Thank you for choosing to volunteer at UnityPoint Health – St. Luke’s Hospital during this time of a world-wide pandemic. Volunteer safety is always of the utmost importance to us. The purpose of this orientation is to share with you several of the precautions that have been put into place for volunteer assignments. Some or all may apply to the area you volunteer in. Training to these precautions will happen in your assignment area.

We appreciate the gift of your time and talents! What to expect?

The first thing to know is that being IN the hospital as a volunteer is very safe, in that we have precautions in place all day every day • Everyone in the hospital will be expected to wear face masks. o You can wear your own cloth mask and launder it after every shift. o Or we can provide you with a disposable face mask every shift. • You will need to be wearing your badge and mask when entering the building. • Some assignments will require you to wear a face shield or goggles. We will supply these. o The face shields and goggles will be stored in assignment areas in a brown paper bag with your name on it. • Everyone will be screened either when entering the hospital or in their assignment area. • Everyone is asked to maintain whenever possible. o We promote maintaining a distance of 6’ from another person whenever possible. You will see tape markings on the floor to define this. • Everyone is asked to participate in ongoing enhanced cleaning and hand sanitation. What to Expect:

Being screened involves the following:

Are you experiencing any of the following? Chill ____ No ____Yes Repeated shaking with chills ____No ____ Yes Muscle pain ____ No ___ Yes New loss of taste or smell ____No ____ Yes Cough ____ No ____Yes Difficulty breathing (new) ____ No ____Yes Sore Throat ____ No ___Yes Headache ____ No ___ Yes

Fever (100.4°F or greater) ____ No ____Yes

Have you had a known exposure to COVID-19 in the last 14 days? ____ No ___ Yes

Anyone screening positive will be sent home and be asked to contact Employee Health. What to Expect :

UnityPoint Health - Cedar Rapids ER Safety Measures during COVID-19

Please watch the short video https://www.facebook.com/UnityPointCedarRapids/videos/198341571130280/ What to Expect :

Waiting areas: Seating has been rearranged to allow for social distancing and some unit waiting areas are temporarily closed.

Cafeteria: . Offer limited menu . Seating has been minimized and staggered

Java City: Open

Gift Shops: . Limited hours; M-F, 11am – 3pm (hours are subject to change) . Not accepting cash or checks What to Expect :

Volunteer hours: . You can now enter your hours for this assignment online through VicNet after you get back home. You have a seven day window to enter hours.

Volunteer locker room: . You will be able to use the locker room to store anything you bring into the facility . Nothing will be allowed at your assignment location . Lockers, keys, and hangers must be wiped down with sani-wipes after every use Visitor Guidelines:

Visitor Restrictions • Visiting hours are 6:00 a.m. – 6:00 p.m. • Visitors must be screened, have a badge applied and wear a mask or no entry. • Visitors must be in good health. Please do not visit if you have symptoms of respiratory infection. (fever, runny nose, cough, shortness of breath). • Hospitalized patients and ER patients may have one visitor at a time. • Birth Care patients will have one support person. • NICU patients may have one birth parent plus one significant other. • Patients at end-of-life may have visitors assessed on a case-by-case basis. No more than two visitors and maximum of four. • Minors under the age of 18 may have one visitor, parent or guardian which includes our Emergency and Pediatric Departments. • Surgery or outpatient procedure patients may have one visitor. • Patients with an appointment at a hospital-based clinic, lab or radiology may have one person accompany them. Visitor Guidelines:

Visitor Restrictions Continued • Visitors must stay in the patient’s room during their visit. However, they may visit the Gift Shop or Cafeteria for needed items. They are asked to either return immediately to their patient’s room or depart the hospital. • No animals allowed except for official service animals.

