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Posted by: thepinetree on 01/13/2022 08:11 AM Updated by: thepinetree on 01/13/2022 09:54 AM
Expires: 01/01/2027 12:00 AM
:

The Great Covid Endemic of 2022? California Tells Asymptomatic Covid Positive HCPs to Stay on Job, No Testing Required!

Sacramento, CA...It seems that unofficially at least the California Dept of Public Health has declared the Covid Pandemic over and the endemic phase of the outbreak underway. From the CDPH guidance..."From January 8, 2022 until February 1, 2022, HCP who test positive for SARS-CoV-2 and are asymptomatic, may return to work immediately without isolation and without testing, and HCPs who have been exposed and are asymptomatic may return to work immediately without quarantine and without testing."





As a practical matter if the California Government issues this form of guidance for the healthcare community while trying to maintain as strict or stricter guidelines for other sectors of the economy they will be disregarded. Very soon all guidance will for all practical purposes be ignored and real policy will become the common sense policy of "If you feel bad don't come to work"

The Complete CDPH Letter is below...

"January 8, 2022

TO:
General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
Skilled Nursing Facilities (SNFs)

SUBJECT:
Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19
(This AFL supersedes AFL 21-08.6)

All Facilities Letter (AFL) Summary
The purpose of this AFL is to provide hospitals and SNF with updated guidance on:
Exposure risk assessment and work restriction for asymptomatic HCP with SARS-CoV-2 exposures (quarantine)
Work restrictions for HCP diagnosed with SARS-CoV-2 infection (isolation)
This revision incorporates updated Centers for Disease Control and Prevention (CDC) guidance on Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 and Strategies to Mitigate Healthcare Personnel Staffing Shortages.
Pursuant to Welfare and Institutions Code section 14126.033 a SNF's receipt of the annual increase in the weighted average Medi-Cal reimbursement rate may be conditioned on the facility's good faith compliance with CDPH AFLs related to the COVID-19 Public Health Emergency, as a result the recommendations included in this AFL are requirements for SNFs.
From January 8, 2022 until February 1, 2022, HCP who test positive for SARS-CoV-2 and are asymptomatic, may return to work immediately without isolation and without testing, and HCPs who have been exposed and are asymptomatic may return to work immediately without quarantine and without testing. These HCPs must wear an N95 respirator for source control.

With the increasing number of COVID-19 cases from the Omicron variant and in preparation for an anticipated surge in patients, CDC updated their guidance for HCP isolation and quarantine to reflect what is currently known about infection and exposure in the context of vaccination and booster doses. Additionally, CDC updated their guidance for contingency and crisis management to mitigate the effects of staff shortages caused by COVID-19 on patient care. SARS-CoV-2 is an airborne pathogen, infectious persons are commonly asymptomatic, and the Omicron variant is extremely more contagious than the Delta variant.

In AFL 21-08.6, CDPH aligned with CDC's shortened duration of isolation and testing considerations for SARS-CoV-2 infected HCP and consolidated the CDC's conventional, contingency and crisis framework into "routine" and "critical staffing shortage" scenarios to reflect the current status of California healthcare facility staffing levels. At this time, all healthcare facilities should be planning for staffing shortages by adjusting staff schedules, hiring additional HCP, rotating HCP to positions that support patient care activities, identifying roles that can be cross-covered by those not specifically assigned to a role, and developing regional plans to identify designated healthcare facilities or alternate care sites with adequate staffing to care for patients with SARS-CoV-2 infection. The duration of work restrictions and negative test criteria in the table below reflect CDPH recommendations; facilities and LHDs always have the option to implement more protective procedures and follow prior guidance for a longer (10-day) isolation period for infected or a longer (10-day) quarantine for exposed HCP.

Temporary Isolation, Quarantine and Return to Work Criteria for HCP
Due to the critical staffing shortages currently being experienced across the health care continuum because of the rise in the Omicron variant, effective January 8, 2022 through February 1, 2022, CDPH is temporarily adjusting the return-to-work criteria. During this time, this guidance will supersede the tables below.

During this time, HCPs who have tested positive for SARS-CoV-2 and are asymptomatic may return to work immediately without isolation and without testing, and HCPs who have been exposed and are asymptomatic may return to work immediately without quarantine and without testing. These HCPs must wear an N95 respirator for source control. Facilities implementing this change must have made every attempt to bring in additional registry or contract staff and must have considered modifications to non-essential procedures.

These HCPs should preferably be assigned to work with COVID-19 positive patients. However, this may not always be possible in settings such as the emergency department in which you may not know which patients are COVID-19 positive or in areas where you may be experiencing extreme staffing shortages.

Exposure Risk Assessment for HCP
Hospitals should and SNFs must use the CDC's updated risk assessment framework to determine exposure risk for HCP with potential exposure to patients, residents, visitors, and other HCP with confirmed COVID-19 in a health care setting. CDC's updated definition of higher-risk exposure includes use of a facemask by HCP (instead of a respirator) while caring for an infected patient who is not also wearing a facemask or cloth mask. CDC guidance for assessing travel and community-related exposures should continue to be applied to HCP with potential exposures outside of work (e.g., household,) and among HCP exposed to each other while working in non-patient care areas (e.g., administrative offices). For the purpose of contact tracing to identify exposed HCP, the exposure period for the source case begins from two days before the onset of symptoms or, if asymptomatic, two days before test specimen collection for the individual with confirmed COVID-19.

Isolation, Quarantine and Work Restriction for HCP
The highlighted sections below are temporarily waived from January 8, 2022 to February 1, 2022.

