Risk Assessment Name Exposure to Suspected/Diagnosed Coronavirus Assessment Type  
Assessment Date 09/04/2020 Reference  
Assessed By Sarah Osborne Review Due Reviewed 9/04/2020

Next review 30/04/2020

Reviewed 30/04/2020

Next review 15/05/2020

Reviewed 15/05/2020

Reviewed 29/05/2020

Reviewed 18/06/2020

 

 

Description
The assessment considers the alert of suspected Coronavirus, diagnosed Coronavirus and/or contact with those who may be subsequently affected. Common symptoms would include fever/high temperature, a prolonged new cough, head ache, shortness of breath, muscle pain and tiredness.

***REPORTED INFECTED AREAS / AREAS WHERE RETURNING INDIVIDUALS MAY BE OF CONCERN*** – China, Thailand, Japan, Republic of Korea, Hong Kong, Taiwan, Singapore, Malaysia, Myanmar, Macau, Vietnam, Iran & Hubei Province. Specified lock down areas in Northern Italy and ‘special care zones’ in South Korea.

 

Risk Rating Explanation
Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
Opening the business and dealing with customers All staff and visitors  

Wherever possible services will be offered via other, less hazardous means – for example:

·         Telephone consultations

·         Video Conferencing (e.g. via Facetime/Skype/Zoom)

·         Home delivery services

 

Customers/clients booking an appointment to come in MUST be asked whether

·         they have any symptoms of the virus or

·         have had contact with anyone known or suspected to have the virus or

·         have recently returned from, or had contact with anyone who has recently returned from, any known virus high-risk areas

If so then you should refuse to book the appointment and consider how you can provide services via other means.

3 x 3 = 9 (Medium)

 

Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
 

 

 

 

 

 

Opening the business and dealing with customers (continued)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Opening the business and dealing with suppliers/deliveries

 

 

 

 

 

 

 

 

 

 

 

Opening the business (working alongside colleagues)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Opening the business and dealing with multiple sites

 

 

 

 

 

 

 

 

 

All staff and visitors

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All staff, suppliers/delivery personal

 

 

 

 

 

 

 

 

 

 

 

 

All Staff

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All staff

 

Where customers come to the practice premises we must implement the following, wherever possible, measures to keep people apart – for example:

·         Restricting access to service to a maximum of three customers at a time with adequate signage

·         Scheduling appointments with enough space in between to allow a customer to leave before the next customer arrives. Ask clients to ring from car park on arrival (book in procedure)

·         Make sure customers wait in the car park, until their appointment time. Remove the patient and see (without) the owner inside the building. Dogs must be brought in wearing our slip leads, the owner to retain/remove their own lead.

·         A patient can be seen with the owner only under special circumstance i.e. for PTS’s and only when the vet has fully established the pet’s situation. In such instances the animal should be seen in the isolation unit and appropriate PPE must be worn by those involved in the procedure, this should include the owner

·         Hygiene protocols must be maintained.

·         Customers pay prior or post visit over the telephone via card, or pay via contactless

·         Drug collections (excluding controlled drugs/fridge items) must be made from the box outside the surgery. Other drugs collections must be arranged, and the drugs handed over while receptionist remains behind protection screen. All hygiene protocols to be followed

·         Small animal departments only -All flea & worm treatments to be posted out and where possible all other prescription.

·         Where clients are permitted into the building. This will be for specific procedures (i.e. consent discussions, to make payments after consults).

 

Vets/nurses dealing with clients – In such instances only consult room 3 (St Clears) Consult room 2 (Kilgetty) will be used, the client will not be accompanied by their pet. The room must be cleaned/disinfected before and after each use this is to include door handles, seats and pens etc. a 2 metre distance should be maintained. If you have to be within 2 metres appropriate PPE must be worn. Face masks/face shields and gloves are provided.

 

Receptionist dealing with customers i.e. taking payments etc.

* Receptionists to remain behind the protective screen.

