Hello Dr. Hackett and All,
If an employee has a medium or high risk exposure and is able to isolate from the person, for example, live in different household we have an early return to work program.
We have the employee take two Covid tests.
The first is baseline. The Second is seven days after exposure, if both are negative and the employee had no symptoms, they are returned on day 8. If they have any symptoms they are off for 14 days and screened, tested kept off according to their symptoms.
We also created the template below to guide our return to work process. Hope it may help.
SYMPTOMS
MINUMUM DAYS OFF
RETURN TO WORK CRITERIA
ANTICIPATED RETURN TO WORK, will lengthen and change according to symptoms
Cough fever Shortness of Breath
COVID status unknown: 7
COVID status unknown: 3 days symptom free
Day 8
Cough fever Shortness of Breath
COVID status negative: 3
COVID status negative: 24 hours fever free off antipyretics and improving cough (controlled-no coughing fits)
Day 3/24 hours better (if they are not better they do not come back until better)
Vomiting, Diarrhea
1
1 day symptom free
2-5 days
Mild Symptoms- congestion, Headache, sore throat, don’t feel well
1
1 day symptom free
2-5 days
Loss of taste or smell with mild symptoms with negative COVID test
1
1 day symptom free
2-5 days
Exposure to COVID person able to isolate
14 or 8 days early return to work
Day 8 unless any symptoms then 14 and follow the symptom return to work.
Day 8 or 15
Exposure to COVID person not able to isolate
24
Day 25 if asymptomatic and no positive test.
Day 25
COVID Positive
10
24 hours asymptomatic
Day 11
Results pending of symptomatic person or family member
Until results are confirmed
Confirmation of negative test
Cathreen Johnson FNPc
City of Hope
From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Charles Hackett
Sent: Friday, November 13, 2020 9:39 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: [MCOH-EH] Quarantine
[Attention: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails.]
We are facing staffing shortages and will likely need to follow the cdc guidance allowing positive employees to work under their guidelines.
Is anyone allowing quarantined workers to return to work following the CDC guidance
We are telling management that they need to determine what’s critical.
It’s feeling quite uncomfortable.
Thank you
Charlie Hackett MD, MPH, Lifespan
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