SAFETY MESSAGE/PLAN (ICS 208) - County of Los Angeles ...
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SAFETY MESSAGE/PLAN (ICS 208) 1. Incident Name: 2. Operational Period: Date From: 03/4/21 Date To: Ongoing COVID-19 Time From: 00:00 Time To: 23:59 Safety Message/Expanded Safety Message, Safety Plan, Site Safety Plan: Staff are involved in a variety of roles that may expose them to the novel coronavirus (COVID-19) and other respiratory illnesses. It is critical that all personnel take appropriate protective actions to ensure their safety, particularly given the potential seriousness of an infection with COVID-19. Managers and supervisors have responsibility for providing appropriate education and protective measures to safeguard each employee. Daily reminders on the importance of safety as well as pre-task checks, pre-task Personal Protective Equipment (PPE) review, and communication about the hazards that may be present in a specific situation will ensure that this remains a high priority in everyone’s mind. Staff should communicate questions or safety concerns with their supervisors or team leaders before commencing to perform assigned tasks, to ensure they understand how to safely use given PPE and perform tasks. All Settings Wash hands with soap and water for at least 20 seconds before and after all patient contact, contact with potentially infectious material, and before putting on and after removing PPE, including gloves. If soap and water are not available, use alcohol- based hand sanitizer that contains at least 60% alcohol Do not rub eyes or nose or touch face until proper hand hygiene has been performed. Maintain a distance of six feet or greater whenever possible and limit duration of time spent in close contact (
SAFETY MESSAGE/PLAN (ICS 208) In Field Sample Collection for Testing: Mask suspect/confirmed cases. Wear a fitted N95 mask (or higher) with eye protection (e.g., goggles or face shield), gloves, and fluid resistant gown. Change gloves between patients. Perform hand hygiene before putting on and after removing PPE. Outreach/Inspections/Contact Investigation (excluding direct patient care activities with confirmed/suspect cases Wash hands often with soap and water for at least 20 seconds. If soap and water are not available, use alcohol-based hand sanitizer that contains at least 60% alcohol in between the fingers and on the front and back of your hands and wrists and wait for it to dry. Limit close contact with people who are coughing or sick. Stay at least 6 feet away from someone who is sick – for example, if you see someone coughing, move away. Do not rub eyes or nose or touch face until proper hand hygiene has been performed. Be mindful of weather conditions and share concerns, if any, with your supervisor. Drink plenty of water and take breaks in cool/shaded areas, as needed. Specimen Transport Transport on cold pack and package per Category B (triple packaging) according to Materials of Trade (MOT). Specimens should be stored in biohazard specimen Ziploc bag in the refrigerator 2-8C (one specimen per specimen bag with test request slip inside outer pocket). Standard, Contact, Transmission-Based, and Airborne Precautions (direct patient care activities with confirmed/suspect cases and diagnostic specimen collection) Patients should wear a facemask to contain respiratory secretions. If patients cannot tolerate a facemask or one is not available, they should use tissues to cover their mouth and nose. Maintain a distance of six feet or greater from suspect/confirmed cases, whenever possible. Wear a fitted N95 mask with eye protection when conducting face-to-face activities with suspect or confirmed cases. Notify your supervisor if you do not meet the criteria for face-to-face activities. PPE such as gloves, fluid resistant gown, N95 or PAPR for respiratory protection, sleeves, and face/eye protection is required for face-to-face activities. Masks, eye protection, and gowns may be extended for use during encounters with multiple patients of the same infectious disease, as long as the equipment is clean, sanitary, and in good working order. PPE should be changed whenever taking breaks, lunches, or leaving a worksite. Follow proper procedures f or extended use of N95 mask and other PPE, as applicable to the job task. Ensure liberal glove changing and handwashing for at least 20 seconds. Wash hands with soap and water f or at least 20 seconds before and after all patient contact, contact with potentially infectious material, and before putting on and after removing PPE, including gloves. If soap and water are not available, use alcohol- based hand sanitizer that contains at least 60% alcohol Do not rub eyes or touch face until proper hand hygiene has been performed. Carry a biohazardous waste bag for collection of contaminated items and PPE to dispose of later in a clinic or other designated location. Transporting Suspect/Confirmed Cases Ensure sufficient time has elapsed for enough air changes to remove potentially infectious particles. Patients should wear a facemask to contain secretions during transport. If patients cannot tolerate a facemask or one is not available, they should use tissues to cover their mouth and nose. Maintain distance of at least 6 feet between driver and passenger, at all times. Drivers should not transport passengers if a distance of at least 6 feet or greater cannot be maintained, as additional PPE is required (e.g., eye protection) that could interfere with the driver’s ability to see the road. Seat passengers in last row of vehicle, leaving 2-4 vacant rows between the driver and passengers. Wear a fitted N95. Disinfect vehicle after case exits the vehicle use an EPA approved disinfectant for COVID-19. Carry a biohazardous waste bag for collection of contaminated items and PPE to dispose of later in a clinic or other designated location. Vaccine Administration Wash hands with soap and water for at least 20 seconds before and after all contact, contact with potentially infectious materials, and before putting on and after removing PPE, including gloves. Use alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.