No Visitors Allowed In: • Behavioral Health Unit (2E and 1W only). • No children under the age of 16 (unless extraordinary circumstances). • No visitors in COVID-positive or COVID-pending symptomatic patient rooms. • Visitors who are unable to wear a mask due to a disability are limited to visiting 45 minutes or less. Current Hospital Operations

Virtual visits: we are now offering virtual video visits over to connect patients with their loved ones. . Patient Representative is Lorrie Prasil-Holcomb . [email protected] . 319-369-7710

Hospital Services: Operating at 100% . Elective surgeries and procedures began the week of 5/11/2020

COVID-19 unit: 5E is our designated COVID unit. It is currently closed as we are able to manage the healthcare of COVID patients in the units they need to be in. This unit stands ready to be activated at any moment as the pandemic continues. HIPAA/Confidentiality

Remember: What You HEAR Here & SEE Here, STAYS HERE! 1. All team members, physicians, and volunteers must only access the “minimum necessary” patient information needed to perform their jobs 2. Never use patient names in public hallways and elevators 3. Always speak in a lowered voice 4. Do not share any COVID-19-related information (number or patients etc.) 5. Always cover patient information when you’re not using it 6. Always shred documents with patient information. Do not place in the regular trash. 7. Do not post anything online in regards to the patients you saw at the hospital, their condition, family members etc. 8. Never take/post pictures or videos while volunteering at the hospital Current Hospital Operations Keeping Volunteers Safe COVID-19 – how it spreads.

• The virus 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 produced when an infected person coughs, sneezes or talks • These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs

• Studies show that COVID-19 may be spread by people who are not showing symptoms

• There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19)

• The best way to prevent illness is to avoid being exposed to this virus Isolation Precautions

To prevent the spread of infection, some patients in the hospital are under expanded precautions in addition to standard precautions. A sign on the patient’s door indicates that additional precautions have to be observed by staff and visitors when entering the room such as putting gloves, mask or gown. Isolation precaution status is necessary for one or more of the following situations:

1. Patient’s illness is contagious: a. May be spread through physical contact. b. May be spread through the air.

2. Patient’s resistance is low. Individuals entering the room could introduce germs that might be harmful to the patient. COVID Isolation Precautions

You may see these new isolation signs on patient rooms. Please do not enter any patient rooms at this time. Expanded Precautions

Suspected or tested COVID-19 patients are already masked or hooded during transport.

In addition, EVS sanitizes all elevators every other hour, and 3x every night shift.

OVERHEAD ANNOUNCEMENT (plays 10am, 2pm, and 6pm) “Attention all Visitors: A Visitor permitted to be in the hospital must stay in the patient room during the entire visit. Once a visitor leaves the patient room, they must leave the hospital campus. We appreciate your cooperation in an effort to keep our patients, our visitors and our team members in the safest possible environment.” Volunteering Your Shift Hand Hygiene

Please watch this short video: https://youtu.be/y7e8nM0JAz0 Or search “The Safe Hands Challenge” by the World Health Organization on youtube.com

WHY is hand hygiene so important?

Proper hand hygiene is THE MOST IMPORTANT means of preventing the spread of infection.

WHO must perform proper hand hygiene?

EVERY hospital team member, physician and volunteer. Hand Hygiene

When using an alcohol-based hand sanitizer, remember to sanitize the whole hand including: • Thumbs • Fingertips • Between fingers

It is easily accessible in all patient care and public areas of the hospital Hand Hygiene

Wash hands with soap and water: • Before and after meals. • After using the washroom.

Use an alcohol-based hand sanitizer: • Before and after contact with a patient or their belongings. • Before and after contact with • specimens or dirty/used equipment or linens. • Before and after using gloves. • After touching any high touch areas such as elevator buttons, handrails, door knobs, counters, phones etc. Masking

1. Wear your mask all the time when in the hospital. 2. Wear your own cloth mask or a mask provided to you by St. Luke’s 3. Do not pull it off your nose. It has to cover your nose and mouth at all times. 4. Clean your hands before putting your mask on. 5. Clean your hands before taking it off and use the elastic/straps to take the mask off. 6. When wearing the mask, don’t touch the front of the mask. 7. If you need to take it off to eat or drink, make sure to put it in a Ziploc bag. 8. Masks dry out skin. Make sure to use a moisturizer in the morning and before going to bed to avoid dry skin. Masking Face Shield

Face shields provide a barrier against respiratory droplets and other body fluids to protect a healthcare worker’s eyes, nose and mouth. Face shields also protect masks from direct contamination allowing for extended use and reuse. Face Shield

When should a face shield be worn? • Over a surgical mask or N95 respirator mask during direct patient care. Direct patient care is defined as being 6 feet or less from a patient for a few minutes or longer.

Can the same face shield be worn into multiple patient rooms? • A face shield can be worn into multiple rooms. Face shields must be disinfected when exiting isolation rooms or if contamination occurred.

