Compassionate Care Visitor Guidelines – Long-term Care, Affiliates, Personal Care Homes
To help prevent the spread of COVID-19, visitor/family presence is being limited to compassionate reasons only in Saskatchewan Health Authority long-term care facilities, affiliates and personal care homes, effective November 19, 2020. No other visitors are allowed into these facilities or homes at this time.
These guidelines apply to long-term care homes, affiliates and personal care homes. Acute care facilities are not included in these guidelines, unless expressly stated for individual acute care sites, within SHA service alerts.
Compassionate reasons may include family or support persons during end-of-life care, and long-term care or personal care home residents whose quality of life or care needs are unmet.
One healthy visitor is allowed at a time for in-person visits for compassionate reasons. This can include a spouse, common-law spouse, child or stepchild, parent, grandparent, grandchild, sibling or a support person with whom the resident has had an equivalent relationship.
The decision to restrict visitor/family presence is not taken lightly. These measures are in place to keep you, your loved ones and health care workers safe. Your support and cooperation will help contain the spread of the virus.
- Two family members or support persons can be identified to support patients and residents.
- Only one family member or support person can be present in the facility at a time.
- Two people can be present at one time if physical distancing can be maintained for end of life/palliative care patients or residents.
- Additional family members or support persons may be identified for end of life, palliative and intensive/critical care, as outlined in the Saskatchewan Health Authority (SHA) Family Presence Guidelines.
The Family Presence Policy applies to patients, outpatients, clients and residents in SHA facilities, long term care homes and affiliate organizations, personal care homes and Ministry of Social Services Group Homes.
More information can be found in the SHA Family Presence Guidelines.
All community, foundation and other public and spiritual gatherings within any SHA-operated facility remain on hold until further notice. Services provided by community volunteers who are 65 years of age or older, in non-essential service areas, are also suspended.
We recognize how difficult this time is for patients and families. The decision to continue to limit visitation is guided by the need to protect our patients and health care teams during COVID-19.
Family members and support people who are identified must undergo a health screening prior to entering the facility. This may include a temperature check and questionnaire. The visitor will be required to perform hand hygiene (hand washing and/or use of hand sanitizer) when entering and leaving the facility and when entering and leaving the patient's room. Visitors will also be required to wear a medical grade mask, if tolerated while inside the facility and potentially additional personal protective equipment if required. Visitors are not permitted to wait in waiting rooms or other common areas.
NOTE: Patients and residents should NOT leave the care facility to visit family or friends or for any other reason unless this is an established outdoor visit. Patient day passes, essential appointments and access to healing centres will be determined in consultation with the care team.
Food and beverages can be delivered to or brought into SHA facilities. The following guidelines need to be followed:
- Food, beverage and other items are individually packaged in a container which can be wiped down with disinfectant wipes upon entry into the facility;
- Perform hand hygiene;
- Make every effort to practice physical distancing when eating (maintain distance of 2 metres); and,
- Food made in a residential kitchen can be accepted if brought in a container that can easily be wiped down with disinfectant wipes upon entry into the facility/home.
A designated support person or family member can be identified to accompany a certified service animal if needed.
Delivery – Delivery in the form of flowers from a florist or dry paper (i.e. letters, photos, art work) is permitted in LTC homes and acute care sites. In some acute care settings, such as Intensive Care Units (ICU), floral arrangements are not permitted due to possible pollen or plant allergens. Families will be asked to consult with managers or staff prior to placing orders for the delivery of any purchased floral arrangements and to follow existing scent-free policies. Please note that dry paper goods will be held for 24 hours before delivery to patients/clients/residents.
Until we are able to safely return to open family presence in our health care facilities, we encourage you to consider other ways to stay connected with your family members or friends in our hospitals and long-term care facilities, such as phone calls or online means of communication. We encourage families to consider virtual visiting through electronic applications such as FaceTime, Skype and WhatsApp. We are asking families and visitors for their co-operation in following these restrictions.
