UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 OPERATION ORDER 20-01 COVID-19 RESPONSE (U) (U) REFERENCES: (a) (U) NCG 1 OPERATION ORDER 19-01 (Pacific Fleet NCF), DTG 011600UOCT2018 (b) (U) COMNCGONEINST 3100.1 – NCG 1 CCIRs and CSNEs (c) (U) COMNECC EXECUTE ORDER (EXORD) in response to CUSFF FRAGO 20019.001 and CUSFF EXORD in response to Novel Coronavirus Disease 2019, DTG 031919Z MAR 20 (d) (U) COMNECC PHASE III EXECUTE ORDER (EXORD) IN RESPONSE to Novel Coronavirus Disease 2019, DTG 232118Z MAR 20 (e) (U) COMNECC/COMNECCPACINST 3500.37A – Lessons Learned Program and PostDeployment Brief (f) (U) NAVADMIN 100/20 Navy guidance on the use of face coverings, DTG 051456ZAPR20 (g) (U) COMPACFLT EXECUTION ORDER (EXORD) IN RESPONSE TO THE WUHAN VIRUS DTG 210045ZMAR20 (h) (U) COMTHIRDFLT MSGID 20-066 IN RESPONSE TO COVID-19, DTG 080050ZAPR20 (U) TIME ZONE: UNIFORM 1. (U) Situation a. (U) General (1) (U) The Coronavirus disease 2019 (COVID-19) or Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) is a novel respiratory illness which causes a wide range of symptoms including mild upper respiratory illness to severe pneumonia. The disease was first identified in 2019 in Wuhan, China and has since spread globally, resulting in the 2019–2020 pandemic. (2) (U) The United States (U.S.) Department of Health and Human Services (HHS) declared COVID-19 as a U.S. public health emergency on 31 January 2020. HHS is the U.S. Government lead federal agency for pandemic influenza and infectious disease response. (3) (U) The COVID-19 outbreak is widespread, broadly impacting both the Department of Defense (DoD) and civilian population around the world and in our homeland. On 13 March 2020, The President of the United States declared a national emergency due to the COVID-19 pandemic. Despite this, the DoD must be able to continue assigned missions, functions and tasks and is likely to be tasked to provide additional support to the federal or state response as the outbreak continues. (4) (U) On 23 March 2020, Navy Expeditionary Combat Command (NECC) Pacific (NECCPAC) directed subordinate commands in the U.S. Northern Command 1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (NORTHCOM) area of operations (AOR) to transition to Phase III COVID-19 response operations and prepare to conduct additional Phase III tasks. (5) (U) The Federal Emergency Management Agency (FEMA) is now the lead in the federal government’s national response to the COVID-19 outbreak. HHS remains the lead federal agency for public health and medical preparedness, response and recovery. (6) (U) Allies and partners have introduced COVID-19 travel restrictions that may restrict routine force access and forces should anticipate the potential for more restrictions. U.S. Government travel warnings and/ or health advisories that could affect Operations, Activities, and Investments (OAI) in area of responsibility (AOR) are expected to change rapidly. (7) (U) U.S. Indo-Pacific Command (INDOPACOM) has activated the Theater Joint Force Land Component Commander (T-JFLCC) for Defense Support of Civil Authorities (DSCA) requests and other response forces may be required. (8) (U) On 20 March 2020, NECCPAC directed subordinate units to set Health Protection Condition (HPCON) CHARLIE MINUS (C-). On 30 March 2020, Commander, Navy Region Southwest (NRSW) directed subordinate Installations to set HPCON CHARLIE. b. (U) Friendly Forces (1) (U) Higher (a) (U) NORTHCOM, Colorado Springs Colorado. NORTHCOM is the supported commander for pandemic preparation and planning and is coordinating the global response to COVID-19. Conducts COVID-19 operations with primary emphasis on synchronizing the DoD response to COVID-19 in the NORTHCOM AOR. (b) (U) INDOPACOM, Camp Smith, Hawaii. Protects and defends, in concert with other U.S. government agencies, the territory of the United States, its people, and its interests. With allies and partners, we will enhance stability in the Indo-Asia-Pacific region by promoting security cooperation, responding to contingencies, deterring aggression, and, when necessary, fighting to win. INDOPACOM is the supported combatant commander within the INDOPACOM AOR. All other combatant commands are supporting. (c) (U) U.S. Fleet Forces Command (USFF), Norfolk, VA. Designated as the Naval Component Commander (NAVNORTH) for NORTHCOM. USFF contributes to the defense of North America through the coordination, collaboration, and communication with allied, coalition, and joint forces within the NORTHCOM AOR. (d) U.S. Army Pacific (ARPAC), Fort Shafter, Hawaii. Designated by INDOPACOM as the T-JFLCC effective 1 February 2020 in response to the COVID-19 outbreak to support and protect the force in respect to COVID-19. (e) (U) U.S. Pacific Fleet (PACFLT), Pearl Harbor, Hawaii. PACFLT advances Indo-Asia-Pacific regional maritime security and enhance stability in support of 2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY INDOPACOM by being where it matters, when it matters, with what matters to decisively prevail in all contingencies from war to peace. PACFLT is the Supported Component Commander for all Naval COVID-19 response requirements in the INDOPACOM AOR. (f) (U) U.S. THIRD Fleet (C3F), San Diego, California. C3F provides the realistic, relevant training necessary for an effective global Navy. C3F leads naval forces in the Pacific from the West Coast of North America to the Marianas Islands region. Joint, interagency and international relationships strengthen C3F ability to respond to crises and protect the collective maritime interests of the U.S. and its allies and partners. C3F is the Operational Commander of NCG 1. (g) (U) Maritime Command Element-West (MCE-W). Directs PACFLT units located in the NORTHCOM AOR during DSCA operations. (2) (U) Adjacent (a) (U) Naval Construction Group TWO (NCG 2), Gulfport, Mississippi. NCG 2 mans, trains, maintains, equips, mobilizes, and provides policy for subordinate NCF units that deploy in support of combatant commanders across the full spectrum of military and engineering operations. (b) (U) Coastal Riverine Group ONE (CRG 1), San Diego, California. CRG 1 mans, trains and equips Coastal Riverine Forces that provide port and harbor security, Maritime force protection, high value asset security, protection of vital waterway, establishment of local military superiority, Humanitarian Assistance and Disaster Recovery and training and partnership exercise with foreign nations. (c) (U) Explosive Ordinance Disposal Group ONE (EODGRU 1), San Diego, California. EODGRU 1 provides the Pacific Fleet with the capability to detect, identify, render safe, recover, evaluate, and dispose of explosive ordnance which has been fired, dropped, launched, projected, or placed in such a manner as to constitute a hazard to operations, installations, personnel, or material. (d) (U) Navy Expeditionary Logistics Support Group (NAVELSG), Williamsburg, Virginia. NAVELSG is a vital enabler of Maritime Prepositioning Forces (MPF), Joint Logistics Over the Shore (JLOTS) operations, and maritime forces ashore providing expeditionary cargo handling services for surface, air, and terminal operations, tactical fueling, and ordnance handling/reporting in support of worldwide Naval, Joint, interagency, and combined forces/organization. (e) (U) Amphibious Construction Battalion ONE (ACB 1), Coronado, California. ACB 1 provides ship-to-shore transportation of combat cargo, bulk fuel and water, called logistics over-the-shore (LOTS), for the Navy and Marine Corps amphibious force and Maritime Pre-positioned Force (MPF) operations. ACB 1 also provides tactical camp operations. (f) (U) I Marine Expeditionary Force, Oceanside, California. I Marine Expeditionary Force provides the Marine Corps a globally responsive, expeditionary, and fully scalable Marine Air Ground Task Force (MAGTF), capable of generating, deploying, and 3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY employing ready forces and formations for crisis response, forward presence, major combat operations, and campaigns. (3) (U) Supporting (a) (U) Naval Base Ventura County (NBVC), Port Hueneme, California. NBVC provides general quality of life support, services, and facilities for tenant commands and serves as the host installation for NCG 1, FIRST Naval Construction Regiment (FIRST NCR), Naval Mobile Construction Battalions (NMCB) THREE, FOUR, FIVE, EIGHTEEN, TWENTYTWO, TWENTY-FIVE, and Underwater Construction Team TWO (UCT TWO). (b) (U) Naval Base (NAVBASE) San Diego, San Diego, California. NAVBASE San Diego provides general quality of life support, services, and facilities for tenant commands and serves as the host installation for Construction Battalion Maintenance Unit THREE ZERO THREE (CBMU 303). (c) (U) Joint Base Pearl Harbor-Hickam (JBPHH), Pearl Harbor, Hawaii. JBPHH provides general quality of life support, services, and facilities for tenant commands and serves as the host installation for CBMU 303 Detachment Pearl Harbor. (d) (U) NAVBASE Guam, Santa Rita, Guam. NAVBASE Guam provides general quality of life support, services, and facilities for tenant commands and serves as the host installation for THIRTIETH Naval Construction Regiment (NCR). (e) (U) Naval Facilities Engineering Command Engineering and Expeditionary Warfare Center (EXWC), Port Hueneme, California. EXWC delivers specialized engineering and technology solutions that support sustainable facilities and provides logistics and expeditionary systems support for Navy combat force capabilities. 2. (U) Mission. Organize, Man, Train, Equip, Deploy, and Sustain PACFLT Naval Construction Forces (NCF) in order to provide task-tailored, adaptable, and combat effective engineer forces ready to support Combatant and/or Component Commanders across the full spectrum of military operations. Throughout all phases of COVID-19 outbreak, the PACFLT NCF shall sustain Mission Essential Functions (MEF) in order to support Critical Fleet Operations (CFO) and remain ready to meet all emergent tasking. a. (U) Desired Effects. NCG 1 implements Force Health Protection (FHP) measures, trains and equips the force, and maintains continuity of operations in order to mitigate the effects of COVID-19 and maintain operational effectiveness while minimizing human suffering through DSCA operations. b. (U) Purpose. Continue to mitigate the effects of COVID-19 on the force, especially impacts to mission assurance and critical operations. NCG 1 will support federal, state, local, and foreign government COVID-19 response operations, as directed. c. (U) End State. Mission assurance is maintained, freedom of movement preserved, DSCA response is no longer required, and NCG 1 and subordinate units return to normal operations. 4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 3. (U) Execution a. (U) Commander’s Intent (1) (U) Purpose. Ensure the PACFLT Naval Construction Force (NCF) is able to sustain MEF that directly support CFO as determined by Operational and Type Commanders regardless of the scale and scope of COVID-19 outbreak. (2) (U) Method. The PACFLT NCF will focus efforts on MEF that ensure mission readiness, minimize training degradation, maintain accountability, and provide for our personnel while maximizing opportunities to reduce exposure, promote social distancing, limit large gatherings, and utilize telecommunications. (a) Priorities of Effort 1. (U) Protect our personnel and families. 2. (U) Maintain mission readiness. 3. (U) Support whole-of-government effort. (b) (U) Mission Essential Functions 1. (U) Exercise command and control of assigned forces. 2. (U) Maintain accountability of assigned personnel, equipment, materiel, and facilities. 3. (U) Support forward deployed subordinate forces. 4. (U) Operate communications systems in support of mission essential functions. 5. (U) Analyze and respond to emergent requirements. 6. (U) Monitor and respond to operational and administrative communications with higher, subordinate, and adjacent units. 7. (U) Operate logistics systems to support on-going and emergent tasking. 8. (U) Perform contracting officer representative functions. (3) (U) End-state. Maintain fully capable force able to respond to and execute deliberate or emergent tasking during outbreak. Upon completion of outbreak, normal operations are restored, delayed training has been rescheduled, readiness degradation mitigations in place; and all personnel are fully mission capable. 5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY b. (U) Concept of Operations. NCG 1 will conduct COVID-19 response operations along three lines of operation: (1) (U) Detect, Monitor, Assess. To successfully combat COVID-19, NCG 1 must be able to detect or identify personnel infected by COVID-19. The force must also monitor the spread of COVID-19 and assess how the spread of COVID-19 will impact decisions related to force development, force generation, and force employment. (2) (U) Mission Assurance. In a pandemic environment, NCG 1personnel and civilian workforce are the essential elements required to conduct assigned missions, functions, and tasks. (3) (U) Continuity of Operations (COOP). NCG 1 shall ensure COOP plans are prepared and exercised to ensure mission essential functions are maintained while operating in the COVID-19 environment. Planning accounts for the potential that the longer the force operates in the COVID-19 environment, non-essential functions that were initially delayed or put into abeyance for the COVID-19 response, may become essential tasks. c. (U) Operational Phasing Construct. All Naval forces operating in the NORTHCOM AOR will execute the three lines of effort across the six-phase DoD operational construct. Phase transition occurs in conjunction with NORTHCOM. Phasing follows: (1) (U). Phase 0 – Prepare. The purpose of this phase is to prepare naval forces for possible COVID-19 pandemic. Success is defined as the fleet is prepared for the onset of a COVID-19 outbreak and the fleet has mitigated any effects of an initial outbreak. (2) (U) Phase I – Protect. The purpose of this phase is to limit the spread of the COVID-19 pathogen in order to avoid degradation of the fleets operational capabilities. Success is defined as the spread of COVID-19 is limited in geography and rate of incidence. (3) (U) Phase II – Mitigate. The purpose of this phase is to continue to limit the spread of COVID-19 in order to avoid the degradation of the fleets operational capabilities. Success is defined as the spread of COVID-19 is delayed or halted in affected geographic areas. (4) (U) Phase III – Respond. The purpose of this phase is to mitigate the effects of a COVID-19 pandemic on fleet readiness. Success is defined as the risk to mission is mitigated through the use of protective measures allowing the fleet to retain freedom of action. (5) (U) Phase IV – Stabilize. The purpose of this phase is to fight through the outbreak and maintain the ability to provide ready maritime forces. Success is defined as the effective execution of COOP plans that offset degradation to fleet capabilities due to COVID-19 impacts. (6) (U) Phase V – Transition. During this phase, NCG 1 supports force reconstitution operations to reestablish normal operating conditions. Success is defined as the fleet and its assets are regenerated to pre-COVID-19 pandemic levels. 6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY d. (U) Tasks. NCG 1 and subordinate units under Operational Control (OPCON) of NCG 1 shall: (1) (U) Implement Phase III COVID-19 response operations immediately and support the execution of Phase III tasks. (2) (U) Maintain continuous situational awareness of COVID-19 response incidents and events. (3) (U) Maintain 100% accountability of personnel on a daily basis including weekends. (4) (U) Maintain COOP in the COVID-19 environment. (5) (U) Implement expanded FHP measures as directed below and communicate FHP guidance to internal audiences. (6) (U) Conduct daily COVID-19 screening. (7) (U) Cancel non mission-essential operations, travel, and activities. All mission essential travel requests shall be routed to the NCG 1 Commander for approval or endorsement in accordance with reference (g). (8) (U) Halt gatherings greater than 10 personnel until further notice. (9) (U) Halt all Command–level musters until further notice. (10) (U) Implement social distancing procedures to separate personnel by location and/or time, e.g. maximize telework, use multiple shifts, avoid in person meetings, and cancel social gatherings. (11) (U) Continue to maintain maximum distributed workforce/telework through 1 May 2020 or until otherwise directed. (a) (U) Make all efforts to conduct business virtually; (b) (U) Execute functions with the minimum personnel required onsite; (c) (U) Maximize remote or telework for mission essential personnel; (d) (U) Maximize presence at residence. (12) (U) Continue to conduct training for COVID-19 transmission prevention and protection. (13) (U) Maintain engaged contact with high risk Sailors. (14) (U) Wear face coverings when unable to maintain six feet of social distance in accordance with reference (f) or as otherwise directed by Installation Commanding Officer, on 7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY DoD property, installations, and facilities to the greatest extent practical. (a) (U) Until official uniform face coverings are produced and implemented, personnel are authorized to wear personally procured masks or other face covering; (b) (U) Uniformity of type of mask or face covering is not required as compliance with Center for Disease Control (CDC) guidance for function is priority. Face coverings may include, but are not limited to, store bought or homemade masks or bandanas. Directions for how to produce these masks can be found on the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html; (c) (U) Materials that are light weave, pleated, and in layers have proven most effective. Face covering should cover both the nose and the mouth; (d) (U) Face coverings will not display explicit or offensive material or message of any kind. (15) (U) Perform critical maintenance actions on vehicles and equipment with the absolute smallest workforce possible. (a) (U) Work spaces will be sanitized at the start and end of each day. (b) (U) To the maximum extent possible, ensure there is no more than 50% of a Department, Division, Work Center, Staff, etc. on-site at any one time. (c) (U) For safety, two personnel are required to be onsite for all maintenance actions. (16) (U) Defer urinalysis until 20 Apr 2020 (17) (U) Sanitize workspaces at end of each day (18) (U) Be prepared to (BPT) sequester low density, mission critical personnel. (19) (U) BPT sequester forces prior to deployment. (20) (U) BPT transition to the use of only mission critical personnel for mission critical operations. (21) (U) Bubble-to-Bubble (BTB) Planning. All units will adopt a BTB plan for the movement of personnel. BTB is a practice by which personnel are able to move from one area to another while minimizing risk of exposure in transit. Examples below. (a) (U) Prior to deployment, detail is screened, departs the U.S. via military air to overseas destination, and is screened again. After passing screening, the detail is driven by military or contracted vehicle (whose driver has also passed a screening) to final 8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY location. At all times the detail remains together and does not interact with any individuals who have not been screened. (b) (U) Service members minimize contact with others by driving from work to home with only essential (gas, food, etc.) stops in between. The service member encourages family members to minimize contact with others as well. Upon returning to work the service member is screened before entering the work place. (22) (U) Re-Emphasize Imperatives (a) (U) Basic hygiene and sanitization measures e.g. avoiding contact with sick people, staying home when sick, practicing proper hand hygiene, cough/sneeze etiquette, and sanitizing work spaces between users. (b) (U) Prudent hygiene measures (no handshaking, wipe common use items with appropriate sanitizing products). (c) (U) Provide information to personnel on COVID-19 to include signs and symptoms (defined as fever, cough, difficulty breathing, and sore throat), how and when to report illness, how and when to seek medical care, and home and family preparedness measures. (23) (U) All medical personnel review and begin utilization of guidance for evaluation and management of suspected persons under investigation (PUI) for COVID-19 (24) (U) Submit lessons learned in accordance with reference (e) for COVID-19 Phases I, II, and III to the NCG 1 Lessons Learned Officer. (25) (U) BPT to submit additional lessons learned and After Action Reports for the COVID-19 response. e. (U) Additional Tasks (1) (U) NMCB THREE and FOUR. BPT to support operations to contribute additively manufactured parts or services in response to COVID-19. (2) (U) CBMU 303 (a) (U) Deploy Detachment to include one Expeditionary Medical Facility (EMF) team in support of COVID-19 response efforts in Guam to provide direct support to EMF construction and follow-on operations and maintenance. Detachment change of operation control (CHOP) OPCON to THIRTIETH NCR upon arrival. Comply with all Commander, SEVENTH Fleet (C7F) requirements for Restriction of Movement (ROM). (b) (U) Increase readiness posture of a second EMF team to a 48-hour prepare-to-deploy-order status to support EMF construction in the INDOPACOM or NORTHCOM AOR. 9 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY f. (U) Coordinating Instructions (1) (U) MEF execution does not supersede security protocols or guidance and shall maximize social distancing as much as mission requirements allow. (2) (U) Complete required skills training IAW reference (d), deployment AOR and other combatant commander theater training requirements, and other applicable Department of Defense (DOD) and Navy guidance. (3) (U) Local area is defined as 60 miles and/or 1 hour drive. (4) (U) Supplemental readiness reporting guidance for COVID-19. All existing Defense Readiness Reporting System (DRRS) readiness reporting direction remains in effect. Unit commanders will report changes in readiness that affect C-OVALL, resource category Clevels, percent effective (PCTEF), and/or mission or met assessments within 24 hours of the event that necessitates the change. If no change occurs within 30 days of the previous report submission, commanders shall submit a complete report to validate the existing data. If unit is affected due to COVID-19, DRRS reports are not required as long as readiness status has not changed. If unit readiness is affected due to COVID-19, units should reference any related special incident reporting (OPREP) (initial or series) as appropriate and detail impact and mitigation measures to be taken. For units directly supporting operations related to COVID-19, the sorts PCTEF assessment should relate to the operation or mission and the PCTEF comments should include the operation or mission name. Additionally, overall mission assessments should reflect any unit location changes away from home station, installation, or base, to include partial unit deployment, including support to or degradation of mission as a result of COVID-19. 4. (U) Administration and Logistics a. (U) Administration (1) (U) Submit reports in accordance with Annex U (Information Management). (2) (U) Mission Essential Travel. All requests for travel shall be submitted to the NCG1 Commander for adjudication or routing to Commander, NECCPAC or Commander, PACFLT for final approval IAW reporting requirements in Annex U. b. (U) Logistics (1) (U) Units are to submit weekly higher headquarters reports for COVID-19 related expenses, to include supplies, subsistence and per diem. (2) (U) Defense Travel System (DTS) personnel shall be prepared to create travel orders for Restricted of Movement or quarantine personnel in the event government-furnished lodging is not available. (3) (U) Procure Environmental Protection agency (EPA)-approved disinfectant supplies and personal protective equipment (PPE) as required to support command requirements. 10 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (4) (U) BPT submit Rations in Kind letters to the supporting the galley Food Service (FSO) Officer for personnel in designated ROM and quarantine lodging, if required. (5) (U) BPT support local galley and DoD inter-service messing requirements. (6) (U) BPT capture costs for potential reimbursement by the lead federal agency that is supported if conducting DSCA operations. (7) (U) NCG 1 Facilities Division (N48) trouble desk will remain in operation to coordinate facility related issues. (a) (U) Report all emergency facilities issues to the NCG 1 Command Duty Officer. (b) (U) Building managers shall submit all other non-emergency facilities issues to the NCG 48 facilities team via phone at (805) 982-5451 or via email at PRTH_NCG1_FACILITIES_HELPDESK@navy.mil. c. (U) Public Affairs (1) (U) Public Affairs posture is Response To Query (RTQ) for external communication. Office of the Secretary of Defense-Public Affairs has the lead for release of information pertaining to DoD actions in support of COVID-19 outbreak. Media queries should be referred to NECC Public Affairs Officer (PAO) at comnecc_ltlc_pao@navy.mil for higher headquarters coordination. (2) (U) NCG 1 units are directed to take video and still imagery in support of key force generation and force employment operations and activities. In order to highlight relief efforts specific to ongoing COVID-19, NCG 1 units shall document and highlight any activity to prepare or execute operations in support of DSCA missions. Sailors may be called upon for media interviews and should be prepared to work with NECC/NECCPAC PAO who will facilitate the interviews. (3) (U) In the event of a positive COVID-19 test, the individual’s parent unit shall complete and submit a NECC COVID-19 Briefing Card to the NECC PAO. d. (U) Medical Services. See Annex Q (Medical Services). e. (U) Commanders’ Critical Information Requirements. See reference (b). 5. (U) Command and Signal a. (U) Command Relationships. See Annex J (Command Relationship). 