Phase 2 Return to Practice Protocol

 

NuDepth Therapeutic Massage will be reopen as of Tuesday May 19th as part of BC’s Phase 2 Restart Plan


The Public Health Office has allowed RMT’s to return to practice under the direction of our regulating college, the CMTBC, and the Return to Practice Guidelines that the CMTBC has developed.


The RMT professional organization, the RMTBC, has also released a set of guidelines to assist RMT’s in developing a Phase 2 Return to Practice Plan.


Both the CMTBC and the RMTBC have submitted their Return To Practice Guidelines to the PHO.


The following Return to Practice Protocol has been developed by NuDepth Therapeutic Massage and has been created considering the requirements and recommendations in both the CMTBC and RMTBC guidelines. This Return to Practice Protocol will be updated as new guidelines are developed by the CMTBC and the RMTBC.



NuDepth Therapeutic Massage Return to Practice Protocol


1. Covid 19 screening for Patients and RMTs


PRE-SCREENING – PRIOR TO ARRIVAL

  • All Patients will be informed of the NuDepth Return to Practice Protocol before arriving to the clinic. This information will be available in full at nudepth.com and patients will be informed of this at time of booking.
  • Informed Consent will be required for all appointments. This will include ensuring that all patients understand that while NuDepth Therapeutic Massage is taking measures to minimize the risk of viral transmission, the nature of massage therapy means that physical distancing is not possible in the treatment room. All Patients will be required to sign a Covid-19 Informed Consent Form, at the clinic, prior to treatment.
  • Patients will be asked to bring a Face Mask or Face Covering. Face masks or Face Coverings will be required to be worn by the RMT and Patient in all areas of the clinic. 
  • Patients will be required to complete the BC COVID-19 Symptom Self-Assessment Tool prior to booking and one day prior to their appointment.
  • RMT’s will be required to complete the RMTBC Self Monitoring Protocol Form and the BC COVID-19 self-assessment tool daily.


SCREENING UPON ARRIVAL

  • Upon arrival, the RMT and Patient will be required to run through self-assessment outcomes again before moving forward with treatment.
  • The RMT will be required to cancel the appointment if the Patient does not meet the pre-screening criteria on physical presentation at the office.


2. Physical Distancing


ENTRY and RECEPTION

  • RMTs and Patients must maintain 2 meters (6 feet) of distance in clinic areas, other than the treatment room, as best as possible within the practice setting.
  • Appointment start times will be staggered by at least 15 minutes to minimize contact between Patients and RMTs. This means that ONLY ONE Patient will have a scheduled appointment per 15 minute time slot, regardless of how many RMTs are working.
  • One Way Traffic Flow will be indicated on the stair cases (the front staircase will be demarcated for up and the back staircase will be demarcated for down).
  • Patients will be required to arrive unaccompanied, unless the Patient is a minor who requires a parent/guardian, or is infirm and needs assistance.
  • Patients will be required to arrive for their appointment no earlier than 5 minutes prior. Patients will be instructed to wait outside the building if they arrive earlier than 5 minutes prior to their scheduled appointment.


THERAPISTS’ SHARED AREAS

  • RMTs will be required to use personal devices to access scheduling, payment and accounting programs. Shared equipment, other than clinic phones, will not be used. Clinic phones will be cleaned and disinfected before and after every use.
  • RMTs will not be permitted to take breaks in the staff room. No more than one RMT will be permitted in the staff room at a time. The staff room will only be used to wash hands, heat food, and access supplies. RMT’s will be required to take breaks in their treatment rooms.


TREATMENT ROOM

  • It is not possible to maintain physical distancing in the treatment room.
  • Pre-screening, physical distancing, Face Masks, hand hygiene, and enhanced cleaning will be employed to reduce the risk of Covid 19 transmission.


WASHROOM FOR PATIENT USE

  • No more than one person will be allowed in the washroom at a time. High contact areas will be disinfected after every use. RMTs and Patients will be required to wash their hands for 20 seconds with warm, soapy water in the washroom facilities. Upon returning to the clinic, RMTs and Patients will be required to sanitize their hands or wash their hands for 20 seconds with warm, soapy water.


