Facts about COVID//COVID Acknowledgmentof Responsibilities

Facts about COVID-19

Facts about COVID-19

What if I’m Not Feeling Well?

If you are experiencing any of the listed symptoms of COVID-19, or any flu- like symptoms, it is critically important that you call off for your shift.

Please contact the following if you develop any symptoms (call or email): • Your Volunteer Manager • Service Area Supervisor

ACKNOWLEDGEMENT OF VOLUNTEER

RESPONSIBILITIES DURING COVID-19 ACKNOWLEDGEMENT OF VOLUNTEER RESPONSIBILITIES DURING COVID-19

COVID-19 presents special challenges to you during your volunteer service assignment with Presbyterian Healthcare

Services (PHS). In order to provide the best opportunity for a successful volunteer experience during COVID-19, the COVID-19 presents special challenges to you during your volunteer service assignment with Presbyterian Healthcare following rules and responsibilities apply to all PHS volunteers.COVID-19 presents special challenges to you during your volunteer service assignment with Presbyterian Healthcare Services (PHS). In order to provide the best opportunity for a successful volunteer experience during COVID Services (PHS). In order to provide the best opportunity for a successful volunteer experience during COVID-19, the following rules and responsibilities apply to all PHS volunteers. Understanding Your Risk following rules and responsibilities apply to all PHS volunteers.Understanding Your Risk COVID-19 presents Understanding Your Risk additional risks for volunteers assigned to both inpatient and outpatient settings.The facilitywhere you volunteer may be treating COVID-19 patients. WhileCOVID-19 we use stringent infection control procedures, there ispresents additional risks for volunteers assigned to both nonetheless inpatient anda outpatient risk that you may be exposedCOVID-19 presents additional risks forto the SARS-COv-2 virus that causes COVID-19 during your volunteer service.volunteers assigned to both inpatient and outpatient settings.The facilitywhere you volunteer may be treating COVID-19 patients. While we use stringent infection control volunteer may be treating COVID-19 patients. While we use stringentrisk that you may beinfection exposedcontrol procedures,to the SARS-COv-2there virus is nonetheless a that causes COVID-19 during your risk that you may be exposed to the SARS-COv-2 virus that causes COVID-19 during your volunteer service.

Requirements of all Volunteers

Requirements of all Volunteers

Prior to reporting for each shift, we require the following:Requirements of all Volunteers Prior to reporting for each shift, we require the following: • Youalert your volunteer manager if you do not feel well the day before your return, even if you have tested negative for COVID-19. • Youalert your volunteer manager if you do not feel well the day before your return, negative for COVID-19. • You alert your volunteer manager if you live with or spend time with anyone who is feeling unwell or who has tested positive for COVID-19. • You alert your volunteer manager if you live with or spend time with anyone who is feeling unwell or who has tested positive for COVID-19. • Upon entry of all Presbyterian facilities, your temperature will be taken and you will complete a COVID-19 symptom screening. Your volunteer service may be postponed if you have a fever, whether due to COVID-19 or any other infection, or if you have symptoms consistent withCOVID-19. • Upon entry of all Presbyterian facilities, your temperature will be taken and you will complete a COVID symptom screening. Your volunteer service may be postponed if you have a fever, whether due to COVID-19 or any other infection, or if you have symptoms consistent withCOVID

Physical Distancing Physical Distancing

It is important that you practice physical distancing, both in the community and during your volunteer service. Physical It is important that you practice physical distancing, both in the community and during your volunteer service. Physical distancing means keeping at least 6 feet from other people, not gathering in groups of more than 5 individuals, and distancing means keeping at least 6 feet from other people, not gathering in groups of more than 5 individuals, and avoiding crowded places. avoiding crowded places.

Prior to reporting for each shift, we require the following: • Youalert your volunteer manager if you do not feel well the day before your return, even if you have tested negative for COVID-19. • You alert your volunteer manager if you live with or spend time with anyone who is feeling unwell or who has tested positive for COVID-19. • Upon entry of all Presbyterian facilities, your temperature will be taken and you will complete a COVID-19 symptom screening. Your volunteer service may be postponed if you have a fever, whether due to

COVID-19 or any other infection, or if you have symptoms consistent withCOVID-19.

Physical Distancing

It is important that you practice physical distancing, both in the community and during your volunteer service. Physical distancing means keeping at least 6 feet from other people, not gathering in groups of more than 5 individuals, and avoiding crowded places.

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Volunteer Services

Volunteer Services

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01-9550-028 (Rev. 6/20) Page 1 of 2

Acknowledgment:

In an effort to minimize the risk of COVID-19 transmission to patients, healthcare workers and others, the following requirements and expectations must be acknowledged. Please read and initial that you understand and agree to

each requirement.

1. I understand that my volunteer service may be suspended at any time due to the pandemic. 2. I understand that I will be required to wear a mask when entering and while inside the facility. I am required to bring my own mask. I further understand that the facility requires everyone to cover their mouth when coughing or sneezing (when not wearing a mask – e.g. eating, drinking), use tissue and dispose of tissue in trash cans as required by the NM Department of Health. 3. I understand that upon entry to the facility, I will be screened for COVID-19 symptoms and have my temperature checked. 4. I understand that if I am unable to tolerate wearing a personal mask, I may not be able to serve in a volunteer capacity at a healthcare facility. 5. I will engage in physical distancing during my volunteer service. 6. I will immediately contact my supervisor if I develop symptoms of any illness, and follow supervisory direction to depart the facility as a result, if instructed to do so.

By signing below, I agree to follow all the requirements outlined above. I understand that failure to follow the requirements above may result in my volunteer service being suspended.

VOLUNTEER SIGNATURE

PRINTED NAME DATE

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