Covid-19 Preparedness Response Plan
This Preparedness and Response Plan has been created by Spathis Chiropractic to decrease the risk of contracting and/or spreading coronavirus and/or COVID-19 during the 2020 pandemic. We intend to take every measure possible to ensure the safety of our doctor, staff, patients, and community. It has been developed consistent with guidelines recommended by the Occupational Health and Safety Administration in their Guidance on Preparing Workplaces for COVID-19, as well as State of Michigan Executive Order 2020-114, Safeguards to Protect Michigan’s Workers from COVID-19.
The OSHA document is available online here: OSHA
Executive Order 2020-114 is available online here: Executive Order 2020-114
This plan is readily available to employee and patients online here and via hard copy in our office.
Dr. Peter Spathis has been designated to implement, monitor, and report on the COVID-19 control strategies developed under this Preparedness and Response Plan (a). The supervisor must remain on-site at all times when employees are present on site. An on-site employee (or employees) may be designated to perform the supervisory role.
Our clinic has informed all staff on the wide range of possible COVID-19 symptoms. The most frequent symptoms are fever, cough, and shortness of breath, but they are not the only ones. The following symptoms may appear 2-14 days after exposure to coronavirus:
- Shortness of breath or difficulty breathing
- Repeated shaking with chills
- Muscle pain
- Sore throat
- New loss of taste or smell
Our clinic also suggests an individual seek immediate medical attention if they experience trouble breathing, persistent pain or pressure in the chest, new confusion or inability to arouse, and/or bluish lips or face.
Our clinic requires the doctor and staff to familiarize themselves with the following resources:
- The U.S. Department of Health and Human Services’ Centers for Disease Control and Prevention’s (CDC) latest information about COVID-19 and the global outbreak: www.cdc.gov/coronavirus/2019-ncov. o CDC: How COVID-19 Spreads (https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html)
- Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) (https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html)
- Infection Control Guidance for Healthcare Professionals about Coronavirus (COVID-19) https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Finfection-control%2Findex.html
Our clinic is ensuring that the provider, staff, patients, and other public visitors have access to non-medical grade face coverings while in enclosed places. Staff has been trained on the proper use of personal protective equipment. When employees cannot consistently maintain six feet of separation from other individuals in the workplace, they will be required (whenever possible) to wear face coverings. When employees cannot consistently maintain three feet of separation from other individuals in the workplace, face shields will be considered. For more information on the use of cloth face coverings: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html.
Our clinic has created and implemented a “social distancing” plan for the provider, employees, and patients, keeping people at least six (6) feet apart from each other, as much as possible. This plan includes the use of signs, contact barriers, entrance limits, and specialized hours for especially vulnerable populations, at least once per week.
Our clinic emphasizes good hand hygiene and respiratory etiquette protocols, including covering coughs and sneezes, for all employees and patients. See CDC Hand Hygiene in Healthcare Settings: https://www.cdc.gov/handhygiene/. See also CDC Coughing and Sneezing: https://www.cdc.gov/healthywater/hygiene/etiquette/coughing_sneezing.html.
Our clinic has implemented a daily entry self-screening program for employees and asks all staff to self-monitor and stay home if sick. The self-screening program contains a questionnaire covering symptoms and suspected or confirmed exposure to people with possible COVID-19. If symptoms develop while at work, employees will be sent home. This clinic requires employees to report symptoms to the COVID-19 supervisor as soon as the possibly can. A symptomatic employee’s workstation will be closed off from other employees until it can be properly deep cleaned. The clinic will keep a log of symptomatic employees. See also State of Michigan Guidance for Healthcare Worker Self-Monitoring and Work Restriction In the Presence of Sustained Community Transmission of Coronavirus Disease 2019 (COVID-19): https://www.michigan.gov/documents/coronavirus/Interim_HCP_Guidance_03.21.2020_684474_7.pdf.
If an employee experiences any symptoms of COVID-19 or has a suspected or confirmed diagnosis of COVID-19, they must immediately inform their direct supervisor.
If an employee feels the need to report unsafe working conditions, they can do so to their direct superior.
Our clinic follows Executive Order 2020-36, and any related executive orders that follow it, that prohibit discharging, disciplining, or otherwise retaliating against employees who stay home or who leave work when they are at particular risk of infecting others with COVID-19.
In the event of a positive COVID-19 case in the workplace, our clinic will adopt protocols to clean and disinfect the facility consistent with this Plan and guidance from OSHA, the CDC, and the State of Michigan.
If an employee is identified as a confirmed case of COVID-19, our clinic will immediately notify the Livingston County Department of Public Health. Website: www.livgov.com/health.
If an employee is identified as a confirmed case of COVID-19, within 24 hours our clinic will immediately notify any co-workers, contractors, or suppliers who may have come into contact with the employee with a confirmed case of COVID-19.
