Document for Rehabilitation Staff Re: Managing teams of people with disabilities in the era of COVID-19

 

March 13, 2020

 

Watch for symptoms

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.*

• Fever
• Cough
• Shortness of breath

Fever          Cough          Shortness of Breath

 

Separate sick employees:

• CDC recommends that employees who appear to have acute respiratory illness symptoms (i.e. cough, shortness of breath, fever greater than 100.4 degrees) upon arrival to work or become sick during the day should be separated from other employees and be sent home immediately.

o Digital thermometers have been purchased for Auburn, Grass Valley, Fairfield, S. Sacramento, N. Sacramento, Yuba City, & Auburn Transit and will be shipped directly to those locations.

o For employees that are not enrolled in Kaiser or Anthem health plans, a Doctor on Demand app will be available on the company cellphone of all case managers for proper triage and evaluation of employees that are suspected of having the virus.

• Sick employees should cover their noses and mouths with a tissue when coughing or sneezing (or an elbow or shoulder if no tissue is available).

 

PROCEDURE:

1. At corporate:

a. If the employee can drive themselves, they should be advised to go home.

b. If the employee cannot drive themselves or are a person with a disability dependent upon transportation, contact George N. for a location to isolate the individual from the general population. Time will be limited to a maximum of 2 hours before release.

c. Employees who exhibit symptoms will be moved to the isolation room for holding and comfort. If this is an employee with a disability, management will assign a trained case manager to remain nearby until the person is evaluated by public health (if requested by authorities) and released to home self-care.

d. The isolation room will be sanitized by building janitorial staff trained in decontamination and personal protective equipment.

2. At the offsites (Auburn, Grass Valley, etc.)

a. If the employee can drive themselves, they should be advised to go home.

b. If the employee cannot drive themselves or are a person with a disability dependent upon transportation, identify a room away from the general population to isolate the individual from the general population.

c. The isolation room will be sanitized by building janitorial staff trained in decontamination and personal protective equipment.

d. When there is a diagnosis of COVID-19, close for 48-72 hours to provide opportunity for full disinfection of the facility. Check with Vic Wursten for further information.

 

Social Distancing

• Rehabilitation is stretching-out the length of lunchtime at Corporate so we can have fewer people in the lunchroom at one time (i.e., social distancing).

• It is recommended that where possible, salaried personnel work from home.

• For critical personnel and hourly personnel, it is recommended that all persons maintain a 6-foot personal buffer of space from all other people and practice good personal hygiene.

• A handwashing flyer was sent out from Human Resources to Rehabilitation on March 11. This information must be shared with all case managers and job coaches and they should observe handwashing of employees that require supervision.
Actively encourage sick employees to stay home:

• Employees who have symptoms of acute respiratory illness are recommended to stay home and not come to work until they are free of fever (100.4° F [37.8° C] or greater using an oral thermometer), signs of a fever, and any other symptoms for at least 24 hours, without the use of fever-reducing or other symptom-altering medicines (e.g. cough suppressants). Employees should notify their supervisor and stay home if they are sick.

• For employees that do not have sick leave or vacation time, unemployment benefits and/or State of CA STD may be available. Check with Human Resources for more information.

 

Sources:

https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fspecific-groups%2Fguidance-business-response.html

https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/guidance-community-faith-organizations.html

https://www.ahcancal.org/facility_operations/disaster_planning/Documents/EID_Sample_Policy.pdf