SAFETY MESSAGE/PLAN (ICS 208) Do not rub eyes or nose or touch face until proper hand hygiene has been performed. Clean high touched environmental surfaces and non-disposable items (e.g., stethoscopes) between patients with an EPA approved hospital disinfectant for COVID-19. Clinical staff providing vaccinations should wear a medical grade facemask, eye protection, and gloves. N95 respirators are available upon request for clinical staff providing vaccinations, subject to the availability of supplies (fit testing required).Change gloves between patients and perform hand hygiene before putting on and after removing PPE. Do not change mask between patients, unless contaminated, soiled, or torn. Eye protection such as face shields and goggles are available upon request for all staff. Non-clinical staff should wear a face covering made of two or more layers of tightly woven, breathable material around others. Follow proper procedures for extended use of PPE, as applicable to the job task. Dispose of sharps in designated containers and report needlesticks to designated supervisor and maintain a sharps injury log. Dispose of PPE in designated receptacles or other approved location. Limit and monitor points of entry to fixed locations, and install signage regarding physical distancing and use of face coverings. Monitor points of entry for compliance with face coverings and physical distancing. Conduct symptom and temperature screenings for healthcare staff and visitors prior to entry. Use signs, cones, ropes, and other measures to direct pedestrian and vehicle traffic and path of travel. Reduce crowding in waiting areas by asking the public to remain outside or in their vehicle until they are called into the facility for their visit. Designate a clean area for vaccine preparation that includes adequate supplies, such as adhesive bandages, individually packaged sterile alcohol wipes and a sufficient number of sterile needles, syringes, and sharps to limit the duration of time spent in close contact (
INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
1. Incident Name: 2. Incident Number:
Coronavirus (COVID 19)
3. Date/Time Prepared: Date: 4. Operational Period: Date From: 3/4/21 Date To: Ongoing
3/4/21 Time: 8:00 a.m. Time From: 00:00 Time To: 23:59
5. Incident Area 6. Hazards/Risks 7. Mitigations
All General Safety Considerations Offer a surgical mask to those who can tolerate it and cover nose
and mouth during coughing or sneezing with tissue or flexed
elbow for others.
Ensure liberal glove changing and handwashing for at least 20
seconds.
Wash hands with soap and water for at least 20 seconds
before and after all patient contact, contact with potentially
infectious material, and before putting on and after removing
PPE, including gloves. If soap and water are not available,
use alcohol-based hand sanitizer that contains at least 60%
alcohol
Do not rub eyes or nose or touch face until proper hand
hygiene has been performed.
Maintain a distance of six feet or greater whenever possible and
limit duration of time spent in close contact (INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
Clinic Standard, Contact, When scheduling appointments for medical
Transmission-Based, and care instruct patients to call ahead and discuss the need to
Airborne Precautions for reschedule their appointment if they develop symptoms of a
Suspect or Confirmed Cases respiratory infection (e.g., cough, sore throat, fever) on the day or
prior to scheduled appointment.
When scheduling appointments for patients requesting evaluation
for a respiratory infection, use nurse-directed triage protocols to
determine if an appointment is necessary or if the patient can be
managed from home. If the patient must come in for an
appointment, instruct them to call beforehand so that personnel
are aware and prepared to take appropriate actions to prevent
the spread of infection.
In some settings, patients might opt to wait in a personal vehicle or
outside the healthcare facility where they can be contacted by
mobile phone when it is their turn to be evaluated.
Take steps to ensure all persons with symptoms of COVID-19 or
other respiratory infection (e.g., fever, cough) adhere to respiratory
hygiene and cough etiquette (see appendix), hand hygiene, and
triage procedures throughout the duration of the visit.
