COVID-19 Long Term Care Resident Visitation Principles
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COVID-19
Long Term Care Resident Visitation Principles
Latest updates are included in BLUE and listed in the Change Tracker on the final page.
Purpose
To minimize the risk of COVID-19 outbreaks in Long Term Care (LTC) facilities while:
- Supporting the residents’ needs to have regular communication and visitation with close
family and/or friends
- Supporting residents needs to have care from family care givers who are essential
partners in care
- Emphasizing a resident and family centered approach, focused on flexibility and
compassion
- Considering needs of residents whose health and wellbeing is at higher risk without the
presence of family caregivers
This guideline supports the role and importance of:
− “Designated family caregivers” - any person whom the resident and/or substitute
decision maker identifies and designates as their family caregiver. As essential partners
in care, these individuals actively and regularly participate in providing care and may
support feeding, mobility, personal hygiene, cognitive stimulation, communication,
meaningful connection, relational continuity, and assistance in decision-making
− “General visitor” - family and friends who visit for social reasons
− “Essential Service Provider” - individuals providing essential support services as
determined by the care team (e.g. Spiritual Care, OT/PT, SLP).
− “Non-Essential Service Provider” - individuals providing support services that are not
deemed essential and can be shut down during pandemic, e.g. hairdressers.
− “Volunteers” – individuals who are registered and trained at the site are not considered
visitors and are strongly encouraged to be involved with facilitating visitations.
Definition
“Fully Vaccinated Manitoban/Individual”
Fully vaccinated individuals are those who have received both doses (any combination) of an
approved two dose COVID-19 vaccine (AstraZeneca, Pfizer, Moderna), OR a single dose of an
approved single dose COVID-19 vaccine (Janssen/Johnson & Johnson) with more than 14 days
having passed since the second dose (or approved sole dose) was received.
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 1Where vaccination status is a factor in consideration of expanded visitation, proof of
immunization will be required.
Principles
This document is not intended to be prescriptive and does not replace clinical and operational
judgement of staff and leaders of the LTC facilities when making plans and decisions to support
visitations.
LTC operators actively support the ability of residents to remain connected with their loved ones
during COVID-19
− Operators proactively and collaboratively work with the residents/designates to identify
“designated family caregiver(s)”. Sites may consider providing them with some
identification such as badge or sticker
− Residents/ designates may identify general visitors who wish to visit for social reasons.
− Sites are to determine overall number of visitors at one time
− Operators identify and implement creative solutions to facilitate and actively support
virtual visits (e.g., video call on cell phones or tablets) as an alternative means for
residents to connect with their families and friends where possible.
Visitor limitations are directly related to the presence/transmission of COVID-19 in the
province as determined by Chief Provincial Public Health Officer. Limitations are separated
into three distinct levels, each of which is detailed in the Appendix.
Red (Critical): Outbreak or High Level of COVID-19 Activity
Orange (Restricted): Moderate Level of COVID-19 Activity
Yellow: (Caution) - Very Low Level of COVID-19 Activity
In collaboration with IP&C/designate and Public Health, LTC Operators will determine the
need to suspend all visits in the case of a confirmed/potential COVID-19 outbreak in the
facility or local area or upon the direction of the Chief Provincial Public Health Officer.
Resumption of visits will also be collaboratively determined.
LTC Operators implement infection prevention and control preventative measures and protocols
as outlined in the Infection Prevention and Control Guidance for Personal Care Homes. These
measures include but are not limited to active screening; hand hygiene; physical distancing;
PPE education; PPE use.
• Consideration may be given to allowing brief hugs and handholding while maintaining as
much distance as possible between the faces of the resident and visitor and ensuring the
availability of alcohol-based hand rub for prompt and effective hand hygiene both
immediately before and after these encounters
• Visiting family members from the same household and/or bubble do not have to physically
distance from one another.
