Information current

December 1, 2020

We're in Phase 3 of our COVID-19 Path Forward plan. Watch the latest video update. For medical questions or if you feel ill, phone 811, or launch the COVID-19 self-assessment tool.

Read our self-isolation rules for everyone entering Yukon.

Pharmacies: recommended practices and personal protective equipment (PPE)


The following are interim guidelines for the use of PPE in pharmacies. Given the current COVID-19 situation in Yukon, it is not recommended to treat patients as suspected of having COVID-19. Rather, each patient encounter should be undertaken with concern for COVID-19.

Providers should fax in prescriptions noting their urgency. Patients who are self-isolating are not to go to pharmacies for pick-up. They should choose a non-self-isolating person to pick up their medications. They can also use the pharmacy’s delivery service.

Symptoms or exposure risks will allow providers to use the appropriate steps for each encounter. We recommend using virtual health platforms for patient care, if possible.

Please use the screening questions to determine risk.

Risk factors for COVID-19

The presence of symptoms indicates a need for augmenting routine practices.
Those who have symptoms should:

  • call 811;
  • call the Respiratory Assessment Centre 867-393-3083; or
  • complete the online Yukon COVID-19 self-assessment tool.

If COVID-19 risk is present, the patient should not come to the pharmacy. If there are extenuating circumstances, the patient should notify the pharmacy. Posting signs for patients to call the pharmacy could limit symptomatic patients from entering.

Injections

For those requiring an injection, it's at the discretion of the pharmacist and the ordering provider. If possible, postpone the visit until the patient is evaluated by a medical provider.

Injections can be given if:

  • patients are no longer symptomatic;
  • the self-isolation period is complete; or
  • patients are referred to the healthcare provider clinic to administer the injection.

If patients require urgent evaluation or treatment, follow these full guidelines.

Strep throat swabs

It's recommended that pharmacies do not offer strep throat swabs until further notice. Please refer patients to their primary care physician or the Respiratory Assessment Center.

Routine Practices are the infection prevention and control (IPC) “practices for use in the routine care of all patients at all times in all healthcare settings and are determined by the circumstances of the patient, the environment and the task to be performed.”

Point-of-care (POC) risk assessment

Central to these Routine Practices is a point-of-care (POC) risk assessment. A POC risk assessment is performed by healthcare workers to determine which IPC measures are appropriate to assure safe patient care.

It includes:

  • the symptoms of the patient;
  • the intended interaction; and
  • the protection the healthcare worker from exposure to infection (such as exposure to body fluids, respiratory secretions, sharps, etc.).

Routine practices include, but are not limited to:

  • point-of-care risk assessment;
  • hand hygiene (either soap and water or an alcohol-based hand sanitizer);
  • aseptic technique;
  • patient placement and flow; 
  • appropriate use of PPE ; and
  • management and cleaning of the patient care environment. 

Public health measures

The continuation of basic public health measures shown to reduce the risk of transmission and acquisition of COVID-19 is imperative to all interactions:

  • physical or social distancing;
  • hand hygiene; and
  • respiratory etiquette.

Additional measures

Additional measures can be put in place to help to create a safer environment for the patient and staff. Such environmental measures and visual cues include:

  • visual cues and signage at doors encouraging patients to call ahead if symptomatic;
  • visual cues and signage re-enforcing good hand hygiene practices and respiratory etiquette;
  • Plexiglass barrier for administrative staff or screeners;
  • duct tape or other visual cue indicating appropriate spacing between patients; and 
  • staggering scheduled appointments in order to maximize capacity for physical distancing.

Appropriate PPE for patient care based on target personnel and activity

If the patient responds no to the screening questions, continue routine practices relevant for the intended interaction.

