COVID-19 Risk Assessment and Procedures

This policy has been drafted in line with and based on guidance from GOV.UK  as of May 25th and the Chartered Society of Physiotherapy (CSP) to ensure that all operations and procedures carried out by The Bike The Body are Covid-19 Secure. Updated August 30th.

 

These guidelines will be regularly reviewed and updated in line with any changes to current government policy for managing risk associated with Covid-19. 

Risk Assessment Considerations

Therapist Health

  • I (Bryan McCullough) declare that I do not have any symptoms of Covid-19 nor have I been in contact with anyone who has symptoms of Covid-19 or is self isolating. 

  • Should there be any change to the above circumstances, all face to face appointments will be cancelled. Clients will be notified and refunded for their appointment charge if they have already paid. 

  • I will get tested for Covid-19 to establish if contact tracing needs to be carried out. 

  • If I test positive I will then complete the required period of self isolation (minimum 7 days) and will not return to work until I am completely symptom free. 

Information and Communication

  • All prospective clients will be required to complete and return a Covid-19 Screening Questionnaire to ensure they or anyone in there household are not currently symptomatic, isolating or have been advised to shield. 
  • If ‘YES’ is answered to any question on this screening, face to face treatment will not be deemed appropriate and virtual consult will be offered instead.
  • Appointments will also not be taken for those that have recently travelled abroad until they have completed 2 weeks of self-isolation and are completely without symptoms. 

  • Prior to any face to face appointment, triage via email or telephone will be completed. Its aim is to establish if the appointment could be carried out virtually instead or if not, that a face to face appointment is appropriate and can safely meet the guidelines laid out in this document for both client and staff.

  • The following factors are considered Covid-19 High Risk Red Flags and face to face appointments will not be taken if any are present, the option of virtual appointments will instead be offered:

    • Age > 70

    • BMI >40 (significantly overweight)

    • Weakened immune system

    • Comorbidities that cause immunosuppression:

      • Diabetes

      • HIV/AIDS

      • RA

      • Pre-existing infection

      • Alcohol abuse

      • Smoking

      • Long term steroid use

      • People with known cancer diagnosis and currently having active treatment.

  • If a client develops symptoms following a consultation they are asked to notify The Bike The Body so suitable contact can be made to any other clients that may be affected.

  • Further reference to this information will be contained within confirmation and reminder emails to ensure patients maintain their role and responsibility surrounding Covid-19 infection control. 

  • The patient will be reminded that despite the measures put in place that there is still a small risk of covid-19 infection transmission and must agree and consent to this. 

 

Environment

Home Visits

  • There must be adequate space to set up either a treatment table or bike fit turbo trainer in a room or space that will not require any other members of the household to pass through during the session. 

  • Patients are asked to be wearing a face-covering (mask) prior to the arrival of the clinician.

  • Where possible it will be requested that a window / door be opened to allow circulation of fresh air. 

  • Social distancing will be adhered to at all times during appointments where practical

  • If possible, bike fitting (as part of physiotherapy assessment and treatment) will be carried out in the client's garden to provide greater space and circulating air.

In Clinic Appointments

  • A single entry system will be in place whereby each patient will notify their arrival for appointment by text message and must remain in their car or outside the building until met at the door by the treating therapist. 

  • Patients will be requested to be wearing a mask on arrival at the clinic before entering the building. 

  • Patients will then be required to wash their hands with soap and hot water and use the alcohol gel provided prior to commencement of the appointment. 

  • A block will be placed before and after each appointment to allow for the clinical room to be completely cleaned and disinfected at all areas in patient contact.

  • During this blocked period the clinic room door will be left open with a fan switched on to allow free flow of fresh air to circulate. 

 

PPE

  • Prior to commencement of any treatment, hands will be washed with soap and hot water followed by hand sanitiser (containing >60% alcohol) and the following pieces of PPE will be used. 
    • Disposable gloves (donned first)
    • Disposable apron

    • Surgical face mask. 

    • Eye coverings (goggles)

  • PPE will be disposed of on site with prior permission or removed from the premises via waste bag.

  • It is understood that the addition of PPE merely reduces risk of transmission rather than mitigates the risk altogether, as such attention will be paid to all other ways to manage risk, such as rigorous hand washing, social distancing etc.

 

Equipment

  • All equipment will be thoroughly cleaned with disinfectant between each use
  • Any single use equipment will be disposed of either on site (if pre arranged) in in waste to be removed following appointment. 
  • Any equipment provided to the client (e.g tape, exercise bands) will all be brand new and in its original packaging. 

 

Hand Washing

  • Rigorous hand washing will be completed before and after every appointment.
  • Access to hot water will be arranged in advance (anti-bacterial soap will be provided) with each household visited. Where this is not possible hand sanitiser (containing >60% alcohol) will be used.

 

Payment

  • Where possible all payments will be completed via online transaction to avoid the need for handling monies. 

Source Material

  • Gov.uk

  • CSP.org.uk

  • Public Health England

Please see the following link for the latest guidelines from the Government.

https://www.gov.uk/coronavirus 

COVID-19 - Face to Face appointments are now available but we continue to operate a virtual first priority.

The Bike The Body

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Equilibrium Natural Health Centre 

23 Leafield Way
Corsham SN13 9RS

info@thebikethebody.com

© 2020 The Bike The Body, Corsham UK