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From: Lorenz, Paul ESubject: Hospitals and Clinics Update
7.14.20Date: Tuesday, July 14, 2020 11:48:09 AMAttachments:
COVID-19 Daily Log.xlsx
Testing Clinics July 2020 HCC 07.06.20.pdfFAQs for Workers with
Potential Exposures HCC 7.8.20.pdfimage002.emzimage001.png
Dear Staff and Physicians - Please read the following
important information regarding our Health System. As weenter
another chapter in our ongoing COVID-19 response, I want to thank
all of you foryour continuing extraordinary dedication to the care
and safety of our patients and yourunwavering support of each other
during this challenging time. COVID-19 Situational
AwarenessThe number of COVID-19 positive cases and hospitalizations
continues to rise in ourCounty. As of yesterday, there were at
least 129 hospitalized COVID-19 cases, and weexpect that number to
increase. It is anticipated that we could saturate all
availablehospital beds in the County within the next 3-4 weeks. In
our system alone, today wehave 35 COVID-19 positive patients and 4
PUIs (persons under investigation forsuspected COVID-19). Three
weeks ago this number was as low as seven. The areahospitals, along
with the County Emergency Operations Center, are actively
monitoringthe situation and preparing for a possible hospital
surge. You can stay informed andmonitor our hospital situation
daily by reviewing the Dashboards on our COVID-19Communications
Hub. COVID-19 Communications HubAnd speaking of the Communications
Hub, this tool is your best source to stay up-to-dateon the latest
Hospital Command Center guidelines, dashboards, communications,
andmore. The Hub can be accessed from any smart phone, tablet, or
computer. You do notneed a County email, nor do you need access to
the County system to access theHub. You can go to any internet
browser and type in the following address:
www.scvmc.org/COVID19/covid-19-update.html. Please add this link as
a favorite onyour internet browser for easy reference. Please also
encourage everyone you workwith to review the site regularly.
Diversity, Equity, and InclusionOver the past couple of weeks there
has been much activity and discussion within ourHospitals and
Clinics on how best to move forward in addressing diversity,
equity, andinclusion in our Health System. A group has been formed
to make recommendations andpropose strategies to ensure that our
work environment is an inclusive one thatembraces diversity and
promotes equity and opportunity for growth at all levels and inall
areas. A critical step in the process is to obtain feedback from
employees and otherstakeholders. To this end, a team consisting of
representatives from various labor
mailto:[email protected]://www.scvmc.org/COVID19/Dashboard/Command%20Center%20Enterprise%20COVID%20Report.pdfhttps://www.scvmc.org/COVID19/covid-19-update.htmlhttps://www.scvmc.org/COVID19/covid-19-update.htmlhttp://www.scvmc.org/COVID19/covid-19-update.htmlDaily
Log
County of Santa Clara
COVID-19 Daily Log
Employee #:Budget Unit:
(4 digit number)
Name:Cost Center:
(Last Name)(First Name)(4 digit number)
Title/Position:Circle SIO: PHD 103333 / Other 103264
Disaster/Incident:COVID-19
DateHours Spent on COVID-19 Related work/activitiesDescription
of Work Performed
Employee Signature:
Date:
Time Sheet ORIGINAL
County of Santa Clara
Emergency Disaster General Weekly Time Sheet
To be completed by disaster service worker (fill in all
blanks)
Employee #Pay Week Begin/End Date
NameBudget Unit
(Last Name)(First Name)(4 digit number)
Title/PositionCost Center
(4 digit number)
Disaster/IncidentSIO
(To be announced)(To be announced)
DateTime InTime OutTotal Regular HoursTotal Overtime HoursTotal
Holiday HoursDescription of Work Performed Include: Location,
Equipment Category
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
Total Hours:
Employee Signature:Reviewer/Supervisor(Field) Signature:
Date:Date:
CATEGORY:
Emergency Work SIO #Statistical Internal Order (SIO)
CATEGORY A - Debris RemovalTBADisaster-Earthquake
CATEGORY B - Emergency Protective MeasuresTBADisaster-Fire
Permanent WorkTBADisaster-Floods
CATEGORY C - Road systemsTBADisaster-Freeze
CATEGORY E - Public Buildings and Equipment102520Disaster-H1N1
FY2009-2010
CATEGORY G - Other (includes park facilities)
Completed form to be submitted to Office of Emergency Management
(OEM), Finance Section - Time Keeping Unit or e-mail to
[email protected]
Form Available at:
https://www.sccgov.org/sites/controller/ERDP/Pages/emergency-response-and-disaster-preparedness.aspx