11 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY b. (U) Signal (1) (U) Points of Contact. Contact information for NCG 1 personnel can be found at: https://cpf.navy.deps.mil/sites/necc-NCG 1/Lists/phonedirectory/Public.aspx (2) (U) Communications Guidance. When using remote work options, information security is paramount. As we continue to operate in remote work environment, we cannot allow ourselves to violate security protocols. Using personal e-mail and other commercial services for official business is not permitted as potential vulnerabilities open the door for our adversaries to collect information that could be used against us. Getting the job done at the expense of information security is unacceptable. Continue to guard information and be mindful of the means in which you are sharing information. With an increase in telework, it is important that users adhere to cybersecurity best practices. The following list, not all-inclusive, covers important areas: (a) (U) Device Security. Use strong passwords/authentication for personal accounts. Lock devices when unattended. Perform system updates regularly to apply the latest security patches. Perform a full virus scan before first using Outlook Web Access (OWA). (b) (U) Cybersecurity. Practice cybersecurity during non-work related activities. Installing unknown software, utilizing peer-to-peer networks, and browsing nonsecure websites can allow malicious software to infect your device. (c) (U) Avoid uploading/downloading files from non-DoD sources. (d) (U) Log out of OWA and remove your computer access card (CAC) when not in use to prevent unauthorized access to your account. Utilize private browsing when possible and delete browser history, cookies, and cache after each session. (e) (U) Do not plug any Universal Serial Bus (USB) device into your work laptop. (f) (U) If issued a CAC reader or keyboard for home use on a personal computer, do not bring it back to the office or otherwise plug into Navy Marine Corps Intranet assets. (U) ACKNOWLEDGE RECEIPT D. H. MCALISTER CAPT, CEC, USN Commander (U) ANNEXES: J – (U) Command Relationship Q – (U) Medical Services 12 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY S – (U) Safety U – (U) Information Management (U) OFFICIAL: W. WOHEAD CDR, CEC, USN Operations Officer 13 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONAL LEFT BLANK 14 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 ANNEX J TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COMMAND RELATIONSHIPS (U) 1. (U) General. To establish the command relationships between Commander, Naval Construction Group ONE (NCG 1) and supported and supporting commands. 2. (U) Command Lines a. (U) Service and Functional Components (1) (U) Navy Expeditionary Combat Command PACIFIC (NECCPAC) maintains administrative control (ADCON) of all assigned Naval Construction Force (NCF) units through Commander, NCG 1. (2) (U) U.S. THIRD Fleet (C3F) maintains operational control (OPCON) of all homeported NCF units through NCG 1 with the exception of THIRTIETH Naval Construction Regiment (NCR) which is OPCON to Commander, Task Force SEVENTY FIVE (CTF 75). b. (U) Alternate Procedures. In the event that Commander, NCG 1 is incapable of carrying out the responsibilities of command, Deputy Commander, NCG 1, will assume command. 3. (U) Planning Relationships. NCG 1 subordinate units have direct liaison authority (DIRLAUTH) with Supported Commander for operational coordination upon tasking, W. WOHEAD CDR, CEC, USN Operations Officer (U) APPENDIX: 1 – (U) Command Relationships Diagram J-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 APPENDIX 1 TO ANNEX J TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COMMAND RELATIONSHIPS DIAGRAM (U) J-1-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) MEDICAL SERVICES (U) (U) REFERENCES: (a) (U) NCG 1 OPERATION ORDER 19-01 (Pacific Fleet NCF), DTG 011600UOCT2018 (b) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 4) - Department Of Defense Guidance for Personnel Travel During The Novel Coronavirus Outbreak (c) (U) Under Secretary Of Defense Memo, Elective Surgical, Invasive, and Dental Procedures in Military Treatment Facilities, 31 Mar 2020 (d) (U) NAVADMIN 080/20, Navy Mitigation Measures in Response To Coronavirus Outbreak Update (e) (U) BUMED Return To Work Guidelines For Coronavirus (f) (U) NAVADMIN 083/20, Restriction Of Movement (ROM) Guidance, DTG 231957ZMAR20 (g) (U) COMNECC EXECUTE ORDER (EXORD) in response to CUSFF FRAGO 20019.001 and CUSFF EXORD in response to Novel Coronavirus Disease 2019, DTG 031919Z MAR 20 (h) (U) COMNECC PHASE III EXECUTE ORDER (EXORD) IN RESPONSE to Novel Coronavirus Disease 2019, DTG 232118Z MAR 20 (i) (U) BUMEDINST 6230.15 series, Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases (j) (U) COMNECCINST 6000.1 series, Expeditionary Medical Procedures Manual (k) (U) BUMEDINST 1510.23 series, Hospital Corpsman Skills Basic (HMSB)/Tactical Combat Casualty Care (TCCC) Program (l) (U) Manual of Preventive Medicine NAVMED P-5010 (m) (U) Manual of the Medical Department NAVMED P-117 (n) (U) NCGINST 5040.2 Naval Construction Force Continuous Assessment Program (o) (U) COMNECCINST 6400.1A, Psychological Health Team (PHT) Program (p) (U) DODINST 6025.18 series, DoD Health Information Privacy Regulation (q) (U) NCGONE Mass Casualty Standard Operating Procedures (r) (U) Memorandum Of Understanding (MOU) with Naval Construction Division and Naval Hospital Camp Pendleton (s) (U) USPACOM FY 2018 Force Health Protection Guidance for USPACOM AOR (t) (U) Navy and Marine Corps Public Health Center (NMCPH) website (u) (U) Centers for Disease Control (CDC) COVID-19 website (v) (U) National Center for Medical Intelligence website (w) (U) Defense Health Agency (DHA) coronavirus website 1. (U) Situation. When the adversary is a global health crisis, the medical and dental departments are critical components to an effective response. Medical departments must provide up-to-date and accurate force health protection guidance commanders while maintaining medical readiness for our forces. Despite decreased manning and force distribution, unit medical and Q-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY dental departments must continue to carry out the most of their usual functions to sustain troop lethality. As unit medical and dental providers may be subject to sudden escalations in their responsibilities, recommend that commands utilize medical staff with the lowest medical training first to respond to routine tasks (for example, using preventive medical technicians (PMT) for restriction of movement (ROM) clearance rather than physicians) to optimize quality care and minimize burnout. 2. (U) Mission. See basic order. 3. (U) Execution a. (U) Concept of Operations. Unit medical and dental departments will continue to function administratively and operationally per references (a) and (i) thru (u); and conduct training per references (a), (k), (n) and (q) as feasible given the constraints on available ancillary health services, routine care and live training opportunities. Per reference (c), all elective procedures and non-essential medical care must be postponed during Coronavirus disease 2019 (COVID-19) response efforts, though mission-essential care to sustain operational unit medical and dental readiness should continue. b. (U) Tasks (1) (U) All reports, correspondence, and medical tasking will be coordinated through the Naval Construction Group ONE (NCG 1) Group Surgeon. (2) (U) To combat the spread of disease, medical departments shall assist their commands in developing effective prevention efforts as recommended by Navy and Marine Corps Public Health Center and the Center for Disease Control (CDC). Strategies include, but are not limited to, unit wide education efforts on hygiene; COVID-19 screening programs; and implementation of ROM programs for high risk personnel which minimize stigmatization but are effective in controlling disease transmission. (3) (U) Medical Departments shall provide accurate information on COVID-19 and effective prevention and treatment using resources as listed in references (o) through (r). (4) (U) Implement social distancing and distributed workforce operations to minimize transmission. (5) (U) Implement COVID-19 screening procedures as outlined in Appendix 1, (6) (U) Monitor and implement new guidance and direction as provided. Commands should anticipate that, as more is learned about COVID-19, policies will be continually updated in an effort to both mitigate risk and optimize work productivity. NCG 1 Medical will distribute these updates on a daily basis to unit medical departments. Unit medical departments should ensure that they are following the most current guidance available. (7) (U) Implement Force Health Protection measures as outlined in Annex A and references (i) thru (m). Q-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (8) (U) Medical Support (a) U) Until further notice, provide one medical provider, once a week (as coordinated by the NCG 1 Medical Department) to support the NCG 1 Medical watch bill. (b) (U) Watchstanders will be on call and support NCG1 as required to evaluate NCG 1 and subordinate units’ service members under restriction of movement (ROM) after they have completed their period of quarantine/isolation to determine if they are fit to return to duty. (c) (U) Duty periods will be seven days a week from 0800-1500 Monday through Friday and 0800-1200 Saturdays and Sundays. (d) (U) Watchstanders will receive guidance on screening procedures and completing appropriate Return to Duty screening questionnaires from Naval Branch Health Clinic Port Hueneme providers. Coordinate training with NCG 1 Medical. (e) (U) NCG 1 Medical will assist units in coordinating mission essential ancillary services, such as eye exams, with the area Military Treatment Facilities (MTFs) to maintain high medical and dental readiness. c. (U) Restriction of Movement (1) Per reference (e), ROM applies to all Service Members, who in the last 14 days have either been in: (a) (U) An area with ongoing spread of COVID-19 as defined as CDC designated Level 2 and 3 countries (https:// www.cdc.gov/coronavirus/2019-ncov/travelers/mapand-travel-notices.html), or (b) (U) Close contact with a person known to have COVID-19. (2) (U) It is strongly recommended that Department of Defense civilian employees, contractor personnel and dependents also follow this guidance. (3) (U) All personnel deploying to Commander, SEVENTH Fleet (C7F) area of operations shall complete ROM in accordance with C7F requirements. (4) (U) Personnel with upper respiratory or influenza-like symptoms shall stay home, self-isolate, and self-monitor for a maximum of 72 hours. If symptoms continue past 72 hours, they should consult their primary care provider for evaluation and further guidance, which may include COVID-19 testing. Personnel may be cleared to return to work based on current BUMED Return to Work guidance. All personnel who have tested positive for COVID-19 or who have been in close contact with a person with suspected or confirmed COVID-19 test will be placed in ROM for a minimum of 14 days per reference (e). (5) (U) Commanding officers are responsible for assessment, assignment, and support of all ROM personnel within their respective units. Q-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (6) (U) ROM Personnel Instructions (a) (U) Unit medical providers will provide counseling for all personnel directed for ROM. (b) (U) Personnel will receive ROM instructions from their unit commander detailing the instructions for their ROM, Tab A and B. 1. (U) ROM. Primary location for ROM is service member’s existing domicile, provided this location has sufficient space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space on board Naval Base Ventura County (NBVC) via their chain of command. If space is not available on the installation, off base lodging may be utilized. 2. (U) ROM – Isolation. Personnel who display symptoms consistent with COVID-19 will be placed in isolation with directions and information provided at the time of assignment. (c) (U) Any requests for exception to the ROM instructions must be approved the NCG 1 Commander. (d) (U) ROM personnel shall be directed to remain at home or in a comparable setting for 14 days ROM from the day of departure or contact. For transient personnel and those residing in close quarters such as unaccompanied housing or temporary lodging meeting CDC guidance of separate sleeping and bathroom facilities shall be arranged, when available. (e) (U) When in ROM, personnel shall avoid congregate settings, limit close contact with people and pets or other animals to the greatest extent possible, avoid traveling, self-monitor, and seek immediate medical care if symptoms (e.g., cough or shortness of breath) develop. (f) (U) Personnel assigned ROM may exit quarters to access laundry facilities, outdoor exercise, and designated smoking areas; and conduct other routine tasks not in a public setting provided they maintain social distancing greater than six feet from others. Personnel in ROM shall wear appropriate face coverings when leaving quarters. Access to messing facilities, stores, fitness centers and other widely used support services is prohibited. (g) (U) For temporary lodging, normal room cleaning services will be suspended during the ROM period. (h) (U) For personnel executing ROM in private residence, coordinate with parent command for the purchase of required food/hygiene items or arrange delivery through other means. (i) (U) After completion of ROM, return to work per reference (e). Q-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (7) (U) Return to Work Guidance (a) (U) All unit service members in ROM will be cleared by the medical provider or preventative medicine technician (PMT) per reference (e). (b) (U) ROM will end after service member has been cleared by a military health care provider on the day after ROM expires. d. (U) Coordinating Instructions (1) (U) Emergencies. Emergent medical care should be referred to the closest emergency room, or dial 911. (2) (U) Sick Call. Medical departments will minimize COVID-19 transmission by not holding sick call, command-wide “shot-exes” and the like. Instead, patients will be seen by appointment only and medical departments will reserve a number of same-day appointments for acute ailments. Telemedicine is encouraged, and providers should complete appropriate training prior to initiating. To reduce risk of infection, all medical staff shall wear N95 respirators or appropriate face covering while conducting face to face patient care. If N95 respirators are in short supply, surgical masks or other appropriate face covering may be substituted per CDC and Bureau of Medicine and Surgery (BUMED) guidance. (3) (U) Dental Readiness. Mission essential procedures to sustain dental readiness and emergent care will continue. All elective and non-essential procedures should be postponed. (4) (U) Medical Readiness. Actions to support medical readiness is considered mission essential and shall be sustained. (a) (U) Immunizations, Periodic Health Assessments (PHAs), laboratory tests, etc. shall be continue in accordance with the NCG 1 Commander’s Intent. (b) (U) Automated Neuropsychological Assessment Metrics (ANAM) and Audiograms are postponed until further notice. (c) (U) Every effort to sustain credentials through online training should be exercised. (5) (U) Unit Medical Department Additional Duties. In addition to usual duties, unit medical departments shall: (a) (U) Provide immediate notification to the medical chain of command on all COVID-19 confirmed positive cases, persons under investigation (PUI), hospitalizations, and deaths. (b) (U) Proactively identify and isolate personnel at high risk for COVID19 infection. Q-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (c) (U) Conduct prompt and thorough contract tracing. (d) (U) Provide timely and accurate reports per Annex U. (e) (U) Monitor and replenish COVID-19 related medical logistics such as PPE. (f) (U) Supervise training/Responsible for training currency of all battalion medical personnel and first aid training of Sailors within constraints on live training. (g) (U) Collaborate with the NCG 1 Psychological Health Team (PHT) to mitigate anxiety and stress related to COVID-19. (6) (U) Operational Stress Control. As with all major crises, pandemics result in increased anxiety, depression, substance use and other issues. Commands must recognize the traumatic impact of COVID-19 on personnel and their families to seek to mitigate psychological injury. While face-to-face checkups by the embedded PHT are postponed during COVID-19 response, PHT providers will continue to provide support via telemedicine whenever possible to sustain mental health readiness in accordance with reference (d). 4. (U) Administration and Logistics. See basic order. 5. (U) Command and Signal. See basic order W. WOHEAD CDR, CEC, USN Operations Officer (U) APPENDIX: 1 – (U) COVID-19 RESPONSE FLOW CHARTS 2 – (U) COVID-19 RESPONSE STANDARD OPERATING PROCEDURES Q-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 161705UAPR2020 ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) MEDICAL SERVICES (U) (U) REFERENCES: (a) (U) NCG 1 OPERATION ORDER 19-01 (Pacific Fleet NCF), DTG 011600UOCT2018 (b) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 4) - Department Of Defense Guidance for Personnel Travel During The Novel Coronavirus Outbreak (c) (U) Under Secretary Of Defense Memo, Elective Surgical, Invasive, and Dental Procedures in Military Treatment Facilities, 31 Mar 2020 (d) (U) NAVADMIN 080/20, Navy Mitigation Measures in Response To Coronavirus Outbreak Update (e) (U) BUMED Return To Work Guidelines For Coronavirus (f) (U) NAVADMIN 083/20, Restriction Of Movement (ROM) Guidance, DTG 231957ZMAR20 (g) (U) COMNECC EXECUTE ORDER (EXORD) in response to CUSFF FRAGO 20019.001 and CUSFF EXORD in response to Novel Coronavirus Disease 2019, DTG 031919Z MAR 20 (h) (U) COMNECC PHASE III EXECUTE ORDER (EXORD) IN RESPONSE to Novel Coronavirus Disease 2019, DTG 232118Z MAR 20 (i) (U) BUMEDINST 6230.15 series, Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases (j) (U) COMNECCINST 6000.1 series, Expeditionary Medical Procedures Manual (k) (U) BUMEDINST 1510.23 series, Hospital Corpsman Skills Basic (HMSB)/Tactical Combat Casualty Care (TCCC) Program (l) (U) Manual of Preventive Medicine NAVMED P-5010 (m) (U) Manual of the Medical Department NAVMED P-117 (n) (U) NCGINST 5040.2 Naval Construction Force Continuous Assessment Program (o) (U) COMNECCINST 6400.1A, Psychological Health Team (PHT) Program (p) (U) DODINST 6025.18 series, DoD Health Information Privacy Regulation (q) (U) NCGONE Mass Casualty Standard Operating Procedures (r) (U) Memorandum Of Understanding (MOU) with Naval Construction Division and Naval Hospital Camp Pendleton (s) (U) USPACOM FY 2018 Force Health Protection Guidance for USPACOM AOR (t) (U) Navy and Marine Corps Public Health Center (NMCPH) website (u) (U) Centers for Disease Control (CDC) COVID-19 website (v) (U) National Center for Medical Intelligence website (w) (U) Defense Health Agency (DHA) coronavirus website (x) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 5) - Department Of Defense Guidance for Movement and Medical Treatment During The Novel Coronavirus Outbreak (y) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 7) - Department Of Defense Guidance for Personal Protective Equipment, and NonQ-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Pharmacological Interventions During The Novel Coronavirus Outbreak (z) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 8) - Department Of Defense Guidance for Protecting Personnel in Workplaces During The Novel Coronavirus Outbreak (aa) (U) Defense Health Agency (DHA) Memo, 8 Apr 2020 Health Protection Condition (HPCON) Guidance in a COVID-19 Environment (bb) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive APR-011 1. (U) Situation. When the adversary is a global health crisis, the medical and dental departments are critical components to an effective response. Medical departments must provide up-to-date and accurate force health protection guidance commanders while maintaining medical readiness for our forces. Despite decreased manning and force distribution, unit medical and dental departments must continue to carry out the most of their usual functions to sustain troop lethality. As unit medical and dental providers may be subject to sudden escalations in their responsibilities, recommend that commands utilize medical staff with the lowest medical training first to respond to routine tasks (for example, using preventive medical technicians (PMT) for restriction of movement (ROM) clearance rather than physicians) to optimize quality care and minimize burnout. 2. (U) Mission. See basic order. 3. (U) Execution a. (U) Concept of Operations. Unit medical and dental departments will continue to function administratively and operationally per references (a) and (i) thru (u); and conduct training per references (a), (k), (n) and (q) as feasible given the constraints on available ancillary health services, routine care and live training opportunities. Per reference (c), all elective procedures and non-essential medical care must be postponed during Coronavirus disease 2019 (COVID-19) response efforts, though mission-essential care to sustain operational unit medical and dental readiness should continue. b. (U) Tasks (1) (U) All reports, correspondence, and medical tasking will be coordinated through the Naval Construction Group ONE (NCG 1) Group Surgeon. (2) (U) To combat the spread of disease, medical departments shall assist their commands in developing effective prevention efforts as recommended by Navy and Marine Corps Public Health Center and the Center for Disease Control (CDC). Strategies include, but are not limited to, unit wide education efforts on hygiene; COVID-19 screening programs; and implementation of ROM programs for high risk personnel which minimize stigmatization but are effective in controlling disease transmission. (3) (U) Medical Departments shall provide accurate information on COVID-19 and effective prevention and treatment using resources as listed in references (o) through (r). (4) (U) Implement social distancing and distributed workforce operations to minimize transmission. Q-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (5) (U) Implement COVID-19 screening procedures as outlined in Appendix 1, (6) (U) Monitor and implement new guidance and direction as provided. Commands should anticipate that, as more is learned about COVID-19, policies will be continually updated in an effort to both mitigate risk and optimize work productivity. NCG 1 Medical will distribute these updates on a daily basis to unit medical departments. Unit medical departments should ensure that they are following the most current guidance available. (7) (U) Implement Force Health Protection measures as outlined in Annex A and references (i) thru (m). (8) (U) Medical Support (a) U) Until further notice, provide one medical provider, once a week (as coordinated by the NCG 1 Medical Department) to support the NCG 1 Medical watch bill. (b) (U) Watchstanders will be on call and support NCG1 as required to evaluate NCG 1 and subordinate units’ service members under restriction of movement (ROM) after they have completed their period of quarantine/isolation to determine if they are fit to return to duty. (c) (U) Duty periods will be seven days a week from 0800-1500 Monday through Friday and 0800-1200 Saturdays and Sundays. (d) (U) Watchstanders will receive guidance on screening procedures and completing appropriate Return to Duty screening questionnaires from Naval Branch Health Clinic Port Hueneme providers. Coordinate training with NCG 1 Medical. (e) (U) NCG 1 Medical will assist units in coordinating mission essential ancillary services, such as eye exams, with the area Military Treatment Facilities (MTFs) to maintain high medical and dental readiness. c. (U) Restriction of Movement (1) Per reference (e), ROM applies to all Service Members, who in the last 14 days have: (a) (U) Traveled to an area with ongoing spread of COVID-19 as defined as CDC designated Level 2 and 3 countries (https:// www.cdc.gov/coronavirus/2019ncov/travelers/map-and-travel-notices.html), or (b) (U) Had close contact with a person known to have COVID-19, (c) (U) Traveled outside the local area. (2) (U) It is strongly recommended that Department of Defense civilian employees, contractor personnel and dependents also follow this guidance. Q-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (3) (U) All personnel deploying to Commander, SEVENTH Fleet (C7F) area of operations shall complete ROM in accordance with C7F requirements. (4) (U) Personnel with upper respiratory or influenza-like symptoms shall stay home, self-isolate, and self-monitor for a maximum of 72 hours. If symptoms continue past 72 hours, they should consult their primary care provider for evaluation and further guidance, which may include COVID-19 testing. (5) (U) Commanding officers are responsible for assessment, assignment, and support of all ROM personnel within their respective units. (6) (U) ROM Personnel Instructions (a) (U) Unit medical providers will provide counseling for all personnel directed for ROM. (b) (U) Personnel directed to complete ROM, will receive ROM instructions from their unit commander detailing the instructions for their ROM, Tab A and B. 1. (U) ROM. Primary location for ROM is service member’s existing domicile, provided this location has sufficient space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space on board Naval Base Ventura County (NBVC) via their chain of command. If space is not available on the installation, off base lodging may be utilized. 