By Craig Hall, GSP, Risk Manager PREVENTING COVID-19 IN THE WORKPLACE What is COVID-19? * How is COVID-19 spread? Signs and Symptoms Workplace Risk 10 Steps to Prevent COVID-19 in the workplace 6 Steps for Safe Disinfectant use Hand Hygiene– • Hand Washing Soap and Water Technique Nursing Skill-Video • Handwashing Steps to Stop the Spread PPE; types and proper use • Properly Putting on and Taking Off a Mask • Other Mask Options, Pro’s/Cons WHAT IS COVID-19? CORONAVIRUS, SARS-COV-2, IS ONE OF SEVEN OF THE KNOWN HUMAN CORONAVIRUSES. COVID-19 IS A VIRUS THAT CAN CAUSE RESPIRATORY ILLNESS IN HUMANS. CORONAVIRUS IS A CONTAGIOUS VIRAL STRAIN THAT CAN BE PASSED FROM ONE PERSON TO ANOTHER VIA; Direct contact- within 6 feet Respiratory droplets; sneezing or coughing Touching a surface that has the virus Some recent studies have suggested that COVID-19 may be spread by people who are not showing symptoms COVID-19 SIGNS & SYMPTOMS MOST PEOPLE CAN EXPERIENCE MILD TO SEVERE RESPIRATORY ILLNESS, AND CAN INCLUDE ONE OR A COMBINATION OF THE FOLLOWING SYMPTOMS: COUGH SHORTNESS OF BREATH/DIFFICULTY BREATHING FEVER CHILLS MUSCLE PAIN/CRAMPS HEADACHE SORE THROAT LOSS OF TASTE OR SMELL EMERGENCY WARNING SIGNS & SYMPTOMS TROUBLE BREATHING PAIN OR PERSISTENT PRESSURE IN THE CHEST BLUISH LIPS OR FACE SUDDEN CONFUSION OR TROUBLE BEING WOKEN UP WORKPLACE RISK WHAT IS THE RISK TO WORKERS IN THE USA? CONSIDER THE FOLLOWING FACTORS: AT RISK, PRE-EXISTING MEDICAL CONDITION PEOPLE WITH MODERATE TO SEVERE ASTHMA PEOPLE WITH COMPROMISED IMMUNE SYSTEMS I.E.; CANCER, HIV, ETC. CLASSIFICATION OF WORKER EXPOSURE LOWER EXPOSURE RISK MEDIUM EXPOSURE RISK HIGH RISK VERY HIGH RISK WORKPLACE RISK (CONT.) LOWER EXPOSURE RISK (CAUTION) MEDIUM EXPOSURE RISK (CAUTION) THIS INCLUDES JOBS THAT DO NOT REQUIRE CONTACT WITH PERSON(S) KNOWN TO BE INFECTED WITH COVID-19. THIS CATEGORY INCLUDES WORKERS THAT WILL HAVE MINIMAL CONTACT THIS INCLUDES JOBS THAT REQUIRE FREQUENT CLOSE CONTACT W/ PEOPLE WHO MAY BE INFECTED. WORKERS IN THIS CATEGORY INCLUDE: WITH THE PUBLIC OR OTHER COWORKERS. • • WORKERS WORKING REMOTELY • • OFFICE WORKERS, WITH MINIMAL PUBLIC CONTACT INDUSTRIAL, MANUFACTURING, & AGRICULTURAL EMPLOYEES THAT DO NOT HAVE FREQUENT CONTACT WITH OTHER EMPLOYEES • • LONG-HAUL TRUCK DRIVERS TELEMEDICINE • • THOSE WHO HAVE CONTACT WITH THE GENERAL PUBLIC (SOME HIGHVOLUME RETAIL, HIGH POPULATION WORK ENVIRONMENTS, ETC.) THOSE WHO MAY HAVE CONTACT WITH TRAVELERS SOME MEDICAL PROFESSIONS THAT HAVE MINIMAL CONTACT WITH PATIENTS (HEARING AND SPEECH FOR EXAMPLE) WORKPLACE RISK (CONT.) HIGH EXPOSURE RISK VERY HIGH EXPOSURE RISK THIS INCLUDES JOBS WITH A HIGH POTENTIAL FOR EXPOSURE TO KNOWN OR SUSPECTED SOURCES OF COVID-19. WORKERS IN THIS CATEGORY INCLUDE: JOBS WITH A VERY HIGH POTENTIAL FOR EXPOSURE TO KNOWN OR SUSPECTED SOURCES OF COVID-19 DURING SPECIFIC MEDICAL, POSTMORTEM, OR LABORATORY PROCEDURES. WORKERS IN THIS CATEGORY INCLUDE: • HEALTHCARE DELIVERY & SUPPORT STAFF THAT ENTER COVID-19 PATIENT ROOMS MEDICAL TRANSPORT WORKERS (AMBULANCE DRIVERS) MOVING KNOWN OR SUSPECTED COVID-19 PATIENTS. • MORTUARY WORKERS INVOLVED WITH BODY PREPARATION OF PEOPLE WHO ARE KNOWN OR SUSPECTED OF HAVING COVID-19 • • HEALTHCARE WORKERS ( I.E. DOCTORS, ER STAFF, DENTIST, PARAMEDICS, ETC.) PERFORMING AEROSOL-GENERATING PROCEDURES, ON SUSPECTED OR KNOWN COVID-19 PATIENTS. • HEALTHCARE OR LABS THAT HANDLE OR COLLECT SPECIMENS FROM SUSPECTED OR KNOWN COVID-19 PATIENTS. • MORGUE WORKERS THAT PERFORM AUTOPSIES ON SUSPECTED OR KNOWN COVID-19 PATIENTS 10 STEPS TO PREVENT COVID-19 IN THE WORKPLACE We are in this together! It is a team Effort to Prevent COVID-19 in the Workplace! Step 1 Stay home if sick! Step 6 Do