ONEIDA HEALTH COVID-19 VISITOR RESPONSE PLAN

(updated 9/8/21)

The following are visitation restrictions specific to our different areas of care:

Emergency Department Patients

  • There is only one visitor allowed in the Emergency Department (ED) for each patient
  • Pediatric patients (17 and under) in the ED will be allowed one parent at a time
  • Critical care patients in the ED will be assessed and managed case-by-case
  • If a patient is admitted to the hospital, visitors will be asked to leave

Inpatients

  • Visitors will be restricted at this time

Rehabilitation and Extended Care

  • Visitation may occur at the ECF only in the absence of any new positive test of COVID-19 among staff or residents as reported for a period of no less than fourteen (14 days), consistent with NYS Department of Health established thresholds. Special consideration will be given to “Compassionate Care” situations and “Imminent End of Life” situations as determined by the facility.  These restrictions are for face-to-face visits only and do not include virtual or window visits.
  • Window visits and IPad visits may be scheduled by contacting the ECF Activities Dept.
  • Visitation may be suspended without notice due to unforeseeable circumstances.
  • Please see the ECF Visitor Policy at oneidahealth.org for further information

For Critically Ill/ End of Life Patients

  • Case-by-case determination regarding visitation will be made
  • Visitation will be coordinated in advance via the nursing unit leadership and/or administrative supervisor
  • Coordination will include meeting visitors at entrance of hospital and providing surgical masks for them to wear during the entirety of their visit

Lullaby Center Patients

  • The birth coach or partner will be allowed to visit and participate in the birth and will be allowed to continue to visit post-delivery until discharge.
  • The birth coach is allowed to leave the center and return once per day. This would permit that person the opportunity to tend to personal matters (i.e. family requirements).
  • A doula will be allowed to accompany the birthing mother and support person to provide practical and emotional support during their in-patient stay.

Pediatric Patients

  • Pediatric patients (17 and under) will be allowed one parent at a time

Developmentally Disabled Patients

  • There is only one attendant allowed in the inpatient or procedural setting

ASU/ENDO/Wound Care Patients

  • Visitors will be restricted at this time
  • Contact information of drivers will be retained and drivers will be asked to remain outside the hospital

Radiology/Laboratory/Cardiac Testing

  • Only the patient receiving testing will be allowed in the building
  • Pediatric patients (17 and under) can only be accompanied by one visitor

Lab Draws

  • Only the patient receiving testing will be allowed in the building
  • Pediatric patients (17 and under) can only be accompanied by one visitor

Primary Care/Specialty Care/Quick Care

  • No visitors accompanying adult patients
  • Any patient requiring physical assistance to get into the building or area of care will be allowed one visitor to assist them until an Oneida Health employee is able to assist, at which point the visitor will be asked to wait in their vehicle or return following the appointment
  • For patients with cognitive impairment requiring a family member or guardian present, one visitor is permitted
  • Pediatric patients (17 and under) will be allowed one parent or guardian

VISITOR RESPONSE PLAN ADDENDUM

Emergency, Inpatient Patients

For patients for whom a support person has been determined to be essential to the care of the patient (medically necessary) including patients with intellectual and/or developmental disabilities (I/DD), and patients with cognitive impairments including dementia, one support person at a time as essential to patient care in the emergency room or during hospitalization. For these hospitalized patients, especially with prolonged hospitalizations, the patient or family/caregiver may designate two support people; but only one support person may be present at a time. This support person can be the patient’s family, caregiver, or another person they choose. In these settings, the person will be the only support person allowed to be present during the patient’s care. Individuals age 70 years or older, are not encouraged to be support persons at this time due to increased risk of COVID-19 infection.

Emergency, Inpatient Patients

For patients in imminent end-of-life situations, the Department considers one family member and/or legal representative at a time as a support person who should be permitted at the patient bedside. The Department defines imminent end-of-life situations as a patient who is actively dying, where death is anticipated within less than 24 hours. The patient and/or family/caregiver may designate up to two support people; but only one support person may be present at a time. In the event the patient is a parent of a minor child, one adult family member and one child may be permitted at the patient bedside. Individuals age 70 years or older, are not encouraged to be support persons at this time due to increased risk of COVID-19 infection.

Emergency, Inpatient, Pediatrics, Obstetrics/Gynecology

The support person of a patient with confirmed or suspected COVID-19 who has been a close contact of the patient has potentially already been exposed to COVID-19. These support persons should:

  • Wear a surgical or procedure mask throughout their time in the hospital,
  • Practice scrupulous hand hygiene
  • Remain in the patient’s room except for entrance and exit from the hospital; and
  • While in the room, a gown and gloves should be worn to prevent the person’s hands or clothes from becoming contaminated. Eye protection (i.e. goggles) should be worn while in the room if available.

If the support person of a patient with confirmed or suspected COVID-19 has not been a close contact of the patient and does not have a history of confirmed COVID-19, the support person should:

  • Wear a surgical or procedure mask throughout their time in the hospital,
  • Practice scrupulous hand hygiene,
  • Remain in the patient’s room except for entrance and exit from the hospital, and
  • While in the patient’s room, a gown and gloves should be worn to prevent the person’s hands or clothes from becoming contaminated. Eye protection (i.e. goggles) should be worn while in the room if available.
  • Again, in these circumstances the risks of acquiring COVID-19 should be fully explained, so that the patient and support person can make an informed decision of whether or not the support person’s presence at the patient bedside is essential to the patient’s health.

If the patient does not have confirmed or suspected COVID-19, the support person should:

  • Wear a surgical or procedure mask throughout their time in the hospital,
  • Practice scrupulous hand hygiene, and
  • Remain in the patient’s room except for entrance and exit from the hospital.

Hospital staff must screen the support person for symptoms of COVID-19 (e.g., fever, sore throat, runny nose, cough, shortness of breath, muscle aches, or diarrhea) and conduct a temperature check prior to entering the clinical area and every twelve hours thereafter for the remainder of their presence at the bedside.

If a support person has confirmed or suspected COVID-19 or presents with or develops symptoms of COVID-19, they should be excluded from the facility.