Provide supplies for respiratory hygiene and cough etiquette,
including alcohol-based hand rub (ABHR) with 60-95% alcohol,
tissues, and no-touch receptacles for disposal, at healthcare facility
entrances, waiting rooms, and patient check-ins.
Ensure employees are fit tested and wear a N95 mask before entry
into areas when conducting face-to-face activities with suspect or
confirmed cases.
Ensure employees performhand hygiene for at least 20 seconds
before and after all patient contact, contact with potentially
infectious material, and before putting on and after removing
PPE, including gloves.
Mask suspect/confirmed cases. Perform hand hygiene after
contact with respiratory secretions and use standard contact
precautions (e.g., gloves, fluid resistant gowns) and airborne
precautions (e.g., N95 respirators), with eye protection (e.g.,
goggles or f ace shield) when performing activities requiring face-
to-face contact with suspected/confirmed COVID-19 cases.
Follow proper procedures for extended use of N95 mask and other
PPE, as applicable to the job task.
Isolate patients in an examination room with the door closed. If an
examination room is not readily available ensure patients are not
allowed to wait among other patients seeking care.
Use an Airborne Infection Isolation room (AIIR) f or Aerosol
Generating Procedures (e.g., sputum induction).
Clean environmental surfaces and non- disposable items (e.g.,
stethoscopes) between patients with an EPA approved hospital
disinfectant for COVID-19.
Dispose of contaminated items and PPE in designated receptacles.INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
Clinic/Field N95 Extended Use Extended use of N95 Respirators:
Clean hands with soap and water or an alcohol-based hand sanitizer
Limited Reuse of N95 before and after touching or adjusting the respirator (if necessary, for
Respirators (only allowed with comfort or to maintain fit).
written approval from Safety)
Use a clean pair of gloves when donning an N95 respirator and
performing a user seal check. Discard gloves after the N95 respirator
is donned and any adjustments are made to ensure the respirator is
sitting comfortably on your face with a good seal.
Avoid touching the inside of the respirator. If inadvertent contact is
made with the inside of the respirator, discard the respirator and
perform hand hygiene as described above.
Use a cleanable face shield over an N95 respirator and/or other
steps (e.g., masking patients, use of engineering controls), when
feasible to reduce surface contamination of the respirator.
Discard N95 respirators contaminated with blood, respiratory or nasal
secretions, or other bodily fluids from patients.
Discard N95 respirators following close contact with any patient co-
infected with an infectious disease requiring contact precautions.
Discard N95 respirators following close contact with, or exit from, the
care area of any patient co-infected with an infectious disease
requiring contact precautions.
Limit the number of donning/doffing to no more than five uses per
device and inspect the N95 for physical damage prior to donning and
redonning of the N95 (e.g., straps provide enough tension for the
respirator to seal to the face, the nosepiece is intact when performing
a seal check). Discard an obviously damaged or hard to breathe
through N95.
Discard N95 respirators following use during aerosol generating
procedures.
Hang used respirators in a designated storage area or keep them in
a clean, breathable container such as a paper bag between uses. To
minimize potential cross-contamination, store respirators so that they
do not touch each other and the person using the respirator is clearly
identified (e.g., label respirator’s strap, label bag). Storage containers
should be disposed of or cleaned regularly.
Limit extended use to the duration of the work shift (e.g., 8-12 hours).
Diagnostic Specimen Airborne Drive Up Sample Collection for Testing:
Collection – Precautions/Respiratory
Oral/Nasopharyngeal Protection (ATD Standards) Mask suspect/confirmed cases.
Swabs
Wear a fitted N95 mask (or higher) with eye protection (e.g., goggle
or f ace shield), gloves, and fluid resistant gown.
Ensure employees are fit tested and wear a N95 mask when
collecting specimens.
Change gloves between patients and perform hand hygiene before
putting on and after removing PPE.
Do not change mask, eye protection, or gown between patients,INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
unless contaminated, soiled, or torn. See above on breaks, lunches,
etc.
Follow proper procedures for extended use of N95 mask and other
PPE, as applicable to the job task.
Dispose of all contaminated waste and PPE in designated
biohazardous waste receptacles.
In Clinic Sample Collection for Testing:
Mask suspect/confirmed cases.
Wear a fitted N95 mask (or higher) with eye protection (e.g., goggle,
f ace shield), gloves, and fluid resistant gown.
