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In the following weeks beginning on May 18, 2020, the Health Department will be opening for public services including immunizations and nursing services. There will be several initiatives and protocols in place to keep the patron and our workers safe. As we move forward with public reopening, please understand these procedures will be modified as seen fit for public protection. Some services may be temporarily suspended. Please call the health department for further instructions prior to entering as a means of crowd control.
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Let’s safely open Indiana’s economy and remain vigilant about protecting our health and well-being. We start by applying all we’ve learned about taking precautions to protect ourselves and others against this virus as we build business, employee and consumer confidence. Ultimately, we will get back on track and create an even stronger Indiana.
The following link will take you to the back-on-track webpage (LINK)
What’s Open and What’s Closed (LINK)
(LINK) link to all ISDH provided testing sites
NEW Covid-19 testing will be at Miller School, 6530 New Hampshire Ave, Hammond, IN 46323.Time May 28 - May 31, 9am-6pm.
Below are the known test locations with pre-registration requirements. Call these sites directly for more information. If you are unsure about the tests, you can consult the Indiana State Department of Health (ISDH) call center for clarification.
If you need to see the state-generated map for test sites within the state of Indiana, the following link will take you there. Click here to view the state testing map.
ISDH Hotline: 317-233-7125
After Hours ISDH Hotline: 219-233-1325
ISDH Free line 24 hours a day, 7 days a week: 877-826-0011
Crown Point Franciscan Campus: 219-681-6912
Michigan City Franciscan Campus: 219-877-1474
Munster - (219) 513-2000
Schereville - (219) 440-7373
Crown Point - (219) 769-1362
Merrillville - 219-707-5276
New ISDH Optum Test Site
Scehdule- Walk-Inhours from Monday to Friday: 8 AM to 4Requirements to be tested- SymptomaticInformation symptomaticPhone: 219-881-3777
Location (Drive-Thru)1217 US HWY 41, Schererville, IN 46375Scheduling- By appointment Schedule at famurgentcare.comHoursDaily: 9:00AM - 5:00PMRequirements to be Tested- Doctor’s note - Essential worker - Exposure - Healthcare worker - Pregnant - SymptomaticContact InformationPhone: 219-769-6545
For Indiana residents who are in need of food bank locations or how to donate please click the link below.
LINK Indiana food banks
GENERAL GUIDELINES FOR ALL BUSINESSES (LINK)
All Indiana businesses should take measures and institute safeguards to ensure a safe environment for
their employees, customers, and clients. This includes any business that has remained open during the
Stay-at-Home order, as well as those opening to employees and customers in the coming days and weeks.
The safeguards below are based on the recommendations of the CDC and OSHA guidelines should be
These are general safeguard protocols for businesses.
• Vulnerable Employees and Customers – Those 65 and over and individuals with identified high-risk
conditions are particularly vulnerable to coronavirus. These individuals should continue remote work
as much as possible and should refrain from visiting businesses as much as is possible
• Employee Screening Procedures – Conduct daily health assessments by utilizing a screening
procedure for COVID-19 symptoms for employees who are reporting for work. Examples include
self-assessments before arrival in the workplace, screening questions, or taking temperatures with
a no-touch thermometer
• Personal Protective Equipment – Identify how personal equipment will be used in the workplace,
including masks or face coverings or other protective gear
• Social Distancing – Mitigate exposure in the workplace by implementing social distancing guidelines.
Ensure a minimum of 6 feet between people, which may be accomplished in a number of ways.
Examples include physical barriers such as sneeze guards, limiting capacity, altering shifts, line markings,
using appointments whenever possible, and limiting close interactions with customers
• Workplace Cleaning and Disinfection – Implement practices according to CDC guidelines, with regular
cleaning of high-touch surfaces throughout the workday and at the close of business or between shifts
• Personal Hygiene – Ensure that employees, customers, and clients have ready access to hand sanitizer,
handwashing stations, or other disinfectant products
• Employees with Symptoms – Have a plan in place if an employee presents symptoms. Resources for
testing are available in Indiana through medical providers and the OptumServe testing procedure
• Implement Plans for Positive COVID-19 Cases – Be in touch with your local health department
and follow CDC guidelines to monitor COVID-19 cases and deep clean your facility
• Signage – Post signage about health policies and practices in common areas for employees
and customers to see
• Remote Work – Continue to encourage remote work as much as possible
• Families First Coronavirus Response Act – Employers and employees should be aware of the provisions
of this act
GENERAL GUIDELINES FOR ALL BUSINESSES
• Stay Home If You Are Ill – Do not report to work if you are sick, develop COVID-19 symptoms, or believe
you may have been exposed by close contact. A list of testing sites may be found at:
• Employees with Symptoms – If you have symptoms at your workplace, please leave and seek medical
care or COVID-19 testing. Resources for testing are available in Indiana through medical providers
and the OptumServe testing procedure
• Hygiene – Ensure you are washing your hands frequently or using other hand sanitizer.
Avoid touching your face
• Personal Protective Equipment – Follow your workplace practices. Face coverings are advised
• Social Distancing – Maintain at least 6 feet of distance between you and coworkers, customers,
and clients. Consult your employer
• Remote Work – Work from home is encouraged whenever possible
In addition, all businesses shall provide employees, clients, and customers with a customized COVID-19
action plan that captures industry specific measures to ensure a safe workplace. This plan should be
posted publicly and made available upon request.
A number of associations and businesses have provided the state with examples. These may be
found here: www.in.gov/backontrack/industryguidelines.htm
SUGGESTED RETAIL GUIDELINES
• Required to maintain 50% capacity at all times. Limit the number of customers in a store at
any one time. Assign staff to monitor capacity
• Ensure 6 feet between employees. If this is not possible, install barriers
• Required to develop a protocol to screen employees before they commence work
• Require symptomatic employees to stay home and recommend they be tested
• Train employees on importance of hygiene and sanitation; provide regular updates about personal
COVID-19 mitigation and store safeguards
• Highly recommend face coverings for employees
• Clean high-touch items after each use (e.g. carts, baskets, door handles)
• Group employees by shift to reduce exposure to others
• Prohibit groups from gathering in break rooms or common areas and limit capacity
• Place hand sanitizers in high-contact locations (e.g. register, entry, exit)
• Place signage telling guests to not enter if they are symptomatic or if they have tested positive
• If available, off er face coverings for shoppers (e.g. masks, scarfs, surgical mask)
• Designate hours for at-risk populations (e.g. elderly and those with underlying health conditions)
• Consider one-way aisles and traffic patterns
• Increase or maintain delivery, curbside pickup, to-go orders
• Implement no-touch payments, if possible
PRODUCTS AND SPACES
• Clean merchandise before stocking, if possible
• Self-service food stations, beverage refills, and product samples should not be offered
• Food courts should remain closed for dine-in services until May 11, then at 50% capacity
• Disinfect high-contact surfaces regularly
• Clearly post social distancing signage to advise employees and guests of requirements
and best practices
• Close regularly for deep cleaning
• Maximize spacing at checkout by providing spacing lines or alternating checkout lines
A number of associations and businesses have provided the state with examples of their guidance.
