Visiting in LTC during COVID - Schlegel Villages
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2019 Novel Coronavirus (COVID-19) December 16, 2021 Visiting in LTC during COVID Visitors play a crucial role in reducing the risk Visiting requirements are based on Directive #3, and guided of infection for the safety of residents and team by policies from the Ministry of Long Term Care (MLTC). members. The Ontario Government has Visitors are responsible for adhering to requirements related implemented temporary enhanced measures to screening, infection prevention and control, personal in light of increased COVID-19 cases and the protective equipment and other precautions as described highly transmissible Omicron variant. within this package and our visitor policy. Types of Protecting you visitors and our Village Essential Caregiver COVID-19 testing and screening A resident and/or SDM may designate in writing essential caregivers • Visitors should self-monitor for symptoms prior to who support the resident with direct care. This may include visiting the Village. If feeling unwell, do not visit. assistance with activities of daily living, meaningful connection, • Visitors must complete and pass active screening decision-making etc. Caregivers must be at least 18 years old. on arrival in order to visit. Example: Family, friend, private caregiver or paid companion. • Surveillance testing is an important part of All unvaccinated essential caregivers must show proof of their first screening for COVID-19 and is required for all dose as of December 20, 2021 and by February 20, 2022, must show indoor and outdoor visits for any visitor over proof of all required doses. Any essential caregivers designated after the age of one. December 14 are required to be fully vaccinated to gain entry. • Even after a negative test, please continue to self-monitor for symptoms. • If you develop symptoms or receive a positive Essential Support Worker test result after visiting, please call the Village. A person brought into the home to perform an essential service for the home or for a resident. Example: Physician, NP, RD, PT, OT, external care providers hired by the resident, maintenance, etc. Washing hands • Hand washing is the best defence against the spread of infection. General Visitor • Wash your hands often. Use an alcohol-based A person who has not be identified as an essential visitor and is hand rub or soap and running water. visiting for social reasons or performing a non-essential service. • See page 3 for step-by-step instructions General visitors under the age of 14 should be accompanied by an adult and must follow infection prevention and control protocols. May also include persons attending for the purposes of providing personal care services and resident activities which may include hairdressers, entertainers, recreational service providers and animal handlers. Example: Family, friends or individuals who are touring the Village to inform decisions regarding their application to move in. All general visitors must be fully vaccinated to enter the home. Outdoor visits are permitted (where feasible) for unvaccinated individuals. Unvaccinated children under the age of 12 are unable to visit indoors. Please call ahead or book through our booking site.
2019 Novel Coronavirus (COVID-19) December 16, 2021 Village access 2 metres (6 ft.) Physical distancing • Essential caregivers are the only visitors • Physical distance of two metres must be permitted when a resident is in isolation or living maintained between visitors and other residents. in an area of the home in outbreak. In this case, • General visitors who are not fully vaccinated are one may visit at a time. required to participate in COVID-19 testing, visit • Only visit who you are designated to visit, do not outdoors, and should maintain physical distance visit with others. Access to Village common areas from the resident. by caregivers may be limited for safety. • Brief hugs are permitted regardless of • Designated caregivers who are not fully immunization status. vaccinated are required to visit their loved one in their room only. Personal Protective Equipment • Otherwise, visitors may visit either indoors or (PPE) outdoors. Surveillance testing is required for • Medical masks must be worn at all times both indoor and outdoor visits. when visiting the Village and for the duration of the visit. Vaccine • See page 4 for how to wear a mask. • To protect you and your loved ones, a • Additional PPE is required when residents are on 3rd dose/booster of COVID-19 vaccine is droplet and contact precautions. strongly recommended. • See page 7 for how to don and doff PPE. • “Fully immunized” means a person has received all doses of the approved vaccine series and it Concerned you have COVID-19? has been at least 14 days since the final dose. • If an essential caregiver and resident are both • Separate yourself from others as soon as possible. fully immunized, they may; • Stay home and follow the advice of your local • have physical contact with each other (i.e. hug, Public Health. hold hands) • Monitor symptoms. • support resident in the dining room • Get rest and stay hydrated. • join resident in an activity program • Cover your cough and sneezes. • If a general visitor and resident are both fully • Wash your hands often. immunized, they may also have close contact • Call ahead to your health care provider if you are with each other (i.e., be within 2m and hold hands). ill and seeking medical attention • Visitors will be asked for proof of vaccination. • Avoid sharing personal items. Starting January 4, 2022 you will need to present • If you have had contact with a loved-one in the your QR code as proof of vaccination. The QR Village, please call to let us know. code can be used digitally or by printing a paper copy. Those with valid medical exemptions will also be required to have a QR code.