Target space  Target personnel Activity/Interaction Recommended practices
Screening or  triage area Screener or administrative staff Screening or greeting a patient, not involving direct contact 
  • Maintain at least 2-metres separation or behind Plexiglass
  • Limit the number of patients in the pharmacy, assuring appropriate social distancing 
Screening or triage area patients Patients responding no to screening questions Being screened 
  • Hand hygiene 
  • Maintain at least 2-metres distance 
Witnessed dosing of medications staff   Staff Administering medication
  • Hand hygiene 
  • Maintain at least 2-metres distance or behind plexiglass
Witnessed dosing of medications patients   Patients responding no to screening questions Receiving medication  Hand hygiene
Maintain at least 2-metre distance
Clinical or work space: staff Staff Tasks that do not involve patient contact 
  • Maintain at least 2-metre separation  
  • Regular practices of respiratory etiquette and hand hygiene
Waiting room: patients  Patients responding no to screening questions Waiting for prescriptions
  • Hand hygiene Maintain at least 2 metres from other patients
  • Encourage patients to wait in their cars until the prescription is complete
Consultation room: staff Pharmacists or pharmacy technicians  Performing injections on patients who respond no to screening questions 
  • Hand hygiene
  • Routine practices for administration of injections
Consultation room: patients Patients responding no to screening questions  Undergoing consultation for medications or administration of pharmaceuticals  Hand hygiene
All patient care areas: environmental services Environmental services Cleaning and decontamination of patient care areas Routine cleaning, any equipment shared between patients must be cleaned and disinfected. Find out more about cleaning and disinfecting the workplace.

 

Appropriate PPE for patient care based on target personnel and activity

If your patient needs an injection or medication and these treatments cannot be delayed until they have no symptoms or are no longer self-isolating, and it’s not possible to deliver these services in any other way, follow the following recommendations for practice and PPE. 

If PPE is not available in your facility, consider referring your patient to their healthcare provider if theyhave responded yes to screening questions.

It is strongly recommended to have this patient come during certain hours to reduce risk to other patients. For example, scheduled as the last patient of the day.

Target space  Target personnel Activity/Interaction Recommended practices
Screening or  triage area staff Screener or administrative staff Screening or greeting a patient, not involving direct contact 
  • Maintain at least 2 metres separation or 
  • Behind plexiglass
Screening or triage area patients Patients responding yes to screening questions Being screened 
  • Hand hygiene
  • Surgical/procedural mask
  • Give tissues for respiratory hygiene
  • Maintain at least 2 metres distance
  • Assure safe disposal of used tissues
Witnessed dosing of medications staff   Staff Administering medication
  • Hand hygiene 
  • Maintain at least 2-metres distance or behind Plexiglass
Witnessed dosing of medications patients   Patients responding yes to screening questions Receiving medication 
  • Hand hygiene 
  • Surgical/procedural mask 
  • Give tissues for respiratory hygiene 
  • Maintain at least 2 metres distance 
  • Assure safe disposal of used tissues
Clinical or work space: staff Staff Tasks that do not involve patient contact 
  • Maintain at least 2-metre separation  
  • Regular practices of respiratory etiquette and hand hygiene
Waiting room: patients  Patients responding yes to screening questions Waiting for prescriptions pick-up and/or injections
  • Hand hygiene
  • Surgical or procedural mask Respiratory etiquette
  • If possible, isolate in room or in a designated area. If not feasible, maintain at least 2 metres from other patients
  • Encourage to wait in car until medication is filled
Consultation room: staff Pharmacists or pharmacy technicians  Administering injectable and/or consultation to  patients responding yes to screening questions
  • Hand hygiene
  • Droplet and contact precautions: surgical or procedural mask; gown; gloves; goggles or face shield
Consultation room: patients Patients responding yes to screening questions Receiving an injection and/or consultation 
  • Hand hygiene 
  • Surgical or procedural mask 
  • Respiratory etiquette 
All patient care areas: environmental services Environmental services Cleaning and decontamination of patient care areas Routine cleaning, any equipment shared between patients must be cleaned and disinfected. Find out more about cleaning and disinfecting the workplace.

