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CONTINGENCY OPERATIONS MANUAL

HEALTH PROTOCOLS FOR THE PREVENTION & CONTROL OF COVID – 19 IN SCHOOL (AS SEPTEMBER 7, 2020)

Contingency Operations Manual Page 1 of 13

(ENTRY PROTOCOLS) A. PRO-ACTIVE MONITORING AGAINST POSSIBLE COVID-19 RELATED CASES

GENERAL GUIDELINES

1. Protocol for entry of employees returning to work post-ECQ HSD, NMHPR

2. No entry of visitors policy AC, NMHPR

3. Setting-up of help desks- medical and non-medical HSD, Information

4. Daily monitoring of employees who do critical work at the office for COVID-19 IC related signs and symptoms

5. Health Declaration & Clearance to be accomplished prior to return to work HSD, HRD and daily

4. Contact tracing following COVID-19 confirmed cases to be conducted jointly IC, NMHPR by the IC & NMHPR

5. Activation of IC; Safety Subcommittee & NMHPR for each campus Health & Safety Committee Over-all Chair

SPECIFIC PROCEDURES

Protocol for Processing of Health Declaration and Clearance

Policies:

1. Accomplished Health Declaration & Clearance is a requirement for return to work post-ECQ and is likewise,

a daily requirement prior to entry at the gate.

2. Employees who develop possible symptoms of COVID-19 or with significant exposure either by travel to or

residence in a country/area reporting local transmission of COVID-19 or area under ECQ or who had close

contact with confirmed COVID-19 case such as providing direct care without proper PPE; staying in the

same close environment (workplace, classroom, household, gatherings or area); or traveling together in

close proximity (1 meter or 3 feet) in any kind of conveyance from the time clearance was granted and the

time he first reported for work should disclose such to the HSD physician before going to his workplace for

possible changes in the physician’s recommendations.

3. Employees should provide to the Health Services full disclosure of their symptoms as well as travel or

exposure history during online or phone interview which may be conducted if there are

significant/questionable answers in the HDC.

4. Employees found not fully disclosing their symptoms, travel or exposure history during the filling out of the

Health Declaration & Clearance Form or at any given time during consultation or when asked shall be given

disciplinary action. 5. Temperature shall be taken twice a day, upon time-in and time-out.

6. The Health Declaration Form shall be handled and processed in accordance with the Data Privacy Act. It shall be disposed of properly after thirty (30) days from date of accomplishment by the Security Department.

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The use, disclosure, reproduction, modification, transfer of the document for any purposee in any form or any means without approval from CEU is strictly prohibited, and may be subject to disciplinary and/or legal action.




Narrative Procedure:

RESPONSIBILITY/ ACTIVITIES

AUTHORITY Dean/Dept. Head 1. Fills out Request to Enter form of HRD

2. Instructs employee to fill out Health Declaration and Clearance Form (HDC)

3. Requests approval of the Request to Enter form from the concerned Vice-

President

Concerned Vice- 4. Approves or disapproves the request

President 5. Forwards the HDC, Request to Enter form and approval to the Health

Services

Health Services 6. Processes the HDC

7. Forwards the processed HDCs to the Human Resource Department,

indicating if employee is medically cleared for entry

Human Resource 8. Forwards the approval of the VP and the clearance to enter to the Security

Department Department

Security Department 9. Prepares a list of those cleared to enter for the day

➢ Protocol for Entry of Employees on Returning to Work Post-ECQ (c/o HSD & NMHPR)

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Form to be used: Health Declaration and Clearance (REVISED)

“No entry of Visitors” Policy Narrative Procedure:

RESPONSIBILITY/AUTHORITY ACTIVITIES

NMHPR at North Gate Explains “no entry of visitors” policy to visitors

Takes temperature

Continues transaction with visitor if without fever; ends transaction if with fever

Asks purpose for the visit

Refers visitor to Non-medical Help Desk for phone transaction with office, if urgent

Information staff at Non-medical help desk Assists visitor conduct business over the phone

Serves as runner from entry to offices, as necessary

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(WORK ON SITE PROTOCOL) B. PHYSICAL DISTANCING & LIMITATION OF MOBILITY GENERAL GUIDELINES

RESPONSIBILITY 1. Maintaining distance of 1- 2 meters from each other in the Deans, Heads, Natural & Man-

workplace, classrooms, canteen, CEU vehicles, & others Made Hazards Preparedness & Response (NMHPR) Subcom

2. LMM (Limit Mobility Muna)- AC, Deans, Heads, NMHPR

Limiting the mobility of employees within their workplace during office hours

3. Use of videoconferencing for meetings needing large AC, Deans, Heads attendance of employees and/or for meetings lasting longer than 15 minutes.

