COVID-19 Infection Prevention Playbook

Associate Workflow Last update: 10/28/2020

Pg. 7 Health Care Professional COVID-19 Travel Information Updated

Table of Contents

Important IDPH Information Related to COVID-19 for Associates ....................................................................................... 3

AMITA Health COVID-19 Exposure Guide ............................................................................................................................ 5

Travel Information .................................................................................................................................................. 7

Returning to Work .............................................................................................................................................................. 13

COVID-19 Screening Guidelines .......................................................................................................................................... 16

How to save a link to your device. ...................................................................................................................................... 17

COVID-19 Screen and Go Flow for Critical Staffing .............................................................................................................. 19

3M 6000 Donning Doffing Respirator ................................................................................................................................. 23

3M 6000 Series Half Facepiece Flyer .................................................................................................................................. 20

3M 6000 Series Inspection Cleaning. .................................................................................................................................. 25

3M 6000 Wear It Right........................................................................................................................................................ 27

3M 6000 Series Reusable Respirator-Disinfection Process ................................................................................................. 28

3M 6000 Series Masks Procedure....................................................................................................................................... 29

3M 6000 Worker Acknowledgment ................................................................................................................................... 31Address and Phone List ....................................................................................................................................................... 32

3

IMPORTANT IDPH INFORMATION RELATED TO COVID‐19 FOR ASSOCIATES

As of July 17, 2020

AMITA Health has updated its guidance regarding COVID‐19 testing for associates, including medical and non‐medical staff. The new guidance is based on recommendations from the Illinois Department of Public Health (IDPH).

IDPH recommends that anyone who has symptoms of COVID and/or has been potentially exposed to COVID, and if in a

healthcare setting, without appropriate PPE, be tested.

All health care workers are at some risk for exposure to COVID‐19, whether in the workplace or in the community. Therefore, IDPH is asking ALL health care workers, regardless of whether they have had a known COVID‐19 exposure, to self‐monitor by taking their temperature twice daily and assessing for COVID‐19‐likeillness.

In addition, our Associate Health Department has issued the following guidance for associates exposed to

someone with COVID‐19:

• If you have been in direct contact with someone with COVID-19 (community exposure within 6 feet for a

cumulative 15 minutes or healthcare exposure without appropriate PPE), you will be placed in quarantine by

the local health department but may be allowed to work as long as you remain asymptomatic, are masked at

all times, and are able to social distance. • If you have signs and symptoms (fever >99.5, new cough, shortness of breath, sore throat) before work, do

not come to work. Notify you manager and Associate Health. If you are concerned about signs and symptoms, call your primary‐care physician.

• If you have signs and symptoms (fever >99.5, new cough, shortness of breath, sore throat) during work, notify your manager and go home immediately. Call your primary‐care physician if you are concerned about your signs and symptoms.

Return to Work Criteria for HCP with SARS-CoV-2 Infection

Symptom-based strategy for determining when HCP can return to work

HCP with mild to moderate illness who are not severely immunocompromised:

• At least 10 days have passed since symptoms first appeared and

• At least 24 hours have passed since last fever without the use of fever-reducing medications and

• Symptoms (e.g., cough, shortness of breath) have improved

Note: HCP who are not severely immunocompromised and were asymptomatic throughout their infection may return to work when at least 10 days have passed since the date the specimen was collected from their positive viral diagnostic test.

4

IMPORTANT IDPH INFORMATION RELATED TO COVID‐19 FOR ASSOCIATES

HCP with severe to critical illness or who are severely immunocompromised1:

• At least 20 days have passed since symptoms first appeared

• At least 24 hours have passed since last fever without the use of fever-reducing medications and

• Symptoms (e.g., cough, shortness of breath) have improved

Note: HCP who are severely immunocompromised1 but who were asymptomatic throughout their infection

may return to work when at least 20 days have passed since the date the specimen was collected from their positive viral diagnostic test

If you have questions about pay, talk with your manager or your local human resources director, or call rHR at 888‐629‐6424.

