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