These may be found at www.in.gov/backontrack/industryguidelines.htm
SUGGESTED RESTAURANT GUIDELINES (LINK)
• Develop a protocol to screen employees upon entry
• Place hand sanitizer in lobby, at cashier stations, and in restrooms
• Provide non-surgical masks and require use by employees
• Require employees to wash hands frequently
• Post signage stating customers should not enter with a fever or symptoms of COVID-19 or develop
a protocol to screen customers
• Bar areas to remain closed
• Live music not permitted
• Limit the number of customers in the restaurant to 50% of the seating capacity
• Tables or available booths should be spaced at least 6 feet apart (including outside seating areas)
• Limit the number of customers at any table to 6 or less
• Consider using a reservation and/or call ahead only process to ensure capacity and distancing
requirements are not exceeded
• Limit number of persons in a waiting area (consider using a text or intercom system or allowing
only one member of a party to remain in waiting area with areas in the waiting area marked to
ensure proper distance)
• Consider installing shields at host/hostess stand and cashier stand
• Do not off er self-serve buffets, beverage stations, or condiments on a counter for access by
• Provide food handling refresher training to all employees
CLEANING AND DISINFECTING
• Frequently clean high-contact areas such as door handles, phones, pens, and keypads
• Use electronic ordering or disposable menus, or sanitize menus after each use
• Use disposable silverware or rolled silverware (and use gloves when rolling)
• Sanitize all tabletops and chair arms after each table turns
• Increase cleaning of restrooms
• Enhance cleaning of facility after hours and use recommended disinfectants
ADDITIONAL RESOURCES MAY BE FOUND AT:
A number of associations and businesses have provided the state with guidance for their members
and associates. These may be found at www.in.gov/backontrack/industryguidelines.htm
SUGGESTED GUIDELINES FOR PERSONAL SERVICES (LINK)
• Ensure 6 feet between employees utilizing spaced stations. If this is not possible, install barriers
• Accept customers only by appointment
• Train employees on the importance of hygiene and sanitation
• Develop a protocol to screen employees upon entry or before they arrive at the facility
• Require face coverings for employees (e.g. non-surgical masks, face shields)
• Wear gloves whenever possible
• Clean high-touch items after each use (e.g. door handles, chairs, shampoo bowls)
• Expand hours for services to limit customers in the facility at any one time
• Suspend cancellation policies
CUSTOMERS AND GUESTS
• Maintain social distancing
• Use hand sanitizers and wash hands in high-contact locations (e.g. register, entry, exit, bathroom)
• Do not come to an appointment if ill, symptomatic, or positive for COVID-19
• No guests should accompany the customer
• Require face coverings for customer (e.g. non-surgical masks, scarfs) and have unused
face coverings available
• Consider specifi c hours for at-risk populations (e.g. elderly and those with underlying
• Increase delivery, curbside pickup, to-go orders for all products (e.g. hairspray, shampoo, nail polish)
• Remove all unnecessary items such as magazines, newspapers, service menus, any other unnecessary
paper products, and decor
• Wipe down all seats and tables
• Wipe reception desk with disinfectant
• Employees should frequently wash their hands after using the phones, computer, cash register,
and/or credit card machine. Wipe these surfaces between each use
• The use of credit/debit transactions is preferred, using touch/swipe/no signature technology
• Clean and disinfect all retail areas daily, including products
• Clients should avoid touching products they don’t intend to purchase
• Placement of visible and appropriate signage to communicate to the customer that thorough
sanitation procedures are in place
SUGGESTED GUIDELINES FOR PERSONAL SERVICES
• Sanitize chairs, shampoo bowls, stations, treatment rooms, waiting areas, restrooms, break rooms,
counters, tools, doors and doorknobs, light switches, and all other touchable surfaces in between
• Product samples should not be offered until further notice
• Use plastic covering on cloth chairs that cannot be properly cleaned and disinfected
• Consider discontinuing use of paper appointment books or cards and replace with electronic options
• If available, wrap shampoo bowls in plastic and discard between each client
and associates. These may be found at www.in.gov/backontrack/industryguidelines.htm.
REVISED GUIDANCE FOR PLACES OF WORSHIP
During these challenging times, religious entities, faith communities, and religious leaders have been
working together to provide safe ways to serve and encourage their communities. This updated guidance
provides recommendations for places of worship as they plan for services and operations during the next
stages of Indiana’s reopening. In Governor Holcomb’s Stay-At-Home orders, religious entities, groups,
and facilities have been deemed “essential.” Both the United States Constitution and the Indiana
Constitution protect the right of Hoosiers to worship and freely exercise their religion. The purpose of
this guidance is not to restrict religious liberty, but to provide recommendations to places of worship
and encourage safe environments during these extraordinary times.
Places of Worship are Encouraged to Conduct as Many Activities as Possible Remotely
Places of worship should continue using livestream, virtual services, and drive-in services. Faith
communities and religious leaders quickly adapted to these alternative services, which continue to be
recommended practices. Preparing for the livestream services and drive-in services should be conducted
in accordance with Centers for Disease Control and Prevention (CDC) guidelines.
Places of Worship Can Continue to Slow the Spread of the Virus and Help Protect Vulnerable Members
and Guests When Conducting In-Person Services
Places of worship can help play an important role in protecting the progress made by all Hoosiers who
hunker down daily. Places of worship can consider implementing strategies for services held in person with
the goal of continuing to slow and contain the spread of COVID-19, while uplifting each other during this
diffi cult time. When providing services in person, places of worship are encouraged to follow the minimum
health protocols described in this document as well as guidance from the White House and CDC.
Recommended Minimum Health Protocols for Places of Worship
The following are the recommended minimum health protocols for places of worship in our state.
Places of worship may adopt additional protocols that are consistent with their specific needs and
circumstances to help protect health and safety. The virus is still impacting our communities, and we
should continue to observe practices that protect all Hoosiers, including those who are at-risk
and most vulnerable.
