COVID-19 Screening Flowchart Shelley Hoyer BSN RN NCSN LSN • Indian Hill School District

This flowchart will be used by health staff and families to provide guidance regarding students who may present to the clinic with COVID-19-like symptoms.
This does not replace nursing judgement based on identified findings.

Indian Hill Schools     Last Updated August 17, 2020

Student Comes to Class or Clinic with Concerning Symptoms:

Teacher will: 

1. Be sure student has mask on properly

2. Have student step into hallway with belongings 3. Call clinic for health escort
4. Sanitize hands and ensure that other students do as well

5. Record close contact information for contact tracing if necessary

(those within 6 feet for > 15 minutes), have seating chart readily available

Nurse or Clinic Aide will: 

1. Walk to classroom wearing PPE
2. Escort student to clinic while maintaining social distancing 3. Take history and assess student

Pediatric patients with COVID-19 may experience the following signs or symptoms over the course of the disease:

• Fever • Cough
• Nasal congestion or rhinorrhea
• Sore throat

• Shortness of breath • Diarrhea
• Nausea or vomiting

When did symptoms start?

Did you take any fever-reducing medicine at home in the last 3 days?

Recent Travel?

Recent exposure to someone ill?

Anyone close contact test COVID positive?

CATEGORY 1 SYMPTOMS

coughing, rapid breathing or dificulty breathing (without recent physical activity)

CATEGORY 2	Temp > 100.4 SYMPTOMS

fever, chills, body aches, headache, sore throat, new loss of taste/smell

• Fatigue

• Headache • Myalgia
• Poor appetite

• Loss of taste and smell

Call EMS if:

• Trouble breathing

Allow student to rest for
10 minutes.	NO If no clinic

space available -return to class -

Are Verbal, Visual
or Physical concerns out of range?

*IF YES*

ISOLATE 

YES	 Call Parent & notify siblings’
principals

• Persistent pain or pressure in chest
• New confusion

• Inability to wake or stay awake
• Bluish lips or face

• Obvious distress

IMPROVING? NO

YES

Parent to pick up immediately. Student escorted to vehicle. Nurse will advise parent to call primary healthcare provider for next steps and notify Principal.

Quarantine/Return to School Protocol for Symptomatic Individuals

(Hamilton County Public Health)

Nurse reports suspected case to
Hamilton County

Return to Class

Per Hamilton County Public Health: Your child may return to school when the following are true: *At least 10 days have passed since symptom onset
AND

*The individual has been fever free for 24 hours without the use of fever-reducing medication AND
*Their other symptoms have improved OR

*It is determined by HCPH that the student is not a probable/confirmed case of COVID-19 and the student fits our district policy for return to school following our existing school illness management policies.

indianhillschools.org

Public Health

Contact Tracing will be managed by Hamilton County Public Health

Families follow quarantine, isolation
and return protocols