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Visitation Guidelines
COVID-19

Visitation guidelines

Currently, we are at the Orange Level

In response to the COVID 19 pandemic, we are continuously assessing the situation and amending our visitation policy to maintain the health and safety of our patients, visitors, and employees, in line with the latest evidence-based guidelines.

As such, we have adopted visitation risk levels based on the number of COVID-19 cases in the community, Ministry of Public Health (MOPH) guidelines and instituted lockdown measures. The risk levels will be updated as needed.  Planetree International developed tool entitled Family Presence Policy Decision Aid was used to define the family presence at each risk level

The visitation risk levels are provided below:

Risk Level Description Family Presence
Green Level Patient Directed Visitation
Open for visits
Support for full presence of care partners with no restrictions
Yellow Level Some limits to visits Support for full presence of care partners indicated (so long as this does not conflict with local mandates)
Orange Level More limits to visits Support for care partners’ presence with reasonable limits to the number of care partners at one time and requirements for screening, testing and orientation prior to visiting, based on individual risk factors indicated (so long as this does not conflict with local mandates).
Red Level  Most Limited Temporary restrictions to care partner presence with exceptions for those at risk of greatest harm when separated from their care partners. Those “at risk of greatest harm” might include people with barriers to fully understanding and managing their own condition due to language and cultural factors, cognitive barriers, age-related issues, serious co-morbidities. 

 

GENERAL RULES

Entry to the hospital:

    • Upon entering the hospital, your temperature will be checked and you will be asked to perform hand hygiene using the hand sanitizer available at the desk.
    • You are required to wear a mask throughout your entire stay in the hospital premises. Your cooperation is appreciated during this time of heightened concern.
    • If you are wearing a mask that is not appropriate (such as mask with a valve or cloth mask), you will be asked to remove it and to use another mask. Such masks are not effective in preventing transmission and may put your safety and the safety of others at risk.

When to avoid visiting your loved one:

For the safety of your loved one, we kindly ask you not to visit if you:

  • Are at an increased risk of severe illness;
  • Have low immunity;
  • Have tested positive for COVID-19, or are waiting for COVID-19 test results;
  • Have fever or respiratory symptoms, such as cough or difficulty breathing;
  • Have recently come in contact with someone with a suspected or confirmed case of COVID-19.

This visitation guideline is applicable at times of no lockdown measures in the country and COVID 19 cases have decreased:

  • Inpatient Units
  • The care partner needs to do PCR test at Bellevue (a maximum of 3 days before patient admission to the hospital) and the result should be negative.
  • Care partners are requested to remain in their loved one’s room as much as possible and to wear a mask throughout the entire stay in the hospital premises.
  • Exceptions may be considered on case to case basis (such as end of life patients). Exceptions shall be approved by treating physician and medical administration, after conducting an assessment of the risks and benefits.

 

Inpatient Unit Visitation Guideline Additional considerations
Medical Surgical Unit Patient may have one care partner or more than one care partner throughout the entire hospital stay. In case of more than 1 care partner, they may not be present at the same time in the patient’s room.
Pediatric Unit / Maternity Unit Patient may have 2 alternating care partners or more throughout the hospital stay. 2 care partners are allowed at the same time for single bed rooms.
Neonatal intensive care unit (NICU) Patient may be visited by care partners (mom and/or dad), on an appointment basis. Visits depend on the situation in the NICU and criticality of the cases
Behavioral Health Unit Patient may have one visitor per day, for half an hour (30 minutes), on an appointment basis. Exceptions may be considered in case more than one family member wants to visit the patient, after request is approved by the treating physician and medical administration.
Recovery room 1 care partner in recovery room, provided that he has done PCR and PCR result is negative.
Labor and delivery room (LDR) Patient may have 1 or 2 care partners. Both care partners cannot be present at the same time in the delivery room.
Intensive Care Unit (ICU) Patient may have one visitor per day or more than one visitor, for half an hour (30 minutes) between:

­   12:00 pm – 12:30 pm

­  5:30 pm – 6:30 pm

No PCR is needed for the visitor
COVID unit and COVID ICU unit Patient may have one visitor per day or more than one visitor, for one hour (60 minutes) between:

  • 12:00pm – 1:00 pm
  • 5:30 pm – 6:30 pm
·  The following can visit patients in the COVID unit:

– Person who contacted COVID before

­- Person who did not contact COVID before

– Person who took COVID 19 vaccine and is fully vaccinated i.e. took both doses

·  No PCR is needed for the visitor

· Visitors shall don N95 / K95 mask and face shield

· Visitor will be provided with an impermeable gown upon entry to the unit.

