school procedures outlined above, even if your child was diagnosed with COVID-19 in the past or has a positive antibody report UNLESS the COVID infection was within the last 90 days and the person has not traveled internationally. 

    If your child has had COVID-19 in the last 90 days, but their class is closed due to quarantine, they will be required to join their class in LREI Remote.
  • What if I am vaccinated? 

    1. Vaccinated person, exposed in school: An asymptomatic vaccinated person who is 2 weeks past completion of the vaccine series and is exposed to a case of COVID-19 in school will not be required to quarantine. They will be asked to test on day 7 after the last known exposure, as the risk of transmission is not 0. If any symptoms develop at any time in the 14 days after exposure, the staff member must quarantine, inform the nurses and be tested immediately. 
    1. Vaccinated person, exposed socially outside of school: An asymptomatic vaccinated person who is 2 weeks past completion of the vaccine series and is exposed to a case of COVID-19 outside of school with a limited duration of contact will not be required to quarantine. They will be asked to test on day 7 after the last known exposure, as the risk of transmission is not 0. If any symptoms develop at any time in the 14 days after exposure, the staff member must quarantine, inform the nurses and be tested immediately. 
    1. Vaccinated person, living with a positive household member: A vaccinated person  who will continue to live with a positive household member and have continuous exposure will be required to quarantine. Please contact the nurses if this occurs. The quarantine will be the 10 days of the positive person’s isolation plus an additional 10 day quarantine period from the date of last contact. PCR testing will be required on day 7 of the quarantine period. 
    1. Partially or unvaccinated person: A staff member who is not 2 weeks past completion of their vaccine series, will be required to quarantine for 10 days. They must submit a negative PCR test taken on or after day 7 of quarantine to return. Submit this to testresults@lrei.org
  • What are the travel restrictions?

    The NYS Travel Advisory is constantly evolving. Please read the below explanations carefully to understand the rules regarding travel and your child’s school attendance (as of 5/25/2021).  Note that the NYS DOH no longer requires testing prior to return to NY and no longer requires quarantine after domestic travel. However, because these precautions are still recommended by the NYS DOH and CDC, LREI continues to require the following:

    Unvaccinated Domestic Travel:
    • Must test  on day 4 after returning to NY (travel day is day 0)
    • Must quarantine until tests are resulted and monitor for symptoms for 14 days
    • Must be cleared to return to school by the nursing team. 
    Any International Travel (regardless of CDC risk level):
    • Must quarantine for 7 full days and monitor for symptoms for 14 days
    • Must test within the 3 days prior to the return to the US
    • Must test on day 4-5 after returning to NY (travel day is day 0)
    • Must be cleared to return to school by the nursing team
    Vaccinated Travelers
    • Travelers who have completed their vaccine series 2 weeks prior to travel will not be required to quarantine prior to return for DOMESTIC travel only
    • Fully vaccinated faculty, staff and students will still be required to submit a negative PCR test on day 4 after travel, as the risk of transmission is not 0.
    • International travel continues to require quarantine, even if fully vaccinated. 
    • If parents are vaccinated, but the student is not, the student must quarantine and test in accordance with the travel advisory. 
    • If you have vaccinated travelers visiting you from out of town, they must be more than 2 weeks post-completion of their full vaccine series to avoid quarantine. 
    Travelers with a history of COVID-19 in the past 90 days:
    • Domestic travel: Will not be required to test or quarantine. Must monitor for symptoms for 14 days after return and be tested if they develop.
    • International travel: Will be required to follow the above international travel protocol. Because a person may test positive for 90 days after infection, you may choose to quarantine for 10 days after return.
    If your child is traveling as outlined above, we expect that you will report this travel to the school’s nurses prior to leaving (nurses@lrei.org) and on your daily Magnus screening. You will be required to submit your child’s negative test results. The test performed in NY must be a PCR or Vault/saliva test (we WILL accept rapid PCR testing for travel clearances). We will not accept rapid antigen testing. The nurse must provide clearance to your child in writing prior to their return to school. 

    If your child is traveling in a state for less than 24 hours, they are not required to test prior to leaving, do not have to quarantine, but must still be tested on day 4 after their return. 

    *No reporting or testing is required if traveling to NJ, PA, CT, MA or VT

    If a household member is traveling to another state or country, but your child is not traveling, you must follow the outlined procedure for the household member. In order for your child to continue to attend school upon the household member’s return home, the traveler must be able to fully quarantine away from the family if quarantine is required (or be fully vaccinated).  If the traveler is not vaccinated and not able to fully quarantine away from the student, then the student must stay home and quarantine with the household member.
  • What are the current Magnus screening travel questions?

    The Magnus travel questions now read:
    1. If your child traveled out of state (other than NJ, PA, CT, MA or VT) or internationally in the last 14 days, have you fulfilled the travel testing and quarantine requirements and been cleared by the school nurses to return? 
      1. N/A (may attend school)
      2. Yes (may attend school)
      3. No (may not attend school)
    1. If a household member has traveled out of state (other than NJ, PA, CT, MA or VT) or internationally and are required to quarantine, are they able to fully quarantine away from other family members?
      1. N/A (may attend school)
      2. Yes (may attend school)
      3. No (may not attend school)
  • Click to review information on precautionary quarantines from the NYS Travel Advisory Website:

    Please see the below information on precautionary quarantines from the NYS Travel Advisory Website:
    • The individual must not be in public or otherwise leave the quarters that they have identified as suitable.
    • Separate quarters with separate bathroom facilities for each individual or family group. Access to a sink with soap and water, and paper towels is needed. 
    • The contact must have a way to self-quarantine from household members as soon as fever or other symptoms develop, in a separate room. There must be a door that separates it from the rest of the living area and has its own bathroom. Given that an exposed individual might become ill while sleeping, the exposed individual must sleep in a separate bedroom from household members. 
    • Cleaning supplies, e.g. household cleaning wipes, must be provided in any shared bathroom. 
    • If an individual sharing a bathroom becomes symptomatic, all others sharing the bathroom will be considered exposed persons until the symptomatic individual is appropriately evaluated and cleared. 
    • Food must be delivered to the individual’s quarters. 
    • Quarters must have a supply of face masks for individuals to put on if they become symptomatic. 
    • Garbage must be bagged and left outside by the door of each of the quarters for routine pick up. Special handling is not required.