The Performance Physio takes your health and safety seriously. This Policy outlines how we will manage face to face consultations during the coronavirus restrictions.
Infection Control Prevention Protocol
Face to Face Consultations
Paul Williamson is a Chartered Physiotherapist with CSP Public Liability insurance (PLI).
The Performance Physio private practice has completed an environmental risk assessment following Public Health England (PHE), Chartered Society of Physiotherapy (CSP) and the Health Care Professions Council (HCPC) guidelines for infection prevention and control in private practice.
Use of Personal Protective Equipment (PPE) will be used during any face to face consultation. (Appendix One).
There will be a clinically reasoned decision to offer a face-to-face consultation, in the first instance there will be a remote ‘Virtual’ consultation to discuss options. We can offer this via telephone or video such as skype, zoom, whatsapp. We will make a joint decision on whether a face-to-face consultation will benefit you and we discuss the risks of a face-to-face appointment. A face-to-face appointment will only be offered if you agree, and consent will will be documented.
All patients will be screened for Covid symptoms prior to a visit (Appendix Two) during the remote telephone or video consultation.
You are advised not to attend if you have had a new continuous cough, fever, high temperature above 37.8°C, or a loss of, or change to your sense of smell or taste, or are self isolating, or you have been identified as within a vulnerable population.
The Performance Physio will lower clinical capacity and stagger appointment times to ensure social distancing rules can be maintained during appointments.
Hand sanitising / washing procedures will be displayed and all patients are required to wash / sanitise their hands on arrival.
The Performance Physio has completed a process for infection prevention and control, including disposal of PPE, cleaning products and laundry (Appendix Three).
All payments to be made via bank transfer
Use of Personal Protective Equipment (PPE)
This guidance is issued jointly by the Department of Health and Social Care (DHSC), Public Health Wales (PHW), Public Health Agency (PHA) Northern Ireland, Health Protection Scotland (HPS), Public Health England and NHS England as official guidance. The Health and Safety Executive (HSE) has also reviewed the PPE guidance and have agreed the appropriate sessional use of PPE.
Single use disposable gloves
Single use disposable plastic apron
Sessional or single use Fluid-Resistant (Type IIR) Surgical mask
Sessional or single use eye/face protection
Aprons and gloves are subject to single use as per Standard Infection Control Precautions (SICPs), with disposal and hand hygiene after each patient contact.
Fluid-resistant (Type IIR) surgical masks (FRSM) and eye protection can be subject to single sessional use. A single session refers to a period of time where a health and social care worker is undertaking duties in a specific clinical care setting or exposure environment.
Patient Coronavirus Pre-Screen
Symptoms of coronavirus (COVID-19)
The most common symptoms of coronavirus (COVID-19) are recent onset of one or both of the following:
New continuous cough
High temperature (above 37.8°C)
Change to your sense of smell or taste
If a clinician determines it is necessary to see a patient face-to-face, they must discuss the risks of this contact with the patient, and the measures that will be taken to mitigate risk, and gain their consent for treatment.
While public information on COVID-19 is extensive a clinician should not assume that a patient understands:
The mechanisms and risks of transmission and exposure
The nature of close patient contact during a physiotherapy consultation
The level of PPE that a clinician will be required to wear
The infection prevention and control measures that must be taken
CSP duty of care – https://www.csp.org.uk/publications/duty-care.
Infection Prevention and Control & Cleaning Process
Cleaning of the physiotherapy practice will be completed between every patient contact. The areas to be cleaned include waiting area and toilet, rehabilitation area and clinical room.
Specific attention towards high contact areas such as door handles, seating, clinical and rehabilitation equipment.
Areas will be initially cleaned with clean soap water followed by a suitable disinfectant to all noted surfaces and clinical / rehabilitation equipment within the facility.
Cleaning will be conducted wearing suitable disposable gloves and apron and use of disposable cloths and mop heads.
All PPE and disposable cleaning products will be double bagged and stored appropriately for 72hours prior to disposal within regular waste removal.
All uniforms will be washed on the warmest setting, separately from other household linen.