UNCLASSIFIED// ROUTINE R 171541Z APR 20 MID110000590554U FM CNO WASHINGTON DC TO NAVADMIN BT UNCLAS NAVADMIN 113/20 MSGID/NAVADMIN/CNIC WASHINGTON DC/N00/APR// SUBJ/RESTRICTION OF MOVEMENT (ROM) GUIDANCE UPDATE// REF/A/DOC/USD/11MAR20// REF/B/NAVADMIN/CNO/212007ZMAR20// REF/C/DOC/BUMED/17MAR20// REF/D/DOC/OPNAV/31MAR20// REF/E/NAVADMIN/CNO/231957ZMAR20// REF/F/NAVADMIN/CNO/051456ZAPR20// NARR/REF A IS UNDER SECRETARY OF DEFENSE MEMO, FORCE HEALTH PROTECTION GUIDANCE (SUPPLEMENT 4) - DEPARTMENT OF DEFENSE GUIDANCE FOR PERSONNEL TRAVEL DURING THE NOVEL CORONAVIRUS OUTBREAK. REF B IS NAVADMIN 080/20, NAVY MITIGATION MEASURES IN RESPONSE TO CORONAVIRUS OUTBREAK UPDATE 3. REF C IS BUMED RETURN TO WORK GUIDELINES FOR CORONAVIRUS. REF D IS DCNO (N1) MEMO FOR HARDSHIP DUTY PAY RESTRICTION OF MOVEMENT. REF E IS NAVADMIN 083/20, RESTRICTION OF MOVEMENT GUIDANCE. REF F IS NAVADMIN 100/20, NAVY GUIDANCE ON THE USE OF FACE COVERINGS.// RMKS/1. This NAVADMIN supersedes REF E and acknowledges that operational unit commanders may have to execute a Restriction of Movement (ROM) period prior to introducing new members to the crew or prior to taking a unit overseas or underway. It also designates additional responsibilities for Transient Personnel Unit (TPU) Commanding Officers and clarifies use of Hardship Duty Pay (HDP)-ROM as a source of funding for ROM. REF A requires personnel returning from a Center for Disease Control and Prevention (CDC) Travel Health Notice (THN) Level 3 or Level 2 location perform a 14-day ROM. During ROM, Service Members should be restricted to their residence or other appropriate domicile and limit close contact (within 6 feet or 2 meters) with others. This NAVADMIN clarifies the definition of ROM, provides amplifying guidance, and delineates responsibilities for execution of ROM. 2. Definitions. 2.a. Restriction of Movement (ROM). General DoD term referring to the limitation of personal liberty for the purpose of ensuring health, safety and welfare. ROM is inclusive of Quarantine, Isolation and Sequester. 2.a.(1) Quarantine. Medical term referring to the separation of personnel from others as a result of suspected exposure to a communicable disease. For the world-wide COVID-19 epidemic, this should be imposed on those with no COVID-19 symptoms who have either recently returned from a high-risk location (CDC THN Level 2 or 3), or have had close contact with a known COVID-19 positive patient. The current recommended Quarantine period is 14 days. Per CDC, Quarantine generally means the separation of a person or group of people reasonably believed to have been exposed to a communicable disease but not yet symptomatic, from others who have not been so exposed, to prevent the possible spread of the communicable disease. 2.a.(2) Isolation. Medical term referring to the separation of personnel from others due either to the development of potential COVID-19 symptoms or as a result of a positive COVID-19 test. Per CDC, Isolation means the separation of a person or group of people known or reasonably believed to be infected with a communicable disease and potentially infectious from those who are not infected to prevent spread of the communicable disease. Isolation for public health purposes may be voluntary or compelled by federal, state, or local public health order. 2.a.(3) Sequester. Term used to describe isolating forces to remove or reduce risk of infection degrading a unit. 2.a.(3)A. Mission Assurance. Isolate forces committed to certain key missions to remove risk of infection inhibiting mission execution. 2.a.(3)B. Pre-Movement Sequester. Action taken by an operational commander to reduce risk of introducing a COVID-19 positive, asymptomatic Service Member to a unit by instituting a 14-day ROM period for the Service Members within the unit. This action may be taken for all personnel assigned to a unit prior to deploying, getting underway, or conducting operations. A member of the unit or newly reported member of the unit who has traveled from or through an area where COVID-19 community transmission is widespread or is suspected of having been exposed to COVID-19 should be placed in Quarantine or Isolation and not Sequester. 2.a.(4) Bubble. Term used to describe personnel, units or installations regarded as having a low probability of COVID-19 infection. A ship that has been underway for greater than 14 days without any COVID-19 positive personnel would be considered to be a Bubble. 2.a.