Hospitals should and SNFs must use the table, below, to guide work restrictions for HCP with SARS-CoV-2 infection and for asymptomatic HCP with exposures based upon HCP vaccination status and facility staffing level.

Work Restrictions for HCP with SARS-CoV-2 Infection (Isolation)
Vaccination Status
Routine
Critical Staffing Shortage
Boosted, OR

Vaccinated but not booster-eligible

5 days* with negative diagnostic test† same day or within 24 hours prior to return OR

10 days without a viral test




Comments - Make a comment
The comments are owned by the poster. We are not responsible for its content. We value free speech but remember this is a public forum and we hope that people would use common sense and decency. If you see an offensive comment please email us at news@thepinetree.net
No Subject
Posted on: 2022-01-13 08:21:26   By: Anonymous
 
We would love to give you a covid basement test sniveler...

[Reply ]

    Re:
    Posted on: 2022-01-13 09:03:49   By: Anonymous
     
    The swab goes up your nose sniveler not up your ass!

    [Reply ]

      Re:
      Posted on: 2022-01-13 21:43:55   By: Anonymous
       
      Correct. And AntiSnivelers tongue goes around the rim and scores!!!! As long as you like.

      [Reply ]

        Re:
        Posted on: 2022-01-14 08:17:35   By: Anonymous
         
        Sniveler that's not my tongue your feeling around your rim...

        [Reply ]

No Subject
Posted on: 2022-01-13 09:30:15   By: Anonymous
 
IF the republicans would get vaccinated we would not be in the mess we are today! They are the great contributors to this dragging on and on. NOT the vaccinated people.

[Reply ]

    Re:
    Posted on: 2022-01-13 09:48:33   By: Anonymous
     
    Quit spreading misinformation

    [Reply ]

      Re:
      Posted on: 2022-01-13 16:39:48   By: Anonymous
       
      That would be on you. The anti vaxers are exactly who have let the community down. And the vaccine has become politicized. I challenge any to actually ask their doctor or medical provider for data. If they have a doctor and believe in preventative care rather than just show up to the emergency room when sick.

      [Reply ]

No Subject
Posted on: 2022-01-13 09:40:13   By: Anonymous
 
What?! Common sense, finally?!

[Reply ]

No Subject
Posted on: 2022-01-13 10:02:58   By: Anonymous
 
Because there aren't enough workers to make the economy work. Seems like the administration has basically given up and will allow COVID to run its course through the population. After all, you can bring a horse to water...

[Reply ]

    Re:
    Posted on: 2022-01-13 16:06:11   By: Anonymous
     
    So, the Biden Administration says that it is okay to fire unvaccinated workers but it is okay to let vaccinated workers that test positive for Covid-19 stay on the job. What a bunch of hypocrites!

    [Reply ]

      Re:
      Posted on: 2022-01-14 09:51:25   By: Anonymous
       
      Would you prefer another lock down, or a curfew like other countries? You complain about restrictions, your rights and cry baby cry. Now that we aren't putting those restrictions in affect you're still crying foul. 😢
      You know this political thing over vaccines is a joke. Instead of trying to stop a pandemic only shows you're not a true patriot. Another funny thing is..your reasoning is the fda is not to be trusted. The vax hasn't been vetted long enough. Yet horse dewormer that's not approved for humans is safe. Just so bizarre.

      [Reply ]

        Re:
        Posted on: 2022-01-14 13:36:40   By: Anonymous
         
        You obviously don't do any research of your own and simply spout what the media has told you.
        I would much rather have an uninfected, unvaxxed health care worker than an infected, vaxxed one.
        Ivermectin, or horse wormer as you call it, has been approved and used to treat humans for decades. Countries that give it as a parasite preventative treatment to the majority of their citizens have far lower Covids infections and fatalities than countries that don't. Unlike the vaccine, there is nothing experimental about it!

        [Reply ]

          Re:
          Posted on: 2022-01-14 15:56:49   By: Anonymous
           
          Dewormer. Not wormer. It is not approved for humans, read a little more moron. You haven't a clue what you're talking about. Jesus christ how stupid can one be? Maybe you can't read. But you are so wrong.

          [Reply ]

            Re:
            Posted on: 2022-01-14 16:01:38   By: Anonymous
             
            Ivermectin is not fda approved for humans. I hate to tell you but you are misinformed. They are right.

            [Reply ]

            Re:
            Posted on: 2022-01-15 15:29:01   By: Anonymous
             
            Go ahead and beat me up for a typo if you want but you're both dead wrong when it comes to FDA approval.
            I said it was FDA approved for use in humans period. It is and has been since 1996.
            I did not say it was approved for use in the treatment of Covid. See the difference? Approved for use in humans vs approved for a specific purpose are two very different things. It is not FDA approved for use in the treatment of Covid in either animals or humans but it is approved for use in both for other purposes.
            Countries that use it routinely as an anti-parasitic do have lower Covid numbers than those that don't. That may or may not be a simple coincidence.

            [Reply ]

              Re:
              Posted on: 2022-01-15 15:43:54   By: Anonymous
               
              And just like anything else with FDA approval, just because it hasn't been approved for a particular use doesn't mean it can't potentially be effective against something else. And I didn't say anything for or against it one way or the other so no need name calling. Simply that it is approved for use in humans.


              [Reply ]

              Re: it's approved
              Posted on: 2022-01-15 21:25:45   By: Anonymous
               
              See post above. Report Brought to by the NIH.

              [Reply ]

                Re: it's approved
                Posted on: 2022-01-15 23:46:07   By: Anonymous
                 
                Thank you. I accidentally posted my second response under your NIH comment. It was intended for those saying it's not even approved for human use.

                [Reply ]


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