COVID-19 Preparedness Plan
Correct Care Family Chiropractic
31395 W. Seven Mile Rd., Suite G, Livonia, MI 48152
COVID-19 Re-opening Operations and Preparedness Plan (REOPP)
May 27, 2020
Correct Care Family Chiropractic is committed to providing a safe and healthy workplace for all our workers. To ensure that, we have developed the following Re-Opening Operations and Preparedness Plan in response to the COVID-19 pandemic. Managers and workers are all responsible for implementing this plan. The goal is to mitigate the potential for transmission of COVID-19 in our workplace and provide for the safety and security of employees and customers. Both management and workers are responsible for implementing and complying with all aspects of this Re-Opening Operations and Preparedness Plan. Correct Care Chiropractic managers and supervisors have our full support in enforcing the provisions of this policy. We are committed to the health and safety of the employees and public at Correct Care Chiropractic. This Re-Opening Operations and Preparedness Plan follows the Centers for Disease Control and Prevention (CDC) and Michigan Department of Health and Human Services (MDHHS) guidelines and federal OSHA standards related to COVID-19 and addresses:
• Hygiene and respiratory control
• Engineering and administrative controls for social distancing
• Cleaning, disinfecting and decontamination
• Prompt identification and isolation of sick persons
• Communications and training that will be provided to managers and workers
• Management and on-going maintenance necessary to ensure effective implementation of the plan.
SCREENING EMPLOYEES FOR SIGNS AND SYMPTOMS OF COVID-19
In following the Wayne County Department of Health, Human and Veterans Services Executive Order 2020-02, workers are encouraged to self-monitor for signs and symptoms of COVID-19. Based on this Executive order, the following policies and procedures are being implemented to assess workers’ health status prior to entering the workplace and for workers to report when they are sick or experiencing symptoms. Employees shall complete an assessment questionnaire prior to each shift, including symptoms and temperature check.
- Employees experiencing a temperature of 100.4 or higher, or who are experiencing any new cough or shortness of breath should contact their immediate supervisor prior to the start of their shift. Employees who begin to experience any of the above symptoms during their work shift should notify a supervisor immediately.
- Patients experiencing a temperature of 100.4 or higher, or who are experiencing any new cough or shortness of breath should contact primary care physician.
- They have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND
- All employees will have their temperature checked with an infrared non-touch thermometer as they enter the building for their shift. Any employee with a temperature higher than 100.3°, or who is experiencing any new cough or shortness of breath will be required to leave the building immediately. Employees who have demonstrated the above symptoms may return to work under the following conditions:
If the employee has not had a test to determine if they have COVID-19, they may return to work after these three things have happened:
1. They have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND
2. Other symptoms have improved (for example, when their cough or shortness of breath have improved) AND
3. At least seven days have passed since their symptoms first appeared.
If an employee has tested positive for COVID-19, they may return to work after these three things have happened:
- They no longer have a fever (without the use of medicine that reduces fevers) AND
- Other symptoms have improved (for example, when their cough or shortness of breath have improved) AND
- They received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines.
Employees who have been tested and determined not to have contracted COVID-19 should stay home until at least 24 hours after they are free of fever, or signs of a fever without the use of fever-reducing medications.
Correct Care Family Chiropractic has implemented leave policies that promote workers staying at home when they are sick, when household members are sick, or when required by a health care provider to isolate or quarantine themselves or a member of their household. Employees requiring time off for self quarantine will be furloughed, so they can receive Covid – 19 unemployment benefits. Accommodations for workers with underlying medical conditions or who have household members with underlying health conditions have been implemented. Employees requiring time off to take care of family members due to Covid – 19 infection or susceptibility will be furloughed so they can receive Covid – 19 unemployment benefits. Correct Care Family Chiropractic has also implemented a policy for informing workers if they have been exposed to a person with COVID-19 at their workplace and requiring them to quarantine for the required amount of time. Notification of any Covid – 19 exposure to an employee or patient will be made in person, without disseminating the exposing person’s name and health information (according to HIPAA protocol). The exposed employee will be furloughed as to receive Covid – 19 unemployment benefits. In addition, a policy has been implemented to protect the privacy of workers’ health status and health information. All employees’ health status and information will be treated as if the employee was a patient in this office, and that information will be handled by HIPAA protocol.
