Employ oyee T ee Training DOLI Emergency Standard
DOLI Standard 16 VAC 25-220, Emergency Temporary Standard Infectious Disease Prevention: SARS-CoV-2 Virus That Causes COVID-19
Training Requirements • The Standard – Requirements – Anti-Discrimination Provision – IDPR Plan • COVID-19 – Symptoms – Risk factors – Safe work practices – PPE
Standard Compliance • This standard shall not conflict with requirements and guidelines applicable to businesses set out in any applicable Virginia executive order or order of public health emergency • CDC guidelines • VOSH standards
Hazard Classifications • Employees fall into hazard classifications based on the risk of exposure to the SARS-CoV-2 virus Very – Very High High – High High – Medium – Lower Medium Lower
Determining Classifications Job/Task Duration/ Frequency Presence of of virus exposure Exposure Level Presence Working of known or distance suspected between COVID-19 people person # of Employees /size of work area
Hazard Classifications • Very High – Restrictive criteria • Aerosol generating procedures • Collecting and handling specimens • Autopsies – Specific medical and laboratory settings
Hazard Classifications • High – Providing healthcare or working within 6 feet of known or suspected infected persons • Healthcare workers • First responders
Hazard Classifications • Medium – Working within 6 feet of others • Schools • Correctional facilities • Banks, restaurants, stores, etc.
Hazard Classifications • Lower – Minimal contact with others; no need to work within 6 feet of others • Office settings
Employer Requirements • Create a HIPAA compliant system for reporting known and suspected COVID-19 cases • Implement Engineering Controls – Barriers – Modified Layouts • Implement Administrative Controls – Physical distancing – Restrict access to common areas – Staggered shifts/remote work – Hand washing/sanitizing – Cleaning/Disinfecting • Provide appropriate PPE
IDPR Plan • The Standard requires you to implement an Infectious Disease Preparedness and Response Plan • Training on your plan is required • The plan and training must be completed by September 25 th
Anti-Discrimination Provision • You may adhere to the DOLI Standard and raise safety concerns without fear of reprisal • You may refuse to work if you feel unsafe • You may provide and wear your own PPE if it does not create a greater hazard for you or others
Classification • SARS-CoV-2 (the virus) – Severe Acute Respiratory Syndrome Coronavirus 2 • COVID-19 (the disease) – Coronavirus Disease 2019
Virus Transmission • Believed to spread mainly from person to person through respiratory droplets • You may also be able to get it by touching a surface or object that has the virus on it, and then by touching your mouth, nose, or eyes • More likely in close contact – Within 6 feet
Virus Transmission • There is currently no vaccine • The best way to prevent illness is to avoid being exposed to this virus
COVID-19 Symptoms
COVID-19 Symptoms • Symptoms can range from mild to severe • Seek immediate medical care for these emergency warning signs of COVID-19: – Trouble breathing – Persistent pain or pressure in the chest – New confusion – Inability to wake or stay awake – Bluish lips or face
COVID-19 Symptoms • It’s also possible to be asymptomatic
Increased Risk Individuals • Older Adults (65+) • Underlying Health Conditions – Cancer – Serious heart conditions – Chronic kidney disease – Sickle cell disease – COPD – Type 2 Diabetes – Immunocompromised state (from solid organ transplant) – Obesity (BMI of 30+)
Increased Risk Individuals • These conditions MIGHT increase the risk – Asthma – Liver disease – Cerebrovascular – Pregnancy disease – Pulmonary fibrosis – Cystic fibrosis – Type 1 diatbetes – Hypertension or high – Thalassemia blood pressure – Smoking – Immunocompromised state – Neurologic conditions
Known or Suspected Cases • Stay home if you are symptomatic • Persons who are known or suspected to be positive for SARS-CoV-2 must be given a disposable face covering to wear until they can leave the site • Telework if possible
Returning to Work • Symptom based method – At least 10 days have passed since symptoms first appeared – No new symptoms have appeared – No respiratory symptoms or fever for at least 3 days without using fever reducing medication • Test based method – 2 negative tests have been collected at least 24 hours apart – No respiratory symptoms or fever without using fever reducing medication
Protecting Yourself • Wash Your Hands • Avoid Close Contact • Cover Your Mouth and Nose • Cover Coughs and Sneezes • Clean and Disinfect • Monitor Your Health
Avoid Close Contact
Cleaning and Disinfecting • Wait 24 hours if possible • Use an EPA approved product • Read and follow product directions • Pre-clean the surface • Follow contact time directions • Wear PPE • Wash hands after removing gloves • Not required for areas unoccupied for 7 days
PPE • Workplace and job tasks must be assessed to determine PPE – Face coverings • May request a religious waiver or be exempted for safety reasons • Increase risk of heat illness – Gloves
Face Coverings • Face coverings should: – Fit snugly but comfortably against the side of the face – Be secured with ties or ear loops – Include multiple layers of fabric – Allow for breathing without restriction – Be washed regularly – Be replaced if damaged
Gloves • Using Gloves – Cover open areas with a bandaid before putting on gloves – Discard a torn or ripped glove as soon as possible – Do not touch the outside of gloves while removing – Never reuse disposable gloves – Remove and dispose of gloves prior to leaving a hazard area – Wash hands after
COVID-19 and Work Comp • Will COVID-19 be covered under the Workers’ Compensation system? – WC is regulated by state law under the Virginia’s Workers’ Compensation Act. The state determines the compensability of claims, and currently the VA WC Commission appears to be treating COVID-19 as any other ordinary disease of life, placing a high burden of proof on the claimant
Additional Resources • Visit https://www.doli.virginia.gov/covid-19- outreach-education-and-training/ for more information related to the new COVID-19 Emergency Temporary Standard • Visit www.VACORP.org for additional COVID-19 related resources • Reach out to your VACORP Member Services Representative or Risk Control Consultant
Rest assured, with us, you’re covered. Reach out, we’re here for you. www.VACORP.org 1819 Electric Road, Suite C| Roanoke, VA 24018 Phone: (888) 822-6772 | FAX: (877) 212-8599 Risk Management | Coverage | Claims Resolution
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