Momentum Wellness Centre Phase 2 Restart Plan
May 19, 2020

The goal of our restart plan is to identify actions taken to reduce physical interactions amongst practitioners in our clinic environment, and measures taken to safely provide a treatment with minimal risk of viral transmission.

It will also ensure that communications between patients and practitioners are clear, shared by all, and consistent. This plan will adapt as needs emerge and new information is available.

1. Pre-screening Process For Patients and Practitioners:
• Inform patients of new procedures we have in place prior to, or at the time of booking their appointment, including pre-screening process for COVID-19 and the use of PPE.

• Get informed consent from the patient ensuring they understand that while we have taken measures to minimize risk of viral transmission, the nature of massage therapy means that physical distancing is not possible in the treatment room.

• Patients will be contacted by their practitioner one day prior to their appointment to have them complete the BC COVID-19 Symptom SelfAssessment and told to stay home if they have answered yes to any of the questions.

• Practitioners must also complete the BC COVID-19 Symptom SelfAssessment daily and cancel appointments if experiencing COVID-19 symptoms.

• Our cancellation policy will be eased to allow patients not to be charged for cancellations related to potential risk of COVID-19.

• Upon arrival, the practitioner will ask the patient to do the BC COVID-19 Symptom self-assessment again. The practitioner should cancel the treatment if the patient does not meet the pre-screening criteria at the clinic.

• During the clinic visit the practitioner will ensure the patient feels empowered to make their own decision on what they need to feel safe to receive treatment.

2. Physical Distancing:
• Practitioners and patients must maintain 2 meters of distance in clinic areas other than the treatment room as best as possible within the clinic setting.

• Remove all clutter, decorations, and fabric furnishings difficult to sanitize after touch.

• Create floor markings and signs that aid in keeping physical distancing.

• Patient must arrive unaccompanied unless the patient is a minor who requires parent/guardian, or infirm and needs assistance.

• Patient is required to wait outside and not in reception. They should be asked to wait outside if they come in too early for their appointment. The practitioner will call or text when it is time to come in.

• The practitioner will greet the patient and open the door for them. After the treatment, the patient will be accompanied to the exit and the door will again be opened for them (using a hand towel or other sanitized barrier).

• Most follow-up appointment bookings should be done by either the patient online or by the practitioner calling the patient to book follow-up appointments.

• The practitioner may also book appointments or accept payment prior to treatment instead of afterwards if no other staff are in the reception area.

3. Hand Hygiene:
• When a patient enters the clinic and again before their departure, they will wash their hands with soap and water for at least 20 seconds followed by thorough drying.

• If soap and water are not available, an alcohol-based hand sanitizing station will be provided.

• Hand washing must be done by the practitioner both before and after each treatment.

• Proper hand washing guidelines are to be posted visibly in the reception area and at all sinks.

• The practitioner will open the door to the treatment room for the patient. The practitioner will open/close the door before, during, and after treatment as required, and use hand towel/sanitized barrier as needed, and washing hands as appropriate.

• The practitioner may choose to skip the payment process at the clinic by arranging credit card or e-transfer payment with the patient.

• Receipt should be emailed.

4. Face Touching Avoidance:
• Information about the reason for ‘no face touching’ will be communicated to the patient by the practitioner: Viruses can spread by touch if a person has used their hands to cover a cough or a sneeze.

• Tissues are to be available for patient use in the treatment room, reception, and washroom.

• Patients will be asked to bring their own mask at the time of booking.

• Practitioners must wear a mask if the patient requests them to do so for their visit.

• Practitioners should make use of hand towels or tissue to touch or scratch face, or to sneeze into.

5. Enhanced Cleaning:
• All practitioners will be knowledgeable of the clinic sanitizing protocol.

• Visibly soiled surfaces must be cleaned first, followed by disinfection.

• All high-touch surfaces must be cleaned and disinfected between patients, regardless of appearance.

• Linens (including blankets) must be single use only, and laundered in hot soapy water.

• Common areas and high touch surfaces must be cleaned and disinfected at least twice a day, including light switches, cell phones and tablets, chairs, stools, and table surfaces.

• Surfaces that should be cleaned and disinfected at least three times a day include handles (on doors, cabinets, faucets, fridge, microwave, etc.), electronic devices, keyboard and mouse, reception phone and pin pad, arm rests in chairs, desk and table surfaces.

• Practitioners must allow enough time between patients to ensure proper cleaning and disinfecting is done.

• The treatment table, face cradle, and adjustment levers must be sanitized after each treatment (including after the last patient of the day). Lotion bottles and other items used must be disinfected immediately after each patient.

• Thermophore pads are not to be used during treatment.

• All contact areas in the washroom must be cleaned and disinfected several
times a day.

6. PPE:
• Practitioner must address the issue of mask use with patient.

• Mask use is not mandatory, but the practitioner must have disposable masks available for patient’s use if requested, and for RMT’s use if the patient requests It. Disposable masks will be made available to patients by the clinic for a cost. Practitioners may also choose to offer disposable masks to their patients at the same cost. All disposable masks given to patients must be individually wrapped to ensure patient confidence that it is safe to use.

• If a cloth mask is offered to a patient, it must be evident that the mask is clean and has not been worn by others.

• Cloth masks must be laundered after each use.

• Handling a mask properly: wash hands with soap and water prior to putting on a mask, prior to taking off a mask, and after disposing of a mask in laundry or garbage.