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© G20040302 Working Safely during COVID-19

Working Safely during COVID-19...Working Safely During COVID-19 Contents 1.0 Background 3 1.1 Key Principles of 10 Steps to Safety 4 1.2 Coming into Work 5 1.3 IPC Safety Officers

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Page 1: Working Safely during COVID-19...Working Safely During COVID-19 Contents 1.0 Background 3 1.1 Key Principles of 10 Steps to Safety 4 1.2 Coming into Work 5 1.3 IPC Safety Officers

© G20040302

Working Safely during COVID-19

Page 2: Working Safely during COVID-19...Working Safely During COVID-19 Contents 1.0 Background 3 1.1 Key Principles of 10 Steps to Safety 4 1.2 Coming into Work 5 1.3 IPC Safety Officers

 

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Working Safely During COVID-19

Contents

1.0 Background 3

1.1 Key Principles of 10 Steps to Safety 4

1.2 Coming into Work 5

1.3 IPC Safety Officers 5

1.4 COVID Conduct in Public Areas 6

1.5 In the Workplace 6

1.6 Entering a General Ward/Clinical Environment 7

1.7 Moving within 2m of a patient (general ward/clinical environment): 8

1.8 Leaving the Patient Area (general ward/clinical environment 8

1.9 Leaving Ward/Clinical Environment 8

1.10 Leaving Work 8

1.11 Staff Movement between Clinical Areas during Shifts 9

2.0 Staff Screening 9

2.1 Approach 9

2.2 Screening Questions 10

2.3 Approach 10

2.4 Staff Screening During Outbreaks 10

3.0 Public Area Face Masks 11

4.0 Social Distancing 12

4.1 What is Social Distancing? 12

4.2 How Does it Work? 12

4.3 How Do I Do it? 12

5.0 Bio-Security Measures 14

5.1 Entrances and Exits 14

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5.2 Corridors & Common Areas (including rest rooms) 14

5.3 Waiting Areas 15

5.4 Office Areas 16

5.5 Meetings 17

5.6 Outpatient Areas 17

5.7 Social Distancing in Vehicles 17

6.0 References: 18

Appendix 1 19

1.0 Background

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During the COVID-19 pandemic the addition of bio-security measures such as staff and visitor access controls, safe ways of working and social distancing will make sure that, together, we keep our work place and services as safe as possible for both staff and patients. Bio-security measures are a range of initiatives aimed at promoting optimum safety for everyone coming onto our sites, accessing our services, or working within the community setting.

Why is this Needed? As we begin to enter the recovery phase of the pandemic we will gradually and safely be introducing the return of more of our services. This means that there will be more people accessing our sites and our facilities and therefore we are introducing additional measures (bio-security measures) to ensure that we keep everyone as safe as possible. These measures already include screening of all inpatients for COVID-19 so that they can be managed in the most appropriate designated area, and will now also include measures such as:

• secure entrances and exits • provision of and advice on the use of face masks outside of the clinical setting • provision of and advice on the use of fabric face coverings for use on public

transport when travelling to/from work • separate staff and visitor entrances and exits • 10 steps to safety for entering and leaving the workplace • Infection prevention and control safety officers • staff screening questions to identify those who may have symptoms and offer

support to help them to manage this • testing of staff for COVID-19 in accordance with national guidance • limiting visitors to our sites • advice on safe ways of working in different environments • advice on social distancing • encouraging each other to help support these measures and keep everyone safe.

“Keeping each other safe”

1.1 Key Principles of 10 Steps to Safety

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1.2 Coming into Work

1.  Coming  into  

Work  

 2.  

COVID  Conduct  in  Public  Areas  

3.  In  the  Work  

Place    

 4.  

Entering  a  Ward/Clinical  Environment    

 5.  

Coming  Within  2m  of  a  PaEent    

10.  Leaving  Work    

 9.  

COVID  Conduct  in  Public  Areas  

8.  In  the    Work  

Place    

 7.  