Your health and safety are of paramount concern to AMITA Health, and we will closely monitor IDPH and the

Centers for Disease Control for any new COVID‐19 guidance. We expect the guidance to change from time to time as this

rapidly changing situation continues to evolve and as advances in treatment emerge, and we will update you promptly

about any new developments.

We will continue to assist leaders in developing the best process in their respective areas for conservation,

distribution and tracking of surgical masks across AMITA Health. Conservation of masks and other personal protective

equipment (PPE) will be essential as we prepare for a possible surge of COVID‐19 patients amid a national PPE shortage.

In addition, we plan to send you more information soon about additional COVID‐19 tools and screening options.

[1] Criteria for Return to Work for Healthcare Personnel with SARS-CoV-2 Infection (Interim Guidance)

5

AMITA Health COVID-19 Exposure Guide August 31, 2020

The purpose of this document is to assess the infection prevention risk of associates who may be exposed to patients with COVID-19, and to provide

guidance regarding any subsequent work restrictions.

A medium-risk exposure is defined as contact (within 6 feet and greater than 15 minutes) with a confirmed COVID-19 patient with incomplete

Personal Protective Equipment (PPE) not in an aerosol – generating procedure.

A high-risk exposure is defined as close contact with a confirmed COVID-19 patient during an aerosol- generating procedure and the full

recommended PPE were not in worn.

Epidemiologic risk factors

Exposure

category

Recommended Monitoring for

COVID-19 (until 14 days after

last potential exposure)

Work Restrictions for Asymptomatic

HCP

Patient care with aerosol-generating procedures

HCP PPE: Any variation that does not include

the full recommended PPE (respirator, eye

protection, gown, gloves)

High Active monitoring Exclude from work for 14 days after last

exposure or return to work with a mask*

6

Patient care with no aerosol-generating procedures

HCP PPE: None High Active Monitoring Exclude from work for 14 days after last

exposure or return to work with a mask*.

HCP PPE: No N95 or mask worn (but HCP was

wearing eye protection, gown, and gloves)

Medium Active Monitoring Work with 14 day active monitoring and

mask

HCP PPE: No eye protection worn (but HCP was

wearing mask, gown, and gloves)

Medium Active Monitoring Work with 14 day active monitoring and

mask

*Based on the staffing at the different facilities, if there is a shortage related to furloughing, high-risk exposure HCPs who are asymptomatic and on

furlough, may return to work with a properly worn mask at all times in addition to daily active monitoring at time of work. The decision will be made by

the local incident command center in conjunction with Associate Health after weighing the risks to patients and caregivers.

**** Any questions, please contact Associate Health or your local Incident Command

Definitions Used in this Guidance

Health Care Personnel (HCP) - All employed and non-employed individuals providing services for the health ministry.

Self-monitoring means people should monitor themselves for fever by taking their temperatures twice a day and remain alert for cough or difficulty breathing. If they feel feverish or develop measured fever, cough, or difficulty breathing during the self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider to determine whether medical evaluation is needed.

Active monitoring means communication occurs at least once each day. The mode of communication may include telephone calls or any electronic or internet-based means of communication.

Aerosol-generating procedure: Procedures that generate aerosols that include positive pressure ventilation (BiPAP and CPAP), endotracheal intubation, airway suctioning, high frequency oscillatory ventilation, tracheostomy, chest physiotherapy, nebulizer treatment, sputum induction, and bronchoscopy.

Close contact is defined as: a) being within approximately 6 feet (2 meters) of a COVID-19 case for a prolonged period of time (≥ 15 minutes); close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case or b) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on). Meal breaks with co-workers and not maintaining a six foot distance while unmasked.

Health Care Professional COVID-19 Travel Information

International Travel Individuals who return from international travel are advised by the Centers for Disease Control to take the following steps after travel:

• Stay home as much as possible.

• Avoid being around people at higher risk for severe illness from COVID -19.

