Health and safety protocol collation and discussion thread

Has anyone seen anything relevant to shop environments? A worker from Wickes came into the bike shop the other day actually quite upset about the fact that their management aren’t doing anything to reduce risk… we have our own processes in the shop but not based on any official guidance, just assembled from various sources and common sense. If we could find something official looking I would go and see if I could find her to pass it on

Unfortunately I’ve seen a few things suggesting that we need to be really careful in our operations:

Coop Jackson

Real junk food project

Could be useful https://www.nationalfoodservice.uk/covid19

My friend made an quarantine timer web app for things that might be contaminated if they haven’t been disinfected. This is based on data about long the virus can survive on different surfaces.

https://quarantimer.app

https://www.gov.uk/government/publications/covid-19-decontamination-in-non-healthcare-settings/covid-19-decontamination-in-non-healthcare-settings

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Hey lots of sources I have read show that masks ARE a good idea and I think this is the best way - most reliable I’ve seen for DIY masks for people who aren’t in healthcare settings where most of the official ones are being used. Happy to try making some of these at home.

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Advice from coop collective : [18:36, 24/03/2020] +: Arrive at customer
Remove any cycling gloves
Notify them you have arrived (phone call/text message)
Put on food handling gloves
If you have to knock, if possible don’t use door bell, knock of house window or away from door handles
Place food package on customers doorstep
Dispose of food handling gloves
Wait atleast 2 metres back from door
Mark delivery as complete when customer collects food or acknowledges through window.
[18:38, 24/03/2020] +44 7931 092488: It is also recommend to take a photo of the food on the doorstep as proof the delivery was contactless. This can be done by the courier through the CoopCycle app. Do not obtain signatures.

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As mentioned in the meeting I potentially have capacity for knocking a few of these up quite quickly on the ol Singer.

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In Poznan the Freedom Fighters sport group transformed their gym into a mask manufacture spot :slight_smile:

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Heya, some comrades from Berlin shared this on the CoopCycle chat

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CoopCycle platform also emails the people you are delivering to:

https://testing.forum.cooperationbirmingham.org.uk/t/coop-cycle-delivery-platform-set-up/165/3?u=leo

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This is a kitchen food safety and hygiene protocol in progress:

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Government info:

https://www.gov.uk/government/publications/coronavirus-how-to-help-safely--2/coronavirus-how-to-help-safely

@canchaflower found this https://www.youtube.com/watch?v=sjDuwc9KBps&feature=youtu.be which is very very informative

Some update on the protocol. If necessary, this info can be already sent to any volunteers wanting to help in the kitchen. I’ll work on it further, trying to make it as specific as possible in relation to our kitchen, however, all the fundamental procedures and steps are already included. Please, feel free to comment it and express any suggestions you would have!

https://drive.google.com/drive/folders/19o3ZkmGcNptN-D8997Hg-Rm7Zfx2kWSb?usp=sharing

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Just a thought, but in a ideal situation…

Drivers shouldn’t come into contact with each other. Kitchen shouldn’t come into contact with delivery. Otherwise if one person gets sick, the whole operation goes down.

Delivery drivers are the most key people in terms of risk of infection. They are most at risk of getting flu or passing it on because of potential contact with lots of people who are vulnerable to the flu.

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Depends how you define ‘come into contact’. I think drivers will have to pick up from kitchen crew in some capacity. Kitchen crew can dish up the food into cartons and put into bags but then drivers will have to pick them up whilst still hot ideally. Could leave them in the main bit of the cafe having just been warmed up but there will be some waiting inevitably and they’ll need to put them in cool bags etc and double bag them.

Depends how you define ‘come into contact’.

Be within four metres of them.

drop off

I’ve had a look over different protocols. Which will be linked at the end of this. One form a mutual aid group in London (where I know one of the people involved has a background in healthcare) and one by Queercare. The where both very good and where in broad agreement the London one being easier to follow and the Queercare one being more in depth. I recommend that we use the London based one with Queercare being used as a reference point for further guidance.