When services are in person, consider the following practices:
• Ask all individuals who are 65 and above or who have an underlying at-risk health condition to stay
home and watch services online
• Ensure 6 feet between individuals or family units of the same households during services
• Space and mark seating, alternating rows when possible
• Clean between each service and disinfect high-contact surfaces regularly
• Place hand sanitizers in high-contact locations (e.g. bathroom, entry, exit) and ask staff, members,
and guests to sanitize their hands before entering the building
• Recommend putting on a face covering before entering the building
• Consider placing signage telling staff, members, and guests to not enter if they are symptomatic
or if they have tested positive for COVID-19
• Implement non-contact greetings
• Avoid handing out materials
• Keep cafés, coffee, and other self-service stations closed
• Establish safety protocols for any communion and collection to avoid contact
• Dismiss services in a way that supports social distancing
• Place readily visible signage to remind everyone of best hygiene practices
• Consider waiting to reopen the preschool and children areas until schools reopen. If open, do not
place a mask on children age two (2) or under per CDC guidelines, and limit leaders in the preschool
and children’s areas to those who do not have pre-existing conditions and those under age 65
• Clean entire facility (e.g. shampooing carpets, sanitizing bathrooms, doorknobs, light switches,
• Consider offering multiple service times to encourage a greater opportunity for social distancing
• Consider having a sign-up for services to allow for an attendance and capacity plan
• Consider suspending in-person praise teams or choirs and using previously taped performances.
If in-person teams are used, use proper social distancing and limited team members
This Guidance Provides Only Recommendations and Suggestions
Under the exceptional times in which Hoosiers connect with their faith communities, these guidelines
provide that places of worship may remain open. The guidelines only make recommendations because
of the compelling interest of the state to stop the spread of COVID-19.
Indiana Department of Homeland Security has issued a travel advisory for the county of Lake County as of March 27th. This level of local travel advisory, means that routine travel or activities may be restricted in areas because of a hazardous situation, and individuals should use caution or avoid those areas.
Visit the IDHS link for more information.
How to Disinfect Frequently Touched Objects and Deep-Cleans (Click for Full Article)Written by the SafeHome Team Updated March, 2020
This guide explains why your home is an important front in the battle against germs and viruses, and covers best practices for cleaning everyday objects, keeping the home safe, and what to do before, after and during your family and guests visit.
No matter how organized and health-conscious you are, it can be tricky to virus-proof your home. Here’s why:
“If you’re sick, it does make sense to steer clear of household members as much as you can, though a strict quarantine is likely not necessary. It should also be emphasized that [just] as important as household quarantine is making sure that you stay home from work or school when you are ill to prevent spread to others.”
– Dr. Stacey Rose, Assistant Professor of Medicine (Infectious Diseases) at Baylor College of Medicine in Houston
“You’ve got a lot more mucus production, coughing, et cetera. It sets you up for possibly a bacterial infection [such as bacterial pneumonia] on top of [flu symptoms].”
– Dr. Peter Shearer, Director of the Emergency Department at the Mount Sinai Hospital in New York City
“Soap and water works really well. It can dry your hands out a little bit more but when you do it, you want to do it right. That means getting your hands wet with warm water, cleaning them, getting all of the surfaces with soap for 20 seconds — that’s a full time through ‘Happy Birthday’ — and then also rinsing them off afterwards.”
– Emily Landon, Medical Director for Infection Control at the University of Chicago Medical Center
“Sanitizer might feel like a modern-day, scientific, and more clinical upgrade to soap. But I’m here to tell you that soap — all sorts of it: liquid, solid, honeysuckle-scented, the versions inexplicably only marketed to men or women — is a badass, and even more routinely effective than hand sanitizer. We should be excited to use it, as much as possible.”
– Brian Resnick, Senior Science Reporter at Vox.com
The Centers for Disease Control and Prevention explains that an epidemic occurs when a community experiences a widespread, often sudden, outbreak of disease.1 Flu epidemics happen nearly every year in many communities. They last several weeks to several months. During these times, you’re at higher risk of getting sick with the flu. Vaccinations do reduce the danger but are not 100% effective. Plus, not everyone can get vaccinated.
The definition of a pandemic is when a disease is prevalent across an entire country or the world. COVID-19 is one such example.2 However, something much smaller than an epidemic or pandemic could throw your household into chaos. For example, noroviruses spread easily through contaminated food, water and surfaces. The American Lung Association points out that even the common cold can be worrisome, especially if someone in the household has a condition such as asthma, chronic bronchitis or emphysema.3 To protect your home, follow these steps:
Please click link for extended tips and tricks for disinfection.
The COVID-19 map provided by the Indiana State Department of Health will give you a visual on current cases.
Coronavirus is a type of virus that causes diseases of varying severities, ranging from the common cold to more serious respiratory disease. A novel (new) coronavirus is a new strain of coronavirus that hasn’t been identified before in humans.
Please call the ISDH Epidemiology Resource Center at 317-233-7125 [317-233-1325 after hours] or e-mail email@example.com if you experience symptoms such as fever, cough and shortness of breath and have a recent history of travel to China or contact with someone suspected of having COVID-19.
CDC’s frequently asked questions -> https://www.cdc.gov/coronavirus/2019-ncov/faq.html#symptoms
Use of Cloth Face Coverings to Help Slow the Spread of COVID-19
Click here for CDC pattern and instructions to make your own face mask.
How to Wear a Cloth Face Covering
Cloth face coverings should—
CDC on Homemade Cloth Face Coverings
CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies), especially in areas of significant community-based transmission.
CDC also advises the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure.
Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.
Should cloth face coverings be washed or otherwise cleaned regularly? How regularly?
Yes. They should be routinely washed depending on the frequency of use.
How does one safely sterilize/clean a cloth face covering?
A washing machine should suffice in properly washing a face covering.
How does one safely remove a used cloth face covering?
Individuals should be careful not to touch their eyes, nose, and mouth when removing their face covering and wash hands immediately after removing.
People who have traveled to or from China since December 1, 2019, could have been exposed to the virus. Seek medical care if you traveled to China and develop a fever and cough or respiratory symptoms within 14 days of your return.
As of yet there are no local testing kits available at the Health Department, Please call the ISDH 24/7 Toll free number 877-826-0011 or the Epidemiology Resource Center at 317-233-7125 [317-233-1325 after hours] or e-mail firstname.lastname@example.org if you experience symptoms such as fever, cough and shortness of breath and have a recent history of travel to China or contact with someone suspected of having COVID-19.
The following link has many print friendly resources to pass out for your organization and/or businesses.
If local health officials report that there are multiple cases of COVID-19 in the community, schools may need to implement additional strategies in response to prevent spread in the school, but they should continue using the strategies they implemented when there was no community transmission. These additional strategies include:
Coordinate with local health officials. This should be a first step in making decisions about responses to the presence of COVID-19 in the community. Health officials can help a school determine which set of strategies might be most appropriate for their specific community’s situation.
Implement multiple social distancing strategies. Select strategies based on feasibility given the unique space and needs of the school. Not all strategies will be feasible for all schools. For example, limiting hall movement options can be particularly challenging in secondary schools. Many strategies that are feasible in primary or secondary schools may be less feasible in childcare settings. Administrators are encouraged to think creatively about all opportunities to increase the physical space between students and limit interactions in large group settings. Schools may consider strategies such as:
Consider ways to accommodate the needs of children and families at risk for serious illness from COVID-19. Consider if and how to honor requests of parents who may have concerns about their children attending school due to underlying medical conditions of their children or others in their home.