• Considered getting tested.https://www.cdc.gov/coronavirus/2019-ncov/travelers/after-travel-precautions.html

There are no return to work restrictions for international travel at AMITA at this time. Associates must use the ‘Screen and Go COVID 19’ app and check their temperature and for symptoms of COVID before they come into work each day and every evening for 14 days

post travel. Associates with any symptoms must remain at home from work and contact their manager.

Chicago Emergency Travel Orders

The Chicago Department of Public Health (CDPH) issued an Emergency Travel Order in response to increased and high rates of COVID-19 transmission in certain states and to add to Chicago’s efforts to contain the spread of COVID-19. The order applies to people who live and/or work in the City of Chicago.

Any person who lives or works in Chicago and traveled for personal reasons to the designated states and returned on or the specific date per state will need to self-quarantine for 14 days following their last contact with a designated state. There are

certain modifications to the Order that apply to Healthcare Workers as described below. The City will review and amend the list of designated states, as necessary, every Tuesday. For the current list of states please visit https://www.chicago.gov/city/en/sites/covid-

19/home/emergency-travel-order.html

7

Guidance for Healthcare Workers The CDPH has modified the Order as it relates to Healthcare Workers who have traveled to a designated state for personal reasons as follows:

While CDPH recommends quarantine for 14 days from the date of return, healthcare workers who return from travel for personal reasons from a designated state, healthcare works must self-quarantine but may be tested for COVID 19 PCR on days 5-7 after returning by contacting their local Associate Health office. Associate Health will provide testing at no cost for workers without symptoms who need testing to return to work.

If the test is negative, then the healthcare worker can return to work on day 8.

Healthcare workers who can return to work will comply with the following:

• Must not have had close prolonged contact with a known, confirmedcase of COVID-19.

• Has no known symptoms of COVID 19.

• Maintain universal masking precautions while at work.

• Maintain a 6-foot social distance during meal breaks while at work.

• Monitor for S/S of COVID and temperature less than 99.5 before workusing the COVID-19 application with their smart phone or paper trackingform.

• If any symptoms of COVID occur, the Healthcare worker must stopworking, notify their manager and Associate Health and be re-tested.

8

9

FAQs:

What if a healthcare worker lives in a Chicago suburb, works in Chicago, travels to a designated high incidence state?

If travel is for personal reasons, the worker must self-quarantine and may not return to work in a Chicago hospital until day 15 or day 8 with a negative COVID 19 test as describe above.

What if the healthcare worker lives in Chicago and works in the suburbs?

If travel is for personal reasons, the worker must self-quarantine and may not return to work until day 15 or day 8 with a negative COVID 19 test as describe above.

What if I had a connecting flight through one of the designated states or drove through a designated state, but did not stay there?

The Order does not apply to any individual passing through a designated state for less than 24 hours in the course of travel.

What if I don’t have any symptoms, do I still have to quarantine?

Yes.

What if I get tested and am negative – do I still have to quarantine?

Yes.

How and when will the list be updated?

The list of states will be reviewed and amended every Tuesday.

10

What does Quarantine mean? Per CDPH, under this Order, quarantine means staying at a single designated home

for 14 days (or 7 days as applicable) before doing any activities outside of the home

or dwelling. People in quarantine should separate themselves from others as much

as possible and check themselves for symptoms of COVID 19. Additional

requirements under quarantine include:

• The individual must not be in public or otherwise leave home unless seeking medical care or COVID-19 testing.

• If seeking medical care or testing, or when traveling, a face covering must be worn, and public transportation must not be used.

• Food and other needed supplies must be delivered to the individual’s home; the individual may not leave the premises to acquire supplies.

• The traveling individual or family group should be situated in separate quarters with a separate bedroom and, if possible, separate bathroom facility from non-traveling household members.

• The individual must self-monitor for symptoms potentially consistent with COVID-19. Workers may us the COVID 19 monitoring tool twice a day or the attached symptom monitoring form.

• The link to the COVID -19 monitoring tool. http://ascn.io/AscensionScreen

• If any symptoms develop, the individual may leave home to receive testing for COVID-19. A face covering must be worn while seeking testing.

How will I be paid during the self-quarantine?

