COVID-19 Employee Handbook - YMCA HFA COVID-19 Handbook (Novel Coronavirus) - YMCA of Northern Alberta
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YMCA YMCA of Northern HFA COVID-19 Alberta Handbook COVID-19 (Novel Coronavirus) Policies and procedures Employee Handbook COVID-19 amendments and reaffirmations Last Updated November 25, 2020 Last updated: June 4, 2020
Principles Please note subject matter for this handbook was resourced from the Government of Alberta, Government of Canada and the World Health Organization. The Government of Alberta’s guidelines and this document are subject to change. External Health Resources and Information Resource Purpose/Use Contact Government of Alberta COVID-19 and Infection AHS COVID-19 Prevention Control Public Health Agency of Canada COVID-19 Public Health Canada World Health Organization COVID-19 WHO COVID-19 (WHO) This handbook is a living document and will be updated regularly to ensure YMCA of Northern Alberta Employees have the most up-to-date information. YMCA employees must also reference the YMCA COVID-19 Operational Handbooks for each area: Child Care Health, fitness and aquatics centres Day camps Community and Housing Initiatives locations Association Services YMCA of Northern Alberta is meeting or exceeding all Government of Alberta Covid-19 Guidelines. For more information, please reach out to the Health, Safety and Child Protection Team: (780) 429-5700 EXT# 4 or HS@northernalberta.ymca.ca ii
Table of Contents Introduction ................................................................................................................................................................1 Symptoms ........................................................................................................................................................ 1 Preventing and Controlling Infection ............................................................................................................. 2 What can employees do to stop the spread of infection? ............................................................................. 3 Travel Restrictions and Considerations .......................................................................................................... 3 Health and Safety .......................................................................................................................................................4 Probable Cases ................................................................................................................................................ 4 Close Contacts ................................................................................................................................................. 4 Health Check Screening ................................................................................................................................... 4 Developing symptoms at a YMCA facility....................................................................................................... 5 Rapid Response Plan ....................................................................................................................................... 5 Developing symptoms outside of a YMCA facility ......................................................................................... 6 Pre-existing Conditions ................................................................................................................................... 6 Immunizations during COVID-19 .................................................................................................................... 7 New Medications or Medical Procedures during COVID-19 .......................................................................... 7 Testing negative for COVID-19 ........................................................................................................................ 7 If an employee or volunteer exhibits CORE symptoms and is not tested for COVID-19 .............................. 8 Testing positive for COVID-19 ......................................................................................................................... 8 Returning to work after close contact with a confirmed case of COVID-19 ................................................. 8 Personal Protective Equipment (PPE) ........................................................................................................................8 Mandatory Use of Face Coverings ................................................................................................................ 10 Provision of Masks ....................................................................................... Error! Bookmark not defined. Proper Usage of Masks................................................................................. Error! Bookmark not defined. Reporting Safety Concerns ............................................................................................................................ 12 Maintaining a Safe Worksite During COVID-19 ....................................................................................... 12 Rights and Responsibilities ...................................................................................................................... 13 Mental Health................................................................................................................................................ 14 Work Spaces ............................................................................................................................................................ 15 Visiting another YMCA location .................................................................................................................... 15 Meetings and Communication...................................................................................................................... 15 Office Space Protocols................................................................................................................................... 15 Staff Scheduling ............................................................................................................................................. 16 Employee Breaks ........................................................................................................................................... 16 Kitchens and Break Rooms............................................................................................................................ 16 iii
