{"id":23159,"date":"2020-06-08T11:53:07","date_gmt":"2020-06-08T11:53:07","guid":{"rendered":"https:\/\/www.process.st\/templates\/ecc-alberta-health-services-covid-19-pre-screen-procedures-for-essential-personnel\/"},"modified":"2024-05-16T06:56:08","modified_gmt":"2024-05-16T06:56:08","slug":"ecc-alberta-health-services-covid-19-pre-screen-procedures-for-essential-personnel","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/ecc-alberta-health-services-covid-19-pre-screen-procedures-for-essential-personnel\/","title":{"rendered":"ECC\/Alberta Health Services: COVID-19 Pre-Screen Procedures for Essential Personnel"},"content":{"rendered":"\n<section id=\"introduction\">\n <h2>Introduction:<\/h2>\n <div class=\"image-content\">\n  <figure>\n   <a href=\"https:\/\/ps-attachments.s3.amazonaws.com\/a98152da-addc-40c5-bb36-9eefea72ecd6\/lsLqtD6n5INR18LM0NZIpw.png\" alt=\"Introduction:\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/ps-attachments.s3.amazonaws.com\/a98152da-addc-40c5-bb36-9eefea72ecd6\/lsLqtD6n5INR18LM0NZIpw.png\"> <\/a><!-- No caption -->\n  <\/figure>\n <\/div>\n <div class=\"text-content\">\n  <p>This checklist template is part of our&nbsp;<a href=\"https:\/\/www.process.st\/coronavirus-workplace-processes\" rel=\"nofollow noopener\" target=\"_blank\">Coronavirus Workplace Processes<\/a>&nbsp;pack.<\/p>\n  <p>It was built following the procedures outlined by the&nbsp;<strong>Emergency Coordination Centre (ECC) at Alberta Health Services<\/strong>.<\/p>\n  <p>Essential workers are at very high risk of exposure compared to those in other professions.&nbsp;This means there's always a risk for staff and customers if employees attend work while experiencing COVID-19 symptoms. To minimize the spread of viruses, we built this checklist to help <strong>screen essential personnel for fitness for work<\/strong> based on COVID-19 symptoms and exposure risks. This checklist should be completed prior to personnel reporting to their workplace to ensure employees are attending work in good health and helping keep the rest of your staff and customers safe.<\/p>\n  <p>You can edit this template with form fields and widgets to better suit your team's needs. This template makes use of <a href=\"https:\/\/www.process.st\" rel=\"nofollow noopener\" target=\"_blank\">Process Street<\/a> features like:&nbsp;<strong><a href=\"https:\/\/www.process.st\/help\/docs\/conditional-logic\/\" rel=\"nofollow noopener\" target=\"_blank\">conditional logic<\/a>, <a href=\"https:\/\/www.process.st\/help\/docs\/dynamic-due-dates\/\" rel=\"nofollow noopener\" target=\"_blank\">dynamic due dates<\/a><\/strong>, and&nbsp;<a href=\"https:\/\/www.process.st\/help\/docs\/stop-tasks\/\" rel=\"nofollow noopener\" target=\"_blank\"><strong>stop tasks<\/strong><\/a>&nbsp;to encourage team compliance and allow for variable outcomes depending on the answers given in the screening.&nbsp;<\/p>\n  <p>When you're ready to put your template into action, simply<a href=\"https:\/\/www.process.st\/help\/docs\/running-checklists\/\" rel=\"nofollow noopener\" target=\"_blank\"> run<\/a> the template as a checklist.<\/p>\n  <p><em>Process Street is not a medical institution and the items contained in this process template are illustrative and not intended to be understood as medical advice. Please refer to the attached PDF document for any and all medical or operational recommendations.<\/em><\/p>\n <\/div>\n<\/section>\n<section id=\"record-basic-details\">\n <h2>Record basic details<\/h2>\n <div class=\"text-content\">\n  <p>Use the form fields below to record basic information about the person being screened.<\/p>\n <\/div>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Personnel first name <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Personnel last name <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"date-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Screening date <\/label>\n   <div class=\"date-container\">\n    <button type=\"button\" disabled class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button>\n   <\/div>\n  <\/div>\n <\/div>\n <div class=\"members-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Supervisor <\/label> <select disabled class=\"form-control\"> <option value=\"A member or group will be selected here\">A member or group will be selected here<\/option> <\/select>\n  <\/div>\n <\/div>\n<\/section>\n<section id=\"answer-screening-questions\">\n <h2>Answer screening questions<\/h2>\n <div class=\"text-content\">\n  <p>All essential personnel are required to <strong>complete a screening before starting a shift<\/strong>, by completing the following questionnaire to assess health risk:<\/p>\n <\/div>\n <div class=\"text-content\">\n  <p>1. Do you have any of the following symptoms: fever, cough, shortness of breath, difficulty breathing, sore throat, and\/or runny nose?