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Employees_COVID 19

COVID-19 Information for Employees

(757) 668-7238

January 12, 2022


We are committed to protecting the health of our patients, families, and CHKD team members during the COVID-19 pandemic. We are working with campus partners; Federal, State and Local Government; VDH; CDC; and unified community emergency operations to maintain best practices for our care delivery.

NEW - COVID-19 Vaccine Information

Booster Shots Highly Recommended

The Omicron variant is now the dominant strain of COVID-19 in the US. It is highly contagious. The evidence so far indicates that a booster COVID-19 vaccine significantly increases protection against the virus. So, we strongly urge all team members to get a booster shot now and send that information to OccupationalHealth@CHKD.org.

Occupational Health will also be holding booster clinics in Med. Tower I, by appointment. Currently, we only have Pfizer for booster doses (Moderna primary series people can get Pfizer as a booster), click HERE for more information. Email OccupationalHealth@CHKD.org for an appointment.

The common cold, flu, COVID-19, and other respiratory illnesses all have similar symptoms. If anyone has symptoms of illness, they should stay home, call the Occupational Health call center at (757) 668-7661. Please remember that if you feel ill or have been exposed, you should also notify your supervisor by following your departmental call-out procedure.

Vaccination, mask-wearing, social distancing, hand washing, and limiting exposure to groups of people in social gatherings remain the core defense against infection from the COVID-19 virus.

Guidance for Unvaccinated Team Members

CHKD will no longer require team members who have approved medical or religious exemptions from the COVID-19 vaccine to be screened by their supervisors upon reporting for their shifts.

Unvaccinated team members must follow the requirements below.

  • Conduct daily self-monitoring. Stay home from work and call occupational health if you have any COVID-19 symptoms or a known exposure to COVID-19.
  • Wear an N95 respirator and eye protection when providing care to any patient known or suspected to be COVID-positive and when conducting any aerosol generating procedure on any patient.
  • Wear a procedural mask and eye protection in all patient-facing areas.
  • Wear a procedural mask in all office spaces and common areas unless distancing of greater than six feet is possible. Eye protection is recommended at all times for unvaccinated team members. Masks and eye protection may be removed when working alone in private offices or cubicles.

Pfizer Fact Sheets

Updated Pfizer fact sheets from the FDA.

Moderna Fact Sheets

Updated Moderna fact sheets from the FDA.

    Travel Updates - Domestic and International

    All CHKD team members should follow CDC guidance for safe travel, regardless of vaccination status or where you are traveling.

    Employee Travel Information

    All employees traveling domestically, by either commercial means or a personal vehicle, are no longer required to submit a travel form or quarantine after travel unless they have a known exposure or experience symptoms.

    All employees traveling internationally, should submit a travel form to occupationalhealth@chkd.org at least five days prior to travel. Quarantine after travel will depend on the country visited, vaccine status, and known exposure or symptoms.

    COVID-19 Screening

    COVID-19 Screening

    • All employees are required to complete the COVID-19 Virginia Occupational Safety and Health (VOSH) education and COVID-19 Employee Prescreening Acknowledgement Statement in HLC.
    • Use the CHKD COVID-19 Hazard assessment to determine the risk level for your position.
    • Low and medium exposure risk levels require only the completion of the COVID-19 Virginia Occupational Safety and Health (VOSH) education and COVID-19 Employee Prescreening Acknowledgement Statement in HLC.
    • High and very high exposure risk levels also require the completion of a peer-to-peer screening process. Temperature checks are no longer required. See updated peer-to-peer algorithm.
    • For positive employee screenings, please email or call Occupational Health.

    Self-Monitoring 

    Reminder: All employees are required to self-monitor for symptoms of COVID-19 prior to EVERY shift!

    Do you have any of the following symptoms?

    • Fever or chills.
    • New onset cough.
    • Shortness of breath.
    • New onset fatigue
    • New onset muscle or body aches.
    • Headache.
    • New loss of taste or smell.
    • Sore throat, congestion, or runny nose.
    • Nausea, vomitting, or diarrhea.

    *Be aware that signs of COVID-19 may appear similar to symptoms of seasonal allergies or a sinus infection.

    If YES:

    • Stay home. Do NOT report to work.
    • Notify your department leadership of fever, symptoms, any known COVID exposure, and inability to work.
    • Contact CHKD Occupational Health at 668-7852.
    • Seek medical evaluation if necessary.

