Tara Reck, Managing L&I Attorney at Reck Law PLLC - Workers' Compensation Attorneys

Category: Medical Conditions (Page 15 of 19)

Workers Compensation Claim for Corona COVID-19 Virus: Wearing Masks and Personal Protective Equipment at Work

COVID-19 brings up several new issues in the workers compensation settings. With the COVID-19 pandemic, there are many discussions and questions around how to stay safe at work. Clearly, we all want to prevent work injury, work illnesses and occupational diseases. Some debates are about the pros and cons of wearing a mask and other Personal Protective Equipment (PPE) at work. Many people want to understand the requirements concerning the use of a mask at work.  There are several opinions on this subject, so I decided to do some research to better. My goal is to understand the use of face masks in the workplace environment.  Luckily, there are helpful resources available.

 

OSHA guidelines – Masks vs respirators

The Occupational Safety Health Administration (OSHA) published guidelines and obligations regarding respirator and face coverings at work.  OSHA’s standard is contained in 29 C.F.R. 1910.134.  Unfortunately, this Federal Regulation is long, detailed, and not terribly easy to follow.  Furthermore, it was originally enacted in 2006 and was last updated in 2011.  It contains information about types of face masks, respirators, and the requirements for their use.  However, when they wrote the standard, they didn’t specifically address the complications of a pandemic involving a novel respiratory virus.

 

Many discussions throughout the COVID19 pandemic focus on N95 masks in particular.  OSHA also classifies these masks as respirators, not masks. Moreover, OSHA considers devices more substantial than a N95 mask such as half-face or full-face pieces with filters, as respirators.  Under OSHA regulations, the use of any of these kinds of respirators in the work environment triggers some requirements.  However, more simple masks such as paper or cloth masks (including dental or non-N95 surgical masks) are not respirators. Therefore, these simple masks don’t trigger any requirements under the standard 1910.134.

 

Identifying workplace exposure to COVID-19 virus

Every workplace uses protective masks differently. The main common factors are the type of work environment and potential exposure to the COVID-19 virus. With that in mind, OSHA classifies workplaces into four categories: Lower, medium, high, and very high exposure risk. Lower exposure risk jobs are those that don’t require contact with people that might have the COVID 19 virus. This category also includes jobs that don’t require frequent and close contact with the public. In contrast, medium exposure risk jobs require frequent or close contact with people. These people may be infected but they are not COVID19 patients.  Examples of medium risk exposure jobs include schools, high population density work environments, and some high-volume retail settings.

 

High exposure risk jobs are those with high likelihood of exposure to sources of COVID-19.  Examples for jobs in this risk-category include healthcare delivery and support staff, medical transport, and mortuary work.  Finally, very high exposure risk jobs are those with a high potential for exposure to known or suspected COVID19 sources. These require specific medical, postmortem, and laboratory procedures.  Examples of very high-risk exposure include healthcare workers treating COVID 19 patients. Other examples are healthcare or lab personnel that collect or handle specimens for treating potential and actual COVID-19 patients. And last, morgue workers performing autopsies on individuals that had (or might have had) COVID-19 at their time of death.

 

Use personal protective equipment (PPE) to prevent work injury or occupational disease

I reviewed the OSHA guidance on preparing workplaces for COVID-19. According to that publication, additional personal protective equipment (PPE) is not recommended by OSHA for workers in lower exposure risk jobs.  PPE may include things such as gloves, goggles, face shields, face masks, and respiratory protection when appropriate.  If a worker would typically wear PPE for their job, they should continue using the PPE in this time. Here, OSHA does not recommend using other PPE gear.

 

For medium exposure risk jobs, OSHA recommends using PPE ensembles such as masks, gloves, gowns, or face shields. Similarly, workers in high or very high exposure risk jobs will need to wear PPE.  For these jobs, OSHA suggests wearing gloves, gowns, and face shields or goggles. Depending on the job, the tasks and the exposure, the worker should wear a face mask or a respirator.  However, any employers requiring PPE must provide the equipment to their employees. Furthermore, employees and employer must also follow all relevant state and federal requirements as they pertain to the equipment. Finally, employers must also provide training for appropriate use and disposal of PPE.

 

Personal thoughts and final remarks

As time evolves, I suspect we will develop a better understanding of this virus.  From there, we will be able to determine the effectiveness of face masks and respirators in reducing transmission of COVID-19.  However, as we all begin to embark on the process of “reopening”, we need to be mindful of our surroundings.  It’s always a good idea for workers to identify their risk exposure classification. That way, they can identify the protective equipment they might need to wear at work to prevent work illnesses and diseases. Employers must also begin the difficult task of how to safely reopen workplaces.  To that end, the OSHA Guidance on Preparing Workplaces for COVID 19  has a lot of great information for employers.

