April 18th, 2020

Good day,

I hope everyone is keeping safe and healthy during this pandemic. Since the mandated shut-down of public health care providers, the CMTNL has continued to work with the Health Regulators Network on a weekly basis. As everything has stayed status quo we understand that members are faced with uncertainty as to what’s next and when will things change. We are currently in communication with Department of Health and Community Services and the Health Regulators Network about the next steps to allow public health providers to provide essential services. There are a considerable amount of details to work out should this comes into effect. As for now everything remains the same and the CMTNL will continue with a weekly update to keep our registrants informed of what work is happening behind the scenes. To date, there are NO changes to report.

If at any time you may have any concerns or questions, please reach out to us. As we navigate through these uncharted waters, we want our registrants to know that we are keeping the public’s safety and the safety of our RMT’s our main priority.

Keep safe,

Jessica Moore

CMTNL Chair

March 24th, 2020

In light of today’s News Conference with Chief Medical Officer Dr. Janice Fitzgerald, we are issuing a mandated stop work order of ALL practitioners immediately. This is something that we have been working on since last week and have finally been given the directive. I know this is unprecedented times and this will bring about a lot of hardship for your clientele as well as yourself. Please consider putting homecare plans in place for those clients that need it as we have no time frame for when this directive will be changed.

This means all treatments as of today and thereafter should be cancelled until the stop work order is lifted. Please stay safe, stay informed and stay inside. Now is the time to do our part and flatten the curve.

Impact of COVID-19 on regulatory requirements

Standard First Aid and CPR – extensions for recertification

RMTs whose SFA/CPR certification expires before the end of April 2020 are asked to send an email to registrar@cmtnl.ca with the subject line, “SFA/CPR expiring – COVID-19” and your full name. CMTNL will retain your email on file to ensure that it does not impact your Active status.  SFA/CPR training must be completed hands-on, not online or via webinar. If such training is unavailable to you at this time due to COVID-19, CMTNL expects you to recertify once training is again available, and to update your registrant profile accordingly.

CMTNL office closed to the public

March 23rd, 2020

Due to COVID-19 and the need to maintain social distancing, CMTNL’s office is closed to the public until further notice.  The CMTNL Registrar and Board are working remotely, and will continue to respond to incoming messages and queries. We appreciate your patience as we continue to adapt to changing circumstances and a higher than usual number of enquiries.

UPDATE COVID -19

The Department of Health and Community Services as stated that they have concerns about members of the public not properly following self-isolation measures after returning from travel abroad, making it very hard for practitioners to determine the risk for transmission.  And due to the nature of our profession it in not possible to maintain a safe social distance. Our professional liability insurance has released a statement saying that if a client claims they were infected by the virus while in your care you will not be covered.

With this in mind, the CMTNL is now recommending that RMTs consider suspending all non-essential services to the public. This will essentially suspend clinic operations with the exception of the services to patients that would experience a significant exacerbation of symptoms or significant deterioration of their condition in the absence of care. We are also recommending the following:

  • Clinics should not hold regular clinic hours, also making sure to scheduling at least 15
  • Minutes of time between the end of one appointment and the beginning of the next to allow for proper clinic disinfection and to create social isolation measures where at all possible.
  • Following any patient visit, RMTs are encouraged to spray any contacted surfaces with a disinfecting solution and to follow the instructions contained on the product with respect to Disinfection for viruses such as COVID-19. For reference,disinfect with a 10% bleach solution can take 5-10 minutes of wet surface contact to be effective so please use appropriate discretion with respect to what constitutes adequate disinfection. 
  • Where at all possible, clients should be advised to wait in their cars until their appointment time and not show up early or late for appointments to ensure adequate spacing measures remain effective.
  • When seeing clients, it is advisable that clients enter the clinic and go straight to a treatment room without touching any surfaces in the waiting room or other areas to reduce the potential for transmission. that any financial transaction be completed by electronic transfer following the visit.

Please be assured that we have not arrived at this decision without careful deliberation. These measures are extraordinary indeed however we are currently dealing with an event which we have not seen in recent years and we need to exercise a level of precaution that is appropriately extraordinary.

How to protect yourself

Everyone has a role to play in reducing the spread of disease, including coronaviruses. Actions that can be taken to stay healthy include:

  • Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer in the absence of soap and water.
  • Avoid contact with people who are sick
  • Practice proper cough and sneeze etiquette. Cover your mouth and nose with your arm when coughing and sneezing and immediately dispose of used tissues in the trash.
  • Stay at home if you are sick
  • Frequently clean and disinfect high-touch areas such as toilets, bedside tables and door handles with diluted bleach or a regular household cleaner.

What you need to know

RMTs should undertake active screening (asking questions about symptoms and travel/exposures) and passive screening (signage) of clients for COVID-19

  • Signage should be posted at the point of entry to the facility and at reception areas for clients with symptoms to self-identify and be aware of proper protocol
  • Signage may be sent to clients prior to appointment (e.g. e-mail, text, booking service, etc.)
  • A client who screens positive should be advised to call their primary health care provider or telehealth and/or be referred to their local hospital (for more severe illness)
  • If a client screens positive over the phone, rebook their appointment for when they are no longer symptomatic and/or outside the 14-day period. Also, advised client to call their primary health care provider or telehealth and/or referred to their local hospital (for more severe illness)
  • A client who screens positive on location needs to be separated from other visitors and employees so that they are at least 2 meters apart (use a separate room were available) and given a surgical/procedure mask. Call local health care authority or telehealth for further protocol for those exposed
  • Any RMTs/Clinics that have missed/cancellation policies please be mindful that those appointments missed due to infectious disease or precautionary measures should not fall under those policy’s
  • RMTs have the right to refuse treatment to any client they suspect to have an infectious disease. RMT’s are obligated to contact public health and should document the refusal

Signs and symptoms

Fever, and/or new onset of cough or difficulty breathing,

AND any of the following:

  • Travel to affected zones in the 14 days before the onset of illness

OR

  • Close contact with a confirmed or probable case of COVID-19 OR
  • Close contact with a person with acute respiratory illness who has been to affected zones in the 14 days before their symptom onset.

The following signage has been created for health care settings.http://www.cmtnl.ca/wp-content/uploads/2020/03/Attention-Clients-COVID-19-4.pdf

Resources

Newfoundland and Labrador Telehealth

811 or 1-888-709-2929

Novel Coronavirus Frequently Asked Questions:
https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/frequently-asked-questions.htmlOpens in new window

Novel Coronavirus Information Sheet
https://www.canada.ca/en/public-health/services/publications/diseases-conditions/2019-novel-coronavirus-information-sheet.htmlOpens in new window

World Health Organization:
https://www.who.int/Opens in new window