COVID-19 General Standard Operating Procedures for Dentistry

*adopted from federal, state and local regulations and recommendations

Milgard School of Business

Presented by They Need XYZ and University of Washington Milgard School of Business, Students Assisting Business Program

I. People

  1. Patients
    1. Screen patients prior to their arrival for COVID-19 symptoms: Refer to Patient Management; e.g. telephone screen
    2. Further screen patients upon their arrival. i.e. ask for symptoms and record body temperature, provide sanitizer
  2. Employees
    1. Screen all DHCP at the beginning of their shift for fever and symptoms
    2. If a DHCP experienced an exposure, work or other, refer to work exposure restrictions
    3. Ensure that DHCP are educated and trained on preventing infectious agents, using PPE correctly, etc.

II. Places

  1. Waiting Rooms
    1. Post visual alerts signaling proper hygiene and etiquette. Free CDC Sign templates
    2. Provide supplies for respiratory and hand hygiene i.e. masks and sanitizer for DHCP
    3. Install physical barriers at the reception desk; eliminate shared magazines and similar items; space chairs 6ft apart
  2. Personal Protective Equiptment
    1. If PPE and supplies are limited, prioritize dental care for the highest need, most vulnerable patients first
    2. Require the use of Proper PPE based on four variables, refer to Proper DHCP PPE
    3. Ensure adequate supplies to support health hygiene behaviors for both your DHCP and patients
  3. Hygiene and Cleaning
    1. Clean and disinfect the room and equipment according to guidelines here
    2. Check the provided link for approved Disinfectants by EPA
    3. Ensure water quality, refer to Dental Unit Waterlines
  4. Communication
    1. Make sure you have signs upon entry specifying regulatory rules
    2. Have visual alerts in your area about hand hygiene, respiratory hygiene, and symptoms
    3. Educate patients on etiquette, standard practice, symptoms; limit visits to those only necessary

III. Process

  1. Screening
    1. Have a system for before, during and after point of contact with patients e.g. telephone pre-screen, on site temperature and qualitative tests, email kindly asking for follow up if showing symptoms or complications
    2. Evaluate employees for signs/symptoms of COVID-19 at the start of their shift. 
    3. Systematically assess all DHCP workers and patients upon arrival, take temperature, provide facemask and/or face shields if needed.
  2. Contaminated Areas and Contact
    1. Have a plan for cleaning, disinfection, and contact tracing in the event of a positive case
    2. Consult HVAC professional for improving clean-to-less-clean airflow and filtration efficiency
  3. Share less
    1. Avoid using items that cannot be disinfected regularly in waiting areas such as toys and magazines
    2. Remove reception desk pens, paper, and avoid complementary items such as floss, lip stick etc. 
    3. Keep each chair station separate and designated for one assistant

IV. Other

  • State Government Recommendations: WSDA
  • Federal Recommendations and Requirements: CDC 
  • Reduced Restrictions to non-urgent care and precautions: Inslee Proclamation

V. Supplies

  1. KN95 Masks for staff 
  2. 3ply Face Mask to give away to customers while they shop or eat.
  3. Face Shield for staff 
  4. Ready to use Surface Sanitizer

Download the Specific Detailed Guidelines