Ensure employees are fit tested and wear a N95 mask when
collecting specimens.
Change gloves between patients and perform hand hygiene before
putting on and after removing PPE.
Do not change mask, eye protection, or gown between patients,
unless contaminated, soiled, or torn. See above on breaks lunches
etc.
Follow proper procedures for extended use of N95 mask and other
PPE, as applicable to the job task.
Dispose of all contaminated waste and PPE in designated
biohazardous waste receptacles.
Specimen collection should be performed in an AIIR room, if
available, or examination room with the door closed.
Limit employees in the examination room to the minimum needed to
provide patient care Use an Airborne Infection Isolation room (AIIR)
for Aerosol Generating Procedures (e.g., sputum induction).
Employees should refrain from entering the vacated AIIR or sputum
booth until sufficient time has elapsed for enough air changes to
remove potentially infectious particles. After this time has elapsed,
the room should undergo appropriate cleaning and surface
disinfection before it is returned to routine use.
Clean examination rooms between patients with an EPA approved
hospital disinfectant for COVID-19, a needed.
In Field Sample Collection for Testing:
Mask suspect/confirmed cases.
Wear a fitted N95 mask (or higher) with eye protection (e.g., goggle,
f ace shield), gloves, and fluid resistant gown.
Change gloves between patients.
Perform hand hygiene before putting on and after removing PPE.
Do not change mask, eye protection, or gown between patients,
unless contaminated, soiled, or torn.INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
Carry a biohazardous waste bag for collection of contaminated items
and PPE to dispose of later in a clinic or other designated location.
Field (direct patient care Standard, Contact, and Mask suspect/confirmed cases.
activities with Suspect or Transmission-Based
Confirmed Covid-19 for Suspect or Confirmed Cases Maintain a distance of six feet or greater from suspect/confirmed
Cases) Respiratory Protection (ATD cases, whenever possible.
Standards)
Wear a fitted N95 mask (or higher) with eye protection (e.g., goggle
or f ace shield), gloves, and fluid resistant gown.
Follow proper procedures for extended use of N95 mask and other
PPE, as applicable to the job task.
Perform hand hygiene for at least 20 seconds before and after all
patient contact, contact with potentially infectious material, and
before putting on and after removing PPE, including gloves. If soap
and water are not available, use alcohol-based hand sanitizer that
contains at least 60% alcohol.
Carry a biohazardous waste bag for collection of contaminated items
and PPE to dispose of later in a clinic or other designated location.
Lab Airborne Employees who collect, handle, or transport specimens should
Precautions/Respiratory adhere to standard precaution measures and biosafety practices to
Protection (ATD Standards) minimize the possibility of exposure to pathogens. PPE such as
gloves, fluid resistant gowns, N95 or PAPR for respiratory protection,
sleeves, and face/eye protection is required for procedures as
applicable.
Certified Class II Biological Safety Cabinet (BSC) should be used for
any laboratory procedure with the potential to generate aerosols or
droplets.
Any procedure with the potential to generate aerosols or droplets
(e.g., vortexing) should be performed in a certified Class II Biological
Safety Cabinet (BSC). Appropriate physical containment devices
(e.g., centrifuge safety buckets; sealed rotors) should be used for
centrifugation. Ideally, rotors and buckets should be loaded and
unloaded in a BSC. For any procedures outside of a BSC, eye and
f ace protection (e.g. goggles, mask, face shield) or other physical
barriers (e.g. splash shield) should be used to minimize the risk of
exposure to laboratory staff.
After specimens are processed, decontaminate work surfaces and
equipment with appropriate disinfectants.
All testing and handling of leaky specimens must be done under a
Biosafety Cabinet (BSC).
Dispose of contaminated items and PPE in designated biohazardous
waste receptacles.
Outreach/Inspections/ Standard and Contact Wash hands often with soap and water for at least 20 seconds. If
Contact Investigation Precautions soap and water are not available, use alcohol-based hand sanitizer
(excluding direct patient that contains at least 60% alcohol for at least 20 seconds.
care activities with
confirmed/suspect Limit the amount of time that you spend in any situation where
cases) persons are present who may be ill.INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
Maintain a distance of six feet or greater from all persons you
encounter.
Avoid direct physical contact with any person, but if direct contact is
necessary, use protective gear, such as surgical masks and gloves.
Do not rub eyes or nose or touch face until proper hand hygiene has
been performed.
