Feedback

403.04AP Communicable Diseases – Administrative Procedures

403.04 Administrative Regulations

COMMUNICABLE DISEASES

These administrative regulations are developed for implementing Board policy regarding communicable disease.  The following guidelines are recommended to handle communicable disease, including AIDS, in the school district.

The list below is an outline to the materials included in these regulations:

  • Specific guidelines and comments regarding AIDS
  • Guidelines for preventing spread of infectious disease
  • Guidelines for maintaining a safe, healthful school environment
  • Procedures for cleaning up body fluid spills
  • Special procedures for early childhood special classroom setting
  • Selecting an appropriate disinfectant
  • Special procedures for science classes
  • Pandemic Influenza

Specific Guidelines and Comments Regarding AIDS

The following guidelines are recommended, in addition to the other administrative regulations and procedures for communicable disease, to handle AIDS in the school district.  Current epidemiological data reveals that AIDS and its related viral infection are transmitted by close intimate sexual contact and/or by blood.  This virus is not spread by causal contact that a student or school district employee is expected to have in the school environment, and to date there is no recorded transmission of AIDS or the viral infection to a family member of an AIDS patient unless there is direct sexual or blood contact.  Casual transmission from one person to another by sitting near each other, living in the same household, or playing together has not been documented.

  1. District employees will notify the superintendent or designee whenever they are aware of an employee suspected of having a chronic communicable disease.
  2. Upon notification, the superintendent will contact the local health officer for advice regarding applicable regulations of the local Board of Health.  If the superintendent has reasonable cause to believe that the employee is an infected individual, the superintendent will require the employee to provide appropriate medical reports to submit to a medical evaluation.  Reasonable cause would exist, for example, if the spouse of a school employee has AIDS, or if a school employee recently has given birth to a child who has AIDS.  The cost of a requested medical evaluation will be borne by the Board of Education.
  3. The sexual orientation of an employee will not constitute reasonable cause to believe that the employee is an infected individual.  No employee will be required to provide information as to his or her sexual orientation.
  4. In the event medical data reveals that the employee has been diagnosed as having a chronic communicable disease, the determination of whether or not that employee should be permitted to remain employed in a capacity that involves contact with students or other employees will be made on a case-by-case basis.
  5. If the superintendent, or designee, in consultation with medical or health authorities, believes the case poses a health threat, the employee will be contacted and removed from the workplace.
  6. At the meeting held to determine the employment status of the infected employee, the individuals present will base their determination on the:
    1. physical condition of the employee
    2. expected type of interaction with others in the school setting
    3. risk and benefits to both the infected employee and others in that setting
  7. If a consensus on the employment status of the infected individual is not reached, the decision of the superintendent will prevail.  The decision of the superintendent may be appealed to the Board of Education.
  8. If the determination is made that the employee should be removed from the school setting, the employee will be placed on medical leave and will be entitled to use any available sick leave and apply for any available medical disability benefits.
  9. Prior to termination or resignation, the employee may return to work if medical judgments substantiate that the employee no longer poses a significant health threat to students and/or other employees.
  10. The identity of an infected individual or an individual believed to be an infected individual will not be publicly revealed except when that individual remains employed and precautions are advised or required for those in contact with that individual.  In that instance, knowledge about the case will be confined to those who are advised or required to take such precautions.
  11. An employee with a chronic communicable disease may be reassigned to a position that limits student/employee contact or may be placed on medical leave if medical judgments substantiate that such employee poses a health threat to students and/or other employees for a period of up to six months.  The Board reserves the right to terminate an employee who is unable to return to work at the conclusion of the medical leave period.
  12. A chronic communicable disease is defined as a persistent or recurring infection that may be transmitted to a susceptible person by an infected individual.  This policy does not apply to acute infectious diseases of childhood such as measles, mumps and chicken pox.  The National Centers for Disease Control will be the definitive authority on the identification and transmission of chronic communicable diseases.
  13. The superintendent will be responsible for assuring that procedural safeguards are used when determining the employment status of employees with chronic communicable diseases.

Guidelines for Preventing Spread of Infectious Disease

Transmission of infectious diseases may occur more readily where close personal contact is involved in student care.  Preschool and kindergarten settings, as well as special facilities for handicapped students, need special attention for the prevention of infectious diseases.