County of Santa Clara
Emergency Disaster General Weekly Timesheet
To be completed by disaster service worker (fill in all
blanks)
Employee #12345Pay Week Begin/End Date
NameDOEJOHNBudget Unit0110
(Last Name)(First Name)(4 digit number)
Title/PositionAccountantCost Center2113
(4 digit number)
Disaster/IncidentH1N1 FY2009-2010SIO102520
(To be announced)(To be announced)
DateTime InTime OutTotal Regular HoursTotal Overtime HoursTotal
Holiday HoursDescription of Work Performed Include: Location,
Equipment Category
10/22/098:00xAM12:00AM4.0Timekeeping at EOC
PMPM
10/22/091:00AM5:00AM4.0Timekeeping at EOC
xPMxPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
AMAM
PMPM
Total Hours:8.0
Employee Signature:Reviewer/Supervisor(Field) Signature:
Date:Date:
CATEGORY:
Emergency Work SIO #Statistical Internal Order (SIO)
CATEGORY A - Debris RemovalDisaster-Earthquake
CATEGORY B - Emergency Protective MeasuresDisaster-Fire
Permanent WorkDisaster-Floods
CATEGORY C - Road systemsDisaster-Freeze
CATEGORY E - Public Buildings and Equipment102520Disaster-H1N1
FY2009-2010
CATEGORY G - Other (includes park facilities)
Completed form to be submitted to Office of Emergency Management
(OEM), Finance Section - Time Keeping Unit or e-mail to
[email protected]
Form Available at:
https://www.sccgov.org/sites/controller/ERDP/Pages/emergency-response-and-disaster-preparedness.aspx
SAMPLE
signature is required
signature is required
Please PRINT
PLEASE PRINT
mailto:[email protected]:[email protected]
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**Final testing hours will be communicated by site
Leadership
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
1 2 3 4
5 6
7 8
Public Health Silvercreek (1:30-5:00) IHOT
SLRH/Gilroy
9
Downtown 8a-12n DTMH
Moorpark 1:30-5:00
10
Milpitas 8:30-4:00
11
12 13
VMC @ MICC Pharmacy
14
VMC @ MICC
15
VMC @ MICC
16
VMC @ MICC
17
VMC @ MICC SLRH/Gilroy
18
19 20
Custody Health
21
Custody Health
22
Sunnyvale 8a-12n
23
Bascom 8:30-4:00
Kidscope
SLRH/Gilroy
24
Tully 8a-12n Las Plumas Evans Ln
EVC/VHHP 1:30-5:00
25
26
27
OCH @old ASU 7a-5p
Lenzen/TB@OCH Public Health @ OCH
28
OCH @ ASU 7a-5p
29
OCH @ ASU 7a-5p
30
OCH @ ASU 7a-5p
31
OCH @ ASU 7a-5p
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Hospital Command Center
Frequently Asked Questions for Healthcare Workers Regarding
COVID-19 Workplace Potential Exposures 1. What is a Healthcare
Worker? A healthcare worker (HCW) is any employee, staff member,
physician, contract healthcare personnel or other individual
working in the County Health System facilities. 2. I heard that an
HCW in my department or building has tested positive for COVID-19.
Have
I been exposed? If any HCW tests positive for COVID-19, the
Employee Health Department will notify that person’s manager. The
manager, in consultation with Employee Health, will identify the
“close contacts” of the COVID+ HCW using the criteria noted in
Question 3 below. The close contacts will be notified separately
and will receive instructions for follow up and testing (see
Question 4 below). Any person who is not a close contact is not
considered to have been exposed to the COVID+ HCW (See Question 5
below). 3. How is a close contact determined? The manager will
first determine if the COVID+ HCW was present in the workplace at
any time within the 48 hours prior to onset of symptoms or if
asymptomatic, within 48 hours of test collection date, up through
the HCW’s last date of work. If the HCW was not present in the
workplace during this time period, then there are no close
contacts. If the HCW was present, then the manager will work with
the HCW to determine the close contacts of the HCW during the
relevant time frame. An individual must meet the following criteria
to be considered a close contact:
• Was within less than 6 feet from the COVID+ HCW for at least
15 minutes; OR • Had repeated shorter interactions less than 6 feet
from the COVID+ HCW; OR • Had direct contact with the infectious
secretions of the COVID+ HCW (ex: being coughed
on, or being spit on, such as spittle from singing or talking
loudly)
4. What happens if I am a close contact? If you are identified
as a close contact of a COVID+ HCW, you will receive notification
from your manager and will be advised to call Employee Health for
further guidance and testing. If you do not receive this
notification, you were not identified as a close contact. Note that
even with close contacts, the risk of infection is very low if both
the close contact and the COVID+ HCW wore facemasks during their
entire encounter.
