ASD Nursing
The Harbinger: The ASD Nurse’s Guide to Navigating COVID-19
Issue #3
Thursday, May 21
Greetings ASD Community,
A huge Congratulations to ASD’s Class of 2020 from your Nurses! We are very proud of you and can’t wait to see you all out there being positive and active global citizens!
We are working hard in Nursing in preparation for Students to return to school. Although we do not know exactly when that will be, it is our desire to be as prepared as possible in aiding everyone to feel comfortable and safe. With this in mind here are some things to think about over the next few months as we plan to return to campus.
Do I know where my Students' vaccination records are? Are they on schedule? Anything due or anything new I want them to receive?
What supplies may we need for next year that we have never needed before? Should I start collecting these now since it may be more of a challenge to obtain them?
How can I aid my Student in a smooth transition back to classroom life, especially with summer break approaching? I.e. maintain a schedule, proper bedtimes, fun activities to stimulate the brain, monitoring screen time, etc.
We look forward to welcoming our learners back on campus next year in an environment that is safe and that promotes productivity.
Stay Safe! Stay Healthy!
Carmen Jones, RN, BSN
Head Nurse
carmen.jones@asd.edu.qa
What to do if you were In close contact with someone who has COVID-19
This information is for people who were in close contact with someone who has COVID-19. Close contact means being closer than six feet apart for a long time while the person was infectious, which starts two days before any symptoms begin and continues until they are recovered. Close contact does not mean being more than six feet away in the same indoor environment for a long time, walking by, or briefly being in the same room.
Examples of close contact are;
You stay in the same home
You are intimate partners
You traveled in the same car while the person was infectious.
Contact a medical health provider or 16000, the COVID-19 helpline and request medical guidance. When you call for medical care, tell the provider that you are quarantining at home because you are in close contact with someone who has COVID-19.
Stay at home and watch for symptoms for 14 days
It is important to follow home quarantine rules. You have a duty and responsibility to protect yourself, your family, your friends and community as a whole.
• Watch for symptoms, even if mild, of cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell
• Don’t leave home, except to get medical care. Wear a mask if you need to leave home.
• Do not allow visitors in the home
• Call ahead before visiting a health care provider or emergency department to ensure you can be seen quickly and safely
• If possible, stay in a specific room in your home and use a separate bathroom
• Stay at least six feet away from others in your home at all times. Wear a mask if you’re in any room with other people, unless you have trouble breathing. Don’t share household items.
• Stay connected with others – use technology to communicate with friends and family
Daily cleaning and washing
• Clean and disinfect surfaces and contaminated items at least once a day including door handles, toilets, TV remote, mobile phones and all other high touch items
• If you are staying in a separate room and using a separate bathroom, clean them yourself. Have someone else clean the other areas of the home. If your bathroom is shared by others, please make sure that you clean the bathroom after use.
• Thoroughly wash household items, like utensils, after using. Avoid sharing personal household items such as; eating and drinking utensils, clothes, bed linen, pillows and towels with other household members.
• Wash your hands often with soap and water for at least 20 seconds. Use alcohol-based hand sanitizer if soap and water aren’t available.
• Wash your clothes separately from others at home
• People with mild illness can treat their symptoms at home: get plenty of rest, drink plenty of fluids, and take fever-reducing medication if needed
If you are showing symptoms such as coughing, sneezing, or fever;
• Use a face mask
• Avoid close contact with others
• Increase fluid intake, and take fever lowering medications when necessary
•If your symptoms become worse, contact our call center immediately: 16000
When to get medical care immediately
If you have trouble breathing, chest pain, confusion, or changes in color on your lips, gums, face, around the eyes, or nails, seek medical care immediately. Call 999, the ambulance service and inform the care provider that you are quarantining at home because you were in close contact with someone who has COVID-19.
by Prima Vinod
ASD Elementary School Nurse
Guidance is Key
Leading up to the mandated shutdown, the Nursing Staff has found itself under an immense amount of pressure not knowing what was going to happen in regards to the health of our Students and community as a whole. From triaging Students and getting calls from worried parents, the mounting uncertainty was palpable. However, everything came to a screeching halt on March 9 when the Qatari government shut down schools. Our Office became quiet and our phones stopped ringing. However, other teams went into overdrive, collective counseling teams within all divisions. They have been called upon in the last few months to help maintain some of the normalcy of student life in the midst of a pandemic.
