July 13, 2020
Dear ESU-9 and parochial superintendents, principals, faculty, staff, and school boards:
As your local medical professionals, who care deeply about protecting the health of students and their teachers in our schools, we would like to express our united support for your efforts to open our schools safely to avoid the spread of the Coronavirus, COVID-19.
The American Academy of Pediatrics recommendations in COVID-19 Planning Considerations: Guidance for School Re-Entry (attached) indicate that masks and face coverings are high priority for students along with social distancing and hand hygiene. We agree with this recommendation and join the many other professional organizations who support these interventions for the health and safety of our children: Nebraska Academy of Family Physicians, Nebraska Chapter American Academy of Pediatrics, Nebraska Medical Association, and the Centers for Disease Control (CDC). With Coronavirus still active in our communities, we strongly support the following methods to prevent the spread of this disease and safely reopen schools:
Scientific evidence clearly demonstrates the above recommendations will be critical to providing a safe return to school and reduce outbreaks that will threaten school or classroom closure. Mask usage is most effective when all persons wear them; choosing not to wear a mask endangers others by risking asymptomatic or pre-symptomatic spread of the virus. The use of masks interrupts virus transmission and has been effective in curbing the epidemic along with other social distancing measures. While we understand that there may be specific and limited school circumstances where continuous use of masks is not possible, masks are safe and have been successfully used with no additional health risks in a variety of settings including the pediatric population.
Thank you for your leadership and for your key roles in providing a safe environment for our children, their families, and the whole community, as we work together to navigate through these unprecedented times.
The medical community in the South Heartland Health District
We are willing to support and assist you in providing a safe return to school for your students and staff. Please do not hesitate to reach out to us.
COVID-19 Planning Considerations: Guidance for School Re-Entry, American Academy of Pediatrics,
Coronavirus Disease 2019 (COVID-19) Considerations for Schools, Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/schools.html
Coronavirus Disease 2019 (COVID-19) How to Wear Cloth Face Coverings, Centers for Disease Control and Prevention, https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wear-cloth-face-coverings.html
We have made it easier for you to see your practitioner without leaving the home, and it is safe for you and your family.
Children & Adolescent, P.C. is now offering appointments on phone or video (known as Telehealth).
What is Telehealth?
Telehealth is an appointment on your phone, tablet or computer, where you will speak to one of our practitioners directly.
Many health issues can be solved through Telehealth and it’s a great pre-screener to touch base with your healthcare practitioner.
Sometimes, the practitioner will need to see you in person and ask you to come in for a follow up appointment, or provide you with the next steps.
How much is a Telehealth appointment?
Telehealth will be billed just as if you came into the office to see your practitioner.
This is a new situation for all of us and though it is an uncertain time, our number one priority is helping you safely and conveniently access the care you need for your child(ren) and we look forward to supporting you in whatever way we can.
Always remember, your child is the center of our world!
For more information, visit our FAQ’s here.
Children and Adolescent Clinic, P.C. is taking proper precautions as the social spread of the Coronavirus continues.
The clinic is taking the following measures:
More information on Home v Quarantine v Isolation can be found HERE.
As we continue to protect our community, Children and Adolescent Clinic, P.C. is implementing additional precautions as recommended by the Centers for Disease Control and Prevention (CDC).
All Well Child (any non-sick patients) visits will be scheduled in the morning, and enter into the regular main entrance of the clinic. We will not see any Well Children visits in the afternoon at this time, with no exceptions. Please note that all staff will be masked, and gloves will be used with all patients to decrease any risk.
All Newborn visits will be asked to enter the back of the clinic (employee entrance) and go directly into a designated room at both our Hastings and Grand Island locations. These appointments will be scheduled in the morning as well. Please call the clinic upon arrival and a staff member will meet you at the back door and escort you to the room.
All visitor restrictions are still in place, and we ask that you strictly comply with the following:
Telemedicine Is Now Available through CAAC for all sick visits
When you call into Children and Adolescent Clinic, P.C. to have your child seen for an illness, you will be set up with a telemedicine appointment. Our front office staff will first connect with you to get all needed information for the call. One of our providers will meet with you via telehealth via your cell phone, tablet or computer (this is your choice). The provider will treat your child via telehealth; however, if they feel that your child needs to be seen by a provider, they will recommend that you come to our Sick Care Clinic.
