We encourage you to review the entire Executive Order and PHO.(2) The following provides a summary of the medical facilities section of the PHO:(3)
✅ Voluntary or elective surgeries and procedures (procedures) may resume only if all of the following requirements are met:
- Two-week supply of PPE: Must have access to enough PPE to sustain recommended use for two weeks without having to implement emergency PPE-conserving measures.
- Extended use/reuse of PPE must follow CDC guidance. Proper doffing and donning training is required.
- Infection control: Strict infection control policies as recommended by the CDC must be utilized.
- Universal symptom screening: A universal symptom screening process must be used for all staff, patients, and visitors. Symptomatic patients/visitors should be referred to their PCP and special steps must be taken for symptomatic employees.
- Facemasks: Nonmedical personnel must wear a facemask (cloth if necessary), unless their health prevents it. All patients and visitors must wear a face covering (cloth if necessary). Masks may be removed when social distancing of at least 6 feet is possible. Provide masks to those who arrive without one.
- Social distancing: Continue social distancing of at least 6 feet wherever possible and use physical barriers within patient care areas when possible.
- Staggered patient scheduling and increased cleaning: Schedule patients so that providers have sufficient time to change PPE and ensure rooms and equipment can be cleaned and disinfected between each patient.
- Telehealth and virtual check-in: Continue to maximize the use of telehealth and virtual office visits. Utilize virtual check-in when possible or have patients remain outside the building until the treatment room is ready.
- Stick to the plan: Establish guidelines to ensure adherence to the principles outlined above. Consult with the treating provider(s) about whether the procedure is elective or non-essential.
- Two-week checkup: Reassess operations every two weeks.
❌ Stop if surge: Be prepared with a plan to reduce or stop procedures if there is a surge or resurgence of COVID-19 cases in the region.
1 According to this FAQ document from the state, Executive Order D 2020 045 applies statewide, regardless of local jurisdiction orders.
2 Failure to comply with these orders could result in penalties, including jail time, and fines and may be subject to discipline on one’s professional license.
3 See section “IV. Hospital Facilities” of the PHO for requirements for “hospital and other surgical Facilities.”