Interim guidance: June 1, 2020

Download a PDF of this page or print this page.

Phase 1‒2: no evidence of community spread


The following are interim guidelines for the use of PPE in pharmacies. Given the current COVID-19 situation in Yukon, it is not recommended to treat patients as suspected of having COVID-19. Rather, each patient encounter should be undertaken with concern for COVID-19.

Providers should fax in prescriptions noting their urgency. Patients who are self-isolating are not to go to pharmacies for pick-up. They should choose a non-self-isolating person to pick up their medications. They can also use the pharmacy’s delivery service.

Symptoms or exposure risks will allow providers to use the appropriate steps for each encounter. We recommend using virtual health platforms for patient care, if possible.

Please use the screening questions to determine risk.

Risk factors for COVID-19

The presence of symptoms indicates a need for augmenting routine practices.
Those who have symptoms should:

  • call 811;
  • call the Respiratory Assessment Centre 867-393-3083; or
  • complete the online Yukon COVID-19 self-assessment tool.

If COVID-19 risk is present, the patient should not come to the pharmacy. If there are extenuating circumstances, the patient should notify the pharmacy. Posting signs for patients to call the pharmacy could limit symptomatic patients from entering.

Injections

For those requiring an injection, it's at the discretion of the pharmacist and the ordering provider. If possible, postpone the visit until the patient is evaluated by a medical provider.

Injections can be given if:

  • patients are no longer symptomatic;
  • the self-isolation period is complete; or
  • patients are referred to the healthcare provider clinic to administer the injection.

If patients require urgent evaluation or treatment, follow these full guidelines.

Strep throat swabs

It's recommended that pharmacies do not offer strep throat swabs until further notice. Please refer patients to their primary care physician or the Respiratory Assessment Center.

What are routine practices?

Routine Practices are the infection prevention and control (IPC) “practices for use in the routine care of all patients at all times in all healthcare settings and are determined by the circumstances of the patient, the environment and the task to be performed.”

Point-of-care (POC) risk assessment

Central to these Routine Practices is a point-of-care (POC) risk assessment. A POC risk assessment is performed by healthcare workers to determine which IPC measures are appropriate to assure safe patient care.

It includes:

  • the symptoms of the patient;
  • the intended interaction; and
  • the protection the healthcare worker from exposure to infection (such as exposure to body fluids, respiratory secretions, sharps, etc.).

Routine practices include, but are not limited to:

  • point-of-care risk assessment;
  • hand hygiene (either soap and water or an alcohol-based hand sanitizer);
  • aseptic technique;
  • patient placement and flow; 
  • appropriate use of PPE ; and
  • management and cleaning of the patient care environment. 

Public health measures

The continuation of basic public health measures shown to reduce the risk of transmission and acquisition of COVID-19 is imperative to all interactions:

  • physical or social distancing;
  • hand hygiene; and
  • respiratory etiquette.

Additional measures

Additional measures can be put in place to help to create a safer environment for the patient and staff. Such environmental measures and visual cues include:

  • visual cues and signage at doors encouraging patients to call ahead if symptomatic;
  • visual cues and signage re-enforcing good hand hygiene practices and respiratory etiquette;
  • Plexiglass barrier for administrative staff or screeners;
  • duct tape or other visual cue indicating appropriate spacing between patients; and 
  • staggering scheduled appointments in order to maximize capacity for physical distancing.
Patient: no COVID-19 risk factors

Appropriate PPE for patient care based on target personnel and activity

If the patient responds no to the screening questions, continue routine practices relevant for the intended interaction.

