
Riana Damjanovich, RN, LSN, IBCLC
Licensed School Nurse
School Health Coordinator/District Nurse
218-885-1280
ext. 51154
COVID-19 Updates
A letter from your nurse:
Dear Spartan Families,
Welcome to the 2020-2021 school year. My name is Riana Damjanovich and I serve as the District Nurse for Nashwauk-Keewatin Schools. Many of the students call me “Nurse D.” I know that our communities are feeling the impact of COVID-19 and the changes that are happening around us. This is a stressful and ever-changing time for all of us.
If you have questions about available resources or coordination of healthcare services, please email me at rdamjanovich@isd319.org or call me at (218) 885-1280 ext: 51154.
If you feel that you or a loved one are in a crisis, please dial 2-1-1 for assistance regarding essential community services.
If you feel that you or a loved one are suicidal, please text 61222 for assistance.
If you would like to use Telemedicine and speak to a doctor, here are a few options: PlushCare, Doctor on Demand, OnCare, and MDLive. They are available 24/7. Telemedicine helps to manage ongoing conditions, like depression, diabetes or hypertension; everyday care issues like hair loss or birth control; and urgent care issues, like cold and flu, sinus infections or UTIs.
PlushCare is available at https://plushcare.com/
Doctor on Demand is available at https://www.doctorondemand.com/
MDLive is available at https://www.mdlive.com/
OnCare is available at https://www.oncare.org/
Essentia Health E-Visits are available at https://www.essentiahealth.org/services/e-visit/
Please feel free to reach out if you are unsure about any of the above.
Remember, the best prevention measures for you and your loved ones are to wash your hands often, cover your cough and sneeze into your elbow or tissue, wear a cloth face covering, and stay home as much as possible.
Videos for Students
The Importance of Kids Wearing Masks with Lt. Governor Flanagan and Special Guest
Cloth masks are one of the easiest ways we can limit the spread of COVID-19. And while our littlest Minnesotans are less affected by COVID-19, they can still get sick or spread the virus to others who might be severely impacted. We need everyone five and up to mask up. Parents – start practicing good mask wearing habits with your kiddos this summer so they’re ready for whatever the fall brings. Make it part of your routine to put on a mask any time you head out the door. It’s like tying your shoes or riding a bike – it takes some practice, but it’s best if we all know how to do it safely. Let’s mask up, Minnesota! For up to date information about COVID-19 visit health.mn.gov



Parent Q&A
This year will be a unique year for all students and staff. This will be a year that students and staff will be sent home more than normal. Students will have the opportunity to change to distance learning when sent home to quarantine if they are not too sick to participate.
Your child will be sent home if they have the following:
1. New-onset cough
2. Shortness of breath (trouble breathing)
3. Two of the following: fever (100.4 or higher), chills, muscle pain, sore throat, fatigue, congestion, loss of taste or smell, or stomach symptoms of diarrhea, vomiting, or nausea.
If your child only has one of the symptoms listed above for no known reason, they may be sent home and should talk to their healthcare provider about testing.
Positive COVID test:
Stay home for at least 10 days from the day that symptoms started AND until no fever for at least 24 hours without taking medication AND symptoms are improved.
Siblings AND household members must stay home for 14 days.
Negative COVID test but have symptoms:
Stay home for at least 10 days from the day that symptoms started AND until no fever for at least 24 hours without taking medication AND symptoms are improved.
Siblings AND household members must stay home for 14 days.
If you have COVID without a lab test (medical provider diagnosis) OR people with symptoms of COVID without a medical evaluation
Stay home for at least 10 days from the day that symptoms started AND until no fever for at least 24 hours without taking medication AND symptoms are improved.
Siblings AND household members must stay home for 14 days
If you have a diagnosis of strep, ear infection, or norovirus that explains the symptoms, or when the health care provider says that the symptoms are due to a pre-existing condition, you must stay home until the symptoms have improved.