* Clients must be instructed via appropriate signage and information provided by reception to :-

– not enter if exhibiting signs of Coronavirus

– remain outside if more than 3 clients are within the reception

– hand sanitise before and on exit of the building

– allow 2 metres between themselves and anyone else

– wait behind marked line in front of reception until called forward

– pay were possible by card. If you must take cash or cheques wash hands for 20 seconds after.

* If for any reason a staff member needs to be outside the protective

screen and within 2 metres of the client appropriate PPE must be  worn. Face mask face shields and gloves are provided.

 

* Appropriate levels of cleaning to be conducted throughout the day and before and at the end of a shift.

 

 

 

 

 

 

 

 

Where suppliers or delivery personal come the practice premises we must implement, wherever possible, measures to keep people apart

·         All deliveries to be left outside the building

·         Where possible deliveries should not be signed for, if it is required it should be assessed if the item can be sent back.

·         If signing for deliveries ware appropriate PPE and remain 2 meters apart.

·         Personal deliveries to the surgery are prohibited at this time

·         All deliveries must be handled using appropriate PPE and hygiene protocol must be maintained

 

 

·         A temperature check must be done on all staff before starting their shifts, farm vets to do this at home before starting work. If a staff member has a high temperature they will be sent home until they have been tested as clear.

·         Where possible a 2 metre gap must be maintained between colleagues

·         Computers to be relocated to maintain this gap where possible or positioned so that staff can work back to back.

·         Where it is not possible to remain 2 metres apart appropriate PPE should be worn.

·         Staff must avoid unnecessary contact. As such they must stay, where possible, in their own areas, i.e. nurses and vets should not come on to reception and receptions should not enter any clinical room.

·         The consult rooms, especially consult room 1 must not be used as a through way.

·         To reduce the footfall in reception the patients will be admitted and discharged via the back door (St Clears) staff door (Kilgetty)

·         To reduce footfall in the corridor’s, scales are now provided in consult 1 and 2.

·         Staff should take care to maintain the 2 metre rule around the lab area. As such when necessary activities that can be done in another location (such as kit packing) should be done away from the lab.

·         Work clothes should only be worn for that purpose. Where you are not directly coming from home to work or work to home you should change into/out of your work clothes at the surgery.

·         Where possible shift patterns will be utilised to minimise interactions between staff. (small animal and Kilgetty)

·         Farm vets will minimise their interactions with other members of staff by working from home/vehicle. They will only have access during the working day to the downstairs toilet and the computer in the staff room, no deviation to other rooms is permitted (LA department only). If they need to enter the farm building (during the day), they must do so via the backdoor. Hand sanitiser must be used, 2m rule in place and as little time as possible must be spent within the building, All surfaces touched must be cleaned down this is to include computers, chairs and desks. Lunch cannot be taken within the surgery. They may only enter the LA/SA department after hours for essential purposes i.e. to run lab tests to collect controlled drugs. Where possible other members of staff should be asked to fulfil the role instead of entering the building. In the event that a LA vet enters the surgery (out of hours) they must follow the standard hygiene protocol highlighted in this assessment and clean down the work areas they have come into contact with. Drugs for vans should be ordered from reception and picked up from outside the practice.

 

 

 

Where multiple branches are open contact between the staff members must be minimised.

·         Each site must be restricted to staff who work on that site

·         Staff must be restricted to work on one site

·         Interaction outside the building must be limited and a 2m gap maintained

·         Where items are passed between sites appropriate PPE /hygiene protocols must be maintained.

 

 

 

 

 

3 x 3 = 9 (Medium)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 x 3 =9 (Medium)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 x 3 = 6 (Medium)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 x 3 = 9 (Medium)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3×3=9

(Medium)

Lunch time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Breaks (on site)

All staff

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All staff

 

·         For the moment the staff room in the LA building remains closed.

·         We ask that those who can, vacate the buildings for lunch and where possible go home.

·         If the weather permits, there is seating outside.

·         Please ensure social distancing is in place when on breaks

·         We will review the use of the staff room facilities in due course.

·         In Kilgetty the staff room can be used but ensure there is 2m distancing when seated.

