Other Local COVID- 19 Web links
Governor Little's Stay Healthy Order https://rebound.idaho.gov/
Idaho Board of Dentistry https://isbd.idaho.gov/IBODPortal/Home.aspx
Idaho Commerce COVID-19 information page https://commerce.idaho.gov/covid-19/
Posted on April 21, 2020:
The ISDA, ADA and CDC recognize that current regulations, mandates and overall timing varies from state to state. As a reminder of where things currently stand in Idaho:
- Governor Little’s stay home order is in effect until April 30.
- Dentistry is considered an essential business
- Neither the Governor nor the Department of Health and Welfare have issued a direct mandate re: the type of care dentists should provide
- CDC guidance still includes postponing elective and routine treatment to support preserving PPE, social distancing, and mitigating spread of the virus
- Dentists must use their professional judgement in evaluating the care they deem necessary for their patients
- All care provided should conform with the following guidance:
- Appropriate PPE for the dentist and team members
- Maintain social distancing through revised protocols
- Actively screen patients for signs of Corona virus
- Note: not all who have Corona virus are symptomatic – ADA recommends the highest level of PPE to protect the dental team
We recognize that many would like a more concrete statement from the ISDA. Please remember the ISDA is not a regulatory body, that is the function of the State Board of Dentistry, and only the Governor or the Department of Health and Welfare can issue mandates.Our role is to advocate for dentists, reinforce the guidance and to assist our members in navigating this crazy time. In concert with that, we have taken the following steps:
- Q&A document to answer some common questions regarding the current guidance that is currently in effect.
- ISDA Ad Hoc committee is working on specific recommendations for your workspace and teams re: OSHA guidelines for infection control
- ADA is working on sourcing of COVID – 19 tests, and we are evaluating other sources as well. Note: Idaho dentists are allowed to administer tests.
- Support for PPE:
- Getting dentistry prioritized as an essential healthcare provider in context of PPE allocation
- Looking at alternative sources in concert with ADA
- Vetted source for reusable gowns and information on requesting PPE from the state are at the end of the Q&A document
We will continue to pass along recommendations as they are formed and encourage your continued feedback and questions.
Posted on March 16, 2020:
We recognize how much uncertainty there is with the rapidly evolving status of the Corona Virus. The ISDA remains committed to sharing with you the latest information as it relates to Dentistry and the impact of COVID-19. At this time, the guidance from the CDC and ADA remains the same and is posted below. We are expecting updated information later today and the ISDA Board of Trustees will meet Monday evening to evaluate any recommended changes in our position relative to patient treatment and office operations.
We suggest you regularly check the ADA’s website: https://success.ada.org/en/practice-management/patients/infectious-diseases-2019-novel-coronavirus for relevant updates, and we will push them out as quickly as possible.
In addition to the standard guidance, it would be prudent for all offices to implement increased screening procedures to help prevent exposure and spread of the virus. These include:
- Screening all patients at check in for fever and / or cough
- Delaying non-emergent treatment by at least 14 days in patients exhibiting symptoms
- Ensuring all areas, including waiting rooms and bathrooms have hand sanitizer available and are routinely disinfected throughout the day.
- Remove all magazines and children’s toys from the waiting area.
- Practice “social distancing” including allowing for six feet of space between patients in the waiting areas and limiting waiting rooms to patients only.
- Ensure any staff with symptoms are not in the work environment
Guidance from the CDC:
Availability of Personal Protective Equipment
The CDC has not changed its guidance on single-use disposable facemasks, which are regulated by FDA to be single use and should be worn once and discarded.
Page 41 of the CDC Guidelines for Infection Control in Dental Health-Care Settings has the following guidance:
- Wear a surgical mask and eye protection with solid side shields or a face shield to protect mucous membranes of the eyes, nose, and mouth during procedures likely to generate splashing or spattering of blood or other body fluids;
- Change masks between patients, or during patient treatment if the mask becomes wet.
CDC urges Dental Health Care Personnel (DHCP) concerned about healthcare supply for PPE to monitor Healthcare Supply of Personal Protective Equipment for updated guidance, and to be familiar with the Interim Infection Prevention and Control Recommendations.
The CDC guidelines notes that, in cases when a patient presents with symptoms of a respiratory infection, DHCP may consider postponing non-emergency or elective dental procedures until a patient is no longer contagious with diseases that may be transmitted through airborne, droplet, or contact transmission (e.g., sneezing, coughing, and contact with skin).
If urgent dental treatment is necessary, DHCP and medical providers should work together to determine the appropriate precautions on a case-by-case basis to avoid the potential spread of diseases among patients, visitors, and staff. Because dental settings are not typically designed to carry out all of the Transmission-Based Precautions that are recommended for hospital and other ambulatory care settings, DHCP and medical providers will need to determine whether the facility is an appropriate setting for the necessary services for a potentially infectious patient.
Prevention of Suspected Respiratory Disease Transmission in the Dental Healthcare Setting
Patients with an acute respiratory illness may present for dental treatment at outpatient dental settings. The primary infection control goal is to prevent transmission of disease. CDC recommends a multi-step approach that begins before the patient arrives at the practice and includes guidance regarding their arrival and for the complete duration of the affected patient’s presence in the practice.
It may not be possible to know the cause of any patient’s illness so it is important to follow this guidance and standard precautions at all times.
Infection control issues during patient assessment:
- Patients with an acute respiratory illness should be identified at check-in and placed in a single-patient room with the door kept closed.
- Seek to prevent the transmission of respiratory infections in healthcare settings by adhering to respiratory hygiene/cough etiquette infection control measures at the first point of contact with any potentially infected person.
- Offer a disposable surgical mask to persons who are coughing; and provide tissues and no-touch receptacles for used tissue disposal.
- Ill persons should wear a surgical mask when outside the patient room.
- Dental healthcare personnel assessing a patient with influenza-like or other respiratory illness should wear disposable surgical facemask*, non-sterile gloves, gown, and eye protection (e.g., goggles) to prevent exposure. Since recommendations may change as additional information becomes available it’s a good idea to check the CDC website for COVID-19 updates.
- Patient and dental healthcare workers should perform hand hygiene (e.g., hand washing with non-antimicrobial soap and water, alcohol-based hand rub, or antiseptic handwash) after possible contact with respiratory secretions and contaminated objects/materials.
- Routine cleaning and disinfection strategies used during influenza seasons can be applied to the environmental management for COVID-19.
*Until additional specific information is available regarding the behavior of COVID-19, the guidance provided in the “Interim Guidance for the Use of Masks to Control Seasonal Influenza Virus Transmission” is recommended at this time. Also recommended is a review of Prevention Strategies for Seasonal Influenza in Healthcare Settings.