Infectious Disease Preparedness and Response Plan to Protect against COVID-19 During the 2020-2021 Academic Year
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Infectious Disease Preparedness and Response Plan to Protect against COVID-19
During the 2020-2021 Academic Year
Grand Valley State University’s (GVSU) students in health-related academic programs may have curriculum
components that cannot be taught or evaluated in virtual environments. During the COVID-19 pandemic, the
State of Michigan executive orders and the University have approved providing educational opportunities in
person for healthcare related students where face-to-face teaching labs, simulations, and competency
assessments (hereafter referred to as events) are required in order for students to graduate or to progress in their
program of study. The policy and procedures outlined below provide the detailed steps the GVSU Simulation
Center will take to reduce the risk of individual exposure to SARS-CoV-2, the virus that causes COVID-19.
Event Scheduling
Events scheduled in the Simulation Center including inpatient, outpatient, and lab spaces should be limited to
course objectives or competency assessments that cannot be completed in a virtual environment. If possible, the
use of physical contact for teaching head, eyes, ears, nose & throat (HEENT) physical exams should be avoided
and taught in alternate formats. In accordance with the current Centers for Disease Control and Prevention’s and
the Occupational Safety and Health Administration’s social distancing recommendations, capacity in
Simulation Center labs and rooms have been recalculated to allow for six (6) feet of social distancing based on
square footage of each space, the furniture and equipment in the space, and the need for individuals to be able to
maneuver safely (see Appendix A). Intentional scheduling will be necessary to accommodate all students in
each course. For events where, close contact between individuals is required to meet course objectives, social
distancing of six (6) feet should be maintained as much as possible and close contact should be limited to no
more than fifteen (15) minutes at a time. After each fifteen (15) minutes of close contact individuals should
wash their hands or use hand sanitizer. Simulation Center events should be designed to minimize individual
touch points and individuals should refrain from touching any unnecessary surfaces. When possible, students
should be assigned to work in pairs or groups of three to four throughout the semester, limiting interactions with
other students or moving about from one work station to another. Each event will have time built in either
before and/or after to accommodate disinfection.
Prior to Arrival on Campus
Prior to arriving on the Health Campus for Simulation Center events, all individuals (students, faculty, staff, and
standardized patients) will be required to complete a COVID-19 self-assessment screening survey (see
Appendix B).
If after completing the COVID-19 self-assessment, no symptoms or exposures are reported, individuals will
receive clearance to report to campus as indicated by a green checkmark. Individuals that report to campus, are
required to wear a clean face mask. If not wearing a face mask, individuals will be provided a face mask upon
Revised 2.22.2021entry. The face mask must be worn and social distancing of six (6) feet should be practiced as much as possible
in all Simulation Center spaces.
If an individual reports symptom(s) or a known exposure in the COVID-19 self-assessment screening, they will
be instructed to remain home and will be provided with instructions on the next steps. The individual should
inform their professor or supervisor of the situation.
Ventilation Rates
Building ventilation rates on the GVSU Health Campus are based on occupancy. At a minimum they are set at
seven (7) air exchanges per hour in classrooms and ten (10) air exchanges in labs. The air in the buildings on the
GVSU Health Campus is not recirculated.
Event Procedures
According to the Michigan Occupational Safety and Health Administration (MIOSHA), individuals
participating in educational laboratory or assessment activities fall into the Medium Risk Exposure category
(MIOSHA, 2020). Which is when individuals may have close contact (within six (6) feet) of the general public
(MIOSHA, 2020).
Medium Risk Exposure criteria defined by MIOSHA states individuals may need to wear some combination of:
gloves, gown, face mask, and/or face shield/safety glasses (MIOSHA, 2020). All Simulation Center events on
GVSU’s Health Campus at a minimum will require individuals to wear a 3-ply disposable procedure face mask.
The 3-ply procedure face masks will be provided. Once individuals receive their semester’s supply of 3-ply
procedure face masks they are to arrive on the Health Campus wearing this type of mask on the days they have
events in the Simulation Center. The 3-ply procedure face masks are only to be worn for the day of the event
and must be thrown away after use. The 3-ply procedure face masks are not effective if they become saturated.
If saturated, the 3-ply procedure face masks need to be replaced with a new one. Taking off and putting on
another mask should be conducted outdoors while practicing six feet of social distancing or in a closed office
space without the presence of others. Individuals may wear an N95 face mask without the respiratory valve or
KN95 face mask in place of a 3-ply procedural face mask.