2. (U) ROM – Isolation. Personnel who display symptoms consistent with COVID-19 will be placed in isolation with directions and information provided at the time of assignment. (c) (U) Any requests for exception to the ROM instructions must be approved the NCG 1 Commander. (d) (U) ROM personnel shall be directed to remain at home or in a comparable setting for 14 days ROM from the day of departure or contact. For transient personnel and those residing in close quarters such as unaccompanied housing or temporary lodging that does not meeting CDC recommendations for separate sleeping and bathroom facilities, temporary lodging shall be arranged. (e) (U) When in ROM, personnel shall avoid congregate settings, limit close contact with people and pets or other animals to the greatest extent possible, avoid traveling, self-monitor, and seek immediate medical care if symptoms (e.g., cough or shortness of breath) develop. (f) (U) Personnel assigned ROM may exit quarters to access laundry facilities, outdoor exercise, and designated smoking areas; and conduct other routine tasks not in a public setting provided they maintain social distancing greater than six feet from others. Q-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Personnel in ROM shall wear appropriate face coverings when leaving quarters. Access to messing facilities, stores, fitness centers and other widely used support services is prohibited. (g) (U) For temporary lodging, normal room cleaning services will be suspended during the ROM period. (h) (U) For personnel executing ROM in private residence, coordinate with parent command for the purchase of required food/hygiene items or arrange delivery through other means. (i) (U) After completion of ROM, return to work per paragraph 3.c.7. (7) (U) Return to Work Guidance (a) (U) Personnel in ROM will be allowed to return to work only after being cleared by a medical provider in accordance with references (e), (h) and (i), and (z). (b) (U) Refer to Appendix Q-2 (COVID-19 FLOW CHARTS), paragraph 4.b for return to work criteria. d. (U) Coordinating Instructions (1) (U) Emergencies. Emergent medical care should be referred to the closest emergency room, or dial 911. (2) (U) Sick Call. Medical departments will minimize COVID-19 transmission by not holding sick call, command-wide “shot-exes,” or events or congregations of patients greater than 10 people. Instead, patients will be seen by appointment only and medical departments will reserve a number of same-day appointments for acute ailments. Telemedicine is encouraged, and providers should complete appropriate training prior to initiating. To reduce risk of infection, all medical staff shall wear N95 respirators or appropriate face covering while conducting face to face patient care. If N95 respirators are in short supply, surgical masks or other appropriate face covering may be substituted per CDC and Bureau of Medicine and Surgery (BUMED) guidance. (3) (U) Dental Readiness. Mission essential procedures to sustain dental readiness and emergent care will continue. All elective and non-essential procedures should be postponed. (4) (U) Medical Readiness. Actions to support medical readiness is considered mission essential and shall be sustained. (a) (U) Immunizations, Periodic Health Assessments (PHAs), laboratory tests, etc. shall be continue in accordance with the NCG 1 Commander’s Intent. (b) (U) Automated Neuropsychological Assessment Metrics (ANAM) and Audiograms are postponed until further notice. Q-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (c) (U) Every effort to sustain credentials through online training should be exercised. (5) (U) Unit Medical Department Additional Duties. In addition to usual duties, unit medical departments shall: (a) (U) Provide immediate notification to the medical chain of command on all COVID-19 confirmed positive cases, persons under investigation (PUI), hospitalizations, and deaths. (b) (U) Proactively identify and isolate personnel at high risk for COVID19 infection. (c) (U) Conduct prompt and thorough contract tracing. (d) (U) Provide timely and accurate reports per Annex U. (e) (U) Monitor and replenish COVID-19 related medical logistics such as PPE. (f) (U) Supervise training/Responsible for training currency of all battalion medical personnel and first aid training of Sailors within constraints on live training. (g) (U) Collaborate with the NCG 1 Psychological Health Team (PHT) to mitigate anxiety and stress related to COVID-19. (6) (U) Operational Stress Control. As with all major crises, pandemics result in increased anxiety, depression, substance use and other issues. Commands must recognize the traumatic impact of COVID-19 on personnel and their families to seek to mitigate psychological injury. While face-to-face checkups by the embedded PHT are postponed during COVID-19 response, PHT providers will continue to provide support via telemedicine whenever possible to sustain mental health readiness in accordance with reference (d). 4. (U) Administration and Logistics. See basic order. 5. (U) Command and Signal. See basic order W. WOHEAD CDR, CEC, USN Operations Officer (U) APPENDIX: 1A – (U) COVID-19 RESPONSE FLOW CHARTS (MOD 01) 2A – (U) COVID-19 RESPONSE STANDARD OPERATING PROCEDURES (MOD 01) Q-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 302200UAPR2020 ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) MEDICAL SERVICES (U) (U) REFERENCES: (a) (U) NCG 1 OPERATION ORDER 19-01 (Pacific Fleet NCF), DTG 011600UOCT2018 (b) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 4) - Department Of Defense Guidance for Personnel Travel During The Novel Coronavirus Outbreak (c) (U) Under Secretary Of Defense Memo, Elective Surgical, Invasive, and Dental Procedures in Military Treatment Facilities, 31 Mar 2020 (d) (U) NAVADMIN 080/20, Navy Mitigation Measures in Response To Coronavirus Outbreak Update (e) (U) BUMED Return To Work Guidelines For Coronavirus (f) (U) NAVADMIN 083/20, Restriction Of Movement (ROM) Guidance, DTG 231957ZMAR20 (g) (U) COMNECC EXECUTE ORDER (EXORD) in response to CUSFF FRAGO 20019.001 and CUSFF EXORD in response to Novel Coronavirus Disease 2019, DTG 031919Z MAR 20 (h) (U) COMNECC PHASE III EXECUTE ORDER (EXORD) IN RESPONSE to Novel Coronavirus Disease 2019, DTG 232118Z MAR 20 (i) (U) BUMEDINST 6230.15 series, Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases (j) (U) COMNECCINST 6000.1 series, Expeditionary Medical Procedures Manual (k) (U) BUMEDINST 1510.23 series, Hospital Corpsman Skills Basic (HMSB)/Tactical Combat Casualty Care (TCCC) Program (l) (U) Manual of Preventive Medicine NAVMED P-5010 (m) (U) Manual of the Medical Department NAVMED P-117 (n) (U) NCGINST 5040.2 Naval Construction Force Continuous Assessment Program (o) (U) COMNECCINST 6400.1A, Psychological Health Team (PHT) Program (p) (U) DODINST 6025.18 series, DoD Health Information Privacy Regulation (q) (U) NCGONE Mass Casualty Standard Operating Procedures (r) (U) Memorandum Of Understanding (MOU) with Naval Construction Division and Naval Hospital Camp Pendleton (s) (U) USPACOM FY 2018 Force Health Protection Guidance for USPACOM AOR (t) (U) Navy and Marine Corps Public Health Center (NMCPH) website (u) (U) Centers for Disease Control (CDC) COVID-19 website (v) (U) National Center for Medical Intelligence website (w) (U) Defense Health Agency (DHA) coronavirus website (x) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 5) - Department Of Defense Guidance for Movement and Medical Treatment During The Novel Coronavirus Outbreak (y) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 7) - Department Of Defense Guidance for Personal Protective Equipment, and NonQ-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Pharmacological Interventions During The Novel Coronavirus Outbreak (z) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 8) - Department Of Defense Guidance for Protecting Personnel in Workplaces During The Novel Coronavirus Outbreak (aa) (U) Defense Health Agency (DHA) Memo, 8 Apr 2020 Health Protection Condition (HPCON) Guidance in a COVID-19 Environment (bb) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive APR-011 (cc) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive (MOD) APR016 (dd) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive (MOD) APR021 (ee) (U) Navy Environmental And Preventive Medicine Unit Two (NEPMU-2), Guidance for Amphibious Operations Ashore Evaluation and Management 2019 Novel Coronavirus (COVID-19), 10 Apr 2020 (ff) (U) Guidance for Underway Evaluation Management of Suspected Persons Under Investigation (PUI) for 2019 Novel Coronavirus (COVID-19), 10 Apr 2020 (gg) (U) Navy and Marine Corps Public Health Center COVID-19 Home Isolation and SelfQuarantine Instruction Fact Sheet (hh) (U) NAVADMIN 113/20 ROM Guidance Update 1. (U) Situation. When the adversary is a global health crisis, the medical and dental departments are critical components to an effective response. Medical departments must provide up-to-date and accurate force health protection guidance commanders while maintaining medical readiness for our forces. Despite decreased manning and force distribution, unit medical and dental departments must continue to carry out the most of their usual functions to sustain troop lethality. As unit medical and dental providers may be subject to sudden escalations in their responsibilities, recommend that commands utilize medical staff with the lowest medical training first to respond to routine tasks (for example, using preventive medical technicians (PMT) for restriction of movement (ROM) clearance rather than physicians) to optimize quality care and minimize burnout. 2. (U) Mission. See basic order. 3. (U) Execution a. (U) Concept of Operations. Unit medical and dental departments will continue to function administratively and operationally per references (a) and (i) thru (u); and conduct training per references (a), (k), (n) and (q) as feasible given the constraints on available ancillary health services, routine care and live training opportunities. Per reference (c), all elective procedures and non-essential medical care must be postponed during Coronavirus disease 2019 (COVID-19) response efforts, though mission-essential care to sustain operational unit medical and dental readiness should continue. b. (U) Tasks (1) (U) All reports, correspondence, and medical tasking will be coordinated through the Naval Construction Group ONE (NCG 1) Group Surgeon. Q-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (2) (U) To combat the spread of disease, medical departments shall assist their commands in developing effective prevention efforts as recommended by Navy and Marine Corps Public Health Center and the Center for Disease Control (CDC). Strategies include, but are not limited to, unit wide education efforts on hygiene; COVID-19 screening programs; and implementation of ROM programs for high risk personnel which minimize stigmatization but are effective in controlling disease transmission. (3) (U) Medical Departments shall provide accurate information on COVID-19 and effective prevention and treatment using resources as listed in references (o) through (r). (4) (U) Implement social distancing and distributed workforce operations to minimize transmission. (5) (U) Implement COVID-19 screening procedures as outlined in Appendix 1, (6) (U) Monitor and implement new guidance and direction as provided. Commands should anticipate that, as more is learned about COVID-19, policies will be continually updated in an effort to both mitigate risk and optimize work productivity. NCG 1 Medical will distribute these updates on a daily basis to unit medical departments. Unit medical departments should ensure that they are following the most current guidance available. (7) (U) Implement Force Health Protection measures as outlined in Annex A and references (i) thru (m). (8) (U) Medical Support (a) U) Until further notice, provide one medical provider, once a week (as coordinated by the NCG 1 Medical Department) to support the NCG 1 Medical watch bill. (b) (U) Watchstanders will be on call and support NCG1 as required to evaluate NCG 1 and subordinate units’ service members under restriction of movement (ROM) after they have completed their period of quarantine/isolation to determine if they are fit to return to duty. (c) (U) Duty periods will be seven days a week from 0800-1500 Monday through Friday and 0800-1200 Saturdays and Sundays. (d) (U) Watchstanders will receive guidance on screening procedures and completing appropriate Return to Duty screening questionnaires from Naval Branch Health Clinic Port Hueneme providers. Coordinate training with NCG 1 Medical. (e) (U) NCG 1 Medical will assist units in coordinating mission essential ancillary services, such as eye exams, with the area Military Treatment Facilities (MTFs) to maintain high medical and dental readiness. Q-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY c. (U) Restriction of Movement (1) Per reference (e), ROM applies to all Service Members, who in the last 14 days have: (a) (U) Traveled to an area with ongoing spread of COVID-19 as defined as CDC designated Level 2 and 3 countries (https:// www.cdc.gov/coronavirus/2019ncov/travelers/map-and-travel-notices.html), or (b) (U) Had close contact with a person known to have COVID-19, (c) (U) Traveled outside the local area. (2) (U) It is strongly recommended that Department of Defense civilian employees, contractor personnel and dependents also follow this guidance. (3) (U) All personnel deploying to Commander, SEVENTH Fleet (C7F) area of operations shall complete ROM in accordance with C7F requirements. (4) (U) Personnel with upper respiratory or influenza-like symptoms shall stay home, self-isolate, and self-monitor for a maximum of 72 hours. If symptoms continue past 72 hours, they should consult their primary care provider for evaluation and further guidance, which may include COVID-19 testing. Personnel shall self-monitor in accordance with Reference (gg). (5) (U) Commanding officers are responsible for assessment, assignment, and support of all ROM personnel within their respective units. (6) (U) ROM Personnel Instructions (a) (U) Unit medical providers will provide counseling for all personnel directed for ROM. (b) (U) Personnel directed to complete ROM, will receive ROM instructions from their unit commander detailing the instructions for their ROM, Tab A and B. 1. (U) ROM. Primary location for ROM is service member’s existing domicile, provided this location has sufficient space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space on board Naval Base Ventura County (NBVC) via their chain of command. If space is not available on the installation, off base lodging may be utilized. 2. (U) ROM – Isolation. Personnel who display symptoms consistent with COVID-19 will be placed in isolation with directions and information provided at the time of assignment. (c) (U) Any requests for exception to the ROM instructions must be approved the NCG 1 Commander. Q-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (d) (U) ROM personnel shall be directed to remain at home or in a comparable setting for 14 days. For transient personnel and those residing in close quarters such as unaccompanied housing or temporary lodging that does not meeting CDC recommendations for separate sleeping and bathroom facilities, temporary lodging shall be arranged. 1. (U) The preferred location for ROM is service member’s existing domicile, provided this location has sufficient space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. 2. (U) If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space on board Naval Base Ventura County (NBVC) via their chain of command. If space is not available on the installation, off base lodging may be utilized. 3. (U) Personnel placed in ROM training prior to deployment or close contact training events may require sequestered housing away from all others not part of the group to develop a COVID-19 free Bubble. (e) (U) When in ROM, personnel shall avoid congregate settings, limit close contact with people and pets or other animals to the greatest extent possible, avoid traveling, self-monitor, and seek immediate medical care if symptoms (e.g., cough or shortness of breath) develop. (f) (U) Personnel assigned ROM may exit quarters to access laundry facilities, outdoor exercise, and designated smoking areas; and conduct other routine tasks not in a public setting provided they maintain social distancing greater than six feet from others. Personnel in ROM shall wear appropriate face coverings at all times when leaving quarters. Access to messing facilities, stores, fitness centers and other widely used support services is prohibited. (g) (U) For temporary lodging, normal room cleaning services will be suspended during the ROM period. Cleaning and room sanitation procedures are further described in Appendix X. (h) (U) For personnel executing ROM in private residence, coordinate with parent command for the purchase of required food/hygiene items or arrange delivery through other means. (i) (U) After completion of ROM, return to work per paragraph 3.c.7. (7) (U) Bubble Integrity. The following guidance applies to all personnel required to enter quarantine to join an existing COVID-free bubble or to be part of generating a new bubble. (a) (U) Joining Bubble as an Individual. Individuals shall quarantine for an unbroken period of 14 days. This cannot be achieved if individuals are in close contact with any other person, to include family members, co-workers, or the general public. If close contact with a non-quarantined individual occurs, the 14 day quarantine count restarts. If close contact Q-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY occurs between two people in quarantine, both individuals’ quarantine counts shall be set to the lower value of the two counts. (b) (U) Joining Bubble as a Group in Shared Lodging. If a group joins or establishes a Bubble, the entire group must quarantine for an unbroken period of 14 days. This 14 days begins when the last member of the group arrives in lodging. Prior time spent in quarantine by any member of the group sharing the same lodging shall be disregarded. If close contact with a non-quarantined individual occurs, the 14-day quarantine count restarts for all personnel in shared lodging. (c) (U) Travel. If travel is authorized for individuals during a quarantine period, particular care should be taken to preserve Bubble integrity during transit. If sharing transport with other quarantined personnel, the group shall reset their quarantine day count to the lowest value among the traveling group within the car, bus, aircraft, or boat. The day count shall be reset to zero and restarted when traveling by means shared with non-quarantined individuals. (d) Traveling Bubble to Bubble. If authorized, movement between Bubbles shall maintain the integrity of the individual’s COVID-free status. If individuals moving between Bubbles come into close contact with personnel not in a Bubble (e.g. commercial air), the individuals shall restart the quarantine process before entering the destination Bubble. (8) (U) Return to Work Guidance (a) (U) Personnel in ROM will be allowed to return to work only after being cleared by their unit’s designated medical provider in accordance with references (e), (h), (i), (z), and (aa) through (ff). (b) (U) Unit medical providers may direct personnel for care at local health care facilities or MTFs to help guide their decision-making, but should note that NCG 1 guidance may be more stringent than those of civilian or non-operational commands. (c) (U) NCG 1 Medical will coordinate Return to Work assessments for units without designated medical providers. (d) (U) COVID-19 testing for asymptomatic personnel placed in ROM for deployment and extended training events shall be in accordance with current area of responsibility guidance. (e) (U) Refer to Appendix Q-2 (COVID-19 FLOW CHARTS), paragraph 4.b for return to work criteria. d. (U) Coordinating Instructions (1) (U) Emergencies. Emergent medical care should be referred to the closest emergency room, or dial 911. Q-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (2) (U) Sick Call. Medical departments will minimize COVID-19 transmission by not holding sick call, command-wide “shot-exes,” or events or congregations of patients greater than 10 people. Instead, patients will be seen by appointment only and medical departments will reserve a number of same-day appointments for acute ailments. Telemedicine is encouraged, and providers should complete appropriate training prior to initiating. To reduce risk of infection, all medical staff shall wear N95 respirators or appropriate face covering while conducting face to face patient care. If N95 respirators are in short supply, surgical masks or other appropriate face covering may be substituted per CDC and Bureau of Medicine and Surgery (BUMED) guidance. (3) (U) Dental Readiness. Mission essential procedures to sustain dental readiness and emergent care will continue. All elective and non-essential procedures should be postponed. (4) (U) Medical Readiness. Actions to support medical readiness are considered mission essential and shall be sustained. (a) (U) Immunizations, Periodic Health Assessments (PHAs), laboratory tests, etc. shall be continue in accordance with the NCG 1 Commander’s Intent. (b) (U) Automated Neuropsychological Assessment Metrics (ANAM) and Audiograms are postponed until further notice. (c) (U) Every effort to sustain credentials through online training should be exercised. (5) (U) Unit Medical Department Additional Duties. In addition to usual duties, unit medical departments shall: (a) (U) Provide immediate notification to the medical chain of command on all COVID-19 confirmed positive cases, persons under investigation (PUI), hospitalizations, and deaths. (b) (U) Proactively identify and isolate personnel at high risk for COVID19 infection. (c) (U) Conduct prompt and thorough contract tracing. (d) (U) Provide timely and accurate reports per Annex U. (e) (U) Monitor and replenish COVID-19 related medical logistics such as PPE. (f) (U) Supervise training/Responsible for training currency of all battalion medical personnel and first aid training of Sailors within constraints on live training. (g) (U) Collaborate with the NCG 1 Psychological Health Team (PHT) to mitigate anxiety and stress related to COVID-19. Q-7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (6) (U) Operational Stress Control. As with all major crises, pandemics result in increased anxiety, depression, substance use and other issues. Commands must recognize the traumatic impact of COVID-19 on personnel and their families to seek to mitigate psychological injury. While face-to-face checkups by the embedded PHT are postponed during COVID-19 response, PHT providers will continue to provide support via telemedicine whenever possible to sustain mental health readiness in accordance with reference (d). 4. (U) Administration and Logistics. See basic order. 5. (U) Command and Signal. See basic order W. WOHEAD CDR, CEC, USN Operations Officer (U) APPENDIX: 1A – (U) COVID-19 RESPONSE FLOW CHARTS (MOD 01) 2B – (U) COVID-19 RESPONSE STANDARD OPERATING PROCEDURES (MOD 02) Q-8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 031330UJUN2020 ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) MEDICAL SERVICES (U) (U) REFERENCES: (a) (U) NCG 1 OPERATION ORDER 19-01 (Pacific Fleet NCF), DTG 011600UOCT2018 (b) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 4) - Department Of Defense Guidance for Personnel Travel During The Novel Coronavirus Outbreak (c) (U) Under Secretary Of Defense Memo, Elective Surgical, Invasive, and Dental Procedures in Military Treatment Facilities, 31 Mar 2020 (d) (U) NAVADMIN 080/20, Navy Mitigation Measures in Response To Coronavirus Outbreak Update (e) (U) BUMED Return To Work Guidelines For Coronavirus (f) (U) NAVADMIN 083/20, Restriction Of Movement (ROM) Guidance, DTG 231957ZMAR20 (g) (U) COMNECC EXECUTE ORDER (EXORD) in response to CUSFF FRAGO 20019.001 and CUSFF EXORD in response to Novel Coronavirus Disease 2019, DTG 031919Z MAR 20 (h) (U) COMNECC PHASE III EXECUTE ORDER (EXORD) IN RESPONSE to Novel Coronavirus Disease 2019, DTG 232118Z MAR 20 (i) (U) BUMEDINST 6230.15 series, Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases (j) (U) COMNECCINST 6000.1 series, Expeditionary Medical Procedures Manual (k) (U) BUMEDINST 1510.23 series, Hospital Corpsman Skills Basic (HMSB)/Tactical Combat Casualty Care (TCCC) Program (l) (U) Manual of Preventive Medicine NAVMED P-5010 (m) (U) Manual of the Medical Department NAVMED P-117 (n) (U) NCGINST 5040.2 Naval Construction Force Continuous Assessment Program (o) (U) COMNECCINST 6400.1A, Psychological Health Team (PHT) Program (p) (U) DODINST 6025.18 series, DoD Health Information Privacy Regulation (q) (U) NCGONE Mass Casualty Standard Operating Procedures (r) (U) Memorandum Of Understanding (MOU) with Naval Construction Division and Naval Hospital Camp Pendleton (s) (U) USPACOM FY 2018 Force Health Protection Guidance for USPACOM AOR (t) (U) Navy and Marine Corps Public Health Center (NMCPH) website (u) (U) Centers for Disease Control (CDC) COVID-19 website (v) (U) National Center for Medical Intelligence website (w) (U) Defense Health Agency (DHA) coronavirus website (x) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 5) - Department Of Defense Guidance for Movement and Medical Treatment During The Novel Coronavirus Outbreak (y) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 7) - Department Of Defense Guidance for Personal Protective Equipment, and NonQ-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Pharmacological Interventions During The Novel Coronavirus Outbreak (z) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 8) - Department Of Defense Guidance for Protecting Personnel in Workplaces During The Novel Coronavirus Outbreak (aa) (U) Defense Health Agency (DHA) Memo, 8 Apr 2020 Health Protection Condition (HPCON) Guidance in a COVID-19 Environment (bb) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive APR-011 (cc) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive (MOD) APR016 (dd) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive (MOD) APR021 (ee) (U) Navy Environmental And Preventive Medicine Unit Two (NEPMU-2), Guidance for Amphibious Operations Ashore Evaluation and Management 2019 Novel Coronavirus (COVID-19), 10 Apr 2020 (ff) (U) Guidance for Underway Evaluation Management of Suspected Persons Under Investigation (PUI) for 2019 Novel Coronavirus (COVID-19), 10 Apr 2020 (gg) (U) Navy and Marine Corps Public Health Center COVID-19 Home Isolation and SelfQuarantine Instruction Fact Sheet (hh) (U) NAVADMIN 113/20 ROM Guidance Update 1. (U) Situation. When the adversary is a global health crisis, the medical and dental departments are critical components to an effective response. Medical departments must provide up-to-date and accurate force health protection guidance commanders while maintaining medical readiness for our forces. Despite decreased manning and force distribution, unit medical and dental departments must continue to carry out the most of their usual functions to sustain troop lethality. As unit medical and dental providers may be subject to sudden escalations in their responsibilities, recommend that commands utilize medical staff with the lowest medical training first to respond to routine tasks (for example, using preventive medical technicians (PMT) for restriction of movement (ROM) clearance rather than physicians) to optimize quality care and minimize burnout. 2. (U) Mission. See basic order. 