COVID-19

Updates – March 23 | May 18

COVID-19 Update – May 31, 2020

To:  Clients, Family Members and Stakeholders

Effective June 1st, 2020 TBI Solutions will be returning to on-site services. We want to thank clients for adapting to their treatment as we transitioned to Telehealth therapy and the family members and stakeholders who are supporting clients during this volatile time. At TBI Solutions, it is our priority to keep our clients, staff, and visitors healthy, especially amid the COVID-19 pandemic. We will continue to abide by local, state, and federal governmental guidelines as we strive to balance public health concerns. We have developed new protocols and procedures which are mandatory to ensure we are minimizing risk and keeping all our staff, clients, and visitors safe to every extent possible. The new protocols and procedures are in accordance with the Centers for Disease Control and Prevention (CDC) and Occupational Safety and Health Administration (OSHA).

While we will implement various protocols to ensure everyone’s safety, it is up to everyone to adhere to these protocols daily. TBI Solutions hopes to clearly communicate our plans moving forward, highlight workplace protocols in place to protect everyone’s safety and establish a level of comfort for all our clients, staff, and visitors as we return to on-site services.

We understand that there may be unique situations that require individual attention and encourage those with specific risks or concerns to reach out to TBI Solutions Management  to discuss alternate arrangements, should they be necessary and/or available. We will be able to continue Telehealth services for 30 days post the lifting of the Executive Stay at Home Order ( which has been extended to June 12, 2020). Please notify Amy Heinrich Donow, the Director of Clinical Services, if you or your client is choosing to continue treatment via Telehealth. 

In preparation for the reopening, we wanted to make you aware of new protocols and required guidelines for the safety of our clients, staff, and visitors while in the facility:

  1. Facility Entry

Prior to entering the facility, all clients, staff, and visitors must follow all applicable local, state, and federal COVID-19 isolation/quarantine protocols.

At each entrance, all employees and visitors will be required to comply with the following protective measures:

  • Maintain a physical distance of six feet (two meters) from other people, as reminded by numerous visual cues
  • Sanitize hands- upon entering the facility. There will be sanitizing stations at various locations throughout the facility.
  • Face masks are required to enter the facility
  • Complete a COVID-19 health questionnaire
  • Have temperature screened by a No Touch Thermometer
  • Awareness of and cooperation with signage
  • Entrance Locations: Entry into the facility for all clients, staff, and visitors will be limited to the main entrance into the building and rear entry door for HEART clients. There will be signage at entrance doors with mandatory protocols for entering the facility.
  • Clients are to wait in the lobby until their therapist greets them and escorts them to the therapy room for their session.
  1. Health Screenings: All clients, staff, and visitors seeking entrance into the facility must complete the following:
  • Clients are not allowed to wait in the lobby or sign in at the front desk area until a health screening has been completed. Signage will be posted at entrances alerting individuals.
  • Temperature screening upon entrance
  • Wellness Questionnaire:
  • Absence of symptoms consistent with COVID-19 for at least the last 72 hours including, fever, chills, cough, difficulty breathing, headache, sore throat, muscle/joint aches, diarrhea, abdominal cramps or nausea, conjunctivitis (pink eye), loss of taste or smell.
  • No known contact with anyone diagnosed with COVID-19 or with symptoms consistent with COVID-19 for the last 14 days.
  • No travel in the last 14 days (as defined by the most recent travel restrictions under the Governor’s Executive Order).
  • Compliance with social distancing rules while not at work as defined as not having attended any gatherings of 10 or more.
  • Assertion that all staff, clients, visitors have washed or sanitized their hands.
  1. Limiting the Number of Individuals in the Facility:
  • Clients will have staggered therapy schedules to limit individuals in the facility.
  • If an individual arrives to the facility and there is another individual inside the entrance of the building and in the process of a health screen, the individual must wait inside the door entrance until cleared by a TBI Solutions staff member to allow for safe entry into the facility.
  • Individuals will not be permitted to walk around the lobby, common use areas, and unauthorized spaces in the facility.
  1. Stay Home:
  • Any staff, client, and visitor who is sick is encouraged to stay home.
  • Any staff, client, and visitor who believes that they have been exposed to someone with symptoms consistent with COVID-19 should stay home and contact their medical provider for further instruction.
  1.    Physical Distancing: All clients, staff, and visitors are encouraged to consider strategies to increase the space between individuals. A recommended distance is 6 feet.
  • Staff, clients, and visitors should be aware of and follow physical distancing cues provided by signage, floor markers, etc.
  • Staff and clients are not to reposition tables, chairs, etc. to a physical distance of less than a minimum of 6 feet.
  • Kitchen Areas:
  • Chairs will be spaced out to encourage distancing.
  • Beverage and food items are not allowed to be brought into any therapy room.
  • Any beverage or food item that is stored in the facility fridge must be labeled, closed, and sealed. All personal items that are left in the fridge will be removed at the end of the day.
  • Only plastic wear should be used and thrown away in garbage receptacle with closed lid. Garbage will be removed at the end of each day.
  • Smoking Areas & Breaks
  • As clients and visitors will be unable to wear masks while smoking, physical distancing of at least 6 feet will be the primary focus.
  • The designated smoking areas is in the front of the facility to the left of the entry way. There will be a sign posted to designate this area. Please dispose of trash in receptacle provided.
  • HEART clients have a designated smoking area in the back of the building.
  • All clients must follow hand-washing procedures prior to returning to their workstations and in between therapy sessions.
  • If a face to face meeting is required, it must be held in a space large enough to accommodate 6 feet of distance between all participants and masks must be worn.
  1.    Handwashing: Clients, staff, and visitors are to wash their hands upon entry into the facility, after each restroom break, prior to and after eating, smoking, after touching of the face, sneezing, or blowing nose etc. Clients, staff, and visitors will be reminded to wash hands using the proper technique. Education materials will be available to individuals in the facility lobby.
  • Handwashing
    • Use soap and water
    • Wash for 20 seconds
    • Scrub all surface of hand – between fingers, backs of hand, fingernails
  • Hand Sanitizer
    • Use when soap and water are unavailable
    • Rub hands together for 20 seconds
    • Sanitizer should be ≥60% alcohol
  1. Personal Protective Equipment & Supplies:

