COVID-19 Products

COVID-19 Incident Report for Staff Exposure

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COVID-19 Incident Report for Staff Exposure RLDatix Page 16 of 16 March 20, 2020 Revision 1 • Rarely (less than 20% of the time) During aerosol generating procedures on the COVID-19 case, did the employee perform hand hygiene after touching the COVID-19 patient's surroundings (bed, door handle, etc.)? • Always, as recommended 95% • Most of the time (50% or more but not 100%) • Occasionally 20% to under 50%) • Rarely (less than 20% of the time) During aerosol generating procedures on the COVID-19 case, were high touch surfaces decontaminated frequently (at least three times daily)? • Always, as recommended 95% • Most of the time (50% or more but not 100%) • Occasionally 20% to under 50%) • Rarely (less than 20% of the time) • Unknown Accidental exposure to biological material During the period of a health care interaction with a COVID-19 infected patient, did the employee have any episode of accident with biological fluid/respiratory secretions? • Yes • No • Unknown If yes, which type of accident? • Splash of biological fluid/respiratory secretions in the mucous membrane of eyes • Splash of biological fluid/respiratory secretions in the mucous membrane of mouth/nose • Splash of biological fluid/respiratory secretions on non-intact skin • Puncture/sharp accident with any material contaminated with biological fluid/respiratory secretions Describe The Exposure Event: Describe Illness / Injury Associated With This Event.

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