Siblings and household members do not need to stay home.
The nurse will follow the Infectious Disease School Manual
Be sure to write down any new symptoms you notice so we have time and date of when they began. Common colds will not be recognized as a common cold, they will be COVID symptoms.
Will my child be tested for COVID at school?
No. If we do mass testing, you would have to sign a consent for your child to receive a test. They will be referred to a healthcare provider for a test.
Will my child be sent home if they only have a fever?
Possibly. If the fever is greater than 100 degrees, we will follow the School Health Manual and send your child home just like other years. The nurse will assess the child to see if they have any other symptoms to determine if it is due to something else such as teething or exercise.
What if a friend was exposed to a positive COVID person and then I was around them?
You would watch for symptoms to see if you develop any along with those that you live with, but you do not need to stay home as that is considered a second person exposure. If you develop symptoms, then you would need to stay home for 10 days and contact your healthcare provider to get tested. Be sure to write down daily who you were around and when or if symptoms started.
When will my child be able to remove his/her mask?
When eating or drinking.
When communicating with a person who is deaf or hard of hearing or has a disability, medical condition, or mental health condition that makes communication with a face covering difficult.
When participating in physical activity or when engaged in other activities (e.g., presenting, performing, or playing an instrument) that would make it difficult or impractical to wear a face covering or face shield. This includes the playground.
When receiving a service (e.g., medical, nursing, or personal care services) that are impossible or difficult to perform when the individual receiving the service is wearing a face covering.
Staff and children may remove their face covering temporarily when alone, including when alone in an office or other enclosed work area, a room, or a cubicle with walls that are higher than face level when social distancing is maintained
What can I do at home to help stop the spread of COVID and encourage my child to do at school to stay healthy?
Stay home if you have any new symptom to see if it gets worse or improves
Physically distancing 6 feet apart
Wear a mask the way that they are supposed to be worn
Get rest and drink water
Be aware of any new symptoms you or your child may have
If your symptoms get worse, call our healthcare provider
Cover your cough or sneeze with your elbow or tissue
Wash hands often for 20 seconds
Avoid crowds and keep your distance from others (two arm’s length)
Avoid sharing personal items with other people especially food and drinks
Clean common touch areas like tables, doorknobs, faucets, etc.
Resources:
2020-2021 Planning Guide for Schools
Face Covering Requirements and Recommendations under Executive Order 20-81
CDC Calls On Americans To Wear Masks To Prevent COVID-19 Spread
When You Can Be Around Others After You Had Or Likely Had COVID-19
Toolkit for Young Adults: 15 to 21
Early Childhood Screening
Who: Children 3 and 4 years of age
What: Screening in early childhood supports children's readiness for Kindergarten and promotes health and development. Screening includes vision and hearing, height and weight, immunization review, large and small muscles, thinking, language and communication skills as well as social and emotional development. Early Childhood Screening or a comparable comprehensive screening is required for public school Kindergarten entrance.
When: February 26th, 2021
Please call (218) 885-1280 ext.51154 for an appointment.
Where: Nashwauk Recreation Center
202 4th Street
Nashwauk, MN 55769
Immunizations
Immunizations are important to keep your child and those around them healthy at school. Vaccines are recommended throughout childhood. Specifically, there are vaccinations required before Kindergarten and prior to entering the 7th and 12th grades.
If you do not plan to have your child immunized for medical reasons or personal beliefs please submit a notarized conscientious objection form or documentation from your physician indicating medical exemption.
Are Your Kids Ready? Minnesota's Immunization Law
Hearing and Vision Screening
Minnesota Department of Health recommends that all children receive a hearing and vision screening annually from kindergarten through third grade and in grades five, eight, and eleven. If vision or hearing difficulties are detected at screening, you will be notified by the District Nurse. If you have concerns regarding your child's hearing or vision, please let the District Nurse know.
Helpful Links:
Emoji Illness Guide- When should kids stay home from school?