Can the same face shield be used for multiple days? • A face shield can used following the extended and reuse guidelines until integrity is no longer maintained. Face Shield

When should the face shield be disinfected? Face shields should be disinfected with a hospital provided disinfectant: • After exiting an isolation room • If visibly soiled • If contaminated due to being touched with soiled hands or gloves • Before storing in a clean location

When should the face shield be discarded? Face shields should be discarded only when: • Integrity or visibility is compromised • Face shield no longer stays in place • A non-cleanable part of the face shield (e.g., foam headband) becomes visibly soiled Enhanced Cleaning:

Make sure to wipe down any high-touch areas with Cavi-wipes Preparing for your shift:

DO NOT attempt to volunteer if you have:  Experienced symptoms that could be related to COVID-19 in the last 14 days  Been around anyone who has COVID-19 in the last 14 days  Traveled to any foreign country in the last 14 days  Been on a cruise or been in an airport in the last 14 days  Been to an event where more than 50 people were in attendance in the last 14 days

Keep to a minimum the items your bring to the hospital.

Plan to arrive to the hospital about 10-20 minutes prior to your shift start time to allow for temperature check and screening. Volunteer Uniform:

 Burgundy top provided to you.  Dressy pants (khakis, black pants are acceptable; no jeans, leggings, sweats etc.)  Comfortable closed toe shoes and socks.  Wear your hospital-issued security ID badge. You have to wear it in order to gain access to the hospital. You will not be allowed into the hospital without a badge.  Limit the jewelry you wear.

Remember: Wash your clothes as soon as you get home. Use the highest temperature setting possible. During Your Shift:

The Volunteer Services Office is open M-F. At this time the Sign-in Room will only be for signing in and out. . If you prefer you can log your hours on VicNet after your volunteer shift. Please see separate VicNet training sheet. . If you choose to sign-in on the computer please use the alcohol wipes before and after use. . There will be no coffee service at this time. If you use the locker room, please use the provided sani-wipes to wipe down the hanger, locker, and locker key used. Pick up meal and beverage coupons from the drawer under the sign-in computer in Volunteer Services and wipe down the drawer handle. During your shift:

1. Always wear your mask. 2. Avoid touching your face, nose and eyes. 3. Maintain social distancing of 6ft. 4. When using an elevator, allow a maximum of 2 guests and stand against the back wall. Ask guests to pick floor button and ask that they stay towards the front. 5. Wash/sanitize your hands every time after you touch public surfaces or items. 6. You are not required to wear gloves. 7. Avoid using your cell phone/water bottle/ other personal items during the shift to minimize cross contamination. 8. Don’t eat or drink in public areas. Meal & Beverage Coupons:

• These tickets can be used separately at different times during the volunteer shift or together at one time. • If they are used together it is for up to 8$ of food with the meal coupon and then the beverage with the beverage coupon. • If you go over the 8$ on food, the volunteer is responsible for paying the difference. Attendance:

Your role as a volunteer is extremely valuable to our work.

If you can’t make the shift you signed up for… Remove yourself from the schedule on Vic Net as soon as you know you will miss your shift, even if it is the day of your absence. By pulling yourself from the schedule all supervisors are alerted that you will be absent. Email us at [email protected] When emailing please include why you are absent (if due to illness we are required to report the following information to the CDC: Do (did) you have a fever? What are your symptoms and when did they start?). Suggestions for Returning Home:

 Take off your shoes before entering your house.  Undress as soon as you walk into the house.  Immediately wash your clothes at the highest temperature setting possible.  Disinfect any items you brought with you: cell phone, badge etc.  Disinfect your steering wheel, keys, door handles in your car and home.  Take a shower.  Record your volunteer hours. What if I feel sick?

1. If you start to not feel well during your shift, please let your volunteer supervisor know. 2. Notify Volunteer Services immediately 3. Contact your doctor Volunteering in a Pandemic:

St. Luke’s is committed to the safety of our staff, volunteers and patients. We are doing everything we can to protect the public and our team.

By completing this training you are agreeing to follow our policy and procedures for social distancing, masking, and disinfecting to reduce the spread of the Coronavirus. You also understand that these policies and procedures may change as we learn more about COVID-19.

You are willingly and voluntarily offering your gifts of time, talent and treasure. Thank you for volunteering your time to better the lives of others!