Getting Through This Together

The world has been going through some significant shifts over the last few months. It has required new ways of moving and interacting in our everyday lives. Six months into this new way of living and the shifts still feel strange and confining at times, although the good news is it will not last forever. BUT, for the time being, we all must do what we can to honour our health and the health of those around us, especially our immunocompromised and vulnerable populations. Let's do what we can to keep everyone happy and healthy!

 

 

 

 

 

It is important that practitioners and patients move about in their work and personal environments consciously. These rules apply to everyone as you do your part to help slow the spread of COVID-19.

HOW COVID-19 SPREADS

Respiratory diseases, like influenza and COVID-19, are spread by liquid droplets that come out of the mouth and nose when a person coughs, sneezes, and sometimes, when a person talks or sings. These droplets usually land one to two metres away, but they can land on another person if they are close by. Diseases can spread if droplets with the virus enter the body through the eyes, nose or throat.  

 

COVID-19 can also spread by touch. If droplets are left on objects and surfaces after an infected person sneezes, coughs on, or touches them, other people may become infected by touching these objects or surfaces, and then touching their eyes, nose or mouth. That’s why we recommend you cough or sneeze into your arm and wash your hands regularly.

(BC Centre for Disease Control, http://www.bccdc.ca/health-info/diseases-conditions/covid-19/about-covid-19/how-it-spreads)

PREVENTION

To prevent the spread of COVID-19:

• Clean your hands often. Use soap and water, or an alcohol-based hand rub.

• Maintain a safe distance from anyone who is coughing or sneezing.

• Wear a mask when physical distancing is not possible.

• Don’t touch your eyes, nose or mouth.

• Cover your nose and mouth with a tissue or bent elbow when you cough or sneeze.

• Stay home if you feel unwell.

• If you have a fever, cough and difficulty breathing, seek medical attention.

Please scroll down to: Quick Reference for COVID-19 Return to Clinical Practice Plan

COVID-19 SAFETY PLAN

Quick Reference for COVID-19 Return to Clinical Practice Plan

This Return to Practice Plan is based on the Interm Guidelines of CMTBC, WorkSafe BC, BC Centre for Disease Control (BCCDC), BC's Provincial Health Office (PHO), BC COVID-19 Self-Assessment Tool​. This document will outline Traditional Thai Massage and Yoga's plan to return to clinical practice. The document in full will be posted below but please note:

1. Practitioner is required to call you the day before your appointment to connect personally with you and to remind you to take the BC COVID 19 Self-Assessment Tool. If you miss the call please call the Practitioner at the number they have left for you. 

2. The pre-screening the day before your appointment and the screening that will happen when you arrive for your appointment are integral aspects to keeping everyone safe.  Since the Practitioner will be directly touching you, their main form of protection is honest and accurate screening of their patients.  Please respect the screening process.

 

3. **Symptoms of COVID-19 are similar to other respiratory illnesses and seasonal allergies**

Symptoms include:

  • Fever - In Adults, a fever is when the body temperature reads 38°C or higher

  • Chills

  • Cough or worsening of chronic cough

  • Shortness of breath

  • Sore throat

  • Runny nose (sick or seasonal allergies)

  • Loss of sense of smell or taste

  • Headache

  • Fatigue

  • Diarrhea

  • Loss of appetite

  • Nausea and vomiting

  • Muscle aches

 

While less common, symptoms can also include:

  • Stuffy nose

  • Conjunctivitis (pink eye)

  • Dizziness, confusion

  • Abdominal pain

  • Skin rashes or discoloration of fingers or toes

                              

*With the guidance of 8-1-1 all healthcare workers currently working on a COVID-19 ward are currently not permitted to receive treatments at this time

 

*With accordance of 8-1-1 any healthcare workers not working on a COVID-19 ward, but have potentially come in contact, directly or indirectly, with a COVID-19 patient must not book an appointment until 14 days after regardless of symptoms that may not be present, according to 8-1-1

 

*Anyone with seasonal allergies is not permitted to receive massage therapy at this time since the symptoms mimic COVID-19 and are recommended to get tested according to 8-1-1

 

4. An appointment must be cancelled immediately if you present with even mild symptoms that may be signs of COVID-19.

 

5. COVID-19 symptoms may range from mild to severe. You are required to cancel appointments if you experience what you determine to be ‘just the sniffles’, ‘seasonal allergies’ or ‘just feeling under the weather’, on the day of their appointment.

