Occupational Health

Employee Health COVID-19 Testing

As of April 6, 2020, ZSFG is offering Employee testing to all symptomatic healthcare employees. The center's hours vary and are listed below, with appointments every 15 minutes. The expected turnaround time for test results is two to three days, or sooner. Employees also can go to their primary care provider for testing if they prefer to do so. Testing at the ZSFG Employee Health Services center is an additional option for our healthcare staff.

Updated Employee Health COVID-19 RT-PCR Testing Hours:

  • Monday, 8:15am to 4:15pm
  • Tuesday, 8:15am to 11:45am
  • Wednesday, 8:15am to 4:15pm
  • Thursday, 8:15am to 11:45am
  • Friday, 8:15am to 11:45am
  • Sunday, 10:15am to 1:45pm

Any asymptomatic healthcare employee 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.  However, asymptomatic individuals who choose to be tested should realize:

  1.  A positive test result in the absence of symptoms does not necessarily mean that the individual is infectious to others.  In this situation, the probability of actually being infectious to others is likely to be on the order of 50%.
  2. Asymptomatic individuals who test positive are required to report the result to OHS@sfdph.org.
  3. Asymptomatic individuals who test positive must be off work and self-quarantine for a minimum of 10 days, assuming they have not subsequently developed symptoms since their positive test, before they can return to work. 
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
How to Request an Appointment:
  1. Call 628-206-4100 for a pre-appointment evaluation.
  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.

2020 Flu Shots

Flu shots are now available in the Wellness Center during the following times:

  • Monday, Wednesday, Friday - 7:00am-3:30pm
Additionally, to provide your consent, attestation or declination of the vaccine, please fill out the 2020 Employee Flu Attestation/Consent/Declination Form or use the QR code below. 

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.

Per 5/29/2020 CDC Update:

  • A HCW is considered to have had an exposure if the HCW was not wearing an isolation mask or N95 respirator and was within less than 6 feet for 15 or more minutes (or direct contact with their secretions) of a confirmed COVID-19 positive person. 
  • If the confirmed COVID-19 positive person was not masked, and the HCW did not have on eye protection in addition to a mask or respirator, while within 6 feet of the COVID-19 infectious person for 15 or more minutes (or direct contact with their secretions), then this would also be considered an exposure. 
  • It would also be an exposure if a HCW is not in full PPE (gown, gloves, respirator, and eye protection) while performing an aerosol-generating procedure on a confirmed COVID-19 positive person.

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:

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