3. (U) Execution a. (U) Concept of Operations. Unit medical and dental departments will continue to function administratively and operationally per references (a) and (i) thru (u); and conduct training per references (a), (k), (n) and (q) as feasible given the constraints on available ancillary health services, routine care and live training opportunities. Per reference (c), all elective procedures and non-essential medical care must be postponed during Coronavirus disease 2019 (COVID-19) response efforts, though mission-essential care to sustain operational unit medical and dental readiness should continue. b. (U) Tasks (1) (U) All reports, correspondence, and medical tasking will be coordinated through the Naval Construction Group ONE (NCG 1) Group Surgeon. Q-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (2) (U) To combat the spread of disease, medical departments shall assist their commands in developing effective prevention efforts as recommended by Navy and Marine Corps Public Health Center and the Center for Disease Control (CDC). Strategies include, but are not limited to, unit wide education efforts on hygiene; COVID-19 screening programs; and implementation of ROM programs for high risk personnel which minimize stigmatization but are effective in controlling disease transmission. (3) (U) Medical Departments shall provide accurate information on COVID-19 and effective prevention and treatment using resources as listed in references (o) through (r). (4) (U) Implement social distancing and distributed workforce operations to minimize transmission. (5) (U) Implement COVID-19 screening procedures as outlined in Appendix 1, (6) (U) Monitor and implement new guidance and direction as provided. Commands should anticipate that, as more is learned about COVID-19, policies will be continually updated in an effort to both mitigate risk and optimize work productivity. NCG 1 Medical will distribute these updates on a daily basis to unit medical departments. Unit medical departments should ensure that they are following the most current guidance available. (7) (U) Implement Force Health Protection measures as outlined in Annex A and references (i) thru (m). (8) (U) Medical Support (a) U) Until further notice, provide one medical provider, once a week (as coordinated by the NCG 1 Medical Department) to support the NCG 1 Medical watch bill. (b) (U) Watchstanders will be on call and support NCG1 as required to evaluate NCG 1 and subordinate units’ service members under restriction of movement (ROM) after they have completed their period of quarantine/isolation to determine if they are fit to return to duty. (c) (U) Duty periods will be seven days a week from 0800-1500 Monday through Friday and 0800-1200 Saturdays and Sundays. (d) (U) Watchstanders will receive guidance on screening procedures and completing appropriate Return to Duty screening questionnaires from Naval Branch Health Clinic Port Hueneme providers. Coordinate training with NCG 1 Medical. (e) (U) NCG 1 Medical will assist units in coordinating mission essential ancillary services, such as eye exams, with the area Military Treatment Facilities (MTFs) to maintain high medical and dental readiness. Q-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY c. (U) Restriction of Movement (1) Per reference (e), ROM applies to all Service Members, who in the last 14 days have: (a) (U) Traveled to an area with ongoing spread of COVID-19 as defined as CDC designated Level 2 and 3 countries (https:// www.cdc.gov/coronavirus/2019ncov/travelers/map-and-travel-notices.html), or (b) (U) Had close contact with a person known to have COVID-19, (c) (U) Traveled outside the local area. (2) (U) It is strongly recommended that Department of Defense civilian employees, contractor personnel and dependents also follow this guidance. (3) (U) All personnel deploying to Commander, SEVENTH Fleet (C7F) area of operations shall complete ROM in accordance with C7F requirements. (4) (U) Personnel with upper respiratory or influenza-like symptoms shall stay home, self-isolate, and self-monitor for a maximum of 72 hours. If symptoms continue past 72 hours, they should consult their primary care provider for evaluation and further guidance, which may include COVID-19 testing. Personnel shall self-monitor in accordance with Reference (gg). (5) (U) Commanding officers are responsible for assessment, assignment, and support of all ROM personnel within their respective units. (6) (U) ROM Personnel Instructions (a) (U) Unit medical providers will provide counseling for all personnel directed for ROM. (b) (U) Personnel directed to complete ROM, will receive ROM instructions from their unit commander detailing the instructions for their ROM, Tab A and B. 1. (U) ROM. Primary location for ROM is service member’s existing domicile, provided this location has sufficient space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space on board Naval Base Ventura County (NBVC) via their chain of command. If space is not available on the installation, off base lodging may be utilized. 2. (U) ROM – Isolation. Personnel who display symptoms consistent with COVID-19 will be placed in isolation with directions and information provided at the time of assignment. (c) (U) Any requests for exception to the ROM instructions must be approved the NCG 1 Commander. Q-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (d) (U) ROM personnel shall be directed to remain at home or in a comparable setting for 14 days. For transient personnel and those residing in close quarters such as unaccompanied housing or temporary lodging that does not meeting CDC recommendations for separate sleeping and bathroom facilities, temporary lodging shall be arranged. 1. (U) The preferred location for ROM is service member’s existing domicile, provided this location has sufficient space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. 2. (U) If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space on board Naval Base Ventura County (NBVC) via their chain of command. If space is not available on the installation, off base lodging may be utilized. 3. (U) Personnel placed in ROM training prior to deployment or close contact training events may require sequestered housing away from all others not part of the group to develop a COVID-19 free Bubble. (e) (U) When in ROM, personnel shall avoid congregate settings, limit close contact with people and pets or other animals to the greatest extent possible, avoid traveling, self-monitor, and seek immediate medical care if symptoms (e.g., cough or shortness of breath) develop. (f) (U) Personnel assigned ROM may exit quarters to access laundry facilities, outdoor exercise, and designated smoking areas; and conduct other routine tasks not in a public setting provided they maintain social distancing greater than six feet from others. Personnel in ROM shall wear appropriate face coverings at all times when leaving quarters. Access to messing facilities, stores, fitness centers and other widely used support services is prohibited. (g) (U) For temporary lodging, normal room cleaning services will be suspended during the ROM period. Cleaning and room sanitation procedures are further described in Appendix X. (h) (U) For personnel executing ROM in private residence, coordinate with parent command for the purchase of required food/hygiene items or arrange delivery through other means. (i) (U) After completion of ROM, return to work per paragraph 3.c.7. (7) (U) Bubble Integrity. The following guidance applies to all personnel required to enter quarantine to join an existing COVID-free bubble or to be part of generating a new bubble. (a) (U) Joining Bubble as an Individual. Individuals shall quarantine for an unbroken period of 14 days. This cannot be achieved if individuals are in close contact with any other person, to include family members, co-workers, or the general public. If close contact with a non-quarantined individual occurs, the 14 day quarantine count restarts. If close contact Q-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY occurs between two people in quarantine, both individuals’ quarantine counts shall be set to the lower value of the two counts. (b) (U) Joining Bubble as a Group in Shared Lodging. If a group joins or establishes a Bubble, the entire group must quarantine for an unbroken period of 14 days. This 14 days begins when the last member of the group arrives in lodging. Prior time spent in quarantine by any member of the group sharing the same lodging shall be disregarded. If close contact with a non-quarantined individual occurs, the 14-day quarantine count restarts for all personnel in shared lodging. (c) (U) Travel. If travel is authorized for individuals during a quarantine period, particular care should be taken to preserve Bubble integrity during transit. If sharing transport with other quarantined personnel, the group shall reset their quarantine day count to the lowest value among the traveling group within the car, bus, aircraft, or boat. The day count shall be reset to zero and restarted when traveling by means shared with non-quarantined individuals. (d) Traveling Bubble to Bubble. If authorized, movement between Bubbles shall maintain the integrity of the individual’s COVID-free status. If individuals moving between Bubbles come into close contact with personnel not in a Bubble (e.g. commercial air), the individuals shall restart the quarantine process before entering the destination Bubble. (8) (U) Return to Work Guidance (a) (U) Personnel in ROM will be allowed to return to work only after being cleared by their unit’s designated medical provider in accordance with references (e), (h), (i), (z), and (aa) through (ff). (b) (U) Unit medical providers may direct personnel for care at local health care facilities or MTFs to help guide their decision-making, but should note that NCG 1 guidance may be more stringent than those of civilian or non-operational commands. (c) (U) NCG 1 Medical will coordinate Return to Work assessments for units without designated medical providers. (d) (U) COVID-19 testing for asymptomatic personnel placed in ROM for deployment and extended training events shall be in accordance with current area of responsibility guidance. (e) (U) Refer to Appendix Q-2 (COVID-19 FLOW CHARTS), paragraph 4.b for return to work criteria. d. (U) Coordinating Instructions (1) (U) Emergencies. Emergent medical care should be referred to the closest emergency room, or dial 911. Q-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (2) (U) Sick Call. Medical departments will minimize COVID-19 transmission by not holding sick call, command-wide “shot-exes,” or events or congregations of patients greater than 10 people. Instead, patients will be seen by appointment only and medical departments will reserve a number of same-day appointments for acute ailments. Telemedicine is encouraged, and providers should complete appropriate training prior to initiating. To reduce risk of infection, all medical staff shall wear N95 respirators or appropriate face covering while conducting face to face patient care. If N95 respirators are in short supply, surgical masks or other appropriate face covering may be substituted per CDC and Bureau of Medicine and Surgery (BUMED) guidance. (3) (U) Dental Readiness. Mission essential procedures to sustain dental readiness and emergent care will continue. All elective and non-essential procedures should be postponed. (4) (U) Medical Readiness. Actions to support medical readiness are considered mission essential and shall be sustained. (a) (U) Immunizations, Periodic Health Assessments (PHAs), laboratory tests, etc. shall be continue in accordance with the NCG 1 Commander’s Intent. (b) (U) Automated Neuropsychological Assessment Metrics (ANAM) and Audiograms are postponed until further notice. (c) (U) Every effort to sustain credentials through online training should be exercised. (5) (U) Unit Medical Department Additional Duties. In addition to usual duties, unit medical departments shall: (a) (U) Provide immediate notification to the medical chain of command on all COVID-19 confirmed positive cases, persons under investigation (PUI), hospitalizations, and deaths. (b) (U) Proactively identify and isolate personnel at high risk for COVID19 infection. (c) (U) Conduct prompt and thorough contract tracing. (d) (U) Provide timely and accurate reports per Annex U. (e) (U) Monitor and replenish COVID-19 related medical logistics such as PPE. (f) (U) Supervise training/Responsible for training currency of all battalion medical personnel and first aid training of Sailors within constraints on live training. (g) (U) Collaborate with the NCG 1 Psychological Health Team (PHT) to mitigate anxiety and stress related to COVID-19. Q-7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (6) (U) Operational Stress Control. As with all major crises, pandemics result in increased anxiety, depression, substance use and other issues. Commands must recognize the traumatic impact of COVID-19 on personnel and their families to seek to mitigate psychological injury. While face-to-face checkups by the embedded PHT are postponed during COVID-19 response, PHT providers will continue to provide support via telemedicine whenever possible to sustain mental health readiness in accordance with reference (d). 4. (U) Administration and Logistics. See basic order. 5. (U) Command and Signal. See basic order W. WOHEAD CDR, CEC, USN Operations Officer (U) APPENDIX: 1A – (U) COVID-19 Response Flow Charts (MOD 01) 2B – (U) COVID-19 Response Standard Operating Procedures (MOD 02) 3 – (U) COVID-19 Exit Testing Q-8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 APPENDIX 1 TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COVID-19 RESPONSE FLOW CHARTS (U) 1. (U) Situation. See basic order 2. (U) Mission. See basic order. 3. (U) Execution. See basic order. 4. (U) Administration and Logistics Q-1-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY a. (U) Coronavirus disease 2019 (COVID-19) Symptoms Response Flow Chart. Q-1-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY b. (U) Bureau of Medicine and Surgery (BUMED) Return to Work Flow Chart Q-1-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY c. (U) COVID-19 Contact Tracing Flow Chart Q-1-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command and Signal. See basic order. W. WOHEAD CDR, CEC, USN Operations Officer Q-1-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK Q-1-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 161705UAPR2020 APPENDIX 1A TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COVID-19 RESPONSE FLOW CHARTS (MOD 01) (U) 1. (U) Situation. See basic order 2. (U) Mission. See basic order. 3. (U) Execution. See basic order. 4. (U) Administration and Logistics Q-1-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY a. (U) Coronavirus disease 2019 (COVID-19) Symptoms Response Flow Chart. All decisions based on clinician guidance. Q-1-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY b. (U) Return to Work Flow Chart. Adapted from Bureau of Medicine and Surgery Return to Work Flow Chart (27 March 2020 version) Q-1-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY c. (U) COVID-19 Contact Tracing Flow Chart d. (U) Influenza-like Illness Case Interview and Contact Tracing Form Q-1-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY If a ship is experiencing an increase in influenza-like illness (ILI), it should be treated as a suspected COVID-19 outbreak until confirmatory lab testing can be performed. Use this form to interview all individuals presenting with ILI symptoms in order to identify close contacts to be quarantined and target hot spot locations. DEMOGRAPHICS Last Name: ____________________ First Name: _______________ MI: ___ Today’s Date: _______________ Rate: ______ Rank: ______ Age: _____ Sex: M F Are you (circle one): Ship’s Company Last 4 SSN: ________ DOD ID #:_________________ Air Wing/Squadron Embarked Marine Department/Squadron/Battalion/Detachment: _________________________ ___________________ Other Division: SYMPTOMS DIRECTIONS: Which symptoms have you had in the last 14 days? Circle all that apply. ● Fever ● Sore Throat ● Nausea / Vomiting ● Headache ● Chills / Rigors ● Cough ● Diarrhea ● Body Aches ● Fatigue ● Shortness of Breath ● Abdominal Pain ● Loss of Smell / Taste Other symptoms:_____________________________________________________________________________ Date any symptoms began: _____________________ List any meds you are taking (including Tylenol/Motrin): ____________________________________________ List any current medical issues: _________________________________________________________________ Calculate Infectious Interval:___________________________to___________________________ 48 Hours Before Symptom Onset Today’s Date WORKSPACE CONTACTS DIRECTIONS: Please document where you have worked during the infectious interval. In the Contact List, list all the people you have interacted with in your workspace during the infectious interval. Primary Work Center Name/Compartment Number: ______________________________________________ TAD section: __________________________ Duty Crew/Section: ___________________________ Which head do you use when in these spaces? __________________________ MEDICAL: Conduct an inspection of workspace and identify close contacts. Consider ceiling height, room width, and air circulation to determine if entire workspace should be considered close contacts. BERTHING CONTACTS DIRECTIONS: Please document where you berth. List all roommates (include: bunkmates above, below, and across the aisle from you) as well as any household contacts in the Contact List. Berthing Compartment Name/Number: ______________________________________________________ How often have you used the common area in your berthing space? ________________________________ Which head do you use when in this space? ___________________________________________________ MEDICAL: Conduct an inspection of berthing compartment and identify close contacts. In addition to bunkmates, identify others who may have had close prolonged contact with the individual. Consider transit to and from the compartment door as well as common room use. Identifying all berthing space residents as close contacts may be necessary. Q-1-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY OTHER CONTACTS DIRECTIONS: In the Contact List, list your close friends with whom you have eaten and spent personal time during the infectious interval. Indicate below where you have been during the infectious interval and answer the associated questions if applicable. ☐ Galley Which one(s)? Did you go with any one? * ☐ Gym Dates/Times: Did you meet up with anyone? * Equipment used: ☐ Medical Dates/Times: Who did you see? * ☐ Barbershop Dates/Times: Who provided your service? * ☐ Store Dates/Times: Did you go with anyone? * ☐ Smoke deck Which one? Did you meet up with anyone? * ☐ Religious services Dates/Times: Specify service: Who did you play with? * ☐ Berthing activities (e.g., video Which one? games or playing cards) __ Other activities, dates, and potential contacts (including off ship if applicable) * *List all name(s) on Contact List SICK CONTACTS DIRECTIONS: Please indicate if you know of anyone who is currently sick with the symptoms above or if you were exposed to anyone with COVID-19. List their names on the Contact List and note their illness in the comments section. ● Is someone you know currently sick? Yes No ● Were you exposed to someone with COVID-19? Yes No MEDICAL: Immediately identify, mask, and isolate sick individuals and medically evaluate for ILI. ANY OTHER INFORMATION? ___________________________________________________________________________________________ ___________________________________________________________________________________________ FOR MEDICAL USE ONLY Temp: ____________ Pulse: _______________ BP: _____________ SPO2: ______________ Provider: ________________________________________________ Seen through Sick Call? Yes No Meds/Plan: __________________________________________ Tested for COVID? Yes No If tested, what were the results? Positive Date of Isolation: ____________________ Date of Quarantine: ___________________ Q-1-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY Negative Other UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command and Signal. See basic order. W. WOHEAD CDR, CEC, USN Operations Officer Q-1-7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK Q-1-8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 APPENDIX 2 TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COVID-19 RESPONSE WATCHSTANDER STANDARD OPERATING PROCEDURES (U) (U) REFERENCES: (a) (U) NAVADMIN 083/20, Restriction Of Movement Guidance (b) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 4) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak. (c) (U) NAVADMIN 080/20, Navy Mitigation Measures In Response To Coronavirus Outbreak Update BUMED Return To Work Guidelines For Coronavirus. (d) (U) CUSFF/NAVNORTH COVID-19 Screening Questionnaire, dated 17 March 2020 1. (U) Overview. Coronavirus disease 2019 (COVID-19) or Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) is a novel respiratory illness which causes a wide range of symptoms including mild upper respiratory illness to severe pneumonia. The disease was first identified in 2019 in Wuhan, China, and has since spread globally, resulting in the 2019–2020 pandemic. 2. (U) Applicability. This Standard Operating Procedures (SOP) applies to all Naval Construction Group ONE (NCG 1) personnel and subordinate units under operational control (OPCON) of NCG 1. 3. (U) COVID-19 Screening a. (U) Until further notice, all visitors entering NCG 1 facilities will be screened for COVID-19. Screening will take place from 0700 – 1500 Monday thru Friday. b. (U) Access to all NCG 1 facilities shall be restricted to who have been properly screened by NCG 1 screening protocols. Screenings executed by non-NCG 1 units will not be accepted for access to NCG 1 facilities. Notifications will be placed on all the doors directing personnel to the screening tent before entering. c. (U) NCG 1 screenings will take place in tents adjacent to Building 1436 (see figure 1). Subordinate units are able to use NCG 1 screening location or establish own screening location in accordance with SOP. d. (U) Personnel awaiting screening will queue no closer than six feet from one another per the figure (1). Q-2-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Naval Base Ventura County Port Hueneme Bldg 1436 (U) Figure 1. NCG 1 Screening Location and Layout e. (U) Required screening materials (1) (U) CUSFF COVID-19 screening questionnaires (V2020.03.17) (2) (U) Non-contact thermometer (3) (U) Disposable N95 Respirator (for screener) (4) (U) Disposable gloves in various sizes (nitrile preferred) (5) (U) Safety goggles (6) (U) Surgical masks (for patients) (7) (U) Bio-hazard container Q-2-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY f. (U) Procedures for COVID-19 screening (1) (U) Prior to initiating screening, all screeners must receive N95 respirator fitting and NCG 1 COVID-19 Screener training prior to conducting and screenings. (2) (U) Screener dons fitted N95 respirator, goggles, and gloves away from and prior to addressing patient. (3) (U) Screener screens each individual by verbally asking questions included on COVID-19 screening questionnaire, reference (d). If there are any positive responses, the screener fills out a hard copy of the questionnaire. Personnel being screened will not touch questionnaire. (4) (U) Screener completes temperature check with non-contact thermometer. If a non-contact thermometer is not available, defer temperature check until one is obtained and report material shortfalls to the NCG 1 N4 and Medical departments. (5) (U) Provide disposition instructions to the patient per paragraph 3.g and 3.h. g. (U) Disposition (1) (U) If all the screening questions are negative and the individual’s temperature is less than 100.0 ℉ (37.8 ℃), the screening is negative. The individual may return to duty and continue self-monitoring after donning the provided visible screening identifier in accordance with paragraph 3.i. (2) (U) If the individual answers yes to screening questions 1, 2, or 4 (regardless of whether the individual has symptoms or fever), or if the individual’s temperature is greater than or equal to 100.0 ℉ (37.8 ℃), the screening is positive. (3) (U) Recent domestic travel is now a concern. If the individual answers yes to question 3, screener will take individual’s temperature and consult NCG 1 Medical or on site duty corpsman for disposition instructions. h. (U) Instructions for Positive Screenings (1) (U) Individual screened will don a surgical mask and vacate the area; (2) (U) Individual will contact their primary care medical provider via phone to inform them of the positive screening and immediately implement instructions; (3) (U) Individual will immediately restrict movement to reduce contact with other persons; (4) (U) Screener will document the positive screening per reference (d) and contact NCG 1 Medical. Q-2-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (5) (U) Screener will sanitize any equipment that came in contact with the individual prior to conducting further screenings. i. (U) Each day, patients with negative screenings will be provided a visible identifier (wristband, sticker, etc.) to provide outward recognition that they are allowed access into NCG 1 facilities. Personnel are required display the visible identifier at all times and actively enforce entry protocols. j. (U) Personnel are only required to be screened once per day for entry into NCG 1 facilities. 3. (U) Restriction Of Movement (ROM) Personnel Instructions a. (U) NCG 1 Medical will provide counseling for all personnel directed for ROM. b. (U) Personnel will receive ROM instructions from their unit commander detailing the instructions for their ROM, Tab A and B. (1) (U) ROM. The location for ROM will be determined on a case by case basis. Preference is for service member’s existing domicile, provided this location can has enough space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space available Naval Base Ventura County (NBVC) bachelor enlisted quarters (BEQ) via their chain of command. (2) (U) ROM – Isolation. Personnel who display symptoms consistent with COVID-19 will be placed in isolation with directions and information provided at the time of assignment. c. (U) Any requests for exception to the ROM instructions will be coordinated through the service member’s respective command duty officer (CDO). 4. (U) Command Duty Officer COVID-19 Additional Duties a. (U) Coordinate screening of personnel outside of normal screening hours who require access into NCG 1 or subordinate facilities. b. (U) Supervise, coordinate, and task duty drivers for any COVID-19 related movements when directed by NCG 1 Chief Staff Officer (CSO) or unit Executive Officer (XO). c. (U) Log and report any changes to personnel in directed ROM in designated berthing, requests made by members in ROM, responsiveness, etc. d. (U) Ensure all watch standers receive the proper training prior to executing any COVID-19 related tasks. e. (U) Ensure medical and personal protective equipment (PPE) protocols are STRICTLY adhered to. Q-2-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY f. (U) Coordinate roving patrols around designated on-base ROM location to monitor compliance with ROM and social distancing directives for ROM personnel. 4. (U) Officer of the Day (OOD) COVID-19 Additional Duties a. (U) Coordinate screening of personnel outside of normal screening hours who require access into NCG 1 or subordinate facilities. b. (U) Supervise duty drivers completing COVID-19 related movements when directed by NCG 1 CSO or unit XO. c. (U) Log and report any changes to personnel under directed ROM d. (U) Ensure training of ALL watch standers in medical and personal protection practices to protect the OOD and all other personnel. e. (U) Ensure medical and PPE protocols are STRICTLY adhered to while supporting personnel on ROM as well as when conducting COVID-19 screening of personnel. f. (U) Coordinate roving patrols around designated on-base ROM location to monitor compliance with ROM and social distancing directives for ROM personnel. 