Our clinic will allow employees with a confirmed or suspected case of COVID19 to return to the workplace only after they are no longer infectious according to the latest guidelines from the Centers for Disease Control and Prevention (“CDC”) and they are released from any quarantine or isolation by the local public health department.
Our clinic urges employees to maintain safe practices outside of the office.
Our clinic encourages employees to use PPE and hand sanitizer when and if they use public transportation.
Our clinic promotes remote work to the fullest extent possible.
Our clinic is working to reduce office risk by utilizing telehealth options when and where possible.
Our clinic has instructed staff to examine each day’s patient roster to determine which patients coming in are at high risk of adverse outcomes from COVID-19, including older adults and people of any age who have serious underlying medical conditions (if known), including:
- Chronic Lung Disease
- Serious Heart Conditions
- Chronic Kidney Disease w/ Dialysis
- Severe obesity
- People aged 65 years and older
- Liver disease
- Nursing Home / Long-Term Care
Our clinic has also instructed doctors and staff that all patients should also screened for: Fever, cough, shortness of breath, nasal/sinus congestion or runny nose, sore throat, body aches, and/or diarrhea.
Our clinic’s common screening protocol for all patients includes a temperature check (whenever possible) and questions about COVID-19 symptoms.
Our clinic is recommending that all patients be screened to determine if there has been close contact in the last 14 days with someone with a diagnosis of COVID-19, or with someone who has travelled internationally.
Our clinic requires patients who answer “yes” to these screening questions to be excluded for at least 72 hours (without the use of medicine to reduce fever) and to have shown improved symptoms, had no other symptoms, and at least seven (7) days have passed since the symptoms first occurred.
Our clinic advises all doctors to review CDC Screening and Triage at Intake: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dialysis/screening.html. Our clinic also uses the Patient Protocol & Re-exam Checklist below.
Our clinic has required that signs be posted at office entrances and in waiting areas about prevention actions, and that staff follow all required county or local government orders.
Our clinic has posted a sign at entrances suggesting patients wear a face covering when inside.
Our clinic has placed hand sanitizer and patient face coverings at patient entrance(s).
Patients are required (whenever possible) to wear a face covering when in the facility, except as necessary for identification or to facilitate an examination or procedure.
Our clinic has removed all communal objects (toys, reading material, etc.) from the waiting room.
Our clinic has installed physical barriers at sign-in, temperature screening (whenever possible), and other service points that normally require personal interaction (e.g., plexiglass, cardboard, tables).
Our clinic limits waiting-area occupancy to the number of individuals who can be present while staying six feet away from one another and asks patients, if possible, to wait in cars for their appointment to be called. If a patient cannot wait in his or her vehicle, they can wait in a designated waiting area where social distancing is practiced and the surfaces and waiting room chairs are properly separated at least six (6) feet apart, wherever possible, and cleaned after each patient.
Our clinic limits the number of appointments to maintain social distancing and allow for adequate time between appointments for cleaning.
Our clinic has placed visible tape six (6) feet from the front desk / check-in area, and then another strip of tape six (6) feet behind the first (if possible).
Our clinic provides supplies such as tissues, alcohol-based hand sanitizer, soap at sinks, and trash receptacles, where appropriate.
Our clinic provides cleaning supplies to employees upon entry and in the office and provides time and a place to wash hands or use alcohol-based hand sanitizer containing greater than 60% ethanol or 70% isopropanol.
Our clinic wipes down all surfaces the provider, staff, and patients may touch using Environmental Protection Agency (EPA)-approved cleaning chemicals with label claims against the coronavirus. We are sure to follow the manufacturer’s instructions for use of all cleaning and disinfection products.
Our clinic suggests patients wait in their cars to minimize time in the clinic (if possible).
Our clinic does not allow patients with high temperatures or respiratory symptoms into the clinic and requires symptomatic patients be referred to their primary care physician (when appropriate).
If a patient begins to exhibit respiratory symptoms while in our clinic, we require that patient’s examination room to be deep cleaned.
All patient rooms are cleaned between all patients.
Our clinic limits non-patient visitors as much as possible.
After Patient Leaves, our clinic has increased facility cleaning and disinfection to limit exposure to COVID-19, especially on high-touch surfaces (e.g., door handles), paying special attention to shared equipment such as tables, computers etc. These increased cleaning protocols include using EPA-approved cleaning chemicals with label claims against the coronavirus, being sure to follow the manufacturer’s instructions for use of all cleaning and disinfection products, as well as guidelines from the EPA found here: https://www.epa.gov/coronavirus/guidance-cleaning-and-disinfecting-public-spaces-workplaces-businesses-schools-and-homes.
903 E. Clinton St., Ste 103, Howell, MI 48843
Tel: (517) 552-0890
Fax: (517) 552-0891