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 2• If visitors or designated family care givers are eating or drinking while at the facility, they
maintain a physical distance of six feet/two meters. Remove PPE carefully, including
appropriate hand hygiene. After eating or drinking, perform hand hygiene and don mask
and eye protection. Physical distancing of six feet, two meters must be maintained at
any time PPE is removed.
Operators provide options to accommodate varied circumstances of residents and families,
considering the following:
• Designated Family Caregivers should have flexibility to visit anytime and for any length of
time during specified visitation hours and /or as determined with the care team. Designated
Family Caregivers should have reasonable access to both indoor and outdoor areas.
• General Visitors’ visits are scheduled by appointment in an appropriate and equitable
process as outlined by the operator
o General visits occur in the designated visiting spaces, which may be outdoors,
indoors in the resident room, or indoors in the all-season shelter/designated indoor
visitation room. For general visits to occur in a shared/multi-bed room, all residents
must be fully vaccinated. If a resident in the room is not fully vaccinated, another
location for the visit must be identified.
o Space in the room must allow for physical distancing to be maintained between the
resident and the general visitor(s). Physical distancing must be maintained if space
allows for more than one visitor.
o Facilities can determine the maximum number of visitors to the facility at one time
and/or per day, and/or per resident per day.
o Facilities may determine the level of supervision required for visits in order to ensure
physical distancing and other requirements are followed. This may include requiring
resident doors to remain open during visits. This is at the discretion of the facility.
Immunization Status and Visitation: When both the resident and the general visitor are fully
immunized, operators will expand visitation in accordance with following:
• Proof of General Visitor vaccination status will be requested and confirmed by photo
identification;
• General visitors must provide proof of vaccination;
• Documentation may vary according to the facility and individual visitor, however may
include:
o Confirmation via QR code (Manitoba immunization card);
o Paper version of Manitoba immunization card;
o Online confirmation of vaccine record through the Shared Health Online Results
Portal https://sharedhealthmb.ca/covid19/test-results/
o Printout of vaccine record available through the Shared Health Online Results Portal
https://sharedhealthmb.ca/covid19/test-results/
• Individual sites will determine ability to operationalize each of the above and will
communicate to resident families;
• Facilities will confirm the identity of general visitors by requesting photo identification to
match the name on the immunization record;
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 3• Information related to visitors (but not vaccination status) will be retained for 30 days for the
purpose of contact tracing.
Designated Family Caregivers are not required to provide proof of vaccination;
Residents and Mask wearing: Residents are to wear a level 1 procedure mask as outlined,
with the following exceptions for those who are medically unable to wear a mask:
o Residents with significant respiratory disease where the mask results in increased
dyspnea or oxygenation issues;
o Facial injuries/infections that would preclude effective wearing of a mask;
o Residents who are non-compliant (e.g., those for whom the provider would have to
repeatedly and frequently provide a new mask due to the resident removing and/or
discarding it);
o Residents who are unable to put on – or remove - their own mask;
o Residents whose reactive behaviors may escalate as a result of wearing a mask.
Problem Solving & Appeal Process: All operators must have a rapid problem solving and
appeal process to ensure residents and families concerns related to visitation are addressed in
timely manner.
End of Life: Operators use compassion and judgement in determining visitation and expanded
visitation at End of Life, considering the following:
- When a loved one is dying, the ability to present is often an important time for both
the dying individual and for their visitor. The significance of this access needs to be
balanced with the risk of infection for the visitor, the staff and other residents.
- Additional IP&C measures that may be required to support the visitation
- In determining the status of allowed visitors, consideration is given to the stage of
illness, projection regarding timing of death (e.g., those who’s condition may be
stable but who are at high risk of deterioration) and trajectory of expected decline,
which can often be monitored by observing the rate of decline in performance status.
The Palliative Performance Score may be helpful in monitoring decline; it is not so
much the resident’s performance status as their momentum of decline that indicates
the approaching end of life. The decision related to when an individual
is approaching their end of life will be informed by the care team and is unique to the
circumstances of each individual. While difficult to be precise around when an
individual is at end of life, this generally refers to the last four weeks of life.
