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Update on Governor Kemp’s Executive Order 3.31.21.03 – Reopening the State 4.22.21

Gov. Kemp has announced his desire to slowly re-open the state for business. In his Executive Order 3.31.21.03, as of April 8, 2021, all organizations and businesses that continue in-person operations during the effective dates of this order (through April 30, 2021) shall implement measures which mitigate the exposure and spread of COVID-19 among its workforce.

Update on Governor Kemp’s Executive Order 3.31.21.03
Reopening the State - 4.22.21

The Public Health Emergency due to COVID-19 continues to be an evolving situation.  However, Gov. Kemp has announced his desire to slowly re-open the state for business. In his Executive Order 3.31.21.03, as of April 8, 2021, all organizations and businesses that continue in-person operations during the effective dates of this order (through April 30, 2021) shall implement measures which mitigate the exposure and spread of COVID-19 among its workforce. Such measures may include the following:

  1. Any measures that have been proven effective to control the spread of COVID-19;
  2. Screening and evaluating workers who exhibit Symptoms of COVID-19;
  3. Requiring workers who exhibit symptoms of COVID-19 to not report to work or to seek medical attention;
  4. Posting signage at the entrances to the facility stating that individuals who have been diagnosed with COVID-19, have symptoms of COVID-19, or had contact with a person that has or is suspected to have COVID-19 within the past fourteen (14) days and have not completed the Post-Exposure Quarantine Protocol shall not enter the facility;
  5. Enhancing sanitation as appropriate;
  6. Disinfecting frequently touched surfaces regularly, including, but not limited to, PIN entry devices, signature pads, and other point of sale equipment, door handles, and light switches;
  7. Increasing space between workers’ worksites to maintain social distancing;
  8. Permitting workers to take breaks and meals outside, in their office or personal workspace, or in such other areas where proper social distancing is attainable;
  9. If the organization engages volunteers or has members of the public participate in activities, prohibiting volunteering or participation in activities for persons diagnosed with COVID-19, having exhibited Symptoms of COVID-19, or having had contact with a person that has or is suspected to have COVID-19 within the past fourteen (14) days and having not yet completed the Post-Exposure Quarantine Protocol;
  10. Ensuring ventilation systems operate properly and increasing circulation and purification of air within facilities as practicable;
  11. If the organization provides childcare services, complying with the regulations for “Childcare Facilities” included in the executive order titled “Education & Children;” and
  12. Any food service areas within an organization’s facility must adhere to the guidelines set forth in the executive order, titled “Restaurants & Bars.”

FULL LINK: Georgia Guidance for Businesses In-Person Operations

  • What does this mean for your dental practice? Under the current Executive Order and through April 30, 2021, your practice may choose to continue to ask patients to wait in their cars or have patients socially distance in reception areas. Masks are still strongly encouraged, especially for businesses that may generate a high amount of aerosols. Please be advised that the CDC and ADA have not updated their guidelines for dental practices, so Georgia dentists are still strongly encouraged to continue with pre-appointment screening and patient monitoring at check-in (i.e. temperature checks, etc). 

Return to work for healthcare personnel after laboratory confirmed or suspected COVID-19:

  1. Symptomatic persons who are health care personnel with confirmed or suspected COVID-19 can return to work after:
    • At least 10 days* have passed since symptoms first appeared and
    • At least 24 hours have passed since last fever without the use of fever-reducing medications and
    • Symptoms (e.g., cough, shortness of breath) have improved
  2. Asymptomatic persons who are health care personnel with confirmed COVID-19 can return to work after:

    • At least 10 days* have passed since the positive laboratory test and the person remains asymptomatic
    • Note, if you later develop symptoms, you should follow the guidance for symptomatic persons above.
  3. Return to work for healthcare personnel after exposure to a person with COVID-19 Asymptomatic HCP who were exposed to a person with COVID-19 without appropriate PPE should not return to work until 14 days have passed since their exposure.
  • CDC and DPH recommend that HCP not return to the workplace/healthcare setting until 14 days have passed since their exposure due to the extensive and close contact with patients required of these individuals. More information can be found at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html
  • Even if HCP choose to follow the shortened duration of quarantine guidance, these recommendations pertain to daily activities outside of the workplace/healthcare setting only (https://dph.georgia.gov/contact).
  • Asymptomatic, HPC who are within three months of their initial infection might continue to work with ongoing monitoring for COVID-19 symptoms and strict adherence to infection control practices, including source control. If symptoms occur, HCP should immediately be restricted from work and tested. If a facility is uncertain of a HCP’s prior infection or the durability of person’s immune system, HCP should be restricted from work regardless of previous infection status.
  • Fully vaccinated HCP with higher risk exposures should typically be restricted from work for the full 14 days. Although CDC recently determined that under certain circumstances, fully vaccinated persons may not be required to quarantine after an exposure, this determination does not apply to HCP with higher risk exposures unless staffing shortages are an issue. Higher-risk exposures generally involve exposure of the eyes, nose, or mouth of the HCP to material potentially containing SARS-CoV-2, particularly while in the room for an aerosol-generating procedure.
  • When staffing shortages are anticipated, the facility may consider implementing contingency staffing strategies (see crisis strategies to mitigate staffing shortages below).