Specimen Transport Category B – Biological Agents Specimens should be stored in biohazard specimen Ziploc bag and
Capable of Causing Infection in packaged per Category B (one specimen per specimen bag with test
Humans or Animals request slip inside outer pocket).
Transport on cold pack at 2-8 C.
Transporting Airborne Ensure passengers wear a surgical mask for entire duration of
Suspect/Confirmed Precautions/Respiratory transport. If patients cannot tolerate a facemask or one is not
Cases Protection (ATD Standards) available, they should use tissues to cover their mouth and nose.
Drivers should not transport passengers if a distance of at least 6 feet
or greater cannot be maintained, as additional PPE is required
(e.g., eye protection) that could interfere with the driver’s ability to see
the road.
Seat passengers in last row of vehicle, leaving 2-4 vacant rows
between the driver and passengers.
Wear a fitted N95 for entire duration of the transport.
Wear goggles at all times, except when driving.
Wear disposable gloves and clean frequently touched areas with an
EPA registered disinfectant, as needed.
Carry a biohazardous waste bag for collection of contaminated items
and PPE to dispose of later in a clinic or other designated location.
Keeping in mind comfort level of passenger, it is recommended to
keep windows open as much as possible. At a minimum, the rear
windows should be open 1/3 of the way.
If using A/C system, do not use the recirculation feature.
Vaccine Administration Blood Borne Pathogen Limit and monitor points of entry to fixed locations, and install
Needle Stick/Sharps signage regarding physical distancing and use of face
Traffic Hazards
coverings. Monitor points of entry for compliance with face coverings
and physical distancing.
Conduct symptom and temperature screenings for healthcare staff
and visitors prior to entry.
Use signs, cones, ropes, and other measures to direct pedestrian
and vehicle traffic and path of travel.INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
Reduce crowding in waiting areas by asking the public to remain
outside or in their vehicle until they are called into the facility for
their visit.
Designate a clean area for vaccine preparation. Ensure adequate
supplies are available, such as adhesive bandages, individually
package sterile alcohol wipes and sufficient number of sterile
needles, syringes, and sharps are available to limit the duration of
time spent in close contact (>6ft) with others.
Clinical staff providing vaccinations should wear a medical grade
facemask, eye protection, and gloves. N95 respirators are
available upon request for clinical staff providing vaccinations,
subject to availability (fit testing required). Change gloves between
patients and perform hand hygiene before putting on and after
removing PPE. Do not change mask, between patients, unless
contaminated, soiled, or torn.
Eye protection such as face shields and goggles are available
upon request for all staff.
Non-clinical staff should wear a face covering made of two or
more layers of tightly woven, breathable material around others.
Perform hand hygiene for at least 20 seconds before and after all
patient contact, contact with potentially infectious material, and
before putting on and after removing PPE, including gloves. If
soap and water are not available, use alcohol-based hand
sanitizer that contains at least 60% alcohol.
Follow proper procedures for extended use of PPE, as applicable
to the job task.
Dispose of sharps in designated containers. Report needlesticks
to designated supervisor and maintain a sharps injury log.
Dispose of PPE in designated hazardous waste receptacles or
other approved location.
Staff handling vaccines in ultra-cold chain storage should avoid
direct eye and skin contact with dry ice. Use face shields and
loose-fitting, thermally insulated cryogenic gloves, designed for
handling containers stored in extreme temperatures.INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
Warehouse Vaccine Transport/Handling Transport vaccines in the passenger compartment of the vehicle and
Operations Back Strain/Sprain Material per manufacturer’s instructions for packing configuration and proper
Handling Hazards Forklift condition of coolants. Use a digital data logger with a buffered probe
Hazards and a current and valid Certificate of Calibration Testing, to monitor
vaccine temperature during transport.
Report any temperature excursions to the site lead.
Practice safe lifting techniques, such as bending with the knees,
keeping loads close to the body and avoiding reaching, twisting or
bending at the waist. Use equipment (dolly, cart) to move loads
whenever possible and ask for assistance when the load is too heavy.
Staff handling vaccines in ultra-cold chain storage should avoid direct
eye and skin contact with dry ice. Use face shields and loose-fitting,
thermally insulated cryogenic gloves, designed for handling dry ice.
8. Prepared by (Safety Officer): Name: Nichole Alcaraz Signature:
Prepared by (Operations Section Chief ): Name: Signature:
ICS 215A Date/Time:You can also read
