RETURN TO PRACTICE PLAN

The plan to minimize risk of exposure to COVID-19

and create a low risk environment for massage therapy at 204-1005 Cook st.

Screening Symptoms of COVID-19 - Patients & Therapists

 

Pre-Screening / Prior to Arrival

  • Patients are informed about the new procedures at the time of booking. A notice will be placed on the website, booking site, Google business, and on all social media channels. An email will be sent out to those patients opted in for clinic updates.

  • Any new information pertinent to the evolving situation of resuming practice will be conveyed to patients via above channels.

  • A copy of this Return to Practice Plan will be available on the website and booking site and patients will be told to read this plan prior to their first appointment upon reopening.

  • One day prior to their appointment,  the patient will be asked via phone call to complete the BC COVID-19 Symptom Self-Assessment Tool. If experiencing any symptoms, the patient will stay home and follow directions in the self assessment for further care.

  • For patients at greater risk dependent on health history, additional precautions, alternatives for care or postponement of treatment will be discussed. Treatment will be provided if the patient and therapist agree that the benefits of care outweigh the risks to the patient.

  • 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 who develop even mild illness or symptoms must cancel booked appointments.

    • No late cancellation fee is charged in this scenario.

  • The therapist will complete the BC COVID-19 Symptom Self-Assessment Tool daily, and cancel appointments if experiencing COVID-19 symptoms.

 

Upon Arrival

  • Masks must be worn at all times in the treatment room. If the patient has a mask, they are asked to bring it with them and wear it when they arrive. If the patient does not have a mask, a single-use mask will be provided and they will be asked to wear it upon entering the treatment room.

  • The treatment will be cancelled immediately if the patient does not meet the pre-screening criteria upon physical presentation at the clinic.

  • Patients will be asked to complete BC COVID-19 Symptom Self-Assessment Tool again.

  • Patients must confirm that they have not travelled outside British Columbia within 14 days prior to their appointment.

  • Patients will be required to sign a consent form and liability waiver with respect to COVID-19.

  • As a part of the consent form, patients must commit to understanding that while all possible measures to minimize risk of viral transmission have been taken, the nature of massage therapy means that physical distancing is not possible in the treatment room.

 

Physical Distancing

  • Where possible, the therapist and patient will maintain 2 meters / 6 feet of distance in the building and treatment room.

 

Entry

  • Patients must arrive unaccompanied.

  • Patients are to arrive at their appointment time only, otherwise they are required to wait outside the building until their appointment time.

 

Treatment Room

  • The treatment room door will be open for touchless entry.

  • It is not possible to maintain physical distancing in the treatment room at all times.

  • Items that cannot be sanitized after touch will be removed.

 

 

Hand Hygiene

 

Entry

  • Patients will wash hands upon entry with soap and water for at least 20 seconds, followed by thorough drying – must be done on arrival into and departure from the clinic.

  • If soap and water are not available, alcohol-based hand sanitizer will be provided.

  • If hands are visibly soiled, patients must use a wipe, then alcohol-based hand rub prior to moving to the treatment room.

  • The therapist will wash hands often, using soap and water for a minimum 20 seconds each time.

  • Hand-washing protocols are posted by the washroom sink.

Treatment Room

  • The therapist opens the door to the treatment room and allows patient to enter; the therapist opens/closes door before, during, and after treatment as required, using hand towel/sanitized barrier as needed, and washing hands as appropriate.

    • Patients will be permitted to open the door for themselves after the treatment to leave.

    • Tissue is available inside the treatment room that the patient may use as a barrier when opening the door.

  • Hand sanitizer will be made available in the treatment room for patient and therapist use

  • The therapist and patient will wash hands before and after treatment.

  • The therapist will sanitize hands and verbally confirm to patient hands were washed before and after treatment.

  • Payment – Patients have the option of saving their credit card information on file, using a tap system, or in the case a PIN is required, the surface of the electronics will be sanitized after each patient. Receipt is emailed to patient.

 

 

Face Touching

  • The therapist will communicate with the patient that coronavirus can be transmitted by touch if droplets are on the hand when it touches the face, as it can transfer those infected droplets to the mouth, nose or eyes.

  • Tissues and hand towels will be available so that patients and the therapist may use tissue to address an itch and/or touch the face for any other reason.

  • The therapist will wear a mask and a face shield at all times. 

  • Patients are required to wear face masks that cover both the nose and mouth at all times within the clinic space.

  • Intraoral TMJ treatments will not be conducted at this time.

