City Tech Reopening Plan

Restorative Dentistry Department: Re-Opening Plan

Restorative Dentistry Department

Fall 2021 Reopening Plan

Academic Building, 6th Floor,
A602, A604, A606 Laboratory Classrooms, and A607 Computer Laboratory

The profession of Dental Laboratory Technology, considered an essential business during the COVID- 19 pandemic, always upheld high standards of infection control to assure the safety and security of dental patients and dental health care team members. Similarly, the Department of Restorative Dentistry closely follows the updates of local, State, and federal requirements related to higher education and auxiliary activities and incorporates these changes into its operations.

Currently, COVID-19 still remains a concern in the NYC area and efforts remain in place to mitigate any risk of potential transmission in the Restorative Dentistry Department. The SARS-CoV-2 is primarily transmitted from person-to-person through the respiratory system, specifically 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. The droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Further, COVID-19 may be spread by people who are not showing symptoms. (www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html). Vaccination is recommended or required by CUNY guidelines; non- pharmaceutical measures (social distancing/face coverings) will be used to mitigate the risk of transmission. The modifications to the existing infection control practices will include strategies to minimize exposure to respiratory or airborne droplets.

From a review of the literature, the best practices to control the transmission of this virus are to decrease the exposure to respiratory particles, implement social distancing, face coverings, eye protection, and frequent hand washing. Additionally, the SARS-CoV-2 virus is easily killed with soap and water on persons and Tuberculocidal-level disinfectants on environmental surfaces. The scientific literature is providing a rational and logical approach to reopening dental settings to minimize the risk of transmission of SARS-CoV-2 when proper procedures to reduce respiratory exposure are implemented.

Department of Restorative Dentistry plans on holding the didactic portions of RESD courses in synchronous and asynchronous online modalities utilizing Blackboard, Blackboard Collaborate, and Zoom to communicate the course materials and instructions with its students. However, the laboratory portions of RESD courses are planned to take place in person on campus to utilize proper equipment and materials to complete hands-on projects.

Since dental laboratory technology program at NYCCT does not physically interact with patients or dental healthcare team members, nor performs work on real cases, the potential for the airborne transmission of SARS-CoV-2 between faculty/staff and students will be mitigated by the observance of the existing standard of care and infection control measures, and by adding an extra layer of protection. When occupying Restorative Dentistry physical spaces, the faculty/staff and students will wear a face mask in conjunction with eye protection, goggles, or disposable face shield, which, if used correctly, will eliminate exposure to faculty/staff/students’ respiratory droplets. The face coverings will be provided to employees who directly interact with students or members of the public while at work, at no cost to the employee. Hand soap or alcohol-based hand sanitizer containing 60% or more alcohol will be available for hand hygiene. An EPA approved surface disinfectant approved for use against the novel coronavirus, viricidal, bactericidal, tuberculocidal, fungicidal will be provided and regularly utilized in all Restorative Dentistry classrooms, storage rooms, and offices. Due to shorter than recommended 6ft distance between student benches, the clear Plexiglas barriers may be installed for safety and to promote additional physical barriers. Interestingly, the Minnesota Department of Health’s COVID-19 Prevention Guidance for Youth, Student, and Child Care Programs, “social distancing guidance will support a 3-foot radius around each participant, resulting in a 6-foot total distance between any two people.” (http://www.health.State.mn.us/diseases/coronavirus/schools/socialdistance.pdf ). If similar guidance could apply in our settings, there will be no need for plexiglass barriers as the distance between the benches is 37” widthwise, and 7ft. between the rows of benches.

Rationale for reopening the NYCCT Restorative Dentistry Laboratories:

  • The standard infection control procedures have demonstrated a 30-year history at reducing the risk of disease transmission in the dental settings.
  • Restorative Dentistry Faculty, CLT, and Staff are highly knowledgeable and regularly practice infection control measures.
  • Restorative Dentistry students receive continuous infection control instructions and training in didactic, and laboratory sections of the RESD courses and are examined in infection control compliance theory and practice on regular bases.
  • The modifications of the infection control practices will significantly decrease or even eliminate the risk of SARS-Co-V-2 infection.

