On September 11 the Chief Medical Officer of Health, Dr. Robert Strang, indicated that rotational workers who reside in Nova Scotia but work outside the Province may attend necessary (urgent and routine) medical appointments, including oral health appointments, without waiting for 14 days after returning to Nova Scotia.
A rotational worker is a resident of Nova Scotia who has a set schedule where they alternate between living in Nova Scotia and working in another Canadian Province or territory in Canada, such as an Alberta oil worker. The directive only applies to rotational workers who travel to another province or territory in Canada to work. It does not apply to rotational workers who work outside of Canada. If a rotational worker has travelled outside of Canada, they must wait 14 days from the date that they return to Canada to book an appointment, unless they have an emergency. Triage and manage the oral health care needs of rotational workers by tele-dentistry whenever possible. While these individuals are not required to self-isolate for 14 days, they must pass pre-screening and screening requirements to be treated in a denturist clinic. The Chief Medical Officer of Health notes that screening protocols are the best control measure. With COVID-19 testing, there is the issue that a single negative test is not a good way to screen out COVID-19 given the limitations of our current testing technology when testing asymptomatic individuals (up to 20% false negative).
It is recommended to perform non- aerosol generating procedures whenever possible for individuals with a self-isolation exemption.
If an aerosol generating procedure is necessary, the office must:
- Schedule the patient at the end of the day; or
- Institute airborne precautions; or
- Refer to an office that can implement airborne precautions.