COVID-19 Employee Training

COVID-19 Employee Training

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Revised 7/22/20

COVID-19 Employee TrainingThis training will review some of the important highlights from the COVID-19 Prevention policy, including• Face Mask Policy• Employee Screening Checklist• COVID-19 Resident Triage Procedure• How to Put On and Take Off Personal Protective

Equipment (PPE) • Cleaning and Disinfecting Procedure

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COVID-19 Employee Training

Face Mask PolicyThe NCI Face Mask policy aligns with the Maine Centers for Disease Control (CDC) standards.

1. If you provide hands-on care or interact with residents, you must wear a procedure mask at all times within the facility.

2. If you provide hands-on care to residents who are in quarantine, symptomatic, or who have tested positive for Covid-19, you must wear all appropriate PPE including face shields, goggles, gowns, and gloves, in addition to a N95 respirator mask. If you have not been approved for an N95 face mask use per the Respiratory Protection Program, you should use a procedure face mask in place of the N95. If you would like to be fit tested for an N95, ask your supervisor who will assist you with the process, which includes a medical questionnaire and attendance at a fit testing and training session.

3. Personnel who do not interact with residents (such as clerical staff who are not in resident rooms) will wear cloth face coverings or a procedure mask throughout a residential facility. When interacting with residents, they will wear a procedure mask.

4. Residents should wear a cloth face covering for source control whenever they leave their room or are around others, including whenever they leave the facility for essential medical appointments.

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COVID-19 Employee Training

Maine CDC Mask Guidance

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COVID-19 Employee Training

Face Mask Do’s and Don’ts

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COVID-19 Employee Training

Employee ScreeningBefore you enter a facility, you must be screened using the Employee Screening Checklist, which includes having your temperature taken by a designated facility employee at a designated checkpoint. Depending on the results of the Checklist, you may not be allowed to enter the facility. If this occurs during screening, be sure to inform your supervisor immediately.

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Supervisor: Please review the current Employee Screening Checklist with your employee.

COVID-19 Employee Training

Know the signs and symptoms of COVID-19These are the emergency warning signs for COVID-19: get medical attention immediately by calling 911. Emergency warning signs include:

• Trouble breathing• Persistent pain or pressure in the chest• New confusion, change in mental status or inability to arouse• Bluish lips or face

Daily, take the temperature of every residents and monitor for signs and symptoms of COVID19, observed or reported by the resident, and document results in PCC (for AL) or Caretracker (for ID and MH).

These symptoms may appear 2-14 days after exposure:

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• Fever of 99° or greater• New cough• Shortness of breath• Chills

• Muscle pain• Headache• Sore throat• New loss of taste or smell

COVID-19 Employee Training

If a resident has signs and symptoms of COVID-19, take these steps:

• Immediately call the resident’s Primary Care Physician (PCP) and assertively push for COVID-19 testing by telling the PCP that the resident lives in a long term care congregate living facility with many other elderly and/or vulnerable residents.

• Contact your supervisor!• Resident and their roommate must remain in isolation

separately until we receive a negative result. • If EMTs are called to your facility, meet them outside with

the resident whenever possible.

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COVID-19 Employee Training

NCI’s Resident Triage Procedure

Isolation Procedure• The resident with symptoms should be immediately isolated in a room

by themselves with a door that can be closed. • Roommates of individuals being tested should also be assumed positive

for COVID-19 and remain isolated until their roommate’s test results return negative.

• A bathroom or commode should be designated for each resident’s use while they are in isolation.

• In AL – ONLY CRMAs should enter the isolation room unless otherwise instructed by the CRMA on duty.

• In MH and ID – ONLY 1 or 2 designated CRMAs should enter the isolation room unless otherwise instructed by a supervisor.

• Employees must wear appropriate PPE every time they enter the isolation room.

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Precaution Kits

A precaution kit will be fully stocked and available at your facility in the event a resident is put under isolation precautions. Click here for the Precaution Kit List.

