Learn more about how we are making our environment safer.
Symptoms of Covid-19
From Public Health Canada
Those who are infected with COVID-19 may have little to no symptoms. You may not know you have symptoms of COVID-19 because they are similar to a cold or flu.
Symptoms have included:
In severe cases, infection can lead to death.
Symptoms may take up to 14 days to appear after exposure to COVID-19. This is the longest known incubation period for this disease.
Recent evidence indicates that the virus can be transmitted to others from someone who is infected but not showing symptoms. This includes people who:
While experts know that these kinds of transmissions are happening among those in close contact or in close physical settings, it is not known to what extent. This means it is extremely important to follow the proven preventative measures.
Organizational Risk Assessment (ORA)
Our Hazard Controls outlined below are in place to help lower the risk of contracting COVID-19 or other infections/diseases when providing in-person physiotherapy, massage therapy, acupuncture and osteopathic treatments.
AH will not be assessing/treating any patients that screen positive for COVID-19 and have a procedure in place to deal with those that screen positive upon arrival to the clinic. There are exceptions to this guideline if the patient is deemed an essential worker. However, no patient that screens positive with symptoms or if they are currently COVID-19 positive will be seen regardless of whether they are an essential worker or not. (See section “Positive Screening”) This will help limit the likelihood that our staff and Health Care Provider will be seeing symptomatic patients in clinic. AH also has procedures in place if a staff or Health Care Provider becomes sick or if a patient who visited the clinic later tests positive for COVID-19.
An ORA will be performed more frequently (daily, weekly) in the early days of re-opening to ensure we are meeting all guidelines set out by the respective Colleges and Ontario’s Chief Medical Officer of Health. We will monitor closely the health and comfort of our patients and ourselves and make adjustments to any of our policies and procedures as needed to ensure the safest environment for all.
To minimize contact of persons with COVID-19 in our clinic, Awakening Health will continue to offer virtual services to all patients if the Health Care Provider deems this type of service will be appropriate in that patient’s recovery given that their specific condition(s) and/or if the patient prefers not to come into the clinic for in-person care.
Engineering and System Controls
“These measures help reduce the risk of exposure to a pathogen or infected source hazard by implementing methods of isolation or ventilation. These measures work to reduce exposure by isolating the hazard from the worker and by physically distancing actions to reduce the opportunity for transmission.”
Awakening Health is located in a well-ventilated space with a central HVAC system. Standard maintenance on the ventilation and duct systems with continue to be performed by the owner of the space. A plexiglass barrier was installed at the front desk to help protect staff from sneezing/coughing patients when they are screening patients, booking appointments, or collecting payment. The limit for our point of service terminal for taking payments was upgrade so most treatments will be able to be paid without contact to the machine.
Physical distancing is proven to be one of the most effective ways to reduce the spread of illness during an outbreak. - Public Health Canada
This means making changes in your everyday routines in order to minimize close contact with others, including:
Awakening Health will be practicing physical distancing between patients and staff. The exception is the interaction of a patient and their health care provider for which personal protective equipment will be used.
The waiting room will not be used at this time despite the fact that it is sufficient in size to have 2 separate areas with physical distancing being maintained and still allow for the flow of traffic from any of the treatment rooms to the front desk and then to the exit. We will enable clients may check in electronically through a portal in the Jane app. This will notify the clinician that they have arrived. Then the patient will be called into the clinic by staff to minimize the number of people in the clinic at one time.
In addition, the doors to the clinic will be locked save when someone is leaving or entering the premises for an appointment or is escorted by staff.
Should a patient require use of the washroom, the handles on the door, sink, and toilet as well as the toilet seat will be sanitized as soon as possible.
Patients are advised to arrive alone unless they require an essential visitor. An essential visitor is:
Awakening Health will be using a screening protocol that has at least two points. The staff will use the latest COVID-19 Patient Screening Guidance Documents that are found on the MOH COVID-19 website.
The results for all of these will be documented.
If they still screen negative, they can attend their appointment in-person with the HCP.
If they screen positive at any of these checkpoints, procedures will be in place to handle this situation. See the “Positive Screening” section.
Patients and essentials visitors will also be asked to keep all unnecessary personal belongings in their car or at home and ideally come dressed for their appointment, if possible.
All staff and health care practitioners will complete the same Screening Questionnaire before they arrive at the clinic for their shift. If the screen negative, they can come to the clinic to work, but if they screen positive, see the “Positive Screening” section below.
Signage will be posted at the main entrance of our clinic space requiring all patients and essential visitors to wear a face covering, perform proper hand hygiene, and self identify to reception staff before coming into the clinic space.
All surfaces that come into contact frequently with hands will be cleaned and disinfected at least twice per day and when visibly dirty. These surfaces include but are not limited to: doorknobs, cupboard/cabinet handles, waiting room chair(s), light switches, counters, faucets, fridge handle, laundry machine knobs, computer screens, keyboards/mouse, phones, etc. The Plexiglass barrier at the front desk will be cleaned once a day. The Point of Sale terminal if touched during payment processing will be disinfected after each use.
All treatment rooms/areas will be cleaned and disinfected after each patient use before the next patient is brought into the treatment space. This includes cleaning the treatment table, chair, pillow and door handles, as well as changing the pillow case. All equipment used with patient contact (ie wedges, reflex hammers, goniometers, wall, etc) will be cleaned and disinfected after each use. Resistance bands used with a patient should be given to the patient to take home with them or are otherwise discarded. They should not be reused. If a computer is used after interaction with a patient, then the keyboard and mouse would also need to be disinfected. Use of plastic wrap over the keyboard may be used to help preserve the electronics – it would still need to be disinfected if used after contact with a patient.
The cleaner and disinfectant used in the clinic will be a diluted bleach solution (1 oz bleach to 32 oz water). The solution will be made fresh each workday and any unused solution will be discarded prior to the next workday. All surfaces will remain wet for 5 minutes for disinfectant to work before being rinsed with water and allowed to dry.
Personal Protective Equipment
Additional steps will be included in the following case:
If due to their occupation a patient has