5. What happens if I am not a close contact? If you have not
been identified as a close contact, you may still receive an email
from your manager that someone in your department/unit has tested
positive, and you will be reminded to review this FAQ. You should
still review this FAQ even if you do not receive such an email.
If
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Hospital Command Center
you are not a close contact, you are highly unlikely to have
been infected with COVID-19 from the COVID+ HCW. We understand that
it may be stressful to learn that a colleague has tested positive,
and we want to do everything possible to keep you safe and
comfortable in your work environment. For this reason, we offer
monthly COVID-19 PCR testing to all asymptomatic HCWs in our system
(who have had baseline test and have not previously tested positive
within past 60 days) and we encourage you to obtain a test through
this option. Clinic dates and locations for drop in monthly testing
for asymptomatic workers are published on the COVID-19
Communications Hub:
https://www.scvmc.org/COVID19/covid-19-update.html. You may also be
tested at one of the numerous COVID-19 testing sites throughout the
County:
https://www.sccgov.org/sites/covid19/Pages/covid19-testing.aspx. 6.
What happens if I was exposed in the community to a person who is
or may be COVID
positive? Please contact Employee Health in this situation.
Employee Health will evaluate whether you should be considered a
close contact of the COVID+ individual and provided guidance and
testing accordingly as it relates to your HCW status. 7. How can I
be sure that the shared workspace used by the COVID+ HCW is safe
for others
to use? Upon notification of a positive COVID-19 test result,
the COVID+ HCW’s workspace, shared space, and high-touch areas will
be cleaned by EVS staff with guidance as needed from the Infection
Prevention Department, including terminal cleaning when
appropriate. HCWs should also regularly clean and wipe down their
own workspaces. These measures are effective in preventing
infection and spread of the virus. 8. When will results be
available after I am tested? Can I still work while waiting
test
results? All HCWs with positive RT-PCR results will be contacted
by Employee Health for follow up and guidance. All other results
can be viewed directly on ReadySet within 2-5 days after test
collection. If you are asymptomatic, you may continue to work while
awaiting test results unless you develop COVID-19 symptoms, or have
been instructed by Employee Health or Public Health Department to
isolate at home. Please continue to observe masking and all other
infection prevention requirements (See Question 12 below). 9. What
should I do if I have COVID-19 symptoms and want to be tested? Do
not come to work, or leave work immediately, if you are sick or
have any new onset (within 14 days) of the COVID-19 symptoms listed
below. You must go home/stay home and call your health provider,
and Employee Health within one day for further guidance. Employee
Health or your provider will schedule you for a COVID-19 test as
appropriate. Please do not come to the Employee Health
Department.
https://www.scvmc.org/COVID19/covid-19-update.html
https://www.sccgov.org/sites/covid19/Pages/covid19-testing.aspx
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Hospital Command Center
COVID-19 Symptoms Fever (≥37.8°C/100°F) Chills Cough Sore throat
Shortness of breath Unusual and significant muscle/body aches
(unexplained) Unusual and significant loss of sense of smell or
taste Runny nose (if different from pre-existing allergies) Nausea,
vomiting, or diarrhea (unexplained) Anorexia, unrelated to a
pre-existing condition Conjunctivitis (unexplained) Unusual and
significant headache (unexplained) Unusual and significant
tiredness (unexplained) Unusual and significant confusion
(unexplained) 10. I am asymptomatic and was told that I cannot
receive a test from Employee Health until I
have baseline testing. What is baseline testing? Baseline
testing includes COVID-19 RT-PCR (swab) with or without COVID-19
serology or antibody test (blood). All healthcare workers need to
have baseline testing prior to ongoing monthly re-testing or any
additional testing by Employee Health. Please contact Employee
Health for baseline testing availability if you have not previously
received this testing through Employee Health. 11. What is contact
tracing? What happens if I am contacted by a contact tracer from
the
County Public Health Department? Case investigation and contact
tracing is designed to interrupt chains of transmission by helping
to ensure the safe and effective quarantine of potential contacts
to slow the spread of COVID-19 in the community. The Public Health
Department is rapidly expanding its capacity to conduct detailed
case investigation and contact tracing for new COVID-19 cases in
the community. You may be contacted by one of these contact tracers
if you are identified as a possible contact of a person who has
tested positive for COVID-19. Isolation and quarantine instructions
for HCWs may differ from others in the community, particularly for
HCWs who are wearing surgical masks or other PPE during their
encounters. If you are contacted by a PHD contact tracer, please
notify the contact tracer that you are a HCW in the County Health
System and will be working with your manager and the Employee
Health Department. Employee Health and your manager will work with
the Public Health Department to ensure consistent instructions and
guidance.