(5) Bubble-to-bubble Transfer. Term used to describe movement of units or personnel from one location to another utilizing controlled means such as military air, government ground transportation or sealift to minimize introduction of COVID-19 to the protected population. Bubble-to-bubble Transfers cannot be executed with commercial air, sea or ground transportation. 2.b. Patient (or Person) Under Investigation (PUI). In the case of COVID-19, a PUI is defined as an individual with either a pending COVID-19 test or for whom a test should be ordered or conducted (medically indicated). 2.c. Self-monitoring. Per CDC, Self-monitoring means people should monitor themselves for fever by taking their temperatures twice a day and remaining alert for the onset of a cough or difficulty breathing. If an individual feels feverish or develops a measured fever, cough, or difficulty breathing during the Self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider or their local health department to determine whether further medical evaluation is needed. 2.d. Close Contact. Per CDC, a Close Contact is defined as: 2.d.(1) Being within approximately 6 feet (2 meters) of a COVID-19 positive individual for a prolonged period of time; the current recommended threshold is 10 minutes. Close Contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case. 2.d.(2) Having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on). 2.e. Force Enclave. A designated location or installation augmented with essential supplies, personnel and medical resources sufficient to provide sustainment for Fleet surface and subsurface operations, Quarantine, and/or supportive care for sick personnel in Isolation. U.S. territory is the preferred site for a Force Enclave. 3. Applicability. ROM applies to all Service Members, who in the last 14 days have either been in: 3.a. An area with ongoing spread of COVID-19 as defined as CDC designated Level 2 and 3 countries (https://www.cdc.gov/coronavirus/2019- ncov/travelers/map-and-travel-notices.html), 3.b. A domestic location with widespread community transmission rate of COVID-19 as designated by the CDC (https://www.cdc.gov/coronavirus/2019- ncov/cases-updates/cases-in-us.html), 3.c. Close Contact with a person known to have COVID-19. 3.d. Per REF A, it is strongly recommended that DoD civilian employees, DoD contractor personnel and dependents also follow this guidance. 4. Guidance. 4.a. ROM personnel shall be directed to remain at home or in a comparable setting for 14 days (ROM) from the day of departure or contact. For transient personnel and those residing in close quarters such as unaccompanied housing or ships, temporary lodging meeting CDC guidance of separate sleeping and bathroom facilities shall be arranged, when available. It is possible that units executing Pre-movement Sequester will be assigned rooms that do not meet CDC guidance due to the large volume of rooms required. 4.b. When in ROM, personnel shall avoid congregate settings, limit Close Contact with people and pets or other animals to the greatest extent possible, avoid traveling, Self-monitor, and seek immediate medical care if symptoms (e.g., cough or shortness of breath) develop. 4.c. Personnel assigned ROM may exit quarters to access laundry facilities, outdoor exercise, designated smoking areas; and conduct other essential tasks not in a public setting provided they maintain social distancing greater than 6 feet (2 meters) from others. Access to messing facilities, stores, fitness centers and other widely used support services is prohibited. 4.d. For temporary lodging, normal room cleaning services will be suspended during the ROM period. 4.e. For personnel executing ROM in a private residence, coordinate with parent command for the purchase of required food/hygiene items or arrange delivery through other means. 4.f. After completion of ROM, return to work per REF C and Combatant Commander guidance, if applicable. 4.g. Should personnel in Quarantine or Sequester status test positive for COVID -19, the person is now considered in Isolation and should further restrict movement beyond what is listed in 4.c., exiting quarters to execute only absolutely essential tasks. In the event a person was in a Sequester status, ensure that accommodations meet CDC guidelines for Isolation and follow any additional guidance provided by medical professionals. 5. Responsibilities. 5.a. Parent command Commanding Officer/Officer in Charge shall: 5.a.