We’ve outlined our office protocols to assure you of the measures we are taking to protect the health and safety of our patients and staff.

Training and Educating Our Team
  • One of the most important things we have done is educate and train our team.
  • Our team has had refresher training in proper hand washing techniques. This may seem basic, but it is the most important thing we can do to prevent spread of the virus. Research shows that it is often not done well. Consequently, we have spent a lot of time ensuring that our team does it well and often, especially before and after every patient encounter.
  • They are aware of how to use the proper PPE to prevent contamination.
  • We encourage staff that is not feeling well to proactively stay home for two weeks (We have a backup team member if someone is ill).
  • We have everyone in the office take their temperature at the beginning of every day and we will immediately send home anyone with an elevated temperature (100.2 Fa and above).
  • We have limited the number of staff members in the office at any given time to promote effective social distancing.
Recommendations for Our Team Before and After Work
  • Take temperature (do not go in to work if you or any other family member are experiencing symptoms; cough, sore throat, fever…etc.)
  • Remove watch and rings and leave at home
  • Tie hair up, keep nails short
  • Avoid extra accessories
  • They have practiced the appropriate use of personal protective equipment (PPE) prior to caring for a patient to prevent contamination at work.
  • Removed all clutter (magazines, pens, phones, etc.) outside of patient operators and the front lobby
  • Clean phone handset after use

After work

  • Wash hands and arms with soap
  • Remove scrubs and place in washable bag or leave at work n Wash hands and put clean clothes on
  • Sanitize phone, glasses, etc
  • Wash hands again
Patient Interviews and Social Distancing Before Patient Arrival
  • Every effort is made to filter patients during phone calls when scheduling appointments for care using established and recommended screening checklists and scripts
  • Reschedule patients who show any signs of a cough or fever
  • Instruct patients to call ahead and reschedule their appointment if they develop symptoms of a respiratory infection (e.g., cough, sore throat or fever) on the day they are scheduled to be seen.
  • Promote social distancing
  • When booking patients, we are spreading out the schedule so there are less people in the waiting room (10 maximum of two people at a time)
  • If a patient is being accompanied, their escort should wait in the car to limit the number of people in the waiting room and promote social distancing
  • Utilizing a “virtual” waiting room – patients can opt to wait in their car or outside the office where they can be contacted by mobile phone when it is their turn to be treated.
  • Post visual alerts (e.g., signs, posters) at the entrance door advising patients of the COVID-19 risk and advising them not to enter the facility when ill.
  • Provide supplies such as alcohol-based hand rub (ABHR) with 60-95% alcohol, tissues and no-touch receptacles for disposal (at the entrance, in waiting rooms and at front desk).
Measures Upon Patient Arrival
  • Patients are immediately escorted to a hand washing station
  • Asked to rinse with 1% hydrogen peroxide before each appointment
  • Asked about the presence of symptoms of a respiratory infection and history of travel or contact with possible COVID-19 patients.
  • Assessed for respiratory symptoms and fever (with a non-contact digital infrared forehead thermometer) and they will be asked to sign a COVID release form.
  • If fever temperature of 100.2 degrees F or higher, or if respiratory symptoms are present, they will be advised to seek medical treatment and their visit will be rescheduled.
Measures Taken Upon Patient Entry to the Clinic
  • If an examination room is not readily available, ensure social distancing in the waiting room by placing seating a minimum of 6 feet apart.
  • Remove all clutter and anything that is not easily disinfected from the waiting room (magazines, area rugs, pillows, toys, etc)
  • Frequent wipe down of waiting rooms, bathrooms, door handles, tables, light switches, computers…etc.
Reception Room and Front Desk Safety Measures
  • Install physical barriers or partitions (e.g., glass or plastic windows) at reception areas to limit close contact between reception and potentially infectious patients.
  • Air filtration units (with appropriate filtration, exchange rate, etc.)
Protocols of the Clinical Team
  • We will employ an additional team member/ assistant whose main focus is on sterilization. This team member will be responsible for cleaning, sterilizing, disinfecting and wiping down everything in the operatories and in the waiting room, chairs, handles, light switches, tables…etc on a regular basis.
  • Washing hands with soap and water for at least 20 seconds.
  • Personal Protective Equipment (masks, gloves, cap, eye protection, face shields, gowns N95 masks, etc.)
  • N95 respirators should be used instead of a facemask when performing or present for an aerosol-generating procedure.
  • Eye Protection
  • Reusable eye protection (e.g., goggles) must be cleaned and disinfected according to manufacturer’s reprocessing instructions prior to re-use.

Gloves

  • Put on clean, non-sterile gloves upon entry into the patient room or care area.
  • Change gloves if they become torn or heavily contaminated.
  • Remove and discard gloves when leaving the patient room or care area, and immediately perform hand hygiene.

Gowns

  • Change the gown if it becomes soiled. Remove and discard the gown in a dedicated container for waste or linen before leaving the patient room or care area. Disposable gowns should be discarded and cloth gowns should be laundered after each use.
  • Gowns should be prioritized for all aerosol-generating procedures and during activities where splashes and sprays are anticipated.
Patients in the Operatory
  • Health care personnel (HCP) should strictly follow basic infection control practices between patients (e.g., hand hygiene, cleaning and disinfecting shared equipment).
  • Limit transport and movement of the patient outside of the room
  • No other team member should enter the room during a procedure and if necessary, should use PPE as described above.
  • After the procedure, the room should undergo appropriate cleaning and surface disinfection before it is returned to routine use
  • Special precautions will be taken when performing Aerosol Generating procedures (AGP), in particular, procedures that are likely to induce coughing are avoided if possible.
Protocols After the Clinical Treatment
  • All non-disposable medical equipment used for patient care should be cleaned and disinfected according to manufacturer’s instructions.
  • Ensure that environmental cleaning and disinfection procedures are followed consistently and correctly.

Routine cleaning and disinfection procedures (e.g., using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectant to frequently touched surfaces or objects as indicated on the product’s label)