- When considering exceptions to these guidelines, vaccination status of visitors
should be considered. Of note, fully immunized individuals (those who have received
both doses of the Covid-19 vaccine, and whose second dose was more than 14 days
ago) who are asymptomatic have the lowest risk of acquiring and passing on a Covid
illness.
Hairdressers: Hairdressers are permitted as long as the site is not in outbreak, and comply
with will Public Health occupancy/limit and the physical distancing requirements.
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 4Out of Province Visitors: Operators allow out of province visitors from within Canada in the home, considering the Pandemic Response Level and current/applicable Public Health Orders, role of the visitor (e.g., designated family caregivers from border communities), end of life care, and vaccination status. References/ Adapted from: Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re- Opening of Canadian Long-Term Care Homes to Family Caregivers and Visitors during the COVID-19 Pandemic https://static1.squarespace.com/static/5c2fa7b03917eed9b5a436d8/t/5f0f2678f205304ab1e695 be/1594828410565/%27NIA+LTC+Visitor+Guidance+Document.pdf Better Together: Re-Integration of Family Caregivers as Essential Partners in Care in a Time of COVID-19 https://www.cfhi-fcass.ca/docs/default-source/itr/tools-and-resources/bt-re-integration-of-family- caregivers-as-essential-partners-covid-19-e.pdf?sfvrsn=5b3d8f3d_2 June 28, 2021 COVID-19 – LTC Resident Visitation Principles 5
Appendix – Visitor Restrictions (Personal Care Homes)
Long Term Care Level: Red (Critical)
(Outbreak or High Level of COVID-19 Activity)
LTC Type of Visit Visitors Recommended/Limited Precautions/Restrictions
Essential Service Only those services for client as Sign In and Out
Providers (e.g., determined by care team. Screening Before Entry
Spiritual Care, Appropriate PPE for the setting/situation
OT/PT, SLP) Minimize external healthcare Hand Hygiene and PH/IPC guidance.
professionals.
Non-essential Hairdresser permitted with Screening before entry
Services (e.g., precautions as long as the site is Required to wear a procedure mask and
hairdresser) not in outbreak. eye protection that they provide.
The resident, if able to tolerate, will be
The hairdresser may not have a required to wear a level 1 procedure mask.
public business in the PCH and Enhanced cleaning and disinfecting before
must work in a single PCH. and after each resident hair care
appointment.
Resident escorted by unit staff to and from
the appointment.
Blow-drying activities are acceptable if everyone
in the salon is wearing a procedure mask. If the
resident is not wearing a level 1 procedure
mask, blow-drying is only permitted if no other
residents are in the salon.
End of Life (Indoor Designated family caregiver(s) - Up to By appointment for general visitors
visit) – Last four Four (4) may be identified by Sign In and Out
weeks of life resident/ delegate but only two (2) Screening Before Entry
may visit at a time and for any length
Designated family caregivers: procedure
of time during specific visitation hours
mask and eye protection (or additional PPE
and/ or as determined with the care
according to Additional Precautions)
team if physical distancing can be
Visitors: level 1 procedure mask (or
maintained.
additional PPE according to Additional
Precautions)
In addition and at the same time:
Hand Hygiene and PH/IP&C guidance
Up to ONE (1) unvaccinated
General visitors escorted to/from visitation
general visitor may visit in the
room, minimize touch surfaces
resident’s room if physical
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 6LTC Type of Visit Visitors Recommended/Limited Precautions/Restrictions
distancing can be maintained. Visitors will keep procedure masks on for
And, if the resident is vaccinated, an the duration of the visit
additional TWO (2) general Visitor must maintain physical distancing of
vaccinated visitors may visit in the two meters from staff and resident. If
resident’s room if physical physical distancing from the resident cannot
distancing can be maintained be maintained for the duration the visitor is
present, the resident should be managed
Visiting in an outdoor all-season within orange zone protocol. After the visitor
shelter or designated indoor leaves, the resident, may be treated as a
visitation room (where visitors can green zone resident.
easily access the space from Note: General visitors from out of province
outside the personal care home and are permitted for end of life care situations
maintain the same public health
requirements as the outdoor
shelters) is acceptable.
Designated Family Designated family caregiver(s) Sign In and Out
Caregivers may visit anytime and for any Screening Before Entry
length of time during specific Procedure mask and eye protection (or
visitation hours and/ or as additional PPE according to Additional
determined with the care team. Precautions)
[Up to Two may be identified by
Hand Hygiene and PH/IPC guidance
resident/ delegate but one (1)
Designated family caregivers from border
may visit at a time] in the
communities may continue to visit.
resident’s room if physical
distancing can be maintained.
Visiting outdoors, or in an
outdoor all-season shelter or
designated indoor visitation
room (where visitors can easily
access the space from outside
the personal care home and
maintain the same public health
requirements as the outdoor
shelters) is acceptable.
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 7LTC Type of Visit Visitors Recommended/Limited Precautions/Restrictions
General Visitors Indoors: Visits by pre-arranged appointment only
(indoor/ outdoor) If the resident is fully vaccinated, Sign In and Out
up to two (2) vaccinated general Screening Before Entry Level 1 procedure mask
visitors can visit provided physical indoors and outdoors
distancing can be maintained.
Resident wears a level 1 procedure mask for the
entire visit, including outdoor visits.
All-Season Visitation
Shelter/Designated Indoor Hand Hygiene and PH/IPC guidance
Visitation Room:
Must maintain the 6 feet/2 meter separation
One (1) unvaccinated general at all times – resident and visitor cannot
visitor can visit at a time in the all- touch
season visitation
shelter/designated indoor visitation
room, provided physical distancing Note: General visitors from out of province
can be maintained. are permitted only for end of life care
situations unless they can demonstrate they
In addition and at the same time, if
are fully vaccinated and 2 weeks have
the resident is vaccinated, up to
passed since their second dose.
two (2) vaccinated general visitors
can visit provided physical
distancing can be maintained
Outdoors:
Up to two (2) unvaccinated general
visitors can visit outdoors with the
resident at a time, provided
physical distancing can be
maintained.
In addition and at the same time, if
the resident is vaccinated, up to
four (4) vaccinated general visitors
can visit provided physical
distancing can be maintained
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 8Personal Care Home Level: Orange (Restricted)
(Moderate Level of COVID-19 Activity)
LTC Type of Visit Visitors Recommended/ Limited Precautions/Restrictions
Essential Service Only those essential services for client Sign In and Out
Providers, (e.g. as determined by care team. Minimize Screening Before Entry
Spiritual Care, external healthcare professionals. Appropriate PPE for the setting/situation
OT/PT, SLP)
Hand Hygiene and PH/IPC guidance
Non-essential Hairdresser permitted with Screening before entry
Services (e.g. precautions as long as the site is Required to wear a procedure mask and
hairdresser) not in outbreak. eye protection they provide. The resident, if
The hairdresser may not have a able to tolerate, will be required to wear a
public business in the PCH and level 1 procedure mask.
must work in a single PCH. Enhanced cleaning and disinfecting before
and after each resident hair care.
Resident escorted to and from the
appointment.
Blow-drying activities are acceptable if everyone
in the salon is wearing a procedure mask. If the
resident is not wearing a level 1 procedure
mask, blow-drying is only permitted if no other
residents are in the salon.
End of Life Designated family caregiver(s) [Up to By appointment for general visitors
(Indoor visit) – Four (4) may be identified by resident/ Sign In and Out
Last four weeks delegate] and two (2) may visit at a Screening Before Entry
of life time and for any length of time during
Visitors: level 1 procedure mask required (or
specific visitation hours and/ or as
additional PPE according to Additional
determined with the care team if
Precautions)
physical distancing can be
Hand Hygiene and PH/IPC guidance.
maintained.
General visitors escorted to/from visitation
room, minimize touch surfaces.
In addition, at the same time:
Visitors will keep masks on for the duration
Up to TWO (2) unvaccinated general
of the visit
visitor may visit in the resident’s room if
Designated family caregivers: procedure
physical distancing can be maintained.
mask and eye protection (or additional PPE
And, if the resident is fully vaccinated,
according to Additional Precautions).
up to TWO (2) general visitors may visit
in the resident’s room if physical
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 9LTC Type of Visit Visitors Recommended/ Limited Precautions/Restrictions
distancing can be maintained
Visiting in an outdoor all-season
shelter or designated indoor visitation
room (where visitors can easily
access the space from outside the
personal care home and maintain the
same public health requirements as
the outdoor shelters) is acceptable.
Designated Designated family caregiver(s) may Sign in and Out
Family visit anytime and for any length of time Screening Before Entry
Caregivers during specific visitation hours and/ or Procedure mask and eye protection (or
as determined with the care team. additional PPE according to Additional
[Up to Two may be identified by Precautions)
resident/ delegate but one (1) may visit Hand Hygiene and PH/ IPC guidance
at a time] in the resident’s room if
physical distancing can be maintained.
Designated family caregivers from border
Visiting outdoors, or in an outdoor all- communities may continue to visit.
season shelter or designated indoor
visitation room (where visitors can
easily access the space from outside
the personal care home and maintain
the same public health requirements as
the outdoor shelters) is acceptable.
General Visitors - Indoors: Visits by pre-arranged appointment only
Indoor Visits If the resident is fully vaccinated, up to Sign In and Out
two (2) vaccinated general visitors can Screening Before Entry
visit provided physical distancing can Must wear a level 1 procedure mask provided by
be maintained. the facility for the entire visit.
Residents wears a level 1 procedure mask for
All-Season Visitation the entire visit.
Shelter/Designated Indoor
Visitation Room: Hand Hygiene and PH/IPC guidance
Two (2) unvaccinated general visitor Must maintain the 6 feet/2 meter separation
can visit at a time in the all-season at all times – resident and visitor cannot
visitation shelter/designated indoor touch
visitation room, provided physical
General visitors from out of province are
distancing can be maintained.
permitted for those that show proof that they
are fully vaccinated and it has been 2 weeks
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 10LTC Type of Visit Visitors Recommended/ Limited Precautions/Restrictions
In addition and at the same time, if the since their second dose and in end of life
resident is vaccinated, up to two (2) care situations.
vaccinated general visitors can visit
provided physical distancing can be
maintained
General Visitors - Reasonable number of general visitors By appointment or drop ins for general
Outdoor per resident may visit at a time if visitors (outdoors) as determined by site
physical distancing can be maintained.
By appointment for general visitation in
Low risk activities for residents and outdoor all-season shelter or designated
families such as walks around the indoor visitation room
property/block may be considered. Sign in and Out
Screening Before Entry
Visiting in outdoor all-season shelter or
designated indoor visitation room Level 1 procedure mask strongly
(where visitors can easily access the encouraged when outdoors but required if in
space from outside the personal care visitation shelters or designated indoor
home and maintain the same public visitation room. Visitors will keep masks on
health requirements as the outdoor in that situation for the duration of the visit
shelters), is acceptable subject to Hand Hygiene and PH/IPC guidance.
space limitations and must be pre- Resident wears a level 1 procedure mask for the
booked. entire visit, including outdoor visits.
