Date Last Updated: 12/30/2020

Visitation Policy Update

As our ministry continues to respond to COVID-19, patient and team member safety remains our highest priority.

We will continue to limit visitors within our St. Dominic facilities. This practice will be in place until the transmission of COVID-19 is no longer a threat to our patients, team, and community. Listed below is an outline of the expectations for all visitors, the exceptions and screening protocols.

Screening
All visitors will be screened daily for symptoms, including:
• History of positive COVID diagnosis within the last 10 days
• Exposure to a positive COVID person within the last 10 days
• Fever greater than or equal to 100.4°F
• Cough
• Shortness of breath or difficulty breathing
• Sore throat
• Congestion that differs from their typical seasonal allergies
• Body aches
• Fatigue
• Loss of smell/taste
• Diarrhea
If a visitor says “YES” to any of the screening symptoms, they will not be allowed entry into the facility.

Infection Preventions
With the well-being and protection of our patients, team and community in mind, we always require that all those visiting or entering our facility:
• Wear a mask at all times
• Screen daily
• Observe social distancing
• Wash hands frequently
• Limit movement outside of assigned hospital room to two times per day when entering/leaving building or getting food.

Patient Visitor Guidelines
• Inpatient Hospitalizations:
o Patients being admitted to the hospital in a non-COVID or non-ICU area may have one designated visitor at least 18 years of age to stay 24 /7 as the support person.
o 24/7 support persons are required to register in the North Lobby/Medical Mall between 8AM-8PM daily.
o 24/7 support persons are required to be re-screened, banded/badged daily by 8AM in the original screening area.
o 24/7 support persons are required to stay in the patient’s room except for leaving the patient’s room to get a meal twice per day.
o For personal relief and needs, a 24/7 support person can deem one additional person as a substitute once per day.
o The substitute 24/7 support persons are required to register in the North Lobby/Medical Mall between 8AM-8PM daily.
o 24/7 support persons and visitors are required to stay in the patient room, wear a mask at all times, adhere to the visiting hours outlined below and will receive a badge/band with the current date upon entering that must be worn for the duration of their visit.
• A support person is defined by CMS as a family member, friend or other individual who supports the patient during his or her hospital stay/visit.
• ICU visiting hours are daily from 10AM-1PM
• Children Visitors: No children under age 18.
• Visitors over 70: We strongly recommend no visitors over the age of 70.
• Visitors with Chronic Conditions: We strongly recommend people with chronic conditions such as lung or heart disease not visit.

Exceptions:
• Clergy Members: If a 24/7 support person or visitor is already present in the patients’ room, the clergy member is allowed up to ten minutes to visit the patient.
• Vendors: Will be restricted to mission-critical or direct patient care activities and will only be allowed in the building or clinic by appointment only.
• Confirmed COVID positive patients and PUIs will have access to visitation with family through virtual methods, unless End of Life has been determined by the physician. Two visitors at a time will be allowed.
• Patient’s Discharge: One visitor will be allowed the same day of the patient’s discharge for planning and education purposes at the time of discharge.
• For the viewing of decedent bodies: If a visitor needs to view a decedent body, after screening and masking, please escort the visitor to the room/morgue for viewing and kindly escort them back to the facility entrance for departure.
• End of Life: Patients admitted for end of life evaluation and treatment, or patients being evaluated for and/or receiving hospice care, may have up to two immediate family visitors at one time. This will be managed with the screening station lead/Security officer and the applicable nurse manager or designee.
o End of life is defined as anticipated death with an active do-not-resuscitate (DNR) order in place and/or planned withdrawal of life-sustaining interventions (e.g., ventilator). Clergy are considered visitors and will be allowed for end of life situations as one of the two visitors at a time.
• Inpatient Surgery and Procedures: Patients undergoing an inpatient surgical procedure may have one visitor who may wait in the patient’s room for the duration of the procedure and communication with the surgeon.
• Outpatient Surgery and Procedures: Patients undergoing outpatient surgery or procedures may have one designated visitor who will be permitted to assist with the arrival and registration process if needed. These visitors will be directed to the designated waiting area for the duration of the procedure and communication with the surgeon.
• Outpatient/Clinic Appointments: Patients may have one visitor at least 18 years of age.
• Emergency Department Visits: One 24/7 support person is allowed under the following circumstances only: Patients with disruptive behavior, behavioral health, altered mental status, end of life, developmental delays, or safety concerns in which a family member is key to their care or necessary to provide a history.
• Infusion Services Visits: Due to the immunocompromised nature of patients receiving infusion services and social distancing limitation, one support person is allowed under the following circumstances only: Patients with disruptive behavior, behavioral health, altered mental status, end of life, developmental delays, or safety concerns in which a family member is key to their care or necessary to provide a history.
• Women’s Services Admissions/Visits: One 24/7 support person can accompany an expectant or delivering mother. That support person is chosen by the expecting mother and can stay until mother is discharged. In the Neonatal ICU, only mothers and the support person can visit at any time during the day for feedings and skin to skin interactions. In the Neonatal ICU – Mothers and the support person may visit at any time during the day/evening for feedings and skin-to-skin interactions. The support person with the second baby band may visit during the designated visiting hours of 10am-1pm If the mother is also visiting, she will need to go to the waiting area while the other support person visits, so that there is only one visitor in NICU/per baby at a time.
• Behavioral Health Services: Due to social distancing limitations and the age population, Behavioral Health Services will continue with a zero-visitation policy until further notice.

