Where applicable, a person is fully immunized against COVID-19 if:

  • They have received the total required number of doses of a COVID-19 vaccine approved by Health Canada (e.g., both doses of a two-dose vaccine series, or one dose of a single-dose vaccine series); and
  • They received their final dose of the COVID-19 vaccine at least 14 days ago.

https://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/docs/directives/LTCH_HPPA.pdf

Designated Caregivers

A Designated Caregiver is defined as a type of essential visitor who is designated by the resident/patient and/or their SDM and is visiting to provide direct care to the resident/patient (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: Essential visitors are currently the only type of visitors allowed in the long-term care home.

https://files.ontario.ca/moh-covid-19-response-framework-keeping-ontario-safe-and-open-en-2020-11-03-v2b.pdf

Designated Caregiver Procedure:

In order to help keep our residents and patients safe during the ongoing COVID-19 pandemic, there are certain rules we all must follow: Please see below in BLUE for new updates.

  1. Designated Caregivers must be at least 18 years of age.
  2. A maximum of 2 caregivers may be designated per resident/patient (non-rotating). When a formal request is made to change caregivers, the Centre will review on a case-by-case basis.
  3. Currently in Ontario’s Roadmap to Reopening: a maximum of 2 Designated Caregivers are permitted but must visit 1 at a time.
  4. The SDM and/or resident/patient must provide the home in writing the rationale and identify the Designated Caregiver(s). This must be completed through the office of the Resident/Patient and Family Relations Advisor, in order to ensure an updated listing of all Designated Caregivers. Appendix A: Designated Caregiver Status Request Form.
  5. All Designated Caregivers must be actively screened and participate in rapid antigen testing on-site upon entrance to the Home unless otherwise indicated. Including, but limited to:
    a) If the Home enters an outbreak, rapid antigen testing is paused, and the Home resumes Polymerase Chain Reaction (PCR) testing. An appointment must be booked at an assessment centre in this situation.
  6. Prior to visiting any resident/patient for the first time (Appendix B), 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. The Designated Caregiver must attest to retraining on a monthly basis, or as needed.
  7. Visitation must only occur in designated areas including the resident/patient room and approved outdoor areas. The Center will review additional requests on a case-by-case basis.
  8. Designated Caregivers will receive a green (meets the criteria to engage in close physical contact/share a meal) or yellow badge (physical distancing required) upon their arrival to identify them. 
  9. Designated Caregivers must wear a surgical/procedural mask and visor at all times during the visit. SJCCC will provide the surgical/procedural mask and any other required PPE. If you are feeling ill or unwell, please reschedule your visit. Designated Caregivers who are fully vaccinated (see definition above), are not required to wear eye protection whether visiting indoor or outdoors.
  10. We continue to encourage the practice of physical distancing for the duration of their visit. This is also dependent on the care requirements provided by the Designated Caregiver. Fully vaccinated caregivers and fully vaccinated residents/patients may have close physical contact, outside of the provision of care, and can share a meal/snack in a resident/patient room.  
  11. The health and safety of our resident/patient 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.
  12. Visitation does not require advance booking.
  13. 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.
  14. In the event of an outbreak or if a resident/patient is self-isolating; 2 Designated Caregivers per resident/patient may be permitted but must visit 1 at a time. Prior to proceeding in any visitation (related to outbreak or self-isolation), a meeting would need to be booked with the Resident/Patient and Family Relations office for review of PPE, public health measures, safety, and expectations. Other measures may be put into place i.e hours of visitation, the number of visitors in the home at one time. This will be reevaluated and communicated on an as-needed basis and guided by any public health recommendations.

Update as of  June 9, 2021

Prior to engaging in the below activities, please contact Amelie Gove at ext. 22370 (Hotel Dieu Hospital) and Katie Payette at ext. 21143 (St. Joseph’s Villa) to review your immunization status and to help facilitate a vaccine if desired.

If you and the resident/patient that you are visiting is fully vaccinated you may now:

  • You are no longer required to wear eye protection during your visit
  • Choose to have close physical contact and touch (e.g hugging, holding hands) beyond what is required for care and supervision.
  • Share a snack/meal with your loved one, in the resident/patient room only at this time.

***Outside of eating/drinking, remember that you must have your medical mask and practice regular hand hygiene at all times.

If you and the resident/patient that you are visiting is partially/non vaccinated you may now:

  1. Participate in a brief hug and physical distance at all other times.

***Remember that you must have your medical mask, eye protection and practice regular hand hygiene at all times.

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.

  1. If non-adherence is observed, it may result in the suspension of your visit that day.
  2. A follow-up call/visit (where required) by Resident/Patient/Family Relations, to review expectations, provide education and advise of potential discontinuation/temporary suspension of visitation.
  3. Continued non-adherence would result in the suspension of the visitation.
  4. Any subsequent non-adherence would result in a temporary suspension.

Please see the following HERE for Frequently Asked Questions for Designated Caregivers.

Mandatory Educational Information for review by Designated Caregivers: (Please watch on a monthly basis or more frequently)

How to identify yourself as a Designated Caregiver, please contact: 

  • Hotel Dieu Hospital Patients: Amelie Gove at 613-933-6040 ext.  22370
  • St. Joseph’s Villa, Long-Term Care Residents: Katie Payette at 613-933-6040 ext. 21143