Shared Spaces ................................................................................................................................................ 16 Computer Lab ................................................................................................................................................ 16 Cleaning and Disinfecting ........................................................................................................................................ 17 Definitions ..................................................................................................................................................... 17 Approved Cleaners and Disinfectants .......................................................................................................... 17 Procedure for cleaning and disinfecting ....................................................................................................... 17 Frequency of cleaning and disinfecting ........................................................................................................ 17 High touch surfaces and areas that receive enhanced cleaning and disinfecting each day ....................... 17 Employee Washrooms .................................................................................................................................. 18 Tables and Chairs........................................................................................................................................... 18 Appendices .............................................................................................................................................................. 19 COVID-19 Alberta Health Daily Checklist ..................................................................................................... 20 COVID-19 Testing FAQ ................................................................................................................................... 22 Employee Safety Rights and Responsibilities FAQ ....................................................................................... 26 Instructions for Supervisors on Assessment, Testing and Results .............................................................. 28 Self-Screening Symptoms and Supervisor Guidelines.................................................................................. 30 YMCA of Northern Alberta Cleaning and Disinfecting Guidelines ............................................................... 32 Mandatory Use of Mask or Face Coverings FAQ ............................................. Error! Bookmark not defined. Management of adults who are tested for COVID-19 and/or are symptomatic ........................................ 39 iv
Introduction YMCA of Northern Alberta will look and feel different when our YMCA facilities reopen. That is because we are taking all necessary safeguards to keep all employees, participants, visitors and their families safe. However, as always, the YMCA will continue to be welcoming and community focused! Employees will notice signage at the entrance and throughout the building informing employees and all other persons not to enter if experiencing COVID-19 symptoms, as well as physical distancing signs, hygiene signs and respiratory etiquette. Symptoms COVID-19 symptoms can be mild and are similar to influenza and other respiratory illnesses. Core symptoms for under 18 years: fever, cough, shortness of breath and loss of sense of smell or taste Core symptoms for over 18 years: fever, cough, shortness of breath / difficulty breathing, runny nose and sore throat For reference, normal temperatures are: o Mouth: 35.5-37.5°C (95.9-99.5°F) o Underarm: 36.5-37.5°C (97.7-99.5°F) o Forehead: 36.6-38.0°C (97.9-100.4°F) o Ear (not recommended in infants): 35.8-38.0°C (96.4-100.4°F) Other symptoms can include: stuffy nose, painful swallowing, headache, chills, muscle or joint aches, feeling unwell in general, new fatigue or severe exhaustion, gastrointestinal symptoms (nausea, vomiting, diarrhea or unexplained loss of appetite), loss of sense of smell or taste (for over 18 years), conjunctivitis (pink eye). Symptom of serious illness: difficulty breathing or pneumonia. Employees should get tested if they have any COVID-19 symptom. If an employee has any of these symptoms, they are legally required to isolate for at least 10 days from the start of their symptoms or until they resolve, whichever is longer: Fever Cough (new cough or worsening chronic cough) Shortness of breath or difficulty breathing (new or worsening) Runny nose Sore throat If an employee has any of these other symptoms, they are directed to stay home and minimize their contact with others until their symptoms resolve: Chills Painful swallowing Stuffy nose Headache Muscle or joint aches Feeling unwell, fatigue or severe exhaustion Gastrointestinal symptoms (nausea, vomiting, diarrhea or unexplained loss of appetite) Loss of sense of smell or taste Conjunctivitis, commonly known as pink eye 1
Employees should monitor their health and call Health Link 811 if they have questions or concerns, and call 911 immediately if experiencing severe symptoms of COVID-19, including difficulty breathing, severe chest pain, feelings of confusion or loss of consciousness. Employees that work in child care and day camps should refer to the COVID 19 Operational Handbook for YMCA guidelines on returning to work. Preventing and Controlling Infection It is important to take steps, both at home and at work, to help prevent the spread of influenza and other viruses to co-workers, friends, family and the public. The most effective actions employees can take to prevent the spread of infection are listed in the table below, along with the corresponding health rationale. Activity Action Hand Hygiene Wash hands often with soap and water. If handwashing facilities are not available, clean hands using an alcohol-based sanitizer. Refrain from shaking hands, giving high fives or hugging. Try waving and greeting with a friendly smile. Respiratory Etiquette Cover the mouth and nose with a tissue when coughing or sneezing, or cough/sneeze into the arm/elbow. Discard the tissue into the regular garbage (follow with Hand Hygiene). Avoid coughing/sneezing into the hands (and be sure to wash hands immediately). Wear a mask. General Hygiene Avoid touching the eyes, nose or mouth after shaking hands or touching hard surfaces like door handles. After touching these surfaces disinfect hands with hand sanitizer or wash with soap and water. Physical Distancing (these guidelines are Physical distancing involves taking steps to limit the number of for out of the worksite please see specific people one comes into close contact with. This is not the same program areas handbooks for work as isolation – one does not need to remain indoors. requirements) Good physical distancing includes: keeping at least 2 metres (about the length of a hockey stick) distance from people outside one’s household or cohort family limiting the number of times one leaves their home for errands; trying to limit grocery store visits to once a week trying to have only one person in the household do the shopping trying to shop at less busy times 2