4. Suspension of extra/co-curricular activities, face-to-face meetings, AC, Deans, Heads seminars, conventions, trainings, & other large gatherings

5. Restriction of mass gatherings: Depending on the risk classification AC, Deans, Heads of the workplace locality, as defined by IATF’s risk severity grading, the University shall follow the restriction on mass gatherings, (i.e only 10% of seating capacity for meeting rooms in high/moderate- risk areas, e.g. confined spaces) and a maximum of 50% seating capacity for low-risk areas (e.g. open areas).

6. .As much as practicable, duration of customer transactions Deans, Heads minimized to less than 15 minutes

7. Placing sample markings on the floor to illustrate physical Safety Subcom, Deans, Heads, distancing in areas frequented by employees & students such as Canteen offices, canteens, restrooms, entrance of gates, etc.

8. Limiting occupancy of tables in study areas to two per table Safety Subcom, NMHPR

9. Imposing disciplinary action on wanton disregard of physical NMHPR, HRD distancing & limitation of mobility

SPECIFIC PROCEDURES

LMM-Limit Mobility Muna (c/o Deans/Heads &NMHPR) Policies:

1. All offices shall observe “Limit Mobility Muna.” Employees shall stay in their respective offices during office

hours except when going to the nearest restroom. Exemptions include Health Services Department, Security

Department, PPFD and ICT while performing their duties. 2. Physical distancing shall be observed at all times inside the workplace. 3. Offices shall transact business online or through phone calls to avoid leaving the office.

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4. Work-related errands between offices shall be accomplished through the InfoDesk. If there is anything, for

instance, which needs to be sent from one office to another, one shall call local 279 for the assistance of the

Security or Information personnel. 5. Employees shall bring their own food. Going out to buy food or drinks as well as having food delivered is not

allowed. 6. If ever food is needed for visitors, meetings or activities, it has to be brought in already upon entry of the person-

in-charge, making sure that packages have been disinfected. 7. Employees shall dine at their respective desks alone. 8. Designated Health Services staff or Security personnel shall have the authority to call the attention of employees

to enforce these measures. They shall make the necessary incident report. (PROTOCOLS ON SAFETY MEASURES)

C. INFECTION CONTROL MEASURES

GENERAL GUIDELINES

Cleaning & Disinfection

1. Cleaning & disinfection of work areas & occupied classrooms twice a day Safety Subcom, BMS using the recommended solution by the WHO: sodium hypochlorite at 0.5 % (equivalent to 5000pm) for disinfecting surfaces & 70 % ethyl alcohol for disinfection of small items particularly surfaces that are touched by many people such as railings, tables, door & window handles, computer mouse, keyboard, telephones, etc.

2. One BMS staff assigned exclusively to the Health Services Safety Subcom, BMS

3. Cleaning & disinfection twice a day of school buildings, canteen, water Safety Subcom, refilling station, water dispensers, & restrooms BMS, canteen

4. Provision of foot baths at entrance gates Safety Subcom, BMS, Purchasing Dept.

Hand hygiene

5. Daily bringing of individual hand sanitizers or alcohol Employee

6. Promotion of correct handwashing technique Infection Control (IC), MCD

7. Alcohol to be provided at all gates, offices and canteen. Supplies for AC, Purchasing handwashing provided at restrooms Dept., canteen

Respiratory hygiene/cough etiquette

8. Strict enforcement of “no mask, no entry. “ NMHPR

9. Face masks with vents or valves not allowed NMHPR

10. Mandatory use of face shields unless demands of work necessitates its NMHPR removal

11. Provision of cloth face mask to employees regularly reporting for work AC, NMHPR, Purchasing Dept.

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12. Promotion of cough etiquette such as covering the mouth and nose when IC, MCD coughing or sneezing

Use of Personal Protective Equipment (PPE)

13. Wearing of face shield if there are more than five people in a room Employee, Deans, Heads

14. Wearing of complete PPE by the Health Services Staff and ensuring proper AC, HSD donning and doffing procedure

15. Wearing of complete PPE by BMS, emergency vehicle driver or Security AC, HSD, BMS, having close contact with suspected COVID-19 patients Security, Property Dept.

