Covid-19 Information and Updates

The NH Department of Health vaccine education outreach team shared this instructional video

Covid-19 Information and Updates

Riverside Rest Home/Hyder House Update 10-22-2021

Good
Evening,

               
This is a brief update. A more formal county update will be issued over the
weekend.

 

This
afternoon we were informed of an employee that developed symptoms late last evening,
subsequently testing positive for COVID-19 today.

This
employee did work during the 48 hours prior to symptom development. Calls to
all employee close contacts have been made. This employee did work on Unit 5.
This employee wore a mask with all resident care and in resident areas. No
residents are showing symptoms consistent with COVID-19 at this time.

 

RRH
will continue in the outbreak status. Testing will continue weekly for 100% of
staff and residents, until 2 rounds (2 weeks) of testing shows no new
positives.

 

All
admissions, unnecessary movement throughout the building, communal dining,
social visits, group activities, and unnecessary transfers are to remain on
hold at this time.

 

One
employee, that tested positive earlier in the month, has completed their
isolation and has returned to work.

 

Active
Cases:

Residents: 
0

Employees: 
5

 

TESTING:

ALL residents and Employees will be tested weekly.

Employee
testing:

Tuesday
10/26 6:30am-3:30pm

Wednesday
10/27 6:30am-3:30pm.

 

Resident
PCR testing will be conducted Wednesday 10/27.

 

Changes
to facility movement/operation are to continue:

 

          Riverside Rest Home
main building is closed to admissions, social visits, social outings, communal
dining, and group activities.

–      
No residents are positive at this time. However,
unnecessary facility movement is to remain on hold.

–      
Admissions to the Hyder unit are still permitted as the newly positive employee
did not work in that building.

–      
Floating and movement of staff is to be kept as minimal as possible.

–      
Compassionate visits may continue. We do ask that if your loved one is able to
hold off on visiting they do so. This will ensure that transmission into and
out of the building is minimal.

  • Unit
    5 dining, Staff to encourage social distancing of residents, especially
    during meals. If not possible, residents that share a room or bathroom may
    be near each other for meals when necessary. Many residents on Unit 5
    require supervised or assisted meals and drinks. To ensure safety during
    meals, social distancing to the best of our abilities is completed.

          At this time, the
building is considered potentially exposed.

 

Another update will be issued
once more information is available.

Thank you,

 

Brianna Haskins-Belanger, RN, BSN, RAC-CT

Strafford County COVID-19 Operations Coordinator

Riverside Rest Home, Strafford County

276
County Farm Road

 

Dover, NH
03820

 

Riverside Rest Home/Hyder House Update 10-16-2021

Good
Evening, 
All tests completed, the evening of 10/14 and throughout
the day 10/15, are negative. 
No further
positives have been identified. 

Unit 2 residents
previously identified as positive, have completed their isolation period. Unit
2 may resume social visits, admissions, socially distanced communal dining and
activities. 

Unit 5 will
continue with the changes identified on 10/14, for the next week. Alterations
are to ensure that there was no further transmission of COVID-19. 

 

Close Contact Employees:
Unvaccinated –  These employees were notified and have been
restricted from work for quarantine. These employees report no symptoms at this
time.

Vaccinated -These employees have been instructed to have a rapid
antigen test performed at the start of each shift for the next week, for
the overabundance of precaution. No symptoms reported. 

Unit 5 residents will be tested routinely for the up coming
week. No symptoms, consistent with COVID-19, reported at this time. 

 

TESTING:
Weekly 

Tuesday’s 6:30am-9:00am and 1:30pm-3:30pm

Friday’s 6:30am-9:00am and 1:30pm-3:30pm

 

Employees:
NOT Vaccinated – Mandatory BOTH days. 
Vaccinated – Voluntary (with the exception of those identified
as close contact)

 

Currently:  0 positive residents

                 
  2 positive Employees. 

