December 1, 2022: The SAT contains the latest CDC guidelines available to date. Local health departments and school districts may have different policies. Please follow the local guidelines for masking, quarantine, and isolation policies.
COVID-19 Self Assessment
For Information About Testing, Resources, and Guidance on Self-Care
By selecting START you are acknowledging that the information provided in the Covid-19 Self Assessment is to be used for guidance only and does not replace professional medical advice.
Note: If answering for someone else, please answer all questions using their information.
Has your child tested positive for COVID-19?
Applies to PCR, Rapid Molecular or Rapid Antigen Test.
Has your child been directly exposed to someone who tested positive for COVID-19 in the past 14 days?
Do you currently have any symptoms of Covid-19? Symptoms include cough, headache, fever >100.4 F, sore throat, fatigue, muscle or body aches, congestion, runny nose, loss of taste, loss of smell.
You are COVID-19 positive
A positive result with a PCR, Rapid Molecular, or Rapid Antigen test is considered a valid result. There is no need to retest.
The Basics
Your positive test result does not change:
- Whether or not you have symptoms
- Whether or not you have been vaccinated
You should:
- Isolate at home for 5 days wearing a well-fitted mask when you are around others. Wear a mask for another 5 days after isolation ends.
- Leave home after 5 days only if you have been fever-free for 24 hours (without fever-reducing medication) and other symptoms are improving.
- Practice good hygiene including washing you hands often, cover coughs and sneezes
What Should I Do?
Masking / Isolation Guidance
Patient
- See THE BASICS above re: Home Isolation
- People in isolation should use separate “sick” rooms including bathrooms when possible. Wear a mask if you must be around others.
- Day 0 is the first day of symptoms or the day you tested positive. Day 1 is the first full day after that. (Isolation calculators).
- People who have moderate COVID-19 illness (>4 days of fever >100.4°F; >1 week of myalgia, chills, or lethargy; non-ICU hospital stay) should isolate for 10 days.
- Do not travel
- Take steps to improve ventilation at home
Local Resources:
“As much as possible, stay in a specific room and away from other people and pets in your home. If possible, you should use a separate bathroom. If you need to be around other people or animals in or outside of the home, wear a mask. Tell your close contacts that they may have been exposed to COVID-19. An infected person can spread COVID-19 starting 48 hours (or 2 days) before the person has any symptoms or tests positive. By letting your close contacts know they may have been exposed to COVID-19, you are helping to protect everyone.” -CDC
Family
- Wear a well-fitted mask when around the person in isolation. The positive family member is exposing you for 2 days before the symptoms started and up to day 10 of symptoms. Use this Self-Assessment Tool to determine if and when you should be tested.
Contact us during office hours to get a PCR test for COVID-19
Local testing sites:
Which test is best for COVID-19, PCR vs Rapid Molecular vs Rapid Antigen Test?
A positive test result with any of the three testing methods is generally reliable. A rapid molecular test is generally more reliable than a rapid antigen test. If your child has symptoms with a known exposure but the initial test is negative, your clinician may want a PCR test or have you repeat another rapid test in 2-3 days before returning to school or activities.
For additional counseling, please call the office to schedule a telemedicine visit with your doctor.
Home Care Recommendations
If your or your child has any symptoms, treatment plans will be similar to cold/flu virus infections.
- Fever – Fever is a natural part of fighting a virus and does not need to be reduced unless there is discomfort. Your motto should be “treat the child, not the fever.” You can take ibuprofen (≥6 months old) and/or Tylenol as needed for discomfort. Call if fever reaches ≥105.
- Cough/congestion – Use suction/saline, cold mist humidifier, sit in a steamy room, and keep head elevated whenever possible for cough and congestion. You can also give warm water with honey and/or lemon to treat coughs for children older than 1 year of age. We do not recommend the use of cough and congestion medicines.
- Vomit/diarrhea – Vomiting may be monitored for up to 48 hours as long as there is no blood or bile present. Make sure that you are staying hydrated and perform the rehydration cycle for excessive vomiting. Diarrhea can be monitored for up to 2 weeks as long as there is no blood. Make sure you are mindful of preventing diaper rash if there is excessive diarrhea.
- Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
When to be seen
After your isolation period has ended
Make sure your family members maintain healthy habits, including proper nutrition and adequate sleep throughout the recovery period and monitor for long-Covid Symptoms.
Everyone who tests positive for Covid-19 should have at least one follow-up conversation or visit with their primary care provider after their isolation period has ended. During this visit we provide guidance on back to sports and school activities and discuss what long-Covid symptoms to watch for. For individuals who had moderate or severe Covid illness an office visit is suggested.
An in-person visit is recommended if your child had more than 4 days of fever >100.4; more than a week of muscle achiness, chills, or lethargy: or a hospital stay. If your child tested positive but experienced less than 4 days of fever >100.4°F and less than 1 week of other symptoms like muscle achiness, chills, and lethargy a follow-up visit by phone, portal message, or a video visit may be sufficient.
Multisystem inflammatory syndrome in children (MIS-C) is a rare complication of Covid-19 infection that typically occurs 2 to 4 weeks later. Symptoms include return of fever >100.4 for more than three days, rash, red eyes, swollen hands and feet, dry cracked lips, shortness of breath, headache, stomach pain, diarrhea.
Please contact our office if your child starts to experience these symptoms.
Do I need to schedule an appointment?
-In most cases, you will be able to monitor and treat at home. Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
-Talk to our office about treatment options if your child is 12 years of age or older and is experiencing significant symptoms.
-You may also need an appointment if your school is requiring a note. Please see the “How do I get a Return to School note?” section below.
Local Resources: If you still have questions about the management of your child's isolation or quarantine please call during office hours to speak with our triage nurse.
Call our office during office hours if you would like to setup a telemedicine visit.
Returning to school / work / activity
Ask your school for their specific return requirements.
Insert School Districts here.
Once you have completed isolation or quarantine, if you require a school note, please email us with the following information:
- Name
- Date of Birth
- Pediatrician name
- Start date of symptoms (if any)
- Date positive test was taken
- Are you currently free of fever?
- Have your symptoms improved?
You should receive a response within 1 business day.
No further work up is needed for children and adolescents who had a Covid-19 infection and have already resumed physical activities without any abnormal signs or symptoms.
If you do notice problems with endurance, fatigue, dizziness, or chest pain, stop activities and schedule an office visit.
You are PRESUMED COVID-19 positive
The Basics
- Because of your known exposure and symptoms of COVID-19, this scenario should be treated as a positive case. Vaccination status does not change this.
- You should take a COVID-19 test at the onset of symptoms.
- Wear a well-fitting mask when around others
- Isolation ends when a minimum of 5 days have passed AND symptoms have improved AND you are free of fever for more than 24 hours without the use of fever reducing medicines. A mask should continued to be worn for an additional 5 days.
Testing Recommendations
We recommend taking a COVID-19 test. A PCR test is recommended for the best accuracy. For a PCR test, POSITIVE results are reliable and NEGATIVE results are generally reliable. Rarely the PCR test shows a positive result from a Covid-19 infection you had two to twelve weeks ago, hence this may not reflect a current positive result. The later the test is taken after an exposure, the more accurate the results. If it is positive, click here for COVID-19 positive isolation guidelines.
A RAPID MOLECULAR (NAAT) test provides results in 15 minutes. A POSITIVE test is reliable. If the result is NEGATIVE a clinician may decide to get further testing if the history and exam indicate it. A repeat rapid molecular test 3 days apart from the first increases accuracy.
A RAPID ANTIGEN test (used at home or in a provider’s office) can be taken for quicker results, POSITIVE results are reliable but NEGATIVE results are NOT reliable. If you are using a rapid antigen test and receive a negative result you should repeat the test again in 48 hours whether you have symptoms or not.
If you are asymptomatic and your first two at home tests were negative you should perform a third test 48 hours after the second negative test for a total of at least three tests.
Testing is no longer required if you complete the full 14 day quarantine period without symptoms developing.
Contact us during office hours to get a PCR test for COVID-19
Local testing sites:
Which test is best for COVID-19, PCR vs Rapid Molecular vs Rapid Antigen Test?
A positive test result with any of the three testing methods is generally reliable. A rapid molecular test is generally more reliable than a rapid antigen test. If your child has symptoms with a known exposure but the initial test is negative, your clinician may want a PCR test or have you repeat another rapid test in 2-3 days before returning to school or activities.