Leaving  a  Ward/Clinical  Environment  

6.  Leaving  the    PaEent      

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• Please do not travel to or from work in uniform (excludes community staff) • If using public transport please use the fabric face coverings provided • Please familiarise yourself with and use the dedicated entrances and exits for staff

on all sites. • Security checks will be in force at all entry points. • Please clean your hands upon entering the buildings and provide a valid ID for

checking • Staff will be asked some screening questions such as:

o If they have had a temperature over 37.8 or felt very hot or shivery cold in the last 48 hours

o If they have developed a new, dry, persistent cough in the last 48 hours o If they have developed a change or loss of taste or smell in the last 48 hours o If they share a household with or have associated closely with anyone who

has had the above symptoms or confirmed positive for Covid-19 within the last 14 days

Staff members may also have their temperature checked using the infrared thermometer

If they answer yes to any of the above questions and/or have a temperature 37.8°C, the member of staff will be asked to wear a face mask and to leave the hospital. Their details will be documented (name and place of work). They will be informed that they need to notify their manager to activate the HR process for staff testing. They will be advised that they should seek medical advice if unwell.

• After cleaning your hands please put on a face mask (not a fluid repellent surgical mask). Face masks used in public areas are different to clinical masks and will be a different colour (white)

• Infection Prevention and Control (IPC) Safety Officers will be available to give advice should you need it

• Please observe social distancing (keep 2m apart from others) if you have to queue at any of our staff entrance points

• Ensure your colleagues and teams are aware of these new safety measures • Stagger arrival and departure times if possible to reduce crowding into and out of the

workplace, taking account of the impact on those with protected characteristics. 1.3 IPC Safety Officers

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We understand that some of the changes we are introducing are new and may require different ways of working. We are providing IPC safety officers to help to support staff to adapt to these safer ways of working. The IPC Safety Officer is a trained member of staff who will help our staff to safely use PPE required whilst carrying out their duties and to maintain other important infection prevention and control principles such as social distancing. They will be trained, highly visible members of staff who will be able to help with the priority measures required to keep staff safe including:

• providing factual reassurance and support to staff in matters relating to PPE and IPC • providing supervision, support and training in matters relating to PPE and IPC • advising and supporting staff in other safety measures such as social distancing • being expert advisors to staff • supporting staff to confidently prioritise COVID-19 safety in the workplace

1.4 COVID Conduct in Public Areas Public areas are defined as any non-clinical areas either on the hospital sites/community buildings and include corridors, public staircases, on-site shopping/restaurant facilities/gardens/grounds etc.

• All members of staff should wear their public area face mask at all times in public areas when inside buildings, apart from when they move into a clinical area where they will need to change to a medical mask

• It is not necessary to wear public area face masks outside, however social distancing must be maintained

• Public area face masks should be worn even when social distancing (keeping 2m apart) is in place

• Public area face masks can be removed whilst the member of staff is outside but should be replaced on re-entry to buildings (see below for more advice on facial coverings)

• Staff should practice strict social distancing, keeping 2m apart at all times, whether inside buildings or in the communal grounds (see below for advice on how to socially distance).

• Staff are asked to follow directional signage where applicable • Staff are asked not to congregate in groups • Staff are asked not to overcrowd lifts and to consider taking the stairs if possible • Staff are asked to provide a sensible and sensitive challenge to other staff members

not adhering to bio-security measures including social distancing • Fluid repellent surgical masks should not be worn in public areas and staff should

not wear any additional PPE in public areas (unless transferring a patient).