16. Security Department manning the gates to wear face shields and gloves Security agency aside from face masks

17. Employees to wear type B office attire on all work days, preferably long Employee, HRD sleeves blouse or shirt with closed shoes.

18. Students to wear pants/maong, rubber shoes and preferably long sleeves Student, SAO blouse/shirt or jacket

D. PROTECTION OF HEALTH SERVICES STAFF, PATIENTS, EMPLOYEES, STUDENTS AND THE

VUILNERABLE GROUP AGAINST COVID 19 GENERAL GUIDELINES

1. Telemedicine consultations for non-emergency cases: only over-the-phone HSD, ICT, Property consultations shall be conducted & face-to-face interaction done only if necessary

2. Isolation tent/area for suspected COVID-19 patients awaiting relatives HSD, Safety Subcom

3. Suspension of the following until further notice: routine physical HSD, Deans, Heads examinations for freshmen, internship/practicum/OJT; annual physical examination of employees; policy of reactive anti-HBs titer as requirement for enrolment into second year

4. Acrylic shields at the Medical Help Desk; SDV Conference Room & Safety Subcom, HSD consultation areas inside the Medical Clinic

5. Dedicated vehicle for transport of possible COVID-19 cases Property Dept.

6. The elderly; older adults over 50 y/o especially those with co-morbidities AC, Deans, Heads such as hypertension, diabetes, heart disease, kidney disease, chronic obstructive pulmonary disease, blood dyscracias, obesity, cancer & others; as well as those below 21 years old should avoid being frontliners in their respective offices & encouraged to work from home.

7. Cleaning & disinfection with recommended solution to be done before & Safety Subcom, HSD after each consultation; bed occupancy; vaccination; dressing of wounds; telephone use & others

8. Employees are encouraged to practice home blood pressure monitoring Employees rather than having blood pressure determination at the clinic.

9. Temperature, symptoms and exposure to confirmed COVID-19 patients HSD, IC among Health Services staff shall be monitored & managed accordingly.

10. Health Services staff & other healthcare workers in the University shall be AC prioritized during the availability of COVID-19 testing, following interim

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guidelines of the Department of Health (DOH), Philippine College of Physicians (PCP) & the Philippine Society for Microbiology & Infectious Diseases (PSMID)

11. Mental health support for employees & students during COVID-19 GCD pandemic

SPECIFIC PROCEDURE

Protocol for Triaging and Telemedicine (c/o HSD)

Policies for COVID and non-COVID cases

1. Consultations, both medical and dental, shall be done either on-line or through telephone (mobile or

local). 2. Employees shall consult through telephone from their respective offices and to the Health Services

local or direct line. In case of resumption of classes, triaging area shall have telephone facilities for

students to avail of phone consultations. 3. Medical certificate shall be sent to patient’s e-mail. 4. Medicines, if needed, shall be picked up by patients at the Window Counter of the Medical Clinic. 5. Staying in the infirmary for resting is not allowed. 6. Triage Nurse to separate possible COVID-19 cases from non-COVID patients

For Non-COVID cases:

1. The SDV Conference Room shall be utilized for the following:

a. Telemedicine Area with working trunk line for non-COVID 19 related cases b. Patient’s beds for non-COVID related cases with observance of physical distancing c. Doffing area of PPE of HSD staff.

2. Patients with mild symptoms are not allowed inside the Infirmary & employees are encouraged to return to

their offices as soon as possible after resolution of symptoms. 3. Entry inside Medical Clinic limited to emergency cases only such as hypertensive urgency, possible stroke or

heart attack, severe trauma & other life-threatening conditions For COVID-19 cases:

1. Suspected COVID-19 related cases awaiting relatives shall be confined to an isolation tent outside the

Medical Clinic.

2. Suspect COVID-19 cases shall immediately be given N95 masks and placed inside the isolation tent. 3. Employees & students diagnosed to have COVID-19 should have undergone 14 days isolation after

recovery; secure medical clearance from competent authority prior to going back to work; and should be

asymptomatic.

4. Specific protocols described below for employees and students with COVID-related illnesses shall be

observed.