5. (U) Duty Driver COVID-19 Additional Duties a. (U) Prior to serving as duty driver, complete N95 respirator fitting (conducted by unit Safety Departments) and NCG 1 Medical Department in-person training for PPE and vehicle cleaning procedures (conducted by unit Medical Departments). b. (U) Bring a change of clothing to facilitate changing out of exposed uniform following shift. c. (U) Use only the NCG 1 or unit COVID-19 designated vehicle as applicable. d. (U) Ensure there are adequate materials and equipment for the task at hand to include: N95 mask for duty driver, surgical masks for all passengers, disinfectant wipes, and gloves. e. (U) Wear disposable N95 respirator and gloves throughout trip. f. (U) Minimize contents of vehicle to the greatest extent practical, especially those made of porous materials (e.g. materials that absorb moisture like cardboard). g. (U) Ensure all passengers don surgical masks for duration of trip (i.e. no eating, drinking, spitting tobacco inside vehicle). h. (U) Open windows to allow ventilation if weather conditions allow. i. (U) Sanitize vehicle no sooner than three hours after last use. Q-2-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY j. (U) Once duty driver shift is completed, change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. k. (U) Shower before contact with family or vulnerable people. 6. (U) Vehicle Sanitization a. (U) Prior to conducting vehicle sanitation, personnel shall complete N95 respirator fitting (conducted by unit Safety Departments) and NCG 1 Medical Department in-person training for PPE and vehicle cleaning procedures (conducted by unit Medical Departments). b. (U) Restrict access to vehicle for no less than three hours after last use to minimize exposure to possible infectious droplets. c. (U) Open outside doors and windows to increase air circulation. d. (U) Wear nitrile or latex gloves, surgical mask, disposable gown/coveralls and shoe protectors (if available). e. (U) Use Environmental Protection Agency (EPA) registered disinfectant cleaner or pre-moistened wipes on all non-porous surfaces. f. (U) If approved disinfectant not available, create bleach solution by mixing at a ratio of one-third cup bleach to one gallon of water. g. (U) Allow to air-dry for at least five minutes. h. (U) Dispose of gloves, mask, and gown. i. (U) If disposable gown/coveralls and show protectors are not used: change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. 7. (U) Providing Meals and Deliveries for Personnel in ROM a. (U) Procedures (1) (U) Do not directly interact with personnel in ROM. (2) (U) Pick up meal, food, or other deliveries from designated area. (3) (U) Deliver meal, food, or other deliveries to ROM personnel: place meal on the ground in front of door, and vacate area. (4) (U) Call person once outside building to inform them of delivery. Q-2-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY b. (U) Personnel residing in NBVC Unaccompanied Housing (1) (U) Responsible Department will coordinate requirement to obtain “To Go” meals from the NBVC galley. Responsible Department or unit is required to forward the name and Department of Defense Identification (DOD ID) Number to the NCG 1 N41 for meal deductions from member’s pay for the ROM period. (2) (U) Responsible Department coordinates pickup and delivery of NBVC galley “To Go” meals to ROM personnel. (3) (U) If service member wants additional meals or other deliveries, they are personally responsible for paying for these and should coordinate through their Department. c. (U) Personnel not in NBVC Unaccompanied Housing and without local/family support (1) (U) Responsible Department will coordinate requirement with the NCG 1 N4 to obtain “To Go” meals from the NBVC galley. (2) (U) Responsible Department coordinates pickup and delivery of NBVC galley “To Go” meals to ROM personnel. (3) (U) If service member wants additional meals or other deliveries, they are personally responsible for paying for these and should coordinate through their Department d. (U) Personnel with local family or support. Coordinate with local family or support. 8. (U) Trash Collection for Personnel in ROM (if instructed) a. (U) Prior to collecting trash, watchstander or responsible departmental personnel should receive in-person training from NCG-1 Medical. b. (U) Personnel on ROM should place all trash in dry plastic trash bags and leave these outside the door for pick-up by 0900 every morning. Trash bags should be completely sealed with no debris protruding. If trash does not meet these requirements, pick up will be rejected and the ROM service member will need to re-package it for the following day. c. (U) Watchstander or personnel from the ROM service member’s command should pick up trash when dropping off breakfast for ROM personnel, no later than 0930. (1) (U) Watchstander should wear disposable nitrile gloves when handling trash. (2) (U) As above, trash should be completely sealed in dry plastic trash bags with nothing protruding. If it does meet these standards, watchstander shall not pick it up and inform the OOD of its rejection. The OOD will call the ROM service member to re-package it for the following morning. Q-2-7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (3) (U) Trash and gloves should be discarded in appropriate trash pickup location outside building. 9. (U) Laundry for Asymptomatic ROM Personnel. Asymptomatic personnel on ROM may launder their own clothing. a. (U) Laundry is restricted to location designated by NBVC. b. (U) Laundry shall be washed in the warmest temperature possible with any standard laundry detergent. Cold temperature washes should only be used if clothing-safe EPA-approved disinfectant (i.e. Lysol or Clorox) is available. Use as directed by manufacturer. 9. (U) Laundry for PUI and/or symptomatic personnel a. (U) Persons Under Investigation (PUI) and/or symptomatic personnel ARE NOT allowed outside designated berthing areas at any time unless deemed medically necessary by a healthcare provider. b. (U) NCG 1 or subordinate unit personnel WILL NOT do laundry for PUI and/or symptomatic personnel. 10. (U) Definitions a. (U) Case. Person tested and confirmed as having the COVID-19 virus. b. (U) Hospitalized. Person hospitalized and being treated due to symptoms concerning for COVID-19, with or without test. c. (U) Death. Person deceased as a result of the COVID-19 virus. d. (U) Recovered. Person tested and confirmed as having the COVID-19 virus, but no longer hospitalized or displaying symptoms. e. (U) Patient (or Person) Under Investigation (PUI) (1) (U) An individual with either a pending COVID-19 test or for whom a test would have been ordered/conducted had one been available. (2) (U) Person displaying symptoms consistent with COVID-19 AND has one or more risk factors for COVID-19 (travel history and/or close contact with a person with laboratory confirmed COVID19). f. (U) Restriction of Movement (ROM). General Department of Defense (DoD) term referring to the limitation of personal liberty for the purpose of ensuring health, safety and welfare. Q-2-8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (1) (U) ROM. Medical term referring to the separation of personnel from others as authorized by the unit commanding as a result of suspected exposure to a communicable disease. For the worldwide COVID-19 epidemic, this should be imposed on those with no COVID-19 symptoms who have either recently returned from a high-risk location (CDC Travel Health Notice Level 2 or 3), or have had close contact with a known COVID-19 positive patient. The current recommended quarantine period is 14 days. Per CDC, ROM generally means the separation of a person or group of people reasonably believed to have been exposed to a communicable disease but not yet symptomatic, from others who have not been so exposed, to prevent the possible spread of the communicable disease. (2) (U) ROM – Isolation. Medical term referring to the separation of personnel as authorized by the unit commanding officer from others due either to the development of potential COVID-19 symptoms or as a result of a positive COVID-19 test. Per CDC, isolation means the separation of a person or group of people known or reasonably believed to be infected with a communicable disease and potentially infectious from those who are not infected to prevent spread of the communicable disease. Isolation for public health purposes may be voluntary or compelled by federal, state, or local public health order. g. (U) Close contact (1) (U) Being within six feet (two meters) of COVID-19 case for prolonged period of time; the current recommended threshold is 10 minutes. Close contact can occur while caring for, living with, visiting, or sharing healthcare waiting area or room with COVID-19 case. (2) (U) Having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on). h. (U) Social Distancing. Remaining out of congregate settings, avoiding local public transportation (e.g., bus, subway, taxi, ride share, etc.), and maintaining distance (~6 feet/2 meters) from others. If social distancing is recommended, presence in congregate settings or use of local public transportation should only occur with approval of local or State health authorities. i. (U) Self-Monitoring. Sailors will monitor themselves for fever by taking temperatures twice a day and remain alert for cough or difficulty breathing. If feverish or develop measured fever, cough, or difficulty breathing during self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider to determine whether medical evaluation is needed. W. WOHEAD CDR, CEC, USN Operations Officer (U) TABS: A – (U) Memorandum for Individuals Subject To Restriction Of Movement B – (U) Memorandum for Individuals Subject To Restriction Of Movement – Isolation Q-2-9 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK Q-2-10 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 161705UAPR2020 APPENDIX 2A TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COVID-19 RESPONSE WATCHSTANDER STANDARD OPERATING PROCEDURES (MOD 01) (U) (U) REFERENCES: (a) (U) NAVADMIN 083/20, Restriction Of Movement Guidance (b) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 4) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak. (c) (U) NAVADMIN 080/20, Navy Mitigation Measures In Response To Coronavirus Outbreak Update BUMED Return To Work Guidelines For Coronavirus. (d) (U) CUSFF/NAVNORTH COVID-19 Screening Questionnaire, dated 17 March 2020 (e) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 5) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak (f) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 7) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak (g) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 8) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak (h) (U) Commander Navy Installations Command, Standard Operating Procedure: COVID-19 Positive/Presumptive Positive Facility Cleaning and Disinfection (i) (U) Areas to Clean and Disinfect Checklist (j) (U) COMNAVSEASYSCOM Fleet Advisory 03‐2020 ‐ Supplemental Guidance For Ships And Aircraft Carriers Regarding Use Of Coronavirus Disinfectant Products And Procedures In Habitability Spaces (k) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive APR-011 1. (U) Overview. Coronavirus disease 2019 (COVID-19) or Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) is a novel respiratory illness which causes a wide range of symptoms including mild upper respiratory illness to severe pneumonia. The disease was first identified in 2019 in Wuhan, China, and has since spread globally, resulting in the 2019–2020 pandemic. 2. (U) Applicability. This Standard Operating Procedures (SOP) applies to all Naval Construction Group ONE (NCG 1) personnel and subordinate units under operational control (OPCON) of NCG 1. 3. (U) COVID-19 Screening a. (U) Until further notice, all visitors entering NCG 1 facilities will be screened for COVID-19. Screening will take place from 0700 – 1500 Monday thru Friday. Q-2-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY b. (U) Access to all NCG 1 facilities shall be restricted to who have been properly screened by NCG 1 screening protocols. Screenings executed by non-NCG 1 units will not be accepted for access to NCG 1 facilities. Notifications will be placed on all the doors directing personnel to the screening tent before entering. c. (U) NCG 1 screenings will take place in tents adjacent to Building 1436 (see figure 1). Subordinate units are able to use NCG 1 screening location or establish own screening location in accordance with SOP. d. (U) Personnel awaiting screening will queue no closer than six feet from one another per the figure (1). Naval Base Ventura County Port Hueneme (U) Figure 1. NCG 1 Screening Location and Layout Q-2-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY Bldg 1436 UNCLASSIFIED//FOR OFFICIAL USE ONLY e. (U) Required screening materials (1) (U) CUSFF COVID-19 screening questionnaires (V2020.03.17) (2) (U) Non-contact thermometer (3) (U) Disposable N95 Respirator (for screener) (4) (U) Disposable gloves in various sizes (nitrile preferred) (5) (U) Safety goggles (6) (U) Surgical masks (for patients) (7) (U) Bio-hazard container f. (U) Procedures for COVID-19 screening (1) (U) Prior to initiating screening, all screeners must receive N95 respirator fitting and NCG 1 COVID-19 Screener training prior to conducting and screenings. (2) (U) Screener dons fitted N95 respirator, goggles, and gloves away from and prior to addressing patient. (3) (U) Screener screens each individual by verbally asking questions included on COVID-19 screening questionnaire, reference (d). If there are any positive responses, the screener fills out a hard copy of the questionnaire. Personnel being screened will not touch questionnaire. (4) (U) Screener completes temperature check with non-contact thermometer. If a non-contact thermometer is not available, defer temperature check until one is obtained and report material shortfalls to the NCG 1 Logistics (N4) and Medical departments. (5) (U) Provide disposition instructions to the patient per paragraph 3.g and 3.h. g. (U) Disposition (1) (U) If all the screening questions are negative and the individual’s temperature is less than 100.0 ℉ (37.8 ℃), the screening is negative. The individual may return to duty and continue self-monitoring after donning the provided visible screening identifier in accordance with paragraph 3.i. (2) (U) If the individual answers yes to screening questions 1, 2, or 4 (regardless of whether the individual has symptoms or fever), or if the individual’s temperature is greater than or equal to 100.0 ℉ (37.8 ℃), the screening is positive. (3) (U) Recent domestic travel is now a concern. If the individual answers yes to question 3, screener will take individual’s temperature and consult NCG 1 Medical or on site duty corpsman for disposition instructions. Q-2-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY h. (U) Instructions for Positive Screenings (1) (U) Individual screened will don a surgical mask and vacate the area; (2) (U) Individual will contact their primary care medical provider via phone to inform them of the positive screening and immediately implement instructions; (3) (U) Individual will immediately restrict movement to reduce contact with other persons; (4) (U) Screener will document the positive screening per reference (d) and contact NCG 1 Medical. (5) (U) Screener will sanitize any equipment that came in contact with the individual prior to conducting further screenings. i. (U) Each day, patients with negative screenings will be provided a visible identifier (wristband, sticker, etc.) to provide outward recognition that they are allowed access into NCG 1 facilities. Personnel are required display the visible identifier at all times and actively enforce entry protocols. j. (U) Personnel are only required to be screened once per day for entry into NCG 1 facilities. 4. (U) Restriction Of Movement (ROM) Personnel Instructions a. (U) NCG 1 Medical will provide counseling for all personnel directed for ROM. b. (U) Personnel will receive ROM instructions from their unit commander detailing the instructions for their ROM, Tab A and B. (1) (U) ROM. The location for ROM will be determined on a case by case basis. Preference is for service member’s existing domicile, provided this location can has enough space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space available Naval Base Ventura County (NBVC) bachelor enlisted quarters (BEQ) via their chain of command. (2) (U) ROM – Isolation. Personnel who display symptoms consistent with COVID-19 will be placed in isolation with directions and information provided at the time of assignment. c. (U) Any requests for exception to the ROM instructions will be coordinated through the service member’s respective command duty officer (CDO). Q-2-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command Duty Officer COVID-19 Additional Duties a. (U) Coordinate screening of personnel outside of normal screening hours who require access into NCG 1 or subordinate facilities. b. (U) Supervise, coordinate, and task duty drivers for any COVID-19 related movements when directed by NCG 1 Chief Staff Officer (CSO) or unit Executive Officer (XO). c. (U) Log and report any changes to personnel in directed ROM in designated berthing, requests made by members in ROM, responsiveness, etc. d. (U) Ensure all watch standers receive the proper training prior to executing any COVID-19 related tasks. e. (U) Ensure medical and personal protective equipment (PPE) protocols are STRICTLY adhered to. f. (U) Coordinate roving patrols around designated on-base ROM location to monitor compliance with ROM and social distancing directives for ROM personnel. 6. (U) Officer of the Day (OOD) COVID-19 Additional Duties a. (U) Coordinate screening of personnel outside of normal screening hours who require access into NCG 1 or subordinate facilities. b. (U) Supervise duty drivers completing COVID-19 related movements when directed by NCG 1 CSO or unit XO. c. (U) Log and report any changes to personnel under directed ROM d. (U) Ensure training of ALL watch standers in medical and personal protection practices to protect the OOD and all other personnel. e. (U) Ensure medical and PPE protocols are STRICTLY adhered to while supporting personnel on ROM as well as when conducting COVID-19 screening of personnel. f. (U) Coordinate roving patrols around designated on-base ROM location to monitor compliance with ROM and social distancing directives for ROM personnel. 7. (U) Duty Driver COVID-19 Additional Duties a. (U) Prior to serving as duty driver, complete N95 respirator fitting (conducted by unit Safety Departments) and NCG 1 Medical Department in-person training for PPE and vehicle cleaning procedures (conducted by unit Medical Departments). b. (U) Bring a change of clothing to facilitate changing out of exposed uniform following shift. c. (U) Use only the NCG 1 or unit COVID-19 designated vehicle as applicable. Q-2-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY d. (U) Ensure there are adequate materials and equipment for the task at hand to include: N95 mask for duty driver, surgical masks for all passengers, disinfectant wipes, and gloves. e. (U) Wear disposable N95 respirator and gloves throughout trip. f. (U) Minimize contents of vehicle to the greatest extent practical, especially those made of porous materials (e.g. materials that absorb moisture like cardboard). g. (U) Ensure all passengers don surgical masks for duration of trip (i.e. no eating, drinking, spitting tobacco inside vehicle). h. (U) Open windows to allow ventilation if weather conditions allow. i. (U) Sanitize vehicle no sooner than three hours after last use. j. (U) Once duty driver shift is completed, change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. k. (U) Shower before contact with family or vulnerable people. 8. (U) Vehicle Sanitization a. (U) Prior to conducting vehicle sanitation, personnel shall complete N95 respirator fitting (conducted by unit Safety Departments) and NCG 1 Medical Department in-person training for PPE and vehicle cleaning procedures (conducted by unit Medical Departments). b. (U) Restrict access to vehicle for no less than three hours after last use to minimize exposure to possible infectious droplets. c. (U) Open outside doors and windows to increase air circulation. d. (U) Wear nitrile or latex gloves, surgical mask, disposable gown/coveralls and shoe protectors (if available). e. (U) Use Environmental Protection Agency (EPA) registered disinfectant cleaner or pre-moistened wipes on all non-porous surfaces. f. (U) If approved disinfectant not available, create bleach solution by mixing at a ratio of one-third cup bleach to one gallon of water. g. (U) Allow to air-dry for at least five minutes. h. (U) Dispose of gloves, mask, and gown. i. (U) If disposable gown/coveralls and show protectors are not used: change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. Q-2-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 9. (U) Providing Meals and Deliveries for Personnel in ROM a. (U) Procedures (1) (U) Do not directly interact with personnel in ROM. (2) (U) Pick up meal, food, or other deliveries from designated area. (3) (U) Deliver meal, food, or other deliveries to ROM personnel: place meal on the ground in front of door, and vacate area. (4) (U) Call person once outside building to inform them of delivery. b. (U) Personnel residing in NBVC Unaccompanied Housing (1) (U) Responsible Department will coordinate requirement to obtain “To Go” meals from the NBVC galley. Responsible Department or unit is required to forward the name and Department of Defense Identification (DOD ID) Number to the NCG 1 N41 for meal deductions from member’s pay for the ROM period. (2) (U) Responsible Department coordinates pickup and delivery of NBVC galley “To Go” meals to ROM personnel. (3) (U) If service member wants additional meals or other deliveries, they are personally responsible for paying for these and should coordinate through their Department. c. (U) Personnel not in NBVC Unaccompanied Housing and without local/family support (1) (U) Responsible Department will coordinate requirement with the NCG 1 N4 to obtain “To Go” meals from the NBVC galley. (2) (U) Responsible Department coordinates pickup and delivery of NBVC galley “To Go” meals to ROM personnel. (3) (U) If service member wants additional meals or other deliveries, they are personally responsible for paying for these and should coordinate through their Department d. (U) Personnel with local family or support. Coordinate with local family or support. 10. (U) Trash Collection for Personnel in ROM (if instructed) a. (U) Prior to collecting trash, watchstander or responsible departmental personnel should receive in-person training from NCG-1 Medical. b. (U) Personnel on ROM should place all trash in dry plastic trash bags and leave these outside the door for pick-up by 0900 every morning. Trash bags should be completely sealed with no debris protruding. If trash does not meet these requirements, pick up will be rejected and the ROM service member will need to re-package it for the following day. Q-2-7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY c. (U) Watchstander or personnel from the ROM service member’s command should pick up trash when dropping off breakfast for ROM personnel, no later than 0930. (1) (U) Watchstander should wear disposable nitrile gloves when handling trash. (2) (U) As above, trash should be completely sealed in dry plastic trash bags with nothing protruding. If it does meet these standards, watchstander shall not pick it up and inform the OOD of its rejection. The OOD will call the ROM service member to re-package it for the following morning. (3) (U) Trash and gloves should be discarded in appropriate trash pickup location outside building. 11. (U) Laundry for Asymptomatic ROM Personnel. Asymptomatic personnel on ROM may launder their own clothing. a. (U) Laundry is restricted to location designated by NBVC. b. (U) Laundry shall be washed in the warmest temperature possible with any standard laundry detergent. Cold temperature washes should only be used if clothing-safe EPA-approved disinfectant (i.e. Lysol or Clorox) is available. Use as directed by manufacturer. 12. (U) Laundry for PUI and/or symptomatic personnel a. (U) Persons Under Investigation (PUI) and/or symptomatic personnel ARE NOT allowed outside designated berthing areas at any time unless deemed medically necessary by a healthcare provider. b. (U) NCG 1 or subordinate unit personnel WILL NOT do laundry for PUI and/or symptomatic personnel. 13. (U) Sanitizing and Vacating BEQ Rooms used by ROM Personnel a. (U) ROM personnel are responsible for removing all personal effects and trash from rooms prior to departure unless medically incapable of doing so. b. (U) Rooms occupied by ROM personnel with confirmed COVID-19 positive tests will be sanitized by an outside contracting company coordinated through NCG 1 N4 Department. c. (U) Rooms occupied by non-COVID-19 positive ROM personnel will utilize the following procedures. (1) (U) Asymptomatic ROM personnel will be responsible for cleaning their own rooms after being cleared to return to work. Personnel shall wear approved face covering, nitrile or latex gloves while cleaning. (2) (U) If sanitizing the room for another person, prior to conducting sanitization, personnel shall complete N95 respirator fitting (conducted by unit Safety Departments) and NCG Q-2-8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 1 Medical Department in-person training for PPE and cleaning procedures (conducted by unit Medical Departments). Personnel will wear nitrile or latex gloves, N95 respirator, eye protection, disposable gown/coveralls and shoe protectors (if available). (3) (U) If possible, secure rooms for seven days prior to cleaning. Emerging research indicates that COVID-19 is viable on most surfaces for up to three to seven days. Personnel shall: (a) (U) Don PPE prior to going to berthing area. (b) (U) Open outside doors and windows to increase air circulation the area (all rooms, where possible) for at least 24 hours. (c) (U) Clean all dirty surfaces using a detergent or soap and water prior to disinfection. (d) (U) Disinfect cleaned surfaces in accordance with reference (i). 1. (U) Use EPA registered disinfectant cleaner or pre-moistened wipes on all non-porous surfaces. 2. (U) For soft (porous) surfaces such as carpeted floor, rugs, and drapes, remove visible contamination if present and clean with appropriate cleaners indicated for use on these surfaces. a. (U) Launder (items that are applicable) in accordance with the manufacturer’s instructions using the warmest appropriate water setting for the items and then dry items completely. b. (U) For items that cannot be laundered, use products with the EPA-approved emerging viral pathogens claims that are suitable for porous surfaces. 3. (U) If approved disinfectant not available, create bleach solution by mixing at a ratio of one-third cup bleach to one gallon of water. 