not use other co-workers equipment if possible; i.e. phones, desks, computers, etc. Step 2 Cover you mouth when you cough or sneeze (yes even if it is just allergies). Step 7 If social distancing cannot be maintained use some sort of barrier or use added PPE. Step 3 Ensure that there are multiple hand washing stations. WASH YOUR HANDS!!!! Step 4 Limit worksite access to only essential personnel. Ensure social distancing of at least 6 feet when at the jobsite. Step 5 Work with skeleton crews when possible or work from home when possible. Again ensure that social distancing protocols of at least 6 feet are adhered to. Step 8 Disinfect! Clean and disinfect all surfaces, equipment, doors, or any other touch surfaces. Step 9 Only use disinfectants that are approved by the EPA, for disinfecting for the Coronavirus. Follow manufacturer guidelines for the use of all cleaning and disinfecting Step 10 Report any health and safety concerns to management or a supervisor. CLEANING & DISINFECTING 6 STEPS TO FOR SAFE & EFFECTIVE DISINFECTANT USE Click here to number slides 11 HAND HYGIENE FOR HEALTHCARE WORKERS – HAND WASHING SOAP AND WATER TECHNIQUE NURSING SKILL Click here to number slides 13 Click here to number slides 14 COVID-19 DO’S & DON’TS IF YOU ARE AN ESSENTIAL WORKER WHO HAS BEEN EXPOSED TO COVID-19 Take your temperature before work Report any signs and symptoms right away Go to work if you’re feeling sick Practice social distancing in the workplace of at least 6 feet Avoid sick people Shake hands when greeting others, try an air “High Five” Share tools & equipment that have not been sanitized Have close contact meetings Avoid touching you eyes, nose, or mouth with unwashed hands Cough or sneeze into the bend of your arm Increase the distance between workstations, or provide a protective barrier between stations that cannot be moved. Use any necessary personal protective equipment (PPE) as directed Reuse PPE without properly sanitizing it PERSONAL PROTECTIVE EQUIPMENT (PPE); RECOMMENDED, USE, AND CARE RECOMMENDED PPE may be needed to in certain instances, but only when other strategies have been exhausted; such as administrative and engineering controls. The best PPE in your arsenal is maintaining social distancing of six feet for all business or social interactions. Your PPE selection should be based off of work tasks, a hazard assessment, and the type of exposure for that given task. For example, a supervisor asking screening questions and taking an employees temperature would use the following: Face shield, face covering, gloves, and a long sleeve lab coat (or rain jacket). PERSONAL PROTECTIVE EQUIPMENT (PPE); PROPERLY PUTTING ON AND TAKING OFF A MASK PERSONAL PROTECTIVE EQUIPMENT (PPE); OTHER MASK OPTIONS, PRO’S/CONS Click here to number slides 19 Click here to number slides 20 QUESTIONS??? Please email any questions you may have to: Craig.hall@mybbsi.com Click here to number slides 21 Resources OSHA https://www.osha.gov/SLTC/covid-19/index.html CDC https://www.cdc.gov/coronavirus/2019-ncov/index.html WA DOSH-LNI https://www.lni.wa.gov/safety-health/safety-topics/topics/coronavirus Washington State Coronavirus Response https://coronavirus.wa.gov/whats-open-and-closed/essential-business U.S. Department of Health and Human Services https://www.youtube.com/watch?v=XnJ1wvlIcbs Washington State’s Respirator Rule (Chapter 296-842 WAC) and other workplace safety and health rules, visit: www.Lni.wa.gov/safety-health/safety-rules/find-safety-rules/#term=&filter=all&page=1 Resources from Washington State Department of Health: www.doh.wa.gov/Emergencies/NovelCoronavirusOutbreak2020COVID19/ResourcesandRecommendations Click here to number slides 22