Professional Documents
Culture Documents
Technology School
Occupational Health Services
Arthur H. Angeles
OH Adviser
March 2,
2
2020
Venus D. Mendoza Adelio D. Cueto Karmela C. Sarmiento
School Nurse Student Affairs Supervisor Chief Operating Officer
Table of Contents
1. Introduction -3-
2. Purpose -3-
3. Scope -3-
4. Roles and responsibilities -4-
5. Response Plan Component -5-
5.1 Pandemic Outbreak focal point and response team members -5-
5.2 Information, awareness, and training -5-
6. Technical Resource Requirements -5-
6.1 Medicines, equipment and supplies -5-
6.2 Precautionary Measure at the workplace -
6-
6.3 Transport of potential, suspected and confirmed cases at work -7-
6.4 Screening and holding areas -7-
6.5 Referral hospitals and clinics -8-
6.6 Measures to reduce transmission at work -8-
6.7 Managing potentially exposed, suspected or ill cases at home -9-
6.8 Guidance to Employers or Students Who Are Sick or with Fever -
9-
6.9 Official business travel and monitoring of personnel - 10 -
6.10 Pandemic Monitoring - 10 -
7. Drills and simulations - 10 -
Annexes:
Annex 1: Procedure for Managing Potentially Exposed or Suspected Cases during Pandemics - 11 -
Annex 2: Social Distancing Guide - 12 -
Annex 3: Instruction to prevent infection at home - 12 -
Annex 4: Useful Home Care Information - 13 -
Annex 5: Preventing Infection While Traveling - 14 -
Annex 6: Cleaning Schedule and Recommended Dilution of Cleaning Agent -
14 -
Annex 7: Online Resources - 15 -
Appendixes:
Appendix A: Proper Hand washing techniques -
16 -
Appendix B: Screening form - 17 -
1. Introduction
Disease outbreak is a public health concern and the workplace is not an exception for disease
transmission. Mobility and business travels present a risk to workers warranting the need for a
pandemic preparedness and response plan to prevent and control the spread of infection and its effects
on the continuity of business operations.
● Achieving effective preparation and response through clarity, process familiarity and confidence
for the response team, employees and students..
● Provide appropriate information to all employees and students in a timely manner.
2. Purpose
This document defines the strategy of First Industrial Science and Technology School on how to
effectively respond to the various stages of a Pandemic outbreak from pre-epidemic stage up to full
epidemic and recovery stages.
3. Scope
This plan applies to First Industrial Science and Technology School including business activities under
their operational control. The plan was prepared with particular focus on biological agents with
pandemic potential encountered in the past such as:
a) Pandemic Influenza
This plan shall be updated for other potential pandemics other than the five identified. Updates and
revisions may also be made following official advisories and guidance from international agencies
(i.e. WHO, CDC, etc.) and local regulatory authorities (i.e. DOH, DOLE, etc.)
This plan will be automatically reviewed and updated in case of potential pandemics to ensure it
remains fit-for-purpose. In the absence of potential pandemics this document shall be reviewed
regularly but not exceed every 3 years.
4. Roles and responsibilities
4.1 Senior Management
● Provide support to the rapid implementation of the Pandemic Preparedness and Response Plan,
Business Continuity, and Crisis Management Plans and provide the necessary resources.
● Deciding unit regarding closure and opening of the workplace affected by the Pandemic Phase and
Post-Pandemic Phases respectively with advice from the Pandemic Preparedness and Response
Team.
● Owns the plan and is accountable for its efficient implementation.
● Appoint a representative as part of the Pandemic Preparedness and Response team who will function
as a resource person on HR-related policies and procedures
4.3 Supervisors
● Provide assistance to Human Resources Management in travel and tracking of their respective
subordinates including contact tracing components of this plan.
● Responsible for disseminating information, instruction and training on Pandemic preparedness to their
subordinates.