4. (U) Allow to air-dry for at least 10 minutes. (e) (U) Dispose of PPE as applicable. (f) (U) If disposable gown/coveralls and shoe protectors are not used: change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. (g) Complete Areas to Clean and Disinfect Checklist, reference (i), and provide to OOD by end of shift. (4) (U) If waiting for 7 days is operationally unfeasible, follow instructions as outlined by Fleet Advisory: supplemental guidance regarding use of Coronavirus Disinfectant Q-2-9 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Products and Procedures, reference (j) to include proper decontamination procedures before and after cleaning. 14. (U) Definitions a. (U) Case. Person tested and confirmed as having the COVID-19 virus. b. (U) Hospitalized. Person hospitalized and being treated due to symptoms concerning for COVID-19, with or without test. c. (U) Death. Person deceased as a result of the COVID-19 virus. d. (U) Recovered. Person tested and confirmed as having the COVID-19 virus, but no longer hospitalized or displaying symptoms. e. (U) Patient (or Person) Under Investigation (PUI) (1) (U) An individual with either a pending COVID-19 test or for whom a test would have been ordered/conducted had one been available. (2) (U) Person displaying symptoms consistent with COVID-19 AND has one or more risk factors for COVID-19 (travel history and/or close contact with a person with laboratory confirmed COVID19). f. (U) Restriction of Movement (ROM). General Department of Defense (DoD) term referring to the limitation of personal liberty for the purpose of ensuring health, safety and welfare. (1) (U) ROM. Medical term referring to the separation of personnel from others as authorized by the unit commanding as a result of suspected exposure to a communicable disease. For the worldwide COVID-19 epidemic, this should be imposed on those with no COVID-19 symptoms who have either recently returned from a high-risk location (CDC Travel Health Notice Level 2 or 3), or have had close contact with a known COVID-19 positive patient. The current recommended quarantine period is 14 days. Per CDC, ROM generally means the separation of a person or group of people reasonably believed to have been exposed to a communicable disease but not yet symptomatic, from others who have not been so exposed, to prevent the possible spread of the communicable disease. (2) (U) ROM – Isolation. Medical term referring to the separation of personnel as authorized by the unit commanding officer from others due either to the development of potential COVID-19 symptoms or as a result of a positive COVID-19 test. Per CDC, isolation means the separation of a person or group of people known or reasonably believed to be infected with a communicable disease and potentially infectious from those who are not infected to prevent spread of the communicable disease. Isolation for public health purposes may be voluntary or compelled by federal, state, or local public health order. g. (U) Close contact Q-2-10 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (1) (U) Being within six feet (two meters) of COVID-19 case for prolonged period of time; the current recommended threshold is 10 minutes. Close contact can occur while caring for, living with, visiting, or sharing healthcare waiting area or room with COVID-19 case. (2) (U) Having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on). h. (U) Social Distancing. Remaining out of congregate settings, avoiding local public transportation (e.g., bus, subway, taxi, ride share, etc.), and maintaining distance (~6 feet/2 meters) from others. If social distancing is recommended, presence in congregate settings or use of local public transportation should only occur with approval of local or State health authorities. i. (U) Self-Monitoring. Sailors will monitor themselves for fever by taking temperatures twice a day and remain alert for cough or difficulty breathing. If feverish or develop measured fever, cough, or difficulty breathing during self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider to determine whether medical evaluation is needed. W. WOHEAD CDR, CEC, USN Operations Officer (U) TABS: A – (U) Memorandum for Individuals Subject To Restriction Of Movement B – (U) Memorandum for Individuals Subject To Restriction Of Movement – Isolation Q-2-11 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK Q-2-12 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 302200UAPR2020 APPENDIX 2B TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COVID-19 RESPONSE WATCHSTANDER STANDARD OPERATING PROCEDURES (MOD 02) (U) (U) REFERENCES: (a) (U) NAVADMIN 083/20, Restriction Of Movement Guidance (b) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 4) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak. (c) (U) NAVADMIN 080/20, Navy Mitigation Measures In Response To Coronavirus Outbreak Update BUMED Return To Work Guidelines For Coronavirus. (d) (U) CUSFF/NAVNORTH COVID-19 Screening Questionnaire, dated 17 March 2020 (e) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 5) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak (f) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 7) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak (g) (U) Under Secretary Of Defense Memo, Force Health Protection Guidance (Supplement 8) - Department Of Defense Guidance For Personnel Travel During The Novel Coronavirus Outbreak (h) (U) Commander Navy Installations Command, Standard Operating Procedure: COVID-19 Positive/Presumptive Positive Facility Cleaning and Disinfection (i) (U) Areas to Clean and Disinfect Checklist (j) (U) COMNAVSEASYSCOM Fleet Advisory 03‐2020 ‐ Supplemental Guidance For Ships And Aircraft Carriers Regarding Use Of Coronavirus Disinfectant Products And Procedures In Habitability Spaces (k) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive APR-011 (l) (U) Assistant Program Manager Engineering, PMA-202 Aircrew Systems, Naval Air Systems Memo, Guidance And Best Practices For Personal Protective Equipment And Aircraft Decontamination Of COVID-19, 28 March 2020 (m) (U) CUSFF/NAVNORTH COVID-19 Screening Questionnaire, dated 18 Apr 2020 1. (U) Overview. Coronavirus disease 2019 (COVID-19) or Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) is a novel respiratory illness which causes a wide range of symptoms including mild upper respiratory illness to severe pneumonia. The disease was first identified in 2019 in Wuhan, China, and has since spread globally, resulting in the 2019–2020 pandemic. 2. (U) Applicability. This Standard Operating Procedures (SOP) applies to all Naval Construction Group ONE (NCG 1) personnel and subordinate units under operational control (OPCON) of NCG 1. Q-2-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 3. (U) COVID-19 Screening a. (U) Until further notice, all visitors entering NCG 1 facilities will be screened for COVID-19. Screening will take place from 0700 – 1500 Monday thru Friday. b. (U) Access to all NCG 1 facilities shall be restricted to who have been properly screened by NCG 1 screening protocols. Screenings executed by non-NCG 1 units will not be accepted for access to NCG 1 facilities. Notifications will be placed on all the doors directing personnel to the screening tent before entering. c. (U) NCG 1 screenings will take place in tents adjacent to Building 1436 (see figure 1). Subordinate units are able to use NCG 1 screening location or establish own screening location in accordance with SOP. d. (U) Personnel awaiting screening will queue no closer than six feet from one another per the figure (1). Naval Base Ventura County Port Hueneme (U) Figure 1. NCG 1 Screening Location and Layout Q-2-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY Bldg 1436 UNCLASSIFIED//FOR OFFICIAL USE ONLY e. (U) Required screening materials (1) (U) Updated CUSFF COVID-19 screening questionnaires (V2020.04.18) (2) (U) Non-contact thermometer (3) (U) Disposable N95 Respirator (for screener) (4) (U) Disposable gloves in various sizes (nitrile preferred) (5) (U) Safety goggles (6) (U) Surgical masks (for patients) (7) (U) Bio-hazard container f. (U) Procedures for COVID-19 screening (1) (U) Prior to initiating screenings, screeners must receive N95 respirator fitting and NCG 1 COVID-19 Screener training. (2) (U) Screener dons fitted N95 respirator, goggles, and gloves away from and prior to addressing patient. (3) (U) Screener screens each individual by verbally asking questions included on COVID-19 screening questionnaire, reference (d). If there are any positive responses, the screener fills out a hard copy of the questionnaire. Personnel being screened will not touch questionnaire. (4) (U) Screener completes temperature check with non-contact thermometer. If a non-contact thermometer is not available, defer temperature check until one is obtained and report material shortfalls to the NCG 1 Logistics (N4) and Medical departments. (5) (U) Provide disposition instructions to the patient per paragraph 3.g and 3.h. g. (U) Disposition (1) (U) If all the screening questions are negative and the individual’s temperature is less than 100.0 ℉ (37.8 ℃), the screening is negative. The individual may return to duty and continue self-monitoring after donning the provided visible screening identifier in accordance with paragraph 3.i. (2) (U) If the individual answers yes to screening questions 1, 2, or 4 (regardless of whether the individual has symptoms or fever), or if the individual’s temperature is greater than or equal to 100.0 ℉ (37.8 ℃), the screening is positive. (3) (U) Recent domestic travel is now a concern. If the individual answers yes to question 3, screener will take individual’s temperature and consult NCG 1 Medical or on site duty corpsman for disposition instructions. Q-2-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY h. (U) Instructions for Positive Screenings (1) (U) Individual screened will don a surgical mask and vacate the area; (2) (U) Individual will contact their primary care medical provider via phone to inform them of the positive screening and immediately implement instructions; (3) (U) Individual will immediately restrict movement to reduce contact with other persons; (4) (U) Screener will document the positive screening per reference (d) and contact NCG 1 Medical. (5) (U) Screener will sanitize any equipment that came in contact with the individual prior to conducting further screenings. i. (U) Each day, patients with negative screenings will be provided a visible identifier (wristband, sticker, etc.) to provide outward recognition that they are allowed access into NCG 1 facilities. Personnel are required display the visible identifier at all times and actively enforce entry protocols. j. (U) Personnel are only required to be screened once per day for entry into NCG 1 facilities. 4. (U) Restriction Of Movement (ROM) Personnel Instructions a. (U) NCG 1 Medical will provide counseling for all personnel directed for ROM. b. (U) Personnel will receive ROM instructions from their unit commander detailing the instructions for their ROM, Tab A and B. (1) (U) ROM. The location for ROM will be determined on a case by case basis. Preference is for service member’s existing domicile, provided this location can has enough space that the service member can avoid sharing a bathroom and bedroom with others and maintain appropriate social distancing. If service member’s domicile is unable provide adequate space to facilitate social distancing the service member shall request space available Naval Base Ventura County (NBVC) bachelor enlisted quarters (BEQ) via their chain of command. (2) (U) ROM – Isolation. Personnel who display symptoms consistent with COVID-19 will be placed in isolation with directions and information provided at the time of assignment. c. (U) Any requests for exception to the ROM instructions will be coordinated through the service member’s respective command duty officer (CDO). Q-2-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command Duty Officer COVID-19 Additional Duties a. (U) Coordinate screening of personnel outside of normal screening hours who require access into NCG 1 or subordinate facilities. b. (U) Supervise, coordinate, and task duty drivers for any COVID-19 related movements when directed by NCG 1 Chief Staff Officer (CSO) or unit Executive Officer (XO). c. (U) Log and report any changes to personnel in directed ROM in designated berthing, requests made by members in ROM, responsiveness, etc. d. (U) Ensure all watch standers receive the proper training prior to executing any COVID-19 related tasks. e. (U) Ensure medical and personal protective equipment (PPE) protocols are STRICTLY adhered to. f. (U) Coordinate roving patrols around designated on-base ROM location to monitor compliance with ROM and social distancing directives for ROM personnel. 6. (U) Officer of the Day (OOD) COVID-19 Additional Duties a. (U) Coordinate screening of personnel outside of normal screening hours who require access into NCG 1 or subordinate facilities. b. (U) Supervise duty drivers completing COVID-19 related movements when directed by NCG 1 CSO or unit XO. c. (U) Log and report any changes to personnel under directed ROM d. (U) Ensure training of ALL watch standers in medical and personal protection practices to protect the OOD and all other personnel. e. (U) Ensure medical and PPE protocols are STRICTLY adhered to while supporting personnel on ROM as well as when conducting COVID-19 screening of personnel. f. (U) Coordinate roving patrols around designated on-base ROM location to monitor compliance with ROM and social distancing directives for ROM personnel. 7. (U) Duty Driver COVID-19 Additional Duties a. (U) Prior to serving as duty driver, complete N95 respirator fitting (conducted by unit Safety Departments) and NCG 1 Medical Department in-person training for PPE and vehicle cleaning procedures (conducted by unit Medical Departments). b. (U) Bring a change of clothing to facilitate changing out of exposed uniform following shift. c. (U) Use only the NCG 1 or unit COVID-19 designated vehicle as applicable. Q-2-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY d. (U) Ensure there are adequate materials and equipment for the task at hand to include: N95 mask for duty driver, surgical masks for all passengers, disinfectant wipes, and gloves. e. (U) Wear disposable N95 respirator and gloves throughout trip. f. (U) Minimize contents of vehicle to the greatest extent practical, especially those made of porous materials (e.g. materials that absorb moisture like cardboard). g. (U) Ensure all passengers don surgical masks for duration of trip (i.e. no eating, drinking, spitting tobacco inside vehicle). h. (U) Open windows to allow ventilation if weather conditions allow. i. (U) Sanitize vehicle no sooner than three hours after last use. j. (U) Once duty driver shift is completed, change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. k. (U) Shower before contact with family or vulnerable people. 8. (U) Vehicle Sanitization a. (U) Prior to conducting vehicle sanitation, personnel shall complete N95 respirator fitting (conducted by unit Safety Departments) and NCG 1 Medical Department in-person training for PPE and vehicle cleaning procedures (conducted by unit Medical Departments). b. (U) Restrict access to vehicle for no less than three hours after last use to minimize exposure to possible infectious droplets. c. (U) Open outside doors and windows to increase air circulation. d. (U) Wear nitrile or latex gloves, surgical mask, disposable gown/coveralls and shoe protectors (if available). e. (U) Use Environmental Protection Agency (EPA) registered disinfectant cleaner or pre-moistened wipes on all non-porous surfaces. f. (U) If approved disinfectant not available, create bleach solution by mixing at a ratio of one-third cup bleach to one gallon of water. g. (U) Allow to air-dry for at least five minutes. h. (U) Dispose of gloves, mask, and gown. i. (U) If disposable gown/coveralls and show protectors are not used: change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. Q-2-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 9. (U) Providing Meals and Deliveries for Personnel in ROM a. (U) Procedures (1) (U) Do not directly interact with personnel in ROM. (2) (U) Pick up meal, food, or other deliveries from designated area. (3) (U) Deliver meal, food, or other deliveries to ROM personnel: place meal on the ground in front of door, and vacate area. (4) (U) Call person once outside building to inform them of delivery. b. (U) Personnel residing in NBVC Unaccompanied Housing (1) (U) Responsible Department will coordinate requirement to obtain “To Go” meals from the NBVC galley. Responsible Department or unit is required to forward the name and Department of Defense Identification (DOD ID) Number to the NCG 1 N41 for meal deductions from member’s pay for the ROM period. (2) (U) Responsible Department coordinates pickup and delivery of NBVC galley “To Go” meals to ROM personnel. (3) (U) If service member wants additional meals or other deliveries, they are personally responsible for paying for these and should coordinate through their Department. c. (U) Personnel not in NBVC Unaccompanied Housing and without local/family support (1) (U) Responsible Department will coordinate requirement with the NCG 1 N4 to obtain “To Go” meals from the NBVC galley. (2) (U) Responsible Department coordinates pickup and delivery of NBVC galley “To Go” meals to ROM personnel. (3) (U) If service member wants additional meals or other deliveries, they are personally responsible for paying for these and should coordinate through their Department d. (U) Personnel with local family or support. Coordinate with local family or support. 10. (U) Trash Collection for Personnel in ROM (if instructed) a. (U) Prior to collecting trash, watchstander or responsible departmental personnel should receive in-person training from NCG-1 Medical. b. (U) Personnel on ROM should place all trash in dry plastic trash bags and leave these outside the door for pick-up by 0900 every morning. Trash bags should be completely sealed with no debris protruding. If trash does not meet these requirements, pick up will be rejected and the ROM service member will need to re-package it for the following day. Q-2-7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY c. (U) Watchstander or personnel from the ROM service member’s command should pick up trash when dropping off breakfast for ROM personnel, no later than 0930. (1) (U) Watchstander should wear disposable nitrile gloves when handling trash. (2) (U) As above, trash should be completely sealed in dry plastic trash bags with nothing protruding. If it does meet these standards, watchstander shall not pick it up and inform the OOD of its rejection. The OOD will call the ROM service member to re-package it for the following morning. (3) (U) Trash and gloves should be discarded in appropriate trash pickup location outside building. 11. (U) Laundry for Asymptomatic ROM Personnel. Asymptomatic personnel on ROM may launder their own clothing. a. (U) Laundry is restricted to location designated by NBVC. b. (U) Laundry shall be washed in the warmest temperature possible with any standard laundry detergent. Cold temperature washes should only be used if clothing-safe EPA-approved disinfectant (i.e. Lysol or Clorox) is available. Use as directed by manufacturer. 12. (U) Laundry for PUI and/or symptomatic personnel a. (U) Persons Under Investigation (PUI) and/or symptomatic personnel ARE NOT allowed outside designated berthing areas at any time unless deemed medically necessary by a healthcare provider. b. (U) NCG 1 or subordinate unit personnel WILL NOT do laundry for PUI and/or symptomatic personnel. 13. (U) Sanitizing and Vacating BEQ Rooms used by ROM Personnel a. (U) ROM personnel are responsible for removing all personal effects and trash from rooms prior to departure unless medically incapable of doing so. b. (U) Rooms occupied by ROM personnel with confirmed COVID-19 positive tests will be sanitized by an outside contracting company coordinated through NCG 1 N4 Department. c. (U) Rooms occupied by non-COVID-19 positive ROM personnel will utilize the following procedures. (1) (U) Asymptomatic ROM personnel will be responsible for cleaning their own rooms after being cleared to return to work. Personnel shall wear approved face covering, nitrile or latex gloves while cleaning. (2) (U) If sanitizing the room for another person, prior to conducting sanitization, personnel shall complete N95 respirator fitting (conducted by unit Safety Departments) and NCG Q-2-8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 1 Medical Department in-person training for PPE and cleaning procedures (conducted by unit Medical Departments). Personnel will wear nitrile or latex gloves, N95 respirator, eye protection, disposable gown/coveralls and shoe protectors (if available). (3) (U) If possible, secure rooms for seven days prior to cleaning. Emerging research indicates that COVID-19 is viable on most surfaces for up to three to seven days. Personnel shall: (a) (U) Don PPE prior to going to berthing area. (b) (U) Open outside doors and windows to increase air circulation the area (all rooms, where possible) for at least 24 hours. (c) (U) Clean all dirty surfaces using a detergent or soap and water prior to disinfection. (d) (U) Disinfect cleaned surfaces in accordance with reference (i). 1. (U) Use EPA registered disinfectant cleaner or pre-moistened wipes on all non-porous surfaces. 2. (U) For soft (porous) surfaces such as carpeted floor, rugs, and drapes, remove visible contamination if present and clean with appropriate cleaners indicated for use on these surfaces. a. (U) Launder (items that are applicable) in accordance with the manufacturer’s instructions using the warmest appropriate water setting for the items and then dry items completely. b. (U) For items that cannot be laundered, use products with the EPA-approved emerging viral pathogens claims that are suitable for porous surfaces. 3. (U) If approved disinfectant not available, create bleach solution by mixing at a ratio of one-third cup bleach to one gallon of water. 4. (U) Allow to air-dry for at least 10 minutes. (e) (U) Dispose of PPE as applicable. (f) (U) If disposable gown/coveralls and shoe protectors are not used: change out of clothes, place in plastic bag, wipe down shoes, and wash hands and face for at least 20 seconds. Launder clothing after each shift. (g) Complete Areas to Clean and Disinfect Checklist, reference (i), and provide to OOD by end of shift. (4) (U) If waiting for 7 days is operationally unfeasible, follow instructions as outlined by Fleet Advisory: supplemental guidance regarding use of Coronavirus Disinfectant Q-2-9 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Products and Procedures, references (j) and (l) to include proper decontamination procedures before and after cleaning. 14. (U) Definitions a. (U) Case. Person tested and confirmed as having the COVID-19 virus. b. (U) Hospitalized. Person hospitalized and being treated due to symptoms concerning for COVID-19, with or without test. c. (U) Death. Person deceased as a result of the COVID-19 virus. d. (U) Recovered. Person tested and confirmed as having the COVID-19 virus, but no longer hospitalized or displaying symptoms. e. (U) Patient (or Person) Under Investigation (PUI) (1) (U) An individual with either a pending COVID-19 test or for whom a test would have been ordered/conducted had one been available. (2) (U) Person displaying symptoms consistent with COVID-19 AND has one or more risk factors for COVID-19 (travel history and/or close contact with a person with laboratory confirmed COVID19). f. (U) Restriction of Movement (ROM). General Department of Defense (DoD) term referring to the limitation of personal liberty for the purpose of ensuring health, safety and welfare. (1) (U) ROM. Medical term referring to the separation of personnel from others as authorized by the unit commanding as a result of suspected exposure to a communicable disease. For the worldwide COVID-19 epidemic, this should be imposed on those with no COVID-19 symptoms who have either recently returned from a high-risk location (CDC Travel Health Notice Level 2 or 3), or have had close contact with a known COVID-19 positive patient. The current recommended quarantine period is 14 days. Per CDC, ROM generally means the separation of a person or group of people reasonably believed to have been exposed to a communicable disease but not yet symptomatic, from others who have not been so exposed, to prevent the possible spread of the communicable disease. (2) (U) ROM – Isolation. Medical term referring to the separation of personnel as authorized by the unit commanding officer from others due either to the development of potential COVID-19 symptoms or as a result of a positive COVID-19 test. Per CDC, isolation means the separation of a person or group of people known or reasonably believed to be infected with a communicable disease and potentially infectious from those who are not infected to prevent spread of the communicable disease. Isolation for public health purposes may be voluntary or compelled by federal, state, or local public health order. g. (U) Close contact Q-2-10 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (1) (U) Being within six feet (two meters) of COVID-19 case for prolonged period of time; the current recommended threshold is 10 minutes. Close contact can occur while caring for, living with, visiting, or sharing healthcare waiting area or room with COVID-19 case. (2) (U) Having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on). h. (U) Social Distancing. Remaining out of congregate settings, avoiding local public transportation (e.g., bus, subway, taxi, ride share, etc.), and maintaining distance (~6 feet/2 meters) from others. If social distancing is recommended, presence in congregate settings or use of local public transportation should only occur with approval of local or State health authorities. i. (U) Self-Monitoring. Sailors will monitor themselves for fever by taking temperatures twice a day and remain alert for cough or difficulty breathing. If feverish or develop measured fever, cough, or difficulty breathing during self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider to determine whether medical evaluation is needed. W. WOHEAD CDR, CEC, USN Operations Officer (U) TABS: A – (U) Memorandum for Individuals Subject To Restriction Of Movement B – (U) Memorandum for Individuals Subject To Restriction Of Movement – Isolation Q-2-11 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK Q-2-12 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 TAB A TO APPENDIX 2 TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) MEMORANDUM FOR INDIVIDUALS SUBJECT TO RESTRICTION OF MOVEMENT (U) 1. (U) Situation. See basic order 2. (U) Mission. See basic order. 3. (U) Execution. See basic order. 