Target space  Target personnel Activity/Interaction Recommended practices
Screening or  triage area Screener or administrative staff Screening or greeting a patient, not involving direct contact 
  • Maintain at least 2-metres separation or behind Plexiglass
  • Limit the number of patients in the pharmacy, assuring appropriate social distancing 
Screening or triage area patients Patients responding no to screening questions Being screened 
  • Hand hygiene 
  • Maintain at least 2-metres distance 
Witnessed dosing of medications staff   Staff Administering medication
  • Hand hygiene 
  • Maintain at least 2-metres distance or behind plexiglass
Witnessed dosing of medications patients   Patients responding no to screening questions Receiving medication  Hand hygiene
Maintain at least 2-metre distance
Clinical or work space: staff Staff Tasks that do not involve patient contact 
  • Maintain at least 2-metre separation  
  • Regular practices of respiratory etiquette and hand hygiene
Waiting room: patients  Patients responding no to screening questions Waiting for prescriptions
  • Hand hygiene Maintain at least 2 metres from other patients
  • Encourage patients to wait in their cars until the prescription is complete
Consultation room: staff Pharmacists or pharmacy technicians  Performing injections on patients who respond no to screening questions 
  • Hand hygiene
  • Routine practices for administration of injections
Consultation room: patients Patients responding no to screening questions  Undergoing consultation for medications or administration of pharmaceuticals  Hand hygiene
All patient care areas: environmental services Environmental services Cleaning and decontamination of patient care areas Routine cleaning, any equipment shared between patients must be cleaned and disinfected. Find out more about cleaning and disinfecting the workplace.

 

Patient symptomatic or self-isolating: no other way to deliver services

Appropriate PPE for patient care based on target personnel and activity

If your patient needs an injection or medication and these treatments cannot be delayed until they have no symptoms or are no longer self-isolating, and it’s not possible to deliver these services in any other way, follow the following recommendations for practice and PPE. 

If PPE is not available in your facility, consider referring your patient to their healthcare provider if theyhave responded yes to screening questions.

It is strongly recommended to have this patient come during certain hours to reduce risk to other patients. For example, scheduled as the last patient of the day.

Target space  Target personnel Activity/Interaction Recommended practices
Screening or  triage area staff Screener or administrative staff Screening or greeting a patient, not involving direct contact 
  • Maintain at least 2 metres separation or 
  • Behind plexiglass
Screening or triage area patients Patients responding yes to screening questions Being screened 
  • Hand hygiene
  • Surgical/procedural mask
  • Give tissues for respiratory hygiene
  • Maintain at least 2 metres distance
  • Assure safe disposal of used tissues
Witnessed dosing of medications staff   Staff Administering medication
  • Hand hygiene 
  • Maintain at least 2-metres distance or behind Plexiglass
Witnessed dosing of medications patients   Patients responding yes to screening questions Receiving medication 
  • Hand hygiene 
  • Surgical/procedural mask 
  • Give tissues for respiratory hygiene 
  • Maintain at least 2 metres distance 
  • Assure safe disposal of used tissues
Clinical or work space: staff Staff Tasks that do not involve patient contact 
  • Maintain at least 2-metre separation  
  • Regular practices of respiratory etiquette and hand hygiene
Waiting room: patients  Patients responding yes to screening questions Waiting for prescriptions pick-up and/or injections
  • Hand hygiene
  • Surgical or procedural mask Respiratory etiquette
  • If possible, isolate in room or in a designated area. If not feasible, maintain at least 2 metres from other patients
  • Encourage to wait in car until medication is filled
Consultation room: staff Pharmacists or pharmacy technicians  Administering injectable and/or consultation to  patients responding yes to screening questions
  • Hand hygiene
  • Droplet and contact precautions: surgical or procedural mask; gown; gloves; goggles or face shield
Consultation room: patients Patients responding yes to screening questions Receiving an injection and/or consultation 
  • Hand hygiene 
  • Surgical or procedural mask 
  • Respiratory etiquette 
All patient care areas: environmental services Environmental services Cleaning and decontamination of patient care areas Routine cleaning, any equipment shared between patients must be cleaned and disinfected. Find out more about cleaning and disinfecting the workplace.