Preventing the spread of infection requires that personal and environmental cleanliness techniques be practices at all times in every school setting.

Prior to the enrollment or continued attendance in the regular or special classroom of an infected student, the school nurse shall develop specific procedures appropriate to the student’s age and the stage of development for the specific disease.  The school nurse should carry out the following procedures:

  1. Conduct a health and developmental assessment, including a review of the student or employee’s medical records.
  2. Attempt to identify students and school personnel who may be at risk, such as those who are chronically ill, pregnant or taking immunosuppressant medication, if the information is available.
  3. Identify appropriate personal and environmental cleanliness techniques in accordance with student and staff needs.
  4. If the regular education program cannot be modified and the student is identified as an individual with exceptional needs, write appropriate health objectives for the student’s Individualized Educational Program (IEP).
  5. Orient and train all staff members, including custodians, substitute teachers, volunteers, and bus drivers.  Orientation and training must be ongoing and must be scheduled to include new personnel.
  6. Maintain ongoing communication with parents and seek a release of information in order to consult with the primary physician regarding the student’s status.
  7. Verify the school district’s efforts to prevent the spread of infection and to protect the health of employees and students by documenting the training and supervision of employees.

Guidelines for Maintaining a Safe, Healthful School Environment

These guidelines and procedures should be followed regardless of the presence or absence of a student or employee known to have an infectious disease.

All facilities should make provisions for personal and environmental cleanliness.

  1. Allow sufficient time for hand washing after using the toilet and before eating meals and snacks.
  2. Provide ready access to hand-washing facilities.  These should include hot and cold running water and liquid soap in a workable dispenser.
  3. Provide disposable paper towels.  The use of cloth towels is discouraged; however if cloth towels are used, discard them with other contaminated linens after each use.
  4.  Maintain storage areas for linens, utensils, equipment, and disposable items.  These areas must be separate from areas used for storage of soiled items.
  5. Keep soiled disposable items in covered waste receptacles lined with disposable plastic bags.  At the end of each day, the plastic bags are to be sealed and discarded.  DO NOT REUSE.

Hand washing is the most important technique for preventing the spread of disease and should be done frequently.  Proper hand washing requires the use of soap and water and vigorous washing under a stream of running water for at least 10 seconds.  Rinse under running water.  Use paper towels to thoroughly dry hands.  Wash hands:

  1. Before drinking, eating or smoking
  2. Before handling clean utensils or equipment
  3. Before and after handling food
  4. Before and after assisting or training the student in toileting and feeding
  5. After going to the bathroom
  6. After contact with body secretions, such as blood (including menstrual flow), urine, feces, mucus, saliva, semen, tears drainage from wounds, etc.
  7. After handling soiled diapers, menstrual pads, garments, or equipment
  8. After caring for any student, especially those with nose, mouth, eye, ear or any body secretions
  9. After removing disposable gloves

All staff members should practice specific hygienic principles designed to protect themselves and others from infection

  1. Maintain optimum health through effective daily health practices such as adequate nutrition, rest, exercise, and appropriate medical supervision
  2. If a care provider has a cut or an open lesion on his/her hands, disposable gloves should be worn when providing direct care for any student where there is contact with bodily excretion or secretions
  3. Avoid rubbing or touching eyes
  4. Wash hands frequently
  5. Tailor the use of jewelry such as rings, dangling bracelets and earrings during working hours to possible risks associated with specific job duties
  6. Use own personal care items such as combs, fingernail files, nail clippers, lipsticks, and toothbrushes

Guidelines for Maintaining a Clean School Environment

These guidelines and procedures should be followed regardless of the presence or absence of a student or employee known to have an infectious disease:

  1. Clean the following areas and items daily:
    1. Classrooms, bathrooms, and kitchen
    2. Floors
    3. Sinks and faucet handles
    4. Soap dispenser spigots and/or bar soap containers
    5. Wall behind sinks
    6. Toilets
  2. Vacuum carpets daily.  If a rug or carpet is soiled, disinfect immediately.
  3. Clean waste receptacles at least weekly.
  4. If heavy non-disposable gloves are worn when a disinfectant is being used, they must be washed and air dried after each use.  They must be stored in the room of use in the area reserved for soiled articles.
  5. Techniques for handling food and utensils:
    1. Maintain a clean area of the kitchen for serving food
    2. Maintain a separate area of the kitchen for clean up
    3. All leftover food, dishes, and utensils should be treated as if they were contaminated
    4. Scrape food from soiled dishes and/or place disposable dishes in plastic lined, covered waste receptacle
    5. Pour liquids into sink drain
    6. Rinse dishes and utensils with warm water before placing them in the dishwasher
    7. Clean sinks, counter tops, tables, chairs, trays, and any other areas where foods or liquids have been discarded or spilled; use approved disinfectant
    8. Wash hands prior to removing clean dishes from the dishwashers and storing them in a “clean” area of the kitchen