· Visitor will be informed of the risk of entering the COVID unit and will be requested to sign a waiver form

Post COVID unit · Patient may have one care partner or more than 1 care partner

· Isolated and suspected patients: No visitation is allowed.

In case of more than 1 care partner, they may not be present at the same time in the patient’s room

 

  • Ambulatory areas
  • Patient may be accompanied by a care partner / companion.
  • Care partner / companion does not need to undergo a PCR exam
  • Both the patient and accompanying person are required to wear a mask throughout the entire stay in the hospital premises. Cooperation is appreciated during this time of heightened concern.

 

Area Description Visitation Guideline Additional considerations
Outpatient areas

 

These include:

· Emergency department

· Outpatient clinics

· Radiology department

· Laboratory department

etc.

Patient may have one care partner / companion.
Same day procedures These include:

· Same day chemotherapy

· One day surgeries

· Endoscopy

etc.

Patient may have one care partner / companion.
Dialysis

 

Patient may have one care partner / companion. Care partner / companion shall escort patient to the unit, but will be requested not to stay all the time.
  • Other Areas
Area Guideline
Visitor Lounges Not accessible.
Waiting areas in outpatient clinics Accessible
Cafeteria Patients / visitors can sit in the cafeteria to have lunch (1 person per table / 2 persons from the same family on 1 table).
Healing Garden and Healing Room Healing room is accessible for one person at a time

Healing garden is accessible for patients and their companions. Only 2 can sit per table and social distancing shall be maintained.

Gift Shop Accessible

This visitation guideline is applicable at times of reduced lockdown measures and when the COVID-19 cases in the community are manageable.

 

  • Inpatient Units
  • The care partner needs to do PCR test at Bellevue (a maximum of 3 days before patient admission to the hospital) and the result should be negative.
  • Care partners are requested to remain in their loved one’s room as much as possible and to wear a mask throughout the entire stay in the hospital premises.
  • Exceptions may be considered on case to case basis (such as end of life patients). Exceptions shall be approved by treating physician and medical administration, after conducting an assessment of the risks and benefits.

 

Inpatient Unit Visitation Guideline Additional considerations
Medical Surgical Unit · Patient may have one care partner throughout the entire hospital stay.
Pediatric Unit / Maternity Unit · Patient may have 2 alternating care partners throughout the hospital stay.

· Both care partners may not be present at the same time.

2 care partners are allowed for single bed rooms at the same time.
Neonatal intensive care unit (NICU) · Patient may be visited by care partners (mom and dad), on an appointment basis. Appointments should be scheduled in a way to ensure that visits of neonates in the unit do not overlap.
Behavioral Health Unit · Patient may have one visitor per day, for half an hour (30 minutes), on an appointment basis. Exceptions may be considered in case more than one family member wants to visit the patient, after request is approved by the treating physician and medical administration.
Recovery room · No visitation in this unit Exceptions may be considered for children who have surgery; 1 care partner (mother or father) may enter the recovery room
Labor and delivery room (LDR) · Patient may have 2 care partners; both care partners cannot be present at the same time in the delivery room. For patients coming for monitoring: 1 companion is allowed in LDR room.
Intensive Care Unit (ICU) · Patient may have one visitor per day, for half an hour (30 minutes) between:

  • ­12:00 pm – 12:30 pm
  • 5:30 pm – 6:30 pm
No PCR is needed for the visitor
COVID unit and COVID ICU unit · Patient may have one visitor per day, for one hour between:

  • 12:00 pm – 1:00 pm
  • 5:30 pm – 6:30 pm
· The following can visit patients in COVID unit:

­ – Person who contacted COVID before

­ – Person who did not contact COVID before

­ – Person who took COVID 19 vaccine and is fully vaccinated i.e. took both doses

· No PCR is needed for the visitor

· Visitors shall don N95 / K95 mask and face shield

· Visitor will be provided with an impermeable gown upon entry to the unit.

· Visitor will be informed of the risk of entering the COVID unit and will be requested to sign a waiver form

Post COVID unit · Patient may have one care partner

· Isolated and suspected patients: No visitation is allowed.

 

  • Ambulatory areas
  • Patient may be accompanied by a care partner / companion.
  • Care partner / companion does not need to undergo a PCR exam
  • Both the patient and accompanying person are required to wear a mask throughout the entire stay in the hospital premises.
  • Cooperation is appreciated during this time of heightened concern.

 

Area Description Visitation Guideline Additional considerations
Outpatient areas These include:

· Emergency department

· Outpatient clinics

· Radiology department

· Laboratory department

· etc.

Patient may have one care partner /companion.
Same day procedures These include:

· Same day chemotherapy

· One day surgeries

· Endoscopy

etc.