Both CDC and DPH DO NOT recommend using a test-based strategy for returning to work (2 negative tests at least 24 hours apart) after COVID-19 infection†. CDC has reported prolonged PCR positive test results without evidence of infectiousness. In one study, individuals were reported to have positive COVID-19 tests for up to 12 weeks post initial positive.   

  • Does my office need to keep daily COVID-19 check-in information from patients? If temperature checks, etc. have been recorded into the patient’s chart it, is considered part of their dental medical record which must be kept by law for a minimum of 10 years. If temperature checks are recorded on a reception area chart and not in the patient’s chart, they can be securely destroyed after 30 days.
  • Does my office need to keep the poster providing us with limited legal immunity from COVID-19 related transmission claims in the reception area where patients can see it after April 30, 2021? Yes. The GDA recommends that dental practices continue to keep the liability poster posted until further notice. One of the new bills passed by the Georgia General Assembly in 2021 extends the window of immunity until July of 2022.
  • Are temperature checks for patients still required in dental offices? The CDC’s Guidance for Dental Settings have not been updated since December 2020 and still recommend temperature checks as a screening measure.   However, Gov. Kemp’s Executive Order 03.31.21.03 does not expressly require such temperature checks in dental offices.

Dear GDA Member:

 

Earlier today, GDA incorrectly reported that Governor Kemp's June 29 Executive Order, 6.29.02, removed the requirement that Georgia licensed dentists returning to full scope of practice shall adhere to the ADA's Interim Guidance for Minimizing Risk of COVID-19 Transmission and the ADA's Interim Mask and Face Shield Guidelines

 

Pursuant to Gov. Kemp's June 29 Order, which is effective through 11:59 PM on July 15, 2020all Georgia licensed-dentists returning to full scope of practice are still required to adhere to the ADA's Interim Guidance for Minimizing Risk of COVID-19 Transmission and the ADA's Interim Mask Guidance as now set forth by the Georgia Department of Economic Development's Guidelines for Critical Infrastructure, which includes the Healthcare Business Guidelines that were referenced in previous Executive Orders. 

 

With reports of confirmed COVID-19 cases still on the rise in Georgia, the GDA also recommends that Georgia licensed dentists review the guidance set forth in the American Dental Association’s Return to Work Interim Guidance Toolkit and continue to monitor the CDC’s Guidance for Dental Settings (updated 6/17/2020) for updates. 

 

To assist dentists in communicating with their patients and scheduling appointments, the ADA has created a Patient Resource Center with a downloadable Toolkit

 

For guidance related to possible exposure to COVID-19 for healthcare personnel, the Georgia Department of Public Health (“GA DPH”), CDC, and ADA have issued the following resources:

 

 

Disclaimer: This statement and materials are intended to provide helpful information to dentists and dental team members. They are in no way a substitute for actual professional advice based upon your unique facts and circumstances. This content is not intended or offered, nor should it be taken, as legal or other professional advice. You should always consult with your own professional advisors (e.g. attorney, accountant, insurance carrier).

On Tuesday, May 12, Governor Kemp issued Executive Order5.12.20.02(the “May 12 Executive Order”), which extended his directives applicable to dentistry in his Executive Order4.23.20.02from12 AM on May 14through11:59 PM on May 31.Pursuant to the May 12 Executive Order, Georgia licensed dentists may continue to provide their full scope of treatment during the effective date of the order butshall continue toadhere to the following:

 

On Tuesday, May 12, Governor Kemp issued Executive Order5.12.20.02(the “May 12 Executive Order”), which extended his directives applicable to dentistry in his Executive Order4.23.20.02from12 AM on May 14through11:59 PM on May 31.Pursuant to the May 12 Executive Order, Georgia licensed dentists may continue to provide their full scope of treatment during the effective date of the order butshall continue toadhere to the following:

 

GDA 2021 Nominations

Seeking Nominations

The GDA Nominating Committee is seeking nominations for positions opening in 2021 including State Officer and at-Large Trustees, and Speaker of the House.

Nominations for GDA State Officers, Speaker of the House and At-Large Trustees are due June 17, 2021. Nominations/CVs should be submitted to the GDA office via mail (7000 Peachtree Dunwoody Road, NE, Suite 200, Atlanta, GA 30328-1655) or via email to Jeannie@gadental.org.

View Positions

GDA Committees, Councils and Task Forces 

To express interest in serving on a GDA Committee, Council or Task Force, contact your District President or Jeannie Watson at 404-636-7553 or Jeannie@gadental.org

For a listing of current positions up for nomination, please click here.

Reminder: GDA Member Forum 

GDA Board Meeting
Wednesday, July 14, 2021
Ritz-Carlton, Amelia Island
Meeting begins at 1 pm
Open members’ forum at 1:30 pm

 

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