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Hospital Command Center
12. What are my responsibilities as an HCW to protect myself and
help prevent exposure to COVID-19?
There are many steps you can take to ensure a safe environment
for yourself, your patients, your family, and your community. It is
our duty as HCWs to set the example and maintain the highest
standards of infection prevention measures. • Wear your facemask.
One of the most important tools we have to prevent the spread
of
COVID-19 is for everyone to wear facemasks at all times that
cover their nose and mouth. Masks can prevent droplets that carry
the virus from escaping and infecting others. Our policy requires
everyone to wear a mask (surgical mask in facilities where clinical
care is provided) at all times except when not feasible, for
example while eating or drinking, or while wearing higher level of
PPE for patient care.
• Notify management if you see other HCWs not wearing facemasks
or adhering to requirements to wear appropriate PPE while at work.
This will help leadership communicate expectations and ensure
compliance for everyone’s protection.
• Monitor for symptoms of COVID-19 and stay home if you have any
of the COVID-19 symptoms or feel sick.
• Practice excellent hand hygiene. • Maintain at least 6 feet
distance from others. The COVID-19 virus passes primarily
through
mucus and saliva droplets, which can travel from a person’s nose
and mouth about 3 to 5 feet, depending on the size of the droplet.
As such, it is vitally important to maintain 6 feet or more
distance from everyone at all times, including during lunch and
breaks, and particularly when eating or drinking where facemasks
cannot be worn.
• Avoid sharing meals. Mealtime practices and social gatherings
significantly increase transmission risk due to exposure to
infectious secretions. Be mindful not to engage in sharing food,
conducting social gatherings or potlucks at work, or other
activities that involve taking your mask off to eat around others
who are less than 6 feet away.
13. What additional information should I read? COVID-19
guidelines are issued from the Hospital Command Center and posted
on the COVID-19 Communications Hub. Important guidelines regarding
HCW testing, contact notification, and exposures, can be found
under the Employee Health folder:
https://www.scvmc.org/COVID19/covid-19-update.html 14. Who should I
contact if I have additional questions not answered here? Please
contact the Employee Health Department with questions: SCVMC:
408-793-2658 O’Connor: 408-947-2629 St. Louise: 408-848-8676 Date:
7.8.20
https://www.scvmc.org/COVID19/covid-19-update.html
image002.emf
Take the survey
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unions, executive leadership, medical staff, and others, is
creating a survey that will soonbe distributed to all staff and
physicians at all sites. The information collected will
informfuture priorities and initiatives aimed at creating a
sustainable culture of equity andinclusion. Your input is extremely
valuable and we hope you will participate in thisimportant survey
when distributed! Notification to Employee Health and Manager of
Positive COVID-19 ResultsAs you may have heard, the new County
Health Officer Order requires all workers in theCounty to
immediately notify their designated departmental point of contact
if they testpositive for COVID-19 and were present in the workplace
during a certain period oftime. This Order is consistent with our
Health System requirements that have been inplace for many months.
Because time is of the essence in ensuring a safe workplace
foreveryone, all healthcare workers (employees, staff members,
physicians, contracthealthcare personnel) must notify Employee
Health and their managerimmediately and without delay after they
receive a positive COVID-19 test resultregardless of when they were
last in the workplace. Managers must also report thisinformation
immediately when received. Your cooperation with this requirement
isessential to our efforts to control the spread of COVID-19.
Healthcare Worker COVID-19 Testing We are pleased to offer
regular monthly drop in testing clinics for asymptomatichealthcare
workers. The testing schedule is posted each month on the
CommunicationsHub. Please check it regularly for scheduled testing
clinics in your department. Allhealthcare workers are eligible to
be tested monthly, and as necessary, including inconnection with a
potential exposure. The schedule for July is attached. In addition,
werecently posted Frequently Asked Questions on the Hub regarding
potential exposures,testing options, close contract tracing, and
infection prevention measures. Please take amoment now to read this
informative document. We will also be offering daily Employee
Health Close Contact Clinics for timely testingof those individuals
who: (1) have been identified as a close contact of a
confirmedpositive COVID-19 case; (2) are subject to testing based
on recent Public Health Orderssuch as presence at a mass gathering
of 100 or more individuals within the past 14 days;or (3) other
special circumstances as approved by Employee Health,
InfectionPrevention, or the Hospital Command Center. These clinics
will be established in thecoming days and healthcare workers who
fall into any of the three categories will becontacted by Employee
Health to be tested. COVID-19 Crisis Response SurveyThank you to
everyone who completed the COVID-19 Crisis Response Survey in May.