Patient may have one care partner /companion.
· Dialysis Patient may have one care partner / companion. Care partner / companion shall escort patient to the unit, but will be requested not to stay all the time.

 

  • Other Areas
Area Guideline
Visitor Lounges · Not accessible.
Waiting areas in outpatient clinics · Accessible

· Minimal chairs, seating 1 out of 3

Cafeteria · Open, minimal capacity

· Patients / Visitors can sit in the cafeteria to have lunch (1 person per table / 2 persons from the same family on 1 table).

Healing Garden and Healing Room · Healing room is accessible for one person at a time

· Healing garden is accessible for patients and their companions at a minimal capacity. Only 2 can sit per table and social distancing shall be maintained.

Gift Shop · Open, minimal capacity

This visitation guideline is applicable when there is a surge of COVID 19 cases in the community and at times of country lockdown measures.

  • Inpatient Unit
  • The care partner needs to do PCR test at Bellevue (a maximum of 3 days before patient admission to the hospital) and the result should be negative.
  • Care partners are requested to remain in their loved one’s room as much as possible and to wear a mask throughout the entire stay in the hospital premises.
  • Exceptions may be considered on case to case basis (such as end-of-life patients). Exceptions shall be approved by treating physician and medical administration, after conducting an assessment of the risks and benefits.

 

Inpatient Unit Visitation Guideline Additional considerations
Medical Surgical Unit · Patient may have only one care partner throughout the entire hospital stay.
Pediatric Unit / Maternity Unit · Patient may have only one care partner throughout the hospital stay.
Neonatal intensive care unit (NICU) · Patient may be visited by one partner (mom or dad) based on an appointment basis.
  • Appointments should be scheduled in a way to ensure that visits of neonates in the unit do not overlap.
  • Visitation time is 1 hour for mom and half an hour for the dad
Behavioral Health Unit · No visitation is allowed. Exceptions shall be considered in case one family member wants to visit the patient, after request is approved by the treating physician and medical administration.
Recovery rooms · No visitation is allowed. Exceptions will be considered for children who have surgery; 1 care partner may enter the recovery room if PCR is negative and available.
Labor and delivery room (LDR) · Only one person is allowed to be present with the patient.
Intensive Care Unit (ICU) · No visitation is allowed. · No exceptions will be considered except for end of life patients, unless request is approved by the treating physician and medical administration.

· In case of exception, visitor needs to undergo PCR test or should have taken both doses of COVID vaccine

COVID 19 unit / ICU COVID Unit · No visitation is allowed. · No exceptions will be considered except for end of life patients, unless request is approved by the treating physician and medical administration.

· In case of exception, visitor needs to undergo PCR test or should have taken both doses of COVID vaccine

Post COVID unit · Patient may have one care partner.

· Isolated and suspected patients: No visitation is allowed

 

  • Ambulatory areas
  • Only dependent patients shall have companion / care partner. Dependent patients include pediatric patients, elderly / geriatric patients, patients with special needs, and pregnant women.
  • Both the patient and accompanying person are required to wear a mask throughout the entire stay in the hospital premises.
  • Cooperation is appreciated during this time of heightened concern.
Area Description Visitation Guideline Additional considerations
Outpatient areas

 

These include:

· Emergency department

· Outpatient clinics

· Radiology department

· Laboratory department

etc.

· Patients are requested to come on their own; companion is asked to wait in car.

· One person can accompany the dependent patient.

Care partner / companion does not need to undergo a PCR exam
Same day procedures These include:

· Same day chemotherapy,

· One day surgeries

· Endoscopy

etc.

· Patients are requested to come on their own; companion is asked to wait in car.

· One person can accompany the dependent patient.

Care partner / companion of  same day chemotherapy or surgery patient is requested to undergo a PCR exam
· Dialysis · Patient may have one care partner / companion. Care partner / companion shall escort patient to the unit, but will be requested not to stay all the time.

 

  • Other Areas
Area Guideline
Visitor Lounges · Not accessible
Waiting areas in outpatient clinics · Remove some seats from waiting area

· Ensure spacing of appointments to avoid crowded areas

Cafeteria · Patients / visitors can order food as take away
Healing Garden and Healing Room · Not accessible
Gift Shop · Not accessible

References:

Family Presence Policy Decision Making Toolkit for nurse leaders. https://planetree.org/wp-content/uploads/2021/05/Family-Presence-Policy-Decision-Making-Toolkit.pdf. Released on May 25, 2021, Accessed June 6, 2021

Parking and valet services

Patients and visitors are provided with well-marked parking areas located conveniently near the hospital entrance.

Guideline for hand hygiene and infection control

Wash hands when visibly soiled, or use handrub.