You will have to use PTO or take a Leave of Absence, if eligible.

Can I use EIB or STD?

For eligible associates, EIB or Short-Term Disability benefits can be paid when an

associate opens a claim with Sedgwick due to illness. Claims can be initiated by

contacting Sedgwick at 855-224-4899.

11

Do I need to call in a leave to Sedgwick?

Sedgwick must be contacted if an associate opens a leave due to illness, the

standard reporting process will be followed. If placed on a leave of absence,

Associate must be cleared to return to work by Associate Health to reactive

access to Kronos and status in PeopleSoft.

What do I need to do if I live or work in Chicago and traveled to a designated

state and returned after traveling to a state listed on the Travel Order?

You must contact your manager and advise them of this fact and will have to

comply with the City of Chicago Emergency Travel Order.

What happens if I don’t tell my manager where I traveled?

If you are found to have traveled to any of the states listed in the travel order, you

will be sent home and you will be subject to corrective action, up to and including

termination.

Are there any exceptions to the Order?

For purposes of the Order, “essential workers,” which includes persons who work in Healthcare, are not subject to the mandatory self-quarantine if they are traveling for work purposes under the following circumstances:

(a) If a non-resident of Chicago is traveling from a designated state to Chicago for the primary purpose of carrying out primary work in Chicago and who needs to be physically present in Chicago in order to carry out that primary work, with identification issued by their employer; or

(b) If a resident of Chicago is returning from a designated state and was in the designated state for the primary purpose of carrying out primary work in that state, and who needed to be physically present in that state in order to carry out that primary work, with identification issued by their employer.

12

Essential workers traveling for work purposes are subject to the following requirements:

• Essential workers should avoid any non-essential interactions until the quarantine period has ended. They must limit their activities to work- related activities and functions that directly support their work-related activities and avoid public spaces as much as possible.

• Essential workers should monitor their temperature and signs of symptoms, wear a face covering when in public, maintain social distance, and clean and disinfect workspaces.

• Essential workers are required, to the extent possible, to avoid extended periods in public, contact with strangers, and large congregate settings.

13

Returning to Work

Q: When can I return to work after being sick? A: Associates may return to work after illness:

HCP with mild to moderate illness who are not severely immunocompromised:

• At least 10 days have passed since symptoms first appeared and

• At least 24 hours have passed since last fever without the use of fever-reducing medications and

• Symptoms (e.g., cough, shortness of breath) have improved

Note: HCP who are not severely immunocompromised and were asymptomatic throughout their

infection may return to work when at least 10 days have passed since the date the specimen was

collected from their positive viral diagnostic test.

HCP with severe to critical illness or who are severely immunocompromised:

• At least 20 days have passed since symptoms first appeared

• At least 24 hours have passed since last fever without the use of fever-reducing medications and

• Symptoms (e.g., cough, shortness of breath) have improved

Note: HCP who are severely immunocompromised but who were asymptomatic throughout their

infection may return to work when at least 20 days have passed since the date the specimen was

collected from their positive viral diagnostic test.

Q: When can I return to work after a confirmed positive, but I didn’t have any symptoms of COVID?

A: Associates will remain off from work for 10 days from the date the specimen was collected from their positive viral diagnostic test if you have not become ill since the date of your test.

• In both instances, Associate Health will help manage your return to work sooner when safely possible.

Return to work Practice and Work Restrictions

Q: Who should I notify?

• Notify your manager and local Associate Health when you are ready to return to work.

Q. What do I need to do?

• Wear a facemask and eye protection at all times while in the healthcare facility. A facemask

in preferred over a home-made face cloth during this time while you are recovering.

Q: Do I need to do any self – monitoring after my illness? A: You will continue to self-monitor for signs and symptoms and seek re-evaluation if your symptoms recur or worsen.

BEFORE you leave from home to work and then in the evening. You are to check for both temperature and signs of COVID (sore throat, body aches, fever >99.5, new cough, shortness of breath, loss of taste or smell). You will need to avoid caring for immunocompromised or vulnerable patients until you complete your 14 monitoring and may have to wear a mask.

