COVID RISK ASSESSMENT AND PROTOCOL
Risk Assessment for re-opening Surbiton Osteopaths
Background to the COVID-19 Pandemic
The current pandemic caused by a virus known as SARS-CoV-2, resulting in COVID-19 disease, has resulted in many changes in our everyday lives.
It is currently understood that the virus spreads mainly through the respiratory tract via a direct inhalation of droplets, and indirectly from contacting infected surfaces and then touching one’s face. COVID-19 symptoms include fever, cough, fatigue, sputum production, shortness of breath, sore throat, loss of sensation of smell or taste. Some may not develop any symptoms.
We take the health of our patients and our practitioners seriously and have produced this risk assessment document for safe re-opening of the Surbiton Osteopaths clinic.
Identified areas of risk
Suggestion of changes to improve the risk
Minimising risk from home and travel to the osteopathy room
Patients are requested to attend their appointment with as minimal exposure to COVID-19 as possible on their way to the clinic ->
Please arrive directly from home, freshly showered and wearing freshly laundered clothing.
Patients wishing to shop on the day are politely requested to do so after their appointment.
2. Patient entering the clinic via Surbiton Natural Health Centre: Health Food Store & Clinic
We are not in control of the shop’s policy and how other people behave ->
Patients should consider the entry through the shop as an unregulated, at risk, public space. The toilets are part of the shop (these
are cleaned every 2 hours).
Should you wish to enter though the fire exit/ back entrance, please make prior arrangements with your osteopath.
3. Minimising traffic in the waiting area (shared by other practitioners)
30 minutes gaps between appointments ->
Patient will be able to enter the treatment room without having to wait, please do not arrive early.
4. Minimising transmission
Every patient is to fill in a COVID-19 triage electronic form before their in-clinic appointment.
Please cancel your appointment should you develop symptoms.
Patients in the high risk/ shielding group cannot be currently treated.
5. Minimising contact time during appointments
Patients to fill in a symptom triage form before every appointment.
New patients – 1 hour appointment split into 2 parts – 1st part consisting of 30 minutes of case history taking on the phone;
2nd part consisting of 30 minute in-clinic/ face-to-face appointment; both to happen on the same day when possible or within
Follow-up appointments – 40 minute appointment split into 2 parts – 1st part consisting of 10 minutes of symptom update/ discussion
taken on the phone; 2nd part consisting of 30 minute in-clinic/ face-to-face appointment; both to happen on the same day when
possible or within 24 hours.
Please do not bring a family member with you to the appointment. Chaperones are also requested to complete COVID-19 triage form in advance.
6. Virus transmission from inanimate surface to human
Removal of all soft furnishings and unnecessary items prior re-opening.
30 minutes gaps between appointments ->
All soft furnishings removed and/or replaced with wipe-able surfaces and use of paper roll.
Allow aeration of treatment room for 20+ minutes with the door open (with the use of a single extractor fan for the first 10 minutes as no natural air current).
Disinfecting of all surfaces with recommended surface cleanser.
7. Virus transmission from patient to practitioner
Triaging and minimising contact time, see point 5.
Patient to sanitise hands on arrival in the clinic room.
Patient to be provided with a barrier mask from that point.
Practitioner to use PPE as guided by PHE (Public Health England).
8. Virus transmission from practitioner to patient
Minimising contact time, see points 4 and 5.
Practitioner to test temperature daily and monitor other COVID-19 related symptoms (including members of their household).
Practitioner to arrive directly from home, freshly showered and wearing freshly laundered clothing.
Practitioner to change into clinic freshly laundered attire.
Practitioner to change their top between patients.
Practitioner to wash hands and forearms before and after every patient.
Practitioner to use PPE as guided by PHE.
Gloves, apron and paper rolls to be disposed in closed-lid pedal bin located outside the treatment room, and double bagged for
3 days before disposal.
Any linen used will be changed between patients, double bagged for 3 days before washing at recommended highest temperature.
Payments are preferred by bank transfers.
Cash to be stored separately for 3 days before handling.
10. Minimising transmission II
After treatment, patients can chose to exit via the shop or the fire exit on the rear side of the building, leading to
St. Mark’s Hill.
i. Practitioner training completed prior re-opening
ii. Definition of high risk/ shielding group
People who have been diagnosed with and are receiving cancer treatment
People who had an organ transplant or require one
People with severe respiratory conditions
People with rare genetic diseases and inborn errors of metabolism
People who are immunosuppressed or on immunosuppression therapies
Pregnant women with significant heart disease
iii. How to triage patients
Patient to fill in a triage form prior to every appointment.
Appointments split into 2 parts when first one in via telephone triaging prior to face-to-face contact.
Face-to-face care cannot be offered to anyone in the high risk/ shielding group; anyone exhibiting symptoms of COVID-19;
anyone who tested positive for COVID-19 less than 7 days ago and hasn’t symptom free for more than 2 days.
iv. Practitioner develops symptoms of COVID-19
Practitioner must cancel all face-to-face appointments and must self-isolate for 7 days.
Any patients seen within 60 hours of the onset of symptoms must be informed.
v. Patients suffering COVID-19 symptoms
Patients must cancel their in-clinic appointment and will be offered online consultation.
vi. Patient develops symptoms of COVID-19 within 60 hours of face-to-face care
Patient must inform the practitioner by phone immediately.