Additional information about social distancing, including information on its use for other viral illnesses, is available in this CDC publicationpdf icon.
Additional strategies should be considered when there is substantial transmission in the local community in addition to those implemented when there is no, minimal, or moderate transmission. These strategies include:
Continue to coordinate with local health officials. If local health officials have determined there is substantial transmission of COVID-19 within the community, they will provide guidance to administrators on the best course of action for childcare programs or schools. These strategies are expected to extend across multiple programs, schools, or school districts within the community, as they are not necessarily tied to cases within schools or childcare facilities.
Consider extended school dismissals. In collaboration with local health officials, implement extended school dismissals (e.g., dismissals for longer than two weeks). This longer-term, and likely broader-reaching, dismissal strategy is intended to slow transmission rates of COVID-19 in the community. During extended school dismissals, also cancel extracurricular group activities, school-based afterschool programs, and large events (e.g., assemblies, spirit nights, field trips, and sporting events). Remember to implement strategies to ensure the continuity of education (e.g., distance learning) as well as meal programs and other essential services for students.
COVID-19 Guidance for Funeral Homes and Directors
For additional information, visit https://www.coronavirus.in.gov/.
WHAT IS COVID-19?
Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. Patients with COVID-19 have experienced mild to severe respiratory illness, including fever, cough and shortness of breath. The virus that causes COVID-19 is a novel (new) coronavirus. It is not the same as other types of coronaviruses that commonly circulate among people and cause mild illness, like the common cold.
HOW DOES COVID-19 SPREAD?
The virus that causes COVID-19 is thought to spread mainly from person-to-person, between people who are in close contact with one another (within about 6 feet) through respiratory droplets when an infected person coughs or sneezes. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose or possibly their eyes, but this is not thought to be the main way the virus spreads.
Funeral homes, crematories and morticians are essential providers and authorized to perform within their scope of duty to take charge and remove deceased persons from their places of death, prepare a deceased person for final disposition in any manner and make arrangements, provided that such arrangement comply with Indiana’s Roadmap to Reopening and social distancing guidelines.
Religious services, including funerals, may continue and will no longer be subject to limits on social gatherings. However, social distancing and other sanitation measures will continue to apply. Visitations or other gatherings before or after funerals remain subject to the limitations and restrictions for social gatherings.
While attending a funeral, follow proper hand hygiene protocols: wash hands often with soap and water for at least 20 seconds; use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water is not available; soap and water should be used if the hands are visibly soiled; avoid touching eyes, nose or mouth with unwashed hands; avoid close contact with people who are sick.
PREVENTIVE ACTIONS FOR FUNERAL DIRECTORS INVOLVING COVID-19
Funeral homes are authorized to meet with families to make arrangements for final disposition but should do so by telephone or remotely if possible. If funeral homes must meet with families, they should practice social distancing consistent with the Centers for Disease Control and Prevention (CDC) guidelines.
A funeral or visitation services can be held with certain restrictions. Persons who have COVID-19 or are exhibiting symptoms of COVID-19 should be restricted from attending the funeral service or visitation to prevent its spread to others who are attending. Try to provide ways for family members or close friends to join the service remotely through use of available technology or offer to record the funeral service for later viewing.
Decedents with COVID-19 can be buried or cremated but check for any additional state or local requirements that may dictate the handling and disposition of the remains of individuals who have died of certain infectious diseases. Guidelines for coroners are available here.
PREVENTIVE ACTIONS FOR FUNERAL HOME WORKERS HANDLING DECEDENTS
Funeral home workers may potentially be exposed to the COVID-19 virus if they are entering homes or other locations. They may not know if a person has died from COVID-19 or if other persons at the same location have COVID-19. Unless the funeral home worker knows that they will not be exposed to COVID-19 when traveling to handle a decedent, it is recommended that they follow standard precautions and use PPE that has been recommended for emergency medical service employees.
Funeral home workers should follow routine infection prevention and control precautions when handling a decedent who died of COVID-19.
• Follow standard precautions when transferring a body to a bag, including PPE if splashing of fluids is expected.
• Disinfect the outside of the bag with a product on the EPA’s List N: Disinfectants for Use Against SARS-CoV-2. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).
• Wear disposable nitrile gloves when handling the body bag.
• Body bags and removal pouches should be properly disposed after they are used, unless manufacturer’s instructions allow for reuse after proper cleaning and disinfection.
• During embalming, follow standard precautions including the use of additional PPE if splashing is expected (e.g. disposable gown, face shield or goggles and facemask).
• Wear appropriate respiratory protection if any procedures will generate aerosols or if required for chemicals used in accordance with the manufacturer’s label.
• Wear heavy-duty gloves over nitrile disposable gloves if there is a risk of cuts, puncture wounds or other injuries that break the skin.
• Additional information on how to safely conduct aerosol-generating procedures is in the CDC’s Postmortem Guidance.
Cleaning should be conducted in accordance with manufacturer’s instructions. Use EPA-approved disinfectants on the List N: Disinfectants for Use Against SARS-CoV-2, or with a human coronavirus claim. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).
Questions about COVID-19 may be directed to the ISDH COVID-19 Call Center at the toll-free number 877-826-0011 (available 8 a.m. to midnight).
Additional information and resources for COVID-19 are available below.
ISDH COVID-19 webpage: https://coronavirus.in.gov/
CDC COVID-19 webpage: http://cdc.gov/coronavirus
COVID-19 Foodservice Recommendations
Customer Pick-up and Delivery
Affected Retail Foodservice
Included but not limited to restaurants, food courts, bars, taverns, brewers, wine tastings, coffee shops, bakeries, ice cream parlors, snack bars, concessions, sport facilities.
Retail Foodservice Customer Pick-Up
Other Considerations If Applicable
East Chicago Health Department
100 W. Chicago Ave Ste. 100A
East Chicago, IN, 46312
Summary of Recent Changes
Revisions were made on 3/12/2020 to reflect the following:
Who is this guidance for?
This interim guidance is intended for administrators of public and private childcare programs and K-12 schools. Administrators are individuals who oversee the daily operations of childcare programs and K-12 schools, and may include positions like childcare program directors, school district superintendents, principals, and assistant principals. This guidance is intended for administrators at both the school/facility and district level.
Why is this guidance being issued?
This guidance will help childcare programs, schools, and their partners understand how to help prevent the transmission of COVID-19 within childcare and school communities and facilities. It also aims to help childcare programs, schools, and partners react quickly should a case be identified. The guidance includes considerations to help administrators plan for the continuity of teaching and learning if there is community spread of COVID-19.
What is the role of schools in responding to COVID-19?
Schools, working together with local health departments, have an important role in slowing the spread of diseases to help ensure students have safe and healthy learning environments. Schools serve students, staff, and visitors from throughout the community. All of these people may have close contact in the school setting, often sharing spaces, equipment, and supplies.