14

Testing Q: Do I need to be tested if I have mild symptoms?

A: The Illinois Department of Public Health IDPH recommends that anyone who has symptoms of COVID and/or has been potentially exposed to COVID, and if in a healthcare setting, without appropriate PPE, be tested.

Q: What if I have a high-risk condition such as Diabetes, Asthma, COPD, hypertension, obesity or I am pregnant and having symptoms of COVID19?

A. Please contact Associate Health who will provide direction on being tested.

Q: What if I have symptoms of COVID 19 and have concerns about people in my home?

A. Please contact Associate Health who will provide direction on being tested.

Q: Are there any special precautions for Pregnant Health Care workers? A: Information is very limited on how COVID-19 will affect pregnant health care workers. It is recommended to consider limiting exposure of pregnant health care workers to confirmed or suspected COVID-19 patients. Especially during higher risk procedures (e.g. aerosol – generating Procedures) if feasible based on staffing. Health Care workers who have concern can apply for an accommodation through rAMITA.

Monitoring Q: What type of monitoring should I be doing? A: Every day before you leave home for work you must assess for symptoms of COVID and take your temperature. If you don’t have any symptoms or fever, you may report in to work.

• Associates can either use a paper tracker form available through Associate Health or your manager. Or you may use an electronic COVID 19 Screening application developed for monitoring of health care workers on any smart phone.

COVID 19 Screening Application

Ascension has developed an application to help associates and the organization monitor the health of health care workers. (Instructions on the following pages.) AMITA Health has adopted this process and if you have a smart phone you should use the application daily before you leave home for work.

The link or QR code will bring you to a web page that may be used on any android or

iPhone. There is now a version in the Spanish language.

http://ascn.io/AscensionScreen Each time the application is used, it transmits back to Associate Health.

15

• The tool awards a different color code each day to associates deemed healthy and

ready for work.

• Show the color code on your smartphone to the screener

• Take temperature and be granted access to the ministry.

• When you are ill or have symptoms COVID you will receive a message you are not

approved to work. You will;

• Notify your manager

• Stay at home

• Receive a link to report temperature and other symptoms twice

daily. This information is uploaded to a dashboard monitored by

Associate Health nurses who will contact you during your

recuperation.

• The application can be saved on your smart phone screen for ease of daily use.

See the following pages for more information.

• If you do not have a smart phone, you may track you symptoms on a paper form available

through Associate Health or your manager.

16

17

COVID 19 Screen and Go Application for Critical Staffing

In response to the current COVID-19 outlook and workforce implications, an Ascension interdisciplinary team including, Human Resources, Associate and Occupational Health, Clinical Network Services, Ascension Medical Group, Clinical Operations and Infection Prevention was called to action to evaluate current opportunity and concern.

Together, Ascension has developed a national, critical staffing furlough and return to work recommendation and process. This process addresses best practice for all work and social exposures. AMITA Health is adopting this process and promoting the use of the Screen and Go COVID 19 application for smart phones.

Maintaining appropriate staffing in healthcare facilities is essential to providing a safe work environment for HCP and safe patient care. As the COVID-19 pandemic progresses, staffing shortages will likely occur due to HCP exposures, illness, or need to care for family members at home. Healthcare facilities must be prepared for potential staffing shortages and have plans and processes in place to mitigate them, including considerations for permitting HCP to return to work without meeting all return to work criteria above.

As part of this, asymptomatic HCP with a recognized COVID-19 exposure might be permitted to work in a crisis capacity strategy to address staffing shortages if they wear a facemask for source control for 14 days after the exposure. This time period is based on the current incubation period for COVID-19 which is 14 days.

To align our ministries with this change, the following has occurred:

• The Ascension Screen and Go COVID 19 tool was modified to align with new criteria.

• Individuals will see a realignment of questions and symptoms.

• There is clearer direction in the concluding disposition.

• The application now asks for the ministry specific information.

• All work exposures are reported to Sedgwick for tracking purposes.

