Republic of the Philippines

City of Manila
OSPITAL NG MA YNILA MEDICAL CENTER •
Pres. Quirino Avenue cor Roxas Blvd., Malate, Manila
Tel. Nos . 524-60-63 to 69

June 3, 2022

MEMORANDUM

TO : ALL PER~ONNEL
I •

FROM : KARL OLI ER B. LAQUI, MO

HOSPITAL IRECTOR ~

SUBJECT : UPDATED ROTOCOL ON HEALTHWORKER AND WORKPLACE SAFETY

In line with the current guid lines set upon by the Department of Health (DOH) thru the Inter-Agency
Task Force (IATF), also in preparation of our institution to the transition of pandemic status to endemic status of
COVID-19 disease and possible emergence of other infectious diseases including monkeypox, the following
protocol has been recommended by the Hospital Infection Prevention Control Unit to be implemented in all
departments and offices of OMMC.
This protocol shall take effect on June 8, 2022.

I. HEALTHCARE WORKER SAFETY

A . Guidelines for the use of personal protective equipment (PPE)

~~\~~.:~~~~~~;r.Are, /~~,l.:r~~~.f~~
-~· •'-.~ . ~·:if~:~.-;~·;:;\' '--'1~.~- - 1
1
'. !t

High risk • COVID ER , COVID Ward, Level 4: Hazmat and KN95 or N95 and
(Red zo nes) COVID ICU, COVID OR. clean gloves
COVID HD OR
• Highly infectious diseases Level 3: impermeable gown and KN95 or
N95 and clean gloves
(active TB, Measles,
-Use of respirators is optional (if available)
Varicella , Monkeypox, -Use of booties is optional but not required
Meninggococcemia , -Use of surgical cap is optional but not
Diphtheria , MORO) required
-Use of face shield or goggles is advised if
with AGP*
@ HCWs may either use L3 or L4
depending on their preference
Low nsk All non-COVID areas (ER, Level 2:
(O/G re0. n Zo n°s) ward , ICU) if with patient contact: KN95 or N95
OPD Optional: face shield , clean
Non-COVID OR
gloves(while handling the patient) or
Non-COVID DR/LR
HD unit cloth gown (if necessary)
Radiology Department
Reha bilitation Medicine Level 1:
Department if no patient contact: Surgical mask
Dental Clinic
Pathology and Laboratory
department
Maintenance team
All offices
Dietary hall
Pharmacy
Linen

ALL PATIENTS and COVID and non-COVID Level 3/4: (PDN and watchers of
COMPANIONS/WATCHERS areas COVID patients)

Level 1: (patients in COVID and non-

COVID areas; watchers in the non-
COVID areas)
* AGP- Aerosol Generating Procedures
n. Guidelines for testing, isolation and quarantine of HCWs

Repe al RT-PCR may only be warrant ed In t11 e following cases:

1. If the Index patient (HCW) had contact with a known VARIAN

T of CONCERN

HEALTHCAH E WOHKER
(Medica l/Nursin g/Param edics/St udent s and trnln ees ) t/• exposur e to ii KNOWN COVID·
CONFIHMED C/\S[

---

-- -- ,-
I _ --
ASYMPT OMATIC ;it th e tim e of con sult 1 _:Y~PT OMATl ~ ;it lh ~ tlmP of ~o n ~ull