4. (U) Administration and Logistics. Memorandum For Individuals Subject To Restriction Of Movement Form Letter Q-2-A-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 6000 N00 DD Mmm 2020 MEMORANDUM FOR INDIVIDUALS SUBJECT TO RESTRICTION OF MOVEMENT From: Commanding Officer, Unit Name To: Rate First M. Last Subj: RESTRICTION OF MOVEMENT ICO RATE FIRST M. LAST, USN Ref: (a) NAVADMIN 083/20, Restriction Of Movement (ROM) Guidance (b) UNSECDEF (P&R) Memo dtd 11 March 2020 Encl: (1) NMCPHC ROM Guidelines for Service Members in Shared Living Spaces 1. In accordance with the directives contained in references (a) and (b) and due to coronavirus disease 2019 (COVID-19) concerns, this is a formal notice that as the Commander/Commanding Officer of Unit Name] I am ordering you to a 14-day Restriction of Movement (ROM), your period of ROM will begin as of the date of this memo and conclude on DD Mmm 2020. 2. I am providing you with the following directions and information regarding your ROM a. You are restricted to [Room #, Hall Name or Address or leave large blank if TBD] until the expiration above. You are not to leave this location unless deemed medically necessary by a healthcare provider. Your ROM will end after you have been cleared by a military health care provider on the day after your ROM expires. b. You are to limit close contact (no closer than six feet or two meters) with others (people, pets and other animals) during this period. You shall not report to your duty location. Access to messing facilities, stores, fitness centers and other widely used support services or public spaces is prohibited. c. You are to self-monitor by taking your temperature twice a day to check for fever, and remain alert for cough or difficulty breathing. If you feel feverish, develop a fever (>100°F or 37.8°C), cough, or difficulty breathing during ROM, you should immediately notify your chain of command, self-isolate, limit contact with others, and seek advice by telephone from the appropriate healthcare provider to determine whether medical evaluation is needed. d. You are to separate yourself from other people at your designated ROM location to the maximum extent possible. If you are residing with roommates or family members, avoid sharing personal items and bathrooms, with appropriate social distancing, minimizing contact and maintaining a minimum six foot distance. Follow cleaning guidelines in reference (d). e. If designated ROM location is Unaccompanied Housing, personnel may exit quarters to access designated laundry facilities, outdoor areas, and smoking areas; provided they maintain social distancing greater than six feet (two meters) from others. If designated ROM location is a personal residence, personnel may go outside, but no further than the extent of their property. Q-2-A-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY f. Personnel may coordinate the delivery of additional food/necessities through their respective departments or unit utilizing unit NCG 1 procedures for food delivery. g. Personnel may have family and friends visit provided they maintain a six foot (two meter) distance and do not enter the member’s room. Visitors should stay in the passage way outside the room while the member is inside the room or outside in the designated outdoor area, maintaining at least six feet (two meter) distance. 3. You may contest the reasons for your placement in ROM. Information supporting an exemption or release shall be provided to the NCG 1 Chief Staff Officer via the NCG 1 Medical Officer and NCG 1 Staff Judge Advocate. Information will be reviewed and a response provided within 24 hours. 4. In order to combat the effects of COVID-19, ROM is necessary to safeguard morale, discipline, and wellbeing of members of this command and ensure accomplishment of the Navy’s military mission. Any violations of this order are subject to adverse administrative actions and/or disciplinary action under the Uniform Code of Military Justice (UCMJ). F. M. LAST I Rate First M. Last have read and understand the conditions of my Restriction of Movement. __________________________ Q-2-A-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command and Signal. See basic order. W. WOHEAD CDR, CEC, USN Operations Officer Q-2-A-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 TAB B TO APPENDIX 2 TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) MEMORANDUM FOR INDIVIDUALS SUBJECT TO RESTRICTION OF MOVEMENT ISOLATION (U) 1. (U) Situation. See basic order 2. (U) Mission. See basic order. 3. (U) Execution. See basic order. 4. (U) Administration and Logistics. Memorandum For Individuals Subject To Restriction Of Movement Isolation Form Letter. Q-2-B-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 6000 N00 DD Mmm 2020 MEMORANDUM FOR INDIVIDUALS SUBJECT TO RESTRICTION OF MOVEMENT – ISOLATION From: Commanding Officer, Unit Name To: Rate First M. Last Subj: RESTRICTION OF MOVEMENT – ISOLATION ICO RATE FIRST M. LAST, USN Ref: (a) NAVADMIN 083/20, Restriction Of Movement (ROM) Guidance (b) UNSECDEF (P&R) Memo dtd 11 March 2020 Encl: (1) NMCPHC ROM Guidelines for Service Members in Shared Living Spaces 1. In accordance with the directives contained in references (a) and (b) and due to coronavirus disease 2019 (COVID-19) concerns, this is a formal notice that as the Commander/Commanding Officer of Unit Name] I am ordering you to a 14-day Restriction of Movement (ROM) – Isolation, your period of ROM – Isolation will begin as of the date of this memo and conclude on DD Mmm 2020. 2. I am providing you with the following directions and information regarding your ROM – Isolation. a. You are restricted to [Room #, Hall Name or Address or leave large blank if TBD] until the expiration above. You are not to leave this location unless deemed medically necessary by a healthcare provider. Your ROM – Isolation will end after you have been cleared by a military health care provider on the day after your ROM – Isolation expires. b. You are to limit close contact (no closer than six feet or two meters) with others (people, pets and other animals) during this period. You shall not report to your duty location. Access to messing facilities, stores, fitness centers and other widely used support services or public spaces is prohibited. c. You are to self-monitor by taking your temperature twice a day to check for fever, and remain alert for cough or difficulty breathing. If you feel feverish, develop a fever (>100°F or 37.8°C), cough, or difficulty breathing during ROM – Isolation, you should immediately notify your chain of command, self-isolate, limit contact with others, and seek advice by telephone from the appropriate healthcare provider to determine whether medical evaluation is needed. d. You are to separate yourself from other people at your designated ROM – Isolation location to the maximum extent possible. If you are residing with roommates or family members, avoid sharing personal items. You must have a separate bedroom and bathroom. Follow cleaning guidelines in enclosure (1). Q-2-B-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY e. Personnel in ROM – Isolation will not exit quarters. f. Personnel may coordinate the delivery of additional food/necessities through their respective departments or unit utilizing unit NCG 1 procedures for food delivery. g. Personnel may have family and friends visit provided they maintain a six foot (two meter) distance and do not enter the member’s room. Visitors should stay in the passage way outside the room while the member is inside their room. 3. You may contest the reasons for your placement in ROM – Isolation. Information supporting an exemption or release shall be provided to the NCG 1 Chief Staff Officer via the NCG 1 Medical Officer and NCG 1 Staff Judge Advocate. Information will be reviewed and a response provided within 24 hours. 4. In order to combat the effects of COVID-19, ROM – Isolation is necessary to safeguard morale, discipline, and wellbeing of members of this command and ensure accomplishment of the Navy’s military mission. Any violations of this order are subject to adverse administrative actions and/or disciplinary action under the Uniform Code of Military Justice (UCMJ). F. M. LAST I Rate First M. Last have read and understand the conditions of my Restriction of Movement – Isolation. _________________________ Q-2-B-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command and Signal. See basic order. W. WOHEAD CDR, CEC, USN Operations Officer Q-2-B-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 031330UJUN2020 APPENDIX 3 TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COVID-19 EXIT TESTING SOP (U) (U) REFERENCES: (a) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive MAY-032, DTG 120512ZMAY20 (b) (U) Commander, U.S. Pacific Fleet (CPF) Maritime Operations Directive MAY -037, DTG 190406ZMAY20 (c) (U) COMNECC/PAC Phase IV Execute Order (EXORD) In Response To Novel Coronavirus Disease 2019, DTG 041857Z MAY 20 (d) (U) Memo from CDR Stacie A. Milavec, MSC, USN, Division Chief, Center for Laboratory Medicine Services, Director, Navy Clinical Laboratory Improvement Program (CLIP), Specialty Leader to the Navy Surgeon General for Medical Technology (e) (U) Naval Medical Readiness and Training Unit (NMRTU) Port Hueneme COVID-19 Asymptomatic Mass Testing Request for Support Procedure 01 MAY 2020 v01 (f) (U) After Action Report (AAR) VAW-116 COVID-19 SWAB-EX 4 May 2019 (g) (U) VUP-19 COVID-19 SWAB-EX After Action Summary and Testing Operating Procedures 19 May 2020 (h) (U) Naval Health Research Center (NHRC) Interim Guidelines For Potential COVID-19 Specimen Testing (Form G-1.00 Version E) (i) (U) Naval Health Research Center Interim COVID-19 Specimen Collection Guidelines (Form G-1.01 Version D) (j) (U) USS NIMITZ Carrier Strike Group COVID-19 Testing brief 18 April 2020 (k) (U) Naval Hospital/Naval Medical Readiness And Training Command (NMRTC) Camp Pendleton Standard Operating Procedures 2020 Flu And COVID-19 Clinic (l) (U) Naval Construction Group One Medical Department COVID-19 Testing Guidebook (m) (U) Naval Health Research Center (NHRC) Operational Infectious Diseases Human Infection with 2019 Novel Coronavirus Person Under Investigation (PUI) and Case Report Form v 14 Apr 2020 (n) (U) NHRC Operational Infectious Diseases SWAB-EX Laboratory Specimen Log (Form QA-4.50 Version E) (o) (U) NHRC Operational Infectious Diseases Laboratory Request (Form QA-4.40 Ver. G) 1. (U) Overview a. Coronavirus disease 2019 (COVID-19) or Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a novel respiratory illness which causes a wide range of symptoms including mild upper respiratory illness to severe pneumonia. The disease was first identified in 2019 in Wuhan, China, and has since spread globally, resulting in the 2019–2020 pandemic. b. (U) The United States (U.S.) Navy must view and execute combating COVID-19 as a military operation, not as an administrative drill. All efforts should be taken to combat the Q-3-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (U) spread of the virus. We must review every engagement, operations, exercise, temporary assigned duty, training event, leave, etc. through the lens of: (1) (U) Mission Accomplishment (2) (U) Mission Essential (3) (U) Risk to Mission/Risk to Force (4) (U) Mission Assurance and Maintaining Warfighting Readiness c. (U) Guidance for pre-deployment screening is complex due to the varied unit employment constructs. Therefore, there may be occasions where a deployment, detachment, movement or rotation where a scenario does not fit cleanly into the guidance as written. In these cases, commanders will make every effort to comply with my intent of this guidance. If unsure in your way forward, consult with this headquarters for clarification. 2. (U) Purpose. The Naval Construction Group ONE (NCG 1) COVID-19 Testing Standard Operating Procedures (SOP) is intended to provide guidance to subordinate command leadership and medical departments regarding Restriction of Movement (ROM) exit testing for COVID-19. This SOP prescribes procedures to test NCG 1 personnel safely, efficiently, and accurately for COVID-19. 3. (U) Applicability a. (U) This SOP applies to all NCG 1 personnel and subordinate units under operational control (OPCON) of NCG 1. b. (U) Per reference (d), there are four tiers of active duty service members who require asymptomatic testing. Most deploying and re-deploying NCG 1 units are Tier 2 or Tier 3: (1) (U) Tier 1- Critical National Capabilities (2) (U) Tier 2- Engaged Fielded Forces (3) (U) Tier 3- Forward Deployed/Re-deploying Forces (4) (U) Tier 4- All Other Forces c. (U) ROM exit testing shall be completed prior to deployments or close contact exercises. A 14 day sequester period followed by a negative COVID-19 test is required for all personnel prior to commencing an operational deployment, per reference (a). 4. (U) COVID-19 ROM Exit Testing a. (U) Requesting units are responsible for coordination, scheduling, staffing, and logistical support of all testing. Coordinate with the NCG 1 Medical Department for support of all shortfalls in advance. Q-3-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY b. (U) Prior to Testing Day (1) (U) Planning (a) (U) In accordance with Chief of Naval Operations and Commander, U.S. Pacific Fleet (PACFLT) guidance, all personnel deploying outside the U.S. are required to reduce the risk of COVID-19 infection while also establishing a COVID-19 free bubble. (b) (U) Deploying units will be tested upon completion of ROM to identify asymptomatic COVID-19 positive individuals. Testing shall be conducted no earlier than day 15 of ROM and scheduled Monday through Thursday to avoid potential administrative and logistical difficulties. Movement dates should be coordinated to allow for ROM and an additional 48-96 hours for test result processing. Personnel shall remain in ROM until deployment movements. (c) (U) Operational commitments precluding completion of medically recommended ROM periods shall be approved at the type commander (TYCOM). (2) (U) Tricare Defense Enrollment Eligibility Reporting System (DEERS) Enrollment Verification. Subordinate commands shall ensure Tricare DEERS enrollment for 100% command has been verified with Naval Hospital/Naval Medical Readiness and Training Command Camp Pendleton (NHCP) Managed Care to avoid administrative errors in ordering, labeling, processing, and sending results. Unit Medical Departments must confirm DEERS enrollment prior to initiating testing. (3) (U) Testing Request (a) (U) Subordinate units shall request testing through the NCG 1 Medical Department. NCG 1 will route a testing Request For Support (RFS) to NHCP via Naval Expeditionary Combat Command (NECC) Force Surgeon in accordance with reference (e), the Navy Medicine Readiness and Training Unit (NMRTU) Port Hueneme Asymptomatic Mass Testing instruction. (b) (U) NHCP will review the RFS from NECC Force Surgeon and forward to Navy Medicine Forces Pacific (NMFP) for final approval. Once approved, NMRTU requires: 1. (U) The requesting unit provide the full name, date of birth, and Department of Defense (DoD) Identification (ID) number of all personnel requiring testing. 2. (U) The requesting unit have all personnel requiring testing complete the 2019 Novel Coronavirus Person Under Investigation (PUI) and Case Report Form – Version D, reference (m), prior to arrival at the testing site. 3. (U) NCG 1, in coordination with the requesting unit’s medical department, ensure Composite Health Care System (CHCS) lab orders are submitted for COVID-19 testing prior to the planned testing evolution. Q-3-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (c) (U) The RFS shall include a request for a Lab Officer from NHCP supervise testing operations. Indicate that that the team is requested for Subject Matter Expert (SME) oversight and that they are “essential personnel” in the request. TAD orders for this team should be a minimum of two-day orders to allow for the team to rehearse protocol with screening team prior to screening. (4) (U) Laboratory Orders and Paperwork (a) (U) Per reference (c), COVID-19 testing samples will be processed at a DoD approved reference laboratory. All COVID-19 testing of asymptomatic deployers shall be standardized, using Nasopharyngeal swabs and optimized RT-PCR protocols. Waivers for alternative procedures (i.e. use of anterior nares samples or BioFire) must be approved by the TYCOM Surgeon. (b) (U) Lab orders shall be entered under the NCG 1 Group Surgeon. Unit medical departments shall ensure that alpha rosters and Medical Readiness and Reporting System (MRRS) data for personnel being tested are provided to NMRTU Port Hueneme staff. NHCP and NMRTU Port Hueneme Staff will order COVID-19 labs, indicating the NCG 1 Group Surgeon as the point of contact for results. (5) (U) Testing Supplies, Packaging, and Transport (a) (U) Packaging of test samples for shipment will be directed by testing lab selected by the TYCOM, supervised by NHCP Lab staff, and supported by NMRTU Port Hueneme. (b) (U) NCG 1 Logistics (N4) and Medical Departments will coordinate the procurement of testing supplies with area Military Treatment Facilities (MTFs) and NECC. (c) (U) If the Naval Health Research Center (NHRC) in San Diego, California is used as the processing lab, samples shall be placed on dry ice and shipped to NHRC by one of the following methods: 1. (U) Federal Express (FEDEX) overnight. 2. (U) NCG 1 Medical Department E5 or above via command vehicle. 3. (U) NOTE: If NCG 1 or the requiting unit is transporting the testing samples to NHRC, an NECC Travel Waiver is required. (d) (U) If LabCorps testing is used, after approval by the TYCOM Surgeon, samples must be frozen after collection and packaged appropriately by the Lab Officer staff. Frozen test samples shall be shipped overnight to LabCorps in Phoenix, Arizona via FEDEX for processing. Q-3-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (e) (U) If testing is done through another DoD approved reference laboratory, contact the facility at least four weeks in advance to verify testing equipment and paperwork procedures. c. (U) Testing Day Setup (1) (U) Screening Team (a) (U) Requesting units shall ensure that personnel are properly identified and trained to support the following roles during the collection of test samples. (b) (U) NCG 1 shall identify at least sixteen medical department personnel available to collect samples as the screening team. Screening team may include a mixed staff of personnel from NCG 1, units OPCON to NCG 1, and NMRTU Port Hueneme. Screening team roles are as follows: 1. (U) One evolution supervisor (group surgeon or medical officer) 2. (U) One location supervisor (medical or dental officer) 3. (U) One dedicated scribe to collect information for an After Action Report (AAR). 4 (U) Two screeners to verbally review questionnaire and take temperature for all patients (medical or dental officer, independent duty corpsman (IDC), E6 or above HM) 5. (U) Four testers to collect nasopharyngeal samples 6. (U) Two sample verifiers to verify pre- and post-procedure 7. (U) Two sample packers 8. (U) Three conductors (khaki, can be non-medical, to call roll and enforce COVID-19 mitigation standards) (c) (U) Requesting unit medical department personnel who are in ROM shall not be part of the screening team. (d) (U) With the exception of conductors, screening team should consist of medical department personnel: corpsmen, IDCs, nurses, physician’s assistants, medical officers, or dental officers. These health care providers should be skilled in taking influenza test samples at a minimum; prior experience taking COVID-19 samples is preferred. Health care providers should have had National Institute for Occupational Safety and Health (N95) mask fit testing within in the past year. Health care workers who are conducting screenings should be familiar with using the selected lab’s required documentation. Q-3-5 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (2) (U) Supplies (a) (U) Personal Protective Equipment (PPE) for health care team: 1. (U) N95 mask, one per staff per day; additional may be required if mask becomes soiled. 2. (U) Gowns or Tyvex suits, one per staff per day; additional may be required PPE becomes soiled. If supply is limited, tester and sample verifier must be equipped at a minimum. 3. (U) Face shield (preferred to prevent fogging) or non-vented goggles 4. (U) Nitrile gloves, double gloving recommended (b) (U) Peroxide wipes (one per testing station) (c) (U) Non-contact thermometers (d) (U) Reference (m) completed by each patient and provided to NCG 1 Medical Department at least 72 hours in advance (e) (U) Blank reference (m) forms (f) (U) Pre-printed alpha roster for patient and sample verification (g) (U) Pre-printed MRRS for all patients being tested (h) (U) Screener logbook (i) (U) Collins boxes, which hold 100 samples each or Styrofoam box (j) (U) Dry ice pellets, 30 pounds per Collins box (k) (U) Pre-printed labels for all patients being tested; labels affixed to sample tubes when verified (l) (U) Frozen packs per NHCP Lab SME direction for each Collins box (m) (U) NMRTU Port Hueneme cold storage per lab selected and NHCP Lab Officer/SME direction for sample storage (n) (U) Clear biohazard bags for samples (o) (U) Biohazard waste bins (p) (U) Tables and chairs to support testing operations. Q-3-6 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (q) (U) Sterile flocked nasopharyngeal swabs (enough for personnel being tested + 25%) (r) (U) One-3 ml sterile universal or viral transport media tubes per testing lab instruction (enough for personnel being tested + 25%) (s) (U) Tissue wipes for patients (t) (U) Two Chucks pads (one per Collins box) (u) (U) Specimen holders, per lab team direction (3) (U) Location (a) Default testing location will be the large Grinder on Naval Base Ventura County (NBVC) at the southeast corner of 23rd Avenue and Pacific. If inclement weather is expected on day of testing, testing location will be the Beehive Gym. (b) (U) Testing location should offer the following: 1. (U) Protection from the weather, specifically wind and rain. Shade is strongly preferred for testers. 2. (U) Ability to protect personnel in or entering COVID-19 free bubbles. (c) (U) Designate a large, well-ventilated indoor area able to accommodate 20 personnel at a time with three stations. (d) (U) Stations should have folding tables with two chairs per table. Two stations should be set up for screening, and a third to accommodate the lab supervisory team for verification and packaging of lab samples. (e) (U) Pre-screening holding area and patient line staging area should be set up to allow screening team members and patients to maintain six feet social distancing. Tape should be used to mark patient line staging areas leading to each tent/testing area. (f) (U) Scheduling 1. (U) Testing should occur on a Monday, Tuesday, and/or Wednesday. Friday test dates should be avoided due to potential administrative and logistical difficulties over the weekend. Morning start times are recommended, so that labs can be delivered to the testing facility prior to 1500L. 2. (U) Screening team should arrive at least 60 minutes prior to the commencement of the first patient testing, confirm roles, and perform a walk-through of procedures before seeing patients. Walk-throughs are considered best practice. Conducting Q-3-7 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (U) additional walk-throughs on each of the two days preceding actual testing day has proved invaluable in previous evolutions. 3. (U) Units are responsible for creating an alpha roster of all personnel being tested and providing Screening team with updated MRRS data on all personnel being tested. 4. (U) Screening team should establish “appointments” for patients and provide this list to Conductors and unit leadership. a. (U) Divide patients into Phases of 120 patients or less. With four testing lanes, screening team should be able to test 120 patients per hour. b. (U) Further divide each Phase into 4 groups corresponding with testing lanes (i.e. Groups 1-4) c. (U) Develop an check-in roster with both patient information and group assignments for Screening Team personnel d. (U) Develop a second copy without Personally Identifiable Information that includes patient name and group assignment to command for patient’s situational awareness. (4) (U) Lab Orders (a) (U) Lab orders should be prepared at least three weeks prior to testing. (b) (U) Order labs in CHCS under the NCG 1 Group Surgeon. (c) (U) Provide the unit’s test day alpha roster to lab techs for proper accessioning and printing of labels. (d) (U) Execute accessioning steps on CHCS. (e) (U) Print to corresponding label maker (HLABB/MLABB). (5) (U) Patient Forms (a) (U) If NHRC is used, three forms are required per patient; references (m), (n), and (o). (b) (U) If LabCorps is used, only references (m) and (n) are required. (c) (U) Unit commands ensure patients pre-fill all forms to the maximum extent possible and provide these pre-filled forms to NCG 1 Medical at least 72 hours before testing date. (d) (U) Place labels for each patient to correspond with their respective testing appointment times and locations. Q-3-8 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY d. (U) Expectations (1) (U) Unit Leadership (a) (U) Ensure each patient understands the need to execute the testing evolution safely and at deliberate pace to prevent errors. (b) (U) Enforce pre-movement bubble procedures with strict accountability of all patients, including assignment of “traffic” monitors to ensure continued pre-movement sequester bubble. (c) (U) On testing day, test area access shall be restricted to patients being tested, unit leadership, and health care providers involved. Photography is prohibited to preserve patient privacy. (d) (U) Walk-throughs on each of the two days preceding actual testing day has proved invaluable in previous evolutions. Walk-throughs are considered best practice. (2) (U) Patients. Patients shall have their DoD ID card and wear appropriate face coverings at all times (unless instructed by screening personnel to remove). Eating and drinking during the testing evolution are prohibited. Patients should not wear make-up so to ensure minimal interference with non-contact thermometer readings. e. (U) Testing Day Procedures (1) (U) Establish appointments beforehand by dividing patients into “Phases” (as noted in “Scheduling” section) and then dividing further into four groups. Patients should arrive in order and stand no closer than six feet apart. A check-in roster with the information from the unit alpha roster as well as the group assignments should be created. Evolution supervisor should ensure pre-printed labels are made ahead of time, preferably staged in same order as patients are scheduled to arrive. (2) (U) Units should estimate two to three minutes per sample with proper preparation. (3) (U) Testing Procedure (a) (U) Conductor directs patient to correct station lane and check off name on internally developed roster. (b) (U) Screener 1. (U) Retrieves patient’s completed reference (m) or complete new reference (m) for patient. Patients should have already completed reference (m) with their command medical departments, but it must be verified verbally by each screener. 2. (U) Verifies name and DoD ID. Q-3-9 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 3. (U) Records patient in logbook with name, DoD ID, contact phone number. 