COVID-19: Nursing Foot Care and Non-Urgent Services

Posted: April 30, 2020

The Province has announced that, effective May 4, non-urgent health care and therapeutic services may be restored, with specific precautions in place. Licensed practical nurses (LPNs) who provide nursing foot care in a self-employed capacity will no longer be limited to providing urgent and emergent services only.

Please note that offering non-urgent health care services is subject to any restrictions that may be in place respecting working in more than one personal care home. Please see here for information on that topic.

Decisions about providing nursing foot care services to clients who are at high risk for severe illness from COVID-19 must be made on a case by case basis, in consideration of the real or potential risk of negative health outcomes that the nurse is trying to prevent.  Decisions must, as always, be made in the client interest.

LPNs are advised to consult provincial guidance respecting the precautions that must be in place before offering health care services.

Some of this guidance is offered on the Province of Manitoba’s website. Some is offered on Shared Health Manitoba’s website. The following summary of this guidance, organized by setting, is offered here to assist LPNs. This summary reflects the information posted on provincial websites as of April 30, 2020. LPNs are advised to stay abreast of any updates by visiting the source websites.

Home visits

 Clinics 

  • LPNs and any staff or volunteers must use the self-screening tool prior to attending the clinic each day. https://sharedhealthmb.ca/covid19/screening-tool/ 
  • LPNs and any staff or volunteers must stay home when ill with COVID-19 symptoms. 
  • Clients or people attending with clients must use the self-screening tool before booking an appointment and before attending the clinic https://sharedhealthmb.ca/covid19/screening-tool/  
  • Clients or people planning to attend with clients must stay home when ill with COVID-19 symptoms.
  • People identified as symptomatic should be instructed to call Health Links – Info Santé.
  • Staff and volunteers must be given information about physical distancing. 
  • Entry into the clinic must be regulated to prevent congestion. 
  • Clinics must post external signs indicating COVID-19 physical distancing protocols, along with floor markings where service is provided or lines form. https://sharedhealthmb.ca/covid19/providers/posters/ 
  • Clinics must maintain a single point of entry. 
  • Waiting room management strategies must be in place. Strategies should include waiting in car if possible, and physical distancing for those in waiting room. No more than 10 people may gather in common areas. 
  • Hand sanitizer must be available at the entrance/exit for client and staff/volunteer use.
  • Patients and people attending with patients must sanitize hands upon entry to facility. 
  • Work/service areas are sanitized after each client. 
  • Washrooms have frequent sanitization and a regime for business sanitization is in place. 
  • Magazine racks and toys are removed and play areas in waiting rooms are closed. 
  • Clients may wear masks when receiving services, where possible. 
  • Cashless or no-contact payment should be used to the greatest extent possible. 
  • Shared Health direction for personal protective equipment for Outpatient Settings/ Community Clinics must be followed https://sharedhealthmb.ca/files/ppe-provincial-requirements-outpatient-settings.pdf 

If you have any further questions, please contact us at:
practice@clpnm.ca
204-663-1212 (ext 322)
1-877-663-1212 toll free (ext 322)