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These functions cannot be conducted safely if testing and contact tracing are added to their scope of work, especially with limited staffing and underfunding of school health prior to the pandemic.

School nurses and other school health services staff are responsible for the direct care of acutely ill and injured students, safety planning for students with chronic and life-threatening conditions, medication administration and skilled nursing services, screening, implementation of school wellness plans, and many more critical functions that must continue.

School nurses and school health personnel should not be the default to provide school-based COVID-19 testing (particularly routine asymptomatic testing) or contact tracing.

Ensure that school administration and medical staff (ie, school nurses and nurse aides) are given ample training and funding to better understand the latest recommendations regarding vaccination, mitigation, testing, and therapeutics.

Adequate and timely COVID-19 vaccination resources for the whole school community must be available and accessible. Vaccination has proven to lessen transmission, severity of disease, and death.

COVID-19 vaccination and boosters as recommended by the CDC should be encouraged.

School policies should protect students, school staff, and teachers using science as a guide.

The mental health needs of children and adolescents must be prioritized and funded.

They have had to work through new guidelines from various sources, funding issues, COVID-testing availability, school board changes, and public backlash to provide our children and adolescents with the educational and socioemotional support they need to learn and thrive.

School staff, including school nurses, teachers, and administrators, should be supported as they continue to navigate in-person learning during the pandemic.

This is required to protect students and staff from COVID-19, common respiratory infections, and any other potential future threats. Schools need adequate federal, state, and local funding and resources so they can continue to implement universal infection control mitigation and safety measures through robust school nursing and health services.In order to keep children and adolescents in school, the following must happen: All federal, state, and local policies must prioritize children and schools. The AAP is committed to continuing to advocate for (1) using science to make local and state decisions to protect our communities from COVID-19 (2) combating disinformation and misinformation (3) prioritizing in-person learning by continuing support for schools to implement recommended health and safety measures and (4) creating policies that put children and adolescents first. 3 Families rely on schools to provide a safe, stimulating, and enriching space for children to learn appropriate supervision of children opportunities for socialization and universal support to cope with crisis and loss associated with the pandemic. Schools provide our children and adolescents with academic instruction, social and emotional skills, safety, reliable nutrition, physical/occupational/speech therapy, mental health services, health services, oral health care, and opportunities for physical activity, among other benefits. However, schools and school-supported programs are fundamental to child and adolescent development and well-being. The risk may be greater for individuals and families who have chosen not to be vaccinated or are not eligible to be vaccinated. 1,2 Transmission of SARS-CoV-2 in schools can still occur. Schools do not significantly increase community transmission, especially when guidance outlined by the World Health Organization (WHO), United Nations Children's Fund (UNICEF), and Centers for Disease Control and Prevention (CDC) is followed. The American Academy of Pediatrics (AAP) has called for safe in-person learning since its original COVID-19 school guidance released on June 24, 2020. Remote learning exacerbated existing educational inequities, was detrimental to educational attainment, and worsened the growing mental health crisis among children and adolescents. One of the most critical lessons of the COVID-19 pandemic is the importance of in-person school.