Guidelines for Cleaning up Body Fluid Spills

(blood, feces, urine, semen, vaginal secretions, vomitus)

These procedures should be used for all students or employees regardless of their infectious disease status:

  1. Wear disposable gloves.  When disposable gloves are not available or unanticipated contact occurs, hands and other affected areas should be thoroughly washed with soap and water immediately after contact.
  2. Clean and disinfect all soiled hard, washable surfaces immediately, removing soil before applying a disinfectant.
    1. Use paper towels or tissues to wipe up small, soiled areas.  After soil is removed, use clean paper towels and soap and water to clean area.
    2. Disinfect area with a dilution of 1:10 household bleach solution or another disinfectant.
    3. Apply sanitary absorbent agent for larger soiled areas.  After soiled is absorbed, vacuum or sweep up all material.
    4. Disinfect area with a clean mop.
  3. Clean and disinfect soiled rugs and carpets immediately.
    1. Apply sanitary absorbent agent, let dry and vacuum.
    2. Apply rug shampoo (a germicidal detergent with a brush and revacuum.
  4. Clean equipment and dispose of all disposable materials.
    1. Soiled tissue and flushable waste can be flushed in toilet.  Discard paper towels, vacuum bag or sweepings in a waste receptacle lined with a plastic bag.
    2. Rinse broom and dustpan in disinfectant solution.
    3. Soak mop in disinfectant solution and rinse thoroughly or wash in hot water cycle after soaking in disinfectant.
    4. Disinfectant solution should be promptly disposed of down a drain.
  5. Clothing and other non-disposable items (e.g., sheets, towels) soaked with body fluids should be rinsed and placed in a plastic bag to be sent home or laundered.
  6. Remove disposable gloves and discard in waste receptacle.
  7. Wash hands
  8. Plastic bags holding contaminated waste should be secured and disposed of daily.
  9. Large waste containers (dumpsters or other containers which are impervious to animals) containing potentially contaminated waste should be located in a safe area away from the playground or other areas used by students.

Special Procedures for Early Childhood and Special Classroom Settings

These procedures should be used for all students regardless of their infectious-disease status:

