Health and Safety Policy

OVERVIEW

In regards to infectious disease, specifically COVID-19: this policy will address the specific exposure risks, sources of exposure, routes of transmission, infection prevention measures, and identification/isolation policy to provide a safe and secure working environment for our staff, community members, and their clients.

SPECIFICATIONS

According to the CDC, symptoms of COVID-19 may appear in as few as 2 days or as long as 14 days after exposure. COVID-19 can be transmitted through close contact (within 6 feet) with an infected person, through respiratory droplets produced when an infected person coughs or sneezes, and by touching a surface or object that has SARS-CoV-2 on it then touching their own mouth, nose, or possibly their eyes. Although asymptomatic transmission is possible, people are considered to be most contagious when they are symptomatic.

Visit Coronavirus Disease 2019 – Transmission for up-to-date information on COVID-19 transmission.

Occupational Health and Safety Administration (OSHA) defines medium exposure risk jobs category as follows: include those that require frequent and/or close contact with (i.e., within 6 feet of) people who may be infected with SARS-CoV-2, but who are not known or suspected COVID-19 patients. In areas without ongoing community transmission, workers in this risk group may have frequent contact with travelers who may return from international locations with widespread COVID-19 transmission. In areas where there is ongoing community transmission, workers in this category may have contact with the general public (e.g., schools, high-population-density work environments, some high-volume retail settings). Guidance on Preparing Workplaces for COVID-19

Infection Prevention Measures

Cleaning

  • Routine cleaning and disinfecting of surfaces, equipment, and other elements of the work environment.
    • Main entrance and member entrance door handles – at the beginning of every hour.
    • Bathroom door handles and faucet handles – at the beginning of every hour
    • Consult and meeting room door handles and light switches – after every booking
    • Coworking tables and applicable seating – as needed
  • End of day cleaning procedures:
    • Steam cleaning soft surfaces, as needed
    • Disinfecting high traffic surfaces, ie. door handles, sink faucets, light switches, countertops, tabletops, and chairs
  • Class procedures:
    • Classes will continue virtually through June 2020.
    • When classes resume, students are encouraged to bring their own props. Mats, straps, cork blocks, and bolsters are available for purchase on our website.
    • Classrooms will be disinfected after each class:
      • Floors will be mopped with one time use cleaning pads
      • Door handles and electronic switches will be disinfected
      • Mats and straps that belong to PW will be placed in a receptacle for end of day cleaning.

Occupancy and Space Sharing

  • No more than 6 people should be in the lobby/community space at any given time. 
  • Everyone should practice social/physical distancing of at least 6 feet.
  • Common area furniture will be arranged to allow 6 feet of distance, easy access to hand washing stations, and safe traffic flow through our space.
  • Seated waiting areas will be spaced to allow 6 or more feet between each seat.
  • Clients should wait in their car until a Practice Works wellness provider notifies them to enter the building for their appointment. They are highly encouraged to wear a protective face mask when entering Practice Works and traveling through the common areas.
    • Practice Works wellness providers are responsible for communicating waiting procedures to their clients.
  • Coworking spaces will provide ample space (minimum 6 feet) between each coworker. 
  • All coworkers, members, and staff should refrain from sharing other workers’ phones, desks, offices, or other work tools and equipment, when possible.
  • Food and Drink – Visitors should not bring in food or drink items. A water bottle with a lid is allowed for use with our touchless/sensor activated water fountain.
  • Members and staff are discouraged from bringing food or drinks without a lid into the building.

Hygienic Practices

  • Frequent and thorough hand washing is strongly encouraged. Hand washing guides will be posted near each hand washing station.
    • Use the sensor activated soap dispenser and wash for 20-30 seconds.
    • Use a clean paper towel to turn the water off.
    • Use a clean paper towel to open the door as you exit the bathroom.
  • An alternative to hand-washing, alcohol-based hand rub containing at least 60% alcohol will be provided when possible.
  • Respiratory etiquette is strongly encouraged, including covering coughs
    and sneezes.
  • One-time use of tissues and immediate disposal is strongly encouraged.
  • All Practice Works staff and members will wear face coverings while at Practice Works. Visitors and guests are strongly encouraged to wear face coverings.
    • A face covering may be required for individual sessions with Practice Works’ wellness service providers. Please contact your wellness service provider for information regarding individual appointments.
    • Face covering or mask is defined as a device to cover the nose and mouth of a person to impede the spread of saliva and other fluids during speaking, coughing, sneezing or other intentional or involuntary action. Medical grade masks are not required; coverings may be fashioned from scarves, bandanas or other suitable fabrics. The mask must cover the nose and mouth of the wearer.