Information about COVID-19 in children is somewhat limited, but the information that is available suggests that children with confirmed COVID-19 generally had mild symptoms. However, a small percentage of children have been reported to have more severe illness. People who have serious chronic medical conditions are believed to be at higher risk. Despite lower risk of serious illness among most children, children with COVID-19-like symptoms should avoid contact with others who might be at higher risk, such as older adults and adults with serious chronic medical conditions.
How should schools prepare for, and respond to, COVID-19?
Schools should be prepared for COVID-19 outbreaks in their local communities and for individual exposure events to occur in their facilities, regardless of the level of community transmission, for example a case associated with recent travel to an area with sustained COVID-19 transmission. The following decision tree can be used to help schools determine which set of mitigation strategies may be most appropriate for their current situation.
When a confirmed case has entered a school, regardless of community transmission:
Any school in any community might need to implement short-term closure procedures regardless of community spread if an infected person has been in a school building. If this happens, CDC recommends the following procedures regardless of the level of community spread:
check solid icon
Coordinate with local health officials. Once learning of a COVID-19 case in someone who has been in the school, immediately notify local health officials. These officials will help administrators determine a course of action for their childcare programs or schools.
Dismiss students and most staff for 2-5 days. This initial short-term dismissal allows time for the local health officials to gain a better understanding of the COVID-19 situation impacting the school. This allows the local health officials to help the school determine appropriate next steps, including whether an extended dismissal duration is needed to stop or slow further spread of COVID-19.
Communicate with staff, parents, and students. Coordinate with local health officials to communicate dismissal decisions and the possible COVID-19 exposure.
Clean and disinfect thoroughly.
Make decisions about extending the school dismissal. Temporarily dismissing childcare programs and K-12 schools is a strategy to stop or slow the further spread of COVID-19 in communities.
Implement strategies to continue education and related supports for students.
COVID-19 Guidance for Businesses and Employers
IDENTIFICATION OF WORKERS EXEMPT FROM EXECUTIVE ORDER 20-08 (DIRECTIVE TO STAY AT HOME)
• On March 23, 2020, Gov. Eric J. Holcomb issued Executive Order 20-08 (Directive for Hoosiers to Stay at Home) directing Hoosiers to stay at home or their place of residence to prevent the spread of SARS-CoV-2, the virus that causes novel coronavirus disease 2019 (COVID-19).
• Workers at Essential Businesses and Operations, including Healthcare and Public Health Operations, Human Services Operations, Essential Government Functions and Essential Infrastructure, are exempt from the directive to stay at home.
• For more information:
o Please call the Critical Industries Hotline at 877-820-0890 or email email@example.com.
o Please note that this hotline is intended only for business and industry questions.
PUBLIC HEALTH MANAGEMENT OF WORKERS WHO HAVE BEEN EXPOSED TO SARS-COV-2
The recommendations for public health management of people who have been exposed to SARS-CoV-2 are different for essential critical infrastructure workers in the human healthcare sector, essential critical infrastructure workers in non-human healthcare sectors, and people who are not essential critical infrastructure workers. These differing recommendations are intended to balance the need to minimize the spread of SARS-CoV-2 by people with recognized exposures against the need to maintain services in critical infrastructure sectors.
Definition of Critical Infrastructure Sectors
• The Department of Homeland Security Cybersecurity and Infrastructure Security Agency (CISA) has identified 16 Critical Infrastructure Sectors whose assets, systems and networks ― whether physical or virtual ― are considered so vital to the United States that their incapacitation or destruction would have a debilitating effect on security, national economic security, national public health or safety, or any combination thereof.
• These sectors include:
o Commercial Facilities
o Critical Manufacturing
o Defense Industrial Base
o Emergency Services
o Financial Services
o Food and Agriculture
o Government Facilities
o Healthcare and Public Health
o Information Technology
o Nuclear Reactors, Materials and Waste
o Transportation Systems
o Water and Wastewater Systems
Definition of Essential Critical Infrastructure Workers
• The Department of Homeland Security Cybersecurity and Infrastructure Security Agency (CISA) Guidance on the Essential Critical Infrastructure Workforce provides a comprehensive list of "essential critical infrastructure workers" in the 16 critical infrastructure sectors.
1. Public Health Management of People who are Not Essential Critical Infrastructure Workers Who Have Been Exposed to SARS-CoV-2
• People who are not essential critical infrastructure workers and who have been exposed to SARS-CoV-2 should enter self-quarantine at home or in a comparable setting for two weeks.
• During the 2-week self-quarantine period, these employees should: o Practice social distancing from other members of the household.
o Perform self-monitoring for signs and symptoms of COVID-19 as instructed by local or state public health authorities.
o Postpone long-distance travel on commercial conveyances.
2. Public Health Management of Essential Critical Infrastructure Workers Exposed to SARS-CoV-2 (Non-Human Healthcare Sectors)
• Based on the needs of individual jurisdictions, and at the discretion of state or local health authorities, essential critical infrastructure workers outside of the human healthcare sector may be permitted to continue work following potential exposure to SARS-CoV-2, provided they remain asymptomatic.
• Personnel who are permitted to work following an exposure should self-monitor under the supervision of their employer’s occupational health program, including taking their temperature before each work shift to ensure that they do not have a fever.
• On days that these employees are scheduled to work, the employer’s occupational health program could consider measuring temperature and assessing symptoms prior to the employee starting work. If this is done, it should be with the employee at rest and in a climate-controlled environment.
• ISDH does not recommend that employees attend work if their measured body temperature is higher than 99.5°F (under the arm) or 100°F (oral).
3. Public Health Management of Essential Critical Infrastructure Workers Exposed to SARS-CoV-2 (Human Healthcare Sector)
• Essential critical infrastructure workers in the human healthcare sector exposed to SARS-CoV-2 in healthcare settings should be managed according to existing CDC guidance.
Last Updated 4/1/2020, additional information, visit https://coronavirus.in.gov.
PUBLIC HEALTH MANAGEMENT OF WORKERS WHO HAVE ILLNESSES COMPATIBLE WITH COVID-19
• Employees who have a measured body temperature higher than 99.5°F (armpit) or 100°F (oral), a new cough, or new onset of shortness of breath should be separated from other employees and sent home immediately. The affected employee’s access to the business should be restricted until they have recovered.
• Employees with the above signs and symptoms should enter self-isolation at home.
• If medical evaluation is needed: o The receiving healthcare facility should be notified in advance so that recommended infection control precautions can be put in place. Emergency medical services should also be notified if emergency transport is indicated.
o Diagnostic testing should be guided by CDC’S Criteria to Guide Evaluation and Laboratory Testing for COVID-19
• Employees with the signs and symptoms above should not travel by air except for air medical transport. Local travel is only allowed by medical transport (e.g., ambulance) or private vehicle while the symptomatic person is wearing a face mask.
