Back to School Resources


Guidance on Return to Sport/Activity

Gradual Return to Activity Protocol 3 10 21

COVID Resources for School and Sport TipSheet 3-24-21

Updated Athletic Guidance from the National AAP - https://services.aap.org/en/pa...

COVID Return to Play Guidance for providers 03 16 21

14 point pre-participation sports physical: https://med.stanford.edu/content/dam/sm/ppc/documents/HSupervision/AHA_14-point.pdf

Maine DECD Community Sports Guidance (not clinical guidance): https://www.maine.gov/decd/checklists/community-sports

Gradual Return to Activity Protocol 3 10 21

COVID Return to Activity Letter for school 3 10 21


Provider Checklist for Each Patient Visit

- Ensure vaccines are up to date

- Review flu shot plan

- Review chronic illness control, especially asthma/allergies (consider aggressive management to prevent flares which may lead to being sent home/tested)

- Streamline medication regimens (when possible, try to reduce or eliminate school nurse administered medications)

- Sign releases to assure communication between school nurses and provider offices


Youth Mask Use

COVID Face Mask Wearing Tips and Tricks

Mask Guidance for School Aged Children

CHKD Tips for pediatricians on children's anxiety around wearing face masks

CHKD mask wearing exemption for children

Tips for your patient or child has difficulty wearing a mask, here are a few suggestions to help them become accustomed to wearing a mask:

  • Try different masks, including different styles (pleated, duck bill, ear loop, bandana) and fabrics.
  • Practice wearing a mask in the home; start with short periods of time, even a few minutes at first, and gradually increase.
  • Offer the child stickers or small rewards for keeping their mask on.
  • If the child has known significant sensory issues, work with his/her OT now to prepare for possibly wearing a mask at school.
  • If the child has anxiety, work with his/her therapist now to prepare for wearing a mask at school.
  • Be a good role model. If children see adults in their life wearing a mask comfortably without complaining, they are more likely to accept it.


Mask Desensitization

Mask Desensitization techniques: https://paautism.org/resource/desensitization-mask-communication/#:~:text=Desensitize,by%20using%20a%20desensitization%20tool

Social story: https://paautism.org/resource/wearing-mask-social-story/

Mask Desensitization Guide: https://www.thesummitcenter.org/app/uploads/2020/04/Desensitizing-to-Wearing-Face-Mask-Parent-Resource.pdf


Mask Exemptions

Limited indications should be used for children on oxygen, children with a severe developmental disability/NM Disease (cannot remove mask themselves), and certain panic disorders.

Mask exemption letter template


Vaccines

Vaccine Catch-Up Clinics By Public Health Nursing:

https://www.maine.gov/dhhs/mecdc/infectious-disease/immunization/vaccine-clinic.shtml?utm_medium=email&utm_source=govdelivery

Maine Immunization Curbside Vaccine Protocols: https://www.maine.gov/dhhs/mecdc/infectious disease/immunization/providers/documents/mip-curbside-immunization-protocol.pdf

Who Should Remain at Home? (General Epidemiologic Protocols)

Ultimately, the Maine CDC will manage positive COVID results and determine isolation, quarantine and contact tracing. The Maine CDC will alert the referring provider (and/or the clinician who ordered the test) prior to contacting the patient/family to initiate contact tracing. Below is general guidance (Clinical Recommendations Algorithm); the Maine CDC will make individual recommendations for each positive case.

Symptomatic (even mild symptoms):
Most will require testing. If no alternative diagnosis is found and no COVID test is done, presume COVID positive. Stay home for 10 days from symptoms onset, AND 24 hours fever free without antipyretics AND other symptoms improving (not resolved).

COVID positive test with symptoms: Stay home for 10 days from symptoms onset, AND 24 hours fever free without antipyretics AND other symptoms improving (not resolved).

COVID positive asymptomatic:
Stay home for 10 days from first positive test.

Waiting for results of a COVID test:
Stay home until results obtained.

Close contact has tested positive for COVID:
They must stay home for 14 days from the first contact with the COVID positive individual, even if a later test comes back negative. [Even if other COVID testing during the 14 day period is negative, they still must complete the 14 days.]


Children at Higher Risk Include Children with:

  • Medical complexity
  • Immunosuppression
  • Chronic Cardio-Pulmonary Disease (including moderate to severe asthma- especially if not controlled)
  • Obesity
  • Metabolic disease (such as Diabetes)
  • Neurologic Disorders

Children at higher risk requiring remote learning: Template Letter


Clinical Guidance Protocols

Patient Guidance on Managing COVID at Home: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html

Covid Symptoms -testing protocol suggestions (err on the test side)

Office Triage protocols for COVID (Schmitt Pediatric Guidelines LLC)

CHOP Protocol MIS-C Evaluation: https://www.chop.edu/clinical-pathway/multisystem-inflammatory-syndrome-mis-c-clinical-pathway)


Mental Health Resources

  • NAMI Teen (ages 14-20) Text Line: Hours: Noon-10pm - 207-515-8398
  • National Crisis Text Line: Text “HOME” to 741741
  • Maine Crisis Hotline - 1-888-568-1112


Care for Clinicians

Maine Healthcare/First Responder Warmline 1-866-771-9276

We are hard wired for the negative- Check out some of the research on '3 Good Things' https://bmjopen.bmj.com/content/7/5/e015826.longhttps://www.hsq.dukehealth.org/tools/

Headspace for Medical Workers: https://www.headspace.com/covid-19