All residents and designated family/support persons and visitors entering Rosedale are required to:
- Understand the risk of exposure/unknown exposure to COVID-19 for themselves and others.
- Follow all Rosedale polices and Public Health Orders.
- Remain vigilant in protecting themselves and others while on site and off site.
This document will be used in conjunction with the July 22, 2020 communication to all residents and family/support persons outlining indoor/outdoor access and visiting guidelines.
Should you have any questions after reviewing the following, please email your questions to firstname.lastname@example.org
Health Assessment Screening
All persons who enter Rosedale must be screened each time they enter. Note: Outdoor visitors who cannot maintain physical distancing during an outdoor visit must also be screened.
- Completion of COVID-19 Questionnaire
- Temperature screening (Fever is 38°C or higher)
- Confirmation of self assessment of your risk of unknown exposure to COVID-19 (question 6 and 7 on the Health Assessment Screening form and Table below)
- Understanding of Safe Visiting Practices
- Confirmation of identity and designated status if entering Rosedale
- Documented arrival and exit times if entering Rosedale
Risk of Unknown Exposure to COVID-19
Assessing risk to COVID-19 is based on your behaviour over the last 14 days to determine your risk level as low, medium, or high.
- It is critical that the Health Screening Assessment is answered completely and accurately. Any person with symptoms or recent exposure to COVID-19 must not enter the site.
- Visitors are not required to disclose to Rosedale their assessed risk of unknown exposure but must inform the resident / legal agent and behave accordingly.
- Visitors should only visit one site per day, limiting the number of different sites they enter.
Safe Visiting Practices – Table 3. Risk of Unknown Exposure Assessment Guidance
Source: CMOH Order 29-2020, Appendix A Table 3. Risk of Unknown Exposure Assessment Guidance, July 16, 2020
To be considered at low risk of unknown exposure, all the following conditions must be met:
- Does not work or live in an area of high COVID-19 exposure (refer to risk designation of region at www.alberta.ca/maps/covid19-status-map.htm)
- Works from home
- Part of a small cohort (15 or less) who consistently practice physical distancing and masks when cannot maintain distance
- Not have had guests at home in the past 14 days
- Visits resident(s) in one site a day
- Makes essential outings only
- Uses own vehicle
- Consistently maintains 2 meters of distance from those outside household in all activities
- Mask worn when cannot maintain physical distancing
- Consistent hand hygiene
- No interprovincial travel within the last 14 days
There will be many variations that arise between the extremes of high and low risk of unknown exposure.
Individuals must use their best judgement to determine risk of unknown exposure where neither low nor high is appropriate.
To be considered at high risk of unknown exposure, all the following conditions must be met:
- Works or lives in an area of high COVID-19 exposure (refer to Risk designation of region at www.alberta.ca/maps/covid19-status-map.htm)
- Works outside home in settings where distancing is not consistently maintained, and masking is not consistently used
- Worked at or visited a location with a declared COVID-19 outbreak in last 14 days
- Part of a large cohort (more than 15)
- Cohort inconsistently practices physical distancing and use of masks when cannot maintain distance
- Have had guests in home in last 14 days
- Visits resident(s) in multiple sites in one day
- Outings where contact with others outside household is likely
- Use of public transit or carpooling where distancing is not consistently maintained, and masking is not consistently used
- Does not maintain physical distancing and does not wear mask
- Infrequent or inconsistent hand hygiene
- Interprovincial travel within the past 14 days
Hand Hygiene is required frequently by all persons – before, during and after all visits. Wash with soap and water or by using alcohol-based hand sanitizer containing greater than 60% alcohol content.
Use of Personal Protective Equipment (PPE)
PPE is used to reduce the risk of transmission of COVID-19 when in close proximity with another person.
PPE (gown, gloves, mask, goggles) is required to be worn when visiting a newly admitted resident or a resident on isolation precautions. Should a visitor not have the necessary and appropriate PPE, it will be provided.
Any resident on isolation precautions will have signage posted on the outside of the suite door. Entry is not permitted without wearing the appropriate PPE. The LPN must be contacted on arrival for initial training and return demonstration to put on and take off PPE.
- Visitors are required to supply their own single-use masks when visiting on site. On the occasion a visitor does not have one available, it will be provided.