• Employees with the signs and symptoms above who have a positive test for SARS-CoV-2 or who have not been tested for SARS-CoV-2 should stay home until they are free of fever (without the use of medication) for at least 72 hours (three full days) AND symptoms have improved for at least 72 hours AND at least seven days have passed since symptoms first began.
• Employees with the signs and symptoms above who have a negative test for SARS-CoV-2 should stay home until they are free of fever (without the use of medication) for at least 24 hours.
• Workers with the signs and symptoms above should not be required to obtain a healthcare provider’s note to validate the illness or to return to work; healthcare provider offices and medical facilities may be extremely busy and not able to provide such documentation in a timely way.
WHAT BUSINESSES AND EMPLOYERS CAN DO TO PREPARE
• Allow as many employees as possible to work from home by implementing policies in areas such as teleworking and video conferencing. People at high risk of severe illness from COVID-19 are urged to stay in their residence to the maximum extent possible, except as necessary to seek medical care.
• Ensure that your sick leave policies are up to date, flexible and non-punitive to allow sick employees to stay home to care for themselves, children or other family members. Consider encouraging employees to do a self-assessment each day to check if they have any COVID-19 type symptoms (fever, cough or shortness of breath).
• Reinforce key messages to all employees (including stay home when sick, use cough and sneeze etiquette and practice hand hygiene), and place posters in areas where they are most likely to be seen. Provide protection supplies such as soap and water, hand sanitizer, tissues and no-touch disposal receptacles for use by employees.
• Frequently perform enhanced environmental cleaning of commonly-touched surfaces, such as workstations, countertops, railings, door handles, and doorknobs. Use the cleaning agents that are usually used in these areas and follow the directions on the label. Provide disposable wipes so that commonly used surfaces can be wiped down by employees before each use.
• Be prepared to change business practices, if needed, to maintain critical operations (e.g., identify alternative suppliers, prioritize customers, or temporarily suspend some of your operations).
AUTHORITY OF LOCAL HEALTH OFFICERS
This guidance is not intended to supersede the authority granted to local health officers by IC 36-1-3 (Home Rule). However, local health officers are encouraged to consider the benefits of a standardized approach for essential critical infrastructure workers, since critical infrastructure sectors operate across jurisdictional boundaries.
Additional information and resources for COVID-19 are available at the links below.
o ISDH Novel Coronavirus 2019 (COVID-19) webpage
o CDC’s Resources for Businesses and Employers
The 2019 novel coronavirus (C OVID-19) that has heavily impacted China and expanded globally has created health concerns around the globe, including here in Indiana. Schools, working with local health departments, play an important role in slowing the spread of diseases to help ensure students have safe and healthy learning environments. Schools serve students, staff and visitors from throughout the community. All of these people may have close contact in the school building, often sharing spaces, equipment and supplies.
As with other respiratory illnesses, including influenza, COVID-19 typically spreads from person to person among close contacts ― which generally includes a range of about six feet in proximity ― through respiratory droplets produced when an infected person coughs or sneezes. There is currently no vaccine or antiviral treatment for novel coronavirus.
At this time, the risk of individuals who have not traveled or had contact with someone ill with COVID-19 becoming ill from this virus is low, including students and staff in Indiana schools. To mitigate possible community transmission of COVID-19, the most important thing for schools to do now is plan and prepare for the possibility of community-level outbreaks. Schools want to be ready if COVID-19 appears in their communities. To help with that preparation and communication, a parent letter template and guidance for school nurses who may screen students for COVID-19 is attached to this guidance.
WHAT YOU SHOULD KNOW ABOUT COVID-19:
Because there is no vaccine or treatment for COVID-19 at this time, the CDC’s
Nonpharmaceutical Interventions (NPIs) have recommendations to help you plan for community transmission. Although this guidance is geared toward pandemic flu outbreaks, these guidelines are useful for planning for future respiratory disease outbreaks from other pathogens as well, including COVID-19.
SCHOOL GUIDANCE FOR PLANNING AND PREPARING:
SCHOOL GUIDANCE WHEN A CONFIRMED CASE OCCURS IN YOUR COMMUNITY:
SCHOOL GUIDANCE WHEN A CONFIRMED CASE OCCURS IN YOUR SCHOOL:
SCHOOL GUIDANCE WHEN SCHOOLS ARE DISMISSED
On March 12, 2020, Governor Eric J. Holcomb announced the following actions:
Effective immediately, school corporations will be provided with a 20-day waiver of the required 180 instructional days for use as needed for the remainder of the academic year. The waived days do not need to be used consecutively and can be leveraged as needed.
We know there may be specific situations that arise where you have questions. We encourage schools to call the ISDH Epidemiology Resource Center toll-free, 24/7, at 877-826-0011 or email firstname.lastname@example.org. Your state and local partners are ready to assist you with any questions you have.
For more information: More information about COVID-19 is available on the ISDH website at
www.in.gov/isdh; check back periodically for updates. ISDH will provide additional guidance as the situation evolves.
Please share this information with your school health personnel and administrators, and ask them to share with staff, parents and students as needed.
Last revised: March 16, 2020
Guidance on child cares remaining open/closing in light of COVID-19 pandemic March 20, 2020 (LINK)
Visit FSSA for COVID-19 checklist (LINK)
Child care is an essential service. This means that the operations of child care are necessary to continue to support the function of societal operations. Child care may remain open under the following conditions:
1. First priority shall be given to children of first responders, medical professionals and other professionals whose work is essential for the general community to stay healthy and safe. This includes children of workers who provide access to food and/or work in the general supply chain for goods, services and other basic needs.
2. Child care providers/operators who are over the age of 60 should close and should not be providing care. In addition, it is recommended that caregivers who are over the age of 60 and/or have underlying health conditions such as diabetes, lung disease or are medically fragile should stay home and should not be providing care to children in a child care setting.
3. All child care providers should immediately institute the practice of checking the temperature of each child when they are brought into the child care, before the parent leaves. If the child presents with a temperature of over 100.4, the child should not remain at the child care and must return home with the parent. Children who have had symptoms such as vomiting and diarrhea should remain home for at least 24 hours after the last episode, and should be fever free for at least 24 hours without being given fever-reducing medications. Families should be informed of this new policy in writing and providers can use the template provided by OECOSL to make this notification.
4. Social distancing practices should be continued with new policies that do not allow more than 20 children within one classroom or area. In addition, it is recommended that when possible programs keep the same children in consistent groups with the same teacher/caregiver. Flexibility can be used for intermittent scheduling when appropriate; however, the overarching goal is to minimize mingling of children.
5. It is recommended that programs adjust their daily schedules to allow one hour per day for deep cleaning when children are not present. This may mean that programs close one hour early or open one hour late and have teaching staff perform deep cleaning of the early education environment. Please reference the cleaning and sanitizing information released by OECOSL for information on how to ensure cleaning practices are safe in the child care environment.