For additional counseling, please call the office to schedule a telemedicine visit with your doctor.
What Should I Do?
Masking / Quarantine / Isolation Guidance
Patient
You should isolate for 10 days from the day you started symptoms or from your positive test date if you are asymptomatic. If symptoms develop during your asymptomatic 10 day isolation, you should restart the 10 day isolation from the first day of symptoms.
There are no options to end isolation sooner after a positive COVID-19 test result.
You can return to activity after a minimum of 10 days have passed AND symptoms have improved AND you are free of fever for more than 24 hours without the use of fever reducing medicines.
Local Resources:
Family
For those who are living with someone in isolation for COVID-19, they are likely a primary high risk exposure and may need to quarantine and/or mask depending on their vaccination status.
When am I cleared?
At the end of the 10 day isolation or 14 day quarantine (or sooner under medical guidance) AND symptoms have improved AND you are free of fever for more than 24 hours without the use of fever-reducing medicines.
Home Care Recommendations
If you have any symptoms, treatment plans will be similar to cold/flu virus infections.
- Fever – Fever is a natural part of fighting a virus and does not need to be reduced unless there is discomfort. Your motto should be “treat the child, not the fever.” You can take ibuprofen (≥6 months old) and/or Tylenol as needed for discomfort. Call if fever reaches ≥105.
- Cough/congestion – Use suction/saline, cold mist humidifier, sit in a steamy room, and keep head elevated whenever possible for cough and congestion. You can also give warm water with honey and/or lemon to treat coughs for children older than 1 year of age. We do not recommend the use of cough and congestion medicines.
- Vomit/diarrhea – Vomiting may be monitored for up to 48 hours as long as there is no blood or bile present. Make sure that you are staying hydrated and perform the rehydration cycle for excessive vomiting. Diarrhea can be monitored for up to 2 weeks as long as there is no blood. Make sure you are mindful of preventing diaper rash if there is excessive diarrhea.
- Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
Local Resources: If you still have questions about the management of your child's isolation or quarantine please call during office hours to speak with our triage nurse.
When to be seen
Do I need to schedule an appointment?
In most cases, you may be able to monitor and treat at home. Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy. You may also need an appointment if your school is requiring a note. Please see the “How do I get a Return to School note?” section below.
Returning to school / work / activity
Ask your school for their specific return requirements.
Insert School Districts here.
Once you have completed isolation or quarantine, if you require a school note, please email us with the following information:
- Name
- Date of Birth
- Pediatrician name
- Start date of symptoms (if any)
- Date positive test was taken
- Are you currently free of fever?
- Have your symptoms improved?
You should receive a response within 1 business day.
You have had a primary high-risk exposure to COVID-19
The Basics
You should:
- Home quarantine for 5 days after your exposure.
- Wear a mask around others for an additional 5 days
- If you have no symptoms, take a COVID-19 test on day 6 after your last exposure to the positive person
- Follow masking and isolation guidelines if testing is not available
- If symptoms develop 1 - 10 days after exposure take a COVID-19 test
- Wear a well fitting mask if you are around other people for 10 days if you can’t isolate.
Symptoms include cough, headache, fever >100.4 F, sore throat, fatigue, muscle or body aches, congestion, runny nose, loss of taste, loss of smell.
COVID-19 infections start within 10 days of the last exposure.
A RAPID ANTIGEN test (used at home or in a provider’s office) provides quick results. POSITIVE results are reliable but NEGATIVE results are NOT reliable. If you are using a rapid antigen test and receive a negative result you should repeat the test again in 48 hours whether you have symptoms or not.
If you remain symptom-free, and your first two at-home tests were negative you should perform a third test 48 hours after the second negative test for a total of at least three tests.
Testing Recommendations
We recommend taking a COVID-19 test. A PCR test is recommended for the best accuracy. For a PCR test, POSITIVE results are reliable and NEGATIVE results are generally reliable. Rarely the PCR test shows a positive result from a Covid-19 infection you had two to twelve weeks ago, hence this may not reflect a current positive result. The later the test is taken after an exposure, the more accurate the results. If it is positive, click here for COVID-19 positive isolation guidelines.