 

Thank you,
Brianna
Haskins-Belanger, RN, BSN
Strafford County
Complex COVID-19 Operations Coordinator
Riverside Rest
Home, Strafford County
276 County Farm
Road
Dover, NH 03820

Riverside Rest Home/Hyder House Update 10-14-2021

Good Evening, 

              On Tuesday
10/12 a symptomatic employee tested positive for COVID-19. Symptoms began after
the last shift worked. The employee did work during the 48 hours prior to
symptom development. The employee identified limited close contact with other
employees, these employees were notified. The individuals identified as close
contact are without symptoms and fully vaccinated, rapid antigen tests
were performed prior to work. No residents were identified as close
contact (CDC definition of close contact, within 6 feet for 15 minutes). 

               1 of the
employees identified as close contact did not work after being
identified as contact. Initially was free from symptoms. Wednesday 10/13
this employee reported symptoms that developed the evening of 10/12, on
10/14 was confirmed positive for COVID-19. All employees identified as close
contact have been notified. At this time the employees identified as close
contact are free from symptoms. 

              Both positive
employees report mild-moderate symptoms, both are fully vaccinated. 

              Both employees
worked Unit 5. The employee that had direct care with residents, that would
meet definition of close contact, wears a mask while working and utilizes
gloves for direct resident care. All residents on Unit 5 are free from symptoms
related to COVID-19. The residents of Unit 5 had a rapid antigen test performed
this morning, all were negative. PCR tests will be collected and go to the lab
tomorrow, Friday 10/15. 

               Initial
review and information provided indicates that there is no relation between the
positive cases on Unit 2 and Unit 5. 

 

Close Contact Employees:

Unvaccinated – will have a rapid antigen test and PCR test
performed. These employees were notified and have been restricted from work for
quarantine. These employees report no symptoms at this time.

Vaccinated – All are without symptoms at this time. The employees
working today had a rapid antigen test performed, negative; the PCR has been
collected and is pending. The employees not working at the time of
notification will have a rapid test prior to their shift and the PCR test
will be collected and sent to the lab. These employees have been instructed to
have a rapid antigen test performed at the start of each shift for the next
week, for the overabundance of precaution. 

 

Changes to facility movement/operation:

 

          Unit 5
is closed to admissions and social visits. Although no residents are positive,
we are asking that residents do not go off Unit 5 and do not go on outings
with families at this time. 

– 
     2 of the positive residents on unit 2 are free from
symptoms, but continue to have positive rapid antigen tests. These
residents remain on precautions. No admissions or social visits on unit 2 at
this time. 

– 
     Compassionate visits to Unit 2 and 5 are permitted. We do
ask that Unit 2 and Unit 5 loved ones wait to visit, if possible. 

– 
     Admissions of fully vaccinated individuals are permitted to
Unit B, 3, and 4. New admissions will be notified that positive employees have
worked in the building. However, not on the unit that the person will be
admitted to. Admissions may continue to the Hyder unit. 

          Unit
5 is a dementia unit, staff continue to assist residents with hand hygiene and
social distancing if/when possible. 

  •  
        Staff to encourage social distancing of residents,
    especially during meals. If not possible, residents that share a room or
    bathroom may be near each other for meals when necessary. Many residents
    on Unit 5 require supervised or assisted meals and drinks. To ensure
    safety during meals, social distancing to the best of our abilities is
    completed.
  •  
         Unit 5 residents will stay on Unit 5. Any activities
    or physical therapy should be on the unit with the same staff from those
    departments. 

 

          At this
time, no other unit has been identified as potentially exposed.

 

New CMS testing guidance, CDC recommendations, and the
current situation does not warrant facility wide testing. 

 

Mandatory testing for Unvaccinated employees is still required.
Vaccinated employees (unless instructed other wise, due to contact) do not have
to test. If vaccinated employees would like to test they may attend
testing. 

 

Testing 

South side of Hyder

Friday 10/15
6:30am-9:00am 

   

2:00pm-3:30pm

Not Vaccinated
employees: Mandatory

Vaccinated
employees: Voluntary

 

I will continue
to keep you all informed of any changes. 

