Many people are wondering when they can return to seeing clients or start teaching once again and are turning to the Canadian Reiki Association (CRA) for answers and guidance. Please know, the CRA is not a governmentally regulated modality with either the Federal, Provincial or Municipal levels of government. As such, we will not receive any governmental direction regarding the safety measures we as Practitioners/Teachers will need to take as we move forward.
The Board of Directors has spent a great deal of time discussing this issue and how it impacts our members. We understand and share the anxiety and uncertainty you feel regarding the situation we find ourselves in. The fact that our membership is spread out from coast to coast only amplifies the difficulty of trying to shed some light on this situation given the fact that each province will have its own take on what safety precautions we must adhere to.
Given this lack of specific direction from the government, the different regions our members are located in and the fact that we are not medical experts, we do not feel like we are qualified to tell our members what they should be doing as we move forward. Nevertheless, it would be our recommendation that we take our example from the Registered Massage Therapists since this modality comes close to the type of service we provide our clients. We strongly encourage you to review your Provincial website regarding the guidelines for Massage Therapists for when you can move forward, and the specific requirements you will need to follow.
As a suggestion, we also encourage you to develop a list of questions to ask when booking and/or seeing clients. Do not book an appointment with a client who is reporting any of the symptoms or allow them into your clinic or workspace. Advise them to contact the local health unit to be assessed should they report any symptoms to you.
The questions you need to consider and ask are pretty standard. The Ontario Ministry of Health has provided the following list of suggested questions you can ask as an example.
Please log into the Members Only section for a printable copy of a Covid-19 Intake form!
Do you have a concern for a potential COVID-19 infection? Have you been tested for COVID-19?
- Do you have close contact with anyone with acute respiratory Illness or anyone who has traveled outside of the Province in the past 14 days?
- Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?
- Do you have any of the following symptoms?
- New onset of cough
- Worsening chronic cough
- Shortness of breath
- Difficulty breathing
- Sore throat
- Difficulty swallowing
- Decrease or loss of sense of taste or smell
- Unexplained fatigue/malaise/muscle aches (myalgias)
- abdominal pain
- Pink eye (conjunctivitis)
- Runny nose/nasal congestion without other known cause
- If the person is 70 years of age or older, are they experiencing any of the following symptoms:
- unexplained or increased number of falls,
- acute functional decline,
- Worsening of chronic conditions?
Other Recommendations that you may wish to consider:
|Clients should be contacted prior to a session and/or entering the clinic space in order to determine if they are experiencing any possible COVID symptoms: Symptoms to be concerned with include: cough, fever/signs of a fever (temperature of 37.8°C or higher), headache, sore throat, hoarse voice, nasal congestion, shortness of breath, difficulty swallowing or runny nose. No client with these symptoms should be permitted to enter the clinic and must be advised to contact the local health unit to be assessed. |
You may wish to use the CMTNL COVID-19 Client Screening Guidance document and printable report. Also, the RMTBC’s Recommended Practice Guidelines for Registered Massage Therapists in BC during the COVID-19 Pandemic document is an excellent document to review and implement some suggested practises and forms.
During a session, clients may develop a runny nose due to lymphatic movement. Symptoms you should be concerned about are those in the screening guide that you have asked your client before a session.
Physical Distancing should be implemented in all areas of the clinic, between receptionists, other clients and other staff. Clients should be scheduled at least 30 minutes apart, to ensure physical Distancing and time for proper cleaning/disinfecting.
Where possible, invoices should be sent electronically. Where possible, payments should be contactless (no cash).
Any client in a vulnerable demographic with secondary health conditions, autoimmune conditions, over the age of 60 or resides in a residential home is strongly recommended to forgo the session due to the increased risk. Clients who decide to proceed with the appointment are then making an informed decision.
Clients must be made aware of precautionary measures before the session. Clients who refuse to comply with these measures can be denied the appointment due to safety concerns and not referred to another therapist.
Place signage at the entrance to ensure anyone with symptoms does not enter your clinic space; any client who arrives at your clinic with symptoms can be refused from the session.