Your responses were reviewed by leadership and were very helpful in
identifyingareas of strength and opportunities for improvement.
Many of you provided recognitionand praise to certain individuals
and groups for their outstanding contributions to our
https://www.scvmc.org/COVID19/Dashboard/calendar/Testing%20Clinics.pdfhttps://www.scvmc.org/COVID19/Employee/07082020%20FAQs%20for%20Workers%20with%20Potential%20Exposures.pdf
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pandemic response efforts. We will be sharing the results soon.
In the meantime, thissurvey remains open and we encourage you to
take it as many times as you would like inorder to provide us with
ongoing feedback on our communication and COVID-19response efforts.
To access the survey tool, please log on
towww.PRCSurvey.com/begin/SCCHospitalsandClinicsResponse. Mealtime
Gatherings and PotlucksPlease be reminded that mealtime practices
and social gatherings pose significantlyincreased COVID-19
transmission risk. Please do not share food, conduct
socialgatherings for meals or potlucks, or other activities that
involve taking your mask off toeat or drink around others who are
less than 6 feet away. Your cooperation is verymuch appreciated.
Recording Time Spent Working on COVID-19 Related MattersEveryone is
required to record ALL time spent working on the COVID-19 crisis in
theKronos time capture system. In this time of fiscal crisis and
budget uncertainty, it ismore critical than ever for the County to
be able to claim federal and state fundingavailable for the work we
do to support the extensive COVID-19 response. The Countycannot be
reimbursed if your time is not captured and recorded properly. All
hoursspent working on COVID-19 matters can be allocated in Kronos
to Cost Center 6560(VMC), 8521 (OCH), or 8721 (SLRH). The attached
daily log (or a similar document thatcontains the same information)
must be used to record those duties related to COVID-19to support
the time you enter in Kronos. Please contact your manager if you
are unsurewhat duties are covered by this requirement. Some
examples include any part of yourwork day spent obtaining PPE,
procuring COVID-19 supplies or staffing, training staff towork at
COVID-19 testing sites or on COVID-19 cases, drafting and reviewing
COVID-19related guidelines and policies, caring for COVID-19
patients, and working on COVID-19communications, dashboards, and
other information. Every hour that is spent workingon COVID-19
matters must be logged. Please contact Catherine Anthony in the
FinanceDepartment if you have any questions. DaVinci Xi
RobotWe are extremely proud to announce the addition of DaVinci Xi
surgical services atSCVMC and O’Connor Hospital! The DaVinci is a
state of the art surgical roboticsplatform that allows surgeons to
perform minimally invasive surgeries more effectivelywith improved
patient experience and better surgical outcomes. The robotics
programfurther expands our minimally invasive surgical approach,
and enhances surgicaltraining experience for our residents.
O’Connor Hospital successfully went live with the DaVinci Xi on
June 25, 2020, and hasconducted over 11 surgeries so far, including
hernia repairs, gastrectomy, andcholecystectomies. SCVMC will be
going live with the DaVinci Xi in early August. Therewill be an
Open House at SCVMC on Tuesday, July 21, 2020 for a special viewing
and
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.PRCSurvey.com_begin_SCCHospitalsandClinicsResponse&d=DwMFAg&c=jIuf2QGe13CVwCCNhnnHSyGX0TfHadH8sr2VwRkl7n8&r=Elvb6xHbF3s3JpABCL3ecQLJ265NpY8bZlwjiP4wZ3Q&m=0aFWDlWRRuXZgFzYX2TpP-QI9uHSY-cZh23pUvCf9ng&s=Agr5wK3uI8U0JDn5t6qCuDaHnOE-Wzvq17cOyMGlSnc&e=
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demo of the robot to celebrate this important milestone.
Additional information will beforthcoming. TSS IT Governance
and CommunicationHHS-TSS (Technology Services and Solutions) will
be re-establishing its IT governanceframework to ensure that TSS is
delivering value, communicating effectively, andmeasuring the
performance of deliverables for the Health System. The
governancestructure will include three committee levels: Advisory
Workgroups, InterdisciplinaryLeadership, and Executive, with
membership consisting of leaders throughout theSystem. In addition,
HHS-TSS will soon send out the first of its quarterly
HHS-ITnewsletter covering topics such as recent accomplishments,
current work efforts, andwhat’s ahead. We are very grateful for the
new initiatives and leadership in TSS! Culture of Patient
Safety SurveySafety for patients and staff is always of utmost
importance, and even more so in thecurrent pandemic environment.