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• IPC safety officers will be available to support and advise

1.5 In The Workplace

• Keep 2metres apart from others not within your household • Use your face mask at all times unless you are working alone • Staff are asked to follow directional signage where applicable • Don’t congregate in groups/mass gatherings • Clean your hands when coming into and when leaving your work place • Cover coughs and sneezes with a tissue, dispose of it and clean your hands

immediately afterwards • Keep your work area clean and clutter free. Clean daily • Risk assessments should be conducted to review office occupancy levels to

implement 2m social distancing. • Review layouts and processes to ensure staff work at least 2m apart. • Use floor tape/markings/signage to encourage staff maintaining 2m social distancing. • Ensure every other desk is vacant if necessary, if required remove chairs and

monitors, clearly labelling not for use. • Only where it is not possible to move workstations further apart, arranging people to

work side by side or facing a way from each other rather than face-to-face, maintaining 2m social distancing.

• Only where it is not possible to move workstations further apart, use plexi-glass screens to separate people from each other.

• Implement strict cleaning guidance before and after every use, including keyboards, mouse, telephones and desk tops. Maintain a local cleaning record.

• Encourage frequent hand hygiene or application of alcohol hand gel. • Do not share office stationery if possible. Any communal items should be cleaned

before and after use. • Avoid printing items unnecessary, encourage paperless working. • Adopt a clear desk policy at all times, dispose of unwanted items and take personal

possessions home. • Avoid use of hot desks and spaces, if no alternative wipe the area before and after

use, washing hands each time. • Consider use of a local log book to recording who has used which workstation if

track and tracing is required for staff • Consider implementing local log, recording who has used it to track and trace is

required for staff. • Managers are encouraged to display the Keeping COVID Safe document (Appendix)

within their work environment

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1.6 Entering a General Ward/Clinical Environment/Clinic

• Remove non clinical face mask, fold inwards on itself and place inside pocket/bag.

• Perform check point hand hygiene • Put on fluid resistant surgical face mask (FRSM) • Risk assess for eye protection (dependent on task) • Enter the clinical area • Follow directional signage where applicable

Entering a high risk clinical area (e.g CCU/HDU/AGP area):

• Remove non clinical face mask in donning area, fold inwards on itself and place inside pocket/bag

• Perform check point hand hygiene • Put on FFP mask, gown/coveralls/, gloves, apron, visor • Enter the clinical area • Follow directional signage where applicable • Change apron and gloves and perform hand hygiene between every patient • Use FFP mask, visor, gown/coverall for sessional use unless becomes

soiled/damaged 1.7 Moving within 2m of a patient (general ward/clinical environment/clinic):

• Add in the additional necessary PPE* - apron, gloves, eye protection • Change apron and gloves between every patient and perform hand hygiene • Use FRSM and eye protection for sessional use unless becomes soiled/damaged

1.8 Leaving the Patient Area (general ward/clinical environment

• Remove apron, gloves within patient care area (unless transporting clinical waste – in which case remove apron and gloves, clean hands and replace with fresh apron and gloves)

• Perform check point hand hygiene • Keep FRSM and eye protection on • Move into communal ward spaces (corridors/utility rooms etc)

1.9

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Leaving Ward/Clinical Environment • Remove FRSM ** • Perform check point hand hygiene • Put on public facing mask • Move into public areas

1.10 Leaving Work

• Please do not travel to or from work in uniform (excludes community staff) • Staff should remove their uniform and either place securely in a bag to take home

for washing, or leave at work for laundering. Staff laundering their own uniforms should wash at the hottest possible wash allowed for the garment.

• Remove your face mask. Your face mask is disposable and should be disposed of at the end of each shift.

• Please clean your hands upon exiting the buildings • Please wear your fabric face covering when travelling on public transport. • Your fabric face covering can be laundered with other household laundry.

*PPE must be used in accordance with PHE guidance and donned and doffed in the recommended order **High risk areas remove all PPE in designated doffing area 1.11 Staff Movement Between Clinical Areas During Shifts Where possible staff should not move between clinical areas during a shift. The working practices of individual clinicians and teams should be reviewed to minimise the chances of this occurring. This may need reconfiguration of working practices, or redesign of supporting services. Technology should be used where this is feasible. It is recognised that medical emergencies will occur requiring expertise based in other parts of the hospital – however contingency planning should be carried out to minimise the frequency of this including possible first responders from similar infection risk zones. Where movement between areas is considered essential staff must practice stringent IPC measures and try to adhere to the following:

Green Areas: When working in a Green Area of the hospital, staff may move around other Green and Public areas, following the advice above in relation to conduct within public areas.