A RAPID MOLECULAR (NAAT) test provides results in 15 minutes. A POSITIVE test is reliable. If the result is NEGATIVE a clinician may decide to get further testing if the history and exam indicate it. A repeat rapid molecular test 3 days apart from the first increases accuracy.
A RAPID ANTIGEN test (used at home or in a provider’s office) can be taken for quicker results, POSITIVE results are reliable but NEGATIVE results are NOT reliable. If you are using a rapid antigen test and receive a negative result you should repeat the test again in 48 hours whether you have symptoms or not.
If you are asymptomatic and your first two at home tests were negative you should perform a third test 48 hours after the second negative test for a total of at least three tests.
Testing is no longer required if you complete the full 14 day quarantine period without symptoms developing.
Contact us during office hours to get a PCR test for COVID-19
Local testing sites:
Which test is best for COVID-19, PCR vs Rapid Molecular vs Rapid Antigen Test?
A positive test result with any of the three testing methods is generally reliable. A rapid molecular test is generally more reliable than a rapid antigen test. If your child has symptoms with a known exposure but the initial test is negative, your clinician may want a PCR test or have you repeat another rapid test in 2-3 days before returning to school or activities.
For additional counseling, please call the office to schedule a telemedicine visit with your doctor.
Local Resources:
What Should I Do?
Masking / Isolation Guidance
Patient
- See THE BASICS
- Day 0 is the first day of symptoms. Day 1 is the first full day after that. (Isolation Calculators)
- Watch for the development of symptoms of COVID-19 including fever, cough, sore throat, congestion, headache, and body aches.
- If your COVID-19 tests were negative and you continue to have no symptoms, you have the option to end your quarantine after day 5 and mask-wearing after day 10.
- If you cannot mask completely you must stay home for 10 days.
- Do not travel
Family
- If separation from someone in isolation for Covid-19 is not possible, the other members of the family will have ongoing exposure. Their last day of exposure occurs on day 10 of illness for the sick family member. Isolation Guidelines
- Use the COVID-19 Self-Assessment Tool for determining testing and length of quarantine for exposed individuals.
If your child is COVID-19 positive and too young to isolate by themselves, parents and siblings may need to extend their quarantine times. For example, your younger child starts symptoms on September 1 and tests COVID-19 positive on September 3. Mom is fully vaccinated and Dad is not, but both must help care for the child throughout their child’s isolation. The older child is also not vaccinated but is able to stay in a room away from the positive child once they find out about the positive test result.
- Because isolation for a positive case always starts from the onset of symptoms when symptoms are present, your younger child should isolate for 5 days from September 1 until September 6 and continue to wear a mask around others until September 11. If they are unable to wear a mask they should isolate for 10 days September 1-11.
- Mom’s masking period is recommended to end on September 25 but can end sooner. Mom is continuously being exposed to a COVID-19 positive case throughout the younger child’s isolation. However, because Mom is fully vaccinated, she can continue to go out with a mask and does not need to quarantine as long as she is free of symptoms. Mom must continue to wear a mask throughout the younger child’s isolation period because of the continuous exposure. Mom’s last exposure date to COVID-19 is the last day of the younger child’s isolation period (September 11), which is the last day the virus can presumably be shed and spread. Mom should test for COVID-19 5 days or later after her last exposure (September 16 or later). Mom should continue to go out wearing a mask for 10 days from the last exposure (until September 21) but does not need to wear a mask if the test 5 days after exposure has a negative result. In every masking option, Mom should continue to monitor for symptoms during the continuous exposure and for the full 10 days after the last exposure (until September 21).
- Dad’s quarantine is recommended to end September 25 but can end sooner. Dad is continuously being exposed to a COVID-19 positive case throughout the younger child’s isolation. Dad must continue to quarantine at home throughout the younger child’s isolation period because of the continuous exposure. Dad’s last exposure date to COVID-19 is the last day of the younger child’s isolation period (September 11), which is the last day the virus can presumably be shed and spread. Dad should test for COVID-19 5 days or later after his last exposure (September 16 or later). Dad should continue to quarantine for 10 days from the last exposure date (until September 21).In every quarantine option, Dad should continue to monitor for symptoms during the continuous exposure and for the full 10 days of the quarantine (until September 21).
