ANNEX 21a MANAGEMENT OF HEALTHCARE WORKER WITH EXPOSURE TO A PERSON CONFIRMED WITH COVID 19 20022022

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LAMPIRAN Annex 21a

MANAGEMENT OF HEALTHCARE WORKER WITH EXPOSURE TO A PERSON CONFIRMED WITH COVID-19

Risk Category:
Low risk close contact: HCW is wearing a mask and source person is wearing a mask
High risk close contact: HCW is not wearing PPE according to the Infection Prevention Control guideline and household contacts.
Definition:
Source person: A person who is a confirmed case of COVID-19
Household contacts: HCW who is living or sleeping in the same home, or living in a shared accommodation sharing kitchen or bathroom facilities, or
sexual partners of confirmed COVID-19 person.

1
Risk of Close Clinical status RTK Ag Test Return To Work (RTW) criteria RTK Ag after RTW
Contact

RTW if Day 3 test negative & symptoms substantially RTK Ag daily until Day 5 post
RTK Ag resolved exposure (fully vaccinated) / Day 7
immediately & post exposure
SYMPTOMATIC
HIGH RISK Day-3 post If symptoms still present at day 3, to be assessed & (partially/unvaccinated)
exposure investigated with PCR before RTW
Self-monitor symptoms for 14 days,
and test if symptomatic/required
RTK Ag
ASYMPTOMATIC RTW if RTK Ag negative
immediately

RTW if RTK Ag negative


RTK Ag Re-evaluate risk and symptoms & test if required.
SYMPTOMATIC Exclude from work with MC until test result available and/or until symptoms improve
immediately
LOW RISK Self-monitor symptoms for 14days, and test if symptomatic/required

No work restrictions
ASYMPTOMATIC Not required
Self-monitor symptoms for 14days, and test if symptomatic/required

1. Asymptomatic HCW within 90 days post COVID-19 Infection can continue to work without restrictions and does not require testing.

Ministry of Health Malaysia


Updated on 17 February 2022
Annex 21a

RETURN TO WORK (RTW) PRACTICES AND RESTRICTIONS

The following RTW practise and work restrictions should be adhered vii) Movement should be restricted, while at work and outside of
to by HCW returning to work after completion of the Home work. Staff should continue self-isolation at home upon
Surveillance Order (HSO) period: returning from work, avoid 3C and practice 3W.
viii) Staff should not attend public events or social gatherings during
i) OSH should be notified upon returning to work.
the period of RTW & work restriction monitoring.
ii) Staff Declaration Form should be filled upon returning to work
ix) Staff should undergo RTK-Ag test as directed before starting
(Appendix 6).
work daily.
iii) Staff should wear appropriate PPE at all clinical areas and
x) Authorized personnel e.g. ward sister should monitor and
strictly adhere to hand hygiene, respiratory hygiene, and
supervise staff who are on RTW practice & work restriction
cough etiquette.
while at work.
iv) Staff should be restricted from taking care of
xi) Strict twice daily (before and at end of work shift) monitoring
immunocompromised patients for the period of monitoring.
of temperature and symptoms compatible with COVID-19 by
v) Staff should not share same confined closed area while
OSH Officer/authorized personnel.
unmasked such as pantry, on-call room or prayer room with
xii) Staff should continue self-monitoring up to Day 14 post
other colleagues.
exposure
vi) Staff should strictly wear well fitted 3-ply surgical mask and
xiii) If develop new onset of symptoms (even mild) or worsening of
face shield when in close contact with other colleagues if
symptoms consistent with COVID-19, immediately stop patient
physical distancing is not permissible.
care activities and notify supervisor or and OSH officer.

Ministry of Health Malaysia


Updated on 17 February 2022

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