    *Contract workers, temporary staff, residents, and students should contact Infection Prevention and Control instead of Occupational Health by calling (757) 668-7230 or (757) 668-8995. CSG team members should contact Dr. Randall Fisher.

    CHKD COVID-19 Screening Algorithms

    Masking Safely

    Masking Reminders

    Employees are required to wear CHKD-supplied procedural masks at work, unless they are wearing an N95. This is required in all CHKD Health System buildings, including locations that don't see patients, whenever physical distancing of 6 feet cannot be maintained. Tips to ensure you are masking properly can be found here. 

    An N95 respirator must be worn when providing care to any patient known or suspected to be COVID-19 positive and when conducting an aerosol-generating procedure on any patient.

    Masks should be changed daily. Cloth masks can be worn to and from the workplace at the beginning and end of shifts.

    Most departments will find these masks already stocked on their supply carts. Those who do not have supply carts can order them directly from the warehouse using their normal ordering methods.

    Please see information on ordering masks below:

    COVID-19 for Employees - Mask Ordering

    Use #1308 when ordering from the warehouse. The unit of issue is one box. Each box has 40 masks.

    Eye Protection is Still Required

    Eye protection, in addition to a medical-grade mask, is required for staff members in the following situations:

    • When entering the room or treatment of any patient, in both the outpatient and inpatient settings
    • During all direct contact with patients in which an engineering control such as a cough/sneeze guard is not available.

    Please note: Eyeglasses are NOT PPE. Guidance for preserving your eye protection can be found here.

    Medical Mask Exemptions for Children

    The pediatricians of CHKD Medical Group and the pediatric subspecialists of Children’s Specialty Group have developed a unified statement for local school systems regarding medical mask exemptions for children and supporting materials to help children wear masks comfortably. Please make use of the following documents:

    Infection Prevention and Control

    Why the Change to N95 Use for COVID-19

    As many of you are aware, a change to N95 respirator use was recently made. Read why this was necessary here.

    Safety Regulations for Common Areas

    The Virginia Occupational Safety and Health Program (VOSH) and Virginia Department of Labor and Industry (DOLI) have recently released new Emergency Temporary Standards to slow the spread of COVID-19. While CHKD policies already meet or exceed most of the standards, we will be adopting new practices for common areas like conference rooms and break rooms to be in compliance with this new guidance.

    All employees are required to:

    • Adhere to maximum occupancy requirements in common areas, e.g., break and conference rooms. Facilities personnel will be visiting all sites to measure and determine maximum occupancy. Signs will be installed listing maximum occupancy.
    • Complete proper hand hygiene before and after eating and drinking.
    • Maintain at least six feet of distance between you and others whenever you take your mask off.
    • Clean and disinfect the immediate areas you use in common areas, e.g., break and conference rooms, prior to leaving the area. Please use CHKD-supplied cleaners and disinfectants, which meet requirements to kill SARS CO-V2 and other pathogens. These can be ordered by managers/directors who will receive ordering instructions via email. Each product has a "Contact Time" or total time it takes to kill the germs.

      Thank you in advance for keeping our shared workplaces as safe as possible.

      Protecting Yourself from Infection

      Please access the updated PPE requirements here. And please don’t hesitate to contact Infection Prevention and Control for any clarification or questions.

      Department Handouts and Signs

    Treatment Guidelines

    Guidance on post-COVID-19 primary care

    All patients with illness related to COVID-19 infection should have at least one conversation or visit with their PCP.

    For patients discharged from the hospital after COVID-19 infection or MIS-C but are still under isolation, a telehealth visit is recommended within 2-3 days of hospital discharge.

    For those with moderate or severe symptoms of COVID-19 or MIS-C, an in-person evaluation by their PCP is recommended after symptom resolution and completion of isolation and family quarantine.

    No exercise or sports until cleared by PCP. Please follow the AAP interim guidance for return to sports linked in the resources section below. 

    *Note: For children and adolescents with severe COVID-19 symptoms or MIS-C, it is recommended they be restricted from exercise for a minimum of 3 to 6 months and obtain cardiology clearance prior to resuming training or competition.

    When discussing care for children and adolescents recovering from COVID-19 and or MIS-C with parents, please provide them with this printable handout.

    Resources:

    Post-COVID-19 Conditions in Children and Adolescents

    COVID-19 Interim Guidance: Return to Sports and Physical Activity

    Please note, these pages may be updated routinely with new guidelines.

    For persistent (>3 weeks) post-COVID-19 symptoms impacting activity/daily function consider:

    - Referral to CHKD Rehabilitation physical therapy for general fatigue and decreased mobility/endurance.