For events requiring close contact (within six (6) feet), students and faculty will be provided and required to
wear one face shield or goggles, based on their preference and individuals will be required to wear two well-
fitted face masks. A 3-ply procedure face mask covered by a well-fitted cloth face mask. Wearing two 3-ply
procedure face masks is not acceptable. According to the Centers for Disease Control and Prevention (CDC),
wearing a 3-ply procedure face mask covered by a well-fitted cloth face mask substantially reduces potential
exposures to COVID-19 (Brooks et al., 2021). Wearing two 3-ply procedure face masks does not create as tight
a seal as one 3-ply procedure mask covered by a well-fitted cloth face mask (Brooks et al., 2021). Knotting the
ear loops of the 3-ply procedure mask and then tucking in and flattening the extra material close to the face
prior to adding a cloth face mask also improves source control and reduces potential COVID-19 exposures
(Brooks et al., 2021). Individuals may wear an N95 face mask without the respiratory valve or KN95 face mask
in place of double masking. N95 face masks or KN95 face masks should not be used with any type of second
mask on top or underneath (Brooks et al., 2021). The face shields and goggles will have to be cleaned and
reused throughout the remainder of the semester. Individuals will be responsible for cleaning their face
shields/goggles and bringing them to subsequent events. At each event requiring the use of face shields/goggles,
cleaning stations will be set up by the Simulation Team allowing for face shields/goggles to be cleaned with
approved COVID-19 disinfecting products prior to individuals leaving the event setting. Individuals using these
2
Edited 2.22.2021cleaning products are required to use gloves while cleaning and to wash their hands or use hand sanitizer
afterwards. Face shields do not replace the face mask requirement.
Hand Hygiene and Social Distancing
Immediately after entering the event space and prior to leaving, individuals will be required to wash their hands
with soap and water for a minimum of twenty (20) seconds or use hand sanitizer when soap and water are
unavailable.
Social distancing of six (6) feet should be maintained as much as possible and close contact should be limited to
no more than fifteen (15) minutes at a time. Handwashing or the use of hand sanitizer is required before and
after close contact with individuals. Gloves are not required for those circumstances where touching another
individual is required for physical exam. However, if an individual being examined asks that the examiner put
gloves on, that request must be honored.
Exam gloves will be available in every Simulation Center event setting.
Gowns
The use of patient gowns will be decided on an event by event basis in collaboration with the simulation team
and faculty.
Laptops and Headphones
Students and faculty should try to limit bringing any non-essential items into Simulation Center, i.e. coats, bags,
etc. These items can be stored in lockers, if available, throughout the buildings. Students may bring their own
laptops into Simulation Center events. The external surfaces of the student owned laptops must be cleaned prior
to setting them on any work surfaces. All Simulation Center computer keyboards will be covered with plastic
keyboard covers that must be disinfected in-between use. Many simulation events require students to observe
one another using designated GVSU computers. Students may bring their own headphones to use in the
Simulation Center with the GVSU computers. The computers in the Simulation Center do not have Bluetooth
capabilities. For students that chose to use the headphones provided by the Simulation Center, after use, the
students will be responsible for disinfecting the headphones with the provided cleaning solution.
Paper and Linen
The transmission of COVID-19 from touching paper or linen is minimal (Ren, et. al, 2020). In fact, absorbent
materials like cotton are safer than non-absorptive materials like isolation gowns (Ren et. al, 2020). However,
the use of paper forms or assessments, patient curtains, pillows, and linens during events will be discouraged
due to the difficulty of disinfecting them and should only be used when absolutely necessary. When these items
are needed, individuals should make sure to wash their hands or use hand sanitizer before touching or retrieving
items. Any paper forms or assessments should be made available to students electronically or laminated to
allow for disinfection. All used linens will need to be placed in a laundry hamper when finished. All hospital
beds will be striped of linen, except for the beds containing manikins. To reduce the risk of the blue dye from
the mattresses being absorbed and discoloring any manikins, a draw sheet will be placed under all manikins
placed in hospital beds in the Simulation Center.
Food and Drinks
3
Edited 2.22.2021When breaks are needed, students should be released in shifts in small numbers. Students may eat in designated
areas within the buildings or in outside spaces maintaining six (6) feet of social distancing. No food or drinks
will be allowed in the Simulation Center.
Cleaning and Disinfection
Prior to the start of Fall semester 2020 GVSU academic spaces including the Simulation Center are being
treated with MicrobeCare. MicrobeCare is a long-lasting protective coating that molecularly bonds to all
surfaces. The solution destroys microbes, disrupting the growth process and making it unable to reproduce,
effectively destroying potentially harmful organisms. The product is safe for skin, clothes, and the environment.
