Covid Response Guidelines

Early this summer an ad hoc committee formed to discuss and prepare for our upcoming ski season. That committee comprised of Jim DeWeerd, Scott Rifleman, Bruce Iattoni, Doug Borre, Ozzy and myself and with final review by Dr. Clark, developed the attached COVID-19 Guidelines. Please read them carefully and consider your safety and well-being. This document is intended to be organic and fluid in nature and will adapt as recommendations from the CDC change or once hill management publishes their guidelines. For now, we feel we have a fairly comprehensive document.

Of particular interest are the decisions to prevent our family and friends from gathering in our LPR and UPR. This was a very difficult decision and one not lightly made. But as we all expand our “bubbles” we must also consider the ramifications if an entire shift is exposed to the virus. A14 day self-quarantine would devastate our ability to work – in our real jobs and at the Hill.

We understand there are some unanswered questions. How do we schedule meals on busy shifts? How many patrollers are allowed in UPR at a time? Do we require patrollers to wear masks? How do we respond if a patient does not want to wear a mask (though luckily many wear them in winter)? Answers to these questions and more will be addressed as we near the ski season.

For now we are asking you to consider your health, well-being and comfort in patient care. If you are at all uncomfortable following the Guidelines attached, have doubts due to health concerns, or do not feel comfortable opening your personal bubble, you are welcome to go Inactive for this ski season. Please let Chuck Jonas know by August 31, your intent for the ski season. This will give him time to consider staffing needs for each shift. ALSO, please know due to above, there will be a finite number of slots available for each shift and you may be required to work a different shift to staff appropriately.

Stay well!
Christy Parks
Assistant Patrol Representative


In response to the overarching desire to keep our volunteers safe and healthy, the Board has approved the following Procedures and Policies regarding patient care, social distancing in LPR/UPR, and disinfecting/cleaning.

Scope

This exposure control plan applies to all members of GPSP, particularly those participating in high-risk procedures and activities.  This plan is intended to be a guideline.  Personal practices are up to the individual patroller based on their own specific needs or desires to become involved.

Patrollers

  • DO NOT REPORT FOR SHIFT if you have ANY of the following symptoms:
    • Temperature over 100 F.
    • Cough
    • Fatigue/chills/fever
    • In other words – DO NOT COME TO WORK IF YOU ARE SICK.
    • If you have been in contact with a person who tested positive for COVID within the last 14 days and was not wearing the appropriate PPE.
    • As in any job, please call Slope Leader to inform of your absence.
  • Instant read thermometer will be available in LPR.
  • It is strongly recommended that masks are worn in both UPR and LPR during shift. Space does not allow for the normal social distancing.
  • A small supply of N95 masks will be on hand to be used only if a symptomatic patient presents. If an N95 mask is used by you, it becomes your mask.
  • A supply of disposable gowns and masks will be provided to be used for patients (if requested) and patrollers, if needed.
  • Due to social distancing guidelines, no family members or friends will be allowed in either LPR or UPR during 2020-2021 Ski Season.

Cleaning Disinfecting Policies – Slope Leaders will be trained on all procedures and policies below and will require all patrollers to help meet these requirements each day.

  • Complete cleaning and disinfecting of all surfaces must be completed at the beginning of each day in the UPR and LPR to include but not limited to:
    • Lower Patrol Room
      • Bathroom toilet, sink, door handles.
      • All cots and pillows.
      • All counter tops and both desks.
      • Keyboards, Tablets, Phone/handset.
      • Radios and mics.
      • Door handles, drawer handles, cabinet handles.
    • Upper Patrol Room
      • Table tops/chairs.
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      •  
    • There will be 2 disinfecting stations in the LPR and 1 disinfecting station in the UPR. These will include:
      • Hand Sanitizer
      • Wipes
      • Stearamine Disinfectant
      • Paper towels