    - Referral to CHKD Sports Medicine physical therapy for fatigue/endurance challenges and return to sport guidance.

    - Referral to Pulmonary for persistent dyspnea.

    - Referral to outpatient PM&R for:

    • Residual fatigue impacting daytime alert state and school attendance.
    • Cognitive processing challenges.
    • Dizziness/orthostatic intolerance.

    Visitor Limits 

    Visitor restrictions as of Wednesday, January 12 

    To help keep our patients and team members safe, we are diligently working to reduce the risk of potential exposure to COVID-19 and other contagious illnesses. These efforts include limits on the number of visitors.

    Doctor’s appointments and other outpatient visits: Two visitors may accompany a patient. When necessary, one of the two may be the patient's sibling.

    Urgent Care visits: One parent/guardian may accompany their child to any of our locations.

    Inpatient/Outpatient Surgery at the main hospital or at a CHKD surgery center: Two adults may visit during your child’s surgery.

    Hospitalized Patients: Children may have two designated adult visitors for the duration of their stay. They must be parents or caregivers. No siblings or others are allowed. Two visitors may be at a patient’s bedside at a time. Medical assistants who help with activities of daily living are always allowed.

    Hospitalized patients with a positive COVID-19 test and persons exposed to or under investigation for COVID-19: These patients may have two designated visitors (parents or caregivers) for the duration of their stay, but only one visitor is allowed to be in the hospital at a time. The two designated visitors can swap out once in every 24-hour cycle. Parents in this category will receive additional visitation limits from their child’s care team.

    Visitors to all CHKD facilities are required to wear a mask over their nose and mouth at all times, including inside patient rooms (except when sleeping).

    Visitor Signs

    Authorized Visitor Designation Form

    Download a copy of the visitor designation form here - (December 2021)

    CHKD COVID-19 Dashboard

    Statistics for CHKD Covid-19 testing will be provided weekly for employees interested in seeing the data trends. A few key points when reviewing these visualizations:

    • Test data represents the PCR and RP2 tests we perform at CHKD on CHKD patients starting on 03/01/2020.
    • Antibody testing data is not included

    Every Friday we will update these slides with the most current data.

    For a summary of COVID-19 inpatient data, click here.

    Occupational Health

    COVID-19 Consent Forms

    COVID-19 Immunization Consent Form - English

    COVID-19 and Pregnancy

    The CDC’s list of underlying medical conditions that put individuals at increased risk for severe illness has been updated and now includes pregnancy. The CDC advises that COVID-19 infections may also increase the risk of adverse pregnancy outcomes, such as preterm birth. Read more here. In addition, the CDC reminds women who are pumping breast milk at work to take extra cleaning precautions.

    Any employee who would like to request accommodations based on their level of risk should contact occupational health at (757) 668-7852.

      Criteria for Employees Exposed to COVID-19

      • Employees who have been exposed to the COVID-19 virus at work will be assessed according to the CDC risk exposure factors, available at this link: CDC Exposure Risk Categories in Healthcare Personnel. If the employee is quarantined, a leave of absence will be provided.
      • Employees who have been exposed to COVID-19 outside of the workplace through personal contact or travel will be assessed according to CDC guidelines. If they are quarantined, these employees will be eligible to use their paid leave banks.

      Concerned About Exposure?

      If you are worried that you have been in contact with a community or family member under suspicion for COVID-19 (NOT CONFIRMED), please contact your PCP, urgent care, telehealth provider, or connect to MDLIVE, by signing in to your secure member portal or the Optima Health mobile app for advice. Please keep your manager up-to-date with results, and then please contact the relevant department listed below for return to work guidance.

      Return to Work Guidance

      All return-to-work guidance after COVID-19 exposure or infection must be coordinated through the proper channels: Occupational Health for CHKD Health System employees, Dr. Randall Fisher for CSG providers and employees, and through Infection Prevention and Control for contractors, vendors, and others. A negative result from an at-home test is not sufficient for return to work.

      Human Resources

      Optima EAP COVID-19 Recovery Plan for Staff

      Organizations that have experienced changes in their operations due to COVID-19 are busy making recovery plans, including CHKD. However, your own personal recovery plan is just as important as the organization's. A personal plan can help you re-engage in the most productive way possible as we continue to develop new protocols throughout the health system. Consider these tips from Optima EAP as part of your own recovery plan.

      Optima EAP COVID-19 Resource Center

      Optima EAP’s COVID-19 Resource Center is loaded with information to help you stay safe and thrive during this challenging time.