ordering online to have groceries or other items delivered or available by curbside pickup if possible going for a walk in one’s neighbourhood or park while maintaining distance from others avoiding overcrowding in elevators or other enclosed spaces following Alberta’s mandatory restrictions on gatherings washing or sanitizing hands after touching communal surfaces Environmental Decontamination Follow the YMCA cleaning and disinfecting guidelines, as well as the checklist for each area. Self-isolation Stay away from work and public places when experiencing symptoms. *Information sources: Alberta Health Services, Public Health Agency of Canada and the World Health Organization What can employees do to stop the spread of infection? YMCA employees can help prevent the spread of COVID-19 in Alberta. Prevention starts with awareness. Practice physical distancing. Self-isolate if feeling sick. Wash hands frequently and practice good hand hygiene. Cover coughs and sneezes. Avoid touching the face. Avoid sharing household items. Regularly disinfect frequently touched and shared surfaces. Do not travel outside of Canada. Anyone who is ill with influenza-like symptoms such as fever or cough needs to stay home and follow the Public Health Order to isolate and practice basic respiratory and hand hygiene, for a minimum of 10 days from the start of symptoms, or until symptoms resolve, whichever is longer. Travel Restrictions and Considerations All work related travel is currently paused, any immediate travel required is approved on a case-by-case basis and must be approved through each employee’s Vice President, or the COO or CEO. 3
Health and Safety Probable Cases A probable case is a person with clinical illness who had close contact to a lab-confirmed COVID-19 case OR a person with clinical illness who meets the COVID-19 exposure criteria, AND in whom laboratory diagnosis of COVID-19 is inconclusive. Clinical illness of a probable case is new onset/exacerbation of following symptoms: Fever, cough, shortness of breath/difficulty breathing, sore throat or runny nose. Exposure criteria for a probable case is a person who, in the 14 days before onset of illness: Had any history of travel outside of Canada; OR had close contact with a confirmed or probable case of COVID-19; OR is a close contact of a traveler with acute respiratory illness who returned from outside Canada in the previous 14 days; OR had a laboratory exposure to biological material (e.g. primary clinical specimens, virus culture isolates) known to contain COVID-19. If Alberta Health Services Communicable Disease Control and Prevention informs a person or the YMCA that they are a confirmed or probable case, we will follow additional guidance from Alberta Health Services. Please see COVID-19 Testing FAQ in Appendix. Close Contacts A Close Contact is defined as: Provide direct care for an individual with COVID-19 or who had similar close physical contact OR Had close prolonged contact for 15 minutes or longer OR Had direct contact with infectious body fluids of an individual with COVID-19 (e.g. was coughed or sneezed on) Health Check Screening STEP #1 Prior to entering any YMCA facility, whether that is daily or, in the event that an employee enters multiple facilities during their day, multiple times per day, they are required to complete a health screening checklist that has been developed by Alberta Health Services (Appendix). This questionnaire can be done in-person (via a paper copy that will be provided for review) upon arrival at any location, or it can be completed up to three hours before arrival online at northernalberta.ymca.ca/healthcheck. Click here for help using the online questionnaire. Upon completing the questionnaire, if an employee has no COVID-19 related symptoms or elevated risk of exposure, they will move to Step #2 below. If they do report COVID-19 related symptoms or an elevated risk of exposure, they should not enter a YMCA facility and instead follow the process outlined in STEP #3 below. STEP #2: Upon completing the questionnaire (and having no COVID-19 related symptoms or elevated risk of exposure) 4
employees will proceed to sign-in upon entry of any YMCA facility. Sign-in is completed manually. If they have completed the screening questionnaire electronically, they may be required to show the completed screen at the time of sign-in via their mobile device. If they cannot show the completed screen, they must complete the paper version prior to entry. STEP #3: Once an employee has completed the screening questionnaire and has signed in, they can enter the YMCA facility. Please note that the above steps must be repeated before entry of any YMCA facility (not a shared YMCA facility), whether that is daily or, in the event that the employee enters multiple facilities during their day, multiple times per day. Developing symptoms at a YMCA facility If an employee is experiencing symptoms of COVID-19 or elevated risk of exposure, they must not enter or remain at a YMCA facility. Our People & Culture team has created a stay at Home info sheet to help inform their next steps. If an employee develops any symptoms of COVID-19 while at a YMCA facility, they will be required to go home, self-isolate and contact 811 for further instructions. While awaiting pick-up, employees will follow isolation protocol (see Rapid Response Plan below) to make sure others in the building stay safe. Read the Instructions for Supervisors on Assessment, Testing and Results (Appendix). Supervisors have the responsibility of monitoring and reporting COVID-19 test results for their employees to the HS team at HS@northernalberta.ymca.ca and complete and incident report if the develop symptoms onsite. Rapid Response Plan Employees or volunteers at a YMCA worksite who appear to have acute respiratory illness symptoms upon arrival to a worksite, or who demonstrate COVID-19 symptoms while there, should be given a mask and should go home immediately, follow the Stay at Home Guide and Screening Questionnaire (LINK), complete the AHS self-assessment test and if required, book a time for testing. An incident report must be filled out in entirety. It must have the symptomatic person’s name and contact information, and the areas and equipment they used. To help AHS perform timely tracing of close contacts, Alberta Health recommends supervisors identify and record the names of all persons the sick individual has been in close contact with in the workplace that day and in the 72 hours prior to when the symptoms started. AHS may request this information if the sick individual later tests positive for COVID-19. All employees must keep the required physical distance of two metres/six feet between them and the symptomatic person. After being directed to leave, the symptomatic people should follow hand hygiene and respiratory etiquette and maintain at least two metres of distance from others until they are able to safely self- isolate at home. Employees or volunteers should be advised not to take public transit home and work with their supervisor to arrange alternative transportation. If the employee or volunteer is ABLE to leave immediately All surfaces and areas with which the person may have come into contact should be cleaned and disinfected immediately. Supervisors should refer to the Cleaning and Disinfecting Guidelines 5
