OSHA Issues Emergency Temporary Standard to Protect Healthcare Workers from COVID-19

The U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA) announced on June 10 it will issue an emergency temporary standard (ETS) to protect healthcare workers from contracting coronavirus. The standard focuses on healthcare workers most likely to have contact with someone infected with the virus.

In addition to the healthcare-focused ETS, OSHA is issuing updated guidance to help employers and workers in other industries protect workers who are still not vaccinated, with a special emphasis on other industries noted for prolonged close-contacts like meat processing, manufacturing, seafood and grocery and high-volume retail. The agency also issued a new general industry guidance, and both the guidance and the ETS are aligned with guidance from the Centers for Disease Control and Prevention.

“Too many of our frontline healthcare workers continue to be at high risk of contracting the coronavirus,” said U.S. Secretary of Labor Marty Walsh. “As I said when I came to the department, we must follow the science. This standard follows the science and will provide increased protections for those whose health is at heightened risk from coronavirus while they provide us with critical healthcare services.”

He added that given the pace of vaccinations, the standard – along with the guidance OSHA, the CDC and other agencies have released – will help us protect frontline healthcare workers and end this pandemic once and for all.”

NSC, ASSP Support the Standard

The National Safety Council issued a statement saying it supported OSHA’s release of an ETS focused on health care workers. “This standard is an important action to protect some of the most vulnerable workers,” said the statement, adding “Last summer, NSC realized the threat COVID-19 posed to the health and safety of workers and called on OSHA to issue a standard then to address distancing, personal protective equipment recommendations, sanitation availability, hierarchy of controls, screening protocols and workplace response plan development.”

NSC added that employers must continue to lead U.S. vaccine promotion and uptake efforts, “understanding this is the best route to a safe, collaborative and productive work environment.”

(Intelex partnered with NSC and other organizations to help employers return employees to work safely. For information about safe work and COVID-19, visit the Resources Center of our Return To Work Solutions page.)

ASSP President Deborah Roy, M.P.H., RN, COHN-S, CSP, CIT, FASSP, FAAOHN, called the emergency temporary standard “a necessary action that will help employers across the healthcare sector take vital measures to better protect some of our most vulnerable workers and ultimately save lives. While we are still analyzing the components of the standard, we know there are benefits to having a unified approach with requirements and guidance to lead healthcare facilities in the same direction to achieve safer and healthier work environments.”

Roy added that the use of standards “is an effective way to implement strong controls that improve occupational safety and health. We are immediately making ASSP members aware of this emergency temporary standard and are working to ensure that its application in healthcare settings is understood.”

What OSHA’s Emergency Temporary Standard Requires

The emergency temporary standard establishes new requirements for settings where employees provide healthcare or health care support services, including skilled nursing homes and home healthcare, with some exemptions for healthcare providers who screen out patients who may have COVID-19. OSHA will update the standard, if necessary, to align with CDC guidelines and changes in the pandemic.

“This standard is necessary to give our healthcare workers deeply needed protections,” said Acting Assistant Secretary of Labor for Occupational Safety and Health Jim Frederick. “This tailored standard allows OSHA to help the workers most in danger of contracting the virus, while the updated guidance will give other businesses across the country the information they need to help protect unvaccinated workers and continue mitigating spread in the workplace.”

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:

  • Requires non-exempt facilities to conduct a hazard assessment and have a written plan to mitigate virus spread
  • Requires healthcare employers to provide some employees with N95 respirators or other personal protective equipment
  • Requires that covered employers ensure 6 feet of distance between workers. In situations where this is not possible, employers should erect barriers between employees where feasible.
  • Requires covered employees to provide workers with paid time off to get vaccinated and to recover from any side effects.
  • Requires that covered employees who have coronavirus or who may be contagious to work remotely or otherwise be separated from other workers if possible or be given paid time off up to $1,400 per week. For most businesses with fewer than 500 employees, tax credits in the American Rescue Plan may be reimbursed through these provisions.
  • Exempts fully vaccinated workers from masking, distancing and barrier requirements when in well-defined areas where there is no reasonable expectation that any person will be present with suspected or confirmed coronavirus.

The ETS is effective immediately upon publication in the Federal Register. 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.

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About Sandy Smith

Sandy Smith is the Global EHSQ Content Lead for Intelex Technologies. Formerly the Content Director for EHS Today, she has been writing about occupational safety and health and environmental issues since 1990. Her work as a journalist and editor has been recognized with national and international awards. She has been interviewed about occupational safety and health for national business publications, documentaries and television programs; has served as a panelist on roundtables; and has provided the keynote address for occupational safety and health conferences.

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