Queen Elizabeth Hospital Birmingham



Covid-19 Risk Matrix – for use at Tiers 1 (self-assessment), 2, 3 and 4(note this matrix applies only to assessments of staff health factors, and not for household members)Name: …………………………………………………………………………………………………………………………………..Date of Assessment: ……………………………Assessor: ………………………………………………………………..Risk factorIndicatorAdjustmentCommentScorePersonal CharacteristicsAge<50>50>60>70013>6Sex at BirthFemaleMale01EthnicityCaucasianBlack African descentIndian Asian descentBangladeshiOther (including mixed race)01121 Age, Sex, Ethnicity subtotalHealth factorsObesityBMI calculator: >35 Kg/ m2 >40 Kg/m212CardiologyAngina or previous MI or strokeHeart failure12DiabetesType 1 or type 2 Uncomplicated or controlledComplicated or uncontrolled or unknown12RenalChronic Renal Disease (GFR <60)2RespiratoryAsthma (mild)Asthma (any oral steroids in past year)Other Chronic Pulmonary012Malignant NeoplasmActive MalignancyMalignancy in remission diagnosed 1- 5 years ago>5yrs310Haematological malignancy<1 yr. ago1-5>5yrs432Liver diseaseany1Neurological diseaseAny (other than headache)2Rheumatological Active treated conditions ( lupus/ psoriasis/ rheumatoid)2Immunosuppression/Immunosuppressant treatment Any indication (other than already identified above)2Health factors subtotalTotal of personal and health characteristicsInterpretation:ScoreLow Risk<3Medium Risk 3-5High Risk>6Shielding GuidanceIf the person has been advised by the Government to shield during a shielding period and received a Shielding letter advising them they are on the Shielding Patient List due to their being Clinically Extremely Vulnerable then this should be respected. During a Shielding period the individual must follow the letter’s advice and remain at home. Staff who receive such a letter should show it to their manager and discuss how they may purposefully be able to work from home until the expiry of the shielding period.Outside of any shielding period the member of staff should be managed as if in a High Risk GroupFor the latest Government guidance on those categorised as clinically extremely vulnerable, follow this link: Guidance If you are less than 28 weeks gestation and have no significant underlying health problems it is recommended that if you work in a patient facing role then this should be in COVID cold areas where the COVID status of the patient is known to be negative. If the patient’s status is unknown or clinically assessed and COVID-unlikely then you may work with such patients if you feel comfortable to do so, and the use of higher level PPE should be considered. You should not work with COVID positive patients. A non-patient facing role or working from home should also be considered. You should strictly adhere to all Infection Prevention and Control guidance on hand hygiene, social distancing, mask wearing etc.If you are more than 28 weeks gestation then you should shield at home and work from home if possible . If you wish to remain in the workplace then this should either be in a non-patient facing role or with COVID negative patients only. You should strictly adhere to all Infection Prevention and Control guidance on hand hygiene, social distancing, mask wearing etc.If you are less than 28 weeks gestation and have any significant health problems then you seek advice from Occupational Health on whether these health problems pose a risk for you remaining at work. It may be that you are able to continue in your role, or you may be able to stay in work but in non-patient facing work or only working with COVID-negative patients, or you may need to shield at home and work from home if possible. If you continue to work then you should strictly adhere to all Infection Prevention and Control guidance on hand hygiene, social distancing, mask wearing etc.Anxiety Guidance It should be respected that many staff will have levels of anxiousness ranging from general concern to significant anxiety about their personal health risks when coming to work as they may be exposed to a higher level of risk at work than if they were to choose to isolate at home. Staff members’ personal concerns should be taken into consideration when risk assessing work placement and job activities, and where anxiety is a factor active steps taken by the manager and the individual to reduce the level of anxiety. Workplace Risk Plan Considerations:GuidanceClinicalNon-ClinicalLow Risk <3Can work in all areas without restrictions, wearing appropriate PPE relevant to the area and patient/procedure as per PHE and Trust guidelines. All Trust guidelines must be followed on: Social distancing where possible, and where not possible in clinical areas and in public/communal areas wearing a face mask; High level hand hygiene. Medium Risk 3 - 5Wherever possible and practicable work with screened Covid-negative or clinically assessed Covid-unlikely patients, and avoid high risk exposures such as AGP. Wear appropriate PPE relevant to the area and patient/procedure as per PHE and Trust guidelines. When working with Covid-positive or Covid-likely patients is necessary, wear fit-tested higher level PPE/RPE FFP2 masks. Work from home if and when possible.Avoid Covid-positive clinical/ward areas wherever possible and practicable.When in Covid-negative clinical/ward areas, wear standard level PPE as per PHE and Trust guidelines. When in Covid-positive or Covid-likely clinical/ward areas, wear standard level PPE as per PHE and Trust guidelines, or wear higher level (FFP2) if in direct close contact with patients.All Trust guidelines must be followed on: Social distancing where possible, and where not possible in clinical areas and in public/communal areas wearing a face mask; High level hand hygiene.High Risk >6Avoid areas where there are Covid-positive or Covid-likely patients. Work with screened Covid-negative patients. Avoid high risk exposures such as AGP.Consider virtual clinics, including working from home.If clinical work with COVID unknown cases cannot be avoided, then fit-tested higher level PPE must be worn. Higher level RPE would include FFP2 or FFP3 respirator masks or hoods. Work from home if and when possible.Avoid high risk areas (see below).Avoid clinical areas if possible, or work in clinical areas where patients have been screened Covid-negative or clinically assessed Covid-unlikely. Wear high risk areas cannot be avoided, wear higher level PPE as for clinical staff.All Trust guidelines must be followed on: Social distancing where possible, and where not possible in clinical areas and in public/communal areas wearing a face mask; High level hand hygiene.High-risk areas for COVID would be COVID ITU area, hot zone/ resus ED, designated COVID respiratory/ID wards. ................
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