OSHA releases COVID-19 Emergency Temporary Standard for healthcare
After several weeks of stakeholder meetings, OSHA has finally released the long-awaited COVID-19 Emergency Temporary Standard. But, to the surprise of many, the rule only covers healthcare operations. Other workplaces will continue to be covered by existing OSHA standards, the General Duty Clause of the OSH Act, and newly updated guidance.
The health care emergency temporary standard is aimed at protecting workers facing the highest coronavirus hazards — those working in health care settings where suspected or confirmed coronavirus patients are treated. This includes employees in hospitals, nursing homes, and assisted living facilities; emergency responders; home health care workers; and employees in ambulatory care settings where suspected or confirmed coronavirus patients are treated.
The standard will require non-exempt facilities to conduct a hazard assessment and have a written plan to mitigate virus spread, and requires healthcare employers to provide some employees with N95 respirators or other personal protective equipment. In addition, covered employers must ensure six feet of distance between workers. In situations where this is not possible, employers should erect barriers between employees where feasible.
In addition, these employers must:
- Ensure existing HVAC systems are used in accordance with manufacturer’s instructions and design specifications for the systems and that air filters are rated Minimum Efficiency Reporting Value (MERV) 13 or higher if the system allows it,
- Screen workers before each workday,
- Provide reasonable time and paid leave for vaccinations and vaccine side effects,
- Ensure all workers are trained to understand exposures and relevant policies and procedures, and
- Establish a COVID-19 log (if more than 10 employees) of all employee instances of COVID-19 without regard to occupational exposure and follow requirements for making records available to employees/representatives. This is in addition to the OSHA Form 300 log. The COVID-19 log can be maintained in any manner, so long as it meets the requirements of the standard, e.g., can be easily updated and transmitted, and kept confidential.
The standard also encourages use of respirators, where respirators are used in lieu of required facemasks, by including a “mini” respiratory protection program requirement.
Finally, the standard exempts from coverage certain workplaces where all employees are fully vaccinated and individuals with possible COVID-19 are prohibited from entry; and it exempts from some of the requirements of the standard fully-vaccinated employees who work in well-defined areas where there is no reasonable expectation that individuals with COVID-19 will be present.
States that operate their own State OSHA Plan must adopt measures at least as effective as the new ETS within 30 days of publication of the final rule.
The ETS is effective upon publication in the Federal Register (a date yet to be determined). Employers must comply with most provisions within 14 days and with the remaining provisions within 30 days. OSHA will use its enforcement discretion to avoid citing employers who miss a compliance deadline but are making a good faith effort to comply with the ETS. OSHA will continue to monitor trends in coronavirus transmission.
Exemptions from the Healthcare ETS
The ETS does not apply to:
- First aid performed by an employee who is not a licensed healthcare provider;
- Dispensing of prescriptions by pharmacists in retail settings;
- Non-hospital ambulatory care settings where all non-employees are screened prior to entry and people with suspected or confirmed COVID-19 are not permitted to enter those settings;
- Well-defined hospital ambulatory care settings where all employees are fully vaccinated and all non-employees are screened prior to entry and people with suspected or confirmed COVID-19 are not permitted to enter those settings;
- Home healthcare settings where all employees are fully vaccinated and all non-employees are screened prior to entry and people with suspected or confirmed COVID-19 are not present;
- Healthcare support services not performed in a healthcare setting (e.g., off-site laundry, off-site medical billing); or
- Telehealth services performed outside of a setting where direct patient care occurs.