CT Reopens Adapt, Advance, Achieve | Page 25

21 Adapt, Advance, Achieve: Connecticut’s Plan to Learn and Grow Together − For anyone who has a medical reason making it unsafe to wear a face covering, masks should not be required. • Be prepared to provide a mask to any student or staff member who does not have one. Guidance • Teach and reinforce use of cloth face coverings. • Frequently remind individuals not to touch the face covering and to wash their hands frequently. • Provide staff, students, and students’ families information on proper use, removal, and washing of cloth face coverings. • Set clear guidelines regarding limited exceptions to use of face coverings when other mitigating practices are in place, such as: − − For students, while eating, drinking, during PE, or when students are outside, and effectively practicing social distancing and any other possible mitigants. Exceptions may also be necessary for certain special education students or other special populations. For teachers and staff, while teaching so long as they are properly socially distancing or remaining static behind a physical barrier as described herein, while eating, drinking, or when outside and effectively practicing social distancing and any other possible mitigants. • Develop a consistent policy to address mask breaks throughout the day. • Assess when face shields may be appropriate however, face shields alone are not a sufficient alternative to the wearing of face masks for source control, but rather both should be worn for additional protection. Educate staff on the fact that face shields protect the eyes, nose, and mouth from contamination from respiratory droplets, along with masks or respirators. − − − When medically appropriate, nurses should substitute use of metered dose inhalers and spacers for students with respiratory issues. If aerosol-generating procedures cannot be avoided, address the need for additional protocols, including but not limited to use of face shields and increased protective equipment by staff (such as school nurses) who are involved in these type of procedures, such as provision of oxygen via highflow nasal cannula, nebulizer treatments, and open suctioning. Face shields worn with face masks may also be used by staff who support students with special healthcare needs (who are not able to wear masks and who may need assistance with activities of daily living, such as toileting, eating). • If medically required or where services provided pursuant to an Individualized Education Program (IEP) would require it, including but not limited to for speech and language services, evaluations, language acquisition activities, etc., students and/or staff may wear face shields and clear masks, or remove masks when face coverings/ masks are not appropriate for the activity. Any other possible mitigating strategy should be implemented in these cases, including but not limited to maximum social distancing. − Staff working with students who are not wearing face coverings due to one of the exceptions and also cannot maintain social distancing should be provided increased protective equipment, including but not limited to medical-grade masks and disposable gowns.