(Appendix) for more information about the enhanced cleaning and disinfection practices. If the employee or volunteer is NOT ABLE to leave immediately If a person becomes symptomatic and requires support, they should call a CODE BLUE for any COVID-19 related support. If the person is unable to leave the site immediately, they must be given a mask and be isolated from all other persons in the area. The symptomatic person must go to the designated isolation space at their centre. The symptomatic person must be kept at a minimum of two metres/six feet away from any other person. The symptomatic person must stay in the designated area. *If a person requires close care, those caring for them will be required to wear, gloves, gown, mask and eye protection, and keep the 2-metre distance. Once the symptomatic person leaves, all surfaces and areas with which the person may have come into contact should be cleaned and disinfected immediately. Supervisors should refer to the Cleaning and Disinfecting Guidelines for more information about the enhanced cleaning and disinfection practices for specific facilities. If the employee or volunteer is participating in a YMCA program Employees must follow the above procedures as well as: and disinfecting of all equipment and surfaces that may have come into contact with the symptomatic participant. Performance of hand hygiene by remaining participants. Developing symptoms outside of a YMCA facility If an employee or volunteer is absent from the facility due to symptoms of COVID-19, this must be reported to their supervisor and communicated with the HS team at hs@northernalberta.ymca.ca, so that we can support and track accordingly. Read the table below, or visit northernalberta.ymca.ca/StayAtHomeGuide to view the employee stay at home guide and understand what to do if you need to be tested or if you have developed symptoms of COVID-19. Pre-existing Conditions If an employee develops symptoms that could be caused by a known pre-existing condition (e.g. allergies), the employee should be tested for COVID-19 to confirm that it is not the source of their symptoms before entering or returning to work. If symptoms are due to a pre-existing condition, individuals can return to care with a negative COVID-19 test, if they are able to pass the screening questionnaire, and with written documentation from a medical professional, where possible, about a pre-existing condition. This would include information on the exact symptoms, what brings on the symptoms, and if any changes to the environment would change these symptoms. An employee that has a pre-existing condition and has tested negative for COVID-19 does not need to be retested unless new or different symptoms develop. Employees are required to monitor and document symptoms that may be related to a preexisting condition. If symptoms change or worsen, or if the pass develops new symptoms, they will have to follow the Stay at Home Guide and screening questionnaire prior to returning to the YMCA. 6
Immunizations during COVID-19 After getting immunized some individuals can have side effects such as fever, headache, cough, runny nose, or sore throat. Side effects start within 24 hours after getting the vaccine. For vaccines that protect against Measles, Mumps, Rubella, and Varicella, side effects can start 5 to 12 days after the immunization. Side effects tend to be mild and could last 24 to 48 hours. The side effects to immunizations can be similar to symptoms of COVID-19. An employee that has side effects that are the same as COVID-19 symptoms must stay home and isolate even if it is thought they are from the vaccine. If the anticipated or expected side effects are exhibited by the immunized person in the clinically expected timeframe and then resolve within 48 hours of onset, an individual can return to work once they are symptom-free for 24 hours and are able to pass the screening questionnaire. However, if the employee has been told to isolate for other reasons, isolation must continue. If the side effects last longer than 48 hours, continue to isolate. Contact Health Link at 811 or complete the AHS Online Assessment Tool to make an appointment for the COVID-19 test. If an employee is not tested for COVID-19, they must stay at home for a minimum of 10 days. At the time of return, an individual must have been symptom-free for a minimum of 24 hours and are able to pass the screening questionnaire. New Medications or Medical Procedures during COVID-19 An employee may exhibit side effects to new medications or medical procedures that can be similar to symptoms of COVID-19. The YMCA will follow guidance as indicated by medical professionals regarding attendance to work. An employee that exhibits symptoms outside of the expected side effects or timeframes, will be expected to follow the Stay at Home Guide and screening questionnaire to return to work. Testing negative for COVID-19 The YMCA will request proof of the negative results, which can be obtained at http://alberta.ca/myhealthrecords (for individuals 14 years and older) or through their doctor, prior to returning to a YMCA facility. If the person tested negative and has had an exposure to the virus, they are legally required to isolate for 14 days from the last known exposure date and/or as determined by Alberta Health Services. If an employee does develop symptoms, they must isolate for an additional 10 days from the beginning of symptoms or until they are feeling well, whichever takes longer. This timeframe must not be less than 14 days from the last known exposure date and/or as determined by Alberta Health Services. The employee may return to work after this timeline once they are symptom-free, if applicable, for 24 hours and are able to pass the screening questionnaire. If symptoms persist beyond 10 days, individuals can return to work with written documentation from a medical professional, where possible, about a pre-existing condition. This would include information on the exact symptoms, what brings on the symptoms, and if any changes to the environment would change these symptoms. The YMCA will disclose to relevant employee if an individual exhibits symptom in the facility that they have tested negative for COVID-19 and that we have documentation on site that a they have a preexisting condition, if required. Individuals are required to monitor and document symptoms that may be related to a preexisting condition. If those symptoms change or worsen, or if the person develops new symptoms, they will have to be re-tested for COVID-19 prior to returning to the facility. 7
If an employee or volunteer exhibits CORE symptoms and is not tested for COVID-19 As per guidance from Alberta Health Services, an individual may choose not to get tested, but they must not attend a YMCA facility for a minimum of 10 days. At the time of return, an individual must have been symptom-free for a minimum of 24 hours and are able to pass the screening questionnaire. Testing positive for COVID-19 The individual should continue to isolated themselves and follow all Alberta Health Services guidelines. Supervisors should be notified immediately. Supervisors are required to report a positive COVID test to Health and Safety at hs@northernalberta.ymca.ca. An employee who tests positive for COVID-19 is legally required to isolate for 10 days from the start of their symptoms, or until symptoms resolve, whichever takes longer. Individuals may return to a work after this timeline once they are symptom-free for 24 hours and are able to pass the screening questionnaire. Returning to work after travel outside Canada An employee that has travelled outside of Canada in the last 14 days, cannot return to the program for 14 days, plus an additional 