25 March 2020
"Regulated health professionals are prohibited from providing in-person services except those services they deem essential for the health and wellbeing of their clients. The offering of services is permitted conditional on compliance with all applicable control measures in the NB OCMOH Novel Coronavirus (COVID-19) Guidance for Primary Care Providers in Community Setting. (…)"
Renewed and revised emergency order can be found at: https://www2.gnb.ca/content/dam/gnb/Corporate/pdf/EmergencyUrgence19.pdf
Novel Coronavirus Guidance for Primary Care Providers in Community Settings: https://www2.gnb.ca/content/dam/gnb/Departments/h-s/pdf/COVID-19GuidancePrimaryCareProvidersCommunitySetting.pdf
19 March 2020
Today, 19 March 2020, the Premier Blaine Higgs declared a State of Emergency under Section 12 of the Emergency Act to enhance measures to help contain the spread of COVID-19.
The GNB directive reads as such: “All regulated health service providers will cease operations unless the services to be provided are to address essential health care or an emergency health-care situation.” This requirement is effective immediately. This directive also applies to home visits or similar arrangements.
17 March 2020
PRACTICE DIRECTIVES – COVID-19
The New Brunswick Chiropractors Association (NBCA) recognizes that concerns are being raised regarding COVID-19 public health threat from chiropractors and their patients. The NBCA is committed to providing chiropractors and the public best available information and directives as follows:
- Chiropractors are asked to review and comply with the NB Chief Medical Officer latest directives. See https://www2.gnb.ca/content/gnb/en/news/news_release.2020.03.0127.html. Also, consider the following resources:
- Health and Allied Health Professionals: https://www2.gnb.ca/content/gnb/en/departments/ocmoh/cdc/content/respiratory_diseases/coronavirus/HealthandAlliedHealthProfessionals.html
- Frequently Asked Questions: https://www2.gnb.ca/content/gnb/en/departments/ocmoh/cdc/content/respiratory_diseases/coronavirus/faq.html
- Coronavirus disease : For health professionals: https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/health-professionals.html#a5
- As of 13 March, all individuals that have been travelling internationally should self-isolate for 14 days. This directive applies to chiropractors and staff.
- Chiropractors should triage patients and avoid non-essential services (except emergency/acute care).
- Reschedule any patients who returned from international travel in the last 14 days, or those who have been in close contact with presumptive cases of COVID-19.
- Reschedule any patients who are exhibiting any flu-like symptoms. Patients should be informed to monitor symptoms (e.g. headache, congestion, achiness, feeling unwell) and call tele-health (8-1-1) when symptoms worsen to include fever, coughing and difficulty breathing. If in doubt, call 8-1-1.
- Patients should be triaged based on risk factors and conditions. For example, consider rescheduling all patients who are immuno-compromised or over the age of 70.
- Cancellation or related fees should be waved until further notice.
- Chiropractors and staff are asked to be take extra measures to clean equipment and surfaces to reduce the potential for cross-contamination. Chiropractors and all staff should wash their hands regularly and avoid touching their faces.
- Measures should be taken to limit wait time for patients before and after visits. This can include spacing out visits, or using technology like texting to advise patients when available.
- Treatments should be provided in dedicated treatment space with only 1 table. Open or common spaces like gyms or others should be avoided.
Exposure to COVID-19:
- Chiropractors have a duty to report any suspected case of COVID-19 to the office of the Chief Medical Officer.
- Any suspected case should call 8-1-1 immediately for further instructions.
- Following exposure, chiropractors and staff should self-isolate for 14 days and monitor symptoms. The clinic should also be thoroughly cleaned with industrial grade cleaner prior to re-opening of the facilities.
- Chiropractors should avoid making any unsubstantiated claims concerning the role of chiropractic care in preventing or managing COVID-19, or related viral infections. The NBCA will be monitoring social media and online content to ensure compliance with advertising standards. Failure to comply may lead to a complaint.
- Patients should report any flu-like symptoms in advance of a visit.
- Patients should wash their hands before and after each visit.
- Patients should try to be punctual to avoid unnecessary waiting, or potential cross-contamination.