2019 Novel Coronavirus (COVID-19) December 16, 2021 Summary of requirements General Essential Essential Personal Care Visitor Caregiver Support Worker Services Provider Number of visitors Visiting as of December 16, 2021 Indoors maximum of 2 Permitted Permitted Outdoors maximum of 4 Number based on Village discretion Resident in isolation Not permitted Permitted Permitted Not permitted Number based on Village discretion Attest at screening to: Not being in another home in N/A Yes No No outbreak or visiting a resident in isolation in last 14 days
2019 Novel Coronavirus (COVID-19) December 16, 2021 How to handrub (preferred method) JUST CLEAN YOUR HANDS Rub hands for 15 seconds 1 2 3 4 5 6 7 8 Apply 1 to 2 Rub hands Rub in between Rub back of each Rub fingertips Rub each thumb Rub hands until Once dry, your pumps of together, and around hand with palm of each hand in clasped in product is dry. hands are safe. product to palm to palm. fingers. of other hand. opposite palm. opposite hand. Do not use palms of paper towels. dry hands. How to handwash For more information, please contact handhygiene@oahpp.ca or visit publichealthontario.ca/JCYH. Catalogue No. 010971 Revised 20M March 2010 © 2010 Queen’s Printer for Ontario (when hands are visibly soiled) Lather hands for 15 seconds JUST CLEAN YOUR HANDS 1 2 3 4 5 6 7 8 Wet hands with Apply soap. Lather soap and Rub in between Rub back of each Rub fingertips Rub each thumb Rinse thoroughly warm water. rub hands palm and around hand with palm of each hand in clasped in under running to palm. fingers. of other hand. opposite palm. opposite hand. water. 9 10 11 Pat hands dry Turn off water Your hands are safe. with paper towel. using paper towel. For more information, please contact handhygiene@oahpp.ca or visit publichealthontario.ca/JCYH. Catalogue No. 010975 Revised 20M March 2010 © 2010 Queen’s Printer for Ontario
Coronavi Coronavirus COVID-19BC Centre for Diseas 2019 Novel Coronavirus (COVID-19) BC Centre for Disease Control | BC Ministry of Health December 16, 2021 How to We How –todo Wearing a mask Wear a Face Mask it right 1 2 Disposable medical or 1 2 3 4 procedure masks provide protection from transmission OR of infection through droplets. OR They are required to be worn for the duration of your visit outdoors. These masks should Wash your hands with soap Check the new mask to make and water for 20-30 seconds sure it’s not damaged. be thrown away each day or Wash your hands with soap Check the new mask to make Ensure colourorside perform hand of the hygiene mask with the metallic strip. Locate and water for 20-30 seconds sure it’s not damaged. faces outwards. alcohol-based hand rub Place it over and mold it to the before after each visit. or perform hand hygiene with touching the face mask.nose bridge. alcohol-based hand rub before Cloth masks or face touching the face mask. 5 6 coverings are reusable and 5 6 7 8 best used when going out in public to protect yourself and others. When visiting outdoors, a medical/procedure mask or cloth mask/face covering must be worn. Place an ear loop around each Cover mouth and nose fully, mak- ing sure there are no gaps. Pull ear or tie the top and bottom Place an ear loop around each Cover mouth and nose fully, mak- straps. Press the metallic strip again Do not touchthe thebottom of the mask to fully mask while ear or tie the top and bottom ing sure there are no gaps. Pull using it, if you do, perform straps. the bottom of the mask to fully Perform hand hygiene. hand hygiene. 9 9 Removing the Mas Removing the Mask 1 2 1 2 3 4 OR AND OR OR OR AND OR Replace the mask if it gets wet Perform hand hygiene. Do not or dirty and wash your hands of your Replace the mask if it gets wet Perform hand hygiene. Do not touch the frontagain after putting Discard it on. the mask Do not in a Perform hand hygiene. forward or dirty and wash your hands of your mask. Lean reuse the mask. waste container. the ma again after putting it on. Do not forward, gently remove by hold reuse the mask. the mask from behind loops o by holding both ear loops or ties. If you h having If you have fever, a new cough, or are having difficulty breathing, call 8-1-1. Non-medic (ex. travel, Non-medical inquiries 1-888-COVID19 (1888-268-4319) (ex. travel, physical distancing): or text 604-630-0300
Do ensure your nose, mask or face covering hand sanitizer before to protect yourself and mouth, and chin are cannot be washed in a fully covered. others. and after touching the garbage bin after use. Do ensure themask mask is or face covering. 2019 Novel Coronavirus (COVID-19) made of at least 3 layers, including 2 layers of tightly woven Do replace and launder your mask after each use, or whenever it December 16, 2021 fabric becomes damp or dirty. layers. Do use the ear loops or ties to put on and Do wash your mask Wearing a mask – do it right with hot, soapy water Do inspect theremove mask for the mask. and let it dry tears or holes. completely before wearing it again. Do store re-usable Do ensure the mask or masks in a clean Don’ts face covering is clean paper bag until you and dry. wear it again. Do wash your hands or use alcohol-based Do discard masks that hand sanitizer before cannot be washed in a Don’t wear masks and after touching the garbage bin after use. Don’t hang mask from mask or face covering. with exhalation valves your neck or ears. or vents. Do use the ear loops or ties to put on and remove the mask. Don’ts Don’t wear a Don’t share your mask. loose mask. Don’t wear masks Don’t hang mask from with exhalation valves your neck or ears. or vents. Don’t wear a Don’t leave your used loose mask. Don’t touch the mask Don’t share your mask. mask within the reach while wearing it. of others. Don’t leave your used Don’t touch the mask mask within the reach while wearing it. of others. Don’t reuse masks that Don’t remove the mask are damp, dirty or Don’t remove to talk to someone. Don’t reuse masks that the mask to talk to someone. are damp, dirty or damaged. damaged.