- Continuous masking using a single-use mask is required within the facility. Single-use masks are to be used once then disposed of.
- When in the suite only, if physical distancing can be maintained, masking is not required. On leaving the suite, a new single-use mask must be applied.
- Further information on masking is available from Public Health at www.alberta.ca/masks
- Wash or sanitize your hands
- Before putting mask on
- Before taking mask off
- After taking mask off
- Tighten with ties or ear loops to reduce gaps
- Keep nose, mouth and chin covered at all times
- Remove mask if wet, torn, or dirty and dispose of in a lined garbage bin
- Do not touch your face under the mask
- Do not touch the front of the mask – use the ties or ear loops to remove or adjust
- Do not wear the mask under your nose or chin
- Do not wear wet, torn, or dirty mask
- Do not wear the same mask for long time – change when damp
- Do not share your mask with another person
Source: Alberta Public Health, www.alberta.ca/masks
Wearing gloves on entry and within common areas at Rosedale is not permitted.
Hand hygiene is required frequently.
Further information on glove use is available from Public Health at www.alberta.ca/masks
Use of Personal Protective Equipment (PPE) to Enable Safe Physical Touch
When both the resident and visitor understand that risk of transmission of COVID-19 increases with close proximity, they may still wish to include physical touch in the visit understanding the following:
- Should either the resident or visitor become symptomatic at any time during a visit, immediately notify the LPN for further direction.
- Continuously mask within 2 meters of resident. A resident is not required to mask but may choose to do so based on their risk assessment of unknown exposure (refer to Table).
- Perform frequent hand hygiene before and after direct physical contact with resident.
- Visitors at high risk of unknown exposure are not recommended to physically touch a resident unless providing direct resident care wearing all appropriate PPE (refer to Table).
Should regular designated family/support persons be willing and able to assist staff by completing cleaning and disinfection of high touch areas in the suite at the end of each visit, please speak with the LPN to coordinate for documentation purposes.
Use of Personal Protective Equipment (PPE) for those with Cognitive/Sensory Impairments or Traumatic Experience
For residents with sensory deficits (i.e. hearing, speaking) or with cognitive impairments and to support improved communication when PPE presents a barrier, the PPE can be removed if physical distancing can be maintained.
Where physical distancing cannot be maintained, and a face mask causes distress due to cognitive or sensory impairment, adaption of facial PPE may be considered ensuring respiratory droplet source control remains in place. Requests for any adaptions need to be forwarded to email@example.com prior to implementation.
Rosedale will permit one animal to visit during outdoor visits. The animal must be well and in good health, with up-to-date immunizations. The animal must not come from a household with high risk of unknown exposure to COVID-19. The animal must remain leashed, and hand hygiene must be completed after touching the animal.
- Gifts including homemade or purchased food or flowers/plants are permissible to bring into the site.
- Depending on risk level and using discretion, some items may be required to be cleaned and disinfected by the visitor or quarantined when disinfection is not possible.
Safe Visiting Practices
Designated Family/Support – Declaration of Agreement
- I have read the Safe Visiting Practices requirements and understand the risk of COVID-19 transmission to myself and others. Visitors will be entering at their own risk when visiting.
- I understand I have a duty to be vigilant in protecting myself and thereby protecting others by following the low-risk guidance strategies outlined by Alberta Health in Table 3.
- I agree to follow Rosedale site policy and process and the Orders of the CMOH.
- I am aware I require education on donning and doffing appropriate PPE prior to entering a suite where a resident is on isolation precautions. I am aware of my responsibility to contact the LPN prior to entry and the necessity of wearing appropriate PPE at each visit until the isolation requirements are discontinued.
- I am aware I can ask for and receive further education on Personal Protective Equipment (PPE) or safe visiting guidelines.
- As the designated family/support person, I am aware that I am responsible for emailing Rosedale to arrange visits for other visitors as per safe visiting guidelines and the Rosedale communication of July 22, 2020 and for ensuring all other visitors I approve understand the requirements. I agree to provide education prior to visit.
- I am aware I can bring forward requests or concerns pertaining to this Safe Visiting policy to Rosedale for review.
- I am aware that should I or my visitors not follow safe visiting practices as outlined, further entry may be refused.
*Signed form must be returned to firstname.lastname@example.org or delivered to the Rosedale Estates front reception prior to visiting.