 

Thank you,

 

Brianna
Haskins-Belanger, RN, BSN, RAC-CT

Strafford County
COVID-19 Operations Coordinator

Riverside Rest Home,
Strafford County

276 County Farm Road

 

Dover, NH 03820

 

 

Riverside Rest Home
Policy and Procedure During COVID-19 Pandemic
Accepting Admission and Residents Who Leave the Facility
This policy is to be
instituted and maintained for the entirety of the COVID-19 Pandemic, unless
updated.

 

Updates
identified in orange.

 

DEPARTMENT:

 

POLICY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PURPOSE or INTENT:

 

 

 

 

 

 

 

 

 

 

PROCEDURE:

Responsible Person(s):

ALL

 

All

 

During the COVID-19 pandemic all new admissions,
readmissions and current residents who leave the facility will be
admitted/return to the facility in accordance with CDC guidance for Nursing
Homes, at minimum. The COVID-19 infection and COVID-19 vaccination status
will be taken into consideration on an individualized basis, per this policy,
to determine if quarantine is required. Quarantine may be required beyond
this policy, due to close contact with a positive person or symptom
development. Quarantine may be required at the discretion of the Director of
Resident Services in collaboration with the Infection Control Nurse and
Director of Nursing Services. In accordance with CMS/CDC/NCAL/AHCA guidance,
unless a person is tested for COVID-19 and negative before admission, the
person is presumed to be positive for COVID-19 regardless of their having or
not having symptoms.

 

·        
To accommodate for single occupancy room
during quarantine period.

·        
To limit contact with other residents and
staff.

·        
To monitor for fever and respiratory symptoms.

·        
To minimize the risk of potential widespread
exposure in the event the person(s) is positive for COVID-19.

·        
To accommodate for the community’s need for
continued admissions to Long Term Care.

·        
To provide steps to be taken to reduce the
spread of COVID-19 in the LTC facility.

 

Procedure:

 

1.      Follow
Table 1 in accordance with each individual’s situation regarding
admission/readmission/return from the hospital.

a.       Licensed
Nurse is responsible for monitoring for fever and respiratory symptoms with
appropriate documentation.

b.      All
departments/personnel are required to follow appropriate precautions.

2.      Follow Residents Leaving the Facility(page4) in accordance with each individual’s
situation regarding leaving the facility.

a.       Residents who
leave the facility must be provided education and reminded to follow all
recommended infection control practices including: source control (masks),
physical distancing, and hand hygiene.

b.      Individuals
accompanying residents (e.g., transport personnel, family members) must also
be educated about the infection control practices as noted in 2.a.

                                     
i.     
Employee such as social worker or other
identified individual, arranging for resident to leave the facility must
document the education provided. Include vaccination status of the people the
resident is visiting with, if they are willing to provide this information.

Note: RRH cannot
“force/make” a visitor disclose/provide vaccination or test information.

                                  
ii.     
Screening regarding if the resident is going to
be where someone is positive is to be asked by the person arranging the
visit.

c.      
Upon return
to the facility the resident will be screened to determine risk of exposure
to COVID-19 and screening for symptoms including documented temperature.  Documentation to reflect that the resident
and/or family/friend was asked if the resident had exposure to someone
positive for COVID-19 or suspected of COVID-19. If yes immediately notify
supervisor prior to resident return to the unit/room. [Likely the nurse on
the unit will be the person the resident is signed in with.]

 

Continued on
pages 3 and 4.

 

d.                  
 

 

 

 

 

 

 

 

Table 1: New Admissions, Readmissions, and
Return from the Hospital.

1.      Documented
temperature, oxygen saturation level, absence or presence of COVID-19 symptoms
at minimum once daily.

2.      Requires 14-day
Quarantine, admit to single occupancy room on the Hyder unit.

3.      May be admitted
directly to the appropriate unit in the main building of Riverside Rest Home.

4.      Place
in contact precautions per RRH contact precaution guidance based on new
Strategies to optimize PPE supplies.

5.      Limit
contact with other residents as much as possible.

6.      Limit
the number of different staff interacting with a resident as much as possible
and limit the number of times each staff enters a resident’s room.

