Caregivers at the JGH

In light of the evolving COVID-19 situation, new guidelines are in place for caregivers at the Jewish General Hospital. The only visitors permitted on the premises are those who appear in the categories below.

Definition of a caregiver

A person who provides significant assistance or support, on an ongoing or occasional basis, to meet the needs and well-being of a loved one. Support can take many forms—for example, assistance with personal care, emotional support or organizing care.

Decision

The evaluation of a request with reference to the criteria, and the communication of instructions to a caregiver.

Visiting hours

10:00 a.m. to 8:00 p.m. 
*No restrictions in Obstetrics, Neonatology and Palliative Care

Areas

The guidelines cover all areas of the hospital. See below for specifics, with regard to Emergency, Oncology, Obstetrics, Neonatology, Palliative Care and Medical Imaging.

Number of caregivers

A maximum of one person per day: A maximum of two people must be identified to take turns on different days.

Each admitted patient and/or family must submit the names of two caregivers, to be assessed in the application evaluation process. This list should remain unchanged, as much as possible.

Some flexibility in the rules might be permitted for vulnerable clients (e.g., the elderly or handicapped) at the discretion of the hospital.

In critical situations or hospitalization beyond seven days, a minor is allowed to visit a hospitalized parent. Children 12 and under must be accompanied by an adult during the visit. In this instance, two people at a time (one adult and one child) are allowed at the bedside.

Preparation for caregivers

Please consult the following documents:

Screening at admission

Caregivers must report to the Security office in Pavilion B, at the main entrance (3755 Côte-Sainte-Catherine Road). The security guards will verify the absence of COVID-19 symptoms, take the person’s temperature and place abracelet to confirm the verification. This process will take place at each visit.

Caregivers who are COVID-19 positive suspected or under investigation

No visit.  An exception is possible for Obstetrics(see below).

Symptomatic caregivers

No visit, if there are symptoms such as fever, cough, difficulty breathing, loss of smell or loss of taste.

Personal protective equipment (PPE)

Caregivers must follow established infection prevention measures and wear the PPE indicated by the healthcare team. Failure to comply will probably result in refusal of the visit.

Emergency Department

Visiting hours are restricted during the COVID-19 pandemic.

  • Caregivers will be screened.
  • One caregiver at a time is permitted per patient.
  • A caregiver's badge is necessary.
  • The caregiver’s photo ID will be kept during the visit.
  • PPE and hand hygiene guidelines must be respected.
  • The caregiver must stay at the patient’s bedside.
  • The caregiver must remove gown and gloves before leaving the patient’s room.
  • Patients in semi-private rooms may have restricted hours.
  • The designated washroom for caregivers is in the triage area.
  • Special accommodation is made for patients at the end of life.

NO caregivers in the RAZ, the garage or the mental health pod.

The Emergency Department allows caregivers only in its green, yellow and orange pods and in the Resuscitation area. Only one caregiver is allowed at a time. Exceptions to this rule might be allowed in specific medical or social situations. The medical team reserves the right to restrict caregiver access, depending on the situation in the department.

External Oncology

No caregivers, as much as possible.

One person is permitted if her/his presence is required (e.g., mobility problem, cognitive impairment), as determined by the medical team (e.g., starting a new treatment plan). In this case, there is a maximum of one person per day: A maximum of two people must be identified to take turns on different days.

Hospitalized Oncology

No caregivers, as much as possible.

Exceptions can be made for humanitarian reasons or when a caregiver is required, as determined by the medical team (starting new treatment plan). In this case, there is a maximum of one person per day: A maximum of two people must be identified to take turns on different days.

Obstetrics

* Visits allowed at all times

 Case Room and Postpartum

  • Visits are permitted by the partner or one support person as per the facility's directives.
  • No other visitors, siblings or extended family are permitted. 
  • For pregnant women with COVID-19, one partner/support person from the same household can be present. However, this is permissible only if that person remains with the pregnant woman within the hospital at all times (admitted together, transferred together and leaving together), and if that person is wearing a mask. 

More details can be found on the following webpage:  COVID-19 Information for all Obstetrical Patients

Neonatology

* Visits allowed at all times

  • Parents are allowed if they do not have any COVID-19 symptoms,  but only one parent at a time.
  • The child's clinical condition must be considered in determining whether both parents can be present at the same time.
  • Parents with COVID-19 cannot be present, except in special circumstances.
  • Visitors, siblings and extended family are not permitted.

Palliative Care

* Visits allowed at all times

  • The spouse and children of the patient are allowed at the bedside irrespective of the number of people.

    or
    Up to two caregivers at a time are allowed at the bedside.

    A maximum of four people must be identified to take turns on different days.

  • A minor is allowed to visit a patient in Palliative Care, but he/she must be accompanied by an adult during the visit. In this instance, as many as three people at a time may be allowed at the bedside.

  • When the end of life is imminent, or when medical aid in dying is administered, as many as four significant people at a time may be allowed at the bedside.

Medical Imaging Clinic

A caregiver is permitted only if the case requires that person’s presence—for example:

  • Obstetrical Ultrasound: A partner may be present only at the 20-week ultrasound. 
  • Clients with loss of autonomy
  • Clients with mental health problems
  • People with cancer, or those who are being investigated for cancer

End-of-life, emergency, humanitarian situation

In case of an end-of-life or humanitarian emergency, a visit by one person can be authorized by the medical team on a case-by-case basis.

Outbreak

Visits by caregivers may be restricted, if an outbreak occurs in a specific area in the hospital, depending on the recommendations of the Infection Prevention and Control team.

High volume

Exceptions to these guidelines can be made in high-volume situations.

Dissatisfaction

All dissatisfactions should first be discussed with the head nurse. If they cannot be resolved, they must be referred to the Office of the Service Quality and Complaints Commissioner.

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