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COVID-19 Mask, Screening and Physical Distancing FAQ

June 23, 2022 12804

Answers to members’ top questions about physical distancing, patient screening, the use of face coverings, and other COVID-19 prevention requirements.

Do vaccinated patients have to wear masks while in the practice?

Yes.  California Department of Public Health April 22, 2022 guidance clearly state that masks must continue to be worn in health care facilities, long-term care facilities and other specific settings. As a best practice, refresh patient communications and signage. 

Must we continue to screen patients and take temperatures?

Yes. Patient screening is an essential part of COVID-19 infection prevention and is also required by Cal/OSHA aerosol transmissible disease regulation.  Temperature taking is recommended.  You may ask patients about vaccination status; it is not a violation of the law to do so. A screening form is not required but record in the patient’s chart that they were screened. See the updated screening protocol.

Do staff have to wear masks while at work?

Yes. California Department of Public Health April 22, 2022 guidance state that masks must continue to be worn in healthcare settings. An employer must provide properly fitted respirators to staff involved with aerosol generating procedures. Cal/OSHA requires use of respirators during such procedures in both dental and medical settings.

Staff may voluntarily choose to wear a respirator while at work and for non-aerosol generating procedures, and the employer must provide it if requested, per Cal/OSHA. Voluntary use of a respirator does not require the employer to provide a medical evaluation or fit-testing but the employer must ensure the employee is trained on how to put it on and how to perform a seal check each time the respirator is worn.

What are an employer’s obligations if one or more workers (paid or unpaid) are not fully vaccinated?

Healthcare employers are required to ensure unvaccinated workers are tested weekly for COVID-19 if the employer does not have documentation that the workers are vaccinated.  Some counties (Los Angeles, Santa Clara and San Francisco) and cities (Berkeley and Pasadena) require all healthcare workers to be vaccinated for COVID-19. Exemptions vary by jurisdiction.

Are respirators still required to be used in the practice?

Yes, for aerosol-generating procedures according to the Cal/OSHA emergency temporary standard.  Cal/OSHA requires respirators used in the practice to be approved by NIOSH.

How often must an employer provide an employee with a new respirator?

Filtering facepiece respirators, such as the N95, are disposable respirators that cannot be cleaned or disinfected. They must be replaced if they get damaged, deformed, dirty, or difficult to breathe through. A best practice is to replace filtering facepiece respirators at the beginning of each shift. Employers should follow the manufacturer’s instructions. CDC recommends replacing a disposable filtering facepiece respirator after it has been taken on and off five times. Filtering facepiece respirators may not fit correctly after repeated use.  For voluntary use, the need to replace a respirator varies with use and environment.  

Is physical distancing still required?

Cal/OSHA no longer requires physical distancing at the workplace. CDC recommends individuals who are sick or unvaccinated stay 6 feet away from others.

Are barriers still required?

Barriers are no longer required by Cal/OSHA.

What should my practice’s mask policy state?

The dental practice’s mask policy should clearly state that all patients and visitors must wear a face-covering in the dental office regardless of their vaccination status, according to CDPH guidance. Practice owners can find sample messaging in the Patient Communication and Management section.  

If a patient refuses to wear a mask in my dental practice, can I deny them service?

In limited circumstances, there could be a situation in which a patient cannot wear a mask due to a legitimate health reason. In this case, the practice may consider a special accommodation, such as scheduling the patient when other patients are not present.

The goal of the practice should be to clearly communicate the policy to patients prior to their appointment and answer any questions they may have. If the patient expresses concern prior to the appointment and refuses to wear a mask, develop messaging for your dental team to use to reschedule the patient for a later date prior to their arrival for their appointment. CDA has developed sample messaging for rescheduling patients.

What if a patient gets upset about the mask policy?

If a patient refuses to wear a mask while in the dental office and becomes confrontational, it may be necessary to call security or law enforcement to help de-escalate the situation. Practice owners are responsible for keeping employees safe while they are at work. Physical and verbal violence should never be tolerated in the dental office.

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