 

6. The patient must also answer the following question honestly:

Is the patient aware of anyone in their contacts who have COVID-19 symptoms?

 

7. To receive treatment the patient must not have left the country within the previous 14 days

 

8. Late cancellation fees will be waived due to illness. There will still be a charge of fees for an appointment missed with no notice or explanation of the reason, and for reasons other than illness.

 

9. We require each patient to wear a mask. If you have a mask please bring it and wear it upon arrival (masks are available upon request at no additional cost).

 

10. Text the Practitioner from your car no earlier than 5 min before the appointment time. Please wait in your car or outside socially distanced (6 feet/2 meters) from others. Once the Practitioner replies, they will meet you at the building entrance to open the door for you.

11. You must arrive unaccompanied unless you are a minor or need physical assistance to get to the clinic.

 

12. You are required to use the hand sanitizer immediately after entering and before departing the clinic.

13. The Practitioner will take your temperature with a no-touch thermometer

 

14. All payments will be ETransfer. All receipts will be e-mailed to patients and cash is not permitted at this time.

Our full Plan for Return to Clinical Practice is included below.  Please read it so that you know what to expect at your next appointment, and don’t lose time out of your treatment having these steps explained to you.  We are relying on you to help us make the return to practice as smooth as possible.

*PEOPLE WITH CERTAIN MEDICAL CONDITIONS::

 

People of any age with certain underlying medical conditions are at increased risk for severe illness from COVID-19:

 

People of any age with the following conditions are at increased risk of severe illness from COVID-19:

 

  • Cancer

  • Chronic kidney disease

  • COPD (chronic obstructive pulmonary disease)

  • Immunocompromised state (weakened immune system) from solid organ transplant

  • Obesity (body mass index [BMI] of 30 or higher)

  • Serious heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies

  • Sickle cell disease

  • Type 2 diabetes mellitus

 

COVID-19 is a new disease. Currently, there are limited data and information about the impact of underlying medical conditions and whether they increase the risk for severe illness from COVID-19. 

 

Based on what we know at this time, people with the following conditions might be at an increased risk for severe illness from COVID-19:

 

  • Asthma (moderate-to-severe)

  • Cerebrovascular disease (affects blood vessels and blood supply to the brain)

  • Cystic fibrosis

  • Hypertension or high blood pressure

  • Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines

  • Neurologic conditions, such as dementia

  • Liver disease

  • Pregnancy

  • Pulmonary fibrosis (having damaged or scarred lung tissues)

  • Smoking

  • Thalassemia (a type of blood disorder)

  • Type 1 diabetes mellitus

 

Children who have medical complexity, who have neurologic, genetic, metabolic conditions, or who have congenital heart disease might be at increased risk for severe illness from COVID-19 compared to other children.

 

The list of underlying conditions is meant to inform clinicians to help them provide the best care possible for patients and to inform individuals as to what their level of risk may be so they can make individual decisions about illness prevention. We are learning more about COVID-19 every day. This list is a living document that may be updated at any time, subject to potentially rapid change as the science evolves.

 

*The information in this section is sourced from Center of Disease Control - Updated Aug.14: 

https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fneed-extra-precautions%2Fgroups-at-higher-risk.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Detailed Reference for COVID-19 Return to Clinical Practice Plan

 

PRE-SCREENING – PRIOR TO ARRIVAL

1. The Practitioner will ask for informed consent from the patient so that the patient understands that while she has taken measures to minimize the risk of viral transmission, the nature of massage therapy means that physical distancing is not possible in the treatment room. The Practitioner will explain both the risks and the potential benefits of treatment and will make decisions about treatment.