18

1

20

21

Pre-use Reminders

• Fit testing must be performed before each new respirator model is used,and at least annually

• These are not surgical masks and will not maintain the sterile field. Do not wear a surgical mask in

combination with this respirator, as it may affect respirator function

• It is common to assign a facepiece to an individual for use as their own personal facepiece for the

duration of the product life

• Associates should label the respirator with their name using a permanent marker

Pre-Use Inspection

• Perform hand hygi ene and use other applicable PPE as determined by your market and/or infection

control policy

• Do not wear if parts are damaged, defective, or missing.

Hardcase Filter (7093)

• Inspect each filter case for any visible damage. Replace filter(s) if any damage is observed.

I . ,

Front of hardcase filter Back of hardcase filter

Facepiece

• Inspect the facepiece for cracks,tears,dirt and distortion. If damage is observed,replace the facepiece.

«:> 3M2020

2 - 4/28/20

22

Facepiece Inhalation Valves

• Examine inhalation valves for signs of distortion,cracking and tearing. Replace with new inhalation valves

if signs of damage are observed.

Inhalation

valves in facepiece

interior

Facepiece Exhalation Valve

• Examine exhalation valves for signs of distortion, cracking and tearing.Replace with new exhalation

valves if signs of damage are observed.

Facepiece Head Straps & Filter Gaskets

Ensure head straps are intact and have

good elasticity. Replace head harnessjf

signs of damage are observed.

Respirator Assembly

Ensure orange filter gaskets are properly

seated and in good condition. Replace

gasket(s) if signs of damage are

observed.

© 3M 2020

3 - 4/28/20

23

1. Align mark on back side

of 7093 filter with

facepiece mark in order to

properly align filters.

Respirator Donning

2. Rotate filter X turn

clockwise until it is

firmly seated. Repeat

steps 1-2 for second

filter.

Facepiece with 7093 filters

properly attached. Note:

Rotate filters counter

clockw ise to remove.

• Donning Instructions must be followed each time the respirator is worn.

• Perform hand hygiene and use other applicable PPE as determined by your facility and/or infection

control policy

• Contact infection prevention at your facility with any questions regarding when PPE,such as gloves,

should be worn

• Do not use with beards,other facial hair,or other conditions that prevent a good seal between the face

and the facesealof the respirator.

• To help maintain a good seal between the face and faceseal,all hair, hoods, or other equipment must be

kept out of the respirator facesealarea at all times.

• Position facepiece low on the bridge of your nose for optimalvisibility and best fit.

1. Place the respirator

over your mouth and

nose.

Respirator Donning - Adjusting Fit

2. Pull the head ha mess over crown of your head. Position facepiece low on the bridge of your nose for optimal v isibflity and best fit.

3. Connect the bottom

straps at the back of the

neck.

• The respirator should be comfortable and snug,but do not overtighten.

• Overtightening does not create a bener fit, it just makes the respirator more uncomfortable.

© 3M 2020

4 - 4/28/20

24

1. Adjust top straP.S by pulling on ends of straps.

2. Adjust bottom straps by pulling on ends of straps.

User Seal Check

• Perform a positive pressure sealcheck before each use

o Place palm over exhalation valve cover and exhale gently.

o If facepiece bulges slightly and no air leak is detected between facepiece and face,a proper seal

has been obtained.

o If faceseal leakage is detected,reposition respirator on your face and/or readjust tension of the

elastic strap to eliminateleakage untiltight seal is maintained.

o If you cannot achieve a proper fit, do not enter the contaminated area. See your supervisor.

3M2020

5 - 4/28/20

25

Respirator Doffing

• Remove gloves and perform hand hygiene and use other applicable PPE as determined by your facil ty

and/or infection control policy

• Contact infection prevention at your facility with any questions regarding when PPE.such as gloves.

should be worn

1. Unhook straps from around

base of neck

2. Grasp the front of the facepiece wit h one hand, and

with other hand pull head harness and removeit

from over head

Note: After removing the respirator, perform hand hygiene

Respirator Disinfection

• Perform hand hygiene and use other applicable PPE as determined by your facility and/or infection controlpolicy

• Contact infection prevention at your facility with any questions regarding when PPE.such as gloves.

should be worn

• Cleaning and disinfection must take place after each removal of the device and at the end of the shift.