(1) Ensure ROM screening of personnel. If a Bubble-to-bubble Transfer has not occurred, execute Sequester prior to introducing personnel into unit settings including classroom instruction. 5.a.(2) Ensure ROM personnel comply with paragraph 4. 5.a.(3) If temporary lodging is required: 5.a.(3)A. Provide written orders for ROM personnel. Orders will direct the Service Member to a ROM status and not TAD to the host installation. If no- cost lodging is not available, Service Members directed to Quarantine or Isolation per 2.a.(1) and 2.a.(2) may be eligible for HDP-ROM per REF D if they incur unreimbursed lodging costs. The preferred temporary lodging is NGIS. If executing a Pre-movement Sequester per 2.a.(3)for an entire unit or portion of a unit, and no-cost lodging is not available, units should consider use of O&M funding to contract for lodging. Units should contact the type commander for funding. This may be accomplished utilizing a General Terms and Conditions (GT&C) document to avoid issues arising from Service Members without government travel cards. Per REF D, members in Pre-movement Sequester are not eligible for HDP-ROM. 5.a.(3)B. Coordinate with installation Commanding Officer for room assignment. It is imperative that tenant commands inform installations of all personnel in ROM status within government facilities (to include barracks, NGIS, Navy Lodge, PPV family housing, and PPV barracks). 5.a.(3)C. As needed, coordinate messing support with the Commanding Officer where a galley is available. Arrangements will be made between the parent command and the installation for the delivery of meals to Service Members in a ROM status. 5.a.(3)D. As required, provide daily support to ROM personnel to ensure meal delivery as well as health and comfort checks. 5.a.(3)E. Ensure personnel supporting individuals in ROM status are trained on ROM requirements and associated interaction protocols. Close Contact is prohibited. PPE is not required. 5.a.(3)F. If private residence is utilized, coordinate with ROM personnel to ensure messing needs are met. 5.b. Installation Commanding Officers shall: 5.b.(1) Account daily for available temporary lodging to support ROM. 5.b.(2) Track ROM personnel residing in Navy Lodging (unaccompanied housing, NGIS, Navy Lodge, PPV family housing, PPV barracks) both on and off installation. There is no need for installations to track tenant personnel in ROM status in private residence/lodging. 5.b.(3) Provide detailed instructions to tenant commands who require temporary ROM lodging support. 5.b.(4) If available, coordinate with parent commands to provide take-out meals for delivery to ROM personnel. 5.b.(5) Ensure temporary lodging staff are trained on ROM requirements and associated interaction protocols. Close Contact is prohibited. PPE is not required. 5.b.(6) Follow CDC guidance for cleaning rooms following the ROM period. Ensure the standards are the same across all facilities (unaccompanied housing, NGIS, Navy Lodge). 5.b.(7) For the safety of lodging personnel, ensure clear discrete procedures are in place to identify rooms which are occupied by ROM personnel. 5.b.(8) Ensure fire and emergency services are aware of ROM personnel locations, particularly those in Isolation, and are prepared to respond to medical emergencies with appropriate PPE. 5.c. Transient Personnel Unit (TPU) Commanding Officers shall: 5.c.(1) Contact operational commanders prior to sending Further Fleet Transfer (FFT) personnel to gaining units to determine if Sequester is required. 5.c.(2) If Quarantine or Isolation is required, obtain request from the gaining Commanding Officer to execute Isolation/Quarantine and order FFT personnel into ROM status for 14 days. If no-cost lodging is unavailable, Service Member may be eligible for HDP-ROM per REF D if they incur unreimbursed lodging costs. If Sequester is required and no-cost lodging is required, O&M funding should be used to contract for lodging. 5.c.(3) For operational units less than 14 days from return to homeport (RTHP), Sequester will not be executed by TPU unless the entire unit will execute Mission Assurance Sequester upon return. 