6. If a positive case of COVID-19 has occurred fora child orcaregiver the facilitymust temporarily closeto facilitate cleaning. Those who are direct contacts should self-isolate. The facility shouldcomplete deep cleaning and sanitizing of the child care in order to rapidly reopen.Please see the OECOSL guidancedocumenttitled COVID-19 checklistfor guidance aswell assample templates for notifying staff and families of closures due to COVID-19.
COVID-19 Guidance for Wearing Face-Coverings in Public
ARE FACE COVERINGS RECOMMENDED FOR THE GENERAL PUBLIC?
Recent studies have shown that a significant portion of individuals with coronavirus lack symptoms and that even those who eventually develop symptoms can transmit the virus to others before showing symptoms. This means that the virus can spread between people interacting in close proximity — for example, speaking, coughing or sneezing — even if those people are not exhibiting symptoms. In light of this new evidence, CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain, such as grocery stores and pharmacies, especially in areas of significant community-based transmission. It is critical to emphasize that maintaining 6-feet social distancing remains important to slowing the spread of the virus.
WHAT TYPES OF FACE COVERINGS ARE RECOMMENDED?
Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional, voluntary public health measure. The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.
HOW SHOULD CLOTH FACE COVERINGS BE WORN?
Cloth face coverings should not be placed on young children younger than age 2 or on anyone who has trouble breathing, is unconscious, incapacitated or otherwise unable to remove the mask without assistance. Cloth face coverings should:
HOW DO I MAKE A CLOTH FACE COVERING?
The Centers for Disease Control and Prevention has posted detailed directions and patterns for making cloth face coverings with or without sewing. U.S. Surgeon General has also posted a video showing how to make your own face covering.
CARING FOR CLOTH FACE COVERINGS
Cloth face coverings should be routinely cleaned in a washing machine depending on the frequency of use.
HOW TO SAFELY REMOVE A USED CLOTH FACE COVERING
Individuals should be careful not to touch their eyes, nose and mouth when removing their face covering and wash hands immediately after removing.
General questions from the public or healthcare provider inquiries about COVID-19 may be directed to the ISDH COVID- 19 Call Center at the toll-free number 877-826-0011 (available 24/7).
CDC COVID-19 webpage: http://coronavirus.gov
ISDH COVID-19 webpage: https://coronavirus.in.gov
Recommendation Regarding the Use of Cloth Face Coverings, Especially in Areas of Significant Community-Based Transmission: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html
COVID-19 Information for Public Facilities and Organizations
Last Updated 3/2/2020 For additional information, visit https://www.in.gov/isdh/28470.htm.
WHAT IS COVID-19?
Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. Patients with COVID-19 have experienced mild to severe respiratory illness. The virus that causes COVID-19 is a novel (new) coronavirus. It is not the same as other types of coronaviruses that commonly circulate among people and cause mild illness, like the common cold.
HOW DOES COVID-19 SPREAD?
The virus that causes COVID-19 is thought to spread mainly from person-to-person, between people who are in close contact with one another (within about 6 feet) through respiratory droplets when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.
WHAT CAN ORGANIZATIONS DO TO PREVENT SPREAD OF COVID-19?
Public facilities and organizations should take everyday preventive measures to help contain the spread of COVID-19. These include:
COVID-19 Guidance for Providers on School Closings
Last Updated 3/9/2020 For additional information, visit https://www.in.gov/isdh/28470.htm.
WHAT IS COVID-19?
Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. Patients with COVID-19 have experienced mild to severe respiratory illness, including fever, cough and shortness of breath. The virus that causes COVID-19 is a novel (new) coronavirus. It is not the same as other types of coronaviruses that commonly circulate among people and cause mild illness, like the common cold. See attached infographic to share with parents.
HOW DOES COVID-19 SPREAD?
The virus that causes COVID-19 is thought to spread mainly from person-to-person, between people who are in close contact with one another (within about 6 feet) through respiratory droplets when an infected person coughs or sneezes. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads. See attached infographic to share with parents.
WHY IS MY CHILD’S SCHOOL CLOSED?
The decision to temporarily dismiss K-12 schools is considered on a school-by-school basis, and in consultation and coordinator with school district officials and state and local health officials. If your school is closed, please stay home. It’s out of an abundance of caution that we decided to close the schools to prevent other students from getting sick in a short amount of time. While children typically experience only mild illness from COVID-19, staying home helps prevent spread to those who are more vulnerable, which includes anyone older than 60,those with underlying health conditions, and those who are immune-compromised. Every year we see some schools close during flu season because of high rates of illness. This allows students to remain apart from the school environment and lets schools do deeper cleaning and disinfecting so the environment is healthier when students return. It’s CRITICAL that people actually stay home. This is not a vacation for students. You should not be going out in public places, visiting the movies, taking trips. Stay home.
WHAT CAN PARENTS DO TO PREVENT SPREAD OF COVID-19?
Parents should take everyday preventive measures to help protect their family from the spread of COVID-19. These include:
COVID-19 Guidance for Providers on School Closings
WHAT SHOULD A PARENT DO IF THEIR CHILD’S SCHOOL OR CHILDCARE PROGRAM IS CLOSED?
WHAT SHOULD I DO IF MY CHILD IS ILL?
The ISDH call center for healthcare providers and members of the public who have concerns about COVID-19 is now staffed from 8 a.m. to 8 p.m. at 317-233-7125. After-hours calls should be directed to 317-233-1325 and will be answered by an on-call epidemiologist.
COVID-19 Guidance for Mass Gatherings
Last Updated 3/11/2020 For additional information, visit https://www.in.gov/isdh/28470.htm.
WHAT IS COVID-19?
The virus that causes COVID-19 is thought to spread mainly from person-to-person, between people who are in close contact with one another (within about 6 feet) through respiratory droplets when an infected person coughs or sneezes. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.
HOW SHOULD WE PREPARE FOR A COVID-19 OUTBREAK?
A COVID-19 outbreak could last for a long time. Depending on the severity of the outbreak, public health officials may recommend community actions designed to limit exposure to COVID-19. Officials may ask you to modify, postpone or cancel large events for the safety and well-being of your event staff, participants and the community.
The details of your emergency operations plan should be based on the size and duration of your events, demographics of the participants, complexity of your event operations and type of on-site services and activities your event may offer.
WHAT SHOULD WE DO IF COVID-19 SPREADS TO OUR COMMUNITY?
WHAT SHOULD WE DO WHEN A COVID-19 OUTBREAK ENDS IN OUR COMMUNITY?
When public health officials determine that the outbreak has ended in your local community, work with them to identify criteria for scaling back COVID-19 prevention actions at your events. Base the criteria on slowing of the outbreak in your local area. If your events were cancelled, work with your venues to reschedule your events.