SCREENING PATIENTS FOR SIGNS AND SYMPTOMS OF COVID-19
In following the Wayne County Department of Health, Human and Veterans Services Executive Order 2020-02, everyone is encouraged to self-monitor for signs and symptoms of COVID-19. Based on this Executive order, the following policies and procedures are being implemented to assess workers’ health status prior to entering the workplace and for the public to report when they are sick or experiencing symptoms.
- All patients will have their temperature checked with an infrared non-touch thermometer as they enter the building for their appointment. Any patient with a temperature higher than 100.3°, or who is experiencing any new cough or shortness of breath will be required to leave the building immediately. Patients who have demonstrated the above symptoms will be asked to seek medical evaluation with their primary care physician:
If the patient has not had a test to determine if they have COVID-19, they may return to the office after these three things have happened:
2. Other symptoms have improved (for example, when their cough or shortness of breath have improved) AND
3. At least seven days have passed since their symptoms first appeared.
If a patient has tested positive for COVID-19, they may return to the office after these three things have happened:
- They no longer have a fever (without the use of medicine that reduces fevers) AND
- Other symptoms have improved (for example, when their cough or shortness of breath have improved) AND
- They received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines.
HYGIENE AND WORKPLACE SAFETY
Basic infection prevention measures are being implemented at our workplaces at all times. Workers are instructed to wash their hands for at least 20 seconds with soap and water frequently throughout the day, but especially at the beginning and end of their shift, prior to any mealtimes and after using the toilet. Hand sanitizer is available at all work stations and throughout the building, and may be used if hands are not visibly soiled. Two reusable face masks have been supplied to all employees. Employees are required to wear employer provided masks and gloves at all times while in the building.
Respiratory Protection
Workers and visitors are being instructed to cover their mouth and nose with their sleeve or a tissue when coughing or sneezing and to avoid touching their face, in particular their mouth, nose and eyes, with their hands. They should dispose of tissues in the trash and wash or sanitize their hands immediately afterward. Respiratory etiquette will be demonstrated on posters and supported by making tissues and trash receptacles available to all workers and visitors.
Social Distancing
All reception area workstations have been separated from patients by Plexiglas partitions. Employee workstations are a minimum of six feet apart, and station duties have been redesigned in order to ensure that employees are a minimum of six feet apart, whenever possible. Additional shifts have been added to allow for fewer employees in the office at one time. Hallways have been marked as one-way, with additional markers added for patients ensure that distancing is taking place. Appointment times have been increased to allow for fewer patients in the building at one time. The number of waiting room chairs has been reduced per distancing guidelines.
Workers and visitors are prohibited from gathering in groups and confined areas, and from using other workers’ personal protective equipment, phones, computer equipment, desks, cubicles, workstations, offices or other personal work tools and equipment.
Cleaning and Sanitizing
Sanitizing practices are being implemented, including routine cleaning and disinfecting of work surfaces, equipment, tools and machinery, and areas in the work environment, including restrooms, break rooms, lunch rooms and meeting rooms. Frequent cleaning and disinfecting will be conducted in high-touch areas, such as phones, keyboards, touch screens, controls, door handles, elevator panels, railings, copy machines, etc. Sanitizing and cleaning is the responsibility of all employees and should be done on a constant basis. Our office is cleaned and sanitized with EPA approved products, according to the attached schedule. Implementation this Operations and Preparedness Plan was provided to all workers on May 11th, 2020 and necessary training was provided. Additional communication and training will be ongoing and provided to all workers who did not receive the initial training. Managers and supervisors are to monitor how effective the program has been implemented by weekly review of procedures. Management and workers are to work through this new program together and update the training as necessary. This Preparedness Plan has been approved by Correct Care Chiropractic management and was posted in our COVID-19 manual.
James Kravis DC
President
May 11th, 2020
*Individual Doctors' schedules may vary. Appointments are subject to availability. Please call ahead for your appointment.
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