7.      As
the rooms on the Hyder unit are single occupancy rooms and bathrooms, this unit may
effectively manage individuals on Quarantine and those positive for COVID-19.

8.      Place
on droplet precautions per RRH droplet precaution guidance based on new
Strategies to optimize PPE supplies. Requires isolation until discontinuation of transmission
based precautions is determined in collaboration with the Director of Resident
Services and Infection Control Nurse. Isolation for a minimum of 10 days past
the start of symptoms or positive test.

 

NOTE:
PPE requirements are subject to change due to the status of a unit, building,
or whole facility. Please be advised that MEMO’s or e-mails may indicate a
different level of precautions required, those are to be followed in lieu of
this policy when increased levels of PPE are identified.

Resident is tested
& COVID-19 negative with no or unknown prior infection and/or vaccination
status.

Resident overnight
or ≥ 24 hours out of the facility.

Resident COVID
positive, with symptoms, within the prior 90 days and has met CDC criteria to
end transmission based precautions. i.e. Recovered positive. Fully Vaccinated
resident i.e. 14 days past 2nd dose of 2 dose COVID-19 vaccines or
14days past 1st dose of 1 dose COVID-19 vaccines.

Resident tests
positive for COVID-19 or has COVID symptoms.

·        
#1 per shift

·        
#2

·        
#4 & #5

·        
#6

·        
#7

·        
Run HEPA 500 Air Scrubber continuously at half air flow.

·        
Keep Door Closed*

 

·        
#1

·        
#3

·        
Rapid test upon arrival, if not done within 48hours prior
to
admission/readmission/return.

·        
If positive move to identified COVID positive
isolation room.

·        
If negative keep on unit.

·        
Precautions as directed for facility and unit.

 

Facility Resident Returning

·        
#1 per shift

·        
#5

·        
#6

·        
#7

·        
#8

·        
Run HEPA 500 Air Scrubber continuously at maximum air flow.

·        
Keep Door Closed

New admission

·        
Do Not Admit unless to COVID positive floor. Will
be determined on a case by case situation by admissions team.

*as appropriate, with regards to the resident’s physical
safety

 

 

Residents
Leaving the Facility:

 

Medical
appointments:

·        
Regular communication between the medical facility and the
nursing home is essential to help identify residents with potential exposures
or symptoms of COVID-19 before they enter the facility so that proper
precautions can be implemented.

·        
Generally, does not require quarantine upon return unless
risk of exposure has been identified and the resident is not fully vaccinated.

·        
Masks, Hand Hygiene, and Physical Distancing should be
practiced, as able, during transportation to and from the appointment as well as
during the appointment.

 

Community
Outings with Family or Friends less than 24 hours:

·        
Masks, Hand Hygiene, and Physical Distancing should be
practiced, as able, during transportation to and from the visit/outing, as well
as during the outing.

·        
Screening of resident/family or friend, to determine if
exposure of COVID-19 occurred.

·        
RRH may consider quarantining the resident upon return
based on screening and risk of exposure determined when resident returns to the
facility.

 

Community
Outings with Family or Friends greater than 24hours (LOA):

·        
Masks, Hand Hygiene, and Physical Distancing should be
practiced, as able, during transportation to and from the visit/outing, as well
as during the outing.

·        
Screening of resident/family or friend, to determine if exposure
of COVID-19 occurred.

·        
RRH may consider quarantining the resident upon return
based on screening and risk of exposure determined when resident returns to the
facility.

·        
Residents leaving the facility greater than 24 hours will
be managed as described in Table 1.

 

Additional points to
remember:

·        
At this time Strafford County has community
transmission of COVID-19 and individuals have been positive without any known
contact or travel.

·        
Always refer to COVID-19 pandemic policies
specified for the duration of the pandemic

·        
Any questions or if unsure contact the Director
of Resident Services.

·        
Riverside Rest
Home highly encourages residents, that are not fully vaccinated, to remain in
the facility to ensure that they are in an environment that is controlled to
ensure infection control practices are adhered to.