Identification and Isolation of Sick People, If and When Appropriate

  • Members and staff are encouraged to self-monitor for signs and symptoms of COVID-19 if they suspect possible exposure, and stay home if they are experiencing symptoms or feeling sick.
  • Staff and members should report if they are experiencing symptoms of COVID-19. Call and/or email us at 205-506-6100 or  [email protected] 
  • If someone develops symptoms of COVID-19 on the premises, they should self-isolate immediately, and then let a member of PW staff know so that we can warn others to clear a path so the symptomatic individual can leave the building as soon as possible. The symptomatic individual is encouraged to get tested for COVID-19 and self-quarantine until results are received. The symptomatic individual is encouraged to provide detailed information about all members, rooms, and surfaces that they interacted with at Practice Works so that immediate cleaning and sanitization can be done. Anyone who shared close contact or surfaces with the symptomatic individual should begin self-monitoring for symptoms and will be encouraged to self-quarantine until they can get tested.

Specifications for Wellness Professionals:

*All wellness professional members are responsible for making sure they are following all appropriate guidelines issued by state and federal officials.

Potential Protective Measures Outlined by Lt. Governor Ainsworth’s Reopen Alabama Responsibly Report:

Close Contact Service Providers:

  1. Use ALL disposable materials & supplies according to Alabama Health Department rules.
  2. Services will be provided by appointment only; no walk-in customers.
  3. Post a sign outside the front door/window that states that any customer who has a fever or other COVID-19 symptoms must reschedule their appointment.
  4. Businesses will limit the number of clients in the store.
  5. No persons will be allowed to wait in the store; customers will wait in car until service provider is ready.
  6. All employees will wear face masks.
  7. Employees will wear protective gloves. (excluding massage therapy – need to be in a private service room).
  8. Require customers to wash hands and sanitize prior to receiving massage.
  9. Consent form – Have you been exposed? Have you traveled recently? Have you had a fever? Agree to voluntary consent for services? etc.
  10. Employees should have temperature taken upon beginning each workday.
  11. Employees should wear a disposable lab-coat or protective gown.

Physical Therapy:

  1. Patients who have a fever, cough, or any signs of sickness must reschedule their appointment.
  2. The waiting room area will be closed to the general public. Patients will call the office upon their arrival and will be escorted by staff into the therapy room when the therapist is ready to treat the patient.
  3. All therapists and staff will wear face masks and gloves.
  4. Protective shields will be installed at the check-in, check-out, and point of sale areas.
  5. Patients will be encouraged to wear face masks
  6. Staff will receive training in the correct use of PPE and prevention of contamination of clothing, skin and environment.
  7. Staff will perform stringent and enhanced sanitation measures between patients.
References:

Safer at Home order effective April 30th, 2020 at 5:00PM Central Standard Time. 

https://www.jcdh.org/SitePages/Misc/PdfViewer?AdminUploadId=744

OHSA 

https://www.osha.gov/Publications/OSHA3990.pdf

City of Birmingham Ordinance, effective May 1st, 2020

https://www.birminghamal.gov/2020/04/28/city-of-birmingham-to-require-face-coverings-effective-may-1/

Centers for Medicare and Medicaid Services (CMS)

https://www.cms.gov/files/document/covid-flexibility-reopen-essential-non-covid-services.pdf

Centers for Disease Control (CDC)

https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html

https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html

Lt. Governor, Will Ainsworth’s Reopen Alabama Responsibly Report (includes recommendations)

https://ltgov.alabama.gov/wp-content/uploads/2020/04/Reopening-Alabama-Responsibly-Phase-1.pdf 

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