When Restrictions to Family Presence are Needed:
There may be situations in which Family Presence will need to be temporarily restricted to compassionate care reasons or even further restricted. These restrictions may occur because of an outbreak at the facility/home or due to a change in the community spread/epidemiology of COVID-19 as decided by the local Medical Health Officer.
During these times, compassionate care reasons may include, but are not limited to, family or support persons during end-of-life care, major surgery, intensive care/critical care, maternal/pediatrics, or a care partner aiding in clinical care (at the discretion of the patient's care provider). Please refer to Compassionate Care Reasons for Family Presence for more information.
Understanding that it is difficult for families to have loved ones in hospital or other care areas, we are working to support families with virtual visitation options, including making phones available in hospitals and iPads more accessible to long-term care residents to assist with virtual visiting.
Thank you for your understanding and co-operation.
Guidance on Mitigating Measures for COVID-19 for Food Service in Care Facilities (including Long-Term and Seniors’ Care)
|Best Practice Guidance for Food Service Long-Term Care and Seniors’ Facilities on Mitigating Measures for COVID-19
(only when approved by
Public Health Officials)
|Entrance and Screening
- Encourage proper hand hygiene is to be followed prior to entering the dining room.
- Hand sanitizer (with DIN or NPN) shall be made available prior to entering the dining room, or if necessary, dispensed by staff to incoming residents (depending on expected compliance of residents).
- Screening of residents for symptoms of COVID19 prior entering the dining room shall be implemented. Any cases or symptomatic residents must stay in rooms and receive tray service.
- Promote good respiratory hygiene (cover all coughs and sneezes)
- No guests allowed in the dining room. Visitors are allowed in the facility if they meet the requirements related to compassionate reasons, and the COVID screening checklist.
- Physical distancing of 3 meters should be applied between residents. People should maintain 3 meter distance from others except when seated as below:
- Diners sharing a residence may share a table and be within 3 meters of each other.
- Consider allowing healthy residents to have a “buddy or buddies” for meal times in dining room where applicable, who may be within 3 meters of each other. This pair/group would be set for the duration of the mitigation measures and cannot be changed. It allows people to have a dining partner and some socialization.
- Persons per room must be in compliance with public health order indoor gathering limitations or no more than 10 persons per room, whichever is higher.
- If a larger dining room is divided to provide more rooms, physical distancing must still be practiced.
- If dividers are used consideration shall be given as to how they can be properly cleaned and disinfected after each meal sitting. Additional consideration should be given to ensure divider are not interfering with airflow or posing a hazard to residents and staff.
- Measures are to be implemented to ensure residents:
- Go directly to their table and don't congregate in the entrance area, and
- Return to their residences in a timely manner, no loitering
- All communal food (fruit bowl, snacks, coffee, etc.) shall be removed from self-serve unless served by staff only.
- Commonly touched items should be removed from tables (e.g. salt and pepper, napkins, vases, etc.).
- Single-service packets of condiments can be used if packets are provided directly to each patient/resident, rather than self-serve in a bulk container. Staff may also portion or serve condiments to residents.
- Unused packets served to residents should be discarded.
- If staff are assisting any resident in eating, where possible, it is recommended they wash their hands with soap and water before assisting any other resident. Hand sanitizer may also be used if hands are not visible soiled.
- Where possible, pre-set tableware to minimize resident contact with multiple sets of cutlery and plates.
- Facilities must adhere to the current Public Health Orders, including wearing masks upon entering, exiting, and in the dining rooms and in all common areas. Masks may be removed while eating or drinking.
- Dining rooms should be closed or restrict access by residents when not in use to discourage gatherings.
- Surfaces should be cleaned and disinfected following each meal service, including chairs (including the underneath edge of the chair seat), tables, and railings.
- Common washrooms in dining areas are to be closed. Remind residents to use washroom facilities in their residences prior to attending meal times.
- Staggered meal times according to cohort (i.e. staggered to let a single wing or floor eat at one time so if someone becomes ill, it is easier to identify cohorts, isolate, and contact residents).