·         You must supply/keep separate your own utensils/ mugs/plates. These you must bring with you and take away after your lunch break.

·         Clean down (with appropriate antibacterial wipe) the tablet/seat you used.

 

 

 

 

 

 

 

 

·         Only one person at a time to be within the kitchenette area (small/Kilgetty department) social distancing to be maintained at LA department. Vets to utilise computers in other areas of the building over those within this area (small department).

·         Make you own drinks

·         Only use your own mug (clearly mark them) and make sure this is cleaned appropriately after use.

 

 

 

 

 

 

 

2 x 3 = 6 (Medium)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 x 3 = 6 (Medium)

 

 

 

 

Toilet

 

All Staff ·         Is not available for public use

·         Only to be used by members of staff from the appropriate site.

·         Make sure the area is left appropriately cleaned after use i.e. clean door handle etc.

·         Make sure appropriate hand hygiene protocols followed.

·         Appropriate signage to be displayed in this area

2 x 3 = 6 (Medium)

 

 

Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
Contact with non-sanitised surfaces All staff and visitors – those coming into contact with the surfaces could develop symptoms of the virus 1.      Hand Hygiene

Individuals must not touch eyes, mouth or nose with unwashed hands, particularly after coughing or sneezing. Hands should be washed with adequate soap or sanitiser immediately.  Sanitiser available at every entry/exit point.

2.      Hygiene Monitoring

Written cleaning schedules are enforced internally and where visiting clients any unclean areas are avoided.

3.      Infection Control Procedures

Infection control procedures are in place and are communicated to all employees.

4.      Information

Information on Coronavirus has been communicated to all staff.

5.      Soap/hand wash provided

6.      Work surfaces cleaned and disinfected daily.

7.      Card machine cleaned after use

8.       Reception area is to be cleaned 3 times a day at 8.30 am, 12.30 am, 5pm

9.       This is to include: door handles including consult 1 and 3, the stationary cupboard and the front door, keyboards, mouse, card machine, telephones keypads and receivers, drawer handles, till, small key safe, alarm keypad, light switches, hand sanitiser dispensers and green box.

10.   Roto wash reception in St. Clears twice weekly minimum. This may increase depending on footfall.

11.   Work stations to be cleaned at the end of every shift. Designated work stations only to used by allocated people. Where desk hopping occurs this must be minimised and work station must be cleaned down between users.

12.  Consultation room 3 (St clears) consult room 2 (Kilgetty) surfaces to be cleaned on the departure of the patient.

13.   Consult rooms 1 & 2 (St Clears) Consult room 1 (Kilgetty) – to be cleaned at the end of each consulting period – to include work stations, door handles, surfaces, vaccine fridge, stethoscope, ophthalmoscope/otoscope handles, taps.

14.  Lab- increased frequency in the surface cleaning of the equipment to include (but not exclusive to) touch screens, microscope, centrifuge, drawer handles, door handles, taps.

15.  Other rooms – door handles to be cleaned twice daily

16.   Roto wash non public areas once weekly minimum, including both consult rooms and corridors as priority.

17.   These are in addition to, not replacement of, your normal cleaning regimes for each room, including theatres, consults and kennels/cat ward.

 

2 x 3 = 6 (Medium)
Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
Coughing/sneezing individuals All staff, visitors/members of the public – contact with cough droplets could lead to Coronavirus symptoms 1.      Communication

Any suspected symptoms or potential carriers should be reported immediately to the appointed senior persons.

2.      Hand Hygiene

Individuals must not touch eyes, mouth or nose with unwashed hands, particularly after coughing or sneezing. Hands should be washed with adequate soap or sanitiser immediately.

3.      Infection Control Procedures

Infection control procedures are in place and are communicated to all employees.

4.      Information

Staff have been briefed on Coronavirus and what symptoms to look out for.

5.      Personal Protective Equipment (PPE)

Face masks are available and must be worn, as required.

6.      Restricted Access

Anyone displaying symptoms will have their access to the premises restricted.