2019 Novel Coronavirus (COVID-19) December 16, 2021 Recommended Steps: Putting On Personal Protective Equipment (PPE) Recommended Steps: Putting on PPE Putting On Personal Protective Equipment (PPE) 1. Perform Hand Hygiene 2. Put on Gown • Tie neck and waist ties securely 1. Perform Hand 5. Put on Gloves Hygiene 2. Put on Gown • Put on gloves, taking • Tie neck and waist ties care not to tear or securely puncture glove • If a gown is worn, 5. Put on Gloves the glove fits over 1 the gown’s cuff • Put on gloves, taking 2 care not to tear or puncture glove 5 • If a gown is worn, the glove fits over 1 3. Put on Mask/N95 the gown’s cuff 3 A B 4 2 Respirator 5 • Place mask over nose and under chin 4. Put on Protective • Secure ties, loops or straps Eyewear 3 A 3. Put on Mask/N95 • Mould metal piece to your B nose bridge • Put on eye protection 4 D Respirator • For respirators, perform a and adjust to fit C seal-check • Place mask over nose and • Face shield should under chin fit over brow 4. Put on Protective • Secure ties, loops or straps Eyewear • Mould metal piece to your Recommended • Put Steps: on eye protection nose bridge C D • For respirators, perform a Putting On Personal Protective Equipment (PPE) and adjust to fit seal-check • Face shield should fit over brow Recommended For more information, Steps: please contact Public Health Ontario’s Infection Prevention Taking off PPE and Control Department at ipac@oahpp.ca or visit www.publichealthontario.ca. Taking Off Personal Protective Equipment (PPE) 1. Perform Hand 1. Remove Gloves 2. Remove Gown • Remove gloves using a Hygiene A Prevention 2. Put on Gown • Remove gown in a manner that For more information, glove-to-glove / skin-to-skin please contact Public Health Ontario’s Infection prevents contamination of clothing technique A B C B • Tie neck and waist ties or skin and Control Department at ipac@oahpp.ca or visit www.publichealthontario.ca. • Grasp outside edge near the securely• Starting with waist ties, then neck wrist and peel away, rolling ties, pull the gown forward from the glove inside-out C the neck ties and roll it so that 5. Put on• Reach Gloves under the second the contaminated outside of the glove taking and peel away gown is to the inside. Roll off the • Put on gloves, arms into a bundle, then discarded care not•to tear or Discard immediately into immediately in a manner that waste receptacle puncture glove minimizes air disturbance. • If a gown is worn, the glove fits over 11 2 the gown’s cuff 6. Perform 2 3. Perform Hand Hygiene 56 3 Hand Hygiene 5. Remove Mask/ 5 4 3. Put 4. Remove onProtection Eye Mask/N95 3 A B N95 Respirator A B4 Respirator • Arms of goggles and headband of face C shields are considered to be ‘clean’ • Ties/ear loops/straps are A B and may •bePlace mask touched withover nose and the hands considered ‘clean’ and under chin may be touched with • The front of goggles/face shield is 4. Put on Protective hands D • Secure considered ties, loops or straps to be contaminated E Eyewear • The front of the mask/ respirator is considered • Remove eye protection • Mould ear loops, sides metal noseorbridge by piece handling back only to your • Put on eyetoprotection be contaminated • Discard into waste receptacle or into and adjust to fitbottom tie then top • Untie C D • For respirators, perform a appropriate container to be sent for tie, or grasp straps or ear seal-check reprocessing • Face shield should loops • Personally-owned eyewear may be fit over brow • Pull forward off the head, bending cleaned by the individual after forward to allow mask/respirator each use to fall away from the face • Discard immediately into waste receptacle This is an excerpt from Routine Practices and Additional Precautions In All Health Care Settings (Appendix L) and was reformatted for ease of use. For more information, please contact Public Health Ontario’s Infection Prevention and Control Department at ipac@oahpp.ca or visit www.publichealthontario.ca.
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