Slope Leader Responsibilities

  • Manage disinfecting/cleaning as outlined below in duties bullets.
  • Assist patrollers in the management of number of visitors allowed in LPR.
  • Manage the disinfecting of patient care area after each patient leaves.
    • Disinfect all surfaces that were touched by patrollers, patient and patient relatives.
  • Morning Opener duties as follows:
    • Fill with sanitizing stations in both UPR and LPR:
    • Check supply of each cart. If item is running low, report to Doug Borre, PR or APR.
  • Shift change duties as follows:
    • Spray bathroom, close door and allow to dry for 15 minutes.
    • Spray and wipe down all cots and counter tops
  • Evening Closing duties as follows:
    • See to the disinfecting of all surfaces and bathroom listed above
    • Spray ALL surfaces with provided disinfectant immediately before leaving.
    • Allow to dry overnight
    • Patroller who disinfects is last out.

Patient Care

  • Patroller response to an injured or medical incident.
    • The primary responding patroller upon scene size-up and primary survey will ask questions screening the guest for potential COVID-19
      • Category 1
        • Ask patient if they feel warm or feverish?
        • Is the patient experiencing chills, dyspnea, persistent cough or any new respiratory problems?
      • Category 2
        • Where is their hometown? Keep in mind current hot spots. (Only necessary if local hotspot versus widespread community spread).
        • Has the patient had any contact with a confirmed case of COVID-19 in the last 14 days?
      • If the patient meets any ONE of the above criterion from BOTH categories they should be considered infectious and the following precautions taken:
        • Communicate information to other patrollers and EMS responders.
        • Number of patroller contacts should be limited only those needed to manage incident.
        • Patrollers will don following PPE as soon as practical:
          • N95 Mask (Surgical masks may be worn if N95 unavailable).
          • Fluid impervious gown should be worn for any person(s) performing aerosol generating procedures such as BVM and suctioning.
            • Due to our work environment and outdoor clothing, it may not be practical to wear above, however, face mask, gloves and eye protection is highly advised.
          • Nitrile gloves.
          • Eye protection.
          • Once in LPR adjust PPE as appropriate.
        • Place a face mask over guests nose and mouth as soon as practical. Cold weather masks will suffice.
        • Patrol room should be limited to only essential persons until decontamination.
        • Other guests, relatives and patrollers should be kept out of immediate area – 6’ minimum radius of patient.
          • Other patrollers should remain 6’ minimum radius of patient.
        • Removal of PPE
          • Remove PPE in the following order
          • When ready to remove gear, wash or sanitize your gloved hands with gel or whatever sanitizer you have.
          • Reach to the back of one shoulder, pull the gown down to the elbow, repeat with other arm.  As you continue to pull the gown down both arms, ball it up so outside of gown inward. When you get to the wrists, pull your gloves off from the wrist one at a time as you continue to ball up the gown and gloves. Deposit in receptacle. Now you have not touched the outside of your gown with bare hands.
          • Wash your hands. (or sanitize)
          • Remove face shield, discard.
          • Wash your hands 20 sec, lots of soap and water. Sing Happy Birthday twice, it takes 20 sec.
          • Be gentle when removing PPE so as not to aerosolize any contaminants that may be present.
          • Immediately place sealed bag outside in dumpster.
        • Putting equipment back in service:
          • Spray and wipe all surfaces with provided disinfectant including
            • Spray disinfectant on wool blankets and tarps. Allow to dry before putting back into trauma packs.
            • Cots and pillows
            • Face shields, goggles and any PPE which is not disposable
            • Stretcher and rails
            • Work surfaces
            • Floors, walls, cupboard doors and handles
          • Reporting measures and follow up
            • Record of any patroller/staff having contact with potentially infectious patient must be kept.
            • Health Department is responsible for contacting GPSP PR with notification of persons with positive COVID-19 test.
            • Risk of transmission with proper PPE use is minimal. Patrollers may stay at work as long as they are asymptomatic unless directed otherwise by Health Department.
            • If patroller develops signs or symptoms of COVID-19 such as symptoms listed above, they should self-isolate, contact PR and their personal physician by phone.
            • Lead Patroller should advise Slope Leader of potential exposure.
            • Slope Leader should advise GPSA administration. GPSA should contact Marathon County Health Department.

Updated 7.25.20

CAP