During the academic year campus custodial services will take care of the floors and trash within the GVSU
Simulation Center spaces, but it is everyone’s responsibility to clean shared surfaces after individual use.
GVSU Facilities Services is supplying disinfection solutions specific to COVID-19 which will be available
throughout the Simulation Center.
Individuals will be responsible for cleaning all surface tops and equipment they come in contact with during
Simulation Center events. Cleaning towels will be provided throughout the Simulation Center along with posted
directions on how to properly use the cleaning solutions and what cleaning products are safe for specific
equipment (see Appendix C). Individuals must wear gloves when using cleaning solutions and wash their hands
or use hand sanitizer afterwards. Cleaning towels once used for cleaning must be placed in the laundry hampers
available throughout the Simulation Center. The cleaning towels will be washed by a University contracted
service that meets OSHA healthcare standards.
Continuous evaluation of cleaning and sanitation best practices will be monitored by the simulation team and
changes made to cleaning procedures will be updated as needed.
Standardized Patient Events
Standardized patients will be required to wear at a minimum a 3-ply disposable procedure face mask during all
in-person student interactions. A 3-ply disposable procedure face mask will be provided for each event.
Standardized patients may wear an N95 face mask without the respiratory valve or KN95 face mask in place of
a 3-ply procedure face mask.
For events requiring close contact (within six (6) feet), standardized patients will be provided and required to
wear one face shield or goggles, based on their preference and individuals will be required to wear two well-
fitted face masks. A 3-ply procedure face mask covered by a well-fitted cloth face mask. Wearing two 3-ply
procedure face masks is not acceptable. According to the Centers for Disease Control and Prevention (CDC),
wearing a 3-ply procedure face mask covered by a well-fitted cloth face mask substantially reduces potential
exposures to COVID-19 (Brooks et al., 2021). Wearing two 3-ply procedure face masks does not create as tight
a seal as one 3-ply procedure mask covered by a well-fitted cloth face mask (Brooks et al., 2021). Knotting the
ear loops of the 3-ply procedure mask and then tucking in and flattening the extra material close to the face
prior to adding a cloth face mask also improves source control and reduces potential COVID-19 exposures
(Brooks et al., 2021).
Students will be required to wear full personal protective equipment (gown, gloves, 3-play procedure face mask
covered with a well-fitted cloth face mask face shield, bouffant caps, and booties) when examining standardized
patients. In-between student encounters, standardized patients will be required to clean surface areas they or the
students examining them come in contact with.
4
Edited 2.22.2021High Fidelity Manikin Events
Students and faculty will be responsible for cleaning any surfaces they come in contact with during high fidelity
manikin events, except the manikins themselves. Simulation team members will be responsible for cleaning the
manikins in-between student encounters.
Student or Faculty Led Practice Events
Student or faculty led practice events are allowable when Simulation Center spaces are not in use for scheduled
course events. However, the procedures outlined above must be followed.
Post Events
In order to accommodate subsequent Simulation Center events students and faculty will be asked to leave the
Simulation Center after the conclusion of the event’s designated timeframe.
Individuals who develop symptoms or are diagnosed with COVID-19 following attendance at a face to face
event in the Simulation Center are required to complete the self-report COVID-19 screening survey.
Checking-out Materials
Students and faculty may continue to check out equipment from the GVSU Simulation Center. All equipment
returned will be subject to cleaning with COVID-19 specific disinfectant solutions. According to a recent study
conducted by the REALM Project team (2020), trace amount of COVID-19 was found on paper products after
four (4) days of isolation. For Simulation Center items that cannot be disinfected with cleaning solutions the
items will be place in isolation for five (5) days before they can be lent out again.
Replenish Food Resource
The Replenish Food Resource will continue to be available to those in need Monday thru Friday, 8am-5pm in
CHS 353. However, all food supplies will be pre-packed. Individuals may stop by CHS 353, as needed, to pick
up one pre-packed bag.
