Safe and Physical Distancing - COVID19

The Safe and Physical Distancing Program straddles both Injury and Illness Prevention and Environment of Care programs.  Its aim is to ensure a safe, injury-free envrionment for employees, patients, and visitors across UCSF Health as we progress from COVID19 response to recovery and re-opening.  The program includes the following elements but is not limited to:

  • Risk assessments for safe and physical distancing using a checklist focused on administrative and environmental controls.
  • Surveillance activities using the mobile Inspect tool to survey patient-care areas.
  • Support for managers responsible for ensuring staff have a safe and healthful workplace.

Relaxing Safe and Physical Distancing Guidelines 

UCSF Health monitors safe work practices and conditions to provide continuous support during the pandemic.  Relaxation of Safe and Physical Distancing Guidelines depends on the current climate (e.g., %Tier 1A UCSF Health is fully vaccinated, COVID-19 infection rates, color of re-opening tier such as purple, red, orange, or yellow, etc.) and criteria as defined by governing groups across both the medical center and campus environments, aligned with guidance and requirements set by federal, state, and local authorities.

UCSF Health adopted a phased-in approach for the relaxation of safe and physical distancing restrictions in hospital buildings (505 Parnassus, 1600 Divisadero, 1855 4th Street, and 1975 4th Street).  By August 1, 2021, maximum capacity numbers that are posted in clings are expected to be removed.  Please refer to UCSF Health Guidance for Masking and Physical Distancing and Frequently-Asked Questions.  To request furniture to be returned to your staff-only charting, team, or work room, please open an MCSS Help Desk ticket under "Safety Assessment" and specify the furniture needed and the intended room.  Please note that the process of returning furniture may take up to three weeks.

UCSF Health has not relaxed masking and safe-distancing guidance for staff-only break rooms where masks are removed to consume food or drink.  Follow guidelines in the UCSF Health Guidance for Masking and Physical Distancing and Frequently-Asked Questions.

UCSF Health has not relaxed some guidance for safe and physical distancing in areas serving the public such as waiting rooms or surgical waiting areas (SWA).  In these rooms, unvaccinated and non-fully-vaccinated individuals must wear a mask over nose and mouth and maintain six feet of distance when feasible.

INSPECT Survey Reports

Results of Inspect surveys were sent to department-designated responsible persons across patient care areas, laboratories, and ancillary services at all campus locations.  Responsible persons are expected to discuss non-compliant findings with department staff within seven days of receiving the results.

Responsible persons will continue to receive assistance from the Safety Office or their qualified designees to correct non-compliant findings identified in the report.  As report summaries are received, responsible persons must re-review the report and adjust non-compliant findings based on corrective actions that were executed or may be in progress.  The Safety Office may periodically run a report to identify any remaining non-compliant findings that may need further interventions.

MCSS Help Desk Tickets 

Customers who file service requests for "Safety Assessment" through MCSS will receive assistance from the Safety Office or their qualified designee.  Customers will receive a list of questions they need to answer and return, schedule a site visit, and participate in a site evaluation of their space.  Be prepared to discuss what COVID19 prevention measures are in place, such as staff training, signage, work from home (WFH), etc.  If the assessment shows that staff are unable to maintain sufficient physical distancing, overflow space requests should be escalated by the customer to their manager to determine if routing via the Safety Office to the UCSF Health Space Management workgroup, a separate workgroup working in partnership with Campus Space Management, is necessary.  

Barrier/Sneeze Guard/Plexiglass Installations

Barrier installations at patient care areas with check-in desks and at laboratory specimen drop-off/pick-up have been deployed with priorities detemined for areas that meet the following criteria: high-traffic with the public, vendors check-in, specimen drop-off or pick-up, and payment locations such as dining areas and gift shops.  

Customers requesting barriers, sneeze guards, or partitions for staff communal areas must 
1)  speak with their Manager, then
2)  open MCSS Help Desk ticket under "Safety Assessment"
Opening a service ticket does not guarantee installation of barrier, sneeze guard, or partition.




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