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 11Personal Care Home Level: Yellow (Caution)
(Very Low Level of COVID-19 Activity)
LTC Type of Visit Visitors Recommended/ Limited Precautions/Restrictions
Essential Service Services as determined by care team Sign In and Out
Providers (e.g. including routine and chronic care Screening Before Entry
Spiritual Care, provision Appropriate PPE for the
OT/PT, SLP) setting/situation
Hand Hygiene and PH/IPC guidance
Non-essential Permitted – with precautions Screening before entry
Services (e.g., (hairdresser may not have a public Required to wear a procedure mask
hairdresser) business in a PCH and must work in a and eye protection that they provide.
single PCH) The resident, if able to tolerate, will be
required to wear a level 1 procedure
mask.
Enhanced cleaning and disinfecting
before and after each resident hair care
Resident escorted to and from the
appointment
Blow-drying activities are acceptable if
everyone in the salon is wearing a
procedure mask. If the resident is not
wearing a level 1 procedure mask, blow-
drying is only permitted if no other residents
are in the salon.
End of Life Designated family caregiver(s) [Up to By appointment for general visitors
(Indoor visit) – Four (4) may be identified by resident/ Sign In and Out
Last four weeks delegate] and two (2) may visit anytime Screening Before Entry
of life and for any length of time during specific
Visitors: non-medical mask required
visitation hours and/ or as determined
Hand Hygiene and PH/IPC guidance
with the care team if physical distancing
can be maintained. General visitors escorted to/from
visitation room, minimize touch
surfaces
In addition, reasonable number of general
Visitors will keep masks on for the
visitors may be permitted at a time if
duration of the visit
physical distancing can be maintained and
there is no interference with the ability to Designated family caregivers:
provide care. Visiting in outdoor all-season procedure mask and eye protection (or
shelter or designated indoor visitation room additional PPE according to Additional
Precautions).
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 12LTC Type of Visit Visitors Recommended/ Limited Precautions/Restrictions
(where visitors can easily access the
space from outside the personal care
home and maintain the same public health
requirements as the outdoor shelters),
where feasible, may allow for the
accommodation of a higher number of
general visitors safely.
Designated Designated family caregiver(s) may visit Sign In and Out
Family anytime and for any length of time during Screening Before Entry
Caregivers specific visitation hours and/ or as Procedure mask and eye protection (or
determined with the care team. [Up to Two additional PPE according to Additional
may be identified by resident/ delegate and Precautions)
both may visit at a time if physical
Hand Hygiene and PH/ IPC guidance
distancing can be maintained]
General Visitors - Indoors: By appointment for general visitors or
Indoor Visits If the resident is fully vaccinated, up to two as determined by the site
(2) vaccinated general visitors can visit Sign in and out
provided physical distancing can be Screening before entry
maintained. Non-Medical mask (or additional PPE
according to Additional Precautions)
All-Season Visitation Hand Hygiene and PH/ IPC guidance
Shelter/Designated Indoor Visitation General visitors escorted to/from
Room: visitation room, minimize touch
Up to Two (2) unvaccinated general visitors surfaces
are allowed to visit at a time in the all- No visitation with other residents
season visitation shelter/designated indoor Visitors will keep masks on for the
visitation room duration of the visit
In addition and at the same time, if the
resident is vaccinated, up to two (2)
vaccinated general visitors can visit
provided physical distancing can be
maintained
Outdoor visits or visits in outdoor all-season
shelters/designated indoor visitation rooms
are preferred and encouraged to keep the
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 13LTC Type of Visit Visitors Recommended/ Limited Precautions/Restrictions
number of individuals entering the facility
and resident rooms to a minimum.
Visitors - Outdoor Reasonable number of general visitors per By appointment or drop ins for general
resident may visit at a time if physical visitors as determined by site
distancing can be maintained. Sign in-and out
Screening Before Entry
Low risk activities for residents and families Non-medical mask strongly
such as walks around the property/block encouraged when outdoors but
may be considered. required if in visitation shelters or
designated indoor visitation room.
Visitors will keep masks on in that
situation for the duration of the visit.