Please remember to complete the online Culture ofPatient Safety
survey. The feedback you provide will help us meet
regulatoryrequirements and assess and improve our environment and
services.
Click the Link below to start the survey:
Please Wear Your Facemasks at All TimesOne of the most important
tools we have to prevent the spread of COVID-19 is foreveryone to
wear facemasks at all times that cover their nose and mouth. Masks
canprevent droplets that carry the virus from escaping and
infecting others. Our policy,which is consistent with CDPH, CDC,
and Public Health guidance, requires everyone towear a mask
(surgical mask in clinical care area) at all times except when not
feasible, forexample while eating or drinking, or while wearing
higher level of PPE for patient care. We greatly appreciate the
efforts that everyone has made to comply with the policy, andthese
efforts have helped us keep the numbers of infected healthcare
workers in oursystem very low. However, we have heard concerns from
several staff that theircolleagues are not wearing masks.
Non-compliance with the masking policy putseveryone at risk. Please
talk to your manager if you have concerns about wearing yourmask,
or if you have concerns about colleagues who are not wearing their
masks. We areall responsible for the collective health of everyone
in this organization, and it is our dutyas healthcare workers to
set the example and maintain the highest standards of
infectionprevention measures. Thank you for doing your part. Please
Maintain at least 6 Feet From Others
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Social distancing measures continue to be our best line of
defense against COVID-19. TheCOVID-19 virus passes primarily
through mucus and saliva droplets, which can travelfrom a person’s
nose and mouth about 3 to 5 feet, depending on the size of the
droplet. As such, it is vitally important to maintain 6 feet or
more distance from everyone,especially during lunch and breaks, and
when eating or drinking where facemaskscannot be worn. We are
currently working on improving lunch, break, and work spaceoptions
to make it easier for staff and physicians to maintain this 6 foot
distance. Moreinformation will be forthcoming in your department.
Please talk to your manager withany suggestions or concerns.
Remember, your chances of catching the virus significantlyincrease
if you are less than 6 feet from someone who tests positive for
COVID-19 who isnot wearing a mask. Again, thank you for doing your
part to keep us all safe. Please Do Not Come to Work if You Are
Sick Please do not come to work if you have new onset (within the
past 14 days) of anysymptoms listed below. These symptoms are
sometimes barely perceptible and couldbe mistaken for other
ailments. Given the widespread community transmission ofCOVID-19,
including among people with minor to no symptoms, it is critically
importantthat you do not assume—without consulting your provider--
that your symptoms arerelated to something else. Please err on the
safe side and consult your provider andEmployee Health for
guidance. Strict compliance with these requirements is necessaryto
keep us all safe and prevent the virus from transmitting to
others.
Fever (≥37.8°C/100°F)ChillsCoughSore throatShortness of
breathUnusual and significant muscle/body aches
(unexplained)Unusual and significant loss of sense of smell or
tasteRunny nose (if different from pre-existing allergies)Nausea,
vomiting, or diarrhea (unexplained)Anorexia, unrelated to a
pre-existing conditionConjunctivitis (unexplained)Unusual and
significant headache (unexplained)Unusual and significant tiredness
(unexplained)Unusual and significant confusion (unexplained)
Again, thank you for everything you do and keep up the
excellent work! Healthy Regards,Paul
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Employee #: Budget Unit: (4 digit number)
Name: Cost Center: (Last Name) (First Name) (4 digit number)
Title/Position:
Disaster/Incident:
Date
Employee Signature:
Date:
County of Santa ClaraCOVID-19 Daily Log
Circle SIO:
COVID-19
PHD 103333 / Other 103264
Hours Spent on COVID-19
Related work/activitiesDescription of Work Performed
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**Final testing hours will be communicated by site
Leadership
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
1 2 3 4
5 6
7 8
Public Health Silvercreek (1:30-5:00) IHOT
SLRH/Gilroy
9
Downtown 8a-12n DTMH
Moorpark 1:30-5:00
10
Milpitas 8:30-4:00
11
12 13
VMC @ MICC Pharmacy
14
VMC @ MICC
15
VMC @ MICC
16
VMC @ MICC
17
VMC @ MICC SLRH/Gilroy
18
19 20
Custody Health
21
Custody Health
22
Sunnyvale 8a-12n
23
Bascom 8:30-4:00
Kidscope
SLRH/Gilroy
24
Tully 8a-12n Las Plumas Evans Ln
EVC/VHHP 1:30-5:00
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OCH @old ASU 7a-5p
Lenzen/TB@OCH Public Health @ OCH
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OCH @ ASU 7a-5p
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OCH @ ASU 7a-5p
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OCH @ ASU 7a-5p
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OCH @ ASU 7a-5p
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Hospital Command Center
Frequently Asked Questions for Healthcare Workers Regarding
COVID-19 Workplace Potential Exposures 1. What is a Healthcare
Worker? A healthcare worker (HCW) is any employee, staff member,
physician, contract healthcare personnel or other individual
working in the County Health System facilities. 2. I heard that an
HCW in my department or building has tested positive for COVID-19.