An important factor in maintaining a sense of normalcy is helping to maintain normal school relationships in a virtual setting. Each division has implemented various mechanisms to accomplish this goal. In the Lower Elementary School (LES) Students are working with one another in small groups and independently to support peer to peer and peer to Teacher relationships through conversation, games, and play. In addition, Specialist Teachers (Music, Art, PE, etc.) are having virtual classes where Students can see one another and offer a smile into the camera at their friends while speaking to one another briefly. Virtual show-and-tell experiences bring stories of toys while dance moves can bring a sense of school socialization into the home. During these activities, LES Counselors have commented and given kudos on the tasks and fun Students have been having. They also facilitate weekly virtual guidance lessons to foster social-emotional health. The Upper Elementary School (UES) has been able to make a similar experience a bit more developmentally appropriate through activities offered on their Teneen page. Virtual games, Chopped Junior (cooking show), Meme making, and using Tik Tok (ASD STYLE), talent shows, sports skills challenges, and Origami videos have enabled these Students to remain engaged with one another. There are also themed days in which UES Students may work on their social-emotional awareness such as Mindful Monday, Take action Tuesday, Well-being Wednesday, and Thankful Thursday. Counselors often find room in these moments to gauge how Students are feeling and areas where they may need extra help.
In the Middle School (MS) and High School (HS) Students are getting used to regularly reaching out to their friends independently outside of school. MS counselors are using “Traffic Light check-ins to see how students are doing with their work hard (TVS), play hard, family, friends and overall health & well-being,” states MS Counselor Jen Hammonds. These check-ins are supplemented with follow up emails and action planning. In the HS, systems are proving digital communications options are good preparation for university-level experience where there is a growing trend of offering courses in a hybrid format. ASD HS Students are able to still access their counselor’s schedules and make appointments for Zoom calls. HS Counselor Jackie Feldstein states during these interactions she encourages students to do their best to maintain their connections and relationships with friends and gives positive reinforcement when students are doing this. However, when students are having a hard time she strategizes with them to assist in maintaining these relationships.
A big piece in this huge wellness puzzle is having parents involved in the process. Parent involvement is particularly important in LE where parents have been forced to play the role of teacher with their young learners. Zoe Gare, LES Counselor, informed me about the Counselor’s Corner where parents can find resources that are accessible daily through Teneen. LE counselors are also aiding parents by helping to facilitate referrals for students who need additional emotional support as well. Sara MacDonald, an UE counselor, has shared some resources she provides such as healthy choice boards, parenting tips during this time, and Zoom meetings with families for those struggling with TVS.
A question was posed to the counselors: In your perfect virtual world what tool would you have to continue to help students that may not be accessible currently. HS counselor Aaron Jones stated a reliable quality catalogue of online tutoring services that is properly vetted by the school would be a great benefit to students. Several HS teachers were asked about this and stated that this would be helpful to students who struggle in class and are further struggling at home and that this is a service that could carry over to students on campus (SOC). In addition, HS guidance stated that a wider and more robust catalogue of virtual service opportunities would be ideal. The MS guidance team stated that a school-wide survey that goes out bi-weekly as a needs assessment for students, parents, and teachers would be a tremendous help. This data would then be mined by a point person, aggregated by division to keep everyone informed of what needs arise and how students, families, teachers, and the community as a whole can be better supported. A huge thank you to these people who are behind the scenes delving into the wellness of our students during this transformational time.
by Carmen Jones, RN
ASD Head Nurse
Tips to Boost the Immune System
“Optimal functioning of the immune system, it turns out, is dependent upon feeling good.”
― Marcey Shapiro
The immune system alone can’t fight infection, the owner of the body must help its own immune system bolster its very foundation. Like in a real war scenario, one key factor of winning is a strong defense. In a time of this pandemic, having a well-functioning and strong immune system is akin to having a wealth that cannot be stolen. While there is no known formula to specifically make yourself insusceptible to any invading microorganism that can ultimately infect you, there are some hacks that can invigorate your body’s natural defenses.
Here are some quick tips:
Eat a balanced diet
This simply means the Go, Grow and Glow food table must be observed. Eating highly processed foods must be avoided. It’s optimum to eat organic and natural food. Stay Hydrated! -6-8 glasses of water is the recommended water intake per day. Keep your immunity up by drinking more water to ward off infection. Staying hydrated aids your body to naturally get rid of toxins and other bacteria that may cause an ailment.
