14 Day Quarantine

Type: Policy Owner:
 Policy COVID Response Team

 Title:Document # Revision Level:  Revision Date: Approval: 
14 Day Quarantine##1.0 01/08/2020TBD

14 Day Quarantine

Process Time:  14 days

When to Use: Immediately upon awareness or notification that 14 days of Quarantine are required (Need verification of statement)

Where to Complete: verbiage? (In home?)

Performed by (Role): Mosaic Health Services (Is there a specific role or can this be performed by employee, contractor, etc.?. Coordination and Management document mentions Mosaic Health Services...is this a specific role?)

Materials Required: 



Work Instructions:


 1.- Validate Individual has experienced a Direct Exposure
Does Mosaic Health Services make the call to start quarantine of individual or can anyone invoke the 14 day quarantine for an individual?
  • If Individual has experienced a Direct Exposure then proceed to step 2, otherwise proceed to step ##

 2. - Start 14 Day Quarantine action
  • Proceed to Step 3
 3. - Review symptom list below and determine answer (yes or no) for each; If answer is yes to one or more of the listed symptoms then proceed to step 5

Symptom List:
  • New or worsening cough
  • Shortness of breath
  • Loss of taste
  • Loss of smell
 4. - Workforce person that is self screening AND Witness - sign available row of Employee COVID-19 Screening Form
  • Once all parties sign Employee COVID-19 Screening Form - proceed to step 6
(Should this step be included even if Step 3 is Yes?)
 5. - Symptoms or Fever Exists - Inform and Start Isolation:
  • Notify (in person? by phone? by email? all?) supervisor of Self Screening results (Evidence of fever and/or symptoms)
  • Return home (Qualifying Action - Go Home or at minimum Leave Mosaic premises?)
  • Start Self Isolation (Link to information?)
NOTE: Do Not Document/Record Information in Employee COVID-19 Screening Form
(Are there additional instructions/processes for witness?)
 6. - End

Who cleans area of Self-Screening once this process is complete?

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