Occupational Health

Updated RTW Guidelines (11.09.22):
ZSFG Employee Health COVID-19 Infection Control Interim Guidance for Employee Working on Campus - Updates guidance for influenza season. Includes changes related to rapid NAAT rapid testing for mildly symptomatic employees who are scheduled to work and protocol for shortening isolation for employees who are taking immunosuppressive medications. We anticipate ongoing adjustments as we review our data, evidence-based guidelines and patient and staff safety. 

Employee Health COVID-19 Response Team

Stay home when sick and self-monitor for symptoms and exposures before coming to work. Our team is here to support you, and we can be contacted in three ways: 
  • Preferred: Complete Employee COVID-19 Screener, using this link or scan our QR Code. 
  • Call: OHS COVID Hotline at 628-206-4100, Mon-Sun - 8:30-4 PM 
  • Drop-In: OHS Testing Trailer, Avon Parking Lot, ZSFG 
    • Beginning October 1: 6:30 AM - 2:30 PM daily (Hours subject to change)
COVID-19 Symptoms: Employees with any one of these symptoms should call 628-206-4100 to be tested for COVID-19.
  • Fever (Temp >37.8°C / 100.0°F)
  • Pleuritic chest pain
  • Shortness of breath
  • Cough
  • Sore throat
  • Body Aches
  • Fatigue
  • Diarrhea
  • Headache
  • Chills
  • Loss of sense of smell or taste
  • Sinus Congestion
  • Sneezing or runny nose different from your allergies

Employee Health COVID-19 Testing

  • ZSFG is offering Employee testing to all symptomatic healthcare employees or employees with significant exposures  (i.e. household exposures, work-related exposures). Employees can expect to receive their results within 12-24 hours on MyChart.  Employees locked out or unable to access their MyChart account should call the Release of Information Unit at (628) 206-4432.
  • For employees who have established care plans with OHS, we provide early return to work testing after initial evaluation by OHS (see below)

How to Schedule Testing Appointments for COVID-19 Testing at OHS Trailer: 

  1. Call 628-206-4100 or use our screener for a pre-appointment evaluation. Hours are 6:30-4 PM, Monday-Sunday
  2. An occupational health clinician will interview you over the phone to ensure that you meet the employee testing criteria. 
  3. Arrive at the testing center (trailer in the Building 4 / Avon Breast Center parking lot) a few minutes prior to your appointment time, if possible. Please maintain a 6-foot distance from each other
Drop-In Testing at OHS Trailer: (Expanded Option as of 1/7/22)
  1. Due to extremely high call volumes and requests for testing across the city and at ZSFG, we have temporarily expanded our options for drop-in RN triage and testing. Thank you in advance for your patience as we adjust. 
  2. Employees who are on campus with new symptoms or significant household or workplace exposures may come directly to the employee health testing trailer where our triage nurses will complete an intake and provide appropriate testing. 
  3. Our ability to offer testing for employees without symptoms or significant exposures is subject to daily capacity. 
Employee Health Testing Trailer (By Appointment or Drop-In for New Symptoms or Exposures, AND Return to Work Testing)
  • Employees with Scheduled Appointments via COVID Hotline; 
  • Drop-in Testing for New Symptoms or High Risk Exposures while on Campus; and
  • Early Return to Work Testing  from Isolation or Follow-Up Testing after Household Exposures (beginning 2/19/22)
Location: Avon Breast Center Parking Lot, ZSFG Campus
Hours: (Updated 3/22/22, subject to change, please check this website)
  • Beginning October 1: 6:30 AM - 2:30 PM daily (Hours subject to change)

Symptomatic employees requesting testing outside the hours of operation should consult with their Primary Care Provider or call the COVID Hotline at (628) 206-4100 to arrange for testing at a CityTestSF location. Same day appointments are available for symptomatic City employees. 

Asymptomatic Testing

At this time any asymptomatic healthcare employee without significant COVID-19 exposures who wishes to be tested for COVID-19 infection has the option of being tested by appointment at one of two CityTestSF centers without charge (see https://sf.gov/get-tested-covid-19-citytestsf). A physician referral for testing is not necessary.

OHS provides required outbreak testing and surveillance testing to high-risk units (e.g. 4A) in accordance to infection control and regulatory policies.  The OHS team may support testing for employees without symptoms or exposures only as capacity allows, including pre- and post-travel. 

For UCSF staff: Asymptomatic employees of the UCSF community can drop in and show their UCSF identification badge to get a Color test kit at a UCSF Color Test Site, including at ZSFG.  All Employees working on ZSFG campus who experience symptoms, high-risk exposures and new diagnoses should continue to contact Occupational Health Services to ensure appropriate assessment, testing and work status.  Check here for more information about pick-up and/or drop-off locations and hours
  • Vending Machine 2550 23rd St Building 9 Lobby.
  • Drop bin on ramp outside Building 9
  • 7 days/week, 24 hours/day. Courier pick-up: 11a & 7p every day

Asymptomatic individuals who choose to be tested should realize:

  1. Asymptomatic individuals who test positive are required to report the result to OHS@sfdph.org.
  2. Asymptomatic individuals who test positive must be off work and self-quarantine, reporting to OHS before they can return to work.

Influenza and COVID-19 Vaccines and Boosters

Per California State Health order, all health care workers are required to get boosted as soon as they are eligible and no later than March 1, 2022  Staff schedule an appointment via MyChart scheduling, call 628-206-8202 or email OHS.covidvax@sfdph.org.

Who is eligible to get the COVID-19 Bivalent Booster? 

  • Any employee who completed primary or booster vaccination at least two months ago

Where can I get the COVID-19 Bivalent Booster? 

