COVID-19 Employee Screening Survey Before Work


Survey for Symptomatic Employees Requesting Drive-Thru Testing

 

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Return to work instructions simplified

While our guidance regarding return to work after COVID exposure has not changed, we have simplified the grid to show only the instructions for the “contingency” phase we are in. We hope this will reduce confusion about which guidelines apply.

The full guidelines are here:

 

Updated pharmacotherapy guidance

The FDA announced November 30 that bebtelovimab is no longer authorized for emergency use in the U.S. because it is not expected to neutralize omicron subvariants BQ.1 and BQ.1.1., which based on CDC Nowcast data is above 50% in most regions of the country with a sustained trend of increasing prevalence across all regions (https://www.fda.gov/drugs/drug-safety-and-availability/fda-announces-bebtelovimab-not-currently-authorized-any-us-region).

Bebtelovimab was previously offered within the UK HealthCare enterprise for outpatient pediatric patients with mild-to-moderate disease and adult inpatients with mild-to-moderate disease admitted for reasons other than COVID-19.

There are alternatives to bebtelovimab to treat mild-to-moderate COVID-19, including nirmatrelvir-ritonavir, remdesivir, and molnupiravir. Use of these agents is outlined in our guidance documents.  Read more…

Community transmission level in Kentucky

This update taken from the CDC Tracker for community transmission describes the amount of COVID-19 spread within each county. Health care facilities use Transmission Levels to determine infection control interventions.

Map showing community transmission levels in Kentucky for COVID-19

NOTE: Current 7-days is Thu Nov 17 2022 – Wed Nov 23 2022 for case rate and Tue Nov 15 2022 – Mon Nov 21 2022 for percent positivity. The percent change in counties at each level of transmission is the absolute change compared to the previous 7-day period.

 

Community transmission level in Kentucky

This update taken from the CDC Tracker for community transmission describes the amount of COVID-19 spread within each county. Health care facilities use Transmission Levels to determine infection control interventions.

Community transmission levels in Kentucky as reported November 17, 2022

Note: Current 7-days is Thu Nov 03 2022 – Wed Nov 09 2022 for case rate and Tue Nov 01 2022 – Mon Nov 07 2022 for percent positivity. The percent change in counties at each level of transmission is the absolute change compared to the previous 7-day period.

Community transmission level in Kentucky

This update taken from the CDC Tracker for community transmission describes the amount of COVID-19 spread within each county. Health care facilities use Transmission Levels to determine infection control interventions.

Community transmission levels in Kentucky as of November 1, 2022
Community Transmission levels in Kentucky as reported on the CDC Tracker, Nov. 1, 2022.

Note: Current 7-days is Thu Oct 20 2022 – Wed Oct 26 2022 for case rate and Tue Oct 18 2022 – Mon Oct 24 2022 for percent positivity. The percent change in counties at each level of transmission is the absolute change compared to the previous 7-day period.

Masks remain required at this time

CDC guidance emphasizes matching actions to local conditions

On September 23, the federal Centers for Disease Control and Prevention (CDC) released updates for infection prevention and control measures for health care facilities. The guidance outlined situations where health care facilities can choose to discontinue universal source control (mask use).

Based on this guidance, UK HealthCare will continue universal masking of all employees, patients and visitors.

Health care settings reference a different metric

Please note that the overall CDC guidance takes into account two different metrics: COVID-19 community transmission and COVID-19 community levels.

  • COVID-19 community transmission is “the metric currently recommended to guide practices in health care settings to allow for earlier intervention, before there is a strain on the health care system, and to better protect individuals seeking care in these settings.”
  • Community transmission measures the presence and spread of SARS-CoV-2. See the CDC Tracker.
  • COVID-19 community level metric is recommended to guide practices in non-health-care settings. This metric focuses on “the impact of COVID-19 in terms of hospitalizations and health-care system strain, while accounting for transmission in the community.”

SOURCE: “Defining Community Transmission of SARS-CoV-2” under CDC Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 Pandemic, https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html.

At the time of these updates, most of the Commonwealth of Kentucky remains at high community transmission level and a moderate community risk level.

Kentucky community transmission from CDC Tracker on Oct. 6, 2022

Community Transmission in Kentucky as of Oct. 3, 2022

Entering respiratory illness season

In addition, as we head into winter season, an increase in incidence of respiratory viral illnesses is expected. Universal source control (masking) seems to be very effective in decreasing transmission of respiratory illnesses.

Therefore, for the time being, we will continue with universal source control (masking) for all health care workers, patients and visitors that work in clinical facilities (any facility where a health care worker could encounter patients).

We would also like to remind everyone to:

  • Receive their flu shot
  • Get vaccinated for COVID-19
  • Receive the bivalent booster vaccine
  • Stay home if you are sick
  • Wear proper personal protective equipment when caring for patients
  • Wash your hands

 

Hospital screening stations close as of Sept. 25

COVID-19 is becoming like the flu and other infections that are always circulating. Yet, because of the vulnerable nature of the patients we serve, we need to stay vigilant to maintain a safe environment of healing.

To this point, we have maintained screening stations in our hospitals even though the OSHA standards that required them expired last December. Actions that were taken in response to OSHA directives now need to transition into our regular operations.

At this time we believe we can safely can step down some of our procedures.

Screening stations at Chandler and Good Samaritan hospitals are closing. As of Sunday, September 25, visitors to the hospitals will be expected to self-screen using a supplied QR code that sends them to an online screener. Read more…

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