At this point you will be scheduled for a time at the Sick Care Clinic by the providers nurse. This Sick Care Clinic is on side of our buildings and uses the side entrance in Hastings, and the side employee entrance in Grand Island, as to keep our sick and well children separated. Additionally, our staff has been separated for safety as well. You will be asked to wait in your car until a staff member meets you and escorts you to the Sick Care area. Signage is in place to help direct our patients to the correct area.
Thank you so much for your diligence during this time that is unique to all of us. Your children are our world, and we want to do everything we can to keep them safe, while caring for their needs.
Your family is part of our family at the Children and Adolescent Clinic, P.C. The clinic is in daily contact with local and national health departments, Omaha Children’s Hospital, The University of Nebraska Medical Center and various pediatric practices throughout the state of Nebraska. Every hour, recommendations and modifications to the healthcare environment are implemented to reduce potential exposure and spread of the COVID-19 pandemic. We must do our part as well to advocate for the children in our care.
In conjunction with our regional leaders and local colleagues, effective immediately, all well child checks occurring from the newborn to 18 months visit as well as kindergarten physicals and seventh grade physicals with occur between 8am and 12pm at either clinic site, exclusively. There will be no exceptions to this. This modified schedule will take effect immediately and remain in effect for the duration of the summer unless national and state health departments recommend otherwise.
The clinic is currently in the process of rolling out a telehealth platform which will be live and available for widespread use no later than Monday, March 30, 2020. Parents will be able to access healthcare providers remotely through a secure link on their phone, tablet or computer and have real time, face-to-face interaction with the healthcare provider who can better risk stratify, triage and render medical recommendations. This may result in the provider requesting that subsequent care, including an ‘in-person’ visit be arranged as well. As we finalize the plan, we will continue to keep you updated using our social media sites.
Thank you for helping us keep the spread of this virus as controlled as possible. We appreciate each and every family represented at our clinic. Please keep all healthcare professionals in mind as we address this new frontier, and know that your health and safety is at the forefront of all we do. Your children are the center of our world!
Dr. Shade Whalen
Dr. Daniel Leonard IV
As a precaution to protect the community, Children and Adolescent Clinic, P.C. is following recommendations from the Centers for Disease Control and Prevention (CDC). All individuals entering Children and Adolescent Clinic, P.C. at either location will be screened for travel exposure and wellness prior to or upon arrival.
We will attempt to schedule all Well Child (any non-sick patients) visits in the morning and all Sick visits in the afternoon at both clinics. This is in an effort to keep our well children from being exposed. If a parent/guardian insists on a Well Child visit in the afternoon, please note the following disclaimer:
We will be happy to see your well child in the afternoon, but please know that is not our recommendation due to potential exposure. If a parent/guardian insists that a well child be seen, the following question will be asked:
To protect the health of patients, families and staff, Children and Adolescent Clinic, P.C. has implemented visitor restrictions as follows:
Patient Questions asked when scheduling sick children:
We will ask all individuals coming into the clinic the following screening questions:
1. Has anyone coming into the clinic had any known direct contact with any individual with a confirmed case of COVID-19? Yes/No
2. Have you or anyone in your household traveled outside the United States in the last 2 weeks? Yes/No
3. Do you have any of the following symptoms?
a. Fever of 100.4 degrees F or higher? Yes/No
b. Cough? Yes/No
c. Shortness of Breath? Yes/No
Note: Screening questions are not an indication of the COVOD-19 virus.
Children and Adolescent P.C. has set up areas at both locations to see suspected COVID-19 cases, that are away from the general public. In addition, we will be using PPE precautions (masks, glove, gowns and eyewear) as recommended by the CDC.
While the pediatric population is not currently seen as high risk with the COVID-19 virus, Children and Adolescent P.C., is dedicated to the health and wellness of your children. We will continue to keep you updated as more information emerges about the virus.