5
Edited 2.22.2021References
Brooks, J. T., Beezhold, D. H., Noti, J. D., Coyle, J. P., Derk, R. C., Blachere, F. M., & Lindsley, W. G.,
(2021). Maximizing fit for cloth and medical procedure masks to improve performance and reduce
SARS-CoV-2 Transmission and Exposure, 2021. Morbidity and Mortality Weekly Report, 70(7), 254-
257. https://www.cdc.gov/mmwr/volumes/70/wr/pdfs/mm7007e1-H.pdf
Michigan Department of labor and Economic Opportunity. (2020, October 14). COVID-10 MIOSHA
Emergence Rules. https://www.michigan.gov/documents/leo/Emergency_Rules_10.14_705109_7.pdf
REALM Project (2020). Reopening Archives, Libraries and Museums report: Natural attenuation as a
decontamination approach for SARS-CoV-2 on five paper-based library and archives materials.
https://www.webjunction.org/news/webjunction/test2-results.html
Ren, S., Wang, W., Hao, Y., Zhang, H., Wang, Z., Chen, Y., Gao, R., (2020). Stability and infectivity of
coronaviruses in inanimate environments. World Journal of Clinical Cases 8(8), 1391-1399.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190947/pdf/WJCC-8-1391.pdf
6
Edited 2.22.2021Appendix A
Simulation Center Room/Lab Capacities
(Note: Some room capacities below will differ from the room capacities established by GVSU Facilities
Services. Facilities Service’s room capacity numbers are intended to be used when rooms are utilized as a
traditional classroom, where students remain seated and face the same direction. The room capacity
numbers below are intended to be followed when rooms are used as a lab and students/faculty are
moving around from one lab station to another.)
Building Room Use Square Social Sq ft /2 (to Capacity
Feet Distancing account for Approved
Capacity (113 furniture) / 6 ft
ft per person) social distancing
Cook-
DeVos
Center for
Health
Sciences
(CHS)
145 PA Classroom 1728 15 24 16
207 PT Therapeutics Lab 1746 15 24 18
215 Gait Analysis Lab 2120 18 29 12
233 Classroom 1363 12 17 13
253 PA/PT Assessment 2012 17 27 20
Lab
255 PA/PT Assessment 2829 25 39 20
Lab
307 Assessment Lab 1549 13 21 13
309 Assessment Lab 1280 11 17 10
315 Ward 1174 10 16 6
315A Control Room 149 1 2 2
315B ICU 168 1 2 2
315C Inpatient Room 150 1 2 2
315D Inpatient Room 177 1 2 2
315F Inpatient Room 177 1 2 2
315G Inpatient Room 154 1 2 2
331 SP Suite 290 2 4 3
331B SP Lounge 144 1 4 2
331 Outpatient Exam 138 1 2 2
C-M Rooms
336 Sim Office 285 2 4
337 Sim Support 171 1 3
340 Sim Conference Room 706 6 9 6
343 Sim Support 216 4
345 Sim Support 211 3
7
Edited 2.22.2021357 Movement Lab 1229 10 17 10
371 Model Living Suite 1132 10 15 8
407 A Sim Conference Room 1257 11 17 4
407B Inpatient Bay 348 3 4 2
407C Inpatient Bay 400 3 5 2
413 MLS 1367 12 18 13
415 Dosimetry Lab 957 8 13 14
415D Simulator 529 4 7 6
415E Monitor 216 2 3 2
421 MLS 1407 12 19 13
431 Sim Conference Room 724 6 10 6
455 Sim Lab 1752 15 24 18
469 Assessment Lab 1838 16 25 18
475 KISD 358 3 4 4
477 KISD 1219 11 16 13
Raleigh
Finkelstein
Hall (RFH)
11 ICS Angiomentor 674 6 9 5
Area
12 Sonography 1266 11 17 9
20 Gym 2363 21 32 23
121 OT Therapy Lab 1627 14 22 15
122 OT Flex Lab 1519 13 21 15
221 Classroom 1843 16 23 16
304 SLP Research 204 2 2 2
312 Communications Lab 277 2 3 2
321 SCS Adult Lab 902 8 12 9
323 CSD Observation 159 1 2 1
335 Vestibular lab 744 6 10 8
337A E.P. Control 81 1 1 1
337B E.P. Control 81 1 1 1
339 Sound Suite 216 2 3 2
339A Sound Control 104 1 1 1
339 B Sound Listening 102 1 1 1
342 Evoked Potential Lab 258 2 3 2
343 SLP Lab 1339 12 18 13
343A SLP Small Child Lab 149 1 2 1
349 Listening Lab 141 1 1 1
Traverse
City
Campus
UC 01 Primary Lab 896 8 12 9
UC 09 Lecture Room 733 6 10 7
8
Edited 2.22.2021UC 05 Secondary Lab 955 9 13 10
UC 06 Study Room 465 4 6 5
9
Edited 2.22.2021Appendix B
Self-report COVID-19 Screening Survey Links
Students/Faculty/Staff: https://www.gvsu.edu/hro/selfassessment-entry-edit.htm
Visitors/Standardized Patients: https://www.gvsu.edu/hro/selfassessment-visitor-edit.htm
10
Edited 2.22.2021Appendix C
Cleaning Solution, Contact Time, Directions, and Approved Use
I. Product: 70% Isopropyl Alcohol/30% Distilled Water Spray
Required Contact Time: Five (5) minutes
Directions:
1. Put on disposable exam gloves.
2. Pre-Clean shield or surfaces of all visible debris with soap and water.
3. Spray Alcohol solution on shield or surfaces. (Do NOT use on any electronic surfaces not included in the list
of approved electronic surfaces below.)
4. Keep surface wet for five (5) minutes.
5. Let air dry or wipe surface clean with paper towel after five (5) minutes.
6. Remove and discard disposable gloves & thoroughly wash hands with soap and water.
Approved for:
Face shields/goggles Light switches
All manikins Chairs
Injection pads Tables
All task trainer models Door Knobs
IV lines Sinks
Foley catheters Keyboard Covers
Chest tubes Computer mice
Blood pressure cuffs VR equipment
Thermometers Monitors
Pulse oximeters Headphones
Demo-dose medication vials Phones
Herman Miller cabinet equipment Walkie-talkies
Bedrails
Hospital bed control buttons
Laptop external surfaces
Soft sling-backs of wheelchairs
II. Product: Husky 814 Q/T Tuberculocidal spray
Required Contact Time: Ten (10) minutes
Directions:
1. Put on disposable exam gloves.
2. Pre-Clean surface first by removing visible dirt or debris with soap and water.
3. Spray HUSKY solution on hard, non-porous surfaces. (Do NOT use on any electronic surfaces).
4. Surfaces must remain wet for ten (10) minutes.
5. Wipe surface clean after ten (10) minutes.
6. Remove and discard disposable gloves & thoroughly wash hands with soap and water.
Approved for:
11
Edited 2.22.2021Hard, non-porous surfaces Bedside tables
Tables Exercise equipment
Non-porous surfaces of wheelchairs Chairs
Mat tables Rolling stools
Plinth/Exam tables Door knobs
Overbed tables Light switchers
III. Product: Protex Disinfectant Spray
Required Contact Time: Ten (10) minutes
Directions:
1. Put on disposable exam gloves
2. Pre-clean surface first by removing visible dirt or debris with spray and wiping clean, or, if safe for the
equipment, use soap and water.
3. Spray 6-8” from surface, until surface is thoroughly wet. (Do NOT us on any electronic surface).
4. Surfaces must remain wet for ten (10) minutes.
5. Allow surface to Air Dry or Wipe surface clean after ten (10) minutes.
6. Remove and discard disposable gloves & thoroughly wash hands with soap and water.
Approved for:
Hard, non-porous surfaces
Exercise equipment
Ultrasound transducers and probes.
IV. Product: PDI Super Sani Cloth Disposable Wipes
Required Contact Time: Two (2) minutes
Directions:
1. Put on disposable exam gloves
2. Pre-Clean surface first by removing visible dirt or debris with soap and water or an additional PDI Super Sani
Cloth.
3. Wipe entire surface thoroughly with wipe(s).
4. Surfaces must remain wet for two (2) minutes.
5. Allow surface to Air Dry or Wipe surface clean after the two (2) minutes.
6. Dispose of wipes in the trash. Then remove and discard disposable gloves & thoroughly wash hands with
soap and water.
Approved for:
Hard, non-porous surfaces with relatively small amounts of surface area and Butterfly probes. Use other
disinfectants, when possible, as the supply of these wipes is very limited.
V. Product: Bissell Sanitize Spray and Clorox Hydrogen Peroxide Cleaner Disinfectant
Required Contact Time: One (1) minute
12
Edited 2.22.2021Directions:
1. Put on disposable exam gloves
2. Pre-clean surface first by removing visible dirt or debris with spray and wiping clean, or, if safe for the
equipment, use soap and water.
3. Spray 6-8” from surface, until surface is thoroughly wet. Do NOT spray directly on any electronic surfaces.
4. Surfaces must remain wet for one (1) minute.
5. Allow surface to Air Dry or Wipe surface clean after the one (1) minute.
6. Remove and discard disposable gloves & thoroughly wash hands with soap and water.
Approved for:
Hard, non-porous surfaces
Exercise equipment
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