10 days from the onset of symptoms, should they occur, unless enrolled in the Alberta COVID-19 International Border Pilot Project and then they must comply with the program restrictions at all times. If the employee does develop symptoms, they should be tested for COVID-19. Individuals may return to the YMCA after this timeline once they are also symptom free for 24 hours with negative test results (if applicable) and are able to pass the screening questionnaire. For employees working at YMCA worksites, the YMCA requires the employee to complete step 4 and receive their second negative test results. Returning to work after close contact with a confirmed case of COVID-19 An employee is legally required to isolate for 14 days from the last known exposure date and/or as determined by Alberta Health Services and monitor for symptoms if they are a close contact of a person who tested positive for COVID-19. If an employee becomes sick with cough, fever, shortness of breath, runny nose or sore throat during this time, they must isolate for an additional 10 days from the beginning of symptoms or until they are feeling well, whichever takes longer. If the employee does develop symptoms, they should be tested for COVID-19. Individuals may return to the YMCA, after this timeline once they are also symptom free for 24 hours with negative test results (if applicable) and are able to pass the screening questionnaire. Personal Protective Equipment (PPE) All positions will have an up-to-date Job Hazard Assessment completed before reopening. All required PPE will be supplied by the YMCA of Northern Alberta. Employees must ensure adequate PPE for the duty they are performing (i.e. First Aid versus cleaning) and the equipment is cleaned and sanitized between users. 8
When wearing gloves, employees must avoid touching their faces and other exposed body parts. Type of PPE Description When to Use Disposable gloves Gloves protect against the transfer of infectious First Aid, laundry, diapering, agents to one’s hands during direct contact with application of sunscreen and or participants/members with suspected/confirmed insect repellent etc. transmissible infections or their immediate Food Service environments. Health Check screening. The use of gloves does not replace the Isolation protocol. need for regular hand hygiene. Hand hygiene should be performed before and after glove use. Gown Gowns are used to protect against the Isolation protocol. transmission of infectious agents to the employee on their arms/clothes during direct contact with a participant/member or their immediate environments. Eye protection Eye protection protects the eyes (and Cleaning with chemicals that (i.e. face mouth/nose if using a face shield with a face require them. shield/safety mask) of the wearer from contact with splashes, Isolation Protocol. glasses) sprays and splatter of bodily fluids from other people. Wearing a face shield without a face mask does not provide an adequate barrier around the nose and mouth and should not be used as a substitute for a face mask. PPE, such as eye protection, may be reused, only if the manufacturer allows it and has provided clear cleaning and disinfecting instructions. Surgical Masks Surgical Masks provide the wearer a barrier See Mandatory Use of Face Coverings protection against large particle droplets, below. splashes or bodily fluid, such as saliva. *Each employee’s Job Hazard Assessments and Jobsite Assessments Respirators protect the wearer from exposure to have identified when a mask is Respirators biological aerosols that may contain viruses or required for work. (i.e. NIOSH-N95 bacteria or when other respiratory hazards exist mask) for which a respirator is required to keep employee exposure under the Occupational Exposure Limit for a particular hazard. *This is not common outside of health care settings. Most respirators must be sized and fit to the wearer to ensure appropriate protection. 9
Mandatory Use of Face Coverings In consideration of the increased number of Covid-19 cases in Alberta, with Direction from the Government of Alberta’s new restrictions, the YMCA has updated our mandatory mask requirements, effective November 25 2020, YMCA of Northern Alberta is requiring the use of face coverings in all indoor spaces (except exempt categories) in all YMCA of Northern Alberta facilities: A face covering means a mask, balaclava, bandana, scarf, cloth or other similar item that covers the nose, mouth and chin without gapping. Note: Employees and volunteers must adhere to “bring your own mask” guidelines outlined below. An indoor space is any space that is indoors at a YMCA facility e.g. Shared offices spaces, meeting rooms, program spaces, rental spaces, reception areas, lounges, hallways, and accessible washrooms and locker rooms. This requirement applies to all employees, volunteers, members, participants, tenants, visitors, parents and contractors. This requirement applies regardless of whether the individual is registered in a program, has a scheduled appointment/booking, or a membership. While a mask is an additional measure to protect against the spread of COVID-19 to others, we continue to emphasize frequent and thorough hand washing, and maintaining a minimum distance of 2 meters apart from others, to further minimize the risk of COVID-19 spread. EXEMPTIONS The requirement to wear a face covering will not apply to: a) persons under the age of 2; b) persons who are unable to place, use, or remove a face covering without assistance; c) persons unable to wear a face covering due to a mental or physical concern or limitation, or protected ground under the Alberta Human Rights Act; d) persons consuming food or drink in designated seating areas or as part of religious ceremony; e) persons engaged in activities in wet areas such as; pool and shower areas or physical exercise in designated areas such as; fitness centre, studios etc; f) persons providing care or assistance to a person with a disability where a face covering would hinder that caregiving or assistance; g) persons engaging in services that require the temporary removal of a face covering; h) person has a private enclosed office and they are alone i) program participants (children) in child-care centres. j) Melcor tenants Proof that the exemption applies is not required. Any employee or volunteer who requires an exemption should speak to their Supervisor. FREQUENTLY ASKED QUESTIONS A FAQ section is provided at the end of this document to support employees and volunteers in responding to various circumstances, such as: Individual has arrived without a mask because they forgot or don't have one 10
