235 An Assessment of Health Care Worker Safety during COVID-19

Study Objectives: The COVID-19 pandemic has been associated with significant occupational stressors and challenges for frontline health care workers (HCWs), including COVID-19 exposure risk Our study sought to describe the proportion of HCWs infected with COVID-19 in a diverse sample of United States-based HCWs, in addition to evaluating potential risk factors contributing to health care worker infection, and possible psychological distress associated with infection risk Methods: We conducted a cross sectional survey of HCWs (physicians, nurses, trainees, EMTs, techs, hospital non-clinical staff), collected via social media platforms Participants completed a 42-item survey assessing disease transmission risk (clinical role, work environment, availability of personal protective equipment) and mental health (anxiety, depression and burnout) risk Results: 3,083 HCWs accessed the survey and 2,040 participants completed at least 80% of the survey Participants were largely from the Northeast and Southern US, with attending physicians (31 12%) or nurses (26 80%), with emergency medicine being the most common specialty represented (38 30%) Twenty-nine percent of respondents met criteria for being a probable case due to reported COVID-19 symptoms or a positive test HCWs in the emergency department (31 64%), outpatient departments(36 16%), long term health care facilities (35 14%) were more likely to contract COVID-19 compared to HCWs in the ICU (23 17%) and inpatient settings (25 53%) HCWs that contracted COVID-19 also reported higher levels of depressive symptoms (Mean Diff =0 31;95% CI: 0 16, 0 47), anxiety symptoms (Mean Diff =0 34;95% CI: 0 17, 0 52) and burnout (Mean Diff =0 54;95% CI: 0 36, 0 71) Conclusion: The physical and psychological fallout of COVID-19 is broad, particularly impacting HCWs