the space to promote physical distancing by removing chairs, spacing chairs 6 feet apart, and placing tape in the shape of an X on areas where people should not sit or stand while waiting for their sessions. » Make alcohol-based hand sanitizer (60- 95% alcohol) easily accessible to clients entering the area and encourage clients to sanitize their hands upon arrival. » Encourage clients to wear their own face mask to the massage. Require corporate accounts to provide surgical one-timeuse or other disposable face masks to those without face masks. Both massage practitioners and clients wear face masks for the duration of sessions. » Disinfect high-touch surfaces between clients with an EPA-registered disinfectant. High touch surfaces include door handles, counters, light switches, massage lubricant bottles, pens and clipboards used for health intake processes, or any surface the client or practitioner might touch during a session. » Disinfect the entire massage chair including all surfaces of the face rest with an EPA-registered disinfectant between clients, following product label directions for proper application and dry time. » Provide a clean face-rest cover for each client. » At onsite locations, soiled linens are stored in a leak-proof bag such as a heavy trash bag until they can be laundered as discussed in the section titled, Linen Management. Ensure this bag is carefully sealed before linens are transported in a vehicle. ONSITE AND OUTCALL LOCATIONS Onsite locations refer to places such as airport chair massage businesses and corporate settings, or anywhere massage is performed in a massage chair or on a portable massage table at locations where clients are not enclosed in a session room and remain clothed throughout the massage. Outcall locations refer to mobile massage provided in a client’s home or hotel room. While COVID-19 is present in a community, mobile massage/outcall massage is unsafe and therefore prohibited. Massage practitioners are unable to control the cleanliness or disinfection practices at client homes, exposing the massage practitioner to increased risk of infection. At onsite settings, massage practitioners are still subject to the same cleanliness and disinfection protocols as other massage business locations, to the proper management of linens, to pertinent client policies and procedures, and to practitioner hygiene requirements discussed in other sections of this document. Guidelines for Specific Facility Areas (cont’d) FSMTB • ALL RIGHTS RESERVED GUIDELINES FOR PRACTICE WITH COVID-19 CONSIDERATIONS • 14 Linen Management » Wear a face mask while handling soiled linens when COVID-19 is present in the community. » If blood or body fluid is present on the linens, wear gloves when handling the linens and store the linens in a leak proof bag separately from other soiled linens. » At the conclusion of a massage session, identify, gather, and remove all soiled linens from the session room. Do not leave soiled linens in the session room. » Do not shake soiled linens as this may disperse contaminated respiratory droplets into the air. » Typically, linens are stored in a ventilated container in the laundry area. While COVID-19 is present in a community, store linens in a closed container. » Wash soiled linens with detergent in hot water and dry it completely using heat. Wash linens promptly (by the end of the workday). » Linens soiled with blood or body fluid are washed separately with hot water, detergent, and fabric-safe bleach and then dried with heat. » After handling soiled linens, massage practitioners should immediately wash or disinfect their hands as described in the section titled Hand Hygiene. » Before handling clean linens, massage practitioners should disinfect their hands with an alcohol-based hand sanitizer as described in the section titled Hand Hygiene. » Clean linens are stored in the session room (not in the laundry area where they might come into contact with soiled linens) in a closed container until use. Linens include massage sheets, facerest covers, pillow cases, bolster covers, hand towels, bath sheets or towels, bath or shower mats, hair wraps, bathrobes, blankets, and any other cloth material used to cover surfaces or cover the client during a massage session. Soiled linens are defined as any cloth material used during a massage session that makes contact with the client’s skin or hair. Any linen that touches a client’s skin or hair must be properly laundered before use with another client. FSMTB • ALL RIGHTS RESERVED GUIDELINES FOR PRACTICE WITH COVID-19 CONSIDERATIONS • 15 GUIDELINES FOR Policies and Procedures These updates and changes to standard massage policies and procedures aim to decrease health risks while COVID-19 is present in communities. Symptoms of COVID-19, waiting for the results of a COVID-19 test, and a positive COVID-19 test contraindicates massage. The FSMTB assumes that massage is only practiced when it is authorized by state and local regulations. The FSMTB recommends these policy changes and procedural guidelines. FSMTB • ALL RIGHTS RESERVED GUIDELINES FOR PRACTICE WITH COVID-19 CONSIDERATIONS • 16 Changes to Client Informed Consent Massage practitioners must assume that clients are unaware that the risk of infection from COVID-19 increases through close contact with other people, like the level of contact