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We’ve all been there: caught in the loop of working to the point of exhaustion.  Sometimes it’s difficult to remember how it escalated to this point.  Burnout has become so ubiquitous the World Health Organization has classified it as an “occupational phenomenon.”  Before you feel complete burnout, learn to identify the warning signs: 
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• Having a negative attitude towards work
• Dreading work/ wanting to leave
• Low energy and little interest
• Trouble sleeping
• Increased absences
• Feeling empty, drained or emotionally withdrawn
• Physiological symptoms like headaches, body pain, or increased illness
• Irritability with co-workers or customers
• Feeling unrecognized or unappreciated, having feelings of self-doubt
• Lack of accountability for mistakes
• Thoughts of quitting work or changing roles
• Self-medicating with drugs or alcohol
• Decreased efficiency      

If you start feeling one or more of these symptoms, it might be time to reevaluate your work boundaries and lifestyle.  Although we frequently think of high workload when it comes to burnout, it’s really only one of six elements.  Control, reward, fairness, community and values are the other five.  Working too much leads to less socialization and relaxation time, inhibiting your ability to recharge.  Lack of supportive relationships and not getting enough personal help are also contributing factors.  Certain personalities are more a vulnerable: including Type-A, overachieving or perfectionist personalities.  

Recovery 
Your body is designed to recharge and restore itself.  When you’re starting to feel the burnout, it is more important than ever to make positive lifestyle choices and practice self-care.  For example: the average adult requires between seven to nine hours of sleep.  Some may require more or less depending on that person and their immediate need.  This is critical: not only to recover from burnout, but also to stay healthy and boost your immune system.  

Other healthy lifestyle choices like eating healthy, small meals throughout the day and getting at least 20-30 minutes of outdoor time/exercise also aid in restoring your energy.  Avoid caffeine and alcohol as much as you can, as these substances can affect your mood and energy levels.  Different personalities also require different types of self care.  For an extrovert, being around friends is a good recharge method, whereas introverts refill their cup with much needed alone time.  
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Prevention 
As an employee, there are a few things you can do to regain control of stress.  An article posted in helpguide.org  suggests following the three “R’s”: recognize, reverse, and resilience.  Recognition is the most critical step and involves a level of self-awareness.  If you are prone to feeling burnout (or even if you think you’re not), recognize the warning signs before it hits you at full impact.  Reverse the damage by seeking support, both on and off the job, and taking immediate steps to manage stress.  Make friends at work that can support and relate to you, and turn to those closest to you in your personal life.  Lastly, build resilience by taking care of your emotional and physical health.  Follow healthy lifestyle habits, and don’t be afraid to seek help for your emotional and psychological needs. Take time off work when needed.  Sometimes the primary source of burnout comes from working in an ill-fitting position.  Your skill set, inherent talents and personality determine which job you’ll thrive best in. Robert L. Bogue, co-author of “Extinguishing Burnout: A Practical Guide to Prevention and Recovery” explains the paradigm of operating within your natural state: “When you’re operating outside of your natural state, you are consuming energy.  The more in alignment you become, the less you’re demanding of yourself and the more personal agency you build up.”  If you feel like you’re in the wrong career, it might help to develop a career strategy to find a position better suited for you, or use job analysis and crafting in your current position.  This allows you to clarify the expectations of your role and work with your team to delegate tasks based off of individual strengths and weaknesses. Finding a harmony in your career is also important.  Although establishing a work-life balance is necessary, it is much easier to avoid burnout when you’re doing something you’re passionate about.  

How bosses can provide burnout prevention/recovery for staff:
Circumventing burnout is a lot easier when the boss is supportive of their employees’ stress and lifestyle management.  As an employer, here are some strategies you can take to prevent burnout among employees:

• Provide clear expectations for employees and make sure they understand
• Make sure employees have the resources needed to fulfill expectations
• Provide ongoing training
• Highlight employees value and contributions to the organization
• Enforce reasonable hours and boundaries, allowing flexible time off options.
• Make sure your expectations are reasonable and attainable
• Encourage social support and physical activity
• Consider leadership and management approaches to avoiding burnout.  

Help to identify the overachievers and “yes” workers, and try to avoid putting the demands of compensating for other workers on them by giving them choices.  They may expect the most demanding projects, so giving them the option for simpler tasks will help to prevent overload.  

Regardless of if you are the employee, the manager or the boss, it is important to set boundaries for yourself and your workers.  You can do this by scheduling free time.  If you are the employee, allow time in your day to decompress and recharge.  This includes allowing for vacation and sick days.  A change in scenery can help gain a fresh perspective.  This includes allowing yourself time to unplug from technology.  Remember that the best work is done when working in your element and at full capacity.  No one can pour from an empty cup.  

Recently, one of our accounts had a run-in with three members of their staff contracting Covid-19.  The situation played out something like this: An employee came in without symptoms.  While working, he aimed a few small portable fans directly at his face.  What followed were two other employees contracting Covid-19: incidentally right in the trajectory of the fans’ air current.  What he posited was, do fans aid in the transmission of Covid?  The answer seems obvious: it’s a droplet-born disease and fans propel air.  But fans and forced air heating and cooling are so ubiquitous; it’s not something that really crosses our minds.

According to an article published on the Nursing Center website, “the infection control concern is the potential for a fan to spread aerosolized human pathogens from biofilms and re-suspension of dust that may settle onto the patient or environmental surfaces in the immediate vicinity of the patient.”  Box and floor fans are the biggest culprit, but ceiling fans don’t limit the spread of the virus unless they are working completely and properly and are paired with an adequate HVAC system.  Forced air and AC window units also potentially play a role in the spread.  A recent study conducted by the CDC looks at an outbreak in China.  ​This study looks at a woman in China who attended a restaurant before showing symptoms. The four people sitting behind her in the restaurant started showing symptoms shortly after she did.  It is speculated that the air conditioning window unit spread droplets from her speech to the tables behind her. 

There are times, if utilized properly; fans can decrease likelyhood of coronavirus cases by increasing ventilation.  According to the EPA website, fans can increase airflow from outside and decrease the stagnant air that allows Covid-19 droplets to linger for longer times when placed in front of a window.  The fans can face toward the window to blow the inside air out, or vice versa. 

If window ventilation is not possible, forced air systems should be replaced with filtered air systems.  The installation process for this isn’t immediate, but a portable HEPA unit can be used until the process is completed.  Proper heating and cooling is important to keep staff and patrons safe.  Keep air well ventilated, but remember that no one is a "fan" of viral droplets being blown onto their face.