- The older child’s quarantine is recommended to end on September 8 with mask use until September 13. The older child was able to stay in another room separated from the younger child starting on September 3. The last date of exposure is September 3. The older child should test for COVID-19 5 days or later after his/her last exposure (September 8 or later). The older child should quarantine at home for 5 days from the last exposure date (until September 8). The older child can shorten the quarantine time to 10 days after exposure (until September 13) with no test as long as there are no symptoms. In every quarantine option, the older child should continue to monitor for symptoms for the full 14 days of the quarantine (until September 17).
- These timelines change if any symptoms develop or there is a positive COVID-19 test result.
Vaccination
Vaccination is the best way to protect from COVID-19 disease. Consider vaccinating anyone 6 months of age and above once symptoms are resolved. CDC also provides an Interim Covid-19 Immunization Schedule for reference
When to be seen
Do I need to schedule an appointment?
In most cases, there is no need for an appointment and you can monitor for symptoms at home. Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
- Telemedicine visits – These visits occur through a video chat. You can call our front desk to schedule this appointment.
- Car visits – If the doctor thinks that an in-person visit is warranted, we may have you park in front of our building and the doctor will come out to you. Call and speak to our medical assistant staff to see if the doctor will approve this type of visit.
- End-of-day visits – If the doctor thinks that an in-person visit in the office is warranted, we may have you wait in the hallway at the end of our business hours and call you in directly to the closest room available. Call and speak to our medical assistant staff to see if the doctor will approve this type of visit.
Local Resources: If you still have questions about the management of your child's isolation or quarantine please call during office hours to speak with our triage nurse.
Call our office during office hours if you would like to setup a telemedicine visit.
Returning to school / work / activity
Ask your school for their specific return requirements.
Insert School Districts here.
Once you have completed isolation or quarantine, if you require a school note, please email us with the following information:
- Name
- Date of Birth
- Pediatrician name
- Start date of symptoms (if any)
- Date positive test was taken
- Are you currently free of fever?
- Have your symptoms improved?
You should receive a response within 1 business day.
You have had a primary high-risk exposure to COVID-19
The Basics
When you have been fully vaccinated the risk of getting COVID infection is low.
You should:
- take a COVID-19 test 6 days or later after your exposure. Test sooner if symptoms develop.
- Wear a mask in the presence of others for 10 days
- Monitor for symptoms for the full 10 days after exposure. If symptoms develop, get a test & retake this Self-Assessment tool based on that result.
- Testing is not required if you complete the full 10 day masking period without symptoms developing.
If you are asymptomatic and your first two at home tests were negative you should perform a third test 48 hours after the second negative test for a total of at least three tests.
Testing Recommendations
You should take a COVID-19 test 5 days after your last exposure to the positive person.
- A PCR test is recommended for the best accuracy. For a PCR test, POSITIVE results are reliable and NEGATIVE results are generally reliable. The later the test is taken after an exposure, the more accurate the results.
- A RAPID MOLECULAR (NAAT) test can be taken. Positive results are reliable but NEGATIVE results may NOT be reliable. Depending on the timing of the test and symptoms, your clinician will help you to determine if a PCR test should be performed or if a repeat test 3 days later will increase the accuracy.
- A RAPID ANTIGEN test can be taken for quicker results, POSITIVE results are reliable but NEGATIVE results are NOT reliable. A repeat rapid antigen test 2-3 days apart from the first increases accuracy.
Testing should also be done if any symptoms develop.
If your test result is positive, click here for COVID-19 positive isolation guidelines.
Testing is no longer required if you complete the full 14 day masking period without symptoms developing.
Contact us during office hours to get a PCR test for COVID-19
Local testing sites:
Which test is best for COVID-19, PCR vs Rapid Molecular vs Rapid Antigen Test?
A positive test result with any of the three testing methods is generally reliable. A rapid molecular test is generally more reliable than a rapid antigen test. If your child has symptoms with a known exposure but the initial test is negative, your clinician may want a PCR test or have you repeat another rapid test in 2-3 days before returning to school or activities.
For additional counseling, please call the office to schedule a telemedicine visit with your doctor.
Local Resources:
What Should I Do?
Masking / Isolation Guidance
Patient
- Because you are fully vaccinated you do not have to isolate at home.
