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All Personnel OP 4119.42.02/4219.42.02/4319.42.02(a) REDUCING RISK OF COMMUNICABLE DISEASE To protect the health of all students and staff, the County Office has established safe practices for the management of communicable diseases. Each case involving an employee with a serious or life threatening infectious disease is managed on a case-by-case basis according to SCOE policies and guidelines established by Public Health Department, as applicable. Purpose: To prevent the spread of communicable disease to County Office students and staff. Timeline: Immediately upon suspicion or detection of communicable disease or condition. Procedures: 1. Co-workers or supervisor notifies the school nurse of any instance of suspected contagious disease. 2. School nurse, if available will examine the employee and contact the Public Health Department, when appropriate; 3. Co-workers or supervisor must immediately notify the program administrator. 4. The program administrator develops a plan for the employee to leave the work site to seek appropriate medical care, and notifies appropriate staff if a communicable disease is verified. 5. School nurse communicates case management recommendations to site administrator, as appropriate. 6. School nurse and/or administrator coordinates with the Public Health Department to plan and implement case finding and any recommended follow-up. 7. If an employee incurs an exposure to blood or other potentially infectious materials, the employee will he directed to report the exposure incident as described in the Sonoma County Office of Education Bloodborne Pathogens Exposure Control Plan. The employee will receive directions regarding the procedure for obtaining a confidential medical evaluation and follow-up. 8. Employee is authorized to return to work when Human Resources receives written verification from a medical practitioner indicating that the employee is no longer contagious and is able to return to work. 9. If the employee is released with restrictions, the provisions of reasonable accommodation will apply. OP 4119.42.02/4219.42.02/4319.42.02(b) REDUCING RISK OF COMMUNICABLE DISEASE (continued) During an outbreak of influenza or other highly contagious disease, employees may be asked to follow procedures to reduce the spread of the disease such as the following: 1. Practice good hand hygiene often throughout the day by using soap and water, hand sanitizer, or hand wipes. To kill an influenza virus hands must be washed with soap and water for 15 seconds and hand sanitizers or wipes must be used for 10 seconds and have an alcohol content of at least 60%. 2. Wear Personal Protective Equipment such as specialized clothing or equipment worn to protect someone against a hazard including an infectious disease. It can range from a mask or a pair of gloves to a combination of gear. 3. Consult with a health care provider about using a prophylaxis medication such as antimicrobial or antiviral medications. Such medications are taken by a healthy individual (e.g. nurse, contact) to prevent illness before or after being exposed to an individual with an infectious disease (e.g. influenza). 4. Adhere to an order of quarantine. The Public Health Officer may determine it is necessary to quarantine an employee or group of employees. (See OP 4119.42.03/4219.42.03/4319.42.03, Quarantine for a Pandemic.) 5. Practice respiratory etiquette, or good coughing and sneezing manners to minimizing the spread of viruses which are passed from human-to-human in the tiny droplets of moisture that come out of the nose or mouth when coughing, sneezing, or talking. Healthy and sick people should cover their nose and mouth when sneezing, coughing, or blowing their nose and then put the used tissue in the trash to prevent the spread of germs. 6. Practice social distancing through telecommuting, alternative works schedules, reduced staffing, isolation, and similar strategies, as recommended by the Public Health department. SONOMA COUNTY OFFICE OF EDUCATION Policy Reference: SP 4119.42/4219.42/4319.42, Exposure Control Plan for Blood-borne Pathogens Procedure approved: June 10, 2008 (4560.01)