New regulations for private caregivers in CHSLDs

Visits to CHSLDs

As of December 7, 2020, all caregivers are required to be tested for COVID-19 on a bi-weekly basis (every two weeks) in order to enter our long-term care centres (CHSLDs). Written proof of negative test results is required; caregivers are also required to sign a consent form allowing the test clinic to share any positive results with the relevant site. Test results are valid for a period of two weeks.
In addition, caregivers are expected to abide by the following rules: 

  • Rigorous adherence to Personal Protective Equipment (PPE) protocols, hand hygiene, as well as social distancing.
  • Only one caregiver can visit at a time with some exceptions (example: end of life situations).
  • A maximum of two caregivers can visit in a 24-hour period.             
  • Caregivers must remain inside the resident’s room.
  • Caregivers are not permitted to eat in the resident’s room.

Caregiver definition

A Caregiver is defined as the following: anyone who offers (or wishes to offer) significant care to the resident by looking after their needs and contributing to the resident’s integrity and well-being.

“Significant care” refers to assistance offered on a regular basis, in response to the needs of the resident and in order to contribute to their integrity and well-being.

Care and support could be offered during meal times, in overseeing a resident’s general condition, support with daily activities or recreational activities, help with walking or offering moral support or comfort.

Note that only one caregiver can be with a resident at a time. It is highly recommended that caregivers who are 70 years old or older not visit a CHSLD.  

In order to ensure that we can maintain the health and safety of the residents and staff, it will not be possible for caregivers to enter the facility at their discretion. As a safety measure, schedules and time limits will be implemented for caregivers on each site. In developing the schedule, we will take into account caregiver availability, specific resident needs as well as the broader health and safety needs of the unit.

Registration form

In order to visit a resident, please complete this registration form. This form is required for all caregivers, including friends, family and paid caregivers. Printed copies of the form are also available at the security desk of the CHSLD.

If you have already completed a registration form, you do not need to re-register. If you have already completed a registration form but wish to add caregivers, please complete a new registration form.

Visits to CHSLDs

Visits to CHSLDs
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Note that you cannot attempt to visit a resident until such time that you are contacted by the CSHLD confirming the caregiving schedule.

General conditions

A caregiver can only visit one resident at a time. A caregiver can visit with two residents only if both residents share a room.

  • All caregivers must sign in on arrival at the reception desk and show photo ID.
  • All caregivers must complete a screening form and have their temperature taken at every visit.  
  • All caregivers must be legal residents of Canada.

Cold & warm zones[1]

  • Caregivers will be provided with a mask which you must wear at all times during your visit.  Please bring your own reusable mask for subsequent visits.
  • Caregivers will also be provided with a face shield, which must be worn at all times and kept in the resident’s room.  It is your responsibility to maintain the cleanliness of the face shield.
  • Upon departure, all caregivers must sign out at the reception desk. Caregivers must leave the CSHLD no later than 6:00 p.m. 
  • Please do not attempt to visit a resident 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[2]

  • For visits with residents in hot zones, all caregivers will be provided with a mask, face shield, gown and gloves. All supplies must be disposed of at the end of the visit.

Attestation

The caregiver must adhere to the following conditions at all times:

Symptoms monitoring and screening

In order to visit with a resident, caregivers must not present with symptoms of the COVID-19 virus 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 CHSLD 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 CHSLD/CIUSSS including hand hygiene, respiratory habits and use of personal protection equipment (PPE);
  • You must wash your hands upon arrival and departure from the CHSLD, as well as when you enter and leave the resident’s room;
  • You must properly wear a procedure mask upon arrival at the CHSLD and for the entire duration of your visit. You may not use the procedure mask again for a future visit;
  • You must use the PPE adequately, in accordance with the type of services offered and the resident’s condition. All PPE, except for the procedure mask, must be taken off before leaving the resident’s room;
  • You cannot bring any food or objects from your home (purse, lunchbox, documents, etc.) into the hot zones of the CHSLD;
  • Only one caregiver can assist the resident 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 CHSLD;
  • You must circulate in the CHSLD only from the entrance to the resident’s room and vice-versa;
  • You must remain at least two meters from other residents;
  • You must remain at least two meters from the staff and other caregivers;
  • You must not go in any other resident’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 resident’s room if aerosol generating medical interventions are performed. You may return to the resident’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 resident’s room at all times, including during meal times;
  • You may not collect meal trays from the cart;
  • You must respect the caregiving schedule developed by the CHSLD. All caregivers must leave by  6:00 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 resident’s room (including without limitation, gloves, tissues, etc.);
  • You must inform the CHSLD 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 attached hereto and prescribed by the Ministry of Health and Social Services.

Grounds for removal

The CHSLD may remove your authorization to assist the resident 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 CHSLD 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 CHSLD;
  • Your behavior is otherwise detrimental to the proper provision of services to residents or to the safety of the CHSLD; 
  • Any new decree or directive prohibits your visits to the resident.

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


[1] A cold zone refers to an area in which no residents have tested COVID+. A warm zone refers to an area in which residents are under observation for COVID+.

[2] A hot zone refers to an area in which residents are COVID+.

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