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COVID-19 Guidelines

As Advanced Aesthetics & Med Spa continues to treat patients, we only see low risk, asymptomatic patients, we believe that we should act with an abundance of caution so that we can go back to helping patients “Love What They See”.

Advanced Aesthetics & Med Spa has chosen, in addition to our own strict guidelines, to adopt several new COVID-19 guidelines from the ADA (American Dental Association). We believe that they are a group at high risk for exposure and therefore have the most stringent and up to date guidelines when it comes to treating patients during and immediately after the COVID-19 Pandemic. Below find the latest guidelines for Advanced Aesthetics & Med Spa staff and patient care designed to keep you, your families, and our patients safe.

Table of Contents

  • Before Care Starts
    • Advanced Aesthetics Team Preparation
    • Screening for COVID-19 Status
    • Instructions for Patient Arrival
  • During Care
    • Standard and Transmission Precautions and Personal Protective Equipment (PPE)
    • Clinical Guidance for Lower Face Procedures
    • Steps After Suspected, Unintentional Exposure
  • After Care is Provided
    • In Between Patients
    • Post-Treatment Instructions for Patients
    • When Going Home After a Workday
  • Conclusion

Before Care Starts 

Advanced Aesthetics & Med Spa Health Team Preparation 

  1. Team members experiencing influenza-like-illness (ILI) (fever with either cough or sore throat, muscle aches) should not report to work. Team members experiencing any other illness or symptoms should contact their manager before reporting to work.
  2. All team members should self-monitor by remaining alert to any respiratory or other symptoms of COVID (e.g., fever, cough, shortness of breath, sore throat, diarrhea, etc.) and check their temperature twice a day, regardless of the presence of other symptoms consistent with a COVID-19 infection. If you are feeling ill or have concerns, please email your manager.
  3. Conduct a daily inventory of available personal protective equipment (PPE) supplies [e.g., surgical masks, surgical gowns, surgical gloves, face shields]. (https://www.cdc.gov/coronavirus/2019-ncov/hcp/steps-to-prepare.html)
  4. Remove magazines, non-disposable reading materials, toys and other objects that may be touched by others and which are not easily disinfected (https://www.ncbi.nlm.nih.gov/pubmed/28916372)
  5. Print and place signage (https://www.cdc.gov/coronavirus/2019-ncov/downloads/stop-the-spread-of-germs.pdf) in the office for instructing patients on standard recommendations for respiratory hygiene/cough etiquette and social distancing.
  6. Schedule appointments in a manner that appointment times are always far enough apart to minimize possible contact with other patients in the waiting room or the office and ensure adequate social distancing.

Screening for COVID-19 Status

  1. Interview the patient by telephone, text monitoring system, or video conference before the visit. Currently, we are only seeing patients who have no signs/symptoms and are at low risk for transmitting COVID-19.
    1. Ensure to ask patients who are not themselves exhibiting symptoms whether they may have encountered someone exhibiting symptoms or has COVID-19. If they have been potentially exposed connect them with your manager for further pre-screening before booking an appointment.
  2. Inform patients that they are to wear a face covering to their appointment and leave it on during treatment unless directed to remove it by their Advanced Aesthetics & Med Spa Health provider to address lower-facial concerns.
  3. Inform patient of treatment day screening questionnaire that will be sent via patient portal requiring electronic signature (day of appointment). If electronic access is not available pre-screening and paper document will be provided for signature on appointment day.
  4. Inform patients to call the front desk upon arrival on appointment date.
  5. Remind patients that they are encouraged to not to bring companions to their appointment, except for instances where the patient requires assistance (e.g., pediatric patients, people with special needs, elderly patients, etc.). If a companion will be present during their appointment, companion will confirm screening questions and sign printed document.

Instructions for Patient Arrival 

  1. Patient will be instructed to call the front desk to check in for appointment and will be asked to wait in their personal vehicle and the facility will contact patient by phone when it is their turn to be seen. Front desk will confirm electronic signature of screening documents. If no, pre-screening questions will be asked over the phone and physical document signed upon entering office.
  2. Temperature screening upon entering office. No entry for temps of 100.4+F (seek PCP/local hospital).
  3. Ensure that all patients are wearing an adequate face covering and are observing social distancing measures while in the waiting room and throughout the office.
  4. Advanced Aesthetics & Med Spa Health staff should regularly disinfect any surfaces which a patient may encounter as well as immediately disinfecting any surface which has been touched or may have received respiratory or other expelled droplets.
  5. Though we are recommending that only asymptomatic patients, patients who have tested negative for COVID-19 infection, or recovered patients (See Screening for COVID-19 Status) be seen, Advanced Aesthetics & Med Spa Health Team Members should ensure that there are “supplies for [infection control etiquette], (e.g., alcohol- based hand rub with 60-95% alcohol, tissues, and no-touch receptacles for disposal at healthcare facility entrances, waiting rooms, and patient check-ins.” (https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html)

During Patient Care

 Standard and Transmission-based Precautions and Use of Personal Protective Equipment (PPE) 

