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 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 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.
Caregivers should maintain physical distancing at all times as much as possible, except when providing direct care to a resident. To clarify, this includes physical distancing from the resident for whom they are the designated caregiver unless they are providing direct care. Caregivers must also maintain physical distancing from staff, other visitors, and residents they are not visiting
- 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, 1 designated visitor will be permitted. The reduction of designated visitors may also be impacted in areas where there is higher community spread (orange-restrict, red-control or grey-lockdown levels)
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 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 Patients): Contact the Resident and Patient Relations Advisor @extension 22370
- Long-Term Care (St. Joseph’s Villa Residents): Contact the Resident and Family Relations Advisor @ 21215