Waiting Area/Work Space
Eliminate the waiting room if possible. If that’s not possible, at least ensure the removal of all unnecessary items (such as magazines, water dispensers, business cards, pens, etc.) from the waiting area and treatment area to reduce the number of contact surfaces.
The client only should arrive for the appointment (with no additional people).
Remove all objects that are not easily cleaned between clients (such as cushions, slippers, etc.)
Proper cleaning and precautions must be taken between clients including disinfecting all surfaces (such as doorknobs, keyboards, chairs, table, headrest, lotion/oil bottle, telephones, faucets, debit machine keypads, cash registers, pens, mouse, switches)
Soiled linens must be placed in a sealed bag until washed and only handled with gloved hands, where possible use one-time use headrest covers.
Blankets/sheets must be changed for every client.
Private bathrooms must be disinfected after each use. Public restrooms must be disinfected regularly and should have a notice for clients indicating that the restroom is used by others and asking them to use caution.
The use of proper cleaners and disinfectants must be used.
Personal Protection Equipment (PPE)
Clients should wear a well-fitted mask that covers their nose and mouth. Therapists reserve the right to provide clients with a mask to wear upon arriving. Therapists may wear a 2 or 3 ply medical mask. Homemade masks are discouraged for therapists.
Eye protection should be worn if you are in proximity (less than 2 ft) to the client.
Gloves are strongly recommended, especially with work near the face. Those who decide not to use gloves must disinfect hands before leaving the workroom to avoid cross-contamination throughout the clinic and still must wash hands.
Clients may refuse skin on skin contact, and the practitioner should include this in their informed consent.
Practitioners may wear a gown/coat/apron that can be changed between clients.
Hand sanitizer should be at least 60% alcohol-based. Wash hands. Get between your fingers. Use a nail brush for your nails and cuticles. Use a paper towel to turn off the faucet and to touch the door to exit the bathroom.
This is a good time for a hygiene audit of your office. Swab your doorknobs, light switches, countertops, and anything else you and your clients touch.
Clean your cellphone daily.
Wipe down your computer keyboard.
If you use antiseptic wipes, READ THE DIRECTIONS — some of them require prolonged contact to be effective.
Use disposable tissues when you cough or sneeze. Dispose of them immediately, and rewash your hands.
For more information, visit the CDC FAQ page.
Please remember that the information presented above is simply a guideline in order to help you move forward and work safely with your clients.
If in doubt, please consult with the local health authorities in your area or wait until the pandemic is over.
If you are not comfortable with providing services during this crisis, then do not take appointments until you are satisfied you can protect your safety and that of your clients.
Please be aware, the CRA has not changed its policy to allow Online/Distance training. The Board of Directors (and the majority of our members) firmly believe in the importance and tradition of in-person training and feel that this should not change despite our current circumstances. Furthermore, the requirement prohibiting online learning is in our by-laws. As such, we are not able to change this rule based on our current circumstances even if we want to.
This means our CRA Registered Teachers are not permitted to teach or partially teach classes online. Doing so is a direct violation of your membership agreement.
The only exception we will be temporarily making at this time is with respect to the number of case studies required for the Registered Practitioner/Registered Teacher applications/upgrades. Effective immediately:
- New applicants will only need to submit twelve (12) case studies instead of the required twenty-four (24). The applicant will need to work on a minimum of 2 different people. The sessions cannot be done by distance nor can they be conducted on children or pets. CEUs completed in person within the last 12 months can be used, however they cannot total more than 6 hours.
- Current Student Members who have held a CRA membership for at least one full year, can upgrade to Registered Practitioner without having to provide case studies. Upgrading a Student Membership to the Registered Practitioner level provides the added benefit of having a Directory listing and it also makes you a voting member of the CRA. If you are interested in upgrading your current Student membership at this time, please email Jodie at email@example.com to help figure out the easiest way to manage this. For the majority of you, this will simply involve adding the upgrade to your membership renewal.
- This offer does NOT apply to animals.
This exception will be in effect until July 31st, 2020.