Individual is exempt from wearing a mask. Individual who becomes aggressive about the new requirement HEALTH AND SAFETY YMCA of Northern Alberta has also implemented health and safety practices that require employees and volunteers to wear masks or personal protective equipment (PPE) for the purposes of screening program participants, caring for symptomatic or ill participants, employees or volunteers, cleaning and disinfecting surfaces, and in all indoor spaces. The YMCA will ensure a sufficient supply of masks and PPE are available for employees and volunteers to use in these circumstances. PROVISION OF MASKS The YMCA has supplied disposable masks and reusable cloth masks that have been distributed to centres. Employees and volunteers are also welcome to use their own reusable cloth masks (see guidelines below under “Proper Usage of Masks”). BRING YOUR OWN MASK Reusable cloth masks must be YMCA appropriate – no patterns, pictures, words or symbols that could be considered controversial or offensive. Reusable masks should have a minimum of three-layers of breathable fabric (e.g. cotton or linen) Masks should fit properly, covering the nose and mouth and allowing the user to communicate clearly. PROPER USAGE OF MASKS Make sure the mask fits your face properly and ensure it covers your nose and mouth. Wash or sanitize your hands thoroughly before putting your mask on, and before and after taking your mask off. Avoid touching your face when putting on or taking off your mask. Avoid touching your mask while wearing it. Keep your mask clean and change or wash daily. Change as soon as possible if damp or dirty. Put on a new mask when arriving at work (e.g. after taking public transit). Do not share your mask with others. Store your mask in a clean area or separate bag (e.g. Ziploc or paper bag) when not in use. Do not place it on shared surfaces or where it can be picked up by others. Remove your mask completely when not in use - it should not be left around your neck or on your head. Note: reusable masks can be used throughout the day, you must perform hand hygiene before donning and doffing the mask, and the mask is not damp or dirty. Be sure when removing the mask to not touch the front. All reusable masks should be brought home to wash after each shift. In addition, for reusable masks an employee must: Note: reusable masks can be used throughout the day, if properly stored (see above bullet) to avoid the need to replace the mask throughout the day. All reusable masks should be brought home to wash after each shift. 11
Keep their mask clean and wash daily at home by putting it directly into the washing machine, using a hot cycle, and then dry completely or washing it thoroughly by hand, using soap and hot water and allow it to dry completely. Store their mask in a clean area or separate bag (e.g. Ziploc or paper bag) when not in use. Do not place it on shared surfaces or where it can be picked up by others. During all interactions with a member or participant who is presenting COVID-19 symptoms during Rapid Response to Symptomatic Person, or if required by their Job Hazard Assessment, a YMCA employee must wear a disposable mask. If masks are worn, Alberta Health mask guidance must be followed and can be found here: https://www.alberta.ca/prevent-thespread.aspx. Information on how to use a mask can be found here: http://www.alberta.ca/masks. Reporting Safety Concerns It is everyone’s responsibilities to ensure a safe working place. Supervisors are responsible for responding to and controlling identified hazards, and all employees are responsible for reporting any hazards or incidents. While supervisors have specific responsibilities for safety in the workplace, employees are also vitally important in keeping themselves and their coworkers safe by staying informed and engaged in the Health and Safety Management system. An Employee Safety Rights and Responsibilities FAQ has been developed to respond to questions as we work to keep each other safe. Any concerns employees have should always be reported to their supervisor, as per the normal processes. Unsafe work observations and near misses should continue to be reported through the Incident Report or Near Miss Report forms. Maintaining a Safe Worksite During COVID-19 It’s the responsibility of a supervisor to ensure workers are informed of the hazards of the work environment and are adequately trained in all matters necessary to protect their health and safety, including before the worker performs a new work activity, uses new equipment or performs new processes, or is moved to another area or worksite. In situations where respiratory protection equipment is required during the COVID-19 response, for regular operations or new tasks, employees should read their program area COVID-19 Handbook or Job Hazard Assessment for this information. It’s important to keep in mind that tasks and conditions can change quickly during this time, which may also require employees to reassess the identified controls. Training has to include giving information and explaining to a worker about the new work activity, equipment, process or worksite and the training requires a practical demonstration that the worker has acquired the knowledge or skill related to the subject matter. 12
Rights and Responsibilities The YMCA remains committed to protecting the health and safety of our employees, volunteers, participants and any persons accessing our sites. Both workers and the YMCA have the responsibility to maintain safety in the workplace. Please read the Employee Safety Rights and Responsibilities FAQ for more information. Role Responsibilities and Expectations Front line employees ● Must inform their direct supervisor if they are not attending work. If the absence is related to COVID-19 symptoms and they have completed the self-assessment, they must inform their supervisor immediately. ● Must stay home if they have symptoms. All employees must follow the AHS-dictated minimum of 10 days from the start of symptoms, or until symptoms resolve, whichever is longer. They may then attend work if they are healthy. ● Follow all required hand hygiene, physical distancing and respiratory etiquette. ● Cooperate fully if they are contacted by AHS in their investigation and tracing of close contacts of COVID-19 cases. They must be thorough and complete in the information they share as this will ensure AHS can fully identify all close contacts and allow the YMCA of Northern Alberta to identify areas needing decontamination. ● Use available accruals, including Health Care Leave, vacation, banked STAT and banked overtime to compensate lost time related to symptoms of COVID-19. Employees should contact Lindsay Hartwig, Health and Wellness Advisor, if they do not have available accruals. ● Complete the Pre-Work COVID-19 Symptoms Self-Screening and Monitoring Process. Supervisors and Managers ● Must stay up-to-date with the COVID-19 Employee Handbook. ● Supervisors and managers must make informed decisions using the handbook and its resources on employee test results resulting in required isolation. ● Must report all employee illness that are or have the potential to be related to COVID-19. ● Must be knowledgeable on the Rapid Response to Symptomatic Person at Worksite process. ● Ensure they are answering employee’s questions and concerns. 13