  1. Advanced Aesthetics & Med Spa Health Team Members should adhere to Standard Precautions, which “are the infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered.”
    1. Standard Precautions include: Hand hygiene, use of PPE, respiratory hygiene/etiquette, sharps safety, safe injection practices, sterile instruments and devices, clean and disinfected environmental surfaces.
  2. If a patient is receiving a lower-facial procedure where patient mask use needs to be discontinued, the Advanced Aesthetics Health Provider should implement Transmission-Based Precautions. Necessary transmission-based precautions might include patient placement (e.g., isolation), adequate room ventilation, and/or respiratory protection (e.g., N-95masks) for the Advanced Aesthetics & Med Spa Health team members. Please be mindful of PPE shortages and take only the necessary precautions to be respectful of acute patient care PPE needs elsewhere in the healthcare community.
  3. If your mask is damaged or soiled, or if breathing through the mask becomes difficult, you should remove the face mask, discard it safely, and replace it with a new one. (https://www.fda.gov/medical-devices/personal-protective-equipment-infection-control/n95-respirators-and-surgical-masks-face-masks)
  4. Providers should adhere to the standard sequence of donning and doffing of PPE.
    (https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf)

Clinical Guidance for Lower-facial Procedures

Lower-facial and lip filler procedures should be scheduled at the end of the day when possible as they will require the patient to remove their protective face covering and could pose additional risk to the care team. 

Steps After Suspected Unintentional Exposure

Follow CDC recommendations in the event of suspected unintentional exposure (e.g., unprotected direct contact with secretions or excretions from the patient).(https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html)

After Care Is Provided

 In Between Patients

  1. Clean [PPE] with soap and water, or if visibly soiled, clean and disinfect reusable facial protective equipment (e.g., clinician and patient protective eyewear or face shields) between patients. (https://www.cdc.gov/mmwr/PDF/rr/rr5217.pdf)
  2. Non-dedicated and non-disposable equipment (e.g., handpieces, procedure chair, mayo stands, and lights) should be disinfected according to manufacturer’s instructions.
  3. Routine cleaning and disinfection procedures (e.g., using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectant to frequently touched surfaces or objects for appropriate contact times as indicated on the product’s label) are appropriate for SARS-CoV-2 in healthcare settings, including those patient-care areas in which aerosol-generating procedures are performed. ( https://www.epa.gov/pesticide-registration/list-ndisinfectants-use-against-sars-cov-2)
  4. Surfaces such as door handles, chairs, desks, elevators, and bathrooms should be cleaned and disinfected frequently

Post-Treatment Instructions for Patients

  1. Patients should receive normal post care instructions as well as an enhanced emphasis on keeping the area clean and washing their hands or using a hand sanitizer frequently.
  2. Patients who received a facial dermal filler procedure should be reminded to limit mask use as possible (quarantine at home as much as possible) and to use a soft drape or ear loop mask for the 72 hours after their procedure to mitigate the risk of mask lines or pressure induced complications.
  3. Patients should be educated on the best ways for lay people to safely don and doff their PPE to limit contamination and spread.
  4. Patients should be instructed to avoid potential exposure as possible and wear a mask when in public to minimize risk.
  5. Patients should be reminded to re-don their face covering and continue to utilize social distancing procedures throughout the office and at check out.
  6. Inform patients that should they begin to experience and symptoms of COVID-19 (e.g., fever, cough, shortness of breath, sore throat, diarrhea, etc.) they should contact the office and their primary care physician immediately.

When Going Home After a Workday

  1. Advanced Aesthetics & Med Spa Health team members are advised to change from scrubs to personal clothing before returning home. Upon arriving home, providers should take off shoes, remove and wash clothing [separately from other household residents], and immediately shower.
  2. Perform nightly symptom and temperature checks to ensure that if exposed symptoms will be caught as early as possible. Notify your manager immediately if you experience any symptoms of COVID-19 (e.g., fever, cough, shortness of breath, sore throat, diarrhea, etc.).
  3. Stay Informed and have a plan that you feel safe and comfortable with should you or your loved ones be exposed at work or anywhere else they may visit after restrictions are lifted. Remember to include any family pets in your plan.

Conclusion

It is our mission to provide a safe haven for our patients, staff, and visitors during this time. Our goal is to create a safe and welcoming atmosphere where patients can come to receive their aesthetic treatments and feel a little bit of normalcy despite what is going on around us. It is every team member’s responsibility to ensure the safety and well-being of the practice, our mission, and our goal during this time. If you have any questions relating to these or any other procedures regarding COVID-19 please reach out directly to the practice manager.

A final reminder: Don’t forget about your mental health during this time. COVID-19 has brought great stress upon in many areas of our life outside work. Please take the time you need to relax and destress. If you need any additional help or support, please reach out to any of your team members or the numerous free mental health resources available such as the Klein Family Crisis Center 24/7 1-800-NEXT-STEP or visit harfordcrisiscenter.org

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104 Plumtree Road
Suite 107
Bel Air MD 21015
(410) 569-7173