Have
I been exposed? If any HCW tests positive for COVID-19, the
Employee Health Department will notify that person’s manager. The
manager, in consultation with Employee Health, will identify the
“close contacts” of the COVID+ HCW using the criteria noted in
Question 3 below. The close contacts will be notified separately
and will receive instructions for follow up and testing (see
Question 4 below). Any person who is not a close contact is not
considered to have been exposed to the COVID+ HCW (See Question 5
below). 3. How is a close contact determined? The manager will
first determine if the COVID+ HCW was present in the workplace at
any time within the 48 hours prior to onset of symptoms or if
asymptomatic, within 48 hours of test collection date, up through
the HCW’s last date of work. If the HCW was not present in the
workplace during this time period, then there are no close
contacts. If the HCW was present, then the manager will work with
the HCW to determine the close contacts of the HCW during the
relevant time frame. An individual must meet the following criteria
to be considered a close contact:
• Was within less than 6 feet from the COVID+ HCW for at least
15 minutes; OR • Had repeated shorter interactions less than 6 feet
from the COVID+ HCW; OR • Had direct contact with the infectious
secretions of the COVID+ HCW (ex: being coughed
on, or being spit on, such as spittle from singing or talking
loudly)
4. What happens if I am a close contact? If you are identified
as a close contact of a COVID+ HCW, you will receive notification
from your manager and will be advised to call Employee Health for
further guidance and testing. If you do not receive this
notification, you were not identified as a close contact. Note that
even with close contacts, the risk of infection is very low if both
the close contact and the COVID+ HCW wore facemasks during their
entire encounter.
5. What happens if I am not a close contact? If you have not
been identified as a close contact, you may still receive an email
from your manager that someone in your department/unit has tested
positive, and you will be reminded to review this FAQ. You should
still review this FAQ even if you do not receive such an email.
If
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Hospital Command Center
you are not a close contact, you are highly unlikely to have
been infected with COVID-19 from the COVID+ HCW. We understand that
it may be stressful to learn that a colleague has tested positive,
and we want to do everything possible to keep you safe and
comfortable in your work environment. For this reason, we offer
monthly COVID-19 PCR testing to all asymptomatic HCWs in our system
(who have had baseline test and have not previously tested positive
within past 60 days) and we encourage you to obtain a test through
this option. Clinic dates and locations for drop in monthly testing
for asymptomatic workers are published on the COVID-19
Communications Hub:
https://www.scvmc.org/COVID19/covid-19-update.html. You may also be
tested at one of the numerous COVID-19 testing sites throughout the
County:
https://www.sccgov.org/sites/covid19/Pages/covid19-testing.aspx. 6.
What happens if I was exposed in the community to a person who is
or may be COVID
positive? Please contact Employee Health in this situation.
Employee Health will evaluate whether you should be considered a
close contact of the COVID+ individual and provided guidance and
testing accordingly as it relates to your HCW status. 7. How can I
be sure that the shared workspace used by the COVID+ HCW is safe
for others
to use? Upon notification of a positive COVID-19 test result,
the COVID+ HCW’s workspace, shared space, and high-touch areas will
be cleaned by EVS staff with guidance as needed from the Infection
Prevention Department, including terminal cleaning when
appropriate. HCWs should also regularly clean and wipe down their
own workspaces. These measures are effective in preventing
infection and spread of the virus. 8. When will results be
available after I am tested? Can I still work while waiting
test
results? All HCWs with positive RT-PCR results will be contacted
by Employee Health for follow up and guidance. All other results
can be viewed directly on ReadySet within 2-5 days after test
collection. If you are asymptomatic, you may continue to work while
awaiting test results unless you develop COVID-19 symptoms, or have
been instructed by Employee Health or Public Health Department to
isolate at home. Please continue to observe masking and all other
infection prevention requirements (See Question 12 below). 9. What
should I do if I have COVID-19 symptoms and want to be tested? Do
not come to work, or leave work immediately, if you are sick or
have any new onset (within 14 days) of the COVID-19 symptoms listed
below. You must go home/stay home and call your health provider,
and Employee Health within one day for further guidance. Employee
Health or your provider will schedule you for a COVID-19 test as
appropriate. Please do not come to the Employee Health
Department.
