Standard Operating Procedure for Brantford and Ohsweken Eye Care
- Patients that have an appointment will be asked at their reminder phone
call and in the office:
- Do you have close contact with anyone with acute respiratory illness or travelled outside of Ontario in the past 14 days?
- Do you have a confirmed case of Covid-19 or had close contact with a confirmed case of Covid-19?
- Do you have fever, new onset of cough, worsening of chronic cough, shortness of breath, difficulty breathing, sore throat, difficulty swallowing, decrease or loss of sense of taste or smell, chills, headaches, unexplained fatigue/muscle aches, nausea/vomiting, diarrhea, abdominal pain/pink eye/runny nose/ nasal congestion without other known cause?
- Are you over 70 and experiencing delirium, unexplained or increased number of falls, acute functional decline or worsening of chronic conditions?
- Sign at the front door will say:
- door is locked, please knock
- If you do not have an appt for the dispensary or an eye exam, please call the office 519-752-0121.
- Wear a mask into the office
- Disinfect your hands upon every entry
- Do not bring family or friends into the office unless medically needed
- We may ask you to wait in your car if the office is busy
- Top door of office is locked
- dispensers will open the door and ask the covid-19 symptoms screening questions, ask patients to sanitize their hands and give a mask if they don't have one
- Staff Hand Sanitization: Hands must be cleaned or sanitized BEFORE
and AFTER every patient interaction
- Options to Sanitize Hands:
- Wash hands with Soap and warm water for 20 seconds using friction
- Or Sanitize using our 80% alcohol liquid hand sanitizer
- Options to Sanitize Hands:
- PPE: All optometrists and staff will be wearing personal protective equipment covering their mouth, nose, and eyes when interacting with patients (face shields and masks)
- Anyone entering the office, including patients, must wear a mask. (age 2 and older)
- After a patient checks in, if physical distancing cannot be maintained while they wait for the doctor, they will be asked to wait in their car.
Pre-test: All surfaces including equipment , table and chair in the Pre-test room will be cleaned after every patient using a spray bottle filled with Hydrogen Peroxide, 70% alcohol or Bi-Oh. Pre-testers are responsible for cleaning all pre-test equipment after every patient.
After getting pre-tested, the patient will be asked to wait in the doctor hallway. The chair in the hallway will be cleaned by the pre-tester using a spray bottle filled with hydrogen peroxide, 70% alcohol or Bi-Oh.
Optometrists must clean their hands before and after any contact with a patient's eye/tears, and upon the insertion and removal of gloves.
Doctors will be responsible for cleaning the exam room chair and surfaces with hydrogen peroxide, 70% alcohol or Bi-Oh.
All tonometer probes, spuds or any piece of equipment that touches the patient's eyes will be disinfected with the following procedure:
Soak in undiluted Hydrogen Peroxide for 5 minutes After soaking in Hydrogen Peroxide undiluted for 5 minutes, rinse with saline and air dry in a sterilized surgical tray. Doctors may also use bleach to sterilize their probes.
Doctors will have a large Slit Lamp breath shield
- After the exam, the patient will be paired up with a dispenser if they are looking for glasses. They will be given one on one service. The patient will be seated at the dispensing table and the dispenser will bring frames to the patient. All frames touched by a patient will be disinfected with Bi-Oh, hydrogen peroxide solution or a UVC Sanitizing box. Instructions for UVC Sanitizing box: Place frames in the box and put it on for 5 minutes.
How to clean with Bi-Oh:
- wash hands with soap and water for 20 seconds before starting. DO not touch your face with your hands.
- wear a mask and a visor shield
- Make sure no one approaches your work area (social distancing guideline).
- If you need to cough or sneeze, step away from the workstation (5 meters or more) and cough or sneeze in your elbow
- Spray Bi-Oh cleaner liberally on all surfaces of the eyewear. Leave the product on for 20 seconds just like when you wash your hands. You can spray other eyewear during that time.
- After 20 seconds, use a microfiber to wipe eyewear thoroughly. Although there is no risk of cross contamination on the microfibre, since the virus has been destroyed it is nonetheless a good sanitary practice to fold the microfibre and use different sides to wipe. Change microfibres regularly as they will tend to get greasy after frequent use. Wash microfibers with regular laundry detergent and do not use fabric softener.
- Once a frame has been manipulated by a client this frame should not be put back on the display, but there should be a designated place for frames that need to be sanitized.
To AVOID damaging frames, do not clean with -acid based chemical cleaners, solutions and wipes with high alcohol content
Dispensers are responsible for disinfecting the pupillometer, Optikam gadget, pens, rulers, patient chair, surfaces or anything else touched by the patient after every interaction using hydrogen peroxide, 70% alcohol or Bi-Oh.
Our pupillometer will have a face shield
- Patients with positive screening results for COVID-19 , or a recent travel history, and urgent eye care may be referred to an oncall ophthalmologist (inform of their health situation). If no other options are available, patients with symptoms of COVID-19 who require urgent eye care can be referred to the emergency room.
- Patients that have symptoms of conjunctivitis without pain or vision loss will have a telehealth appointment