Effective Date: March 9, 2020
Revised: April 1, 2020
Purpose: To educate our employees and clients on our policy and information regarding COVID-19 (Coronavirus)
What is a coronavirus?
CDC is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in China and which has now been detected in almost 90 locations internationally, including in the United States. The virus has been named “SARS-CoV-2” and the disease it causes has been named “coronavirus disease 2019” (abbreviated “COVID-19”).
Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). A novel coronavirus (nCoV) is a new strain that has not been previously identified in humans.
The complete clinical picture with regard to COVID-19 is not fully known. Reported illnesses have ranged from very mild (including some with no reported symptoms) to severe, including illness resulting in death.
Take temp: Please take your temperature before each shift and report any temperature over 100.0° to the office and your primary care physician.
Washing hands: Wash hands with soap and water for at least 20 seconds upon arrival at client’s home, and periodically while on your shift. Always wash hands before and after assisting client with any type of care, as well as before leaving your shift.
Disinfecting: We are getting bleach to make disinfectant solution, to ONLY BE USED ON HARD
SURFACES: Please follow these guidelines for diluting, wear gloves while using, and make client aware so as to avoid any damage to property. All high touch surfaces should be wiped down at the beginning and end of your shift.
BLEACH DILUTION: Prepare carefully over a kitchen sink and use in a spray bottle:
5 TABLESPOONS (1/3 cup) bleach per 1 gallon water
4 TEASPOONS bleach per 1 quart (32 ounces) water
3 TEASPOONS bleach per 24 ounces water
2 TEASPOONS bleach per 16 ounces water
1 TEASPOON bleach per 8 ounces of water
Shoes: Please don shoe covers or bring an extra pair of shoes to keep at client’s home.
Masks: Masks are being distributed to all employees. Please wear them at client’s home at all times.
Gloves: Gloves are to be worn anytime an employee is providing personal care or assisting a client.
Gowns: Gowns have been provided to all staff. Please wear especially when performing close contact/personal care with clients.
Face Shields/Goggles: Have been provided to all employees. This is additional protection to be worn particularly with working ventilator dependent clients, while clients receiving nebulizer treatments, and/or when in close proximity of clients for additional protection.
Our goal will be to minimize any spread of the virus.
If someone (client/client’s family in the home or employee) tests positive for COVID-19, they will be required to follow his/her medical doctor’s guidelines for self-quarantine. Your doctor will determine when you are no longer at risk of transmission. We will require a doctor’s note releasing an employee back to work. For employees, if you should have to be out of work, you may use accrued PTO during your absence from work or EPSL in accordance with the FFCRA if you have not already used this for COVID. For clients/client’s family, we will want to know from your doctor that everyone in the home is no longer at risk of transmitting the virus. Unfortunately, due to the unknowns of this virus and the seeming susceptibility for it to spread, we will not be able to provide care in the client’s home until the virus is no longer transmissible by any family members living in the home.
If both client and caregiver have tested positive please contact the office about working - the CDC has approved guidelines that allow caregivers to continue to work if they are asymptomatic.
The virus is thought to spread mainly from person-to-person.
These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
Can someone spread the virus without being sick?
People are thought to be most contagious when they are most symptomatic (the sickest).
Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads.
Spread from contact with contaminated surfaces or objects
It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.
How easily a virus spreads from person-to-person can vary. Some viruses are highly contagious (spread easily), like measles, while other viruses do not spread as easily. Another factor is whether the spread is sustained, spreading continually without stopping.
Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.
The following symptoms may appear 2-14 days after exposure. *
Call your doctor if you…Develop symptoms, and have been in close contact with a person known to have COVID-19 or Have recently traveled to an area with widespread or ongoing community spread of COVID-19 such as China, Iran, Italy, or South Korea
There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19). The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:
There is no specific antiviral treatment recommended for COVID-19. People with COVID-19 should receive supportive care to help relieve symptoms. For severe cases, treatment should include care to support vital organ functions.
People who think they may have been exposed to COVID-19 should contact their healthcare provider immediately.
Call your doctor: If you think you have been exposed to COVID-19 and develop a fever1 and symptoms of respiratory illness, such as cough or difficulty breathing, call your healthcare provider immediately.
Follow the steps below: If you are sick with COVID-19 or suspect you are infected with the virus that causes COVID-19, follow the steps below to help prevent the disease from spreading to people in your home and community.
Handwashing is one of the best ways to protect yourself and your family from getting sick. Learn when and how you should wash your hands to stay healthy.
You can help yourself and your loved ones stay healthy by washing your hands often, especially during these key times when you are likely to get and spread germs:
Washing your hands is easy, and it’s one of the most effective ways to prevent the spread of germs. Clean hands can stop germs from spreading from one person to another and throughout an entire community—from your home and workplace to childcare facilities and hospitals.
You can use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.
Washing hands with soap and water is the best way to get rid of germs in most situations. If soap and water are not readily available, you can use an alcohol-based hand sanitizer that contains at least 60% alcohol. You can tell if the sanitizer contains at least 60% alcohol by looking at the product label.
Caution! Swallowing alcohol-based hand sanitizers can cause alcohol poisoning if more than a couple of mouthfuls are swallowed. Keep it out of reach of young children and supervise their use.
The complete policy is being disseminated to all clients and employees. Clients and Employees can contact the office should they need another copy of the policy.
Please go to the CDC for up-to-date guidelines and information: