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.

A Designated Caregiver is defined as 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: Essential visitors are the only type of visitors allowed 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 provincial COVID-19 Response Framework: Keeping Ontario Safe and Open. 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:

  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. Homes located in public health unit regions in orange-restrict, red-control or grey-lockdown levels: a maximum of 2 designated caregivers are permitted, but must visit 1 at a time.
  4. Homes located in public health unit regions in green-prevent and yellow-protect levels: a maximum of 2 designated caregivers are permitted, and may visit at the same time.
  5. 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 essential caregivers. Appendix A: Designated Caregiver Status Request Form.
  6. 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.
  7. 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.
  8. Visitation must only occur in designated areas including the resident/patient room and approved outdoor areas.
  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.
  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.
  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 res/pt is self-isolating; 2 designated caregivers per res/pt 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 Res/Pt/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.

Additional Update: May 5, 2021

Prior to engaging in the below activities, please contact Amelie Gove at ext. 22370 (CCC) and Katie Payette at ext. 21143 (LTC) 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:

1. Choose to have close physical contact and touch (e.g hugging, holding hands) beyond what is required for care and supervision.
***Remember that you must have your medical mask, face shield and practice regular hand hygiene.

2. Share a snack/meal with your loved one, in the resident/patient room only at this time.
***Remember, since you will need to remove your mask/face shield to enjoy a meal/snack, you should maintain a distance of 2 meters if Personal Protective Equipment (PPE) is not on.

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:

  • Complex Continuing Care (Hotel Dieu Hospital Patients):  Contact the Resident and Patient Relations Advisor @ 22370
  • Long-Term Care (St. Joseph’s Villa Residents): Contact the Resident and Family Relations Advisor @ 21215