● Ensure worker are informed and comply to the requirements of the plan
● Ensure effective interphase with the Business Contingency Plan and Crisis Management Plan
● Provides awareness, information and advice to senior management, response team, staff and other
business partners during the course of the outbreak.
● Responsible for tracking the progress of the outbreak based on local government or international
sources, and providing timely updates on relevant information.
4.5 Clinic Health Personnel (Nurse)
● Responsible for the detailed and day-to-day implementation of the health aspects of the pandemic
preparedness and response plan in coordination with the response team.
4.6 Security
● Monitor and control the entrance and departure of employees, students, contractors and person under
investigation (PUI) and work side by side with the response team in enforcing Health orders.
4.7 Employees, students, contractors and external visitors
MEDICAL EQUIPMENT/SUPPLIES
Hand hygiene supplies (antimicrobial soap and alcohol-based, waterless hand hygiene products) to be placed in critical and
accessible locations in a work area for use by workers.
Disposable N95 respirators and surgical masks for members of the health and emergency response teams including personnel
with high risk of exposure.
Gloves for members of the health and emergency response teams as well as company drivers. Nitrile gloves for toilet cleaners and
waste disposal workers.
Facial tissue
Respiratory care equipment (Portable oxygen, regulator and flow meters, oxygen tubing, cannula and masks) for clinic use only.
Thermometer, thermoscan for clinic and self-monitoring while at work - 2500 (supplier)
1. Provide information about pandemic outbreak including its transmission, disease outcome, and
treatment options to their workers
2. Clean the work areas with disinfectant and make sure that water, soap and sanitizer are available in all
washrooms and toilets;
3. Avoid or reduce direct exposure of workers to animals, environments and objects which may be
possibly carrying the virus.
4. Ensure food in canteens or similar areas is properly prepared, handled and cooked;
5. Emphasize to all workers the everyday actions to stay healthy and
6. keep a clean workplace, such as:
• Cover the nose and mouth when coughing and sneezing;
• Wash hands frequently with soap and water or cleansing of hands with alcohol-based hand sanitizers;
• Spit at proper places;
• Avoid close contact with sick people;
• Increase the body's resistance by having adequate rest and at least eight (8) hours of sleep;
• Drink plenty of fluids, and
• Eat nutritious food.
7. Monitor the health of workers particularly those with fever and other flu symptoms and those who
have traveled to or worked in countries affected with the pandemic disease.
If patient is non-ambulatory, transport of patient for hospital confinement will be implemented within the limits
of
capability of existing Medical Emergency Response (MER) plan.
Drivers who will transport a non-ambulatory patient must be trained in Standard Infection Control, Proper
donning
and removing of personal protective equipment and on decontamination and cleaning protocols of transport
vehicles.
Workers suspected of having been exposed and already at work shall call the clinic for rapid risk assessment
and shall be instructed by clinic personnel to go home or proceed directly to the holding area for final disposition.
Designated holding areas to temporarily hold workers, students and visitors already in the office who might have
been exposed to or showing signs and symptoms related to the pandemic agent(e.g. fever, cough, shortness of
breath, difficulty of breathing) must contain the following supplies and equipment:
✔ Vital information and instruction materials
✔ Thermometer
✔ Face mask
✔ Hand sanitizers
✔ Tissue paper
✔ Covered bin
✔ Telephone
The Regional Institute for Tropical Medicine (RITM) under the Department of Health has always been designated
as the country’s prime health center for potential and pandemics situations. Updated list of government
designated referral hospitals and clinic shall be released by the Pandemic Focal Person as soon as it is made
available.
First Industrial Science and Technology School clinic and health personnel are not allowed to see patient who
might have been exposed to or showing signs and symptoms related to the pandemic agent and shall instead
conduct screening and give advice over the phone or emails.