STAIRS

  • Stairs will be designated one way traffic only.


3. Hand Hygiene


RECEPTION / ENTRY

  • Patients will be required to sanitize hands upon arrival and departure.
  • Patients with visibly soiled hands will be required to wash hands with soap and water for 20 seconds and thoroughly dry them prior to moving to the treatment room.
  • RMTs will be required to wash hands often, using soap and water for a minimum of 20 seconds each time.
  • Hand-washing protocols will be posted visibly in reception area and at sinks.
  • Paper receipts will not be provide. All receipts will be emailed.


IN THE TREATMENT ROOM

  • RMTs will be required to open and close the door to the treatment room.
  • Sanitization options will be available for the RMT and Patient in the treatment room.
  • Safety posters from BC Centre for Disease Control will be posted next to sinks, setting out proper handwashing guidelines (soap and water, 20 seconds washing, and dry hands thoroughly).


4. Face Touching Avoidance – e.g., avoid touching eyes, mouth, nose

  • Patients will be advised to use a tissue if an itch must be addressed and tissues will be available for patient’s use in reception, treatment room and washroom.
  • Masks will be made available for Patients and for RMTs to help them to avoid touching their face.
  • RMTs will be required to makes use of hand towel or tissue to touch or scratch face, or to sneeze into.


5. Enhanced Cleaning

  • All RMTs will be trained in sanitation processes
  • All visibly soiled surfaces will be cleaned, followed by disinfection.
  • All high-touch surfaces will be cleaned and disinfected in between patients, regardless of appearance.
  • All linens (including blankets) will be single use only, then laundered in hot soapy water.
  • All common areas and high touch surfaces will be frequently cleaned and disinfected at least three times a day (e.g. light switches, window coverings, cell phones, tablets, chairs, stools, table surfaces).
  • A cleaning schedule will be posted and completed by RMTs on staff.
  • Cleaning and Disinfectants for Clinic Settings poster from the BC Centre for Disease Control will be posted in reception area, washroom for patient’s use and treatment rooms.


6. Personal Protective Equipment (PPE)

  • Disposable (surgical) masks will be available for Patient’s and RMT’s use.
  • Face masks will be required to be worn by the RMT and Patient in all areas of the clinic, including the Treatment room ,with the exception of prone (lying face down on the table) treatment. Wearing Face Masks during prone treatments will be at the discretion of the RMT and Patient. If either the RMT or Patient request the use of Face Masks during prone treatment, Face Masks will be required to be worn or the session will be modified (changed from prone position to a position acceptable to the Client for the wearing of Face Masks) or concluded. If both the RMT and Patient are comfortable without the use of other PPE (gloves, face shields, bibs etc.), PPE will not be required to be worn during the treatment. If at any time during the treatment, either the RMT or the Patient decide that they want other PPE to be used, PPE will be required or the session will be concluded.
  • If either the Patient or the RMT feels that additional risk mitigation is necessary, the decision to to use said risk mitigation will be one way forward or the treatment will be concluded.
  • Donning and doffing mask: RMTs and Patients will be required to sanitize hands or wash hands with with soap and water prior to putting on a mask, prior to taking off a mask, and after disposing of a mask in the laundry or garbage (cloth or paper/disposable).


7. Professional Obligations

  • If a Patient alleges that they caught COVID-19 from an RMT at NuDepth Therapeutic Massage:
    • The RMT will be required to immediately call Public Health at 8-1-1 and report the alleged transmission, providing both the RMT’s name and the name and contact information of the Patient.
    • The RMT will not provide any further massage therapy treatment to anyone until Public Health has investigated and has provided direction.
    • The RMT will immediately self-isolate until the matter has been investigated and Public Health direction has been provided.
    • The RMT will immediately inform the other RMTs at NuDepth Therapeutic Massage of the transmission risk.
    • The other RMTs at NuDepth Therapeutic Massage will not provide any further massage therapy treatment to anyone until Public Health has provided direction
    • The other RMT’s at NuDepth Therapeutic Massage will immediately self isolate until direction has been provided by Public Health.


If you have any questions, concerns or comments about this Return to Practice Protocol please do not hesitate to contact us.


Sincerely,


John, Ashley and Tao