Community Prevalence MEDIUM

Temporary Reduction in Visitation Policy

PURPOSE:

The purpose of this temporary policy is to keep our patients, staff, and community safe from COVID-19 and other respiratory illnesses and to preserve limited supplies of personal protective equipment (masks, gowns, etc.) for patient care. While we recognize these restrictions may be inconvenient, we hope they will be accepted and complied with in the spirit for which they are intended: to keep everyone safe and well.

SCOPE:

This policy applies to all JH departments and personnel, vendors and contracted workers, including off-campus locations.

DEFINITIONS:

  • VISITOR: any person who is at the hospital and/or clinics for purposes other than to seek medical
  • PATIENT: any person who is at the hospital and/or clinics to seek medical
  • VENDOR: any person who is at the hospital for critical servicing needs.
  • COMMUNITY PREVALENCE: A measurement of COVID-19 activity in the community.
  • PUI: Person under investigation for COVID-19

PROCEDURE:

  • All discretionary visits to Jefferson Healthcare are temporarily restricted.
  • Cafeteria use is for Jefferson Healthcare staff only during this time.
  • All support groups, Wellness Center classes, Exercise for Health Classes and in-person seminars are postponed.
  • This policy may be subject to change at any time and is reviewed regularly.

ALL CAMPUS VISITOR RESPONSIBILITY

  • Must enter through each department defined entry points and obtain a visitor badge
  • Must be screened and free of any COVID-19 symptoms
  • Must wear appropriate face masks
  • Must always adhere to physical distancing protocols
  • Must practice hand hygiene
  • Upon entry must to go and from planned location and remain in designated waiting spaces

 VISITS TO PATIENTS:

In general, patients may have one visitor per day. Visitation may be further limited in the setting of moderate or high community prevalence. There are exceptions for laboring women, end of life care and some special circumstances.

VISITOR RESPONSIBILITY:

  • Must remain in patient room
  • Must wear a hospital issued mask
  • Should not sit on patient beds
  • Should not use the patient phone
  • Should not share the patient’s food or use their utensils, glasses, or cups
  • Once departed, the visitor may not return until the following day

 VISITATION WILL BE REVOKED FOR NON-ADHERENCE TO APPROPRIATE PUBLIC HEALTH MEASURES.

SPECIAL CIRCUMSTANCES

  • The following patients may have one consistent visitor per day with in and out privileges:
    • Minor patients may be accompanied by a caregiver at all times
    • Patients with altered mental status, developmental delay, or display disruptive behavior (where caregiver provides safety / is key to safe care delivery).
    • Patients who require support person to assist in complex medical decision-making for serious illness.
    • Patients with disabilities are allowed one visitor that is knowledgeable about the needs of the person with a disability to serve as a designated support person.
    • Children under 16 will not be allowed to visit in any department.

PATIENTS WITH SUSPECTED OR CONFIRMED COVID-19 DIAGNOSIS:

No visitors with some exception for laboring women, end of life care and special circumstances.

ACUTE CARE SERVICES: 

ROUTINE CARE:

  • LOW COMMUNITY PREVALENCE: 1 visitor per day with no return privileges. The patient may choose a different visitor the following day,
  • MEDIUM COMMUNITY PREVALENCE: 1 visitor per day with no return privileges. The patient may choose a different visitor the following day,
  • HIGH COMMUNITY PREVALENCE: No visitation except special circumstances.

COVID-19 / PUI:  NO VISITORS EXCEPT END OF LIFE AND SPECIAL CIRCUMSTANCES

END OF LIFE CARE:

Visitation is independent of community prevalence.

  • ROUTINE CARE: Up to four visitors per day; some exceptions may be made for immediate family. Exceptions will be considered via huddle with Hospitalist, House Supervisor, RN/Charge RN.

COVID-19 /PUI: TWO VISITORS MAY BE PRESENT UNLESS VISITORS HAVE BEEN ADVISED TO QUARANTINE

 FAMILY BIRTH:

Visitation is independent of community prevalence.

  • LABOR AND DELIVERY: One consistent visitor (partner/birth support person) and a midwife or trained doula. Midwife/Doula are considered healthcare workers and may come and go for essential medical care.
  • POSTPARTUM: One consistent visitor per day with no return privileges

COVID-19 / PUI: ONE CONSISTENT VISITOR ONLY FOR MOM/BABY COUPLET

EMERGENCY DEPARTMENT / EXPRESS CLINIC:

ROUTINE CARE:

  • LOW COMMUNITY PREVALENCE: 1 visitor per day with no return privileges. Must wear appropriate PPE.
    • MEDIUM COMMUNITY PREVALENCE: No visitation except special circumstances
    • HIGH COMMUNITY PREVALENCE: No visitation except special circumstances

COVID 19 / PUI:  NO VISITORS EXCEPT END OF LIFE AND SPECIAL CIRCUMSTANCES

SURGICAL SERVICES:

ROUTINE CARE:

  • LOW COMMUNITY PREVALENCE: 1 visitor per day; leave the hospital or clinic as soon as possible after the procedure / surgery.
  • MEDIUM COMMUNITY PREVALENCE: No visitation except special circumstances
  • HIGH COMMUNITY PREVALENCE: No visitation except special circumstances

COVID-19 / PUI:  NO VISITORS

AMBULATORY CLINIC VISIT / OUTPATIENT LABORATORY / RADIOLOGY:

ROUTINE CARE:

  • LOW COMMUNITY PREVALENCE: 1 consistent visitor
  • MEDIUM COMMUNITY PREVALENCE: No visitation except special circumstances
  • HIGH COMMUNITY PREVALENCE: No visitation except special circumstances

COVID-19 / PUI:  NO VISITORS

CLERGY VISITS:
Patients may receive visitation from clergy at any reasonable time, as long as the visit does not disrupt clinical care, and regardless if other visitation restrictions are present on the unit.

For Covid-19 positive or suspected positive patients, virtual visits will be encouraged.

In all scenarios, visiting clergy must follow hospital safety policies, including screening for COVID-19 infection, and adherence to PPE guidelines.

VENDOR VISITS:
Vendors may only come on-site for critical clinical/servicing needs and must follow visitation screening and universal masking guidelines. Vendors may not congregate in areas designated for employees only.

ENFORCEMENT OF VISITATION POLICY:

We recognize limited visitation can be difficult for our patients and visitors. We expect the following protocol to be followed if patients and/or visitors become upset.

  • Screener will provide all inpatient visitors with summarized visitation rules.
  • Nurse will inform visitor/patient about visitation policy and provide them the FAQ sheet
  • For departments with Charge Nurses, the Charge Nurse will reinforce the message as
  • If further clarification is needed, the Department Leader, Patient Advocate and/or House Supervisor will reinforce the message as
  • For significant behavioral responses to the visitation policy, Security will be notified as


Disclosure:

Each patient (or support person, where appropriate) has the right, subject to his/her consent, to receive the visitors whom she/he designates. These visitors may include but are not limited to, a spouse, a state- recognized domestic partner (including same-sex partners), a non-registered domestic partner (including same-sex partners), other family members, or a friend. The patient also has the right to withdraw or deny consent at any time. Jefferson Healthcare shall not limit, restrict, or deny visitation privileges based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression or disability. Jefferson Healthcare shall ensure that all visitors designated by the patient (or support person, where appropriate) enjoy full and equal visitation privileges consistent with patient wishes.  Visitor must wear the required PPE while visiting.