Adequate PPE/Supplies: Full PPE protection for staff dealing with suspected or positive COVID-19 patients: (N95 masks or PAPRs, Face shields or goggles, Gowns, Gloves)

• The hospital has all the PPE and supplies that it needs.
• The hospital has some PPE and supplies, but not enough. Staff has a concern about being without PPE and supplies very soon.
• Staff is currently without necessary PPE and supplies much of the time.

Tent/Outdoor Triage: Tent/Outdoor Triage of all patients with symptoms of respiratory infection; mask all patients with signs of respiratory infection immediately.

• Tent/Outdoor Triage is up outside of ED; patients with respiratory symptoms are masked.
• Hospital plan for Tent/Outdoor Triage and masking not yet operational or inconsistent implementation.
• No Plan for Tent or Outdoor Triage; suspected patients not being masked.

Separate Unit just for COVID-19 Patients: Separate patients with symptoms of respiratory infection from other patients/staff; separate area for evaluation, cohort on same unit(s).

• The hospital has designated a separate area/unit to handle potential COVID-19 patients.
• The hospital is in the process of designating a separate area/unit to handle potential COVID-19 patients.
• The hospital has no plan to designate a separate area/unit for potential COVID-19 patients.

Limited Access: Limit access to the hospital – triage by phone as much as possible, and only admit patients who really need it; limit non-essential staff, volunteers, visitors, elective procedures.

• Visitor limits in place and are being enforced, elective procedures canceled, telemedicine available for regular patients.
• Visitor limits in place but variably enforced, patients still coming in for elective procedures.
• Limits to non-essential visitors and patients not in place or enforced.

Adequate Staffing: Adequate staff to meet the additional requirements of testing triage, and treatment.

• The hospital has the staff needed to handle the additional COVID-19 patients; hospital re-purposing staff from non-COVID-19 designated areas.
• The hospital could use more staff, depending on the shift/unit; hospital not making the best use of non-COVID staff.
• Not enough staff; hospital canceling available staff; no re-purposing of staff from non-COVID-19 areas.

Sick Leave Policy during COVID-19: No punitive action for absences related to COVID-19: No occurrences or Note required for absences.

• Non-punitive absence policy in place, is clear and has been fully communicated to staff.
• Non-punitive absence policy exists but is confusing, unclear, or inconsistently enforced.
• Hospital maintaining punitive absence policy, no exceptions for COVID-19 related absences.

Quarantine Leave: Anyone placed on quarantine with symptoms or who experienced confirmed unprotected exposure and pay workers for 14 days.

• Exposed or symptomatic staff are quarantined at home with full pay for 14 days.
• Staff quarantined in some but not all cases; pay only in certain cases.
• Exposed or symptomatic staff not quarantined; pay only though accrued time and/or unemployment/workers compensation.