Bulletin

Bulletin vol. 34 no. 1 | 31 disinfectants such as aerosol sprays or disposable wipes should be used according to product safety labels. A list of registered and approved products can be found on the CDC website. Precautions such as wearing gloves and making sure there is adequate ventilation when using these products are also important. Ensure adequate physical distancing. Ensure that all spaces in your facility allow for at least 6 feet of separation between individuals. This includes spaces used by clinic staff and patients. This can be accomplished by limiting the number of visitors permitted into the facility/clinic space, strategically arranging seating in the waiting room and interview/testing room, and designating areas for breaks, particularly where eating and drinking may occur where individuals may be temporarily unmasked. Post visual alerts. Post signs and posters at the entrance to your facility and in other strategic places (e.g., restrooms, waiting rooms, elevators, vending areas, cafeterias) which provide instructions about wearing face coverings for source control, performing hand hygiene, and maintaining social distancing. The CDC website provides print resources, which are free to use. Optimize indoor air quality. Practitioners should work with their building's maintenance or engineering department to ensure air-handling systems are up-to-date and are functioning optimally. Practitioners may also consider using portable HEPA filtration units. Modify traditional testing procedures. Providers should aim to alter their testing environment and procedures, keeping in mind physical distancing and sanitation. The following considerations may be useful: • Arrange chairs and couches in your office and waiting room to ensure sufficient distancing. Remove non-essential items such as magazines, books, toys, coloring books, crayons, pens, pencils, etc. • Use a larger testing table and sit as far away as possible from your examinee. • During face-to-face testing, consider using a plexiglass divider placed on the table between you and your patient. • Allow more frequent testing breaks with the opportunity for the patient to leave the room and remove their mask. Keep in mind, you will need to provide them a safe space to do so. • Consider using plastic covers for keyboards and plastic sheet protectors for stimulus book pages. Laminating stimulus pages when feasible allows for easier cleaning. • Do not reuse pencils. Purchasing a decorative or "kid friendly" pencil and giving it to children after the testing session can be a big hit among the pediatric population! Teacher supply stores carry a wide variety of kid friendly pencils. • Wipe down all stimulus books, laminated items, and other testing materials (e.g., blocks, cards, toys, pegs, beads, etc.). Consider purchasing a large bin where materials can be placed after use so that they can be cleaned at the end of each testing session. • Remember to clean and disinfect all surfaces including tables, chairs, keyboards, and door handles after each testing session. • Consider an on-site testing arrangement where the examinee arrives to the facility and is put into a separate room where remote audio-visual technology is used to conduct the interview, testing as appropriate, and feedback. Consider providing additional informed consent. In order to protect your practice and your license, practitioners should consider providing additional informed consent to their patients and families due to the increased risk of providing psychological services amid the Covid-19 pandemic. Topics to cover include added risks and benefits, responsibility to minimize exposure, telehealth options, and confidentiality with regard to infection and contact tracing. Several professional organizations have created sample Covid-19 consent forms for use. The APA sample can be found here.

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