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COVID-19: Procedures & Policies for Your Safety

Vigor Physiotherapy is happy to announce that we are re-open to treat you in our clinic again as of May 19, 2020! We have been working very hard to prepare for in clinic visits again and would like to share with you the new policies that will be in place going forward under the Provincial Health Officers recommendations. Please read through prior to your appointment, and scroll below to see what your appointment will look like.

Step 1 – Assess Risk in the Workplace

The virus that causes COVID-19 spreads in several ways. It can spread in droplets when in person. It can also spread if you touch a contaminated surface and then touch your face. The risk of person-to-person transmission increases the closer you are to other people and the more people you come near. The risk of transmission increases when many people contact the same surface and when those contacts happen in a short period of time.

Identifying risk Factors

Identify the areas of risks either through close proximity or through contaminated surfaces. We have identified that:
• Reception area, gym, treatment rooms are greater risk areas.
• Job tasks where workers are close to each other or members of the public, specifically treating clients, front desk/reception area.
• Tools/machines that physio uses, specifically ultrasound, IFC and EMS machines
• Surfaces that people touch frequently such as doorknobs, gym equipment, front reception counter and computer keyboards.

Step 2- Implement Protocols to reduce risks

Reduce Risk of person to person transmission

First Level Protection:

Limit number of people at workplace and distancing as possible. We have established and made clients aware of occupancy/area at our facility.

Measures in place:

• Clients have been notified to remain in vehicle until their appointment time
• No one will be allowed to accompany client to the appointment unless you are under the age of 16 and require a parent/guardian, OR you would typically have an assistant with you for safety or mobility concerns. If someone will be accompanying you to your appointment please let our administrative team know in advance so that we can ensure additional forms are completed by these individuals.
• Clients have been notified to please leave all personal items (including jackets, water bottles, coffee cups etc) in their vehicle.
• Clients have been notified that they will not stop in waiting area and will be directed to room immediately. We will be adhering to 1 client in waiting area
• We are limiting our gym area to 1 or 2 clients at one time (2M apart).
• Once Client enter the clinic, the client must stop at the hand sanitizing station and sanitize their hands.
• After treatment is finished, client will then proceed to the exit and sanitize their hands once more on the way out. Paper masks may be disposed of in the waste bin near the exit. Please be sure to sanitize hands after removing a mask.
• When possible, clients will be shown and/or perform exercises in the treatment rooms with equipment that is specific to that treatment room, cleaned after each use.
• We have reduced number of clients/hour and inserted specific cleaning breaks

Second Level Protection: Barriers and Partitions

Measures in place:

• We have installed plexiglass shields to maintain physical distance with clients and front-end staff during transactions upon entry and exit.
• We have included cleaning barrier in our cleaning protocols, using a dry micro fibre cloth after a shift or with soap and water, and anytime there may be visible droplets on exterior of plexiglass

Third Level Protection: Administrative Rules and Guidelines
Measures in place:

• Staff is required to sanitize hands prior to starting their shift
• Staff is required to sanitize keyboards with a 70% alcohol spray provided at computer
• To protect both administrative staff and cliental, we have clearly communicated they maintain a 2M distance whilst they are directing client to treatment rooms
• Front end staff are aware they must wipe down/disinfect high traffic areas, counters and door handles in front reception zone every 1/2 hour
• There will be no washrooms available to the public except in the case of an emergency. Please use the washroom at home prior to leaving for your appointment.

Fourth Level Protection: Using masks
Measures in place:

• In combination with the above protective measures, we have chosen to protect our staff, and are requiring both therapists (procedure masks) and clients (procedure or homemade) wear mask once in building
• Staff and Physiotherapist wearing a mask, will have reviewed PABC video on how to correctly Don/Doff masks

Reduce Risk surface transmission through cleaning and hygiene

We have reviewed information on cleaning and disinfecting:
• Every client entering the building is required to sanitize their hands prior to entry to treatment room
• Physiotherapist is responsible to clean/disinfect their own rooms, beds, equipment and door handles (specific cleaning solution provided for equipment/high traffic areas), after every client treatment session
• Each therapist is required to clean Ultrasound head and IFC pads/electrodes with soap/water after EVERY use
• Traction bed and attachment belt will be cleaned by the physiotherapist after each traction session
• Therapist is required to use hand sanitizer after/before EVERY treatment session, use phone/computer
• Front end staff is responsible to clean keyboard, front door and counters with approved cleaning solutions
• We have removed unnecessary books, magazines and toys in the front reception area

Step 3: Workplace policies to manage illness:

Our workplace policies ensure that workers/consultants and any clients showing symptoms of COVID-19 are PROHIBITED from entering the workplace:
• Anyone who has symptoms of COVID-19 in the last 10 days including: fever, chills, new or worsening cough, shortness of breath, sore throat, headaches
• Anyone directed by Public Health to self-isolate X 10 days
• Anyone who has arrived in Canada or who has been in contact with confirmed COVID-19 case must self-isolate for 14 days and monitor symptoms
• Our policy addresses staff who start to feel ill at work. It includes:
• Sick workers and physiotherapist who feel ill at work are asked to wash or sanitize their hands, will be provided with a mask and sent straight home (Consult BC COVID-19 Self Assessment Tool) or call 811
• If worker is severely ill (chest pain, difficulty breathing) call 911
• If a worker must leave due to illness, we will Clean and disinfect any surface that the ill worker has come into contact with.

Step 4 -Develop Communication Plans and Training

• All front-end staff and physio are aware to inform owner’s and stay home if sick
• We have posted signage at the work place reviewing handwashing, social distancing, effective hygiene and COVID information posters
• We have posted signage at the main entrance as to who is restricted from entering the premises including clients or staff with symptoms

Step 5 -Monitor Your Workplace and Update Plan as Needed

• We have a plan in place to monitor risks. We will make changes to policies and procedures as necessary. • Staff have been informed to directly communicate with Honey Kaushal if they have any safety concerns.

Step 6 -Address and Access Risks from Resuming Operations

We have reviewed: • New roles and responsibilities for front staff and consultants • New hand sanitization and occupancy in front reception and gym area • Correct PPE use for therapists • A safe process and timeframe of cleaning for both front staff and therapists. Specific cleaning solutions have been allocated for various areas/surfaces