L&I COVID-19 Respiratory Protection for Care Workers

On March 19, 2020, the Department of Labor and Industries (L&I) put out a fact sheet regarding respiratory protection for care workers. These care workers and care givers have ongoing exposure to the Corona Virus COVID-19. Specifically, care takers at high risk include nursing home care givers, rest home employees, as well as long-term care facilities.

 

L&I fact sheet for COVID-19 protection

In the fact sheet, L&I encourages facilities to group together patients suffering from COVID-19. That way, they can limit the number of employees that may have exposure to the virus. According to L&I, workers who come within 6 feet of COVID-19 patients can be at a high risk for contracting the virus. As a result, L&I recommends that employers assess situations for proper use of surgical masks or N95 respirators.

 

Surgical masks are cloth masks that protect the people who wear them. They provide protection from large droplets and splatters from coughs, sneezes and breathing. They do not protect against fine droplets. N95 respirators are the minimum respirator preferred to protect workers from air contamination. However, L&I lists a number of other options that offer even greater protection. These options include N99-100, R95-100, P95-100, and other types of purifying respirators.

 

Work injury, occupational disease and N95 respirators

Employers might ask employees to voluntarily use N95 respirators even if they have low risk of exposure. In areas and facilities that require workers to use N95 respirators, employers must first have a written respiratory protection program and designate a program administrator. On top, they must provide appropriate respirators such as N95 respirators, powered air purifying respirators, or elastomeric respirators.

 

If you have to wear N95 respirator at work, know that your employer has to ensure you are medically cleared to use it. Your employer must also fit-test the equipment, and train you on proper use and maintenance. Workers who use N95 respirators and other tight-fitting respirators are to remain clean shave in areas where it contacts the face. This is to ensure an air-tight seal. Lastly, follow the requirements outlined in WAC 296-842. L&I acknowledges that you may need to reuse N95 respirators considering the shortage of protection equipment.

 

L&I trying to help healthcare workers with work illness

In the end, I’m glad that L&I is helping healthcare workers by creating fact sheets like this one. However, the fact sheet suggests that the use of N95 (or better) respirators is voluntary. Yet, it should be mandatory. Reading between the lines, it appears that workers coming within 6 feet of COVID-19 patients should be wearing N95 (or other) devices.

 

L&I is attempting to take steps in the right direction, but there is more work to do to prevent work illnesses and occupational disease. There is certainly a lot we need to learn about COVID-19. We also need to figure out how to effectively care for patients, and how to protect our valuable healthcare workers the best way possible.

L&I Claim for COVID-19 Corona Virus Infection

Here in Washington State, we’re all talking about the Novel Coronavirus. Over the weekend, we experienced the first US deaths attributed to this virus. In Washington State, L&I is encouraging workers to stay safe. However, if they get the disease, they should file an L&I claim for Corona virus.

 

L&I announcements regarding the Corona virus outbreak

The Washington State Department of Labor and Industries (L&I) posts information on its website related to a variety of workplace safety topics, including biological hazards. I checked today and L&I has information and resources related to Coronavirus on its Safety & Health page.

 

L&I has posed the CDC guidance for businesses and employers to plan and respond to the virus. On top, L&I posted posters in Spanish and English on stopping the spread of germs. Furthermore, it has posted the CDC situation summary and resources, and it has posted OSHA help and resources.

 

Office workers following CDC recommendations

As an employer and a workers’ compensation attorney, I found these resources very helpful and I shared them with my staff. Because I work in an office setting, I believe it is relatively easy for me to employ the CDC recommended strategies. I can encourage sick employees to stay home and I can offer flexibility with sick time. Moreover, I can encourage healthy habits to help decrease the spread of germs.

 

However, I do believe there are very similar steps many of us can do to help. Simple actions such as washing our hands regularly and covering our mouths and noses when we cough or sneeze. Also, staying home when we’re feeling poorly is important. At the same time, it’s important to acknowledge there are many industries that can’t follow the CDC recommendations. For example, industries that employ vast numbers of workers that will continue to be impacted by the virus. Spearheading those efforts are our healthcare workers and first responders.

 

Healthcare employees and first responders are on the front line

As we’ve seen, hospitals employees, EMT personnel, firemen and other first responders were exposed to Coronavirus patients. In most cases, those workers and first responders have been quarantined. As the number of individuals that have contracted the virus increases, more healthcare workers will be impacted. While those of us in other industries can limit our exposure, healthcare workers and first responders are running head-first into this storm. It will impact their health, their livelihood, and their families.

 

I’d like to take this opportunity to thank our dedicated healthcare workers and first responders. For their dedication, and to the web-being of our society. It is at times like this that we realize what a valuable resource these workers are to our society, nation, and economy.

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