The protocol is as follows (with some adaptions) -
• Practice excellent hand hygiene. If you have has hopping shopping and sanitiser, use it regularly.
• Wear a cloth mask or a scarf over your face if you can. It won’t protect you completely from the virus (although it will give some protection) but it will stop you from breathing out water droplets onto the items - depending on availability of mask, they should be prioritised for healthcare workers if there is shortage.
• Double bag the food and leave only the inner bag outside the door, then ring the doorbell and wait at least 2m away while the person picks up the items
• Tell the dispatcher as soon as you’ve completed the delivery.
• Re-perform hand hygiene before next drop off.

https://drive.google.com/file/d/13Rqb-nNY_RPNY5UBvnD7jhFoDnhmLsjV/view?usp=sharing

https://wiki.queercare.network/index.php?title=Delivering_items_to_someone_who_is_immunocompromised_protocol

Gloves

The subject of gloves is a difficult one. With people having very strong feelings either. It’s important understand that there are two types nitrile of gloves sterile gloves and non-sterile gloves. In healthcare setting unless the person providing care has a cut or other potential source of infection on their hand the non-sterile gloves only act of to protect the provider not the receiver of care, under normal circumstances that’s done by good hand hygiene or if the person/procedure being done is high risk sterile gloves. We only have accesses to non-sterile gloves.

So what’s the best use of these resources, the Queercare guidelines do suggest the use of gloves if available but they not a substitute for the good hand hygiene we should all be doing anyway. Which they currently are as the kitchen already has some, they will run out fast used this way and there is already a chronic shortage of gloves both sterile and non-sterile in the NHS. Based one the fact they are nonessential for safe drop off and the current shortage I would recommend that this group and other mutual aid groups rather then using any unopened packs of gloves contacts local NHS trust and offer them as a donation first, even if you just a have a few pack. While continuing to make sure everyone is preforming good hand hygiene which plays a larger role in preventing infection. When it’s clear that shortages in healthcare systems have been resolved or when gloves have been offered and rejected by trusts this could be reconsidered.

on the use of gloves in healthcare - https://www.who.int/gpsc/5may/Glove_Use_Information_Leaflet.pdf

on shortages - Unexpected demand fuels glove supply problems for NHS | Nursing Times
NHS doctors beg Boris for equipment to protect them from coronavirus | Metro News

I’ve come around to the use of gloves for delivery because I have doubts about our abilities to do proper handwashing in the field. Perhaps if alcohol based hand rub was available but I don’t know what the current situation is.

The bit about sterile and non-sterile is helpful, and I think people in some other groups don’t really understand this. I think of sterile gloves as a clean hand you can put on and non-sterile gloves as a dirty hand you can take off. So it’s a question of insulating one environment from another.

In our context only the latter case is useful. You can put on gloves for each delivery when out of the car and dispose them before getting back in. This provides a degree of inbound insulation between the risk of a recipient’s house and the rest of the operation. We have a few hundred pairs of non-sterile gloves. Last I knew they were easier to get than ABHR. They’re also less acutely needed in healthcare because in a fixed site operation (kitchen, hospital, shop), this role is better served by handwashing. Sterile gloves are a different matter, no use to us and important in healthcare.

The outbound insulation between the operation and recipients (ie we don’t want an ill but asymptomatic chef or driver to infect a recipient) is provided by a) food safety, b) siloing/distancing of volunteers and c) recipient practice ie. disposing of packaging before reheating. It’s c which is the biggest point of failure IMO so the behaviour needs to be reinforced with an instructional flyer and a reminder on the phone.

We are perfectly justified to be antagonised by and critical of the wasteful magical thinking application of gloves as a sort of health amulet, which only undermines proper safety practice and gives a dangerous false sense of security. It really gets my goat to be honest.

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