● Inform their manager if employee absences will affect their program. ● Support the Health and Wellness Advisor with considerations of operational impacts when considering requests for leaves, taking into consideration flexibility particularly if the employee has a person in care who is ill or immunocompromised. ● Follow the Oath of Confidentiality in respect to any employee’s medical information. Avoid sending emails to various persons discussing details of an employee's absence/travel history. ● Update their employees on information as it becomes available. ● Promote and maintain a respect, safe and calm worksite. ● Continue to record/report employee absences. Refer to this flowchart for steps required in managing the employee absence and testing processes. Health and Safety ● Will ensure employees and their staff have the latest information. The Committee employee page on the association website is kept updated as needed. ● Will use this handbook as a resource when answering employees’ questions and will also refer to management and Health and Safety Child Protection Team: (780) 429-5700 EXT# 4 or HS@northernalberta.ymca.ca. These rights and responsibilities are in conjunction with existing rights and responsibilities the YMCA of Northern Alberta has in place for its employees. Mental Health During a time of so many changes, uncertainty and challenges, it is normal to feel unsure, have concerns or feel anxious. The YMCA is committed to supporting their employees in spirit, body and mind. Throughout this, it is important for our employees and volunteers to continue to prioritize healthy habits. The YMCA offers virtual fitness classes, communications on many different topics through the Wellness page of the association website, and supports through the Resilience employee program. Dealing with grief on the loss of lifestyle and personal connections or supporting others can be confusing or feel like a large undertaking. Grief has stages and understanding those changes and having some strategies on how to respond or how to support others can be helpful. No one is alone. If employees are feeling overwhelmed and need support, they are encouraged to reach out to their supervisor, Resilience or Homewood Health or their Health and Safety Team. Everyone should remember to take time to care for themselves. Employees should schedule it in if needed, and be sure to refuel, refocus and reaffirm their self-care. 14
Resilience or Homewood 1 (866) 644-0326 Or Health and Safety (780) 429-5700 EXT# 4 The Mental Health Help Line at 1-877-303-2642 and the Addiction Help Line at 1-866-332-2322 operate 24 hours a day, seven days a week. The Canadian Mental Health Association has resources at mentalhealthweek.ca. If employees have additional questions or are experiencing difficulty in accessing these supports, they can contact their Supervisor/Manager or Health and Safety. Work Spaces Visiting another YMCA location When visiting other YMCA locations besides their Home Centre (the location they primarily work from), employees must comply with the following procedures: Complete a health check/screening at each location that they visit so where they have been throughout the day is logged. Wear a mask. This includes at centres not open but preparing to open. Practice hand hygiene, respiratory etiquette and physical distancing at all centres. If an employee is alone in a room/office, they are not required to wear a mask, but when others are around, they are required to. Meetings and Communication Where possible the YMCA will use telephone or video conferencing as the primary means for meetings with employees and participants. Virtual delivery of services should remain a high priority to limit in-person interaction with employees and participants as well as between participants, if possible. If a face-to-face meeting does occur, appropriate physical distancing of at least 2 metres (6 feet) in any given direction and disinfecting of the space before and after use is required. Office Space Protocols In single occupancy offices, only the employee working in that office is permitted Physical distancing requirements must be met when meeting with another employee in a single occupancy office. In shared office spaces, all physical distance requirements must be met in that office space. An employee must be at least 2 metres (6 feet) away from another employee in any given direction. In offices that are not shared, employees are required to clean and disinfect all high touch surfaces in the workspace at the end of each day, including keyboards, computer mice, desks, phones, arms on chairs and doorknobs. In offices that are shared, employees are required to clean and disinfect all high touch surfaces in the workspace after each use, including keyboards, computer mice, desks, phones, arms on chairs and doorknobs. Employees will be required to vacuum their own space. 15
Staff Scheduling A combination of remote and onsite working will be implemented for employees who are not required, by the nature of their position, to be on-site for the duration of their shift. For employees whose positions offer flexibility, a combination of remote and on-site work is available through the YMCA’s Flexible Work Policy. Employees will work directly with their manager/supervisor on specific on-site office hours and it will be coordinated at a department level. Employee Breaks Employees must follow Job Hazard Assessment specific guidelines. Employees must practice physical distancing with other employees at all times. Employees are encouraged take their scheduled break outdoors or off-site. If breaks are taken on-site, employees must practice physical distancing in the break room if able to use, follow all posted capacity numbers and clean and disinfect the space before and after each use. Kitchens and Break Rooms The YMCA has suspended all self-serve, family-style snacks, lunches, and potlucks. There will be no common food items (for example, salt and pepper shakers, ketchup, salad dressing etc.). Employees are required to bring their own kitchenware (dishes and cutlery). Coffee machines, kettles and toasters will be removed from kitchens and break rooms. The number of employees permitted in a kitchen or break space will be posted to ensure appropriate physical distancing. In Child Care, Educators from different cohorts cannot use the staff/break room at the same time. For those sites allowing kitchen use Employees are required to wipe down kitchen appliances, fridge, stove, microwave, and water cooler before and after use. Lunches may be stored in lunchroom refrigerators and only a YMCA employee may touch the item. Employees must wash their hands or use alcohol sanitizer before handling any item from the refrigerator. Shared Spaces Employees must follow Job Hazard Assessment specific guidelines. The YMCA has spaces that are shared by different tenants and employees. These spaces may also utilize a space that has other after-hours user groups; employees must ensure the space is cleaned before and after using the space. Specific protocol has been established for shared spaces in each building. A designated YMCA representative (usually the Facility Manager or General Manager) will complete a shared spaces evaluation and detail protocol in a Site Hazard Assessment. Computer Lab Closed until further notice. Checklist for reopening: Identify computers to be used and section off those not to be used to ensure physical distancing. Ensure that all items that are left in this space are relevant and easily disinfected. 16