● Report on absenteeism and reason for not being able to report for work
b. Screening Procedure for employees who are already at work during phase 2/Emerging
Pandemic stage. Visitors who need to enter the building will be required to proceed to the
screening area at the lobby prior to entry into the premises.
c. Social Distancing shall be implemented during Phase 2 of emerging pandemic upon the advice
of the Pandemic Focal person and with the concurrence of the Pandemic Preparedness and
Response Team. Designated Human Resource representative will be in charge of communicating
and Implementing social distancing in the office. Refer to Annex 2: Social Distancing Guide
● Installation of alcohol based hand wash in critical locations in the office (school lobby and
hallway near comlab)
● Disinfect potentially contaminated surfaces: i.e. front desk, handrails, handles, kitchen
utensils, meeting rooms, elevator buttons, etc. with 1:100 chlorine cleaning solution at
least every two hours.
● Install Alcogel dispensers in common access areas (e.g. entrance to faculty room,hallway
near comlab, clinic, etc.).
● Cleaning staff have a higher risk of exposure due to physical contact with contaminated
surfaces during housekeeping. Proper PPE and training will be implemented. Upon
activation of this plan, cleaning staff will be required to be equipped with the following:
✔ Disposable Rags
✔ Dust pan
✔ Clorox (Bleach)
All employees will be provided access to information and awareness pack on measures to protect the household
during the pandemic outbreak and what to do if a member of the household is suspected or diagnosed to have
been infected with a pandemic agent.
● What to do if there is a household member suspected of or even diagnosed with pandemic disease
● Instruction on obtaining advice and assistance from government agencies and important contact
numbers
A. In the event that a worker is suspected as having exposed in a biological agent or pandemic disease, the
employer shall:
1. Provide the worker with a face mask to prevent risk of spreading the infection;
2. Isolate the worker immediately in a separate well-ventilated room in the workplace, away from other
workers;
3. Refer the worker to the company healthcare provider or to the nearest local health center or hospital for
laboratory confirmation if the history, signs and symptoms are consistent with a suspected case of
pandemic disease;
4. Report the worker to the Department of Health by calling the DOH at numbers: 8-711-1001 and 8-711-
1002 5. Ensure the implementation of recommendations provided by the DOH on the management and
transport of suspected cases of pandemic disease.
6. Observe respiratory precautions when taking care of patients with flu or flu-like illness; and
7. Decontaminate the work area with appropriate disinfectant (e.g. chlorine bleaching solution and 1:100
phenol based disinfectant).
B. In the event that a worker is sick or has fever but is not suspected to have exposure to a biological agent
or pandemic disease, the employer must advise the worker to take prudent measures to limit the spread of
communicable diseases, as follows:
1. Stay at home and keep away from work or crowds;
2. Take adequate rest and take plenty of fluids;
3. Practice personal hygiene to prevent spread of disease; and
4. Seek appropriate medical care if there is persistent fever, when difficulty of breathing has started, or
when he/she becomes weak.
The Pandemic Preparedness and Response Team shall monitor the progress of the epidemic globally and in the
Philippines and shall provide regular updates to senior and line management. Refer to Annex 6: Online
Resources
Annexes:
● Where possible, meetings should be held by telephone, even when participants are in the same building
● Avoid meeting in small meeting rooms, if face-to-face meetings are unavoidable, choose large rooms and
sit at least 1 meter from each other if possible
● Not having lunch together in the lunch room or canteen – lunch times will be staggered so number of people
in the lunch room are reduced or eat at your desk or workstation or other more isolated location
● Do not congregate in tea rooms or pantry. Make your tea/coffee and leave the area.
These rules will assist in minimizing/avoiding the possible spread pandemic disease. If your examination
determines that you are likely to be infected, you should adhere to the following rules until 7 days after the fever
has passed.
GENERAL HYGIENE
· Wash your hands regularly especially after sneezing, coughing and contact with body fluids. If your
hands are not visibly dirty using hand alcohol will suffice in place of washing your hands.
· Only use your own cutlery, towels, bed linen and clothes, etc.
· Only use your own soap, hand alcohol and thermometer.
