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Animal-Assisted Activities
F. Require that every animal-assisted activities handler participate in
a formal training program and provide a certificate confirming the
training, which includes modules on the following:
1. Zoonotic diseases
2. Training on standard precautions including hand hygiene before and after patient
contact
3. Proper cleaning and disinfection of surfaces contaminated by animal waste (urine
or feces)
4. Proper disposal of animal waste
5. Visual inspection for ectoparasites
6. Reading of an animal's body language to identify signs of physical discomfort,
stress, fear, or aggression
7. Identification of appropriate contacts in the event of an accident or injury
G. Require that a handler use particular care in directing the visit to
prevent patients from touching the animal in inappropriate body sites
(eg, mouth, nose, perianal region) or handling the animal in a manner
that might increase the likelihood of frightening or harming the animal
or the animal accidentally or intentionally harming the patient.
H. Restrict visiting sessions to a maximum of one hour to reduce the risk
of adverse events associated with animal fatigue.
1. Handlers must observe the animal for signs of fatigue, stress, thirst, overheating, or
urges to urinate or defecate.
a. If taking a short break (or taking the animal outside to relieve it) does not ease the
animal's signs of discomfort, then the session should be terminated for that day.
2. Handlers must comply with facility-defined restrictions for patient visits and be
familiar with facility-specific signage regarding restricted areas or rooms.
I. Require that all animal handlers observe standard occupational
health practices. Specifically, they should self-screen for symptoms
of communicable disease and refrain from providing animal-assisted
activities services while ill. Such symptoms include, but are not limited
to the following:
1. New or worsening respiratory symptoms (ie, cough, sneezing, nasal discharge)
2. Fever (temperature >38°C)
3. Diarrhea or vomiting
4. Conjunctivitis
5. Rash or non-intact skin on face or hands
J. Require that handlers keep control of the animal at all times while on
the premises, including the following:
1. Keeping a dog leashed at all times unless transported within the facility by a carrier
(as may be the case with smaller breeds).
2. Refraining from using cell phones or participating in other activities that may
divert his/her attention away from the animal.