4. (U) Completes the reference (m), indicating “For Research only” in justification for asymptomatic and takes temperature reading of patient. 5. (U) If negative screen: Screener will direct patient to testing area. Screener will sign form and bring to sample verifier. 6. (U) If positive screen: Patients with symptoms, fevers or positive screens shall be directed for immediate evaluation at the NMRTU Port Hueneme FluCOVID-19 tents per Centers for Disease Control and NECC guidance. Screener will annotate this on reference (m) and on check-in roster and provide form to evolution supervisor. Medical providers on hand should be prepared to conduct a targeted physical exam as needed for emergent situations and contact 911 for assistance. 7. (U) All equipment and furniture that the patient has touched must be wiped down with peroxide wipes and air-dried for approximately one minute before being used with the next patient. Screeners and testers shall change gloves after each patient. (c) (U) Once receiving information from the Screener, the sample verifier will confirm the information on the pre-printed label and affix the label onto an inspected tube. The sample verifier will then hand the labeled tube to the Tester. If NHRC is testing facility, the sample verifier will fill out the Laboratory Request Form and Specimen Log. (d) (U) Once Tester gets the labeled tube from the sample verifier, Tester will obtain a sample per reference (k) instructions. Tester should have prior experience acquiring nasopharyngeal samples. Tester will position patient and request the patient to remove face covering to acquire nasopharyngeal sample. Tester should warn patient of potential gagging, nasal irritation, eye tearing, coughing, or sneezing and collect sample. (e) (U) Tester will place sample tube in open specimen bag held by sample verifier. (f) (U) Sample verifier will verify patient name and DoD ID on alpha roster and return sample tube to sample packager. (g) (U) Sample packager will receive sample tubes from sample verifier and package sample tubes per direction of lab supervisory team. Samples must be kept at 2-8 degrees Celsius, or frozen at -70 degrees Celsius if testing cannot occur within 72 hours. (h) (U) Lab supervisory team and lab technicians in packaging area will verify labels on samples with both check-in roster and with specimen sheet. (i) (U) Before screening next patient, the screening team shall wipe down tables and chairs with peroxide wipes. Each team member shall change gloves and discard old gloves in regular trash after every patient. Q-3-10 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (4) (U) Teams should work for a maximum of three and one half hour shifts and break for at least 60 minutes for rest and meals prior to resuming testing. Ideally, teams should work for two hour shifts then take 30 minute breaks and rotate role assignments if possible. This will ensure optimal concentration of the team for sample collection and preparation. No individual tester should test more than 30 patients in an hour. (5) (U) At end of each shift, evolution supervisor, sample verifiers and packers will verify samples, accompanying paperwork and specimen logs with check-in rosters to identify discrepancies. (6) All reference (m) forms should be scanned into the patient’s medical record within 48 hours. (7) (U) Outdoor Drive-Through Testing (Alternative Option) (a) (U) Conductors will be placed at entrances and around testing areas to direct traffic. As patients drive up, Conductor will direct them to the correct screening station and lane. Each patient being tested will drive up to the screening location in their vehicle. (b) (U) Screener will verify patient’s name with DoD ID and reference (m). (c) (U) While in their vehicle, each patient will be screened for COVID-19 by screener by verifying pre-filled reference (m), followed by temperature check. (d) (U) The screener will complete the reference (m), indicating “For Research only” in justification for asymptomatic testing. (e) (U) Patients should have already completed reference (m) with their command medical departments, but it must be verified verbally by each screener. (f) (U) Negative Screen 1. (U) Patient will pull vehicle forward to testing tent. 2. (U) The sample verifier will confirm the information on the pre-printed label and affix the label onto an inspected tube. 3. (U) The Sample verifier will hand the labeled tube to the tester. 4. (U) The sample verifier will fill out the Laboratory Request Form (if NHRC is testing lab) and Specimen Log (for all labs). 5. (U) The tester will then swab the patient’s nasopharyngeal cavity, and swab sample shall be placed in the specimen tube. 6. (U) The sample verifier will hand specimen to the sample packager for proper storage and packaging per paragraph 3.e. Q-3-11 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (g) (U) Positive Screen. Patients who screen positive will be directed to immediate evaluation at the NMRTU Port Hueneme Flu-COVID-19 tents as appropriate. Screeners or medical providers on hand should be prepared to conduct a targeted physical exam as needed for emergent situations and contact 911 for assistance. (h) (U) Patients who are unable to drive will be tested through a separate screening and testing lane made available for walk-up testing. This test line will be marked off with six feet separation to allow for proper social distancing while awaiting screening and testing as per paragraph 3.e. •Directs traffic Conductor/ •Checks off 1st Roster Roll Call Screener •Verifies and completes reference (m) form and takes temperature •Negative Screen: Directs patient to testing area •Positive Screen: Directs patient to Clinic Flu Tent Lab Tech •Verifies paitent info with pre-printed labels •Gives Tester labeled tube •Collects sample from Tester and gives to Packer Tester •Gets labeled tube from lab tech •Collects patient sample •Gives sample back to Lab Tech •Sanitizes testing area Packer •Collects sample from Lab Tech •Verifies alpha roster 2nd time •Packages sample Figure 1. Screening Team Roles and Responsibilities f. (U) Post-Testing Procedures (1) The NCG 1 Group Surgeon or designee shall be the recipient of all testing results for these evolutions. The NCG 1 Group Surgeon shall provide results to the unit’s Battalion Surgeon or the Senior Medical Department Representative. (2) (U) Negative Test Results. Service members are instructed to maintain their “bubble” until they arrive at their target destination and continue to follow COVID-19 mitigation practices such as social distancing, face covering, and frequent handwashing. Q-3-12 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (3) (U) Positive Test Results (a) (U) If a service member tests positive for COVID-19, contact tracing should be done in accordance to current NECC guidance to identify close contacts. Both the patient and contacts of service member should have ROM extended for at least four days. Repeat testing will be coordinated with the Branch Clinic per NECC and PACFLT guidelines. Results will be documented on the Tab (B). Providers are reminded to wait for the results of the first test before conducting the confirmatory test. (b) (U) Per U.S. Indo-Pacific Command guidance in reference (b), sailors who test positive for COVID-19 are not deployable for at least 90 days. (c) (U) Patients who persistently test positive shall not return to duty. Their disposition and follow-on care will be coordinated by the NCG 1 Group Surgeon. (d) (U) Contact tracing and identification of close contacts of personnel who test positive will be conducted per Reference (a) through reference (c). (4) All reference (m) and Tab (B) forms will be electronically scanned into each patient’s electronic health record by the test provider. (5) (U) After Action Report (a) (U) Scribe will provide evolution supervisor with a copy of handwritten notes by the end of the testing day. (b) (U) Evolution supervisor will complete AAR and submit to NCG 1 Group Surgeon within seven days. (c) (U) NCG 1 Group Surgeon shall review report and submit to the TYCOM Surgeon and NMRTU Port Hueneme Officer in Charge within seven days of receipt. W. WOHEAD CDR, CEC, USN Operations Officer (U) TABS: A – (U) COVID-19 Exit Testing Checklist B – (U) NCG 1 COVID-19 Return To Work – ROM Clearance Template Q-3-13 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONAL LEFT BLANK Q-3-14 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 031330UJUN2020 TAB A TO APPENDIX 3 TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) COVID-19 EXIT TESTING CHECKLIST (U) 1. (U) Situation. See basic order 2. (U) Mission. See basic order. 3. (U) Execution. See basic order. 4. (U) Administration and Logistics Q-3-A-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 29 May 2020 NCG 1 Post-Quarantine Exit Testing Checklist D-30 Checklist Confirm testing laboratory location via TYCOM Surgeon. Submit RFS with Branch Clinic and for NHCP Lab Supervisory team. Order supplies for evolution. Coordinate flights to allow for 21 days minimum between ROM and travel OCONUS. Unit medical department: complete high risk travel assessments for entire command and submit pre-deployment waivers. Verify Tricare DEERS enrollment for all personnel being tested. Submit contingency travel waiver to NECC to drive samples to testing lab for NCG 1 HM E5 or above or NCG 1 Medical Officer. D-3 Checklist Ensure most up-to-date master roster, in Excel. Ensure supplies are available for evolution. Ensure staffing is identified. Inspect proposed location and prepare for weather contingencies, if needed. Inspect tables being used for testing. Deconflict barriers to efficient testing, such as parking issues, space issues, etc. Ensure command has alerted patients that they are to be tested. Schedule walk through with roll taker and other command leadership. Team members should attend if first time or if physician/LIP mandates it. Pre-purchase dry ice. o Nearest dry ice pellet distributor is Cal Ice Company, Los Angeles, 229 S Glasgow Ave, Inglewood, CA 90301. (301) 590-1260) 30 pounds of dry ice per Collins box. o Daily evaporation rate is 10-15%. o Coordinate picking up dry ice with supplied Collins box. D-1 Checklist Ensure D-3 checklist is reevaluated, confirmed, and completed again. Walk-through the evolution with the leaders. If the staff patients are not familiar with the evolution, they should also be a part of it. o Consider using some personnel who are not in PMS walk through to ensure process will work. Using the finalized roster, enter all labs, per person, into CHCS under senior provider running the evolution. (This should take 30-60 seconds per patient). Senior provider: Sign orders (does not need to happen right away). Lab: Accession all labs and print off all labels. Staff: Separate all labels into each distinctive tester/lab tech team. Staff: Organize paperwork (the 3 forms) in alphabetical order. o Have provider sign original form and make copies, with some extras. o Fill out paperwork as appropriate. o Organize papers. UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Procure the purchased dry ice. Store in ice chest. Prepare for tent set-up, parking restrictions, etc., if needed for evolution. Consider roping off restricted areas and other signage. Create lines on ground (with tape, chalk, cones, etc.) for 6 feet distancing. Ensure all staff know show-time (60 minutes before evolution should be sufficient). Print at least 3 copies of evolution roll with pre-screened, swabbed, and final check boxes unboxed. Ensure delivery driver is available. Ensure ORM has been completed for trip. Ensure NHRC is aware of incoming samples. Testing Day Checklist 60 minutes prior to evolution, brief the evolution o Reminder that all patients of the team are expected to STOP the evolution if things are too fast or if an error might occur. o Reminder that getting good samples safely is more important than doing it as fast as possible. o Number of expected tests. o Anticipated challenges, if any. o Any last-minute changes. 30 minutes prior o Start setting stations up. o Ensure paperwork is with P.A. and labs are sorted to each tester/lab tech table, as appropriate. 10 minutes prior o Bathroom runs, if needed. o Prepare traffic monitors. 5 minutes prior o Further remind team that all team members can STOP the evolution for unsafe practices. o Place all PPE on and get ready for first patient. UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command and Signal. See basic order. W. WOHEAD CDR, CEC, USN Operations Officer Q-3-A-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 031330UJUN2020 TAB B TO APPENDIX 3 TO ANNEX Q TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) NCG 1 COVID-19 RETURN TO WORK – ROM CLEARANCE TEMPLATE (U) 1. (U) Situation. See basic order 2. (U) Mission. See basic order. 3. (U) Execution. See basic order. 4. (U) Administration and Logistics Q-3-B-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY Date of Exam: NCG-1 Return to Work/ROM Clearance SF 600 Template (Version 5 May 2020) Since COVID-19 guidance is frequently updated as our understanding of this novel virus evolves, each screener must confirm that the most recent version of this form is used. Guidance applies to personnel from the following commands: NCG 1 NMCB 4 NMCB 25 1 NCR NMCB 5 CBMU 303 30 NCR NMCB 18 UCT 2 NMCB 3 NMCB 22 Vitals: T: BP: HR: RR: Pulse Ox: Date symptoms began: done? Was FDA-approved COVID-19 testing Date symptoms ended: Results of COVID-19 testing: Date ROM began: Symptoms: Cough Fever Chills Body Aches Tremors Sore Throat SOB/Problems breathing Loss of Taste or Smell Nausea/Vomiting Diarrhea Rx Meds/OTC Meds/Supplements taken past 3 days: Any meds with Aspirin (ASA), Acetaminophen (Paracetamol), NSAIDs (Ibuprofen, Naproxen, etc)? Patient Name DOD ID Command Clinic Facility Date of Exam: NCG-1 Return to Work Clearance Summary Chart (adapted from BUMED Return to Work (17 Apr 2020 version) incorporating NECC guidance from 29 Apr 2020) Acute RI, not suspected to be COVID-19 • Duration and resolution of symptoms in <72 hours (if greater, pt is PUI unless clinical suspicion is very low) • > 7 days since symptoms first appeared. • 72 hours afebrile without fever-reducing medications • • • • Asymptomatic ROM/quarantine No fever reducing medications for at least 72 hours At least 14 days in ROM/quarantine Remains symptom-free throughout ROM One Negative nasal swab COVID-19 test A/P: Patient is cleared/not cleared to return to work Disposition: Provider Signature and Stamp Patient Name DOD ID Command Clinic Facility PUI or symptomatic ROM or COVID-19 positive Non-testing method: • 72 hours afebrile without fever-reducing medications • Improvement of symptoms of illness • >21 days since symptoms first appeared. Using a FDA approved test: • 72 hours afebrile without fever-reducing medications • Improvement of symptoms of illness • >14 days since symptoms first appeared. • Two consecutive negative nasal swab tests >24 hrs apart (except if resources limited) UNCLASSIFIED//FOR OFFICIAL USE ONLY 5. (U) Command and Signal. See basic order. W. WOHEAD CDR, CEC, USN Operations Officer Q-3-B-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 ANNEX S TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) SAFETY (U) (U) REFERENCES: (a) (U) NCF-M-5100.2 Series (b) (U) OPNAVINST 5102.1 Series (c) (U) NTRP 4-04.2.5 (d) (U) OPNAVINST 5100.12 Series (e) (U) 29 CFR 1926 (f) (U) 29 CFR 1910 (g) (U) OPNAVINST 5100. 23 Series (h) (U) OPNAVINST 3500.39 Series (i) (U) COMNECC/COMNECCPACINST 3500.3 Series 1. (U) Situation a. (U) General. Safety is a key element to a unit’s operational readiness. It is the responsibility of all personnel to adhere to safety regulations set forth in this Annex. All risk decisions shall be made at the appropriate level using the Operational Risk Management (ORM) process. b. (U) Scope. This order pertains to all NCG 1 assigned forces. 2. (U) Mission. See basic order. 3. (U) Execution a. (U) Commander’s Intent. See basic order. b. (U) Concept of Operations. The Commanding Officer is ultimately responsible for the safety of all unit personnel. The safety organization shall include the Safety Officer Department, Division, Company, Project, or Detail Safety Supervisors, and the entire chain of command for each evolution. The safety organization must be involved in every step of every evolution to ensure proper procedures are followed at all times. ORM and Time Critical Risk Management (TCRM) is a leader’s decision making tool to minimize exposure to potentially hazardous situations. The safety and health of all personnel and the protection of property shall have top priority and receive maximum attention at all levels of command. c. (U) Tasks (1) (U) Unit Safety Officer shall enforce the proper wear and care of personal protective equipment (PPE) for Coronavirus disease 2019 (COVID-19) operations. S-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY (2) (U) Unit Safety Officer shall enforce Hazardous Communications (HAZCOM) labeling is adhered to on secondary containers for COVID-19 cleaning operations. (3) (U) (U) Unit Safety Officer shall conduct adequate respirator training and fittests for all members within their assigned command in accordance with ref (a) through (i). (4) (U) Unit Safety Officer shall act as the subject matter expert (SME) advisor to ensure adequate PPE and cleaning supplies are procured per established monthly burn-rate as needed for COVID-19 operations. (a) PPE List 1. Tyvek suits w/booties 2. Latex gloves (rubber gloves) 3. Respirator (National Institute for Occupational Safety and Health (NIOSH) N95 or P100 filters) 4. Goggles 5. Face Shield (b) Cleaning Supplies List: 1. Secondary Spray bottle (must have Directives Division Form 2522 HAZCOM warning label) 2. Bleach (w/Safety Data Sheet) 3. Cleaning cloth or disposable paper towels d. (U) Coordinating Instructions (1) (U) Inform Naval Construction Group ONE (NCG 1) Safety of changes in the safety organization and ability to accomplish mission. (2) (U) Reporting. Assigned units are responsible for the following reports: (a) (U) Notify the NCG 1 Command Duty Officer and Safety Officer for positive COVID-19 cases. (b) (U) Provide an initial mishap notification to NCG 1 Safety Office within 48 hours by telephone, text, or by email for mishaps that fall under the following categories: 1. (U) All ON and OFF duty Positive COVID-19 cases of Active Duty service members. S-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY 2. (U) All ON and OFF duty Positive COVID-19 cases of Reserve Component service members on active orders. 3. (U) All ON duty Positive COVID-19 cases of Civil Service personnel. 4. (U) All ON duty Positive COVID-19 cases of Contractors under direct supervision of Military or Civil Service personnel as directed on the contract agreement. 5. (U) Near Miss cases involving COVID-19. (c) (U) See basic order for all other safety reporting. 4. (U) Administration and Logistics. See basic order. 5. (U) Command and Signal. See basic order. S. MALDONADO BUC (SCW/EXW) USN Safety Officer S-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK S-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 091200UAPR2020 ANNEX U TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) INFORMATION MANAGEMENT (U) (U) REFERENCES: (a) (U) COMNCGONEINST 3100.1 – NCG 1 CCIRs and CSNEs (b) (U) COMNECC EXECUTE ORDER (EXORD) in response to CUSFF FRAGO 20019.001 and CUSFF EXORD in response to Novel Coronavirus Disease 2019, DTG 031919Z MAR 20 (c) (U) COMNECC PHASE III EXECUTE ORDER (EXORD) IN RESPONSE to Novel Coronavirus Disease 2019, DTG 232118Z MAR 20 1. (U) Higher Headquarters (HHQ) Reports Matrix. Naval Construction Group ONE is required to submit the following reports to HHQ as noted below. Report Submit To Frequency Sent By Due CPF Mission Essential Travel Report Wuhan Virus TAD Request Slide OPREP 3 Blue for Positive COVID-19 NECCPAC Weekly (Thursday) As Required As required CDRE 1200 PST CDRE 1200 PST NCG 1 CDO Release at 2100 PST As required NCG 1 CDO Release at 2100 PST Daily NCG 1 CDO 1600 PST Daily N02M 1600 PST Daily N02M 1600 PST As required CDRE As reported OPREP SITREP for PUI- Military only (Initial and Closeout) CPF COVID-19 Report Personnel Report Positive COVID-19 Report OPREP 3 Navy BLUE Voice Report (6Ws) for Positive COVID-19 NECCPAC CNO C3F BWC NECC PAC SDO CNO C3F BWC NECC PAC SDO NECC PAC SDO C3F BWC, FDO COMMNECC SDOS NECCPAC SDO NBVC CO and CSO NCG1 CDRE and CSO C3F BWC, FDO COMMNECC SDOS NECCPAC SDO NBVC CO and CSO NCG1 CDRE and CSO NECC COS U-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY Influenza Like Illness (ILI) Report COVID-19 Update NECCPAC Medical N02M 1600 PST NCG1 CDRE, CSO Weekly (Saturday) Daily N02M 1600 PST COVID-19 Case Tracker PUI Tracker NCG1 CDRE, CSO, N3 Daily N02M 1600 PST NCG1 CDRE, CSO, N3 Daily N02M 1600 PST ROM Tracker NCG1 CDRE, CSO, N3 Daily N02M 1600 PST NCG1 CDRE, CSO, N3 NBVC Housing Dir ROM in PPV Housing NCG1 CDRE, CSO, N3 Tracker NBVC Housing Dir ROM in NGIS Tracker NCG1 CDRE, CSO, N3 NBVC Housing Dir Medical Clinic FaceMedical Homeport LPO to-Face (F2F) Medical Clinic AOIC Screening Tracker COVID-19 Mishap ESAMS Notification NECCPAC Safety Daily N02M 1600 PST Daily N02M 1600 PST Daily N02M 1600 PST Weekly (Monday) N02M 0800 PST As required N00S COVID 19 Out of Area Leave Report Daily N1 Within 48 hours after incident 1200 PST ROM in BEQ Tracker C3F N1 2. (U) NCG 1 Reports Matrix. NCG 1 subordinate units are required to submit the following reports to NCG 1as noted below. Report Submit To Frequency Sent By Due OPREP 3 Navy BLUE SITREP for Positive COVID-19 CNO C3F BWC NECC PAC SDO NCG 1 CNO C3F BWC NECC PAC SDO NCG 1 NCG 1 CDRE As required Release at 2100 PST NCG 1 CDRE, CSO As required 1 NCR NMCB 3, 4 CBMU 303 UCT 2 1 NCR NMCB 3, 4 CBMU 303 UCT 2 1 NCR, NMCB 3, 4 CBMU 303 UCT 2 1 NCR NMCB 3, 4 CBMU 303 OPREP SITREP for PUI- Military only (Initial and Closeout) OPREP 3 Navy BLUE Voice Report (6Ws) for Positive COVID-19 OPREP 3 Navy BLUE Email (6 Ws) for Positive COVID-19 As required As required U-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY Release at 2100 PST As reported As reported UNCLASSIFIED//FOR OFFICIAL USE ONLY COVID-19 Mishap Notification ESAMS NCG 1 N02S As required Personnel Report N02M Daily Positive COVID-19 Report N02M Daily Influenza Like Illness (ILI) Report N02M Daily COVID 19 Out of Area Leave Report N1 Daily CPF Mission Essential Travel Report N1 Weekly (Wed) COVID 19 Out of Area Leave Report N1 Daily As Required Wuhan Virus TAD Request Slide N1 As Required UCT 2 1 NCR, NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4, CBMU 303, UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4, CBMU 303 UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 W. WOHEAD CDR, CEC, USN Operations Officer U-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY Within 48 hours after incident 1500 PST 1500 PST 1500 PST 0800 PST 1200 PST 0800 PST 1200 PST UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK U-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY NAVAL CONSTRUCTION GROUP ONE PORT HUENEME, CALIFORNIA 302200UAPR2020 ANNEX U TO OPERATION ORDER 20-01 COVID-19 RESPONSE (U) INFORMATION MANAGEMENT (U) (U) REFERENCES: (a) (U) COMNCGONEINST 3100.1 – NCG 1 CCIRs and CSNEs (b) (U) COMNECC EXECUTE ORDER (EXORD) in response to CUSFF FRAGO 20019.001 and CUSFF EXORD in response to Novel Coronavirus Disease 2019, DTG 031919Z MAR 20 (c) (U) COMNECC PHASE III EXECUTE ORDER (EXORD) IN RESPONSE to Novel Coronavirus Disease 2019, DTG 232118Z MAR 20 1. (U) Higher Headquarters (HHQ) Reports Matrix. Naval Construction Group ONE is required to submit the following reports to HHQ as noted below. Report Submit To Frequency Sent By Due CPF Mission Essential Travel Report Wuhan Virus TAD Request Slide OPREP 3 Blue for Positive COVID-19 NECCPAC Weekly (Thursday) As Required As required CDRE 1200 PST CDRE 1200 PST NCG 1 CDO Release at 2100 PST As required NCG 1 CDO Release at 2100 PST NECC PAC SDO Daily NCG 1 CDO 1600 PST C3F BWC, FDO COMMNECC SDOS NECCPAC SDO NBVC CO and CSO NCG1 CDRE and CSO C3F BWC, FDO COMMNECC SDOS NECCPAC SDO NBVC CO and CSO NCG1 CDRE and CSO NECC COS Daily N02M 1600 PST Daily N02M 1600 PST As required CDRE As reported OPREP SITREP for PUI- Military, dependents, and civilians only (Initial and Closeout) CPF COVID-19 Report Personnel Report Positive COVID-19 Report OPREP 3 Navy BLUE Voice Report (6Ws) for Positive NECCPAC CNO C3F BWC NECC PAC SDO CNO C3F BWC NECC PAC SDO U-1 UNCLASSIFIED//FOR OFFICIAL USE ONLY UNCLASSIFIED//FOR OFFICIAL USE ONLY COVID-19 Influenza Like Illness (ILI) Report COVID-19 Update NECCPAC Medical N02M 1600 PST NCG1 CDRE, CSO Weekly (Saturday) Daily N02M 1600 PST COVID-19 Case Tracker PUI Tracker NCG1 CDRE, CSO, N3 Daily N02M 1600 PST NCG1 CDRE, CSO, N3 Daily N02M 1600 PST ROM Tracker NCG1 CDRE, CSO, N3 Daily N02M 1600 PST NCG1 CDRE, CSO, N3 NBVC Housing Dir ROM in PPV Housing NCG1 CDRE, CSO, N3 Tracker NBVC Housing Dir ROM in NGIS Tracker NCG1 CDRE, CSO, N3 NBVC Housing Dir Medical Clinic FaceMedical Homeport LPO to-Face (F2F) Medical Clinic AOIC Screening Tracker COVID-19 Mishap ESAMS Notification NECCPAC Safety Daily N02M 1600 PST Daily N02M 1600 PST Daily N02M 1600 PST Weekly (Monday) N02M 0800 PST As required N00S COVID 19 Out of Area Leave Report Daily N1 Within 48 hours after incident 1200 PST ROM in BEQ Tracker C3F N1 2. (U) NCG 1 Reports Matrix. NCG 1 subordinate units are required to submit the following reports to NCG 1as noted below. Report Submit To Frequency Sent By Due OPREP 3 Navy BLUE SITREP for Positive COVID-19 CNO C3F BWC NECC PAC SDO NCG 1 CNO C3F BWC NECC PAC SDO NCG 1 As required 1 NCR NMCB 3, 4 CBMU 303 UCT 2 1 NCR NMCB 3, 4 CBMU 303 UCT 2 Release at 2100 PST NCG 1 CDRE As required 1 NCR, NMCB 3, 4 CBMU 303 UCT 2 As reported OPREP SITREP for PUI- Military dependents, and civilians only (Initial and Closeout) OPREP 3 Navy BLUE Voice Report (6Ws) for Positive COVID-19 As required U-2 UNCLASSIFIED//FOR OFFICIAL USE ONLY Release at 2100 PST UNCLASSIFIED//FOR OFFICIAL USE ONLY OPREP 3 Navy BLUE Email (6 Ws) for Positive COVID-19 NCG 1 CDRE, CSO As required COVID-19 Mishap Notification ESAMS NCG 1 N02S As required Personnel Report N02M Positive COVID-19 Report N02M Mon-Fri (not required on holidays or if unit wide liberty) Daily Influenza Like Illness (ILI) Report N02M Daily CPF Mission Essential Travel Report N1 Weekly (Wed) COVID 19 Out of Area Leave Report N1 Daily As Required Wuhan Virus TAD Request Slide N1 As Required 1 NCR NMCB 3, 4 CBMU 303 UCT 2 1 NCR, NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 As reported 1NCR NMCB 3, 4, CBMU 303, UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 1NCR NMCB 3, 4, CBMU 303 UCT 2 1NCR NMCB 3, 4 CBMU 303 UCT 2 1500 PST W. WOHEAD CDR, CEC, USN Operations Officer U-3 UNCLASSIFIED//FOR OFFICIAL USE ONLY Within 48 hours after incident 1500 PST 1500 PST 1200 PST 0800 PST 1200 PST UNCLASSIFIED//FOR OFFICIAL USE ONLY THIS PAGE INTENTIONALLY LEFT BLANK U-4 UNCLASSIFIED//FOR OFFICIAL USE ONLY