COVID-19 SCREENER GUIDE

1 COVID-19 SCREENER GUIDE . Personal Protective Equipment ALL SCREENERS: Level 1 procedure mask: Use one per person per day. The mask should be on continuously throughout shift with removal for breaks or lunch. Discard level 1 procedure mask if visibly soiled, wet, or damaged or at the end of your shift. Eye Protection (goggles/face shield/eye shield varies by site) these are reusable and should be cleaned with Clorox or PDI wipes in-between team member use. Use soap and water or alcohol swab to clear any foggy residue left behind on eye protection after cleaning. Eye protection PPE FAQ Link Resources to Contact Screening Table Leader Contact if you need help with nuanced Write site process for contacting cases that need leadership decisions or if Table Leader here: you have questions/concerns during you screening shift Connect with Site Contact if you need assistance in enforcing Write site process for contacting Public Safety the visitor exemption policy with an Public Safety Here: individual Contact Interpreter Contact if you need Interpreter services to Utilize iPad at screening desk, or if Services screen or talk to an individual about the no iPad available utilize this site visitor restrictions or screening protocol determined process.

2 Contact House Contact if you need a break or lunch Write site process for contacting Supervisor covered. house supervisor here: (for acute sites only). Other Site Contacts: 1|Page Created by COVID-19 Patient Access/Entry Team Updated COVID-19 SCREENER GUIDE . Entry Point COVID-19 Screening Daily Checklist Best practice recommendation for entry point site screening stations during COVID-19 visitor restrictions: To ensure the operational implementation of recent COVID-19 visitor restrictions protocols, a practice of designated leadership support (director or above) and a periodic presence at site level entry points is being recommended. This recommendation is based on ensuring team members have appropriate understanding of most current COVID-19 protocols as well as the latest tools and resources to execute protocols consistently.

3 Identify and resolve site specific challenges and barriers that arise during screening shift. Before starting new SCREENER shift Prepare Learn about screening process, updated materials and information by reviewing our COVID-19 Resource Center Talk with existing screeners to identify any new concerns/challenges from previous shift. Print any updated signage, screening logs or forms. Social Distancing Practices Create a conducive space Ensure visual cues are in place with appropriate distance in between markers: 6 feet apart Signage Screening Resources Most current screening forms Phone Scripting resources Binder for record keeping Language services iPad (where available) Masks for visitors and patients Site approved Disinfectant wipes Hospital visitor access policy Leader/Department phone numbers for Hospital Visitor Guidelines Grid assistance during shift Color-coded entry pass, stickers and wristbands (as appropriate).

4 PPE for screeners Level 1 Mask with ear loops Eye protection available for use if needed (reuse with cleaning). 2|Page Created by COVID-19 Patient Access/Entry Team Updated COVID-19 SCREENER GUIDE . 3|Page Created by COVID-19 Patient Access/Entry Team Updated COVID-19 SCREENER GUIDE . 4|Page Created by COVID-19 Patient Access/Entry Team Updated COVID-19 SCREENER GUIDE . Passes, Stickers, Bands, and Cards Visitor/Delivery /Vendor Patient Practice social distancing? Yes Yes Validate eligibility to enter? Yes NO. Ask screening questions? Yes Yes Deny entrance Allow entrance Use Scripting Resources Give patient Approved Pass. Write Failed Screening on the pass Failed screening Failed Screening If patient is unable to wear mask (see exceptions on page 7).

5 Write Unable to mask . Allow entrance Allow entrance Give Approved Pass to ED/Outpatient Give patient Approved Pass Companions and Retail Pharmacy Customers Give Visitor Band only to those visiting inpatients, or vendors going into hospital, ex: ACL Lab If patient is unable to wear mask (see Passed screening couriers/ Medspeed). exceptions on page 10). Write Unable to Write visitors name, today's date and room and mask . floor they will be visiting Optional Sticker offered to If person is unable to wear mask (see exceptions patients who are unable to mask on page 7). Entry is not allowed. Virtual Visitation that they wear during their is encouraged visit/stay with us. Face shields offered as an option to a mask. Bands/Card/Sticker Colors for each day of the week Monday: Aqua Thursday: Gray Approved Cards are located Tuesday: Orange Friday: BLACK.

6 On AAH Print Design Site and Wednesday: Lime Saturday: Teal can be ordered directly Sunday: Goldenrod 5|Page Created by COVID-19 Patient Access/Entry Team Updated COVID-19 SCREENER GUIDE . Universal Masking Masking Information (from Hospital Visitor Access policy). Universal masking requires everyone entering AAH facilities to wear an AAH approved mask (procedure mask or cloth mask) while in our facility, unless unable to safely do so. patients unable to safely wear a mask are permitted to enter, documentation or evidence of exception is not required. Visitors unable to mask will not be able to have in-person visitation and will be asked to utilize our virtual visits as a safe alternative. Universal masking across all AAH facilities is in accordance with CDC recommendations, IP/ID guidelines and aligns with our commitment to safety and our Safe Care Promise.

7 Exceptions for patients will be made when the risk outweighs benefits and patient would experience harm if required to wear a mask, examples include: a. Health or behavioral health concerns such as but not limited to: 1. Sensory disorders 2. Communication barriers 3. Autism spectrum disorder 4. Anxiety disorders 5. CDC recommends that Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or anyone who is unconscious, incapacitated or otherwise unable to remove the mask without assistance. b. Screening station team members will document status as unable to mask to inform the receiving department of the status for accommodations within the department in accordance with IP/ID guidelines.

8 Offer identifier options, sticker and face shield as options for patients (see page 8 for process details). c. ED patients and/or designated support person (POA, Patient Representative, Parent/Caregiver/Guardian etc.). that are unable to safely wear a mask or refuse to wear an AAH-approved mask will be evaluated by the ED. clinical team and triaged/treated in accordance with clinical protocols, guidelines and EMTALA. Involve ED team members in unique situation. 1. In the ED, visitors who refuse to mask but are necessary to appropriately triage/treat the patient may be allowed in accordance with protocol, guidelines and EMTALA. Unapproved masks include the use of N95 with exhalation valve, gaiter, bandana or face shield without mask which does not protect others from what is breathed out and the intended results of source control cannot be achieved.

9 In such instances, the patient/visitor will be provided a procedure mask to replace or apply over their personal valve respirator and/or under their face shield. If patient refusal occurs, the screening station will contact receiving department to inform them. a. Receiving department will cancel appointment and determine next steps for patient including notification of physician as appropriate for additional clinical follow-up. Remind visitors and patients to keep mask on for entire visit Masking at all times flyer 6|Page Created by COVID-19 Patient Access/Entry Team Updated COVID-19 SCREENER GUIDE . patients UNABLE TO MASK IDENTIFIER PROCESS. What Does the Identifier Process Include? Sticker offered to patients who are unable to mask that they wear during their stay with us.

10 Face shields offered as an option to a mask. Why Create an Identifier for Those Who Cannot Mask? patients who are unable to wear a mask due to approved reasons are being stopped several times during their stay on site and being asked to put on a mask. This is a dissatisfier and is causing anxiety for patient's while onsite. A visible cue to team members and other patients /visitors would help avoid situations where the unmasked patient is continuously asked to wear a mask. A cue will also help other patients /visitors understand why this patient was exempted from the mask protocol versus thinking we did not adequately enforce our masking guidelines. How Does the Identifier Process Work? When a patient states they are unable to mask due to health or behavioral concerns, please offer them the option of wearing the sticker and offer a face shield as an alternative.