During an outbreak of an infectious disease, such as COVID-19, recommendations for PPE may change depending on updated risk assessments and information on PPE effectiveness in preventing the spread of COVID-19. Masks are mandatory for entering the facility and must always remain on  while in the facility.  Education materials containing information on how to properly fit, wear and clean a face mask will be provided to individuals in the facility lobby. Clients, staff, and visitors are permitted to bring in higher levels of respiratory protection, such as an N95 mask, provided TBI Solution’s requirements for optimal use are followed.

All types of PPE must be:

•        Selected based upon the exposure risk (cloth, surgical, KN95, N95)

•        Properly fitted and periodically refitted, as applicable (e.g., respirators).

•        Consistently and properly worn when required.

•        Regularly inspected, maintained, and replaced, as necessary.

•        Properly removed, cleaned, and stored or disposed of, as applicable, to avoid contamination of self, others, or the environment.
  1. Cleaning & Sanitizing:
  • Increase the frequency of high touchpoint area cleaning with approved CDC cleaning products. Sanitizing will occur after each client session and throughout the day. Commonly touched items include:
  • Entry/Exit Points including doorknobs and push-plates
  • Restrooms
  • Desk-tops, tables and chairs
  • Counters and cupboard doors, refrigerator handles
  • Keyboards and remote controls
  • Telephone receivers
  • Additional janitorial staff will be provided for additional sanitizing and cleaning responsibilities as needed.
  1. Sanitization and Touch Reducing Resources:
  • Client, staff, and visitors will have access to personal sanitizing resources such as, no-touch hand soap dispensers and no-touch hand sanitizer dispensers (at least 60% alcohol)
  • Other supplies provided include tissues and no-touch trash cans
  1. Engineering Controls: Involve isolating individuals from work and facility related hazards. These controls include:
    • HVAC filtration system in the facility
    • Physical Barriers – Clear plastic barriers, sneeze guard, Plexiglas dividers
  2. Client Responsibilities:
  • We urge all clients who have any symptoms or do not feel well to please stay at home.
  • If you have tested positive or test positive in the future for COVID-19, please contact Amy Heinrich Donow, the Director of Clinical Services immediately.
  • Clients must practice social distancing by standing at least 6 feet away from others while in the facility.

We thank you for your understanding and are looking forward to seeing all of you back again.

Stay Safe.

Nina Lang,

Managing Director

COVID-19 RESOURCES