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School nurses already have a lot of responsibilities, but the possibility of students being back in classrooms this fall may add a new duty: screening for COVID-19."There seem to be no certainties. The guidance changes frequently and there is some concern that the guidance doesn’t take into account the realities in a school building," says Laurie Combe, the President of the National Association of School Nurses.Combe says the pressure will be on school nurses to help screen and isolate any students or staff who could be showing symptoms of COVID-19. But not all schools across the country have the ability to do this."We're supposed to isolate those students or staff members and does a school have the space or capacity to do that?" says Combe.According to the Department of Education, there are 98,000 public schools in the United States. The National Association of School Nurses’ research has shown 25% of those schools have no access to a school nurse."Not part-time, not one nurse covering multiple schools, just no school nurse," says Combe.“COVID has revealed to us is that schools are relying heavily on school nurse expertise to guide their procedures and policies moving forward into reopening,” Combe added. “So what do those schools that don’t have a school nurse do?"Visalia Unified School District in California has about 32,000 students. The district's 12 credentialed school nurses help lead an additional 36 nurses in meeting students' health needs."Our health department reached out and identified the 12 school nurses as emergency disaster workers so instead of enjoying a summer vacation, the nurses are working at the health department and helping to monitor COVID," says the district's Director of Health Services Suzie Skadan. Skadan says that extra experience will be helpful when school is back in session."They will have this additional experience and hands-on happening so they will know what to do when we come back," says Skadan.Visalia unified is working closely with their local health department to put every CDC-recommended protocol in place come the fall."It is an added burden for the school nurse but it's very necessary to keep our students safe. So we think planning ahead and having systems in place will make the best of this situation," says Skadan. Both the National Association of School Nurses and Visalia Unified say ideally there'd be more nurses on hand this fall."Unfortunately, we're having big budget cuts. It's been a bad budget year and then we have COVID on top of that so we are not hiring additional nursing staff. We schedule people around to make things work so hopefully we can manage it this way," says Skadan.While not every school will have the ability to test students for COVID this next school year, the National Association for School Nurses expects more students will be tested. Combe refers to a recent conversation she had with a teacher."I said, ‘So what are you going to do if a child in your classroom starts coughing?’ Normally you would send that child to get some water or you know help them manage that. She said, ‘I’m sending that child to the school nurse,'" says Combe.Combe says nurses focus much of their time on health education for students, faculty and their entire school community, a role that will be amplified come next school year. 3334

Secretary of State Rex Tillerson thanked agency staff in a message Friday, calling his service at the State Department "one of the great privileges of my life," just days after being fired by President Donald Trump in an early morning tweet."I depart my post with nothing but the best memories of working with my State Department colleagues," Tillerson said in the letter, the text of which was obtained by CNN and first reported by the Associated Press. "Know that I will continue to pray for our country, our leaders, and your efforts to make this world a better place than we found it. I am cheering for your success and thank you again for your service." 666

SAN YSIDRO (KGTV) -- Local businesses are feeling a one-two punch after the border closure for non-essential travel was extended during the coronavirus pandemic.The owner of El Rincon Restaurant in San Ysidro said the extension is devastating for business."I just found out a couple hours ago that they were going to do this, I had absolutely no clue," Owner Edgar Alaniz said. He was looking forward to the reopening of the border planned for June 22, now pushed back for a third time to July 21.Alaniz said he didn't want to be mad because all of this is to protect our health and safety but it's extremely difficult for businesses to survive after being closed for three months. Alaniz said about 75-80% of their customers come from Mexico. Currently, the business is only seeing about 20% of those customers. "That's what happens when the border is closed for three months, people find different ways and for a restaurant like me, they find a different restaurant," he said.He hopes when the border reopens to welcome them back.Alaniz said they closed the restaurant March 15, and continued with take-out service. Just last week they reopened for dine-in service with protective procedures, like masks and extra cleaning, in place.Alaniz hopes to see more of his neighbors reopening as well, saying he only knows of one other locally owned restaurant in San Ysidro reopening so far.He is confident we will all get through this, "we move forward with strength and a bright vision, that's what it is and that's what it will always be about."The news comes as the U.S., Canada, and Mexico agreed to extend their agreement to keep their borders closed to non-essential travel through July 21 during the coronavirus pandemic."This is an important decision that will keep people in both of our countries safe,” Canadian Prime Minister Justin Trudeau said Tuesday. 1870

