Jessica Whitley R.TCM.P Restart / Safety Plan

Independent contractor/ sole proprietor

 

Date: May 20/2020

2325 6th Ave. Castlegar, B.C

 

Jessica Whitley R.TCM.P is an independent contractor currently working in the multi disciplinary clinic of the Back in Balance Wellness Center family. Patient and practitioner comfort and safety are of utmost importance during these unusual times and at this clinic. As a result, many new protocols regarding cleaning, disinfecting, screening and patient arrival have been implemented into clinic protocols to ensure this comfort and safety are met at all times. All Back in Balance protocols are being followed by myself/The Practitioner at this time.

 Clear honest communication between practitioner, staff and patient is of great importance to ensure safety and comfort of all parties involved.

This document will be revised as needed based on future announcements from PHO, BCCDC and the CTCMA.

 

REQUIREMENTS

 

  1. Practitioner must self-assess daily for symptoms and stay home if they are unwell; should the practitioner have symptoms they must immediately contact 811. The practitioner will need to be tested for COVID-19 and may need to self-isolate for 10 days for any upper respiratory symptoms.

  2. Practitioner will not come in to work if they think they have been exposed to Covid 19, or anyone in their house has been travelling abroad in the last 14 days.

  3. Practitioner will exercise daily use of the BC COVID-19 Self Assessment Tool, https://bc.thrive.health/covid19/en 

  4. Physical distancing. No waiting in common areas. No treatment companions, unless treating a minor, mental wellness, ambulatory issues. 

  5. Hand hygiene. Practitioners and staff must have excellent hand washing throughout the day. Gloves should be worn when dealing with soiled linens.

  6. Face Touching Avoidance

  7. Enhanced Cleaning - At the beginning and end of shift wipe down all workstation surfaces. Enhanced cleaning in between patients

  8. All supplies stored away properly; supplies/acupuncture needles needed for patients will be taken out for use of each individual patient; all bottles, forceps, containers wiped down between each patient; cupping equipment disinfected as necessary in 20% bleach solution followed by washing and drying before use

  9. Personal Protective Equipment used at all times- mask necessary, goggles optional

  10. Professional Obligations - Signed Declaration, consent and liability insurance

  11. Whenever possible physical distancing will be maintained during the delivery of care

  12. All appropriate sings posted throughout clinic showing physical distancing, handwashing, respiratory ettiqeut, PPE, sanitizing

 

Characteristics

 

  • Safety protocols

  • Ongoing self-assessment

  • Review College guidelines and have a written document with the goal of reducing risk of exposure to the virus; Assure adherence to this document and have it available for audit

  • Honest communication is key between practitioners, staff and patients; to ensure patients feel safe to return for treatment

  • Guidance taken from the BCCDC, the PHO, and WorkSafeBC

Details

 

1. Pre-screening process; utilize https://bc.thrive.health/covid19/en

 

  1. Patients will be informed about the new procedures implemented, before or at the time of booking an appointment.

  2. Clear information will be included in all communication tools – website, online booking system, phone message, and auto-responses to email enquiries.

  3. Patients will be advised that informed consent is required. This includes ensuring that the patient understands that while you’ve taken measures to minimize risk of viral transmission, the nature of our work means that physical distancing is not possible in the treatment room

  4. Advise patient prior to arrival at the practice about provisions you’ve made for personal protective equipment (PPE, see below), and your rationale. If they have a mask, ask them to bring it with them and wear it when they arrive.

  5. Patients must confirm they have not travelled outside British Columbia in the previous 14 days.

  6. One day prior to the patient's appointment, patients will be called to connect personally and ask them to complete the BC COVID-19 Symptom Self-Assessment. Patients will be told stay home if experiencing any symptoms of COVID-19, including fever, chills, cough, shortness of breath, sore throat, loss of sense of smell. If patients are experiencing these symptoms and have not been tested for COVID-19, it will be recommended that they do so; they start by calling 8-1-1.

  7. Cancellation policies will be relaxed to ensure honesty and compliance with pre-

       screening questions.

 

 

2. Outline physical space, and where able maintain physical distancing

 

Back in Balance will ensure the physical distancing of 2 meters (6 feet) where possible for both our clients and employees inside the business as well as any lines entering the place of business.

  1. Staff, practitioners and patients must maintain 6 feet of distance in clinic areas other than the treatment room, as best as possible within the practice setting;

  2. All clutter, fabric furnishings and decorations that cannot be sanitized after touch have been removed;

  3. Staggered appointment start- and end- times;

  4. Floor/counter/wall markings showing 6 feet of distance, and create one-way traffic flow wherever possible;

  5. Patient must arrive unaccompanied, unless the patient is a minor who requires parent/guardian, or infirm and needs assistance;

  6. Patient is required to wait outside (in their car, or an area suggested by clinic staff) and not in reception – call or text when it’s time to enter;

  7. Practitioner greets patient and open the door for them; Practitioner applies hand sanitizer to patient or instruct patient to wash hands upon entering the clinic;

  8. At end of treatment, accompany patient to the reception and admin;

  9. Use of alternate entries/exits in the practice environment to assist with distancing;

 

3. Hand hygiene and Cleaning Protocols

 

Back in Balance has developed cleaning protocols to ensure that all common areas are cleaned and disinfected twice daily, or more often as required.

