Safe Visiting Guidelines, COVID-19
Source: CMOH Order 29-2020, Order 32-2020
The following Safe Visiting Guideline is intended to provide direction to residents, designated family-support persons, and visitors on Rosedale processes to safeguard against COVID-19. Should you have further questions after reviewing the following requirements for visiting, please do not hesitate to call 780-425-1668 or email email@example.com.
Designated Family-Support Persons (DFSP) and Visitor Responsibilities
All DFSP and visitors entering Rosedale are required to:
- Undergo active health screening, temperature check, and complete a self risk assessment review to determine if you are a low or high-risk visitor; self-check for symptoms throughout your visit.
- Follow Rosedale Safe Visiting Guidelines and Public Health Orders.
- Wear a procedural mask continuously indoors and if unable to maintain physical distancing outdoors.
- Only visit with the resident you are supporting.
- Notify Rosedale management if you develop any COVID-19 symptoms within 14 days of visiting with the resident by calling 780-425-1668 or emailing firstname.lastname@example.org.
- Entry may be refused if an individual is not abiding by their responsibilities.
- Indoor visiting hours are 9:00 a.m. to 8:30 p.m. daily. Please limit entry/exit times during our staff shift change between 3:00 p.m. and 3:45 p.m. to minimize congestion at the front entrance.
- Visits are only permitted within the suite and with the resident being supported.
- The DFSP must go directly to the suite and remain there for the duration of the visit unless escorting the resident out of the facility.
- Continuous masking is always required including in the resident’s suite if physical distancing of 2m/6ft cannot be maintained.
- Two DFSPs only are permitted to be designated per resident and to visit in the suite at one time.
- A temporary DFSP may be designated if the DFSP is unable to perform their role for a reasonable period of time such as for illness or vacation. Changes should not occur frequently or multiple times but only when needed.
- DFSPs must be over 18 years of age.
- Individuals should limit the number of different sites they enter to only one site per day.
- If at any time during the visit or within 14 days of the visit, a visitor develops any symptoms of COVID-19, the LPN or Rosedale Management is to be notified immediately for further direction.
- On-site overnight stays are not permitted except in extenuating circumstances such as for end of life. Pre-authorization is required by emailing email@example.com.
- There is no limit to the number of outdoor visitors due to outdoor space available but physical distancing is required. Visitors may include minors.
- Any type of mask is required outdoors if physical distancing cannot be maintained.
- Outdoor visitors are not permitted in the facility.
- Where residents require staff assistance to prepare for or porter to the front entrance, the resident/DFSP will coordinate the visit with the LPN.
Indoor Access to Additional Visitors in Extenuating Circumstances
Visitors will be permitted entry in extenuating circumstances, specifically:
- End of Life (last 4 to 6 weeks of life);
- Significant change in health status such as due to medical, social, or spiritual crisis;
- Pressing circumstances due to financial matters, legal matters, or family crisis.
The resident or DFSP will obtain pre-approval for extenuating circumstance visits by emailing firstname.lastname@example.org during regular business hours. For urgent after-hour requests, the LPN on duty will assist and escalate the request to the Manager on-call.
Safe Visiting Practices
For the safety of our vulnerable residents and our staff, it is essential that the active health screening is answered accurately. Prior to entering Rosedale, all individuals must review their behaviour over the prior 14 days and assess whether they could have been exposed to COVID-19.
Are you a low-risk visitor or a high-risk visitor? Although you do not need to disclose to Rosedale your assessment, you are expected to notify the resident and if you are in the high-risk category, behave appropriately by strictly following safe protocol and continuously masking at all times including in the suite.
Hand Hygiene is required frequently by all persons – before, during and after all visits. Wash with soap and water or by using alcohol-based hand sanitizer containing greater than 60% alcohol content.
Use of Personal Protective Equipment (PPE) is used to reduce the risk of transmission of COVID-19 when in close proximity with another person. Procedural masks will be provided, and DFSP and visitors are required to continuously mask indoors. PPE is required when visiting a resident on isolation precautions. Any resident on isolation precautions will have signage posted on the outside of the suite door. Entry is not permitted without wearing the appropriate PPE. The LPN must be contacted on arrival for initial training and return demonstration to put on and take off PPE.
- Continuous masking using a single-use procedural mask is required in the facility.
- Masks must cover the nose, mouth, and chin. Avoid touching the mask or your face once on.
- Wash your hands before putting mask on, before taking mask off, and after taking mask off.
Glove use is not permitted on entry and within common areas at Rosedale.
Use of Personal Protective Equipment (PPE) to Enable Safe Physical Touch
- Individuals at low risk of unknown exposure may engage in physical touch.
- Individuals at high risk of unknown exposure are not recommended to physically touch unless providing direct resident care while wearing all appropriate PPE.
The risk of transmission of COVID-19 increases with close proximity. You may still wish to include physical touch in the visit understanding the following:
- Should either the resident or DFSP become ill at any time during a visit, stop close contact, and immediately notify the LPN using the emergency call system or phoning the nursing office.
- Continuously mask within 2 meters of resident.
- A resident is not required to mask but may choose to do so based on their risk assessment of unknown exposure related to the offsite activity.
- Perform frequent hand hygiene before and after direct physical contact with the resident.
Visitors may bring gifts for the resident they are visiting, including homemade/purchased food or flowers.
One animal is permitted for both indoor and outdoor visits. Visiting pets will only be permitted to visit in the suite and not common areas. The greeter will complete health screening prior to entry and will confirm with the DFSP:
- The animal is well with no symptoms of diarrhea or vomiting.
- The animal does not come from a high-risk household. These animals will not be permitted entry.
Health Assessment Screening for Indoor Visits
When you arrive for your visit, the following will occur facilitated by our front entrance greeter:
- Complete the COVID-19 health screening tool and reviewing Table 3 Risk of Unknown Exposure to COVID-19 at the front entrance, self-assess your risk for COVID exposure over the last 14 days.
- Temperature check (below 38oC).
- Verification of your status as a DFSP or confirmation of pre-approval as an authorized visitor.
- Verification that contact information is on file in the event contact tracing is required.
- Education on safe visiting practices will be provided and appropriate PPE supplied.
- Sign in and out on entry and exit for contact tracing purposes. Please ensure you notify the greeter when you leave.
Should there be a confirmed site outbreak, further restrictions will be guided by the MOH. All visitors must abide by the guidelines and principles for safe visiting. Failure to do so may result in reduced visitation or a 14-day isolation period for the resident if we are concerned they may have been exposed to illness.
Risk Tolerance Assessment is the ability of Rosedale to safely manage increased visitors after assessing site risk conditions such as outbreak status, changes in resident risk tolerance, residents’ health status, layout of site, etc. Risk tolerance is fluid and frequent assessments guide processes and the increased or decreased tolerance for visitation.
Concerns, requests, and questions regarding this visitation policy may be submitted following the Rosedale Concern Resolution process by completing a Concern Resolution form located on all bulletin boards, by emailing email@example.com or by calling 780-425-1668.