<\/p>\n <\/div>\n <div class=\"select-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Do you have any COVID-19 symptoms? <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Yes\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     No\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p>2. Have you returned to the United States from outside the country in the past 14 days?<\/p>\n <\/div>\n <div class=\"select-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Have you returned from outside the country recently? <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Yes\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     No\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p><em>In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment:<\/em><\/p>\n  <p>3. Did you have close contact with a person who was ill or had a confirmed case of COVID-19?<\/p>\n <\/div>\n <div class=\"select-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Did you have close contact with a person who was ill? <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Yes\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     No\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p><em>In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment:<\/em><\/p>\n  <p>4. Did you come into close contact with a person who had an acute respiratory illness that began within 14 days of their close contact to someone who was ill or had a confirmed case of COVID-19?<\/p>\n <\/div>\n <div class=\"select-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Did you come into close contact with a person who had an acute respiratory illness? <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Yes\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     No\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p><em>In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment:<\/em><\/p>\n  <p>5. Did you come into close contact with a person who had an acute respiratory illness who returned from travel outside of the United States in the 14 days before they became sick?&nbsp;<\/p>\n <\/div>\n <div class=\"select-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Have you had contact with an ill person who returned from travel outside of the US recently? <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Yes\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     No\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p><em>In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment:<\/em><\/p>\n  <p>6. Did you have a laboratory exposure to biological material (i.e. primary clinical specimens, virus culture isolates, etc.) known to contain COVID-19?<\/p>\n <\/div>\n <div class=\"select-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Did you have a laboratory exposure to biological material? <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Yes\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     No\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"conditional-advise-personnel-to-selfisolate\">\n <h2>[Conditional] Advise personnel to self-isolate<\/h2>\n <div class=\"text-content\">\n  <p>If the personnel answered <strong>\u201cYes\u201d<\/strong> to any of the questions, <strong>advise them to not attend work or visit the workplace<\/strong> at this time and to <strong>self-isolate<\/strong> at their home.<\/p>\n <\/div>\n<\/section>\n<section id=\"conditional-advise-personnel-to-proceed-to-work\">\n <h2>[Conditional] Advise personnel to proceed to work<\/h2>\n <div class=\"text-content\">\n  <p>If the personnel answered <strong>\u201cNo\u201d<\/strong> to all of the questions, <strong>advise them to work as normal<\/strong>.<\/p>\n  <p>If they begin to develop any new symptoms, redo the questionnaire to reevaluate their&nbsp; fitness to work.<\/p>\n  <p class=\"style-warning\"><strong>Note:<\/strong> If they're experiencing any other new symptoms that weren't listed in the questionnaire, then they should stay home and minimize close contact with others until the symptoms pass.