Preparing the 6th floor for reopening Restorative Dentistry Laboratories Areas:

All Bathrooms/ floors/seating should be cleaned and disinfected by the College Buildings and Ground employees as per the City Tech Reopening Plan.

Building Physical Considerations (Facilities Management)

  1. Air circulation:
    1. Air movement/filtration comply with current building guidelines.
    2. Buildings & ground will be notified of issues of airflow in the classrooms.
  2. Bi-directional foot traffic is indicated with arrows on the floor of hallways. 6 ft. distance circles are marked in common areas where the gathering is likely to occur.
  3. College Buildings and Ground will manage the cleaning and disinfection of elevators, hallways, and bathrooms. Regular cleaning and disinfection will be conducted in facilities, and more frequent cleaning and disinfection will be administered for high-risk areas used by many individuals and for frequently touched surfaces.
  4. Personal hand hygiene including handwashing with soap, running warm water, and disposable paper towels, as well as an alcohol-based hand sanitizer containing 60% or more alcohol for areas where handwashing is not feasible. Hand hygiene stations are provided and maintained throughout the building Hand sanitizers will be available throughout common areas. Receptacles will be placed around the institution for disposal of soiled items, including PPE.
  5. Disposable wipes will be provided to employees so that commonly used surfaces (e.g., keyboards, desks, remote controls) can be wiped down before/after use.
  6. Touch-free amenities will be installed (e.g., trash receptacles, paper towel dispensers), where feasible.
  7. The furniture in the hallway has been put into storage to maintain social distancing.

Dental Laboratory classrooms Physical Considerations & hygiene (Facilities Management and Restorative Dentistry CLTs)

  1. Dental laboratory classrooms A602, A604, A606, and computer laboratory A607:
    1. Since laboratory benches are continuous and student seats are set approximately 37” apart, or 3 ft. apart, the clear plexiglass barriers might be installed to remedy social distancing and promote safety.
    2. Every other workbench in the class will be marked with a red X indicating it should not be used to promote social distancing (6 ft.).
    3. Extra chairs have been removed from the benches not in use.
    4. Maximum occupancy signs will be placed on entrances to rooms to indicate number of individuals that could be properly spaced in working areas of the classroom.
  2. Cleaning and Disinfecting Surfaces and Equipment:
    1. The College Buildings and Ground will manage regular Restorative Dentistry laboratory classroom cleaning, and Restorative Dentistry CLTs will administer more frequent cleaning and disinfection of high-risk areas used by many individuals and for surfaces touched frequently.
    2. Restorative Dentistry students supervised by faculty will disinfect laboratory benches, chairs, and equipment before and after the use of the classroom space.
    3. Safety Guidelines during Cleaning and Disinfection:

      1. Areas visibly soiled should be cleaned with detergent or soap and water prior to disinfecting procedures.
      2. Compressed air will not be used to clean bench surfaces.
      3. Wear disposable gloves when cleaning and disinfecting. Gloves should be discarded after each use. Clean hands immediately after gloves are removed.
      4. Wear eye protection when there is a potential for splash or splatter to the face.
      5. Store disinfectants in labeled, closed containers. If dispensing disinfectants into secondary containers (e.g., spray bottles), these must also be labeled with their contents.
    4. Hand soap and or alcohol-based hand sanitizers containing 60% or more alcohol will be made available for hand hygiene. (alcohol based hand sanitizers should not be used just prior to utilizing open flames)
    5. An EPA approved disinfectant will be used. Following instructions identified in List N for the EPA registration number.
  3. Supply Rooms, A605, and A603.1:
    1. Only CLT and faculty will be allowed in this space.
    2. Distribution of supplies will follow markers on the floor in front of the supply room to comply with social distancing.