  1. Guidelines for Diapering
    1. Purpose:  To avoid cross-contamination when diapering
    2. Equipment:
      1. Changing table, student’s own bed, cot, mat, or safe, firm, nonporous surface (clean and sanitized)
      2. Readily accessible hand-washing facility, including hot and cold running water, liquid soap in workable dispenser and disposable paper towels
      3. Supplies for cleaning student’s skin:  disposable baby wipes, soap, water and cotton balls or soft tissues
      4. Plastic bags for student’s soiled clothing
      5. Covered waste receptacle inaccessible to student, lined with a disposable plastic bag for disposable diapers
      6. The use of cloth diapers is discouraged.  However, if cloth diapers are used, a covered receptacle lined with a disposable plastic bag should be used for each student.  Soiled cloth diapers should be stored in an area inaccessible to the students.
      7. Plastic bag ties or masking tape for sealing disposable plastic bags at time of discard
      8. Disposable plastic gloves (medium or large size, non-sterile) for use with cloth diapers
      9. Disinfectant for cleaning changing surface
    3. Procedure:
      1. Wash hands
      2. Place student on clean changing surface
      3. Remove soiled diaper and place in appropriate receptacle
      4. If other clothing is soiled, remove, rinse and place it directly in a plastic bag that can be marked with student’s name, secured and sent home at the end of the day
      5. Cleanse the perineum and buttocks thoroughly with disposable baby wipes or soap and water
      6. Rinse well and dry skin prior to applying clean diaper
      7. Wash student’s hands
      8. Wash own hands
      9. Return student to class activity
      10. After rinsing, place the cloth diaper in the appropriate receptacle
      11. Remove gloves and discard them in the appropriate receptacle
      12. Wash hands
      13. Report abnormal conditions to the appropriate personnel, school nurse or school administrator
      14. Use disinfectant to clean changing area and other contaminated surfaces.
  2. Guidelines for Classroom Cleanliness
    1. Purpose:  To prevent the transmission of infectious disease
    2. Equipment:
      1. Covered waste receptacle with disposable plastic bags
      2. Plastic bags that can be labeled and sealed for individual’s soiled laundry
      3. Disposable plastic gloves (medium or large size, non-sterile) if needed
      4. Disinfectant
      5. Hand-washing facility, including hot and cold running water, liquid soap and workable dispenser and disposable paper towels
      6. Washer and dryer if disposable linens are not available
      7. Dishwasher (if disposable eating utensils are not available)
    3. Procedure:
      1. Wash hands
      2. If a lab coat or smock is worn:
        1. Use a clean garment every day
        2. Always hang the garment right side out when leaving the work area for breaks or lunch
      3. If there are open cuts, abrasions, or weeping lesions on hands, wear disposable plastic gloves
        1. Use a new pair of gloves in each situation in which hand washing is indicated
        2. Discard used gloves in plastic bag in covered waste receptacle
      4.  Store and handle clean clothing and linens separately from soiled clothing and linens.
        1. Immediately place each student’s soiled clothing and linens in an individually labeled plastic bag, which is to be sealed and sent home at the end of the day
        2. Immediately place all soiled school linens in a plastic bag in a covered waste receptacle; launder linens daily
  3. Techniques for storing, cleaning, and disposing of classroom equipment, supplies and other items:
    1. Immediately after use, discard any soiled disposable items by placing them in a plastic bag in a covered waste receptacle.
    2. Store each student’s personal grooming items (combs, brushes, toothbrushes) separately.
    3.  In handling disposable diapers, at least once a day, seal and discard the disposable plastic bag used to line the covered receptacle.
    4.  When laundry facilities are available at school, launder diapers, sheets or other cloth items soiled in the school setting daily.
      1. Launder diapers or other items soaked with body fluids separately
      2. Presoak heavily soiled items
      3. Follow the manufacturer’s directions on the label to determine the amount of detergent to be added
      4. If the material is bleachable, add 1/2 cup of household bleach to the wash cycle
      5. If the material is not colorfast, add 1/2 cup non-clorox bleach (e.g., Chlorox II, Borateam, etc.) to wash cycle
      6. Use hot cycle on washer and dryer
    5. Seal and discard the soiled plastic bag used to line the covered waste receptacle at least once a day.
    6. Establish a routine cleaning and disinfecting schedule
      1. Clean protective floor pads, bolsters, wedges, and so forth after each non-ambulatory student has been removed and at the end of each day
      2. Wash all toys with soap and water and rinse thoroughly as needed and at the end of each day
      3. Clean all equipment at the end of the day
      4. If a rug or carpet becomes soiled, clean it immediately
      5. Clean changing surface, bathtubs, sinks, portable potties, and toilet seats after each use; rinse with clear water and wipe dry.

Selecting an Appropriate Disinfectant

  1. Any liquid or bar soap is acceptable for routine hand washing.
  2. Select and stock a sanitary absorbent agent for cleaning body fluid spills.
  3. Select an intermediate level disinfectant that will kill vegetative bacteria, fungi, tubercle bacillus and virus.  Aerosol sprays are not recommended because of possible inhalant problems and flammability.
    1. Select an agent that is registered by the U. S. Environmental Protection Agency (EPA) for use as a disinfectant in schools.
    2. Select an agent that belongs to one of the following classes of disinfectant:
      1. Ethyl or isopropyl alcohol (70-90%)
      2. Quaternary ammonium germicidal detergent solution (2% aqueous solution)
      3. Iodophor germicidal detergent (500 ppm available iodine)
      4. Phenolic germicidal detergent solution (1% aqueous solution)
      5. Sodium hypochlorite (1:10 dilution of household bleach).  This solution must be made fresh daily.
    3. Use all products according to the manufacturer’s instructions.
    4. Store all disinfectants in a safe area inaccessible to students.