<\/p>\n <\/div>\n<\/section>\n<section id=\"approval-final-approval\">\n <h2>Approval: Final approval<\/h2>\n <div class=\"approval-content\">\n  <div class=\"header\">\n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div>\n  <\/div>\n  <div class=\"approval-rule-subject-tasks-list\">\n   <ul class=\"list\">\n    <li>\n     <div class=\"approval-rule-subject-tasks-list-item\">\n      <div class=\"item\">\n       <div class=\"container\">\n        <span class=\"title\">[Conditional] Advise personnel to self-isolate<\/span>\n        <div class=\"body\">\n         Will be submitted\n        <\/div>\n       <\/div>\n      <\/div>\n     <\/div><\/li>\n    <li>\n     <div class=\"approval-rule-subject-tasks-list-item\">\n      <div class=\"item\">\n       <div class=\"container\">\n        <span class=\"title\">[Conditional] Advise personnel to proceed to work<\/span>\n        <div class=\"body\">\n         Will be submitted\n        <\/div>\n       <\/div>\n      <\/div>\n     <\/div><\/li>\n   <\/ul>\n  <\/div>\n <\/div>\n<\/section>\n<section id=\"sources\">\n <h2>Sources:<\/h2>\n <div class=\"text-content\">\n  <ul>\n   <li><a href=\"https:\/\/www.albertahealthservices.ca\/\" rel=\"nofollow noopener\" target=\"_blank\">Alberta Health Services<\/a> - <a href=\"https:\/\/www.albertahealthservices.ca\/assets\/info\/ppih\/if-ppih-covid-19-daily-fitness-for-work-screening-protocols.pdf\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Guidance Daily Fit for Work Screening Protocol<\/a><\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"related-checklists\">\n <h2>Related checklists:<\/h2>\n <div class=\"text-content\">\n  <ul>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/cdc-covid-19-checklist-for-individuals-and-families\/\" rel=\"nofollow noopener\" target=\"_blank\">CDC COVID-19 Checklist for Individuals and Families<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/cdc-covid-19-daily-office-safety-health-checklist-for-onsite-personnel\/\" rel=\"nofollow noopener\" target=\"_blank\">CDC COVID-19 Daily Office Safety\/Health Checklist for Onsite Personnel<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/construction-leadership-council-site-operating-procedures-for-coronavirus-management-in-construction\/\" rel=\"nofollow noopener\" target=\"_blank\">Construction Leadership Council Site Operating Procedures for Coronavirus Management in Construction<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/department-of-health-cleaning-disinfection-checklist-for-essential-shops-and-retail-outlets\/\" rel=\"nofollow noopener\" target=\"_blank\">Department of Health Cleaning\/Disinfection Checklist for Essential Shops and Retail Outlets<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/cdc-cleaning-disinfection-checklist-for-households-and-housekeeping\/\" rel=\"nofollow noopener\" target=\"_self\">CDC Cleaning\/Disinfection Checklist for Households and Housekeeping<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/who-crisis-assessment-on-board-a-ship\/\" rel=\"nofollow noopener\" target=\"_blank\">WHO Crisis Assessment on Board a Ship<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/who-office-response-procedures-for-positive-covid-19-employee\/\" rel=\"nofollow noopener\" target=\"_blank\">WHO Office Response Procedures for Positive COVID-19 Employee<\/a><\/li>\n  <\/ul>\n <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Introduction: This checklist template is part of our&nbsp;Coronavirus Workplace Processes&nbsp;pack. It was built following the procedures outlined by the&nbsp;Emergency Coordination Centre (ECC) at Alberta Health Services. Essential workers are at very high risk of exposure compared to those in other professions.&nbsp;This means there's always a risk for staff and customers if employees attend work while [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":23160,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"cover_icon_emoji":"","cover_icon_url":"","tasks_count":"8","template_description":"Run this checklist prior to reporting to work to ensure you're attending work in good health.","template_id":"u89HQ1dFvkxeeXXBpahN3A","task_0":"Introduction:","task_slug_0":"introduction","task_1":"Record basic details","task_slug_1":"record-basic-details","task_2":"Answer screening questions","task_slug_2":"answer-screening-questions","task_3":"[Conditional] Advise personnel to self-isolate","task_slug_3":"conditional-advise-personnel-to-selfisolate","task_4":"[Conditional] Advise personnel to 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