Restorative Dentistry Faculty/Students/CLT and Staff:

  1. Students, faculty, CLTs, and staff will be informed and reminded about COVID-19 symptoms and asked to say home if any of the symptoms surface. (https://www.cdc.gov/coronavirus/2019-nco/symptoms-testing/symptoms.html)
  2. Education and training will be provided to faculty/staff and students to assure that all COVID- 19 prevention of transmission procedures is incorporated into the daily operations taking place in Restorative Dentistry workspaces.
  3. Training on how to adequately put on, take off, clean (as applicable), and discard PPE. See CDC guidance for additional information.
  4. Additional PPE will be implemented in everyday operations. PPE for all members of the Restorative Dentistry department (students, faculty, and CLTs) will include goggles, KN95 face masks, level 3 facemasks, face shields, disposable lab coats, and gloves.
  5. Faculty and Staff not attending laboratories will be required to wear an N95, KN95 or a level three medical mask in conjunction with a face shield, which, if used correctly, will eliminate airway exposure to respiratory droplets.

Overview of Movement and Social Distancing within the Academic Building The required signage from the CDC (Stop the Spread of Germs) will be posted by the main building entrance, by all elevators and at the entrance to Restorative Dentistry classrooms and offices.

  1. Entering the Academic Building
    1. Everyone will enter the building through the designated entrance.
    2. All individuals (faculty/staff/students/visitors) will be required to have a face covering (mask) the entire time they are in any of the building public spaces, including classroom, hallways, bathrooms, elevators.
    3. Mandatory health screening practices will be implemented utilizing the Everbridge app symptom checker for employees, students, and visitors. Temperature should be taken each day at home before traveling to the campus. The campus public safety officers will not conduct temperature checks. A no response on the symptom checker is required for the following questions:
      • Have you had any known close contact with a person confirmed or suspected to have Covid-19 in the past 10 days?
      • Have you tested positive for COVID-19 through a diagnostic test in the past 10 days?
      • Have you traveled internationally during the past 10 days?
      • Do you have a temperature greater than or equal to 100 degrees Fahrenheit?
      • Do you have any of the following symptoms (new or worsening)? Cough, Shortness of Breath, Troubled Breathing, Fever, Chills, Muscle Pain, Headache, Sore Throat, Fatigue, Congestion or Runny Nose, Nausea or Vomiting, Diarrhea, and New Loss of Taste and / or Smell.
      • Asking about COVID-19 symptoms in the past 10 days and/or close or proximate contact with confirmed or suspected COVID-19 case in the past 10 days.
    4. The Everbridge app Return to Campus Approval Confirmation for the day of arrival to campus will be displayed along with campus ID card to the campus public safety officer upon entering the building.
  2. Movement within the Building
    1. Access to elevators will follow social distancing (6 feet) spacing and disinfected at least twice a day.
    2. The limited volume of people to promote social distancing and social distance floor markers will be utilized.
    3. Freight elevators will be designed to stop at each floor for handicap accessibility.
    4. Egress from the building will be the exit that goes directly to Jay Street, next to the first-floor classroom.
  3. Arriving on the 6th floor
    1. All Restorative Dentistry faculty/staff/students will arrive wearing masks.
    2. All Restorative Dentistry faculty/staff/students will disinfect hands with an alcohol-based hand sanitizer containing 60% or more alcohol upon exiting the elevators on the 6th floor.
    3. All Restorative Dentistry faculty/staff/students will proceed to designated areas, put on a clean lab coat, and face shield.
    4. Only visitors and invited guests who abide by all building/campus protocols and are prescreened by College personnel will be permitted in the Restorative Dentistry area.
  4. Entering the Restorative Dentistry Laboratory
    1. Students will walk to assigned lab benches.
    2. Students will disinfect assigned lab benches with a EPA approved disinfectant
    3. Students will maintain distancing when moving around the lab.
    4. Faculty will be responsible for ensuring students maintain appropriate distancing and scheduling students to work in specific areas of the room to maintain appropriate distance.
    5. Students will follow faculty instructions regarding the use of the equipment and procedures taking place within the laboratory.
  5. Exiting the Restorative Dentistry Laboratory
    1. Students will remove their belongings and place them in assigned lockers.
    2. Students will follow faculty instructions regarding exiting the laboratory.
    3. Students will disinfect assigned lab benches and all laboratory surfaces with a one-minute viricidal, bactericidal, tuberculocidal, fungicidal surface disinfectant.