      Optima EAP Resource Center Link

      COVID-19 CHKDHS Employee Benefit Related Information

      The following information has been provided by our benefit vendors. Please feel free to download and share this information as needed.

      NOTE: The MDLive related links below provide information related to a NEW BENEFIT that was added to our CHKDHS Health Plans effective March 23rd. Telehealth visits through MDLive are now covered at NO COST until February 28, 2021. Please review the documents below for more information.

      IMPORTANT: When accessing MDLive you will need to have your Caremark Prescription information available in case you are prescribed medication.

      Child Care

      We understand that many employees are struggling with child care issues. Below are some options in our region.

      The Y Announces E-Learning Academy Full-Day Childcare

      The Y is now offering a flexible, full-day childcare option that will allow you to pick the days you need childcare, and will be designed to ensure that your child can complete their virtual learning as laid out by their school in a safe and nurturing environment at the Y. Registration is going on now and spots are limited. Get more details and register. Please complete our anonymous childcare survey to help CHKD assess the effect of remote learning in our schools.

      Childtime Learning Centers Offering Discounted Enrollment

      Childtime Learning Centers is now offering open enrollment for children of healthcare staff. The registration fee is waived along with a 10% discount to CHKDHS staff. Childtime has eight convenient locations with full and part time openings

      For more information, call Amber Vere at (757) 421-2718 or visit Childtime.com.

      Enhanced Family Support from Sittercity/Bright Horizons

      As part of CHKDHS’ commitment to provide support to employees and families during this challenging time, we are excited to announce that ALL CHKDHS employees (full & part-time & PRN) will have access to Bright Horizons Enhanced Family Supports™. Learn more at the links below:

      Staff Absenteeism Policy

      Click here to read the COVID-19 staff absenteeism policy.

      Staff Support

      Mental Health and Coping During COVID-19 Webinar

      For those who missed the free Optima Health webinar "Mental Health and Coping During COVID-19", it is now available on demand for you to view on the Optimaeap.com website. Login instructions are as follows:

      Support U is Here to Help

      When stressful events take place, recognizing that you need a little support is the most important first step to processing difficult emotions. Support U is here to help.

      The Support U team is made up of CHKD peers who are available to offer reassurance and support to providers who may need help. These volunteers can include physicians, nurses, pharmacists, pharmacy technicians, respirator therapists, social workers, and chaplains.

      Each member is dedicated and trained to support peers who need help or advice.

      To contact a Support U team member, email SupportU@CHKD.org.

      Tips for Coping with Stress

      Signs of stress are normal and may be more common in people with loved ones directly affected by the outbreak. In the wake of this pandemic, monitor your own physical and emotional health. Know the signs of stress in yourself and your loved ones. Knowing how to cope with stress, and when to get help, will make you and your community stronger.

      For more tips on easing stress during this difficult time, click HERE.

      Care for Caregivers

      To support our caregivers who are tirelessly supporting our patients and families, we have compiled the following list of resources intended to help you cope with stress and anxiety:

      Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak, Substance Abuse and Mental Health Administration

      Taking Care of Your Emotional Health, Centers for Disease Control and Prevention

      Mindfulness and Relaxation

      Free Guided Meditations (resource only, not endorsed or promoted by CHKD)

      Virtual Counseling

      Optima EAP Virtual Counseling

      Finance

      GL Code for COVID-related Expenses

      The organization has established a GL code for any purchases related to our COVID-19 response. Please contact Walt Soto or Karen Mitchell for more information.

      Finance has prepared the following instructions to help with timecards and tracking expenses related to CHKD’s COVID-19 response.

      New Expense Coding Guidelines

      To ensure COVID-19 expenses are accurately coded and proper supporting documentation exists, please use these updated COVID-19 Expense Coding Guidelines. This will support any eligible expenses to be submitted for public assistance reimbursement.

      New Employee Pay Codes

      Click the following link for COVID-19 Related Specific Work Hours and Employee Leave pay codes.

      General Information

      Requesting a Medical Record

      In an effort to protect the health and safety of our patients, families, visitors, and staff, our release of information department is no longer open to the public. If someone asks for a copy of their child’s medical record, please direct them to our website (CHKD.org) where they will find an authorization request form and information on how to go about receiving their child’s medical record. They can either fax, email, or mail the form to us. Once their request is received, it may take up to 30 days to process. Questions? Please contact our health information management team at (757) 668-7764 or email HIMRecordRelease@CHKD.org.

        (757) 668-7238