- Day 0 is the first day after your exposure. Day 1 is the first full day after that. (Isolation Calculators)
- Wear a mask in public areas for 10 days from the last exposure.
- If your symptom status changes, please retake the COVID-19 Self-Assessment for updated advice.
Family
In-home exposure: If a family member is positive for COVID-19, it can get a little more complex especially if they are unable to wear a mask. See the attached for further guidance.
When to be seen
Do I need to schedule an appointment?
In most cases, there is no need for an appointment and you can just monitor for symptoms. Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
- Telemedicine visits – These visits occur through a video chat. You can call our front desk to schedule this appointment.
- Car visits – If the doctor thinks that an in-person visit is warranted, we may have you park in front of our building and the doctor will come out to you. Call and speak to our medical assistant staff to see if the doctor will approve this type of visit.
- End-of-day visits – If the doctor thinks that an in-person visit in the office is warranted, we may have you wait in the hallway at the end of our business hours and call you in directly to the closest room available. Call and speak to our medical assistant staff to see if the doctor will approve this type of visit.
Local Resources: If you still have questions about the management of your child's isolation or quarantine please call during office hours to speak with our triage nurse.
Call our office during office hours if you would like to setup a telemedicine visit.
Returning to school / work / activity
Ask your school for their specific return requirements.
Insert School Districts here.
Once you have completed isolation or quarantine, if you require a school note, please email us with the following information:
- Name
- Date of Birth
- Pediatrician name
- Start date of symptoms (if any)
- Date positive test was taken
- Are you currently free of fever?
- Have your symptoms improved?
You should receive a response within 1 business day.
You are POSSIBLY COVID-19 positive
The Basics
Because of your symptoms of COVID-19, this scenario should be treated initially as a positive case.
- Isolate at home for 5 days. Wear a mask for 10 days.
- You should take a COVID-19 test. If you are using a rapid antigen test (at-home test kit) and receive a negative result you should repeat the test in 48 hours and continue isolating.
- If testing is not available you should still follow masking and isolation guidelines.
It is impossible to distinguish between COVID-19 and influenza based on symptoms alone.
If your test is positive retake the Self Assessment Tool for advice on COVID-19 positive.
Testing Guidance
We recommend taking a COVID-19 test. A PCR test is recommended for the best accuracy. For a PCR test, POSITIVE results are reliable and NEGATIVE results are generally reliable. Rarely the PCR test shows a positive result from a Covid-19 infection you had two to twelve weeks ago, hence this may not reflect a current positive result. The later the test is taken after an exposure, the more accurate the results. If it is positive, click here for COVID-19 positive isolation guidelines.
A RAPID MOLECULAR (NAAT) test provides results in 15 minutes. A POSITIVE test is reliable. If the result is NEGATIVE a clinician may decide to get further testing if the history and exam indicate it. A repeat rapid molecular test 3 days apart from the first increases accuracy.
A RAPID ANTIGEN test (used at home or in a provider’s office) can be taken for quicker results, POSITIVE results are reliable but NEGATIVE results are NOT reliable. If you are using a rapid antigen test and receive a negative result you should repeat the test again in 48 hours whether you have symptoms or not.
If you are asymptomatic and your first two at home tests were negative you should perform a third test 48 hours after the second negative test for a total of at least three tests.
Testing is no longer required if you complete the full 14 day quarantine period without symptoms developing.
Contact us during office hours to get a PCR test for COVID-19
Local testing sites:
Which test is best for COVID-19, PCR vs Rapid Molecular vs Rapid Antigen Test?
A positive test result with any of the three testing methods is generally reliable. A rapid molecular test is generally more reliable than a rapid antigen test. If your child has symptoms with a known exposure but the initial test is negative, your clinician may want a PCR test or have you repeat another rapid test in 2-3 days before returning to school or activities.
For additional counseling, please call the office to schedule a telemedicine visit with your doctor.
What Should I Do?
Masking / Isolation Guidance
Patient
Isolation is used when based on symptoms, you may be infected with the Covid 19 virus. People in isolation should stay home and avoid contact with household members especially those for are at high risk for severe COVID-19 infection.
- Day 0 is the first day of symptoms. Day 1 is the first full day after that. (Isolation Guidelines) After day 5 you can leave your house if your symptoms are improving.