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Yellow and Blue Areas: Staff should remain within Yellow and Blue areas for the duration of their shift where possible.

Where possible, staff should work a shift pattern which prevents them from moving from Blue and Yellow areas to Green areas on a shift-by-shift basis and have adequate refreshment facilities to limit the need for staff movement between areas during their shifts.

2.0 Staff Screening Screening staff on entry to the organisation is one of the key elements to maintaining site bio-security. This briefing paper outlines a self-declaration model for staff to use on a daily basis when they arrive at their place of work, to minimise the risks around covid-19 positive staff attending work. 2.1 The screening used follows guidance from Public Health England around the key signs and symptoms of Covid-19, and whilst it will be impossible to completely ensure that staff are free from the infection, it should ensure that any symptomatic staff are identified, referred for testing and isolated, thus keeping them, their colleagues and patients as safe as possible. This self-declaration can be used for staff working in the acute hospital setting; community settings and in non-clinical areas of the organisation.

2.2 Screening Questions Do you have any of the following symptoms:

• Fever or high temperature.

• New onset, persistent cough.

• Muscle pain/general ache (myalgia).

• Fatigue.

• Shortness of breath (Dyspnoea).

• a loss of, or change in, normal sense of taste or smell (anosmia) in isolation or in combination with any other symptoms

If you have none of the above symptoms you should go to work as normal, following the guidance around PPE.

If you have answered yes to any of the above questions you should not come into work.

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You should go home, inform your manager and self-isolate until testing is arranged for you.

2.3 Approach Posters containing the above questions will be placed at appropriate entry points to the hospital sites and in community hub buildings, with staff being asked to read and make decisions around whether they should be in work or not. Security staff at entry points will remind staff of the need to read the posters, but will not ask the questions of the staff member.

This approach will be a temporary, holding measure until such time that an electronic/online solution is made available for staff to use.

2.4 Staff Screening During Outbreaks Staff screening may be requested during outbreak situations. This will be conducted on the advice of the Infection Prevention and Control Team, in consultation with the Consultant Microbiologist/Virologist and the clinical leads of the area.

3.0 Public Area Face Masks Some people may have COVID-19 but be unaware as they will have no symptoms and will feel well, however they are still able to pass the virus onto others. The use of face masks has a role to play in preventing those individuals from accidentally passing on the virus to others, and it is therefore recommended that public area face masks are worn by staff when not in a clinical area but within a public area indoors.

Face masks are not generally required when outside providing you can maintain social distancing, however they are useful in enclosed spaces where social distancing is not always possible and you may come into contact with others who you would not normally meet. Face masks are not medical grade masks but are social level protection, and must not be used in clinical areas as a higher level of protection is required. Remember:

• Wear a face mask when outside of a clinical area but within a building/enclosed

space • Wear the face mask provided by and recommended by the organisation • A public area face mask is not the same as a facemask used as part of personal

protective equipment by healthcare and other workers. These facemasks must continue to be reserved for those who need it.

• It is important to use face-masks properly - ensure they cover your nose and mouth • Wash your hands before putting them on and taking them off

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• They should be disposed of after each shift in the clinical waste stream • These types of face masks must not be used in clinical areas, but must be removed

prior to entering the area. At the entrance to clinical areas these should be replaced by medical grade masks (FRSM or FFP), whichever is appropriate for that area.

• Do not use fluid repellent surgical face masks. • Put your public facing face mask on when entering public areas of the organisation

and when you may be coming into contact with other people and social distancing may not be possible.

