Holistic Evolution’s Restart Plan: Aligning with COVID-19 Public Health Guidance in British Columbia

This plan was developed with the goal of reducing the risk of exposure to the virus that causes COVID-19 for both client and therapist within our practical setting. The following are the protocols we at Holistic Evolution have put in place in order to resume practice as safely as possible.

“Coronavirus is transmitted via liquid droplets when a person coughs or sneezes. The virus can enter though these droplets though the eyes, nose or throat if you are in close contact. The virus is not known to be airborne (eg. Transmitted through the particles floating in the air) and is not something that comes through the skin. It can be spread by touch if a person has used their hands to cover their mouth to nose when they cough or sneeze. 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 following protocols, will be carefully followed, to the minimize risk of transmission of the virus that causes COVID-19. Our professional judgement and personal choices will determine whether and how we implement additional measures specific to our practice setting, and specific requirements of our clients’ needs. 

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

  1. Self Assessment for Symptoms for COVID-19 for the Client and the Therapist
  2. Reducing Interactions within the Practice Environment 
  3. Hand Hygiene Requirements
  4. Avoid face touching
  5. Enhanced Cleaning Protocols
  6. Personal Protective Equipment (PPE)
  7. Professional Obligations

1. Self Assessment for Symptoms for COVID-19 and Informed Consent for the Client and the Therapist

Symptoms of COVID-19 are similar to other respiratory illnesses and seasonal allergies and can range from mild to severe. An appointment must be cancelled immediately if the following symptoms present:

  • 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

For the Client

It is important for the client to understand that there is always some risk in transmission of COVID-19 with osteopathy. Although there are protocols in place, we cannot reduce the risk to zero.

The client will be required to fill out an assessment form prior to each appointment. The consent form and if needed, the clarification with your therapist MUST be done for the appointment to proceed. Failure to comply with these protocols will result in the appointment being cancelled.

Pre-screen tools can also be found here https://bc.thrive.health/COVID19/en

If the client suddenly presents with any of the symptoms prior to their appointment, they are required to immediately contact their therapist to cancel the appointment. If the client suddenly presents with symptoms after the appointment, they are required to contact their therapist as well as contact 811.

For the Therapist

The therapist will also complete a self assessment daily and commits to cancelling all appointments if symptoms appear as well as contact 811. The therapist will cease working until cleared by a healthcare professional.

2. Reducing Interactions within the Practice Environment 

  • Appointments are scheduled to allow ample time between clients for Enhanced Cleaning Protocols and to reduce potential interactions between clients in the building elevators, hallways and the clinic.

3. Hand Hygiene Requirements

  • The client will be asked to remove shoes upon entry and use the hand sanitizer provided.
  • The therapist will wash hands thoroughly for 20 seconds prior to treating. 
  • There will also be hand sanitizing stations throughout the clinic for both therapist and client.

4. Avoid Face Touching

  • The therapist will ask the client to refrain from touching their face and communicate with the client that the corona virus 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.

5. Enhanced Cleaning Protocols

  • All treatment surfaces and equipment will be cleaned between treatments with a disinfectant approved by Health Canada for use against COVID-19.
  • All linens including blankets will be cleaned using high heat, detergent and bleach between each use and transported in a washable bag.
  • All product containers will also be cleaned between treatments, such as oil bottles.

6. Personal Protective Equipment (PPE)

  • The therapist will wear a single use or washable mask, if requested by the client.
  • If the therapist requests the client to wear a mask, one will be provided for them.
  • The therapist will wear non-latex gloves if/when appropriate

7. Professional Obligations

  • The therapist remains in good standing with their regulatory body and commits to following the Health guidelines required of them related to COVID-19.
  • The therapist carries professional insurance and is in good standing with their insurer by following the screening questionnaire required.

In the Event of an Diagnosis with COVID-19

  • A client will inform the therapist immediately if diagnosed with COVID-19.
  • The therapist will inform clients immediately of a diagnosis within the clinic staff or clientele.
  • If a client alleges they caught COVID-19 from the therapist, the therapist will immediately cease working and call 811 to report the alleged transmission, providing both the name of the therapist and the contact details of the client; the client must agree to release this information in order to receive treatment.
  • All osteopathy treatments will be cancelled and the therapist will cease to provide treatment until Public Health has investigated to provide direction.
  • The therapist will immediately self isolate until Public Health has investigated and provided direction.If you

If you have any questions about these guidelines, please contact us at info@holisticevolution.ca.