- Continue using a well-fitting mask when indoors or around others (including household contacts) for an additional 5 days.
- If you cannot wear a mask, you must stay home for 10 days.
If your symptoms are not improving after 5 days or you still have a fever you should maintain home isolation until symptoms improve AND you have been fever-free for 24 hours without the use of fever-reducing medications.
Family
- If separation from someone in isolation for COVID-19 is not possible, the other members of the family will have ongoing exposure. Their last day of exposure occurs on day 10 of illness for the sick family member. Isolation Guidelines
- Use the COVID-19 Self-Assessment Tool for determining testing and length of isolation for exposed individuals.
Vaccinations
Vaccination is the best way to protect from COVID-19 disease. Vaccinating anyone 6 months of age and above once symptoms are resolved is recommeded.
Home Care Recommendations
Treatment plans will be similar to cold/flu virus infections.
- Fever – Fever is a natural part of fighting a virus and does not need to be reduced unless there is discomfort. Your motto should be “treat the child, not the fever.” You can take ibuprofen (≥6 months old) and/or Tylenol as needed for discomfort. Call if fever reaches ≥105.
- Cough/congestion – Use suction/saline, cold mist humidifier, sit in a steamy room, and keep head elevated whenever possible for cough and congestion. You can also give warm water with honey and/or lemon to treat coughs for children older than 1 year of age. We do not recommend the use of cough and congestion medicines.
- Vomit/diarrhea – Vomiting may be monitored for up to 48 hours as long as there is no blood or bile present. Make sure that you are staying hydrated and perform the rehydration cycle for excessive vomiting. Diarrhea can be monitored for up to 2 weeks as long as there is no blood. Make sure you are mindful of preventing diaper rash if there is excessive diarrhea.
- Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
When to be seen
Do I need to schedule an appointment?
In most cases, you may be able to monitor and treat at home. Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
You may also need an appointment:
- if your school is requiring a note (please see the “Return to School note?” section below)
- if you would like to see if you qualify for a shorter isolation period (please see the “Can my isolation end sooner?” section below).
Local Resources: If you still have questions about the management of your child's isolation or quarantine please call during office hours to speak with our triage nurse.
Returning to school / work / activity
Ask your school for their specific return requirements.
Insert School Districts here.
Once you have completed isolation or quarantine, if you require a school note, please email us with the following information:
- Name
- Date of Birth
- Pediatrician name
- Start date of symptoms (if any)
- Date positive test was taken
- Are you currently free of fever?
- Have your symptoms improved?
You should receive a response within 1 business day.
You are POSSIBLY COVID-19 positive
The Basics
If you have symptoms, you should be treated initially as a positive case.
- Take a COVID-19 test on day 6 if possible. If your test is positive, retake this Self Assessment Tool.
- If you are fully vaccinated wear a mask around others for 10 days.
- If testing is not available, you should still follow masking and quarantine guidelines.
It is impossible to distinguish between COVID-19 and influenza based on symptoms alone.
If you are using a rapid antigen test (home test kit) and receive a negative result you should repeat the test again in 48 hours whether you have symptoms or not.
Testing Guidance
We recommend taking a COVID-19 test. A PCR test is recommended for the best accuracy. For a PCR test, POSITIVE results are reliable and NEGATIVE results are generally reliable. Rarely the PCR test shows a positive result from a Covid-19 infection you had two to twelve weeks ago, hence this may not reflect a current positive result. The later the test is taken after an exposure, the more accurate the results. If it is positive, click here for COVID-19 positive isolation guidelines.
A RAPID MOLECULAR (NAAT) test provides results in 15 minutes. A POSITIVE test is reliable. If the result is NEGATIVE a clinician may decide to get further testing if the history and exam indicate it. A repeat rapid molecular test 3 days apart from the first increases accuracy.
A RAPID ANTIGEN test (used at home or in a provider’s office) can be taken for quicker results, POSITIVE results are reliable but NEGATIVE results are NOT reliable. If you are using a rapid antigen test and receive a negative result you should repeat the test again in 48 hours whether you have symptoms or not.
If you are asymptomatic and your first two at home tests were negative you should perform a third test 48 hours after the second negative test for a total of at least three tests.