• It is not necessary to wear your mask if you are in an office setting on your own, however if you have other staff working or visiting the office setting you should wear a face mask.

• If you are in a shared facility (rest area; porters base; food outlet or corridors etc., face masks should be worn.

• Face masks should be for sessional use – sessional use for face masks will be for the duration of that particular shift at work/day unless they become soiled/damaged/wet, in which case they should be replaced.

• At the end of the sessional use, they should be disposed of into the clinical waste stream (orange bags). A new face mask should be worn every day.

• Face masks should not be worn outside the work setting. • Visitors (non-staff members) will also be issued with face masks when they enter the

hospital setting and advised to keep them in place until they leave. • Community staff – it is not necessary to wear face masks in cars when travelling to

visits, unless the car is being shared by another staff member, in which case they should be worn. The face mask must be put on when entering a community building/patient home (if not within 2m of the patient), but must change to a medical grade mask when within 2m of the patient.

• Face masks need to be worn in all shared staff areas. • Wear your fabric face covering if travelling to/from work using public transport. • Launder your fabric face covering as you would your uniform/clothes/household

laundry

If you have symptoms of COVID-19 you and your household should isolate at home and follow PHE guidelines: wearing a face mask or fabric face covering does not change this.

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4.0 Social Distancing 4.1 What is Social Distancing? Social distancing is part of a range of measures, along with hand hygiene and regular cleaning of surfaces, aimed at controlling and reducing the spread of COVID-19. Social distancing aims to keep space between yourself and other people outside of your home, limiting the chance of coming into contact with individuals who may be infected and pass it on to others, even if they do not have symptoms themselves.

4.2 How Does it Work? In a pandemic one of the most important numbers is the reproductive number – referred to as “R”. This is the number of people who can become infected after contact with the virus, and pass this onto others. The R number within the UK was 2.7 – 3. The diagram below shows the effect of an R value of 3, with each person who is infected able to also infect another 3 people following contact, and spread the virus rapidly. Persons B and C took social distancing measures and by doing so stopped the chain of infection. The introduction of social distancing measures has brought the UK’s R number down to 0.5 -0.9. This means that the number of people being infected is falling and will continue to do so if we all use the measures recommended.

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4.3 How Do I Do it?

• Keep 2metres apart from others not within your household • Don’t congregate in groups/mass gatherings • Clean your hands when coming into and when leaving work • Cover coughs and sneezes with a tissue, dispose of it and clean your hands

immediately afterwards • Keep your work area clean and clutter free. Clean daily

Social distancing must be maintained at all times, this includes while arriving at and departing from work, while in work and when travelling between sites.

It’s everyone’s responsibility!

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5.0 Bio-Security Measures 5.1 Entrances and Exits

Additional measures:

• Dedicated entrances and exits for staff on all sites. • Dedicated entrances and exits for patients and visitors. • Some entrances may be locked. Please familiarise yourself with the entrances on

each site • Security checks will be in force at all entry points. • Your staff ID badge must be shown on entering the hospital and visible on site at all

times • Please observe social distancing if you have to queue at any of our staff entrance

points • Please clean your hands or use hand sanitiser upon entering our sites and clinical

areas • Ensure your colleagues and teams are aware of these new safety measures • Please wear the level of PPE recommended for you before entering any of our

clinical areas • Follow signs and markings and use one-way flow at entry and exit points • Stagger arrival and departure times for staff to reduce crowding into and out of the

workplace, taking account of the impact on those with protected characteristics. • Hand hygiene stations, including hand washing or hand alcohol gel should be

available at entry or exit points. • Where possible, ensuring strict fire prevention measures are adhered to prop doors

open to reduce the need for touch • Increased cleaning of handles and touch plates. • Use facilities such as bike-racks for staff that walk, run, or cycle to work where

possible. 5.2 Corridors & Common Areas (including rest rooms)

• Avoid gatherings of over two people,  maintaining 2m social distance at all times • Challenge where appropriate and remind others of our infection control measures • Politely remind colleagues, patients or visitors who are not social distancing or not

following instructions around safety and cleanliness • Stagger break times to spread out demand on staff rest rooms, retail or restaurants.