 

2. The Practitioner will call the patient one day prior to their appointment to ask them to complete the BC COVID-19 Symptom Self-Assessment that can be found at https://bc.thrive.health. The Practitioner will walk the patient through some of the pre-screening questions, including information about recent travel. The patients are required to complete an honest evaluation about experiencing any symptoms of COVID-19.

 

3. Symptoms of COVID-19 are similar to other respiratory illnesses and seasonal allergies.

 

Symptoms include:

 

  • Fever - In Adults, a fever is when the body temperature reads 38°C or higher

  • Chills

  • Cough or worsening of chronic cough

  • Shortness of breath

  • Sore throat

  • Runny nose (sick or seasonal allergies)

  • Loss of sense of smell or taste

  • Headache

  • Fatigue

  • Diarrhea

  • Loss of appetite

  • Nausea and vomiting

  • Muscle aches

 

While less common, symptoms can also include:

  • Stuffy nose

  • Conjunctivitis (pink eye)

  • Dizziness, confusion

  • Abdominal pain

  • Skin rashes or discoloration of fingers or toes

 

*With the guidance of 8-1-1 all healthcare workers currently working on a COVID-19 ward are currently not permitted to receive massage therapy at this time

 

*With the accordance of 8-1-1 any healthcare workers not working on a COVID-19 ward, but have potentially come in contact, directly or indirectly, with a COVID-19 patient must not book an appointment until 14 days after regardless of symptoms that may not be present, according to 8-1-1

 

*Anyone with seasonal allergies is not permitted to receive massage therapy at this time since the symptoms mimic COVID-19 and are recommended to get tested according to 8-1-1

4. An appointment must be cancelled immediately if either the patient or the Practitioner presents with even mild symptoms that may be signs of COVID-19.

 

5. 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. If the patient has experienced any of the symptoms they are asked to stay home and are recommended to call 8-1-1.

 

6. The patient must also answer the following question honestly:

Is the patient aware of anyone in their contacts who have COVID-19 symptoms?

 

7. To receive treatment the patient must not have left the country within the previous 14 days.

 

8. We require each patient to wear a mask. If you have a mask please bring it and wear it upon arrival (masks are available upon request at no additional cost). 

9. The Practioner will use the BC COVID-19 self-assessment tool as well as check and record their temperature daily, and stay home/cancel appointments if experiencing COVID-19 symptoms.

 

10. The cancellation policy will be waived for all patients that have any COVID-19 or flu-like symptoms. There will still be a charge of fees for an appointment missed with no notice or explanation of the reason, and for reasons other than illness.

 

11. If the patient is immunocompromised or part of an at-risk health group, the Practitioner and the patient will converse prior to treatment to ensure that the benefits of treatment outweigh the risks to the patient’s health. The Practitioner may choose to postpone treatment or refer to alternate care if possible.

 

UPON ARRIVAL

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

 

2. Text the Practioner from your car no earlier than 5 min before the appointment time. Patients will wait in their car or outside socially distanced (6 feet/2 meters) from others. Once the Practitioner replies, they will meet the patient at the building entrance to open the door.

3. The patient is required to use the automatic hand sanitizer immediately after entering and before departing the clinic.

 

4. Once upstairs, the patient will use the washroom to wash their hands for 20 seconds. Proper handwashing protocols will be posted at all sinks and reception area.

 

5. The Practitioner and the patient will review the steps taken in the pre-screening to ensure that they were completed, to confirm safety and trust moving forward.

 

6. The Practitioner has the right to cancel treatment if the patient doesn’t meet the pre-screening criteria on physical presentation upon arrival at the clinic.

 

7. The Practitioner is required to use a non-contact thermometer to take the patient’s temperature.

 

8. The patient must be aware that they are empowered to make decisions regarding their own safety in the treatment environment. 

 

9. The patient can ask the Practitioner to wear additional PPE such as, gloves and goggles in order to help the patient feel safe.