Notification of Confirmed Case of COVID-19

City Tech opening plan guidelines will be followed if a notification of confirmed case of COVID- 19 is made. The College Environment Health & Safety office will be notified. Contact information on the individual with confirmed case of COVID -19 will be provided as well as information about rooms occupied 48 hours prior to onset of symptoms. Possible close contacts will be identified and notified of quarantine requirements.

The following protocol is for evaluation of cleaning and disinfection of areas where a person with COVID-19 spent time (longer than 10 minutes) in College spaces. After the College Environment Health & Safety (EH&S) receives notification that a person with confirmed COVID-19 spent time at a City Tech location, the specific rooms and areas will be assessed on a case-by-case basis. The determination of whether additional cleaning and disinfection will occur, and the scope of cleaning and disinfection is based on the risk of potential contamination as determined by EH&S. The following steps will be followed:

  1. EH&S, in coordination with the COVID-19 positive person and the impacted department, will identify all locations where person spent longer than 10 minutes.
  2. EH&S and the impacted department, in coordination with the College Buildings & Grounds (B&G) will determine any locations that require additional cleaning and disinfection.
  3. Areas needing to be cleaned and disinfected will be restricted for access until cleaning and disinfection are completed.
    1. Open doors and windows to increase air circulation, if possible.
    2. If possible, wait 24 hours after a person with COVID-19 was present in a space prior to beginning cleaning and disinfection.
    3. After the area has been disinfected, a notification will be sent to the occupants, in coordination with EH&S and the space can be reoccupied.
    4. If an outside contractor is used for cleaning and disinfection, the proposed scope of work, including the products and their respective safety data sheets (SDSs), and application methods must be reviewed by EH&S prior to work commencing.
  4. Wear the required personal protective equipment (PPE) during cleaning and disinfecting:
    1. Disposable gloves, Safety glasses or safety goggles when there is a potential for splashing or when spraying the disinfectant.
    2. All staff must be fully trained on donning and doffing required PPE to prevent cross contamination.

Restorative Dentistry Department needs related to the reopening of laboratory classrooms:

  • PPE (N95 masks, KN95 masks, level 3 masks, face shields, disposable lab coats, goggles, and gloves.
  • Sanitizers with 60% or more alcohol content.
  • One-minute viricidal, bactericidal, tuberculocidal, fungicidal surface disinfectant (spray and wipes).
  • Clear plexiglass barriers (premade or made to order for student workspaces in A602, A604, A606, and A607).

Sources:

ADA. (2020 4 28). Interim Mask and Face Shield Guidelines.
https://success.ada.org/~/media/CPS/Files/COVID/ADA_Interim_Mask_and_Face_Shield_Guidelines.pdf

CDC. Considerations for Institutions of Higher Education. Retrieved on 6 23, 2020 from www.cdc.gov/coronavirus/2019-ncov/community/Colleges-universities/considerations.html

NYS Department of Health. (2020 6 20). Interim Guidance for Higher Education during the COVID- 19 Public Emergency. www.governor.ny.gov/sites/governor.ny.gov/files/atoms/files/Higher_Education_Detailed_Guidelines.pdf

OSHA. Guidance on Preparing Workplaces for COVID-19. Retrieved on June 24, 2020, from https://www.osha.gov/Publications/OSHA3990.pdf

Reopening New York: Higher Education Guidelines. Retrieved on 6 24, 2020 from www.governor.ny.gov/sites/governor.ny.gov/files/atoms/files/Higher_Education_Summary_Guidelines.pdf

Concerning dentistry worker infection prevention, CDC guidance may appear to differ from OSHA guidance. OSHA's recommended infection prevention methods, including for PPE ensembles, help employers to remain in compliance with the agency's standards for Blood borne Pathogens (29 CFR 1910.1030), Respiratory Protection (29 CFR 1910.134) and other PPE (29 CFR 1910 Subpart I).