Keep communal areas clean and clutter free. No sharing of magazines or newspapers.

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• Use safe outside areas for breaks ensuring 2m distance. • Create additional space by using other parts of the workplace or building that have

been freed up by remote working. • Use of plexi-glass screens to protect staff in receptions or similar areas. • Providing packaged meals or similar to avoid fully opening staff canteens. • Encourage staff to bring their own food, appropriately storing and labelling items. • Prepare own food and drinks, not for other members of staff. • Reconfigure seating and tables to maintain 2m spacing and reduce face-to-face

interactions. • Regulate use of locker rooms, changing areas and other facility areas to reduce

concurrent usage. Specify maximum number at any one time depending on size, maintaining 2m social distance.

• Always store personal items and clothing in personal storage spaces, for example, lockers, and desk draws etc. Dispose of or take unnecessary items home.

• Reduce movement around buildings and other care organisations by discouraging non-essential visits.

• Introduce more one-way flow through buildings. • Reduce maximum occupancy for lifts and maintain 2m social distances whilst in use,

and encourage use of stairs wherever possible. • Ensure that people with disabilities are prioritised and able to access lifts readily. • Regulate use of high traffic areas including corridors, and walkways to maintain

social distancing. 5.3 Waiting Areas

• Minimise physical contact with patients and staff • Maintain social distancing (2m between individuals) • Implement a one way flow system to direct patients to avoid cross over. • Use signage/barriers and floor markers to instruct patients to remain 2m back from

the reception, and maintain 2msocial distancing from other patients and staff. • Adequately space or remove chairs to help maintain 2m social distance • Use protective plexi-glass screens at reception areas • Clean and disinfect frequently touched objects and surfaces such as workstations,

keyboards, telephones, and door handles. • Clean waiting room regularly and consultation rooms between patients • Ensure 2m social distance is maintained in consulting rooms, avoid unnecessary

persons being present. • Do not use magazines, newspapers, leaflets and other shared items in waiting

areas. • Promote hand washing or the use of hand sanitizer as much as possible

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• Ensure PPE is worn • Consider staggered times for appointments/alerting systems so that patients may be

informed/kept up to date with waiting times so that they do not congregate in areas

5.4 Office Areas

• Risk assessments should be conducted to review office occupancy levels to implement 2m social distancing.

• Face masks are required to be worn in shared office areas • Review layouts and processes to ensure staff work at least 2m apart. • Use floor tape/markings to encourage staff maintaining 2m social distancing. • Ensure every other desk is vacant, if required remove chairs and monitors, clearly

labelling not for use. • Only where it is not possible to move workstations further apart, arranging people to

work side by side or facing a way from each other rather than face-to-face, maintaining 2m social distancing.

• Only where it is not possible to move workstations further apart, use plexi-glass screens to separate people from each other.

• Implement strict cleaning guidance before and after every use, including keyboards, mouse, telephones and desk tops. Maintain a local cleaning record.

• Encourage frequent hand hygiene or application of alcohol hand gel. • Do not share office stationery if possible. Any communal items should be cleaned

before and after use. • Avoid printing items unnecessary, encourage paperless working. • Adopt a clear desk policy at all times, dispose of unwanted items and take personal

possessions home. • Avoid use of hot desks and spaces, if no alternative wipe the area before and after

use, washing hands each time. • Consider use of a local log book to recording who has used which workstation if

track and tracing is required for staff • Consider implementing local log, recording who has used it to track and trace is

required for staff.

5.5 Meetings

• In the first instance use remote working tools such as Microsoft Teams to avoid in-person meetings.