  • Beginning 9/12/22, Employee Vaccination Clinic:
    • Monday, Wednesday, Friday
    • 7:30–3:30 pm, Drop-In
    • Employee Vaccination Clinic in 4E, 4th Floor, Building 5
  • Contact your primary care provider to schedule a booster shot 

  • Get a booster at a pharmacy near you. Go to https://www.vaccines.gov/ and enter your ZIP code 

Upload your booster information on SF Employee Gateway once you get boosted. 

  • For DPH staff: Click here for instructions on how to upload your COVID-19 or booster vaccine status via SF Employee Portal.  If you have any questions, please contact HR.booster@sfdph.org 
    For UCSF staff: Upload proof of your COVID-19 vaccinations/booster at UCSF OHS (select OHS Portal) 

Influenza Vaccine 

Our goal is to ensure that all ZSFG staff receive the flu vaccine this year by October 31, 2022.  Here’s how you can get the flu vaccine: 

OPTION 1: OHS INFLUENZA VACCINATION: Flu vaccines are offered at:
  • Beginning 9/12/22:
    • Monday, Wednesday, Friday 
    • 7:30–3:30 pm, Drop-In
    • Employee Vaccination Clinic in 4E, 4th Floor, Building 5
OPTION 2 and 3: SUBMIT OUTSIDE VACCINATION OR DECLINATION:  If you have received your influenza vaccine elsewhere or would like to submit a declination form, please use one of the methods below to submit your record.  Please note, the link/QR code is only available for staff who have a valid DPH email.   V-Safe for COVID-19 Vaccines
Once you have received a vaccination, please register for v-safe, a vaccine symptom management tool that checks in on you after your COVID-19 vaccination. All you need is your smartphone and information about the COVID-19 vaccine you received.  This information can be found on your vaccination record card. Please use the QR code below to register for v-safe:

Blood Borne Pathogens Exposures

For Blood & Body Fluid Exposures (Needlestick Hotline):

  • (415) 469-4411 available 24/7 
  • Available for any City and County of San Francisco employee concerned about a blood or body fluid exposure 
  • Also available for any worker whose exposure occurred on ZSFG campus (including UCSF employees, trainees, contract workers, volunteers)


Infection Control Practices at ZSFG

On April 13, 2020 the Centers for Disease Control and Prevention (CDC) issued new infection control guidance that requires source control for everyone entering a health care facility, regardless of symptoms, during the COVID-19 emergency to prevent asymptomatic and pre-symptomatic transmission. This requires staff to complete a symptom review prior to every shift and to wear an isolation face mask (or greater protection as needed) at all times. Patients are also required to wear a face mask, hospitalized patients are tested for COVID -19 upon admission, and, if positive are placed in isolation. ZSFG instituted these changes as of March 30, 2020.

Workplace Exposures to COVID-19

Given the ongoing transmission of COVID-19 in communities and the role that asymptomatic and pre-symptomatic individuals with COVID-19 play in transmission, the CDC determined that the feasibility and benefits of formal contact tracing (finding a sick person and tracing their interactions) for exposures in healthcare settings are likely limited. Instead, the CDC recommends that facilities shift emphasis to more routine infection control practices, such as asking employees to regularly monitor for symptoms, use of facemasks for source control, not reporting to work when ill, and to report recognized exposures. With these practices already in place at ZSFG, and the risk of contracting COVID-19 at the workplace is very low.

In the event that Infection Control and Occupational Health are notified of a possible exposure to a positive COVID-19 patient or employee, there is an initial case investigation to identify potentially exposed employees who were in close contact with positive COVID-19 individual 48 hrs prior to symptom onset, and to determine their exposure risk. With adherence to universal masking of both patients and employees, and adherence to recommended personal protective equipment for patient care activities, all employees will be at low exposure risk per CDC risk categories. Thus, the advice to staff is to self monitor for symptoms for 14 days and to report any symptoms to Occupational Health immediately. This is the same advice given to all staff regardless of whether there was a documented exposure or not.

Worker Compensation Implications for COVID-19

Employees who are concerned about potential workers’ compensation claims are referred to the governor’s Executive Order N-62-20 which states that any COVID-19 related illness of an employee shall be presumed to arise out of and in the course of employment for purposes of awarding workers’ compensation benefits. Employees are directed to their supervisors in the event they contract COVID and wish to file a workers’ compensation claim.

For any Human Resources related COVID-19 information, please click below:

Recently diagnosed with Covid-19 and interested in participating in a voluntary study? Click on the link below:  


ZSFG OHS Resources for Employees

COVID-19 Sick Leave, Emergency FMLA, or Vacation
SFDPH Isolation and Quarantine Guidance
Bay Area COVID Resources - Out of County
CCSF Employee Isolation and Quarantine Hotel Program:
  • The City and County of San Francisco Employee I & Q Housing Program provides complimentary hotel accommodations to CCSF Employees who are directly impacted by or face greater exposure to COVID-19 while performing essential duties. The goal of the program is to help prevent community spread of the virus.
  • Eligibility and FAQ
  • Call the City’s COVID Concierge (628) 777-6489
Free Mental Health Counseling Services
  • Employee Assistance Program (EAP) Counselors: CCSF Employees have counselors available for individual confidential telephone consultations.
    Phones are answered 24 hours a day, 7 days a week: (628) 652-4600 or (800) 795-2351
  • Frontline Workers Counseling Project (FWCP): Working on the front line during the COVID-19 crisis can take a toll on you in many ways. You may be experiencing feelings of anxiety, depression, sadness, anger, confusion and much more. But help is at hand. Free mental health counseling is available to all frontline and essential workers in the Bay Area and nearby counties through the Frontline Workers Counseling Project.
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