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Narrative Procedure:

RESPONSIBILITY/ ACTIVITIES

AUTHORITY Employee Calls up the Health Services for phone consultation

Reception Nurse Pulls out Medical Record of the patient

Physician Attends to phone consultation

May instruct patient to come to the SDV Conference Room only if non-COVID related

Advises suspected COVID-19 case to file sick leave immediately & gives other appropriate advice through telephone

Instructs suspected COVID-19 case to proceed to Isolation Tent if awaiting relatives

Calls relatives and Barangay Health Emergency Response Team (BHERT)

Triage Nurse Directs non-COVID 19 related cases to the SDV Conference Room and suspected COVID-19 cases to the isolation tent

Physician Fills out Medical Record

E-mails medical certificate to patient, if necessary

Reception Nurse Prepares medicines of patient, if any, & places them on a tray for pick-up of patient at the Window Counter

Triage Nurse Supervises cleaning & disinfection of isolation tent

E. PROTOCOL ON HANDLING OF SUSPECTED COVID 19 CASES

E1. For Employees

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E2. For Students

F. Screening Protocol for Returning CEU Employees

1. Returning CEU employees who will physically report to the campus shall be screened for symptoms of

COVID-19, including fever, cough, colds and other respiratory symptoms, and/or relevant history of travel or

exposure within the last 14 days before the first day of reporting for work through the Health Declaration and

Clearance Form (HDC). The following exposures should have happened two (2) days before or within 14 days from onset of

symptoms of a confirmed or probable case: a) Face-to-face contact with a confirmed case within 1 meter and for more than 15 minutes b) Direct physical contact with a confirmed case c) Direct care for a patient with probable or confirmed COVID-19 disease without using proper personal

protective equipment .

2. Returning employees who are symptomatic with relevant history of travel/exposure on the date of work

resumption shall not be allowed to physically return to work. The Health Services shall deny entry by not

clearing the employee’s HDC and inform the Human Resource Department, Dean/Department Head/

immediate supervisor and Security Department. The physician, through telemedicine, shall advise the

employee accordingly.

3. Returning employees and workers who were symptomatic with relevant history of travel/exposure within the

last fourteen (14) days prior to the date of work resumption shall present the Certificate of Quarantine

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Completion duly issued by the step-down care facility or local health office, whichever is applicable based on

the latest DOH guidelines on reintegration of suspect, probable, and confirmed COVID-19 cases.

4. If asymptomatic within the last fourteen (14) days prior to the date of work resumption, employees and

workers can be cleared to physically return to work.

5. Confirmed COVID-19 patients who have recovered and who will physically report to the campus shall fulfil

the following requirements:

a. Must have undergone 14-day home quarantine after discharge and remained asymptomatic throughout

the quarantine period (no need for a COVID-19 RT-PCR test at the end of quarantine) b. Confirmed COVID-19 patients who are asymptomatic must have undergone home (or community

facility) quarantine for 10 days from the time they tested positive for COVID-19 (no need for repeat

COVID-19 test (RT-PCR or Rapid Antibody Test) at the end of quarantine c. Medical clearance shall be secured from the private or government attending physician or the isolation

facility, if necessary

6. Mildly symptomatic patients must have undergone 14-day isolation since start of symptoms plus at least

three days asymptomatic period (no fever and no respiratory symptoms) to be fit to work. .

7. The above policy # 5 on confirmed COVID-19 patients shall also apply to students once face-to-face classes

are allowed; visitors and foreign and external providers if they are allowed entry into the campus. G. Student Health Protocol During General Community Quarantine or GCQ Policies

1. This policies and procedure shall take effect during the General Community Quarantine or GCQ declared by

the national government.

2. This is applicable for students who wish to secure personal things from their lockers. 3. Recommendation of the Dean and approval of the Vice-President for Student Affairs shall be obtained by

the student. 4. Only students with no fever shall be allowed to transact with the Security personnel. 5. Students shall not be allowed entry into the campus but shall wait at the North Gate for the Security

personnel to secure their belongings from their locker.

6. Students shall follow physical distancing while at the waiting area. Narrative Procedure

RESPONSIBILITY TASKS/ACTIVITIES

Student E-mails the Dean to request approval to secure belongings from the locker,

indicating the preferred date and time of visit to the campus

Dean Recommends approval and forwards the request to the Vice-President for Student

Affairs

VP for Student Affairs Approves the request and forwards it to the Security Department, copy furnished the

student

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Student Comes during the designated date and time

Security Takes temperature of the student

If with fever asks for contact details, and sends the student home immediately

Refers student with fever to Health Services for online or telemedicine consultation