·        
Riverside Rest
Home highly encourages All residents that choose to leave the facility to only
go with family/friends/others that are also fully vaccinated.

 

Abbreviations:

AHCA: American
Health Care Association

NCAL: National
Center for Assisted Living

CDC: Centers for
Disease Control

CMS: Center for
Medicare and Medicaid Services

LTC: Long-term
care (Riverside Rest Home for purposes of this policy)

 

 

 

 

Riverside Rest Home
Policy and Procedure
Visitations
EFFECTIVE Tuesday June 29, 202
This policy is to be instituted and maintained
for the entirety of the COVID-19 Pandemic, unless updated.
Changes identified in orange.

Click Here to Download the Visitation Attestation Form updated 06-25-21

Riverside Rest Home (RRH) will allow in-person visitation in accordance with guidance provided by the Centers for Medicare and Medicaid Services (CMS), New Hampshire Public Health Department of Health and Human Services, and in accordance with Centers for Disease Control and Prevention (CDC).

 

This policy outlines compassionate care and social visitation requirements for residents of Riverside Rest Home.

 

Visitations:

  • Compassionate care visitation is permitted at all times. The way in which compassionate care visitations occur may change dependent on facility COVID-19 status and community positivity rates.
  • RRH will permit indoor social visitation for all residents, except:

·         Unvaccinated resident cannot have indoor social visits if:

o   The COVID-19 county positivity rate is >10% and

o   <70% of residents in the facility are fully vaccinated.

§  NOTE: at the time of this policy at RRH >90% of residents are fully vaccinated. RRH will continue to offer vaccination, when available, to those residents who choose to be vaccinated and have not yet had the opportunity to do so.

o   Residents on isolation (regardless of vaccination status)

o   Residents on quarantine (regardless of vaccination status)

o   During response/outbreak testing

·         Social visitation will be suspended when response/outbreak testing is needed due to a new case of COVID-19. Visitation will only resume when approved, through coordination with the NH Department of Public Health officials.

·         Social and Compassionate care visits should be conducted using social distancing. Visitors are asked to maintain a 6-foot distance from all residents and employees.

o   During a compassionate care visits, physical contact can be allowed as long as both resident and visitor wear a well-fitting face mask and perform hand hygiene before and after contact. Regardless of resident or visitor vaccination status.

§  A resident at end-of-life (an unresponsive resident) is not required to wear a mask. At end-of-life RRH focus’ on a resident’s comfort during stages of transition. A mask can negatively impact the comfort during the transitional phases at end-of-life.

o   Fully vaccinated residents can choose to have close contact (including touch) with their visitor during social and compassionate visits as long as both the resident and visitor wear a well-fitting face mask and perform hand-hygiene before and after contact.

o   Unvaccinated residents may not have physical contact with their visitors during a social visit.

o   Visitors are asked to please limit the amount of time contact occurs during the visit. The CDC identifies prolonged contact as being within 6 feet for 15 minutes in a 24-hour period.

 

RRH may reasonably limit the length of any visit, the days on which visits will be permitted, the hours during a day when visits will be permitted, and the number of times during a day or week a resident may be visited.

  • Visits must be scheduled (means of scheduling are always subject to change).
  • The day, time, number of visits, and length of visit will be established by the employee scheduling the visit. This is to ensure that all residents are afforded the opportunity to have visitors.
  • The number of visitors in the building at one time must be limited to ensure that social distancing is achieved and to ensure the safety and well-being of all those living and employed at RRH.
  • The facility must have adequate staff present to allow for safe transit of the resident to the designated visitation location and environmental cleaning and disinfection after visitation.
    • Resident safety and care are the priority of Riverside Rest Home. Therefore, a visit may be cancelled with little to no notice should a staffing shortage arise.
    • Visits may be conducted in the resident’s room. If the resident has a roommate permission from the roommate and/or roommate’s representative must be obtained and documented.
      • If in-room visitation occurs, an unvaccinated roommate should not be present during the visits. If neither resident is able to leave the room visitation may occur with social distancing being achieved.
    • All individuals in the room during the visit are to wear a well-fitting face mask.
  • Residents and visitors may go on a walk together.
    • The resident and visitor must wear a well-fitting mask at all times during the walk.

