COVID-19 Infection Control Protocol

Screening and Testing for Patients and Visitors

  • Our office will communicate with you beforehand to ask some COVID-19 screening questions. You’ll be asked those same questions again when you arrive at our office.
  • On entry, all patients and visitors will undergo active screening for fever and symptoms of COVID-19, including measurement of body temperature. Patients who cannot pass this screening will NOT be seen in our clinic and will be counseled on other options for care.
  • Centrasota Oral Surgeons will conduct a screening and temperature check for all couriers, delivery persons, and other visitors who enter the facility. Ill or febrile visitors are not allowed to enter the facility.
  • Patients, and any accompanying visitors, should come to the facility wearing a surgical mask or other cloth face covering. If unavailable, you will be provided one by our office.
  • We will consider the availability, accuracy and current evidence regarding COVID-19 testing when developing future testing protocols.
    • Due to current lack of availability to dental clinic systems at this time, Centrasota Oral Surgeons will continue to follow all mandates and universal precautions when treating patients to protect against exposure.

Patient Considerations

  • Centrasota Oral Surgeons will require patients and visitors to wear a surgical mask or cloth face covering upon entry to our office. We will provide them to patients as needed. We will remind patients of the mask policy when phoning to confirm patient appointments.
  • Patients and guardians will be asked to limit visitors to only essential people in order to reduce the number of people in the reception area.
    • Drivers will be asked to wait in their cars until time of discharge to limit the amount of people in the waiting room.
    • This is being done out of concern for their health, as well as that of the other patients being seen in the office, the doctors and the staff, and any public with whom they might come in contact.
  • We will provide you with hand sanitizer and ask you to use it prior to entering the office. You will also find some in the reception area and other places in the office for you to use as needed.
  • Each patient will be informed that even with mitigation equipment and techniques being employed there is risk of COVID-19 transmission while receiving care in a dental setting and the procedure may be cancelled on short notice if the patient tests positive for or experiences symptoms of COVID-19.
  • Patients will be provided a COVID-19 consent form for review prior to treatment.

Social distancing and other infection prevention measures

  • Lobby chairs are spaced in reception areas to allow social distancing (6 feet apart) and wiped down with disinfectant in between patients.
  • Appointments are staggered so that patients aren’t checking in and checking out at the same time.
  • We will allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the reception area at any one time.
  • All operatories have doors that can shut to decrease the risk of aerosol into other areas of clinic.
  • Masks will be worn by all employees in areas of interpersonal contact at all times in clinic.

PPE (Personal Protective Equipment) utilization per Minnesota Board of Dentistry, CDC and OSHA

  • All clinical staff will wear the following during patient care:
    • Gloves (nitrile)
    • Appropriate garment protection
    • Eye protection (goggles or face shield)- Disinfected between patients
    • N95 masks

COVID-19 Employee Screening

  • Every clinic day we will conduct an active health screening of all staff members to assess for signs and symptoms of COVID-19. This will include assessment for fever and symptoms associated with COVID infection as recommended in CDC: Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. These daily screenings will be maintained in a logbook.
  • Staff will not work while sick, even if presenting with mild signs or symptoms. If during the workday they develop signs or symptoms of illness they will be required to leave the office.

Training for N95/ KN95 Use

  • Centrasota Oral Surgeons has performed training and fit testing for N95 masks for all high risk employees.
  • Centrasota Oral Surgeons will use N95 masks for all procedures and employ MDH and CDC PPE preservation methods whenever possible.

Administrative Control Plan

  • Plexiglas barriers have been placed between the front office/check out desk.
  • Front desk staff will wear mask and nitrile gloves during patient interactions.
  • For any forms you will need to fill out, a new pen will be given to you and not reused.
  • Credit cards will be disinfected before their use by office staff.
  • Handwashing protocols have been established for all staff.
  • Waiting room chairs are placed 6 feet apart to maintain social distancing.
  • You will see that our waiting rooms no longer offer magazines or other reading materials, since those items are difficult to clean and disinfect.
  • On a regular schedule, all touchable surface areas are sanitized with an approved surface cleaner.

Centrasota Oral Surgeons Staff Education

  • Clinical staff members that are licensed by the state of Minnesota are required by the Board of Dentistry to have a course in infection control every biennial cycle. This is also a requirement for non-licensed clinical dental assistants.
  • Centrasota Oral Surgeons has provided resources for infection control education for all staff, clinical and non-clinical.
  • All clinical staff undergoes yearly OSHA training.

Considerations being taken for all procedures

  • Avoidance of production of aerosols when possible
  • High volume suction
  • Allowing time for aerosols to settle following procedures before disinfecting the rooms
  • No paper material of any kind will be in the operatory during treatment that uses sprays or aerosols
  • Have all supplies and materials in operatory before beginning a procedure

Community Considerations

  • Centrasota Oral Surgeons will continue to collaborate with peers and supply chain representatives to ensure adequate supplies and PPE in order to provide care for non-emergent and elective procedures and surgeries.

Reduction of Care

  • In the event of another surge in COVID-19 cases, Centrasota Oral Surgeons would revert to treatment of urgent dental care only. This would allow PPE preservation from the dental community providing elective care. Patients with urgent needs will be treated as previously and patients with elective needs will be postponed in the event of another Peacetime Emergency in the future. Patients will be screened for urgent needs and prioritized based on need for treatment.