OSHA ETS: What you need to know
OSHA released on June 10 the COVID-19 Healthcare Emergency
Temporary Standard (ETS). The ETS was in response to an Executive
Order issued by President Joe Biden that directed the agency to takeaction to reduce the risk that workers may contract COVID-19 in theworkplace. The ETS includes some important updates to the federal
guidance that apply to healthcare settings. The following is a summaryof the ETS requirements.

✓Applicability
Healthcare settings where the office does not screen all non-employees prior to entry and locations where all employees are not fully vaccinated.

Requirements
AAOMS strongly recommends practices maintain written evidence and records of these requirements in office files.

COVID-19 plan
Each practice must develop a plan in writing if the facility has more than 10 employees. See the AAOMS Sample OSHA
COVID-19 Plan.

Safety coordinator
Each practice must designate an individual with the authority to ensure compliance with the COVID-19 plan.

Hazard assessment
The facility should be assessed for any potential COVID-19-related hazards and a mitigation plan developed to address thosehazards. Non-managerial employees must be involved in the hazard assessment and plan development. See the AAOMS Sample
Hazard Assessment.

Screening
COVID-19 screening must occur at points of entry where direct patient care is provided, and all patients, clients and other visitors
or non-employees must be screened. All employees should be screened before each shift, and contact training between employees
must be performed.

Standard precautions
Standard and transmission-based precautions based on CDC guidelines should be developed and implemented.

Facemasks
Fully vaccinated workers are exempt from masking, distancing and barrier requirements when in well-defined areas where there
is no reasonable expectation that any person with suspected or confirmed COVID-19 will be present. All employees must wear
facemasks when indoors and respirators or other PPE for exposure to people with suspected or confirmed COVID-19 and foraerosol-generating procedures on a person with suspected or confirmed COVID-19.

Aerosol-generating procedures
When performing an aerosol-generating procedure on a person with suspected or confirmed COVID-19, only essential personnel
should be present, the procedure should be performed in an airborne infection isolation room if available, and surfaces andequipment should be cleaned/disinfected after the procedure is completed.

Physical distancing
Six feet must be maintained, and barriers installed where appropriate.

Cleaning requirements
Specific cleaning protocols must be implemented.

• Patient areas, medical devices and equipment – Use standard practices for cleaning and disinfection in accordance with CDC’s
COVID-19 Infection Prevention and Control Recommendations and the CDC’s Guidelines for Environmental Infection Control.

• In all other areas:° Clean high-touch surfaces and equipment at least once a day using manufacturers’ instructions.
° When employer is aware that a COVID-19 positive person was in the workplace within the last 24 hours, any areas, materials
and equipment likely contaminated by the person must be cleaned and disinfected according to the CDC’s Cleaning andDisinfecting Guidelines.

Hand sanitizer
Alcohol-based hand rub should be provided that is at least 60 percent alcohol, or provide readily accessible hand-washing facilities.

Air ventilation
Outside air circulation should be maximized to the extent appropriate. Air filters should be at MERV-13 or higher if HVAC will allow,
or highest compatible filtering efficiency for the system should be utilized. Filters should be maintained and replaced as necessary.
All intake ports that provide outside air should be cleaned and maintained regularly.

Time off
Employers must provide reasonable time and paid leave for employees to become vaccinated and recover from vaccine side effects.

COVID-19 training
All employees must receive COVID-19 training. See the AAOMS COVID-19 OSHA Training Guide for additional guidance.

COVID-19 log
A COVID log must be developed and available that records each incident identified by the employer in which an employee is
COVID-19 positive, regardless of whether the instance is connected to exposure at work. See the AAOMS Sample COVID-19 Log.

Mini RPP
In situations where workers are not generally exposed to suspected or confirmed sources of COVID-19 but where respirator
use could offer enhanced worker protection, the mini RPP program may be used. See the AAOMS OSHA ‘Mini RPP’ infographic
for additional details.

View OSHA’s COVID-19 ETS
for additional information.
The information provided in this document is intended for educational
purposes only. In no event shall AAOMS be liable for any decision madeor action taken or not taken by anyone in reliance on the information
contained in this resource. For practice, financial, accounting, legal orother professional advice, professional advisers should be consulted.

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