The following criteria must be met:

 

Facility Requirements:

1.      The visit must be scheduled in advance with social worker and/or activities staff. (Hyder Unit: visit may be scheduled by the Clinical Liaison if the Social Worker is unavailable).

  1. Adequate staff trained in patient safety and infection control measures must be present to allow for safe transit of resident outdoors or to identified indoor area and environmental cleaning after visitation.
  2. Facility must have adequate personal protective equipment (PPE) to provide all parties to wear during visit and transit to and from visit. The resident, staff, and visitors must wear at minimum a surgical/procedure mask for the entirety of the visit. Riverside Rest Home will make masks available for all parties.
    1. The mask must cover the nose and mouth of all parties during the transit to and from the visit space as well as throughout the visit.
    2. PPE requirements are determined by facility issued memo’s. The requirements are subject to change often due to the community transmission rates, facility status, vaccination status, quarantine status, etc.
  3. Staff must carry alcohol-based hand sanitizer with them to the visitation, and everybody (staff, resident, visitors) must sanitize their hands before and after visitation.
  4. Facility must maintain a log with contact information for all visitors to enable accurate public health contact tracing should there be a need.

6.      Visitors must keep the mask in place for the entirety of the time within the building. Mask should cover the nose and mouth. Visitors are not permitted to eat or drink in the facility at this time, as to allow for the mask to be worn properly for source control.

a.       End of life situations when a visitor is sitting vigil with the resident:

                                                              i.      The resident does not have a roommate;

                                                            ii.      Resident is fully vaccinated;

                                                          iii.      Visitors may briefly remove the mask to eat or drink;

                                                          iv.      Visitors must have the mask in place when any staff enter the room.

7.      Therapy and Service animals are permitted.

a.       RRH asks that companion animals do not enter at this time. RRH will re-evaluate this restriction once visitations have been established and re-opening continues.

b.      All therapy and service animals must be leashed throughout the visit.

 

Resident Requirements:

  1. A resident who is suspected or confirmed to be infected with COVID-19 cannot be visited except for compassionate care situations.
    1. Visitors will be provided education and required to sign that they understand the risks associated with the visit and will honor the state quarantine requirements after close contact with someone suspected or confirmed of COVID-19.
  2. Residents who have recovered from infection (e.g. COVID-19) may be visited as long as they no longer require transmission-based precautions.
  3. The Resident must be able to comply with wearing a well-fitting face mask throughout duration of visit.
    1. The health and well-being of the resident must be taken into consideration for the visit. Example: if the resident is unable to breathe while wearing a mask this resident will not be able to participate in an in-person visit. This resident and visitor(s) will be offered a closed window/door visit (only if the resident does not have to leave their room or unit to achieve the visit) or video/phone visit. There may be other health factors that inhibit this resident from having a safe in-person visit.
  4. Fully vaccinated residents who are not on quarantine or isolation may have a visitor assist them with eating their meal (ensure all other policies regarding assisting a resident to eat are followed).
    1. Individual assisting the resident to eat must:

                                                              i.      Wear a well-fitting face mask covering the nose and mouth;

                                                            ii.      Perform hand hygiene before and after assisting with the meal;

                                                          iii.      Must maintain social distancing (6ft) from other residents and staff. 

    1. At this time unvaccinated residents that require assistance with meals may not be assisted by visitors.
  1. Residents must perform hand hygiene with an alcohol-based hand sanitizer immediately before and after visitation.

Visitor Requirements:

  1. All visitors must be screened for symptoms or risk factors for exposure prior to the visit, including a temperature check.  Visitor Attestation Form must be completed.
    1. If either the resident and/or visitor(s) has symptoms of COVID-19, the visitation must not occur. If the visitor reports risk factors for COVID-19 exposure in the prior 14 days, including travel then the visitation must not occur.
  2. Visitors must adhere to standard infection control measures:
    1. Must wear a well-fitting mask at all times during the visit, indoor and outdoor visits.

