As a result of changes to the visitation policy by The Ministry of Long Term Care, SJCCC will be welcoming “Designated Caregivers” into the Centre, starting Wednesday, September 9th, 2020. These Designated Caregivers must be identified by the resident/patient and/or SDM.
Designated Caregiver: a type of essential visitor who is designated by the resident and/or their substitute decision-maker and is visiting to provide direct care to the resident (e.g., supporting feeding, mobility, personal hygiene, cognitive stimulation, communication, meaningful connection, relational continuity and assistance in decision making).
See below for details on how to identify yourself as a designated caregiver, requirements, and educational information.
Please note: Designated Caregivers are the only type of visitors allowed in when the long-term care home is located in a public health unit region where there is evidence of increasing/significant community transmission i.e., Orange (Restrict), Red (Control) or Grey (Lockdown) levels.
*In the event of an outbreak on a unit, the Designated Caregiver will require additional training prior to their next visit. A Resident/Patient and Family Relations Advisor will contact you to arrange a meeting.
Designated Caregiver REQUIREMENTS:
In order to help keep our residents and patients safe during the ongoing COVID-19 pandemic, there are certain rules we all must follow:
- Designated Caregivers must be at least 18 years of age.
- A maximum of 2 caregivers may be designated, non-rotating.
- The SDM (Substitute Decision Maker) and/or resident must provide the home in writing the rationale and identify the designated caregiver(s). This can be provided to the Resident/Patient and Family Relations Advisor, in order to ensure an updated listing of all essential caregivers.
- For long-term care homes located in public health unit regions in green-prevent or yellow-protect levels, Designated Caregiver(s) must demonstrate to the home that they have tested negative for COVID-19 within the previous two weeks and verbally attest to not having subsequently tested positive. For long-term care homes located in public health unit regions in orange-restrict, red-control or grey-lockdown levels, designated caregiver(s) must demonstrate that they have received a negative COVID-19 test result in the past week, and verbally attest to not subsequently having tested positive.
- Designated Caregiver(s) must verbally attest to the home that in the last 14 days, they have not visited another resident who is self-isolating or symptomatic; and/or home in an outbreak.
- Prior to visiting any resident for the first time and monthly thereafter, the designated caregiver(s) will require training that addresses how to safely provide direct care, including putting on and taking off PPE and hand hygiene. Retraining should occur on a monthly basis, or as needed. (Please see educational videos below.)
- Upon each visitation, designated caregiver(s) must be actively screened; including temperature and sign in and out.
- Visitation must occur in the resident/patient room ONLY.
- Designated Caregivers must wear a surgical/procedural mask at all times during your visit. SJCCC will provide the surgical/procedural mask and any other required PPE.
If a resident or patient is self-isolating or symptomatic, a maximum of 1 caregiver may be designated. Prior to your first visit with a self-isolating or symptomatic resident/patient, the Centre may make additional arrangements for PPE training with an appropriate staff member.
- If you are feeling ill or unwell, please reschedule your visit.
- We continue to encourage the practice of physical distancing for the duration of their visit. However, visitors who have passed all screening requirement, including having verbally attested to not testing positive for COVID-19 within the last 14 days, could engage in close physical contact (i.e less than 2 metres) with a resident to support their emotional well-being and/or communication provided the visitor wears a surgical/procedure mask as source control. This is also dependent on the care requirements provided by the designated Caregiver.
- The health and safety of our residents are of utmost importance if you do not comply with the directives outlined by the Ministry of Health and Long-Term Care the visit may be suspended/discontinued.
- Visitation does not require advance booking.
- In order for the organization to properly plan, and allow for appropriate physical distancing, the Centre reserves the right to reduce the number of designated caregiver(s) on-site to 1 at a time. In the event of an outbreak or in an area of higher community spread (ex: orange-restrict, red-control or grey-lockdown levels), 1 designated visitor per resident/patient will be permitted only.
There will be a zero-tolerance approach to non-adherence to public health and safety measures (i.e wearing a mask, remaining in res/pt room for the entire visit etc). Please be advised that your visitation will be suspended if there is an observed non-adherence.
- If non-adherence is observed, it may result in the suspension of your visit that day.
- A follow-up call/visit (where required) by Res/Pt/Family Relations, to review expectations, provide education and advise of potential discontinuation/temporary suspension of visitation.
- Continued non-adherence would result in the suspension of the visitation.
- Any subsequent non-adherence would result in a temporary suspension.
Please see this following link for Frequently Asked Questions for Designated Caregivers: https://www.sjccc.ca/sjeng/?p=2167
Mandatory Educational Information for review by Designated Caregivers each month:
How to identify yourself as a designated caregiver:
- Complex Continuing Care (Hotel Dieu Patients): Contact the Patient and Family Relations Advisor @extension 22370
- Long-Term Care (St. Joseph’s Villa Residents): Contact the Resident and Family Relations Advisor @ 21215