THIS PLAN SUPPORTS CHIROPRACTIC, MASSAGE THERAPY, AND KINESIOLOGY PROFESSIONAL SERVICES PROVIDED BY THE CLINIC

WorkSafeBC directs all health care practitioners providing in-person services to patients, to prepare and implement a COVID-19 Safety Plan. The following information comprises the measures the Clinic has taken to reduce risk of exposure to the virus while providing clinical services.

All service professions of the Rebound Sport and Spine team have been represented in the design and implementation of this plan, and all staff working at the Rebound Sport and Spine clinic have received training.

All protocols introduced are designed to meet requirements from the various professional colleges and associations and enable the team to provide required care while minimizing the possibility of coronavirus transmission.

These protocols include:

  • Requiring all practitioners, support staff, and patients (including aids) entering the Clinic have completed ongoing self-assessments for signs of COVID-19 symptoms
  • Keeping all physical interactions to a minimum while patients (including aids) enter the Clinic, receive care, and exit
  • Hand hygiene, and use of personal protective equipment (PPE) during sessions
  • Ensuring that all surfaces that people interact with are cleaned and sanitized on prescribed schedules meeting Public Health requirements
  • Meeting any required professional obligations associated with informed consent and liability insurance

Self-Assessment to Check for Signs of COVID-19 – Practitioners, Support Staff and Patients

Pre-Screening

  • All patients will be informed about their responsibilities and confirm their willingness to align with protocols in place at the Clinic during a telephone or internet discussion designed to complete pre-session triage
  • All patients will be requested to complete an online questionnaire as part of their appointment reminder notification from the Jayne software application
  • All practitioners and support staff will complete the same self-assessment pre-screening to check for signs of COVID-19 prior to attending in-person appointments at the Clinic

In-Clinic Screening

  • Upon entry into the Clinic, all patients will again be asked to confirm their triage responses and sign their confirmation on a document provided
  • If ‘Informed Consent’ is required, patients will complete this step with their practitioner during the pre-screening stage after entering the Clinic
    • Informed Consent refers to the patient being aware that their therapy session involves the possible risk of COVID-19 transmission, that the practitioner has followed all guidelines to minimize the likelihood of transmission, but that the risk cannot be totally removed, and that the patient consents to receiving treatment regardless of the risk involved.

Access to TELEHEALTH Appointments

  • Virtual appointments continue to be available to all patients for all services offered through the Clinic
  • If pre-screening triage or in-clinic screening results indicate that an in-person appointment is not possible, patients can convert their appointments to the telehealth version
  • If sickness or possible sickness symptoms arise after successful telephone triage, patients will not be charged late fees if they need to cancel or convert their appointment to a virtual version

Physical Distancing Measures

  • Patients are requested to remain in their vehicle prior to attending their appointment as waiting / reception rooms are not being made available for most appointments
  • Waiting rooms will be reserved only for members of a ‘family appointment’ (chiropractic only) and to enable an aid supporting a disabled patient to have a location to remain during the patient’s treatment
  • Practitioners will greet their patients at the designated Clinic entrance and to the appropriate hand washing/sanitization station
  • Practitioners, while maintaining a 2-meter (6 feet) distance from their patient, will guide patients through the Clinic and to specific therapy rooms or the rehabilitation facility, and will open and close any door except the doorknob into and out of the washroom facilities
  • It will not be possible to maintain required physical distancing guidelines during actual physical treatment

 

Using Washroom Facilities

  • All patients needing to use a washroom will be guided to one by their Practitioner as soon as one becomes available and there are no people in the location between the treatment room and the washroom
  • All patients will be requested to use tissues to manage any need to touch their face while using washroom facilities
  • All patients will be required to use soap and water available to them to complete required handwashing prior to leaving washroom facilities
  • All patients leaving the washroom facilities will be guided back to their treatment room or towards an exit by their Practitioner

Hand Hygiene, Face-Touching, and Use of Personal Protective Equipment (PPE)

  • All patients must use a handwashing sink with soap and water and following handwashing guidelines posted OR immediately use the sanitizing station to sanitize their hands upon entry into the clinic OR a combination of both
  • When using the rehabilitation facilities, patients are encouraged to use the sanitizing station available when moving between equipment
  • All patients must wear required PPE; a mask designed to cover their mouth and nose, to prevent droplet transmission
    • If a patient arrives at the clinic without a mask, they can acquire one from their Practitioner for a fee
  • All therapy tables will have tissue barriers between patients and the tables
    • For massage therapy, additional tissue materials will be available in place of linens
    • Tissues will also be available for patients to use if they need to touch their face
  • Session fee payment will be completed online to avoid using cash and hand-held payment devices, and receipts will be submitted to patients online as well

Signage Supporting New Protocols

  • Signage illustrating best practices managing coughing, sneezing, how to wear a face mask, reminders on maintaining physical distancing, and how to wash hands will be on display throughout the Clinic
  • Signage advising of maximum occupancy will be on display for the clinic as a whole

Enhanced Cleaning Protocols

  • All equipment, tables, chairs, and doorknobs will be disinfected between patient appointments
    • Chairs will be covered in plastic if they have cloth seat covers and backs
  • All common areas that are used during treatments will be disinfected after patient or aid leaves the Clinic
  • All high-touch surfaces will be disinfected at least twice a day and include (but not limited to):
    • Light switches, doorknobs, table surfaces, chairs, tools, and electronic devices used by practitioners
    • Laminated questionnaire boards, pens used by patients
    • Reception area plexi-glass barrier
  • The Clinic will continue to use the services of a professional cleaning company for cleaning of floors, washroom facilities, desk(s), tables, chairs, commonly touched wall areas, doors, and for the removal of garbage