10. For immunocompromised or at-risk patients, the Practitioner may decide to take extra preventative measures even if the patient does not demand them. If the patient does not consent to extra preventative measures (ex. Does not want the Practitioner to wear a mask or other PPE), the Practitioner may cancel the treatment in order to protect the patient.

11. Distancing protocols will continue throughout the clinic – the Practitioner and patient will maintain 2 metres / 6 feet of distance in clinic areas other than on the massage mat, as best as possible within the clinic.

 

TREATMENT ROOM/HYGIENE

1. It is not possible to maintain physical distancing in the treatment room so pre-screening, physical distancing, hand hygiene, and enhanced cleaning help reduce the risk of transmission and enable the Practitioner to practice while minimizing the risk of harm.

 

2. The patient is required to wear a mask during the whole visit to the clinic.

 

3. The Practitioner will continue to wash hands often, using soap and water for a minimum of 20 seconds each time before and after treatment, before and after disinfecting spaces, before donning gloves and after taking gloves off, and before donning or doffing other PPE like facemasks or shields. The Practitioner may also use sanitizer throughout treatment.

 

4. The Practitioner will sanitize the vinyl Thai mat, as well as equipment and supplies (vinyl bolsters, vinyl pillows, lotion bottles, silicone cups, etc.) immediately after each patient, as well as all surfaces, floors, counters, knobs, railings etc.

 

5. The Practitioner will sanitize the bathroom before and after each client.

6. The Practitioner will change clothes between each client.

 

7. Masks are required and available for patients upon request.

 

8. The Practitioner will be wearing a mask and at times other PPE.

 

9. Patients are asked to try and avoid touching their face; coronavirus can be spread by touch if a person has used their hand/s to cover a cough or a sneeze.

 

10. Patients must ask the Practitioner for a tissue if an itch must be addressed or if they have to sneeze or cough. The Practitioner will use a hand towel or tissue to touch or scratch her face, or to sneeze into, and will immediately wash/sanitize her hands. 

 

11. Tissues are available in the treatment room.

 

12. The Practitioner will open and close the door before, during, and after treatment as required, and will properly sanitize afterwards. 

 

13. Patients are not to touch door handles. At the end of treatment, the Practitioner will leave the room if the patient needs to get dressed. Patients will stay in the room until the Practitioner knocks to ensure the patient is ready to leave the room. The Practitioner will open the door for the patient to proceed to the reception area.

 

14. Etransfer will be used for all payments. All receipts will be e-mailed to patients and cash is not permitted at this time.

 

15. The patient will be accompanied by the Practitioner to the exit and they will open the door for the patient.

ENHANCED CLEANING/SAFETY

1. We will clean and disinfect all high-touch surfaces in between patients, regardless of appearance. 

 

2. We will frequently clean and disinfect common areas and high touch surfaces after each client e.g. light switches, window coverings, cell phones, tablets, chairs, stools, table surfaces, and washrooms.

 

3. All Linens and Blankets will be washed in hot soapy water after each use.

4. Appointments will continue to be staggered to reduce traffic and ensure ample time for cleaning and sanitizing before the next client.

 

PROFESSIONAL OBLIGATIONS

1. The Practitioner must call Public Health at 8-1-1 and submit information for contact tracing if any patient notifies her of developing symptoms soon after the treatment.

 

2. The Practitioner must then cease practice and self-isolate until Public Health has investigated and provided direction.

 

3. The Practitioner must obtain informed consent from the patient acknowledging that:

Any massage therapy treatment involves some risk of COVID-19 transmission,

the Practitioner is following a protocol to reduce or mitigate risk, but that risk cannot be reduced to zero.

 

4. The patient consents to treatment despite some risks

 

5. The Practitioner will document the patient’s consent.

  

SABBE SATTÅ   AVERÅ HONTU   ABHYÅPAJJHA HONTU   ANIGHÅ HONTU   SUKHI ATTÅNAM PARIHARANTU