7.      Soap/hand wash provided

2 x 3 = 6 (Medium)
Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
Employees visiting clients All staff, contractors, visitors and members of the public 1.      Decline work with suspected carriers

Staff are made aware that they are not forced to go to a client’s site where symptoms are evident or are suspected.

2.      Employee Selection Criteria

Employees will be selected dependant on their recent medial history, staff who may be immune-compromised or are already unwell will not be asked to visit clients at this time.

3.      Dynamic safe working procedures

Procedures such as refraining from shaking hands may be applied where necessary.

4.      Lone working procedures in place

Should our staff come into contact with anyone displaying the symptoms of Coronavirus or suspect they are displaying symptoms themselves then they have access to mobile telephones in order to report/summon assistance as necessary.

5.      Access to appropriate sanitisers

All staff working away from our office premises will ensure they have a supply of appropriate hand sanitiser gels at all times.

6.      Reporting procedures followed

All staff are aware to report via 111 for further guidance/advice including potential self-containment.

 

Small animal vets:

Ø  No visit can be made to a premises which is isolating because one or more of the family members has symptoms.

Ø   When making a house visit to somebody who is clinically vulnerable, eg over 70, then prior arrangements should be made to avoid face to face contact and be particularly careful about hygiene.

Ø  Discuss with the client prior to the visit the need for social distancing to continue when in the home. This may mean conducting the examination in a different room to the householder or outside in the garden.

Ø  If you feel that there is the potential for social distancing to be compromised then wear PPE including gloves and face coverings.

Ø  Clean the van/car after each visit – door handles, steering wheel, radio, key fob.

 

Farm Vets-

Ø  No visit can be made to a premises which is isolating because one or more of the family members has symptoms.

Ø  When making a visit to somebody who is clinically vulnerable, eg over 70, then prior arrangements should be made to avoid face to face contact, and be particularly careful about hygiene.

Ø  Discuss with the client prior to the visit the need for social distancing to continue when on the premises.

Ø  If you feel that there is the potential for social distancing to be compromised then wear PPE including gloves and face coverings.

Ø  Ensure you have appropriate hand sanitiser for use before and after the visits.

Ø  Clean the van/car after each visit – door handles, steering wheel, radio, key fob.

 

 

 

 

3 x 4 = 12 (High)
Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
Handling waste and/or clothing of suspected/diagnosed individuals All staff, contractors, members of the public and visitors 1.      Hand Hygiene

Individuals must not touch eyes, mouth or nose with unwashed hands, particularly after coughing or sneezing. Hands should be washed with adequate soap or sanitiser immediately.

2.      Safe cleaning/hygiene procedures

Used tissues should be thrown in closed bins and hands washed immediately after coming into contact with any article.

3.      Personal Protective Equipment (PPE)

Appropriate PPE will be issued, and worn, by any person required to handle any waste and/or clothing by a suspected/diagnosed individual.

2 x 3 = 6 (Medium)
Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
Individuals returning from affected regions. All staff, members of the public, visitors and students 1.      Medical Quarantine/Self-Containment

Any staff returning from known affected regions have been briefed to self-quarantine (if otherwise medically well) for a minimum of 14 days upon return.

Where there is concern regarding medical condition then guidance via 111 should be sought immediately.

2.      Restrict Access

Staff and any visitors to the business who have just returned from affected areas will be asked not to visit the premises (or ideally leave the house) without further medical guidance.

1 x 3 = 3 (Low)
       
Hazard Who could be harmed and how? Controls in place Risk Rating (Likelihood x Severity)
Poor levels of hygiene/housekeeping All staff, contractors, visitors, students 1.      Follow Government and Public Health

England guidance

All employees are briefed to follow the guidance from the government and Public Health England as to correct health & hygiene measures.

2.      Hygiene Procedures are in place

Any staff that may have come into contact with those displaying symptoms should utilise washing facilities immediately.

3.      Hand Sanitisers available

Signage is in place and staff have access to hand sanitising gels both inside the business premises and when out on client’s sites.

3 x 3 = 9 (Medium)

 

Overall Risk Rating 7 (Medium)

 

 

Further Control Measures