§ CDC COVID-19 guidance for mass gatherings or large community events: https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/mass-gatherings-ready-for-covid-19.html
§ CDC COVID-19 recommendations for environmental cleaning and disinfection: https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/cleaning-disinfection.html
§ CDC steps to help prevent the spread of COVID-19 if you are sick: https://www.cdc.gov/coronavirus/2019- ncov/about/steps-when-sick.html
§ ISDH guidance for home care: https://www.in.gov/isdh/files/IN_COVID-19_Home_Care_2.28.20.pdf
§ ISDH COVID-19 webpage: https://www.in.gov/isdh/28470.htm
Preparing now for a COVID-19 outbreak is the best way to protect people experiencing homelessness, homeless service
provider staff and volunteers from this disease. An outbreak of COVID-19 in your community could cause illness among
people experiencing homelessness, contribute to an increase in emergency shelter usage and/or lead to illness and
absenteeism among homeless service provider staff.
Develop flexible attendance and sick-leave policies. Staff (and volunteers) may need to stay home when they are sick, caring for a sick household member or caring for their children in the event of school dismissals. Identify critical job functions and positions, and plan foralternative coverage by cross-training staff members.
When public health officials determine that the outbreak has ended in your local community, take time to talk over your
experiences with your clients and staff.
Home Care Instructions for Novel Coronavirus (COVID-19)
Last Updated 2/28/2020 For additional information, visit https://www.in.gov/isdh/28470.htm.
The following instructions are for people who have or are being evaluated for novel coronavirus (COVID-19) and their families and caregivers. If you have or are being evaluated for COVID-19, you should follow the prevention steps below until a healthcare provider, the Indiana State Department of Health (ISDH), or your local health department determines that you can return to your normal activities.
If you are not sure if you have COVID-19, contact your healthcare provider. Your healthcare provider, in consultation with the health department, will determine whether you meet criteria for COVID-19 testing and will determine the most appropriate care plan for you.
INFORMATION FOR COVID-19 PATIENTS WHO ARE NOT HOSPITALIZED
1. Stay home except to get medical care. Do not go to work, school, or public areas, and do not use public transportation, ride-sharing, or taxis.
2. Separate yourself from other people and animals in your home. As much as possible, stay in a specific room away from other people in your home. If possible, use a separate bathroom. If you must be in the same room as other people, wear a facemask to prevent spreading germs to others. Although there have not been reports of pets becoming sick with COVID-19, you should also avoid contact with animals or pets while you are sick.
3. Call ahead before visiting your doctor and tell them that you have or may have COVID-19 so they can prepare for your visit and take steps to keep other people from being exposed or infected.
4. Wear a facemask. You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) or pets and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then people who live with you should not stay in the same room with you, or they should wear a facemask if they enter your room.
5. Cover coughs and sneezes. To prevent spreading germs to others, when coughing or sneezing cover your mouth and nose with a tissue or your sleeve. Throw used tissues in a lined trash can, and immediately wash hands with soap and water for at least 20 seconds, or use alcohol-based hand sanitizer if soap and water are not available. You should use soap and water if your hands are visibly dirty.
6. Wash your hands often and thoroughly with soap and water for at least 20 seconds. Use alcohol-based hand sanitizer if soap and water are not available and if hands are not visibly dirty. Avoid touching your eyes, nose, and mouth with unwashed hands.
7. Avoid sharing household items. Do not share dishes, drinking glasses, cups, eating utensils, towels, bedding, or other items with other people or pets in your home. These items should be washed thoroughly after use with soap and warm water.
8. Monitor your symptoms. If illness gets worse (e.g., trouble breathing, pain in chest), get medical care right away. Before you visit a clinic or hospital, call your healthcare provider and tell them that you have, or might have, COVID-19. This will help your provider take steps to keep other people from getting infected. If you have a medical emergency and need to call 911, notify the dispatch personnel that you have, or are being evaluated for, COVID-19. If possible, put on a facemask before emergency medical services arrive.
These recommendations should be followed until your healthcare provider and/or the health department confirm that you do not have COVID-19 or determine that you are no longer contagious.
Last Updated 2/28/2020 For additional information, visit https://www.in.gov/isdh/28470.htm.
INFORMATION FOR CAREGIVERS AND HOUSEHOLD MEMBERS OF COVID-19 PATIENTS
1. Limit visitors to only people caring for the patient. As much as possible, anyone who is not caring for the patient should stay in another home or stay in other rooms. They should also use a separate bedroom and bathroom, if possible. Keep elderly people and those who have weak immune systems or chronic health conditions away from the person.
2. Make sure that shared spaces in the home have good air flow. Open windows or use an air conditioner, if possible.
3. Wash your hands often with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer that contains 60% to 95% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. You should use soap and water if your hands are visibly dirty.
4. Avoid touching your eyes, nose, and mouth with unwashed hands.
5. Wear a disposable facemask when in the same room as the patient.
6. Wear a disposable facemask and gloves when you touch or have contact with the patient’s blood, body fluids and/or secretions, such as saliva, sputum, nasal mucus, vomit, urine, or diarrhea. Throw these away after use and do not reuse. When removing, first remove and dispose of gloves, then immediately clean your hands with soap and water or alcohol-based hand sanitizer. Next, remove and dispose of the facemask, and immediately clean your hands again with soap and water or alcohol-based hand sanitizer.
7. Avoid sharing household items. Do not share dishes, drinking glasses, cups, eating utensils, towels, bedding, or other items the patient. Follow the cleaning instructions below.
8. Clean all “high-touch” surfaces, such as counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables, every day using household disinfectants. Also, clean any surfaces that may have blood, body fluids and/or secretions or excretions on them.
9. Cleaning Instructions: • Follow the recommendations provided on cleaning product labels, including precautions you should take when applying the product, such as wearing gloves or aprons and making sure you have good ventilation during use of the product.
• Wash laundry thoroughly. Immediately remove and wash clothes or bedding that have blood, body fluids and/or secretions or excretions on them. Wear disposable gloves while handling soiled items and keep soiled items away from your body. Wash your hands immediately after removing your gloves. Read and follow directions on labels of laundry or clothing items and detergent. In general, wash and dry with the warmest temperatures recommended on the clothing label.
• Place all used disposable gloves, gowns, facemasks, and other contaminated items in a lined container before disposing of them with other household waste. Wash your hands immediately after handling these items.
10. Monitor the patient’s symptoms. If they are getting sicker (e.g., trouble breathing, pain in chest), call their medical provider and tell the medical staff that the person has, or is being evaluated for, COVID-19. This will help the healthcare provider’s office take steps to keep other people from getting infected. Ask the healthcare provider to call the local or state health department for additional guidance. If the patient has a medical emergency and you need to call 911, notify the dispatch personnel that the patient has, or is being evaluated for, COVID-19.
11. Monitor your own health for signs and symptoms of COVID-19, including fever, cough, or shortness of breath. Contact your healthcare provider if you develop any of these symptoms. Call your provider before going to a hospital or clinic to describe your symptoms and let them know that you are a close contact of someone with COVID-19.