Get enough sleep
Sleep demand differs from person to person; however, adults need 7-9 hours of sleep per day. Young kids and teenagers require even more.
Exercise regularly
Similar to a healthy diet, exercise can be a factor in overall good health. Aim for at least 30 minutes of physical activity for three days in a week. These activities can include yoga, walking, biking, swimming and other easy-on-the-joints workouts.
Wash your hands
What is the main purpose of handwashing? The principal purpose of washing our hands is to cleanse the hands of bacteria, viruses and other microorganisms that can cause harm. Please do wash your hands with soap and water for at least 20 seconds.
Maintain a healthy weight
Losing Weight Helps the Immune System. Excess fat around the abs can turn the body's defense system against you, leading to heart disease and other conditions. Australian researchers found that for obese individuals, shedding just 10 pounds could straighten out an off-balance immune system.
Steer clear of or reduce vices
Alcohol intake, smoking or use of illegal drugs can weaken your immune system. Drink moderately, don’t smoke and never use prohibited drugs.
Try to minimize stress
Anxiety can trigger your fight-or-flight stress response and release a flood of chemicals and hormones, like adrenaline, into your system. This can weaken your immune system, leaving you more vulnerable to viral infections and frequent illnesses.
Building a robust immune system, is more than the sum of all the tips listed above. It is a combination of a variety of factors. To function well, it requires balance and harmony- from eating the right food, to creating a healthy mind.
by Nemfa Cerbito, RN
ASD MS/HS Nurse
Potential Treatments to Combat COVID-19
"Medicine is a science of experience; its object is to eradicate disease by means of remedies. The knowledge of disease, the knowledge of remedies, and the knowledge of their employment, constitute medicine."- Samuel Hahnemann
When the World Health Organization (WHO) declared the novel coronavirus (COVID-19) outbreak a global pandemic, many scientists were already working tirelessly to aid in the recovery of patients suffering from this disease. Numerous clinical trials of investigational drugs are being conducted to expedite the discovery of SARS-CoV-2 treatment and can be accessed in ClinicalTrials.gov.
Currently, there are no approved or recommended therapeutic agents by the U.S. Food and Drug Administration (FDA) to halt the COVID-19. Under section 564 of the Federal Food, Drug, and Cosmetic Act (FD&C Act), the FDA Commissioner may allow unapproved medical products or unapproved uses of approved medical products to be used in an emergency to diagnose, treat, or prevent serious or life-threatening diseases or conditions caused by CBRN threat agents when there are no adequate, approved, and available alternatives. Hence, Emergency Use Authorization (EUA) to some medicines that are already in use for other health conditions such as antiviral Remdesivir and antimalarial drugs Chloroquine and Hydroxychloroquine were issued.
Remdesivir is a nucleoside inhibitor also known as GS-5734. This investigational antiviral drug received EUA on May 01, 2020 for the treatment of suspected or laboratory-confirmed COVID-19 in adults and children hospitalized with severe disease. According to the FDA, even there is limited information known about the safety and effectiveness of using Remdesivir, it was shown in a clinical trial to shorten the time to recovery in some patients.
Hydroxychloroquine and Chloroquine also received EUA from the FDA as investigational drugs. These medicines have been used in the prevention and treatment of malaria and the treatment of chronic inflammatory diseases including systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) as mentioned in one study in JAMA. However, its clinical results in the treatment for COVID-19 varied. In late April, the agency issued a warning against the use of both medicines outside of medical facilities. It stated there were “serious and potentially life-threatening heart rhythm problems” connected with the drugs.
Another investigational treatment being considered by the FDA for COVID-19 is the use of Convalescent Plasma collected from individuals who have recovered from COVID-19. The convalescent plasma that contains antibodies to severe acute respiratory syndrome coronavirus 2 or SARS-CoV-2 (the virus that causes COVID-19) is being studied for administration to patients with COVID-19. Use of convalescent plasma has been studied in outbreaks of other respiratory infections, including the 2003 SARS-CoV-1 epidemic, the 2009-2010 H1N1 influenza virus pandemic, and the 2012 MERS-CoV epidemic.
In terms of efficacy and safety of the above treatment options, they still needed further studies to obtain evidence-based results. For the meantime, the effective ways to avoid contracting this disease are hand hygiene, physical distancing and boosting the immune system.
by Laureen Tordecillas
ASD Elementary School Nurse