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COVID-19 Infection Prevention Policy

Dr. Waroich's Infection Precaution Policy

In a COVID-19 Environment

June 27th, 2020

                                                                                              

Please note, our office is open for appointments. Let us know if you have any emergencies or extra concerns. We may recommend a preliminary telephone/video consultation to prepare for your visit.

 

In order to keep you and our community safe in our setting of the ongoing COVID-19 outbreaks, we have added to our usual and already-in-place infection control measures.

 

A)      We have added medical grade air purification devices throughout the office, increased wipe downs for every contact with patients, delivery personnel, or restricted visitors. We still employ the foundational usual barriers and surface decontamination in treatment rooms, sterilizing area, and lab, but have added treatment specific high volume suction devices, intra and extra orally, along with a disinfecting fogger, UVC sessions, and air scrubber devices.

 

B)      Office access is physically controlled by keeping the door locked, until the identified person is let in. Infection prevention supplies and a no-touch thermometer are at the waiting room’s entrance.

 

C)      Currently, there is a shortage of N95 respirator masks, among other types of PPE prescribed by the CDC for all aerosol producing treatments. All scheduled procedures are being screened to see if an aerosol environment is likely to be produced. If so, then scheduling takes place when and for as long as, we have the proper equipment. We will postpone or making alternative arrangements as needed. We are checking with medical suppliers frequently.

 

D)      Communication is essential so please update your contact information - email, cell #, home #, address. It is very helpful if you state your first preference for how to be contact, but make sure that we have backup contact ways too. You may leave this information by email, through messaging in this secure web portal, or as the last choice, by leaving a slowly spoken message on our office phone.

 

E)       We are actively screening all staff, patients and restricted visitors for recent illness. Deliveries are quarantined for three days, or disinfected immediately if refrigeration or immediate use is needed. We ask that you consider the following screening questions when making an appointment with us.        

 

1.       Have you had any of the following symptoms: headache, fever, cough, shortness of breath, any loss of taste or smell, fatigue, muscle/body aches, congestion, runny nose, nausea, diarrhea, vomiting, sore throat, at any time within the last 14 days?

 

2.       Have you had contact with a person with known or suspected COVID-19, at any time within the last 14 days? Contact as defined here can mean more than a few minutes in an enclosed area, or within 6 feet/2 meters.

 

3.       Have you traveled recently where you could not socially distance, by public transportation or to a geographic area affected by COVID-19 at any time within the last 14 days? Areas of concern are now defined as all areas reporting local transmissions of COVI-19 with a 5% or greater COVID-19 positivity rate .

 

If you answered YES to any of the 3 questions above, please call our office so that we can make special arrangements for your care. Below are the general precautions we will be taking for any patient who screens positive. Though some non-emergency treatments may need to be rescheduled due to these precautions, any emergency needs will always be cared for. We thank you for helping us in these public health efforts.

 

Anyone who answered YES to Question 1 only:

Sick + No COVID-19 History or Exposure:

• Normally we would reschedule your dental appointment, 24 hrs after your symptoms resolve. However, given that COVID-19 is a current concern, we strongly feel you should seek the advice of your physician. Because of the nature of dental procedures, please provide a medical note if you seek medical care prior to your appointment stating that you have been evaluated for your symptoms and are not suspected to have COVID-19. If you are unable to do so we may need to reschedule your appointment for at least 14 days after your last symptoms.

 

Anyone who answered YES to Questions 1 and Question 2 or 3:

Sick and COVID-19 Exposure:

• Due to your symptoms and recent contacts/travel, we will need to reschedule your dental appointment. If you have not already done so, you should contact your physician or seek medical care immediately as you will need to be evaluated for possible COVID-19 as per CDC and Public Health guidelines. You will need to provide a medical note prior to your rescheduled appointment stating the following: that you have been evaluated for COVID-19, the results of this testing, that it is safe to undergo aerosol generating procedures under standard, non-COVID-19 isolation precautions, and proof of clearance of the virus if you tested positive initially.

 

Anyone who answered YES to Question 2 or 3 only:

COVID-19 Exposure + Not Sick Currently:

• Due to your recent contacts/travel, we will need to reschedule your dental appointment for 14 days after the time of your last possible COVID-19 contact or travel. We advise you to make your physician aware of your recent contact or travel as they may recommend that you monitor yourself closely for symptoms over the next 14 days. If you do develop any of the symptoms listed above within this time period, contact your physician immediately as you should be evaluated for possible COVID-19 as per the CDC's guidelines. Please also contact our office again if this occurs, as your appointment may need to be rescheduled.

 

Did you answer YES to any of the 3 questions and you are concerned that you need emergency care?

• We are here to help. Please call the office 202-296-8020 to discuss how we will care for you.

 

*When to seek immediate emergency care*.

Do you currently have trouble breathing, persistent pain or pressure in the chest, new confusion, inability to wake or stay awake, bluish lips or face?

If you answered yes to any of the following, go immediately to the emergency room. They should be called on the way.

 

 

Contributor: Dr. Jozal Waroich, MD

Resources:

https://www.cdc.gov

https://www.cdc.gov/niosh

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

-2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (PDF). Centers for Disease Control and Prevention (published July 2019). 2007. pp. 55–56. Retrieved 9 February 2020.

-Global Surveillance for COVID-19 disease caused by human infection ...

https://apps.who.int/iris/rest/bitstreams/1270873/retrieve

 

 

Dr. MJ Waroich                                                         202-296-8020

1712 I St. NW, Ste 900                                             www.mjwaroichdds.com

Washington, DC 20006                                            admin@mjwaroichdds.com