COVID-19 Information Roundup
Thursday, May 28, 2020
Posted by: Leah Konieczka
The OANP has been working hard to provide our Oregon NDs with COVID-19 resources. Please visit our COVID-19 webpage for more information and support. If there are materials or information that you need OANP to assist with, email email@example.com.
The following list includes a handful of important updates and resources to be aware of this month:
1. Reopening Recommendations:
On April 14th, 2020, Governor Brown announced a public health framework for resuming non-emergent and elective procedures requiring personal protective equipment (PPE) that were cancelled as a result of Governor Brown’s Executive Order No. 20-101. This plan outlines discrete steps and guidelines for step-by-step reopening to maintain a safe environment for patients and employees in their facilities.
View Guidance for Oregon Naturopathic Physicians Regarding COVID-19 Clinical Protocols
2. Informed Consent for Telemedicine
Telemedicine involves the use of electronic communications to enable health care providers at different locations to share individual patient medical information for the purpose of improving patient care. Providers may include primary care practitioners, specialists, and/or subspecialists. The information may be used for diagnosis, therapy, follow-up and/or education.
View OANP Sample Informed Consent for Telemedicine Services
3. FTC and Oregon DOJ Actions:
The AANP and OANP have been working with NDs that have received warning letters from the FTC for making claims to prevent, treat or cure COVID-19 that the FTC asserts are unlawful advertising.
These letters can have very serious repercussions. If your clinic has been contacted by ANY regulatory authority, whether local, state or federal, please help us analyze patterns of what triggers these actions by sending the letter you received, as well as any supporting materials to firstname.lastname@example.org or email@example.com.
Please click below to read an update about what’s happening, what the AANP is doing about it, and what NDs and your staff need to know to protect yourself and your community.
Read AANP's Update About FTC Warnings
4. PPE Resources and Guidance for Naturopathic Clinics
Keeping up with COVID-19 information from the AANP, OANP, OSHA, CDC, FDA and OHA can be overwhelming. We have too much information and not enough at the same time. Personal protective equipment (PPE) has been an important topic for health care providers (HCP). This is a new environment with ever changing rules.
There are several factors to consider when making PPE protocols for our clinics, especially for respirators or masks:
1. Follow OSHA guidelines.
2. Healthcare providers have different PPE requirements than patients.Cloth masks or equivalent face coverings are not considered PPE.
3. Prioritize the appropriate level of PPE used by the type of procedure,not the risk factors of individuals. The FDA with the CDC has guidance on masks here.
N95 Respirator –
- Not for use by the general public
- An initial fit test at an approved location, then annually, is required before use
- Electrostatic barrier requires special care during reprocessing
- Recently removed from the FDA approved respirator list
- Should be considered equivalent to a procedure mask
Level 3 procedure mask / surgical mask / face mask–
- Adequate for use by HCP in many non-emergent clinical settings
4. OSHA guidelines for job exposure risk and appropriate PPE use
Very High Risk –Aerosol-generating procedures and exams on known and suspected COVID-19 individuals or procedures where respiratory secretions are likely to be poorly controlled such as: surgery, cardiopulmonary resuscitation, intubation, extubation, open suctioning of airways, bronchoscopy, nebulizer therapy, sputum induction.
- PPE – N95 Respirators: prioritize new, unexpired and NIOSH approved. Gloves, gown, face shield and eye protection
High Risk –Health care of known or suspected Covid patients: entering rooms, care requiring close contact (within 6 feet).
- PPE – Gloves, a gown, a face shield or goggles, and either a face mask or a respirator, depending on their job tasks and exposure risks.
Medium Risk –Close contact within 6 feet of people who may be infected in an area where there is ongoing community transmission.
- PPE – Some combination of: gloves, gown, face mask or shield or goggles. This is based on the employer’s hazard assessment and the types of exposures workers have on the job.
Lower Risk –Do not have frequent close contact with co-workers, customers, or the public.
- PPE – Additional PPE is not recommended. Workers should continue to use the PPE, if any, that they would ordinarily use for other job tasks. Cloth masks may be appropriate in following the CDC guidelines.
5. Prepare for potential PPE shortages. Clinics should have a PPE reprocessing plan in place.
Oregon Guidance for Healthcare Personnel on Use of PPE in Resource-Constrained Settings
6. Other considerations:
- Proper donn and doff technique
- Do not touch mask during use
COVID-19 safety guidelines are continually changing. It is important to make every effort to prevent transmission, keep clinic staff and patients safe and preserve PPE.
Submitted by Melissa Shays ND, LAc, CISSN
HRCHD PPE Task Force, Communication Liaison
Goggles for Docs, Oregon Regional Coordinator
5. OHA Recommended PPE Resources
View the list of PPE manufacturers or distributors sources.