Special Procedures for Science Classes

  1. Sanitation aspects of microscope slides used in blood typing in science courses:
    1. All slides, after use, are to be discarded into a container that is of a material strong enough to withstand puncture.
    2. Any swabs, needles, toothpicks or tylets must be discarded immediately after use into a container that is of a material strong enough to withstand puncture.
    3. Items used in the unit involving blood materials should not be laid on the desk or table but always placed in the discard container immediately.  This container should be placed in a plastic bag, tied, and discarded at the close of the class period.
    4. Students and staff should wash their hands under running water with soap after working with any body fluid.
    5. Lab tables should be washed with clorox solution (one part clorox to ten parts water) after experiment is completed.  Clorox solutions  should always be made fresh daily.
    6. Students must always work with their own blood exclusively to avoid contamination by any transmissible agents that might be present in someone else’s blood.  If bleeding persists after the finger is punctured, student must apply a sterile bandage using moderate pressure.
  2. Sanitation aspects of saliva testing in science courses:
    1. Student should carefully rinse the test tube that is used to expectorate into.  The test tube should then be placed in a plastic dishpan of soapy water and clorox solution (one tablespoon clorox to one gallon soapy water).
    2. At the close of the class period the teacher will need to wash and disinfect the test tubes.  The teacher should wear gloves to do this.  The soaking test tubes should be rinsed.  A new solution of soapy water and clorox should be made.  Test tubes should be washed,
    3. rinsed, then rinsed in a clorox solution (one tablespoon clorox to one gallon water) and allowed to dry.
    4. Students and staff should wash their hands under running water with soap after working with any body fluid.
    5. Lab tables should be washed with clorox solution (one part clorox to ten parts water) after experiment is completed.  Clorox solutions should always be made fresh daily.
    6. Students must always work with their own saliva exclusively.

General information 

Pandemic influenza refers to a very severe strain of influenza that has the ability to spread across the world. The word, “pandemic”, means that a disease has caused illness in a person on nearly every continent. Many other diseases throughout the history of the world have been pandemic.

Pandemic influenza could strike at any time in the year. The strain will be one never seen before and there will not likely be a vaccine immediately available. It will spread quicker and easier from person to person compared to non-pandemic influenza. Pandemic influenza may cause illness in any person, and in the past has caused illness in more healthy, middle-aged people than those who usually become ill with influenza. It will probably circulate several times around the world, or in “waves”. Overall, pandemic influenza will cause more disease and death than seasonal influenza.

General information regarding Avian “Bird” influenza 

Avian influenza is currently making many different types of birds in Asia sick. There are several different types of avian influenza and most types are found in birds. Avian influenza is often found in birds and is not easily spread from birds to people. The type found in birds in Asia right now has spread to a few people, but has not spread from person to person. There is concern about this type of avian influenza because it is a type of influenza that has caused serious illness in people in the past. The influenza virus changes all the time so there is also worry if this type of avian influenza ever changed so that it could spread person to person, many people would become ill.

Superintendent/Designee

Provide direction and guidance to district and building crisis teams regarding the nature of the infectious disease and the appropriate action needed.

Building Crisis Team /Building Principal/Nurse Responsibilities

Provide information and periodic training to building teachers and staff members on their roles in training students in preventing the spread of contagious illnesses and diseases, with specific application to school environments and general personal applications.

Teacher/Staff responsibilities

All students will be provided with education regarding the transmission of communicable diseases and prevention strategies to be used during school hours to reduce the risk of exposure.

District Crisis Team Responsibilities

Review existing school district policies and procedures;

Develop exposure prevention, notification, treatment, and reporting policies where none that are adequate exist;

  1. Update existing policies and procedures to include an expanded scope of threats to the staff and student body;
  2. Provide information and training to building Crisis Team members and Principals on their roles in preventing the spread of contagious illnesses and diseases, with specific application to school environments and general application in their personal lives;
  3. Provide information and periodic training to building Crisis Team members and Principals on their roles in training teachers/staff members in preventing the spread of contagious illnesses and diseases, with specific application to school environments and general, personal applications.

First Responders Coordination/Needs

Compliance with School District policies (403.04 and 505.03) and procedures.

 

Approved:       10/23/06            Reviewed:        03/10/14   Revised:      ____________

PrintFriendly and PDF
Stay informed Click here to sign up for email updates from MCSD, or subscribe to our RSS feed.
If you are having trouble accessing any portion of this website or its content please contact this number for assistance - 563-263-7223.