• The device should also always be cleaned and disinfected after use in an aerosol generating procedure on an isolation patient

Disinfection:Wipe Down

• Wipe down of the assembled respirator can be considered between uses during the work shift

• Wipe each component:

o Facepiece,including interior and exterior

o Head harness

o Hardcase filter (7093) Do not wipe filter medi a

Interior Exterior Head harness

Do not wipe

Respirator Wipe Down Disinfection Steps

• Clean

© 3M 2020

6 - 4/28/20

26

o If gross contamination or facialoil is present. perform a cleaning wipe step before disinfection

o Periodic wiping with a cloth dampened withwater will help reduce build up of disinfection agents.

• Disinfect

o Follow the disinfectant user instructions and/or EPA labelfor the selected disinfectant

o Bleach or quaternary ammonia solution can be considered

• Dry o Let air dry. Do not reuse untilcompletely dry.

Filter Replacement

• The 7093 filter should be replaced when damaged or difficult to breathethough,or when indicated by

your facility's infection control policy. Filters should be changed at a minimum of every 90 days.

• If itis difficult to breathe when wearing the respirator, the filter should be replaced.

Storage

• Follow-up with local Infection Prevention on storage procedures within your fac ility

• The respirator should be stored away from contaminated area or hung on a hook between uses

• You can consider storing the respirator with the filters attached or with the filters in a separate storage

container.

• If not being used immediately. respirators should be stored in their own separate. breathable containers

or hung on hooks to prevent facepiece deformation.

• Storage containers should be disposed of or cleaned regularly

Items to Remember

• If you are transferred or leave the organization please ensure that the respirator is returned to your

manager

• The 6000 Series Half Facepiece Respirator is for a single user unless directed otherwise by Occupational

Health and Infection Prevention

A flat mask must be positioned over the expiratory valve.

• This respirator w ill be more heavy than an N95 Respirator or surgical mask

• While wearing this respirator your voice may be muffled or you might experience some difficulty speaking

• These are not surgical masks and will not maintain the sterile field. Do not wear a surgical mask in

combination with this respirator, as it may affect respirator function

• Associates receiving this respirator commit to proper cleaning, disinfection, labeling, storage

requirements and safe keeping of the device.

© 3M 2020

- 4/28/20

27

28

29

AMITA Health Associate and Occupational Health 3M 6000 Series Masks Procedure

DISTRIBUTION

• Priority to frequent N95 users and/or high-risk situations or those with poorly fitting disposable N95

masks. High risk/ high volume users include but not limited to the ED, ICU, COVID Units, Respiratory

and Laboratory. Includes physicians in these areas.

• As masks become available, they can be provided to those areas with limited, but direct patient care

to COVID + patients. Mask expiratory valve must be covered with a flat mask.

• Masks are not approved for Surgical Areas.

• Automated spreadsheet for tracking mask distribution

o Enter the fit test into Pure OHS –Under Fit testing

• Have worker sign the acknowledgement form.

Medical Evaluation

• Current medical evaluation may be used for the 3M 6000.

Fit Testing

• Fit testing must occur to validate a comfortable fit and seal.

• If the mask is not fitting well, you can move to another size mask.

• The failed mask needs to be cleaned and reprocessed before it can be used again.

User Education and Training

• Provide the worker a training video or handout on proper use of the mask.

• 3M 6000 Series Half Facepiece Respirator Training Presentation

• 3 M™ 60 00 S e ries Ha l f Fac e pie ce Re s pira tor w ith 7 0 93 Filter (Assembly, donning and

doffing)

• Interim Di s i nfe c ti on 3 M™ 6 00 0 Se rie s Ha l f Fa ce piec e Respirator (Features two filter

types)

Key Item for worker education.