Contract carpets may remain in this space to prevent slips and falls but must be factored into daily contract cleaning. Ensure that workstations are set up to provide required physical distancing and any barriers preventing this are removed. Ensure that hand sanitizer is readily available as well as products to wipe down tables, computers and telephones prior to and following each use. Cleaning and Disinfecting The YMCA will engage in frequent, thorough cleaning and disinfecting each day and will meet or exceed guidelines provided by Alberta Health Services. Definitions Cleaning is defined as removing all visible dirt from the surface of an object. Disinfecting is reducing the germs on a surface and is done after cleaning. Approved Cleaners and Disinfectants The YMCA will be using disinfectants with evidence for efficacy against COVID-19. The YMCA will be following Alberta Health Services’ COVID-19 Public Health Recommendations for Environmental Cleaning of Public Facilities. AirX44 is the YMCA of Northern Alberta chemical of choice Peroxide wipes or Lysol wipes will be used on all electronic items and can also be used on commonly used surfaces. (Do not use chlorine based wipes on office equipment.) Procedure for cleaning and disinfecting “Wipe Twice”: For high touch surfaces that are not grossly contaminated, the “wipe twice” procedure will be used to clean and then disinfect. Wipe the surface thoroughly to remove dirt and other contamination, then disinfect by wiping the surface a second time with another clean cloth that has been soaked with one of the disinfectants below. If a high touch surface is very dirty, it will be first washed with soap, then the soap rinsed away with a clean cloth, then the surface wiped with another clean cloth that has been soaked with one of the disinfectants. Commercial dishwasher: use washing and sanitizer mode or o Wash with detergent and water o Rinse with clean warm water o Wipe, spray or immerse for 2 minutes in an approved disinfectant; air dry. Frequency of cleaning and disinfecting The YMCA has adjusted cleaning schedules to meet or exceed recommendations from Alberta Health Services. If an individual in the building is symptomatic, any items they engaged with will be cleaned and disinfected immediately. High touch surfaces and areas that receive enhanced cleaning and disinfecting each day Tabletops 17
Light switches Doorknobs Sink taps Paper dispensers Toilet handles Electronic equipment such as phones, two-way radios, computers, keyboards, Desktops Counters Elevators Handrails Break rooms, kitchens, washrooms Other surfaces that are frequently touched Employee Washrooms YMCA Cleaning Contractor will disinfect (counters, sinks, faucets, paper towel dispensers, hand dryers) after each business day. Additional protocols will be put in place for public washrooms and locker rooms. Tables and Chairs All common tables and chairs will be cleaned and disinfected by employees before and after each use, and at the end of each day. YMCA of Northern Alberta will continue to monitor COVID-19 in Alberta and how it will affect its employees, worksites and operations. During this time the YMCA is acting in response to the Government of Canada and Government of Alberta. 18
Appendices 19
COVID-19 Alberta Health Daily Checklist Employees must review the screening and complete the COVID-19 Sign-in Sheet before starting their shift. YMCA of Northern Alberta has chosen to follow Alberta Health Services screening tool please visit the link below to ensure you have the most up to date tool. AHS Screening tool 20
Covid-19 Staff Sign in Sheet All staff are required to review the AHS Screening Questionnaire and Sign in before starting their shift. Centre Name: __________________________________ Date: ____________________________ First Name Last Name Program Area Did you Do you have Initials complete any the health symptoms check listed or screening? answer yes to any of the questions ? Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No 21
COVID-19 Testing FAQ Instructions for COVID-19: Assessment, Testing & Results Reporting Guide has been created to walk employees through the various scenarios around COVID-19 testing and self-isolation. These FAQs are meant to supplement this important Risk Assessment. Questions and Answers: While awaiting direction from Alberta Health Services (AHS) regarding a COVID-19 test, should an employee come to work or self-isolate? The first step of determining if someone should be at home self-isolating is always to complete the online COVID-19 Self-Assessment from Alberta Health Services (AHS). The Self-Assessment will give clear direction as to whether the individual requires a follow-up with AHS Health Link (811). There are a few general rules to determine if an employee should self-isolate while they wait for direction from AHS: if they travelled outside of Canada, if they have symptoms or if they have been in close contact with a confirmed case. NOTE: Anyone who is self-isolating while they wait for direction from AHS who is feeling well is encouraged to work with their supervisor to work from home. What should an employee do when waiting for a COVID-19 test result? Anyone who is waiting for a COVID-19 test or test result who is not hospitalized should self-isolate if they have core symptoms or minimize contact of they have non core symptoms until they have received a phone call from AHS with the results of their test. Individuals waiting for a test or test result should not visit any other health care facilities, including outpatient imaging or labs unless they are being admitted to hospital. They may work from home with approval from their supervisor if they are feeling well while they wait, and can return to their usual activities when advised to do so by AHS. Supervisors are required to report the result of COVID-19 test results. An employee tested positive for COVID-19. What do they do now? If an employee's test results for COVID-19 are positive, they MUST continue to self-isolate. Employees who test positive for COVID-19 are legally required to self-isolate for at least 10 days from the time their symptoms start to the time they have resolved (whichever is longer). Employees are not cleared to return to work until this happens. Self-isolation can help prevent the spread of COVID-19 by lowering the chance that the virus could spread to others. An employee tested positive for COVID-19. Should the rest of their team self-isolate and get tested? When an employee tests positive for COVID-19, your direct Supervisor/Manager (or AHS however contact from them will be delayed) will reach out to all persons identified as “close contacts”. This identification process is done through assessment with the Supervisor/Manager, getting an understanding of the nature of the work environment and any close contact interactions. This assessment will determine if any specific co-workers are considered to be a close contact. If self-isolation and/or testing for any employees is needed, your Supervisor/Manager will contact and direct you accordingly. If an employee has a family member/household contact at home self-isolating, do they also need to self- isolate? If the household contact is a confirmed case, household contacts will also need to self-isolate for 14 days. 22
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