COVID 19 RECOMMENDED DAILY HEALTH SCREENING

This checklist is a guide on what protocols needed to implement to prevent COVID 19 virus. Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction. Source: https://dhhr.wv.gov/COVID-19/Documents/Coronavirus-Guidance-Health-Screening-Questions.pdf

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Conducted on
Name of the Person to be Checked
Prepared by
Location

COVID-19 SCREENING PROTOCOL: WHAT TO DO

Screen everyone who enters your facility, including:

• All employees before the start of each work shift
• All visitors
• All clients

ASK THE FOLLOWING QUESTIONS WHEN YOU SCREEN

Have you or has anyone in your home had contact within the last fourteen days with any person under screening/testing for COVID-19, or with anyone with known or suspected COVID-19?
Activate your agency’s protocol for suspected COVID-19. The designated screener should consider:
• A review of the screening results.
• Recommendations for possible exclusion of the individual from the facility.
• Recommendations for medical follow-up.
• Do you currently have any of the following symptoms?
o Fever (100.4°F or higher), or a sense of having a fever.
Activate your agency’s protocol for suspected COVID-19. The designated screener should consider:
• A review of the screening results.
• Recommendations for possible exclusion of the individual from the facility.
• Recommendations for medical follow-up.
o New cough that you cannot attribute to another health condition.
Activate your agency’s protocol for suspected COVID-19. The designated screener should consider:
• A review of the screening results.
• Recommendations for possible exclusion of the individual from the facility.
• Recommendations for medical follow-up.
o New shortness of breath that you cannot attribute to another health condition.
Activate your agency’s protocol for suspected COVID-19. The designated screener should consider:
• A review of the screening results.
• Recommendations for possible exclusion of the individual from the facility.
• Recommendations for medical follow-up.
o New sore throat that you cannot attribute to another health condition.
Activate your agency’s protocol for suspected COVID-19. The designated screener should consider:
• A review of the screening results.
• Recommendations for possible exclusion of the individual from the facility.
• Recommendations for medical follow-up.
o New muscle aches (myalgias) that you cannot attribute to another health condition, or that may have been caused by a specific activity (such as physical exercise).
Activate your agency’s protocol for suspected COVID-19. The designated screener should consider:
• A review of the screening results.
• Recommendations for possible exclusion of the individual from the facility.
• Recommendations for medical follow-up.
The person can be permitted into the facility and should be instructed to practice strong infection control strategies: maintaining social (physical) distancing of 6 feet, wearing a cloth face covering, washing hands (soap and water for 20 seconds or hand sanitizer containing at least 60% alcohol), covering coughs and sneezes with an elbow, avoiding touching their face, and cleaning surfaces frequently.