 

Cleaning Protocols

  • Visibly soiled surfaces, high touch surfaces, and all other items that come in contact with the therapist or patients will be sanitized using Health Canada approved cleaners between appointments. These areas include door handles, electronics, chairs, desk top, light switches, and writing utensils.

  • Patients will be booked with ample time between appointments to thoroughly clean the treatment room.

  • Reception door knob and handrails on stairs will be cleaned several times a day.

  • Linens (including blankets) are single use only, then laundered in hot soapy water.

  • Linens will be carefully removed from table after treatment and placed in a sealed plastic bin.

  • Treatment table, equipment and supplies (table levers, lotion bottles, etc.) will be sanitized using Health Canada approved cleaners immediately after each patient.

  • Cleaning and Disinfectants for Clinic Settings poster from the BC Centre for Disease Control will be posted in washroom and treatment room.

 

Personal Protective Equipment

  • The therapist will wear a face mask and face shield at all times while working with a patient.

  • The therapist’s face mask will be changed between appointments.

  • The therapist’s face shield will be disinfected between appointments.

  • The therapist will wear nitrile gloves if/when appropriate.

    • Gloves may be appropriate when over-use of cleaning and/or chemicals causes skin irritation, or when the therapist’s hands or skin of the hands are otherwise inured.

    • Hands will be washed prior to putting the gloves on and immediately after removing them.

    • Gloves are also considered appropriate and will be worn by the therapist at the patient’s request.

  • Patients are required to wear a clean face mask that does not have an exhalation valve in the clinic at all times.

    • If patients have their own fabric face mask, they are requested clean it prior to use, and to arrive at the clinic wearing it.

    • If patients do not have a fabric face mask, a single-use non-medical mask will be provided at the time of their treatment.

  • The therapist and patient will don and doff the face mask in this manner: wash hands with soap and water prior to donning a mask, prior to doffing a mask, and after disposing of a mask in the garbage.

  • *The treatment room window will be left open at the therapist's discretion in order to manage viral load.

 

Professional Obligations

Liability Insurance

  • The therapist carries professional liability insurance through BFL Canada.

  • The therapist is following all the health and safety guidelines outlined by the College of Massage Therapists of British Columbia and the Provincial Health Officer and that is taking all reasonable precautions to clean and disinfect the clinic and all the surfaces within the treatment room.

  • No guarantees have been made by the therapist that the patient will not come in contact with COVID-19 at or during an appointment.

 

In the Event a Patient Tests Positive for COVID-19 Having Been to a Massage Therapy Appointment within the 14-days Prior to Onset of Symptoms

  • The patient will contact the therapist and inform her of positive test results and possible transmission of the virus immediately.

  • The therapist will immediately self-isolate.

  • The therapist will call public health at 8-1-1 to report the possible transmission and act on direction of Provincial Health.

 

In the Event a Patient Alleges COVID-19 Transmission from the Therapist

  • The therapist will immediately call public health at 8-1-1 to report the alleged transmission, providing both the name of the therapist and the name and contact details of the patient.

    • The patient must agree to the release of this information under these circumstances in order to receive treatment.

  • All massage therapy appointments will be cancelled and the therapist will cease to provide services until Public Health has investigated and provided direction.

 

In the Event the Therapist Displays Symptoms of COVID-19

  • The therapist will immediately self-isolate.

  • The therapist will call public health at 8-1-1 to report the symptoms and request access to Covid-19 testing.

    • If testing is granted:

      • All massage therapy appointments will be cancelled and the therapist will cease to provide services until test results are returned negative.

      • If testing proves positive the therapist will follow Public Health directives in informing patients treated over the previous 14 days about potential transmission.

    • If testing is not granted:

      • All massage therapy appointments will be cancelled and the Therapist will cease to provide services for a minimum of 10-days beyond the onset of symptoms, and/or until symptoms cease.

 

In the Event the Therapist Comes into Close Contact with Someone Displaying Symptoms or Tests Positive for COVID-19

  • The therapist will immediately self-isolate.

  • All massage therapy appointments will be cancelled and the therapist will cease to provide services until:

    • The close contact has been tested for COVID-19 and the results proved negative and the therapist is well,

    • OR after self-isolating for 14 days and having no symptoms of fever develop.

    • OR being cleared by a public health official.

 

Asymptomatic Spreaders

  • Asymptomatic transmission of the coronavirus is an unavoidable risk of practice until there is an effective vaccine against COVID-19.

  • No guarantees have been made by the therapist, that the patient will not come in contact with COVID-19 at or during an appointment.

 

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 has had the opportunity to ask questions and understand their options;

  • The patient consents to the treatment despite some risk.