                                                              i.      RRH may restrict visitors that do not comply with mask wearing.

                                                            ii.      RRH may restrict visits to residents who are not able to comply with mask wearing.

1.      These residents will be offered a window/door visit.

    1. Must use an alcohol-based hand sanitizer upon entry to the building, before and after contact with the resident, their belongings, or any other items within the building.
    2. Maintain social distancing (6-feet or greater) from all residents and employees. With the exception of situations outlined above.

                                                              i.      If 6 feet of separation is unable to be maintained, a window or door visit will be offered.

    1. Visitors must not wander throughout the facility or areas outside of the designated visitation areas, or direct route to the resident room/visitation area.

3.      Visitors must keep the mask in place for the entirety of the time within the building. Mask should cover the nose and mouth. Visitors are not permitted to eat or drink in the facility at this time as to allow for the mask to be worn properly for source control.

a.       End of life situations when a visitor is sitting vigil with the resident:

                                                              i.      The resident does not have a roommate

                                                            ii.      Resident is fully vaccinated

                                                          iii.      Visitors may briefly remove the mask to eat or drink.

                                                          iv.      Visitors must have the mask in place when any staff enter the room.

  1. Visitors may be limited to no more than two individuals per visitation dependent on the size of the visitation space, to ensure social distancing can be achieved.
    1. Outdoor visitation may have an increased number of visitors as space permits. RRH requests that outdoor visitations, gatherings, and/or celebrations remain small (ideally 10 individuals total or less).

                                                              i.      Social distancing, source control (masks), and hygiene must still be followed.

    1. Special considerations may be made to accommodate for an increased number of visitors for in-room visitation, if the resident is in a room without a roommate. In room gatherings of visitors with the resident should be limited to end of life visitations.
    2. General compassionate and social visits may have special considerations to increase the number of visitors at a time; such as 2 visitors bringing an elderly visitor who can not visit without their assistance, or individuals bringing someone who is unable to drive.
  1. Visitors are only to visit with the Resident that the visit was scheduled with.
  2. RRH requests that during this time, visitors are an age and/or with demeanor where the individual is able to wear a well-fitting face mask for the entire duration of the visit and does not “run/roam” around the building, unit, or rooms.
    1. Regardless of age the visitor must be able to wear a well-fitting face mask for the entirety of the visit.
  3. Visitors are encouraged to disclose their vaccination status.
    1. Although encouraged, this is not a requirement for visitation.
    2. Vaccination status will be recorded along with screening questions.
  4. Visitors are encouraged to participate in testing.
    1. A visitor will be asked about their last test date and result.
    2. If the visitor has not had a test for the SARS-CoV-2 in the 5 days leading up to a visit, the visitor will be offered and encouraged to have a Rapid Antigen test for COVID-19 performed at the facility.

                                                              i.      If the visitor chooses to have a test at the facility, they will sign a testing consent form and results will be kept on file with their screening questions.

                                                            ii.      A visitor may request a copy of their results; the copy of results will be available 2 business days after the visit.

 

    1. Although encouraged, this is not a requirement for visitation.
    2. A positive test result in the 14 days leading up to visitation, the individual will not be permitted entry to the building and the visit will not occur, regardless of indoor or outdoor visitation.6
    3. Good Evening,
    4.                 All resident and employee tests sent to the lab were negative; with the exception of those sent for confirmation of the rapid test positive as identified in the 10/19 update. 
    5.  
    6. We will continue with another round of testing 100% of resident and employees next week. 
    7.  
    8. Testing times:
    9. Tuesday 6:30am-3:30pm
    10. Wednesday 6:30am-3:30pm
    11.  
    12. Active Cases:
    13. Residents  0
    14. Employees   5
    15.  
    16.  
    17. Brianna Haskins-Belanger, RN, BSN, RAC-CT2