Hand Hygiene and PH/ IPC guidance
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 14Change Tracker
June 28, 2021
1. Updated to support eating/drinking by general visitors.
June 18, 2021
1. Definition of fully vaccinated Manitoban/individual (pg. 1)
2. Updated to support expanded visitation for fully vaccinated residents and their fully
vaccinated visitors. Specific guidance added for screening, information records, and
confirmation of vaccination documentation (pgs. 2,3, 6, 7, 8, 9, 10, 11, 12, 13, 14)
3. Updated end of life information, including language to increase the consideration of end
of life timeframe from 2 weeks to 4 weeks and increasing the number of designated
family caregivers at this time. (pg. 4, 6, 7, 9, 10, 12)
4. Streamlined the document to remove duplicate information.
April 16, 2021
1. Clarified requirements around blow-drying activities for hairdressers (pg. 5)
April 6, 2021
1. Clarification on types of masks visitors and residents need to wear (pgs. 2, 4, 5, 7, 8, 9,
10, 11, 12)
2. In Red - two general visitors may visit if meeting outdoors (page 8)
3. In Orange – two general visitors can visit indoors (pgs. 10)
February 17, 2021
1. Hairdresser now permitted under levels red and orange, with precautions and as long as
the site is not in outbreak (pgs. 5, 7, 9 and 12).
February 2, 2021
1. Updated Red (Critical) General Visitor mask requirement and Resident mask
recommendation (pgs. 4 and 5).
2. Updated Out of Province Visitation Guidelines during Pandemic Response Level Red
and Orange (pg. 5).
January 18, 2021
1. Clarified wording around general visitors (pgs. 2 and 4).
2. Added visitors must wear a non-medical mask in levels yellow and orange, and a
procedure mask in level red (pgs. 2, 4, and 6).
January 6, 2021
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 151. Updated guidance related to general visitation permitted during Pandemic Restriction
Level Red. One (1) general visitor permitted to visit at a time. All visits must occur in the
all-season visitation shelter/designated indoor visitation room.
2. General visitors are not permitted in the resident room, with the exception for those visits
permitted for end of life.
December 19, 2020
1. Changes to required personal protective equipment to be worn by designated family
caregivers.
a. Facility to provide procedure mask and eye protection and to instruct designated
family caregivers on appropriate wearing and use as well as ongoing importance
of proper hand hygiene.
b. If eating or drinking while in the facility, designated family caregivers are
reminded to maintain a physical distance of six feet/two meters. Remove PPE
carefully, including appropriate hand hygiene. After eating or drinking, perform
hand hygiene and don mask and eye protection
Nov. 26, 2020
1. Changes to visitor precautions (pgs. 2, 6, 7, 8, 9, 10, 11, 12)
• Visitors must follow regarding the need for visitors to wear a mask at all times during
their visit.
• General visitors are not permitted to eat or drink while in the facility
• Designated Family Care Givers must maintain physical distance of six feet/two
metres if eating of drinking while in the facility, and must follow appropriate hand
hygiene when donning and doffing PPE
• Masks are required while in visitation shelters
Nov. 1, 2020
1. General Visitors – Outdoors – Updated to include general visitor information for facilities
located in geographic regions designated Orange (Restricted). (pg. 9)
Oct. 14, 2020
1. Update – where outbreaks require the suspension of visits, resumption of visits will be
collaboratively determined with Public Health. (pg. 2)
2. Consideration for Indoor Visits – added consideration for residents without family to
designate as family caregivers. (pg. 3)
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 163. All-season visitation shelters and designated indoor visitation rooms – guidance added.
(pg. 4).
a. All season shelter/designated indoor visitation guidelines added to Appendix
Charts and throughout document.
4. Non-essential service visits – updated in Red (Critical) and Orange (Restricted) to not
permitted.
June 28, 2021 COVID-19 – LTC Resident Visitation Principles 17You can also read