· Rubbish/trash such as tissue, gloves, masks need to be disposed of in closed plastic garbage bags
(your local collector can collect your rubbish as per normal).
· Try not to cough or sneeze when other people are around you and cover your mouth and nose with a
tissue when you are sneezing or coughing. Only use tissues once (do not use handkerchiefs) and dispose
them immediately, then wash your hands or rub them with hand alcohol.
COMMON SYMPTOMS
● Fever – low (37°C) to high (40°C), usually for 3 days, but may persist for 4 to 8 days. Sometimes fever will
go away and return a day later.
● Extreme fatigue
● Muscle and body aches
● Feeling very cold or having shaking chills
● Joint aches
● Headache (may be severe)
● Eye pain
● Sore throat
● Stuffed nose or runny nose
● Dry cough initially, may become a deep, hacking, and painful cough over the course of several days
● No appetite for food or desire to drink fluids
● Acetaminophen
● Drinks – fruit juices, sports drinks
● Light foods – clear soup, crackers
● Cough suppressant/cough syrup
● Disposable surgical mask (10 pcs.)
● Alcohol based hand scrub (e.g. Alcogel) (at least 1 for each member of the family)
ACTIVITIES
AFTER TRAVEL
• Monitor your health for 10 days. If you become ill with fever, difficulty of breathing, cough, or
any illness during this period, consult your doctor and inform your supervisor.
• Before visiting your doctor, tell him/her about your symptoms, recent travel and if you have had
direct poultry contact so that he or she can be aware you have traveled to an area reporting with the
existing infections or diseases
Use of Disinfectants
Starting solution
Most household bleach solutions contain 5% sodium hypochlorite (50 000 ppm available chlorine).
Recommended dilution
1:100 dilution of 5% sodium hypochlorite is the usual recommendation. Use 1-part bleach to 99 parts cold tap
water (1:100 dilution) for disinfection of surfaces. Adjust ratio of bleach to water as needed to achieve appropriate
concentration of sodium hypochlorite. For example, for bleach preparations containing 2.5% sodium hypochlorite,
use twice as much bleach (i.e. 2 parts bleach to 98 parts water).
GENERAL PANDEMIC PLANNING RESOURCES and PANDEMIC TABLETOP EXERCISES AND DRILLS
GENERAL PANDEMIC PLANNING RESOURCES
Department of Health and Human https://www.cdc.gov/flu/pandemic-resources/ Federal/State pandemic disaster planning resources; updated as
Services index.htm new information becomes available.
Centers for Disease Control and http://www.cdc.gov Resource for estimates of impact of a pandemic, range of deaths,
Prevention outpatient visits and hospitalizations.
For latest information and resources about no pharmaceutical
http://www.cdc.gov/npi interventions.
http://www.cidrap.umn.edu/sites/default/files/ Readiness resource; Toolkit for Doing Business During an Influenza
public/downloads/cidrap-shrm-hr-pandemic- Pandemic
toolkit.pdf
Agency for Healthcare Quality http://www.ahrq.gov/browse/bioterbr.htm Multiple resources on disaster planning including surge capacity,
stockpiles, and developing alternate care sites.
AHRQ disaster planning website
World Health Organization http://www.who.int/csr/en/ International planning strategies and global pandemic information
U.S. Department of Labor, http://www.osha.gov/Publications/employers- Information on what employers can do to protect workers from
Occupational Safety and Health protect-workers-flu-factsheet.html Pandemic Influenza
Administration
Federal Emergency Management https://www.fema.gov/ar/media-library/assets/ Provides guidance to assist organizations in developing a Pandemic
Agency documents/93250 Influenza Continuity of Operations Plan
PANDEMIC TABLETOP EXERCISES AND DRILLS
World Health Organization https://www.who.int/risk-communication/training/ Tools to assist planning and conducting tabletop exercises for
Module-E4-pandemic-influenza-exercise.pdf pandemic influenza planning
The RAND, Center for Domestic https://www.rand.org/content/dam/rand/pubs/ Customizable template for tabletop exercises for pandemic influenza
and International Health Security technical_reports/2006/RAND_TR319.pdf preparedness.