Verifies approved request sent thru e-mail if with no fever

Retrieves belongings of student from the locker

Student Receives belongings

H. Health Protocol for Bernardo Maintenance Services (BMS) and Cleaning and Disinfection

1. Policies on Personal Hygiene and Personal Protective Equipment (PPE) As part of the CEU community whose own health affects directly and indirectly the health of students, employees and

other stakeholders, especially in this time of COVID-19 pandemic, all BMS staff are enjoined to observe the following:

a. Reporting for work in official BMS uniform of polo shirt and pants, with socks and closed shoes and cleaning

materials in their waist bag b. Wearing of the following, aside from the complete uniform, while doing cleaning and disinfection in the

offices and other premises: • Face mask • Goggles or face shield • Disposable gloves

c. Handwashing for 20 seconds before and after cleaning a particular area. d. Bringing of personal alcohol or alcohol-based hand sanitizer while on duty

2. Monitoring and Management of Symptoms

a. BMS staff shall do self-assessment for symptoms. They shall not report for work if they have cough,

colds, sore throat or fever. b. BMS staff shall secure copies of blank Health Declaration and Clearance Form (HDC) in advance, and

submit accomplished form to the Security personnel at the South Gate daily upon time-in. c. Security personnel shall indicate the temperature of the BMS staff upon time-in and time-out and record

them at the HDC. d. BMS staff with fever or symptoms shall inform the Security personnel immediately so they can be

promptly isolated at the Isolation Tent. e. Security personnel shall refer the sick BMS staff to Health Services Department for consultation over

the telephone and contact tracing. f. The BMS agency shall take charge of contacting the relatives and the transport of their sick employee

to the hospital or residence.

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3. Cleaning and Disinfection

a. Cleaning & disinfection of work areas & occupied classrooms shall be done twice a day using the

recommended solution by the WHO: sodium hypochlorite at 0.5 % (equivalent to 5000pm) for disinfecting

surfaces & 70 % ethyl alcohol for disinfection of small items particularly surfaces that are touched by many

people such as railings, tables, door & window handles, computer mouse, keyboard, telephones, etc.

b. Cleaning & disinfection of school buildings, canteen, water refilling station, water dispensers, & restrooms

shall be done twice a day. c. If one confirmed case of COVID-19 is detected in the workplace, the facility shall be

disinfected with an appropriate disinfectant solution (0.5% bleach solution).

d. The building must be locked down for 24 hours prior to disinfection to lessen transmission to sanitation personnel.

e. During the disinfection process, all doors and windows should be opened to maximize ventilation. The building may only be opened 24 hours after the disinfection process.

4. Other Preventive Measures

a. BMS staff shall not be sent out for personal errands of employees to limit their exposure to possible

hazards. b. BMS staff shall follow other University’s policies such as:

• No visitors allowed • Observing unidirectional floor markings • Observing physical distancing of one to two meters • Cough etiquette • Eating alone in a table • Avoiding roaming around except in the performance of their duties

c. Only two designated BMS staff shall be allowed to go outside the campus for marketing and other

errands. Names of these two personnel shall be submitted by the supervisor to the Security Department

and the Health Services Department for monitoring of compliance

I. Policies on Contact Tracing

1. Close contacts shall be defined as employees with exposures two (2) days before or within 14 days from onset of symptoms of a suspect, confirmed or probable case. Exposure shall be any of the following: a. Face-to-face contact with a confirmed case within one (1) meter and for

more than 15 minutes, with or without a mask; b. Direct physical contact with a confirmed case; or c. Direct care for a patient with probable or confirmed COVID-l9 disease

without using PPEs.

2. Contact Tracing among the Workforce

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a. The Infection Control Unit of the Health and Safety Committee and/or the Security Department shall conduct contact tracing within the campus to identify close contacts.

b. The University shall ensure that close contacts of employees whose RT-PCR test confirmed positive undergo a 14-day quarantine period.

c. During the 14-day quarantine, close contacts shall be required to regularly report to the Health Services any development, including new symptoms. Symptomatic employees should update the Health Services regarding their COVID-19 test results from a nationally accredited testing facility.

d. Close contacts who remain asymptomatic for 14 days may return to work without need for a test.

e. The University shall make available work-from-home (WFH) arrangements for the close contacts when feasible.

3. Contact Tracing of Customers and Visitors

a. Customers, including visitors, entering the University shall be required to completely accomplish the Contact Tracing Form.

b. Contact tracing forms shall be surrendered daily to the Security Department.

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