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From: Lorenz, Paul E Subject: Hospitals and Clinics Update 7.14.20 Date: Tuesday, July 14, 2020 11:48:09 AM Attachments: COVID-19 Daily Log.xlsx Testing Clinics July 2020 HCC 07.06.20.pdf FAQs for Workers with Potential Exposures HCC 7.8.20.pdf image002.emz image001.png Dear Staff and Physicians - Please read the following important information regarding our Health System. As we enter another chapter in our ongoing COVID-19 response, I want to thank all of you for your continuing extraordinary dedication to the care and safety of our patients and your unwavering support of each other during this challenging time. COVID-19 Situational Awareness The number of COVID-19 positive cases and hospitalizations continues to rise in our County. As of yesterday, there were at least 129 hospitalized COVID-19 cases, and we expect that number to increase. It is anticipated that we could saturate all available hospital beds in the County within the next 3-4 weeks. In our system alone, today we have 35 COVID-19 positive patients and 4 PUIs (persons under investigation for suspected COVID-19). Three weeks ago this number was as low as seven . The area hospitals, along with the County Emergency Operations Center, are actively monitoring the situation and preparing for a possible hospital surge. You can stay informed and monitor our hospital situation daily by reviewing the Dashboards on our COVID-19 Communications Hub . COVID-19 Communications Hub And speaking of the Communications Hub , this tool is your best source to stay up-to-date on the latest Hospital Command Center guidelines, dashboards, communications, and more. The Hub can be accessed from any smart phone, tablet, or computer. You do not need a County email, nor do you need access to the County system to access the Hub. 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 on your internet browser for easy reference. Please also encourage everyone you work with to review the site regularly. Diversity, Equity, and Inclusion Over the past couple of weeks there has been much activity and discussion within our Hospitals and Clinics on how best to move forward in addressing diversity, equity, and inclusion in our Health System. A group has been formed to make recommendations and propose strategies to ensure that our work environment is an inclusive one that embraces diversity and promotes equity and opportunity for growth at all levels and in all areas. A critical step in the process is to obtain feedback from employees and other stakeholders. To this end, a team consisting of representatives from various labor

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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

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    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

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    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]

  • **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

  • 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

  • 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

  • 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.

  • 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

  • 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

  • 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=

  • 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

  • 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

  •    

  • 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

  • **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

  • 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

  • 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

  • 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.

  • 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