https://www.scvmc.org/COVID19/covid-19-update.htmlhttps://www.sccgov.org/sites/covid19/Pages/covid19-testing.aspx
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Hospital Command Center
COVID-19 Symptoms Fever (≥37.8°C/100°F) Chills Cough Sore throat
Shortness of breath Unusual and significant muscle/body aches
(unexplained) Unusual and significant loss of sense of smell or
taste Runny nose (if different from pre-existing allergies) Nausea,
vomiting, or diarrhea (unexplained) Anorexia, unrelated to a
pre-existing condition Conjunctivitis (unexplained) Unusual and
significant headache (unexplained) Unusual and significant
tiredness (unexplained) Unusual and significant confusion
(unexplained) 10. I am asymptomatic and was told that I cannot
receive a test from Employee Health until I
have baseline testing. What is baseline testing? Baseline
testing includes COVID-19 RT-PCR (swab) with or without COVID-19
serology or antibody test (blood). All healthcare workers need to
have baseline testing prior to ongoing monthly re-testing or any
additional testing by Employee Health. Please contact Employee
Health for baseline testing availability if you have not previously
received this testing through Employee Health. 11. What is contact
tracing? What happens if I am contacted by a contact tracer from
the
County Public Health Department? Case investigation and contact
tracing is designed to interrupt chains of transmission by helping
to ensure the safe and effective quarantine of potential contacts
to slow the spread of COVID-19 in the community. The Public Health
Department is rapidly expanding its capacity to conduct detailed
case investigation and contact tracing for new COVID-19 cases in
the community. You may be contacted by one of these contact tracers
if you are identified as a possible contact of a person who has
tested positive for COVID-19. Isolation and quarantine instructions
for HCWs may differ from others in the community, particularly for
HCWs who are wearing surgical masks or other PPE during their
encounters. If you are contacted by a PHD contact tracer, please
notify the contact tracer that you are a HCW in the County Health
System and will be working with your manager and the Employee
Health Department. Employee Health and your manager will work with
the Public Health Department to ensure consistent instructions and
guidance.
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Hospital Command Center
12. What are my responsibilities as an HCW to protect myself and
help prevent exposure to COVID-19?
There are many steps you can take to ensure a safe environment
for yourself, your patients, your family, and your community. It is
our duty as HCWs to set the example and maintain the highest
standards of infection prevention measures. • Wear your facemask.
One of the most important tools we have to prevent the spread
of
COVID-19 is for everyone to wear facemasks at all times that
cover their nose and mouth. Masks can prevent droplets that carry
the virus from escaping and infecting others. Our policy requires
everyone to wear a mask (surgical mask in facilities where clinical
care is provided) at all times except when not feasible, for
example while eating or drinking, or while wearing higher level of
PPE for patient care.
• Notify management if you see other HCWs not wearing facemasks
or adhering to requirements to wear appropriate PPE while at work.
This will help leadership communicate expectations and ensure
compliance for everyone’s protection.
• Monitor for symptoms of COVID-19 and stay home if you have any
of the COVID-19 symptoms or feel sick.
• Practice excellent hand hygiene. • Maintain at least 6 feet
distance from others. The COVID-19 virus passes primarily
through
mucus and saliva droplets, which can travel from a person’s nose
and mouth about 3 to 5 feet, depending on the size of the droplet.
As such, it is vitally important to maintain 6 feet or more
distance from everyone at all times, including during lunch and
breaks, and particularly when eating or drinking where facemasks
cannot be worn.
• Avoid sharing meals. Mealtime practices and social gatherings
significantly increase transmission risk due to exposure to
infectious secretions. Be mindful not to engage in sharing food,
conducting social gatherings or potlucks at work, or other
activities that involve taking your mask off to eat around others
who are less than 6 feet away.
13. What additional information should I read? COVID-19
guidelines are issued from the Hospital Command Center and posted
on the COVID-19 Communications Hub. Important guidelines regarding
HCW testing, contact notification, and exposures, can be found
under the Employee Health folder:
https://www.scvmc.org/COVID19/covid-19-update.html 14. Who should I
contact if I have additional questions not answered here? Please
contact the Employee Health Department with questions: SCVMC:
408-793-2658 O’Connor: 408-947-2629 St. Louise: 408-848-8676 Date:
7.8.20
https://www.scvmc.org/COVID19/covid-19-update.html
07142020 Hospitals and Clinics UpdateCOVID-19 Daily LogTesting
Clinics July 2020 HCC 07.06.20FAQs for Workers with Potential
Exposures HCC 7.8.20