Emergency / red flag – directed to appropriate medical services
Maintenance treatment / low grade injury – prescribed exercises and advised to speak to pharmacist about off the shelf pain relief and return when that is permitted
Urgent persistent symptoms that appear of mechanical origin and interfere with them performing their daily tasks – asked whether personally or close contact with person with Covid 19 symptoms in last 14 days. Asked whether has received a letter telling them to shield. If no then appointment booked
Appointments will be offered 08:00-12:00 and 16:00-20:00 Monday Wednesday Friday initially and follow-up appointments will generally run to 30 minutes with 30 minutes to clean and air the room between patients.
Patients will be asked to respond to their patient booking email to confirm their understanding of the risks and their assent to wear PPE and not generate specified unnecessary risks
Patients have been asked not to arrive more than 5 minutes early to avoid using the waiting room, on arrival they will press the buzzer
Osteopath will be wearing freshly laundered tunic, new mask (fluid repellent), apron,
Osteopath will have a fresh mask for the patient which they will be asked to don before entering
Buzzer wiped with isopropyl
Patient asked not to touch door handles on way through
Patient to wash hands for 20 secs
Osteopath does same and dons gloves
Interview patient 2m distant and minimising chat
couch without cover and waterproof pillow
treatment largely for urgent area with reduced treatment for other minor insults or minor contributing factors
treatment likely to be 30 mins or less
If treatment is over face or involves forced expiration of air then visor used
Patient pays by card/app only – terminal wiped with alcohol if pin necessary
Osteopath removes gloves and places in bin
Osteopath opens doors for patient to leave
Osteopath cleans room including equipment, floor and visor as necessary with appropriate detergents and opens windows to ‘blow through’ for 20 minutes. Osteopath cleans surfaces in toilet if used by patient
Osteopath removes PPE and bins it - bags must be dated and kept for 72 hours before disposal in waste.
Osteopath takes home tunics in pillow case which is laundered with tunics at 60'