| Type: | Policy Owner: | | Policy | COVID Response Team |
| Title: | Document # | Revision Level: | Revision Date: | Approval: | | 14 Day Quarantine | ## | 1.0 | 01/08/2020 | TBD |
14 Day Quarantine
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 | | 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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