6. Entitlements. Per REF B. 7. Reporting Requirements. Per REF B. 8. ROM FAQs. Question 1. When placed on Restriction of Movement (ROM), can I travel to locations within the fence line of an installation to utilize facilities such as the NEX food court or the gym? Answer 1. No, during the duration of ROM, Service Members must remain in their rooms with the exception of brief trips to utilize designated smoking areas, walking in the immediate vicinity of the building (usually within 100 feet), and limiting close contact (within 6 feet) with others. If your facility contains an in house gym, do not use it. Question 2. Can I accept food deliveries from various services? Answer 2. Yes, food must be placed outside the room. Minimize Close Contact (within 6 feet). Question 3. Can my family or friends visit me? Answer 3. Yes, provided they do not enter your room. Conversations should be held with visitors staying in the passageway outside the room and Service Members in their room. Minimize Close Contact (within 6 feet). Question 4. Can I do my laundry? Answer 4. Yes, but you should coordinate with your command to utilize in house laundry facilities. Question 5. How do I obtain personal hygiene items? Answer 5. Utilize the point of contact provided by your command to arrange for purchase of these items. Question 6. Will my room be cleaned daily? Answer 6. No, your room will not be cleaned during your stay. Trash pickup is available by placing your trash can in the passageway. Question 7. Is Personal Protective Equipment required for personnel in my Vicinity? Answer 7. No, unless required by other directives (such as REF F). You should limit Close Contact (within 6 feet) with others. Question 8. Can I ROM in open bay barracks or in rooms with shared bathrooms? Answer 8. Not preferred, individuals should be placed in separate lodging (when available). Personnel shall not execute Isolation in rooms with shared bathrooms. Question 9. Can I use public transportation if in ROM status? Answer 9. No, individuals on ROM should avoid crowds and public locations. Question 10. Can I get off ROM early if I was in Close Contact to a person with COVID-19, and I feel like I am not sick? Answer 10. No, the Centers for Disease Control (CDC) recommends 14 days of ROM from the last date of exposure to a COVID-19 positive person. Question 11. What is the difference between Quarantine and Restriction of Movement (ROM)? Answer 11. Quarantine is a legal public health term used for civilian restrictions and ROM is a military term being used to identify military individuals who are restricted in their movement, generally to their residence. Question 12. Are my family members at risk if I ROM at home with them? Answer 12. ROM status is a precautionary step to prevent spread to others. Considering this, it is recommended that while at home in a ROM status, you practice social distancing. This means try to remain at least 6 feet from other persons, avoid using the same bathroom, or sleeping in the same bed. Question 13. Can I prepare meals for my family while on ROM? Answer 13. When in a ROM status, it is recommended you not prepare meals for your family because the virus is spread through respiratory droplets that can land on surfaces such as food. Ideally, you should have other individuals prepare food. If you are the only care giver, make sure you are washing your hands with soap and water for 20 seconds for general food safety. Make sure you cover your nose and mouth when coughing and wash your hands after using the bathroom. Question 14. Should I be wearing a mask? Answer 14. Yes. Per REF F, all individuals on DoD property, installations and facilities are required to wear cloth face coverings when they cannot maintain the required six feet of physical distance. Face coverings are not intended to provide respiratory protection for the wearer; rather face coverings lessen the spread of the virus by asymptomatic (i.e. unknowing) but infected persons. Question 15. Do I need to clean my house to CDC standards? Answer 15. It is recommended you maintain a clean living environment as you normally would. This includes frequent hand washing, washing clothing and bedding, and wiping down frequently touched surfaces with a sanitizing wipe or any cleaning product that contains at least 10 percent bleach. The Environmental Protection Agency has a list of products that have been specifically tested as effective in sanitizing surfaces. Question 16. Can I discontinue ROM if I have a negative COVID-19 test? Answer 16. No. Per REF C, the full 14 day ROM must be executed. Numerous cases have occurred where a person tested negative only to be positive a few days later without changing their environment. It is necessary to allow the full two weeks to ensure that asymptomatic personnel do not potentially spread the virus. 9. Released by Vice Admiral M. M. Jackson, Commander, Navy Installations Command.// BT #0001 NNNN UNCLASSIFIED//