Testing is no longer required if you complete the full 14 day quarantine period without symptoms developing.
Contact us during office hours to get a PCR test for COVID-19
Local testing sites:
Which test is best for COVID-19, PCR vs Rapid Molecular vs Rapid Antigen Test?
A positive test result with any of the three testing methods is generally reliable. A rapid molecular test is generally more reliable than a rapid antigen test. If your child has symptoms with a known exposure but the initial test is negative, your clinician may want a PCR test or have you repeat another rapid test in 2-3 days before returning to school or activities.
For additional counseling, please call the office to schedule a telemedicine visit with your doctor.
What Should I Do?
Masking / Isolation Guidance
Patient
- People who are fully vaccinated do NOT need to isolate after exposure unless they develop symptoms.
- If you have symptoms, home isolation for 5 days (until test results are available) is recommended.
- Wear a well-fitted mask for 10 days when around others.
You must also be free of fever (without using fever-reducing medication) for at least 24 hours AND symptoms must be improving to end isolation. If you are unsure if you have COVID-19 we recommend seeking professional medical guidance (more information in the sections below).
Family
For those who are living with someone in isolation for suspected COVID-19, you are a primary high risk exposure (click here to use our COVID-19 Self-Assessment for specific family member exposure guidelines and recommendations).
Home Care Recommendations
Treatment plans will be similar to cold/flu virus infections.
- Fever – Fever is a natural part of fighting a virus and does not need to be reduced unless there is discomfort. Your motto should be “treat the child, not the fever.” You can take ibuprofen (≥6 months old) and/or Tylenol as needed for discomfort. Call if fever reaches ≥105.
- Cough/congestion – Use suction/saline, cold mist humidifier, sit in a steamy room, and keep head elevated whenever possible for cough and congestion. You can also give warm water with honey and/or lemon to treat coughs for children older than 1 year of age. We do not recommend the use of cough and congestion medicines.
- Vomit/diarrhea – Vomiting may be monitored for up to 48 hours as long as there is no blood or bile present. Make sure that you are staying hydrated and perform the rehydration cycle for excessive vomiting. Diarrhea can be monitored for up to 2 weeks as long as there is no blood. Make sure you are mindful of preventing diaper rash if there is excessive diarrhea.
- Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
When to be seen
Do I need to schedule an appointment?
In most cases, you may be able to monitor and treat at home. Seek medical attention if there is a fever ≥100.4 for ≥3 days (or any fever ≥100.4 in children less than 3 months old), respiratory distress, dehydration symptoms, or lethargy.
You may also need an appointment:
- if your school is requiring a note (please see the “Return to School note?” section below)
- if you would like to see if you qualify for a shorter isolation period (please see the “Can my isolation end sooner?” section below).
Local Resources: If you still have questions about the management of your child's isolation or quarantine please call during office hours to speak with our triage nurse.
Returning to school / work / activity
Ask your school for their specific return requirements.
Insert School Districts here.
Once you have completed isolation or quarantine, if you require a school note, please email us with the following information:
- Name
- Date of Birth
- Pediatrician name
- Start date of symptoms (if any)
- Date positive test was taken
- Are you currently free of fever?
- Have your symptoms improved?
You should receive a response within 1 business day.
Low Risk for COVID-19
The Basics
- Continue to take proper precautions to prevent the spread of infection including covering coughs and sneezes, good hand washing, social distancing and mask-wearing when indoors,
- If your symptom or exposure status changes, please retake the COVID-19 Self-Assessment for updated advice.
Call our office during office hours if you would like to setup a telemedicine visit.
What Should I Do
Masking / Isolation Guidance
Patient
Please follow your local community or school guidelines for wearing masks and returning to school or activities.
Local Resources:
Family
There is very low concern for your family members at this time. However, they should continue to take proper precautions as well.
Vaccinations
CDC and AAP now recommend COVID-19 vaccines for children 6 months of age and older. The CDC provides this Interim Covid-19 Immunization Schedule for reference
ACKNOWLEDGMENTS
We want to thank Bluefish Pediatrics for their vision to create this self assessment tool! We appreciate the additional efforts of Dr. Susan Kressly as well as the pediatric clinicians at Greenwood Pediatrics for reviewing and updating the content.