The precaution kit will include:• 3 signs that will need to be posted on the isolation room door• PPE sequencing guide • 10 Long-Sleeve Disposable Gowns• 10 Surgical Masks• 1 Box Gloves• 10 Face Shields or 2 Pairs of Goggles• 1 Bottle Hand Sanitizer• 1 Box Alcohol Wipes• 3 Trash Bins (open trash bins without lids)• 10 Trash Can Liners

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COVID-19 Employee Training

Personal Protective Equipment (PPE)If you are permitted to enter a resident’s isolation

room, the following PPE must be worn every time you enter the room.

1. Mask: Procedure or N95 2. Face shield or goggles3. Gown4. Gloves

Please watch the following video that describes how to correctly put on and safely take off your PPE: https://youtu.be/H4jQUBAlBrI

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COVID-19 Employee Training

Putting on Personal

Protective Equipment

(PPE)

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COVID-19 Employee Training

Removing Personal

Protective Equipment

(PPE)

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COVID-19 Employee Training

Personal Protective Equipment (PPE)What to do with your used PPE

1. Take off the gloves and gowns in the isolation room and throw them away in the designated “Disposable PPE: Gowns & Gloves” trashcan before leaving the isolation room.

2. Take off the goggles or face shield and place them in the designated “Reusable PPE: Face Shields” bin before leaving the isolation room.

3. Immediately after leaving the isolation room, take off your surgical mask and throw it away in the designated “Disposable PPE: Surgical Masks” trashcan located outside of the isolation room. Bag and tie the trash bag that contains the used surgical mask and dispose of it.

Only designated CRMAs are allowed to handle, disinfect, and dispose of used PPE. 14

COVID-19 Employee Training

1. Your facility uses a daily COVID Cleaning Checklist. 2. The Checklist is a minimum standard and will be used in addition to

facility-specific cleaning checklists and practices. 3. Your supervisor will ensure that you know where to access the binder and

that employees complete all the daily cleaning responsibilities listed on the checklist.

4. Using the Checklist as a guide, follow this procedure: • Wear disposable gloves when cleaning and disinfecting surfaces. Gloves should be

discarded after each cleaning. Wash your hands immediately after gloves are removed.

• If surfaces are dirty, they should be cleaned using a detergent or soap and water prior to disinfection.

• For disinfection, an EPA-approved household disinfectants for COVID-19 will be used. Follow the contact time required for each product. Contact time is the time the surface must be visibly wet with the product.

• For electronics such as iPads, tablets, touch screens, phones, remote controls, and keyboards, remove visible contamination if present. To disinfect, use alcohol-based electronic wipes or Clorox Disinfecting Wipes or sanitizing sprays containing at least 70% alcohol. Spray a cloth or paper towel then wipe the electronics; never pour liquids directly onto electronics.

COVID-19 Cleaning and Disinfecting Procedure

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COVID-19 Employee Training

Supervisors: an Answer Guide is located on SharePoint in Manager Documents>COVID-19 Resources

What would you do in each of these situations?1. A resident has a fever of 99.9 and is coughing.2. You are the designated CRMA who is caring for the resident who is in isolation.

What PPE do you need to wear before you enter the room?3. A resident is in isolation, their laundry was just cleaned and needs to be put away –

what should you do?4. Should you enter the room to clear the resident’s meals after eating or deliver the

resident’s mail? What should you do?5. After providing care to a resident who is in isolation, you exit the room and realize

there is no trashcan outside the door where you can remove your surgical mask -what should you do?

6. After providing care to a resident who is in isolation, you exit the room, walk into the medication room and realize you haven’t removed your PPE – what should you do?

7. After putting on your PPE and entering the room, you realize that you have touched your face with your gloved hands. What do you do?

8. When taking off your PPE, you realize that you touched your clothes with your gloved hand. What do you do?

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COVID-19 Employee Training