SAN YSIDRO, Calif. (KGTV)— The border shutdown at the San Ysidro Port of Entry Sunday created a ripple effect for transportation and nearby businesses.Many people were stranded at the port crossing for five hours before Homeland Security reopened the lanes in the evening. Christmas shopping at the Las Americas Outlet Mall came to an abrupt stop for Maria Martinez. "The mall was closed. They're very dangerous for us and the store,” Martinez said.RELATED: MAP: Migrant caravan forces closure of San Ysidro Port of Entry, San Diego interstatesThe Mexico City resident is on vacation to San Diego. She was shopping when she was told to leave the mall suddenly. Minutes prior, she claimed she saw a swath of caravan migrants rush the back of the mall, which the CBP denies."I saw the Salvadorenos people trying to cross the border,” Martinez said. “It was like watching a movie. I couldn’t believe it. I saw everything.”Customs and Border Protection closed off the San Ysidro Port of Entry late Sunday morning. Then the California Highway Patrol blocked off both the 805 and 5 Freeways south of the 905 interchanges. American federal agents in full tactical gear lined up along the border, at times using tear gas and rubber bullets to deter migrants.  "Over there, there was smoke and the noise of the gun,” Martinez said. At this point, there are no reports of any of the migrants successfully crossing the border. Martinez said she saw federal agents turn them around. The bus depot next to the mall was also closed, leaving shoppers like Martinez stuck and not knowing when they could get home. "I don't know. I think it's going to close the border. When everything is in peace, they are going to open. What time? I don't know,” Martinez said. By 5:15 pm, all operations at the San Ysidro Port of Entry resumed.  1883

SANTEE, Calif. (KGTV) - Viral cellphone video shows how things turned ugly when a Starbucks customer was asked to put on her mask in Santee.On Sunday afternoon, at a Starbucks on North Magnolia, 19-year-old barista Alex Beckom says a female customer in a blue top pulled down her 'Trump 2020' mask to ask a question. Beckom says she asked the customer to put on the mask, which she did, before becoming agitated and took it off again. That's when another customer told ABC 10News he started recording."I'm not gonna listen to anything you say to me, when you talk to me like that," the customer is heard saying."Okay, that's fine, but next time when you come in I'm going to need you to keep your mask on," responds Beckom in the video."I told her that, so if she ever came back, the customer and staff would be protected," says Beckom.Moments later, the customer served up a different motive."And I know it's because you're discriminating against me, because I'm a Trump supporter. F*** Black Lives Matter,' said the customer."If she thinks she’s being discriminated against, that’s on her. I never brought up anything about he politics ... I wasn't even angry. I was just like, "Why is this happening?" said Beckom.The customer became even more upset, when Beckom reminded her to wear her mask if she comes in again."No, it's not a law. I'll show you the penal code. It's a hoax. I don't have to wear a mask. I'm not going to wear a mask. This is America, and I don't have to do what you say. Trump 2020 ... F*** you," said the customer, raising her voice as she walked out of the Starbucks.The customer wasn't quite done and returned, yelling, "F*** Black Lives Matter," said Beckom.In Beckom's words, this is her first 'Karen' experience in three years as a barista. She posted it on social media, and it went viral with some two million views in a day."I think it’s important to show this type of behavior shouldn’t be normalized and shouldn’t be acceptable ... As this behavior continues, the cycle continues, and we need to get this cycle to stop," said Beckom.A Gofundme campaign has been set up to help Beckom with her college education and to help her co-workers at the Starbucks. 2198

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