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Kamloops Optimal Health Return to Practice Plan

Please read through the Return to Practice Plan that takes effect May 19, 2020. The goal of this plan is to ultimately reduce the risk of transmission of the virus that causes COVID-19 in order for patients to feel safe in receiving massage therapy treatment.

This plan is in accordance with the CMTBC interim guidelines.

The BC COVID-19 Symptom Self-Assessment can be found here.

A copy of the informed consent can be found here.

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NEW NORMAL

It is important that we observe new rules in our clinical practice that protect our patients and our practitioners, so we ask that you be patient with the new rules that we have put in place.

We understand that these rules are frustrating and time consuming, but we hope that by taking these measures in our practice, the most vulnerable of our population will be kept safe.

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This plan was developed with the goal of reducing the risk of exposure to the virus that causes Covid-19 for both patients and the practitioners within our clinical setting. Here, we identify the actions that the therapist(s) at Kamloops Optimal Health commits to, and that all visiting patients must commit to, in order to resume massage therapy services.

"Coronavirus is transmitted via liquid droplets when a person coughs or sneezes. The virus can enter through these droplets through the eyes, nose or throat if you are in close contact.

The virus is not known to be airborne (e.g. transmitted through the particles floating in the air) and it is not something that comes in through the skin.

It can be spread by touch if a person has used their hands to cover their mouth or nose when they cough. That's why we recommend you cough or sneeze into your arm and wash your hands regularly."

Source: http://www.bccdc.ca/health-info/diseases-conditions/covid-19/about-covid-19/how-it-spreads

The overall aim of these protocols is to reduce potential coronavirus transmission by:

  • Required ongoing self-assessment for signs of Covid-19 related illness in both the patient and the therapist
  • Reducing all physical, non-treatment related interactions amongst all people within the practice environment
  • Hand hygiene requirements
  • Avoiding face touching
  • Enhanced cleaning protocols
  • Appropriate use of personal protective equipment (PPE)
  • Meeting professional obligations, particularly related to informed consent and liability insurance

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Pre-Screening

  • Patients MUST complete the BC COVID-19 Symptom Self-Assessment form that will be emailed to them 24 hours prior to their appointment
  • RMT and clinic staff are using the BC COVID-19 Symptom Self-Assessment daily
  • The 24 hour cancellation policy is relaxed and flexible due to COVID-19 related cancellations
  • A patient's appointment will be cancelled if they (or the RMT) do not meet the pre-screening criteria
  • RMT will also complete the BC COVID-19 Symptom Self-Assessment with the patient at the time of the appointment
  • Symptoms of Covid-19 are similar to other respiratory illnesses and seasonal allergies. An appointment must be cancelled immediately if either the patient or the therapist presents with even mild symptoms that may be signs of Covid-19 including:
    • Fever
    • Cough
    • Chills
    • Shortness of breath
    • Sore throat or pain with swallowing
    • Stuffy or runny nose
    • Loss of sense of smell
    • Headache
    • Muscle aches
    • Fatigue
    • Loss of appetite
  • Covid-19 Symptoms may range from mild to severe. Patients are required to cancel appointments if they experience what they determine to be 'just the sniffles,' 'seasonal allergies' or 'just feeling under the weather,' on the day of their appointment.
  • Patients must confirm that they have not been in contact with anyone displaying illness, or signs and symptoms of Covid-19 within 14 days prior to their treatment.
  • Patients with higher risk profiles and/or weakened immune systems should consider alternatives for care and postpone treatment.

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Physical Distancing

  • Patients must arrive unaccompanied, unless the patient is a minor and requires a parent/guardian, or infirm and needs assistance
  • Patients are required to wait outside the clinic (in their car) until the RMT calls or texts when it is time to enter
  • Appointments will be staggered within the clinic to avoid patient traffic
  • The front door to the clinic will be locked in between appointments
  • RMT will greet the patient into the clinic, and will escort the patient to the exit
  • Patients are recommended to use the bathroom at home prior to arriving to the clinic
  • RMT's in the office are always practicing 6ft physical distancing
  • RMT's are not using shared clinic devices (computers, phones, etc)

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Hand Hygiene

  • Patients will utilize hand sanitizer upon entering the clinic (a sink is also available for hand washing)
  • RMT will open and close the door upon entry and departure of the treatment room
  • Hand sanitizer will also be available for patients in the treatment room
  • RMT will no longer handle credit cards for payment (patient will read out card number to RMT if a credit card is not stored on file)
  • Receipts will no longer be printed at the treatment and will be emailed instead

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Avoid Face Touching

  • Tissues are available for patient use if a face itch needs to be addressed
  • Clean, cotton face masks will be available for patients and practitioners

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Enhanced Cleaning

  • All high-touch surfaces will be thoroughly disinfected between patients
  • Linens are single use only, then laundered in hot, soapy water
  • Extra time will be scheduled between patients to thoroughly disinfect the treatment room (table, face cradle, table levers/handles, table arm rest, door, door handle, chair, laptop, desk, light switch, coat rack, etc)
  • The thermophore/heating pad will no longer be used in the treatment room (please ask for the use of a clean/freshly laundered blanket if you feel you will be cold during the treatment)
  • The window in the treatment room can be opened to encourage proper air flow
  • The clinic common areas will be cleaned multiple times per day (doors, door handles, railings, washroom, floors, etc)
  • Water cooler and magazines will be removed from patient waiting room (it is recommended that patient brings a water bottle with them)

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PPE

  • RMT will be wearing a clean face mask that is changed for each client during all treatments (this is a personal decision)
  • Patients must wear a clean face mask (cloth is ok) when entering the clinic and during the treatment. Please provide and bring your own mask if you have one.
  • RMT will have a few cloth masks available as per patient request. Masks will be laundered after each use
  • RMT will respect the patients' personal boundaries and supports the request for PPE to be worn

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Asymptomatic Spreaders

  • Asymptomatic transmission of the coronavirus is an unavoidable risk of practice until we've acquired herd immunity, there is an effective treatment or vaccine against Covid-19.
  • We have put into place protocols to help mitigate that risk as outlined in the preceding documentation.
  • No guarantees have been made by the therapist, that the patient may not come in contact with COVID-19 at or during an appointment.

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Informed Consent

In the current environment of Covid-19 risk, informed consent requires that the patient be informed and understands that:

  • Any massage therapy treatment involves some risk of Covid-19 transmission;
  • The therapist is following protocol to help reduce or mitigate risk where possible, but that risk cannot be reduced to zero;
  • The patient consents to the treatment despite some risk;

And the RMT will document the patient's consent in advance and at every treatment.

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Professional Obligations

COVID-19 risk: any massage therapy treatment involves some risk of COVID-19 transmission; the RMT will be following this protocol to reduce or mitigate risk; but that risk cannot be reduced to zero; the patient must consent to treatment despite some risk; and the RMT will document the patient's consent

 
 
 


 
 
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