• Maximum use of filters – 3 months or if they get wet or issues with airflow

• Daily Cleaning process

o Wipe down at shift end, air dry according to the wipe used, leave them in their locker, they should

not take them home, they should not leave the hospital unless they are floating to another

AMITA Ministry.

o Each site is to use their own approved disinfectant wipes

o Follow manufacturer recommendations

o No alcohol

o Bleach wipes are fine; follow dwell time

o If sensitivity exists, wipe down with plain water after cleaning and appropriate dry time.

o Label filters with name and date of needed filter change (relabel if ink comes off during

cleaning)

30

o Replacement parts and strap information in table below.

o Advise the worker they need to educate the patient they are working with of the mask to decrease

patient anxiety; perhaps post pictures

o Mask must be returned to facility upon termination

o skin protection products

o Mepilex Lite might be applied to nose bridge to help prevent skin breakdown

31

Associate Health OSHA Mandatory FIT testing form

(In Compliance with revised OSHA Respiratory Protection Standard 1910.134)

Associate Information:

Name

DOB or Associate ID#

3M 6000 series mask size:

6100, Size Small

6200, Size Medium

6300, Size Large

I did watch and read all the educational materials provided to me by my manager, and I

understand that I take the responsibility of taking care, properly storing, cleaning and

maintained on my 3M 6000 series mask.

I understand that I am responsible for the mask while it is in my possession, and I will make

sure that the mask always remains at my ministry. I will not mark or stick labels on the mask,

and store as instructed.

Upon my resignation or leaving I will return the mask to my manager. (Manager to return to

AH)

I understand that my department is financially responsible if the mask is lost or stolen.

Associate signature: Date:

(AOH to attach to fit test form upon receipt)

32

Address and Phone List

Ministry Occ Health Staff Phone Fax Address

AMITA Health Adventist Medical Center Bolingbrook Open Position RN

Martha Castro, MA 630.312.6304 630.312.2941

500 Remington Blvd.

Bolingbrook, IL 60440

AMITA Health Adventist Medical Center GlenOaks

AMITA Health Medical Group Mary Farrow, RN 630.545.6192 630.545.6177

701 Winthrop Avenue

Glendale Heights, IL 60139

AMITA Health Adventist Medical Center La Grange 5101 S. Willow Springs Road

La Grange, IL 60525

AMITA Health Alexian Brothers Medical Center Elk Grove Village Katarzyna Wrobel, RN

Myrza Velasco, MA 847.981.3520 847.981.6045

800 Biesterfield Road

Elk Grove Village, IL 60007

AMITA Health Mercy Medical Center Aurora Lois Bardenheier, RN 630.801.2725 630.801.2559

1325 N. Highland Avenue

BHS Bld. #4, Rm 109

Aurora, IL 60506

Ch yl LaRo o R *In i Gonzal af / /

Patricia Brown, RN 708.245.7340 708.245.5621

Danika Kenn, RN 847.230.3539 847.230.3549

33

Ministry Occ Health Staff Phone Fax Address

AMITA Health Resurrection Medical Center Chicago

Cheryl Duesnbery, RN

Cheryl LaRocco, RN

Suzanne Kruczek-Fantaro

773.990.7624 773.594.7850

7447 W. Talcott Avenue

Professional Bld., Rm. 242

Chicago, IL 60631

AMITA Health Saint Francis Hospital Evanston Nancy Miller, RN 847.316.6260 847.316.2417 355 Ridge Ave., Rm. 3100

Evanston, IL 60202

AMITA Health Saint Joseph Hospital Elgin Charmaine Arosen, RN 847.695.3200

x2880 OR x5123 847.931.5548

77 N. Airlite Street, Rm. 318 Elgin, IL 60123

AMITA Health Saints Mary and Elizabeth Medical Center Chicago Open Position, RN

Ana Godines 312.770.2899 312.770.3376 2233 W. Division St., Rm. 141 Chicago, IL 60622

AMITA Health St. Mary's Hospital Kankakee Brenda Dearth, RN 815.937.2262 815.937.3062 500 W. Court Street

Kankakee, IL 60901

Gina Gallagher, RN