__ J - - -
Sl\rETY OHI CEJ1 51\Fl:TY UfFI CF.R
Rl~k ;is\e~srn enl of HCW Ri sk ,l',Se~~ m ent of Hl W
S~ nd Rl ~k ~\SC\S JTI Pllt re po rt l o HIP CU ~nrl r .C.
Se nd Hl sk nssessme nt I epurt t o
Co nl~ ct traclnP, upt o 3rd ge ncr~ I ion
1IIPCU ~nd E.C.
Co ntact lra clnJl uplo 3rd Renera tl o n
I
No LOW/HI GH ftl '>K
I
Employee 's clinic to )c hed
HIGH RI SK tor Swabbing and
I.OW RI SK :
disclosure of RT PCR res ult
<15mlns
e ncounter FULL y VI\CCINI\TED or w1TH
BOOSTER DOSES
on proper PPE NEGATIVE RT·PCR/RAT
or 2nd and Jrd no need for qu;ir~ntln e; sP.11 -
monitorin g; no work FULLY VI\CCINATE O or WITH BOOSTF.n D0S(S : No ru•,,tl lor
r,enerallo n
restriction ; no need for N PS isolation
eKp o~ure t o ,1
negative 1st PI\RTIALL Y/U NVI\CCINII TE D: l~nlate until 10 days
generatio n
patient PARTIALLY /UNVACC INATED
/nr
NPS on Sll1 day ol expo sure - at lea~t H hour~ al ebrlle without the u•.e of antl-pywt ln,
No NPS needed
No work Quarantin e until 14 da ys; if and//
positive HTPCR or RI\T, I solate
restriction ~ymptom s Improved (~ymptom s may not need to h•, com pletely
No contac t for lOdays resolved)
tracing • clay 1 from the fir st da y of •day l fr om the onset of -,ymptom1
warr;111ted exposure No need for repea t test; Clcaranc" to work r./o Employe<>' •, tll 11ir
Se lf -monitorin g Clea ranc e lo work c/ 0
Employee 's clinic ; none ed for
repe at t est
POSITIVE RT-PCR/RA!
FOIi MILD /MODER/I TE CIISES:
Wint 000 STER DOSE S: Isolate until 5 day,
VI\CC INA TED : Isolate until 7 day s
PARTIALLY /U NVIICCINI\TED: Isolate until 10 days
FOR SF.VERF./CRITICAL CASES :
- regardle\s of vaccln<, status: l•, olate until 2 t days
and
at lea st 24 hours afebrlle withoul the u1e ol antl-pyr<' tiC\ 11nrl If
symptoms ,mprnved (symplorn s rn ay nut neetl l o be cornpl etely
rr,solved)
"day I from the Oll',et of sympt orn1
No need l or repeat test; Clearance to work c/o [mploy~e· , chnic

2. If the HCW is immunocompromised (e .g. HIV, taking steroids

, on HD and on chemo)
Return to work (RTW)
For COVID-19 confirmed IMMUNOCOMPROMI SED HCW (known
HIV, known autoimmune
diseases , known transplant patients on active chemo/radiotherapy,
on chronic steroids , on HO)
who are partially or unvaccinated
• Repeat swab
at a day prior to the "Last day" of isolation from onset of sympto
ms (e .g. if
mild/moderate COVID , at day 9; if severe/critical , at day 20)
At Day 9 from test if asymptomatic
• Remain in isolation until swab negative
• Swab may be repeated every 2 days
• Once negative, may RTW; clearance c/o Employee 's clinic
• If persistently positive until 20 th day of illness/isolation . referral
lo HIPCU or IDS
consultant must be obtained
• Those who have not yet availed of any COVID -19 vaccination
ARE STRONGLY
 important points:
• Unvaccinated - those who did not receive any COVID19 vaccine
• ~artially Vdaccin~ted - those who received only one (1) dose of COVID-19 vaccine (except for
Jansen an sputnik lite)
• dFully Vaccinated -those who completed two (2) primary doses of COVID-19 vaccine or one (1)
ose Janssen or Sputnik lite
• Full~ vaccinated w/ with booster dose - those who completed two (2) primary doses of COVID-19
vaccine plus one ( 1) or two (2) booster dose/s

11. WORKPLACE SAFETY

A. Cleaning and disinfection

1· Practice of cleaning and disinfecting
surfaces using the appropriate disinfecting chemical agents
such as 0.5% sodium hypochlorite solution (bleach) or 70% alcohol of the COVID and non-
COVID areas at least 2-3 times daily is highly encouraged .
2. UV disinfection is no longer required as means of disinfection.
3. Misting is not required and discouraged as means of disinfection.

B. Visitors
1. No visitors allowed in COVID areas
2. Visitors in non-COVID areas will only be allowed if with complete vaccination and currently
asymptomatic
a. Two (2) visitors at a time only will be allowed to enter the hospital premises .
b. Minor visitors (aged <13) are not allowed to enter hospital premises.
c. All visitors are required to wear at least a surgical mask upon entering hospital premises.
d. No mask no entry must be implemented.

Important points:
- Continue to be vigilant at all times
- Always strictly follow the minimum healthcare protocol inside and outside the hospital premises
Do not forget the five moments of hand hygiene: before and after touching the patient, before and
after doing a procedure, and after touching patient's surroundings.