COVID-19 / Coronavirus

There is a lot of information out there, but it is most helpful to read current evidence-based recommendations. Here are some good starting points that are updated frequently:

 

 

Following basic infection prevention guidelines and current CDC recommendations is your best bet to stay healthy and prevent the spread of disease. You can learn more at the CDC website on how to protect yourself from COVID-19.

HOW COVID-19 SPREADS

There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).

  • The best way to prevent illness is to avoid being exposed to this virus.

  • The virus is thought to spread mainly from person-to-person.

  • Between people who are in close contact with one another (within about 6 feet).

  • Through respiratory droplets produced when an infected person coughs, sneezes or talks.

  • These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

  • Some recent studies have suggested that COVID-19 may be spread by people who are not showing symptoms.

EVERYONE SHOULD

  1. Wash your hands often with soap and water for at least 20-30 seconds. Alcohol based hand sanitizer (>60%) may be used if you do not have access to soap and water.

  2. Avoid touching your eyes, nose and mouth 

  3. Wear a mask that covers your nose and mouth when around others outside your household

  4. Clean and disinfect high touch surfaces routinely

  5. If you sneeze or cough, do so into a tissue and then immediate wash your hands as above. If a tissue is not available, sneeze or cough into your elbow.

  6. Monitor you health daily, watching for signs and symptoms of COVID-19

  7. If you are sick, stay home.

  8. Avoid close contact with others outside of your immediate household, especially people who are sick.

  9. Avoid touching your eyes, nose and mouth (i.e. Don't touch your face!).

  10. Engage in social distancing, stay home if possible other than for essential needs such as for food, medications, or urgent healthcare needs. 

Changes to my Practice in light of Covid-19

I have made to decision to resume in-person lactation consultations in addition to the option of virtual telehealth consults! I am so excited to be back offering hands-on support again (and be able to see cute babies and new parents in real life! I have missed that!) All prenatal classes are still being offered in a virtual format for the time being. I will re-evaluate class formats mid-2021, with the plan to resume in-person classes when safe to do so. Rest assured, I am closely following recommendations from the CDC, Governor Whitmer, the State of Michigan, and my governing bodies as a nurse, lactation consultant and Lamaze educator.

For In-Person Lactation Consultations (Home Visits):

In preparation for your appointment, there are some COVID-19 precautions that I would like you to be aware of and some requests that I have prior to entering your home. 

COVID-19 Precautions

  • Clients must fill out a COVID-19 screening form prior to the consultation. This is available via the Portal which is explained in more detail below.

  • I will be wearing a mask for the entire consultation, and may wear eye protection if deemed necessary or as desired.

  • You as the client and all adults and children over age 5 in your home are required to wear a mask if they are in the same room as your consultation. Masks must be worn over the nose and mouth for the entirety of the consultation

  • I will need to document your current temperature and those of any other persons present during the consult when I arrive according to State of Michigan regulations. I have a touchless thermometer that I will be using. 

  • As soon as I arrive at your home, I will ask for a place to wash my hands with soap and water. 

    • Please have liquid soap (dish soap is fine) and paper towels available in your kitchen and/or bathroom.

    • I will be washing my hands as often as necessary during the consult, and also bring hand sanitizer that is > 60% alcohol as recommended by the CDC. This includes but is not limited to before and after touching: you or your baby, my computer, mouse, pen, supplies in my consult bag, other surfaces in your home, etc.

  • I bring gloves which I always wear when performing an oral assessment on your baby, but will also be happy to wear anytime I am touching you or your baby upon request.

  • I will need a clean swaddle blanket or burp cloth to put on my scale prior to weighing your baby.

  • I will use a disinfectant cleaner to clean my scale when I take it out of the bag and when I put it away. 

  • I prefer not to conduct the visit in your bedroom during this current time. I will teach you how to adapt any position I show you to do in your bed. 

  • Prior to leaving and storing my supplies, I will wipe down my computer, mouse, pen, and any other used items prior to storing them in my bags. 

  • I have disinfectant spray in my vehicle for disinfecting the outside of my consult bags.

 

Illness / Cancellation Policy for In-Person Lactation Home Visits

  • Please let me know in a timely manner if you or anyone in your family is symptomatic for any illness, including typical symptoms of a "common cold". 

  • If you or anyone in your home has symptoms of illness, please disclose them to me at your earliest convenience so we can create a plan to keep us all safe and illness-free. No cancellation fee will be charged if you communicate illness in a timely manner and we choose to cancel or reschedule. A virtual visit may also be an option for you depending on you and your baby's needs and whether you are needing hands-on assessment or assistance. 