 

  1. Back in Balance will ensure that all the necessary supplies such as hot/cold potable running water, liquid soap, paper towel, and garbage bins, for handwashing; or minimum 60% alcohol based hand sanitizer; toilet paper, cleaning and disinfecting supplies and personal protection equipment (non-medical masks and disposable gloves) are available as appropriate;

  2. Items such as countertops, chairs (including below the front of the seat), rental/shared tools and equipment, phones and cell phones, whiteboard markers, cashier equipment, light switches, public washrooms, doorknobs, cabinet handles, faucet handles, tables, and furniture need to be disinfected more frequently throughout the day;

  3. sanitation station with 80% alcohol for patients use on arrival and prior to departure, practitioner/staff to apply;

  4. Patient must clean or sanitize hands before treatment

  5. Practitioner must wash hands upon arrival at the clinic and often throughout the day, using soap and water for a minimum of 20 seconds each time;

  6. Hand-washing protocols are posted visibly;

  7. Hand washing should occur before and after treatment;

  8.  Clean equipment and supplies immediately after each patient; all supplies stored away properly; acupuncture supplies/needles for patients will be taken out for use of each individual patient; all bottles, forceps, containers wiped down between each patient; cupping equipment sanitized in a 1:50 ratio of bleach water, followed by washing in hot soapy water and drying before use;

  9. Linens must be single use only, then laundered in hot soapy water

  10. Clean and disinfect all high-touch surfaces in between patients, regardless of appearance;

    1. handles

    2. arm rests of chairs,

    3. desk and table surfaces

  11. Schedule additional time between patients to thoroughly clean the treatment room;

  12. Sanitize the treatment table and table adjustment levers after each treatment;

  13. Clean the face cradle;

  14. Clean cell phone with a Lysol wipe or 70% minimum alcohol sanitizer upon arrival, and ensure hands are cleaned before and after using cell phones while at work;

5) Personal Protective Equipment

 

  1. Practitioner must wear a mask on site if physical distancing is not possible;

  2. Eye protection is optional but recommended;

  3. Paper or disposable masks will be available for patient;

 

6) Staff and Team Education

 

  1. Weekly staff meetings will be held to follow up on any concerns around worker safety;            

  2. A walk-through of our workplace has been completed on May 15, 2020 by all workers;

 

 

7) Controls to Eliminate and Minimize Risk of Exposure

 

  a)  Physical barriers have been installed at reception;

  b)  PPE has been provided;

  c)  Additional cleaning equipment has been provided and instructions on daily cleaning;        

  d)  Signage has been placed;

  1. Workers who have new or unusual symptoms will need to contact public health immediately and self-isolate for 10 days, or until test results are available;

  2. Workers who travel internationally will be required to self-isolate for 14 days upon return to Canada, and will not be allowed on site;

  3. Workers who live in the same household as a confirmed or clinical case of COVID-19 and have been advised by public health to self-isolate, will be required to do so and will not be allowed on site;

  4. These measures will be reviewed regularly to ensure they are working as intended;

  5. Hand shaking and hugging not permitted;

 

 

8) Controlling the Number of People on Site

 

   a)  Schedules have been revised to minimize numbers of workers and patients on site;  

 

9)  Sick Leave Policy

 

   a)  Practitioner is required to self-isolate at home should they develop new or unusual symptoms   

   b)  Practitioner is required to stay home for 10 days from the onset of symptoms AND until symptoms resolve,          whichever is longer

   c)  implementation of "fit for work with restrictions" policy as outlined by the PHO, for practitioners                            provided you only have mild symptoms, feel well enough to work, practice strict respiratory and hand                    hygiene protocols, and wear a mask;

 

10) Acupuncture/TCM Policies

 

   Patient Assessment

 

  • Palpation and physical assessment should be brief and specific

  • Hands should be washed before and after taking pulse

  • Tongue will be observed outside in most situations when retrieving patient for treatment; alternatively a digital picture of the tongue can be taken and shown during the interview

 

   Patient Treatment

 

  • All registrants will follow the guidance, expectations and direction provided by the PHO.

  • Registrants must not recommend unproven therapies for treating COVID-19.

  • Registrants must not prescribe or offer any COVID-19 treatments or therapies.

 

  • Practitioner will choose a treatment that provides the most benefit to the patient while reducing risk

  • When there is a choice of techniques that all offer equal benefits, the technique that minimizes physical contact should be used; this may include removing tui na massage therapy from treatment modalities and limiting the use of cups.

  • If patient is feeling unwell virtual care can be given for herbal remedies.

       Enhanced Communication

 

  • Registrants are accountable to provide clear, honest, transparent communication regarding their policies and procedures related to COVID-19.

 

  • Adherence to all BCCDC and WorkSafeBC guidance regarding occupational health and safety exposure control plans is also required to ensure a safe work environment. This includes robust policies, process that ensure that no one attend work when they have symptoms of illness.

 

  •  Registrants are reminded that if they are exhibiting signs of COVID-19 or respiratory illness, including cough, runny nose or fever, they must not provide in-person care and should not be in attendance at clinics or other practice settings where other staff and patients are present.

 

 

  •  Registrants must follow BCCDC and WorkSafeBC guidance for self-isolation when sick with any respiratory illness, proceed to primary care provider assessment and testing, and self isolate for 14 days until symptoms have resolved and/or it is safe to return to work.

 

  •  The CDC notes that proper, frequent hand washing and avoiding touching one’s face are the most       effective methods of infection control. Practitioners should emphasize the importance of this within the clinics to patients, practitioners and staff.

 

 

  •  Once again clear honest communication is of utmost importance between practitioner, patient and staff to ensure safety for all involved in treatment process.

 

 






 

                                                                            May 20/2020 Jessica Whitley

© 2019 Jessica D. Whitley R.TCM.P

2325 6th Avenue, Castlegar, B.C.

info@jwhitleytcm.com

1-250-304-4401