Note:
1. If caller wants information or advice on Pandemic provide so. DO NOT PROCEED WITH THE REST OF THE CHECKLIST
2. If caller has been possibly exposed to Pandemic virus or have physical signs and symptoms of any nature, PROCEED WITH
THE REST OF THE CHECKLIST
CHECKLIST:
CLINICAL CRITERIA
Y/N SYMPTOM WHEN IT STARTED REMARKS
Fever Highest temp:
___ C
o
Muscle Pain
Headache
Weakness
Vomiting With blood?
Diarrhea With blood?
Rash
Bleeding Where?
Others
Clinical Criteria fulfilled (Fever + one other symptom)? Yes No
HIGH RISK EXPOSURES
Y/N High Risk Exposures When
Percutaneous (e.g., needle stick) or mucous membrane exposure to blood or body fluids of a
person with Pandemic while the person was symptomatic
Direct skin contact or exposure to blood or body fluids (including but not limited to feces, saliva,
sweat, urine, vomit, and semen) of person with pandemic symptoms (w/out PPE)
Direct contact with dead body or body fluids of person with pandemic symptoms (w/out PPE)
Have lived in the immediate household and provided direct care to a person with Pandemic
while the person was symptomatic
Close contact with a person showing symptoms of Pandemic such as in a household, health
care facility, or the community (w/out PPE). Close contact means being within 3 feet of the
person with Pandemic for a long time without wearing PPE.
Travel or lived in country/area where Pandemic transmission is active within the past 21 days
High Risk Exposure Present? Yes No
● Upon receiving the call ask person to take his temperature again to confirm
● Advise patient to take needed Pandemic information materials in the holding area
● Advice to proceed to DOH designated Pandemic screening center preferably self-driven. Depending on availability other
means may be used such as conduction by company designated vehicle and driver, ambulance, or other transport with
PPE and handwashing precautions.
● Report incident to a member of the Pandemic Response Team to initiate contact tracing among coworkers exposed to
the caller for the past 48 hours
ADVISE FOR CALLERS WITH CLINICAL CRITERIA NOT FULFILLED BUT HIGH RISK EXPOSURE PRESENT
If calling from home:
● Advise not to report to work
● Advise home quarantine for 21 days with active monitoring c/o Pandemic hotline. Instruct patient to proceed to nearest
DOH referral center as soon as possible if fever and/or symptoms develop.
● May report for work after 21 days without developing fever and other symptoms
● Upon receiving the call ask person to take his temperature again to confirm
● Advise patient to take needed Pandemic information materials in the holding area
● Advise home quarantine for 21 days with active monitoring c/o Pandemic Hotline. Instruct patient to proceed to nearest
DOH screening center as soon as possible if fever and/or symptoms develop.
● Patient may go home via conduction by company designated vehicle and driver, ambulance, or other transport with PPE
and handwashing precautions.
May report for work after 21 days without developing fever and other symptoms
ADVISE FOR CALLERS WITH CLINICAL CRITERIA NOT FULFILLED BUT LOW RISK EXPOSURE PRESENT
If calling from home:
● Caller may report for work
● Instruct caller to get in touch with company designated Pandemic focal person(s) to obtain further guidance (issuance of
Pandemic Care Kit and active monitoring while at work – upon arrival and prior to going home for the next 21 days).
● Follow PUI instructions for people at work if fever and Pandemic related symptoms are detected. Initiate workplace
contact tracing.
ADVISE FOR CALLERS WITH CLINICAL CRITERIA FULFILLED OR WITH OTHER SYMPTOMS BUT NO RISK
EXPOSURE PRESENT
If calling from home:
● Remain at home until fully recovered.