PHILIPPINE HEART CENTER
INCIDENT COMMANDPOST- COVID 19
Document Type Document Code:
ICP-005
GUIDELINES Effective Date:
March 2020
Document Title Revision Number:
0
RETURN TO WORK CRITERIA FOR HEALTHCARE PROFESIONALS WITH CONFIRMED OR SUSPECTED
COVID-19
Page:
1 of 4
REVISION HISTORY
Rev
No. Review Date Description of Change Date of Next Review
Reviewed by:
GERARDO S. MANZO, MD Incident Commander
Approved by: JOEL M. ABANILLA, MD Executive Director
PHILIPPINE HEART CENTER
INCIDENT COMMANDPOST- COVID 19
Document Type Document Code:
ICP-005
GUIDELINES Effective Date:
March 2020
Document Title Revision Number:
0
RETURN TO WORK CRITERIA FOR HEALTHCARE PROFESIONALS WITH CONFIRMED OR SUSPECTED
COVID-19
Page:
2 of 4
I. STATEMENT OF THE POLICY
II. POLICY GUIDELINES
2.1 Use one of the below strategies to determine when HCP may return to work in healthcare settings
2.1.1 Test-based strategy. Exclude from work until:
2.1.1.1 Resolution of fever without the use of fever-reducing medications
2.1.1.2 Improvement in respiratory symptoms (e.g., cough, shortness of breath), and 2.1.1.3 Negative results of an FDA Emergency Use Authorized molecular assay for COVID-19 from at least two consecutive nasopharyngeal swab specimens collected
≥24 hours apart (total of two negative specimens).
2.1.2 Non-test-based strategy. Exclude from work until:
2.1.2.1 At least 3 days (72 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
2.1.2.2 At least 7 days have passed since symptoms first appeared 2.2 RETURN TO WORK PRACTICES & RESTRICTIONS
After returning to work, HCP should:
2.2.1 Wear a facemask at all times while in the healthcare facility until all symptoms are completely resolved or until 14 days after illness onset, whichever is longer
2.2.2 Be restricted from contact with severely immunocompromised patients (e.g., transplant, hematology-oncology) until 14 days after illness onset
2.2.3 Adhere to hand hygiene, respiratory hygiene, and cough etiquette in CDC’s interim infection control guidance (e.g., cover nose and mouth when coughing or sneezing, dispose of tissues in waste receptacles)
2.2.4 Self-monitor for symptoms, and seek re-evaluation from occupational health if respiratory symptoms recur or worsen
PHILIPPINE HEART CENTER
INCIDENT COMMANDPOST- COVID 19
Document Type Document Code:
ICP-005
GUIDELINES Effective Date:
March 2020
Document Title Revision Number:
0
RETURN TO WORK CRITERIA FOR HEALTHCARE PROFESIONALS WITH CONFIRMED OR SUSPECTED
COVID-19
Page:
3 of 4
2.3 Health management of discharged patients:
2.3.1 Return to Work Practices after 14 days from discharge 2.3.2 Wear a facemask at all times
2.3.3 Adhere to hand hygiene, respiratory hygiene, and cough etiquette in CDC’s interim infection control guidance (e.g., cover nose and mouth when coughing or sneezing, dispose of tissues in waste receptacles)
2.3.4 Self-monitor for symptoms, and seek re-evaluation from occupational health if respiratory symptoms recur or worsen
REFERENCES:
1. CDC Interim guidelines for risk assessment and public health management of healthcare personnel with potential exposure in a healthcare setting to patients with COVID-19, March 7, 2020
2. CDC Criteria for Return to Work for Healthcare Personnel with Confirmed or Suspected COVID-19 (Interim Guidance)
3. Interim guidelines on the clinical management of adult patients with suspected or confirmed COVID-19 infection, PSMID, March 26, 2020
PHILIPPINE HEART CENTER
INCIDENT COMMANDPOST- COVID 19
Document Type Document Code:
ICP-005
GUIDELINES Effective Date:
March 2020
Document Title Revision Number:
0
RETURN TO WORK CRITERIA FOR HEALTHCARE PROFESIONALS WITH CONFIRMED OR SUSPECTED
COVID-19
Page:
4 of 4