  • If you or anyone in your home is sick with the flu, fever, cough, vomiting, or diarrhea when I arrive at your home, has had known contact or exposure to a COVID-19 positive individual, has been tested for COVID-19 recently with pending or positive results, or has recently traveled to any country with a current CDC Travel Health Notice and you have not disclosed this prior to the visit, I will need to leave, the visit will be canceled, and you will be charged a $75 fee. 

  • If any of the above apply, you will need to reschedule your visit for at least 14 days from the exposure, and/or 14 days from your positive test result and at least 7 days after you are symptom free  

  • In case of my own illness, illness in one of my family members, any known exposure to a COVID positive individual, or family emergency, I will communicate with you in a timely manner and you will have the option of a virtual visit if appropriate, or will refer you to another IBCLC, and no cancellation fee will be charged to you.

For In-Person Lactation Consultations (Clinic Visits - CCMC Wellness Center St. Johns):

In preparation for your appointment, there are some COVID-19 precautions that I would like you to be aware of and some requests that CCMC and I have prior to your appointment. 

COVID-19 Precautions

  • Clients must fill out a COVID-19 screening form prior to the consultation. This is available via the Portal which is explained in more detail below.

  • Clients will be COVID-19 screened by a staff member and have a temperature check prior to entering the building. 

  • I will be wearing a mask for the entire consultation, and may wear eye protection if deemed necessary or as desired.

  • You as the client and any adult or children over age of 2 who accompany you to your visit are required to wear a mask for the entire duration of your visit and when in CCMC. Masks must be worn over the nose and mouth.

  • Once in the Wellness Center, you will be asked to sanitize your hands prior to the start of our visit.

  • I will wash my hands with soap and water prior to the start of our consultation. 

  • I will be sanitizing my or washing my hands as often as necessary during the consult. This includes but is not limited to before and after touching: you or your baby, my computer, mouse, pen, supplies in my office, other surfaces in my office, etc.

  • I have disposable gloves which I always wear when performing an oral assessment on your baby, but will also be happy to wear anytime I am touching you or your baby upon request.

  • I will use a disposable single-use pad on my scale prior to weighing your baby.

  • I will use a disinfectant cleaner to clean my scale when I take it out of the bag and when I put it away. 

  • After your visit is concluded and between each client, I will wipe down my scale, couch and chair, door handles, computer, mouse, pen, and any other touched or used items. Soft surfaces like demo dolls or cloth breast models are sprayed with a disinfecting spray. 

Illness / Cancellation Policy for In-Person Clinic Lactation Visits at CCMC - Wellness Center

  • Please let me know in a timely manner if you or anyone in your family is symptomatic for any illness, including typical symptoms of a "common cold". 

  • If you or anyone in your home has symptoms of illness, please disclose them to me at your earliest convenience so we can create a plan to keep us all safe and illness-free. No cancellation fee will be charged if you communicate illness in a timely manner and we choose to cancel or reschedule. A virtual visit may also be an option for you depending on you and your baby's needs and whether you are needing hands-on assessment or assistance. 

  • If you or anyone who accompanies you to your visit is sick with the flu, fever, cough, vomiting, or diarrhea when your arrive, has had known contact or exposure to a COVID-19 positive individual, has been tested for COVID-19 recently with pending or positive results, or has recently traveled to any country with a current CDC Travel Health Notice and you have not disclosed this prior to the visit, you will need to leave, the visit will be canceled, and you will be charged a $75 fee. 

  • If any of the above apply, you will need to reschedule your visit for at least 14 days from the exposure regardless of negative test result, and/or 10 days from your positive test result and at least 7 days after you are symptom free. As mentioned above, a virtual visit will be offered to you if you are needing immediate assistance.  

  • In case of my own illness, illness in one of my family members, any known exposure to a COVID positive individual, or family emergency, I will communicate with you in a timely manner and you will have the option of a virtual visit if appropriate, or will refer you to another IBCLC, and no cancellation fee will be charged to you.

For Virtual Telehealth Lactation Consultations:

Thankfully, I have an integrated Telehealth platform within my charting systems and Client Portal. I have been providing virtual consults for the last 3 years and feel confident I can help you address many common concerns and issues in this manner. Yes, there are limitations, but I will do my utmost to walk you through the hands on steps I would take were I in your home with you. 

 

For Prenatal Classes:
For all virtual classes, class booklets will be sent to you in advance via the postal service.  You will also be given access to Google Classroom which has welcome videos, the remainder of your class resources, activities, "homework" if applicable, and more! I will let you know in advance any tools/props that you may want to have on hand for class to enhance your learning.

If you have any questions or concerns, please don’t hesitate to reach out.

We are all in this together!