Connecting Virtually
We understand and recognize how important the support of family and loved ones are to our patients while we care for them. While our visitor policies can make connecting in person difficult, it is for the safety of those we care for, our team, our community and our patients’ loved ones. We encourage our patients to visit virtually with their loved ones through cellular devices, so they can still be connected and feel supported during their time with us.
• Your clinical care team on the patient’s inpatient care area and support navigators are available to facilitate virtual communication between patients and their loved ones who are concerned.
Thank you for the concern and the care you provide to our community and your partnership. Together, we can keep one another, our patients and our community safe.

Date Last Updated: 10/12/2020

Emergency Department Visitation Policy Update

Beginning Monday, October 12, 2020, patients in the Emergency Department will be allowed one visitor age 18 or older. Visitors will be screened along with the patient at the ED entrance. All visitors will enter and exit via this entrance. Visitors must remain with the patient for the duration of the ED visit. The visitor may not leave the ED and return at a later time. Authorized, screened visitors are required to stay in the patient room and continue to wear a mask.

These changes are being made to enhance communication concerning patients’ needs. Our commitment remains to ensure the safety of our patients, visitors and team members amid the continued community spread of COVID-19.

 

Visitation Policy Update

In order to address the growing concern of the spread of COVID-19 in our communities, non-COVID hospital patients will be allowed one visitor age 18 or older during visiting hours, 10 am-1 pm daily. We will not have evening visiting hours until further notice.

We are making this change to continue to ensure the safety of our patients, visitors and team members amid the recent rising community spread of COVID-19.

Individuals who are allowed in the facility are required to wear a mask at all times and go through a screening process including a temperature check and questions about the following symptoms and risk factors:

  • History of positive COVID diagnosis within the last 14 days
  • Exposure to a positive COVID person within the last 14 days
  • Fever greater than or equal to 100.4°F
  • Cough
  • Shortness of breath or difficulty breathing
  • Sore throat
  • Runny nose or congestion that differs from typical seasonal allergies
  • Body aches
  • Fatigue
  • Loss of smell/taste
  • Nausea, vomiting or diarrhea

Visitors answering “Yes” to any of these items will not be allowed entry into the facility.

Please keep in mind the following visitor guidelines:

  • Authorized, screened visitors must stay in in the patient room (and continue to wear a mask), practice social distancing, adhere to the visiting hours and will receive a badge/band with the current date upon entering that must be worn for the duration of their visit.
  • Inpatient and ICU visiting hours are daily from 10 am-1 pm.
  • Children: Children under the age of 18 may not visit.
  • Visitors over 70: We strongly recommend no visitors over age 70.
  • Visitors with Chronic Conditions: We strongly recommend people with chronic conditions such as lung or heart disease not visit.
  • Patient Discharge: One visitor will be allowed at the time of discharge for planning and education purposes.
  • COVID19 Patients: Due to the highly contagious nature of this virus, patients with confirmed or suspected COVID-19 will have access to visitation through virtual methods only.

As alternatives to visiting, family members and friends are encouraged to use methods for staying connected to loved ones such as phone calls, video chats or sending cards. Patients and families can work with their care team to arrange these methods. The hospital also has mobile devices available for patient use when needed. Ask your nurse about availability. Exceptions to visitation for COVID-19 positive patients will be made for end of life situations.

We are keenly aware of how difficult limiting visitors may be for you and your family. These are unprecedented times. Like all healthcare organizations, we are protecting our community and the medical teams who must be available to care for you throughout this pandemic. We appreciate your understanding and support for all we are doing to address the impact of COVID-19.

You have entrusted us with your health and well-being, and we consider caring for you our privilege. If you have any questions regarding our visitation guidelines, please do not hesitate to speak with your nurse.