General conditions - Mount Sinai Hospital

The arrival of family caregivers is only allowed when the patient’s stay extends beyond 14 days of hospitalization. Some exceptions can be made for vulnerable users, at the discretion of the care team.

Only one person at a time may visit. More than one caregiver per patient may be authorized, favoring only the significant people identified by the patient. This applies as well for situations where the patient is in palliative care or receiving continuous palliative sedation or medical assistance in dying. Children under 14 years visiting a dying parent must be accompanied by an adult during the visit.

At every visit all caregivers must sign in on arrival at the reception desk and show photo ID, complete a screening form, and have their temperature taken. They must then present themselves at the reception desk of the unit.

Caregivers are allowed to visit between noon and 6:30 p.m. They must wear a procedure mask and a visor at all times during the visit.

Caregivers are not allowed to visit COVID positive patients or patients on COVID precautions, except under exceptional conditions (for example a dying patient), or patients with COVID-like symptoms.

The patient must attend their rehabilitation sessions as scheduled. The caregiver cannot accompany the patient to physiotherapy or other treatments. The caregiver must either remain in the patient’s room while the patient is at physiotherapy or leave the hospital.

The caregiver cannot return to the hospital on the same day once they have left.

Cold and warm zones [1]

  • Caregivers will be provided with a mask which you must wear at all times during your visit.  Caregivers will be given a face shield or goggles and will be instructed on the cleaning and reuse procedure. Caregivers must place their face shield/goggles in a plastic bag and store them in their personal belongings. It is the responsibility of the caregiver to maintain the cleanliness of the face shield or goggles.
  • Gown and gloves must be worn if indicated.
  • Upon departure, all caregivers must sign out at the reception desk.
  • Please do not attempt to visit a patient until you have been informed of your assigned schedule. Note that the schedule may be modified in order to ensure the health and safety of residents and staff.

Hot zones [1]

  • Caregivers are not allowed in a hot zone.

Symptoms monitoring and screening

All caregivers will be screened DAILY for symptoms and risk factors. In order to visit with a patient, caregivers must not present any COVID-19 virus symptoms or have recently recovered from the COVID-19 virus. In addition, caregivers must not have been exposed to a person at moderate or high risk of confirmed COVID-19 in the past 14 days.

  • Caregivers must self-monitor their symptoms. You must not present yourself at the hospital if you experience any sign of symptoms;
  • In the event that you present any symptoms, you must undergo testing for the COVID-19 virus;
  • If the resident has a probable or confirmed case of COVID-19, caregivers must self-isolate for 14 days following the last contact with a resident.

Safety measures and prevention of infections

  • You must participate in the training sessions offered by the hospital including hand hygiene, respiratory habits and use of personal protection equipment (PPE);
  • You must wash your hands upon arrival and departure from the hospital, as well as when you enter and leave the patient’s room;
  • You must properly wear a face mask upon arrival at the hospital and for the entire duration of your visit. You may not use the face mask again for a future visit unless in the case of a reusable mask it has been washed;
  • You must use the PPE adequately, in accordance with the type of services offered and the patient’s condition. All PPE, except for the procedure mask, must be taken off before leaving the patient’s room;
  • You cannot bring any food or objects from your home (purse, lunchbox, documents, etc.) into the hot zones;
  • Only one caregiver can assist the patient at a time. This condition must be respected at all times, without exception;
  • You must change and wash your clothes when you arrive home.

Movement

  • You must limit as much as possible your movements inside and outside your home and between the hospital;
  • All caregivers will be restricted to the patient’s room only or beside the patient in the garden;
  • You must circulate in the hospital only from the entrance to the patient's room and vice-versa;
  • You must remain at least two meters from other patients;
  • You must remain at least two meters from the staff and other caregivers;
  • You must not go in any other patient's room or linger in the hallways;
  • You must not go into common areas;
  • You must not circulate in the supply storage areas;
  • You must leave the patient’s room if aerosol generating medical interventions are performed. You may return to the patient's room upon approval by the nursing professionals;
  • You are allowed to visit the resident only to assist the resident with feeding and/or provide psychological support;
  • You must remain in the patient's room at all times, including during meal times, unless you are accompanying them in the garden;
  • You may not collect meal trays from the cart;
  • You must respect the caregiving schedule developed by the hospital. All caregivers must leave by 6:30 p.m. at the latest;
  • You must sign in and sign out at the reception desk;
  • You may not collect any type of supplies outside the patient's room (including without limitation, gloves, tissues, etc.);
  • You must inform the hospital of any change in your health or personal situation that may have an impact on the risk related to COVID-19;
  • You must sign the consent form prescribed by the Ministry of Health and Social Services.

Grounds for removal

The hospital may remove your authorization to assist the patient if, without limitation:

  • You are not truthful about your state of health and/or fail to disclose any relevant information about your state of health or any risk factors associated with COVID-19;
  • You or someone you live with present symptoms of COVID-19 or test positive for COVID-19, or present symptoms of any other transmittable infectious disease;
  • You do not comply with the rules set forth in this form;
  • You do not comply with the rules established by the hospital and/or the CIUSSS with respect to health, hygiene, safety and equipment use;
  • You interrupt the staff or interfere in the care and services provided by the staff;
  • You take supplies;
  • You are crowding the elevator;
  • You are lingering in the hospital;
  • Your behavior is otherwise detrimental to the proper provision of services to residents or to the safety of the hospital;
  • Any new decree or directive prohibits your visits to the patient.

The hospital may remove caregivers’ authorization if the caregiver visits interfere with the health and safety of the residents.

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