• Only absolutely necessary participants should attend meetings using floor signage to help people maintain 2m separation throughout,

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• Set capacity limits on larger meeting rooms, maintain distance by removing chairs, or demarcating where chairs can be.

• Avoid cross infection during meetings, for example, avoiding sharing pens and other objects.

• To avoid crowding, small meeting rooms should only be used for individuals • Ensure meeting etiquette while entering and leaving the room is practiced which

maintain 2m social distancing. • Ensure area is disinfected area after use, wiping down chairs and tables with

disinfection wipes provided by your employer.

5.6 Outpatient Areas

• Organise chairs in waiting areas 2m apart • Remove chairs in waiting areas if necessary • Stagger appointment times to enable social distancing • Consider directional signage

5.7 Social Distancing in Vehicles

• Avoid multiple occupancy vehicles where safe to do so. • Vehicles should not be shared by staff if possible. If more than one person in the

vehicle ensure face masksare worn or FRSM if having clinical contact with patients in the vehicle

• Limit passengers in corporate vehicles, for example, work minibuses. This could include leaving seats empty, label seat out of use with a laminated sign.

If it is not possible to keep a 2m social distance in a vehicle, consider additional safety measures:

• Ensure risk assessments contain mitigation measures where workers have no alternative but to work within 2m social distancing:

• Clear signage to outline what 2m social distancing measures in place. • Consider the use of face mask/facial covering • Single person or contactless refuelling where possible. • Use physical screening, providing this does not compromise safety, • Sit side-by-side not face-to-face and increasing ventilation where possible. • Use a fixed pairing system if people have to work in close proximity, for example in a

vehicle. • Ensure vehicles are well-ventilated to increase the flow of air, open windows.

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• Clean vehicles between different users. • Where staff have to directly pass things to each other (such as job information, spare

parts, samples, raw materials) find ways to remove direct contact, consider designated pick-up and drop-off collection points or transfer zones with markings  Disinfection wipes should be available to wipe items.

• Where possible and safe one member of staff to load or unload vehicles. • Minimise unnecessary contact in yards and warehouse etc. • Maximise use of electronic paperwork where possible, and review procedures to

enable safe exchange of paper copies where needed • Ensure drivers have direct access to hand washing facilities and alcohol hand gel. • Encourage drivers to stay in their vehicles where this does not compromise their

safety and existing safe working practice. • Frequent cleaning of objects and surfaces with disinfection wipes that are touched

regularly, including door handles, steering wheels, seat belts, fuel pumps, vehicle keys, and making sure there are adequate disposal arrangements.

• Ensure staff perform hand hygiene before boarding vehicles. • Ensure sufficient quantities of hand alcohol gel and disinfection wipes within vehicles

to enable staff to clean hands after each delivery or pick up. • Ensure the vehicle is left clean, cleaning log updated, waste removed and re-stocked

at the end of each shift.

6.0 References: HSE Guidance: Working safely during the coronavirus outbreak – a short guide (May 2020)

HM Government Guidance (GOV UK) Working Safely during Covid-19 (May 2020)

HM Government Working safely during COVID-19 in offices and contact centres (May 2020)

SAGE COVID-19: what are the options for the UK? Recommendations for government

based on an open and transparent examination of the scientific evidence. (May 2020)

UK Government: Our plan to rebuild: The UK Governments COVID-19 Recovery Strategy (May 2020)

Document Authors:

Linda Swanson Group Director of Nursing Infection Control Simon Featherstone Director of Nursing Stephanie Mills Group Assistant Director of Health & safety Louise Simpson Group Lead Nurse Estates & Facilities

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Appendix 1

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© G20040302

Collated for the Northern Care Alliance NHS Group by Linda Swanson, Group Director of Nursing Infection Control; Simon Featherstone, Director of Nursing; Stephanie Mills, Group Assistant Director of Health & Safety; Louise Simpson, Group Lead Nurse Estates & Facilities

Version 1 - 8 June 2020