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  • Wearing a procedure mask at all times (face covering not allowed).
  • 1 informal caregiver per day. 
  • Maximum 2 different informal caregiviers who can take turns must be identified.
  • Visitors are not admitted to the hospital.
  • Companions are not admitted to the hospital, except for certain specific situations. In these cases, instructions will be given to users when planning the appointment. Please note that if an accompanying adult is required, he or she will not be able to wait in the waiting room. The person will be asked to wait outside the facility.

ATTENTION: In exceptional situations, the institution might need to temporarily restrict access.

Family caregivers will not be admitted to the hospital if they:

  • have COVID-19 associated symptoms;
  • are waiting for a COVID-19 test result;
  • or are infected with COVID-19.

Area-based restrictions and conditions

Emergency room

  • One informal caregiver is allowed to accompany a patient during a visit to an emergency room, unless other people are required to be present for medical reasons or for the announcement of bad news; this applies regardless of the regional alert level.

* Except at the Hôpital Fleurimont, Hôtel-Dieu de Sherbrooke, Centre de santé et de services sociaux du Granit and Hôpital, CLSC, centre d'hébergement d'Asbestos dans at Granby Hospital Emergency rooms

  • No visitors or companions are allowed (except for children, specific clinical situations and for humanitarian reasons) in the emergency room during the pandemic.

 

 

Oncology 
The following applies to outpatient clinics and inpatient sectors of cancerology still in cold zones where the triage of users, staff, and informal caregivers is in effect to ensure the protection of cancer patients.

  • Access is restricted to patients undergoing treatment and to staff, doctors, and other professionals who work at the cancer centre.
  • The presence of informal caregivers should be restricted unless medically required by the patient's condition. Subject to the judgment of the clinical team, the presence of an informal caregiver must be authorized by the nursing staff or the attending physician during visits to discuss results or important elements of the patient's clinical course, such as announcing a diagnosis. 
  • Given the vulnerability of cancer patients, the rationale behind limiting informal caregivers to outpatient appointments is related to the need to protect the cancer patients and staff in these sectors. It also stems from the fact that physical-distancing requirements affect the spaces available (waiting and treatment rooms) for treating patients. 
  • When the presence of relatives is restricted, cancer consultations (physician, oncology nurse navigator, pharmacist, etc.) that are held via telehealth (on the telephone or virtually) must include the possibility of a relative participating. Institutions must encourage and continue to facilitate virtual communications.
  • Outpatient bone marrow transplantation and cell therapy clinics
    • Informal caregivers are not allowed in outpatient bone marrow transplantation and cell therapy clinics with exceptions authorized by the nurse or physician.
    • The participation of informal caregivers via telehealth must be provided for in this sector.
  • Hospitalization units for bone marrow transplantation and cell therapy clinics
    • Subject to clinical advice, informal caregivers only : maximum 1 informal caregiver per day: a maximum of 2 different informal caregivers who can take turns must be identified.
  • Hospital units for patients with other hematological cancers
    • Subject to clinical opinion or unit status: 1 informal caregiver at a same time, for a maximum of 2 informal caregivers per day and obligation to identify a maximum of 3 different people who can take turns during the stay.
    • If Estrie is at level 4 - Maximum alert (red zone): maximum of 1 informal caregiver per day; obligation to identify a maximum of 2 different people who can take turns.
    • The application of these measures must take into account the fact that patients receiving treatment for acute leukemia have moments of great vulnerability and are placed in strict isolation, which often limits visits from relatives.
    • Persons with authorized access to these units shall submit to the triage or testing procedures applicable to the unit, in accordance with applicable cancer zoning guidelines.
  • Hematology and oncology unit
    • At the clinical team’s discretion or the situation of a unit: maximum 1 informal caregiver at a time, maximum 2 informal caregivers per day and a maximum of 3 different informal caregivers who can take turns must be identified.
    • If the Estrie region is at alert level 4 - Maximum Alert (red zone): maximum 1 informal caregiver per day: a maximum of 2 different informal caregivers who can take turns must be identified.The application of these measures must take into account the fact that patients receiving treatment for acute leukemia have moments of great vulnerability and are placed in strict isolation, which often limits visits from relatives.
    • The informal caregivers autorized will be subject to the triage process in accordance with the applicable zoning guidelines for oncology.
  • Pediatric oncology
    • Ambulatory hematology–oncology sectors
      • Only one accompanying person per patient allowed (1 relative or 1 substitute informal caregiver).
      • For certain specific situations, the presence of a second accompanying person could be authorized (e.g., announcing difficult news).
    • Hospitalization
      • Parents or a maximum of 2 substitute informal caregivers.
    • Hospitalization for cell therapy

For more information, refer to the section Special conditions for certain sectors.

 

 

Palliative and End-of-Life Care (PEOLC)

  • Visits are allowed for PEOLC patients in all settings.
  • The spouse and children have unrestricted access as to the number of persons or up to 2 significant persons at a time for any individual in palliative care.
    • Only one family caregiver can accompany the patient while in the day centre.
    • Persons under the age of 18 are allowed to visit PEOLC patients, but they must be accompanied by an adult during the visit.
  • Family caregivers of PEOLC patients hospitalized in oncology units where immunosuppressed users are staying are subject to triage and additional precautionary measures in order to protect these particularly vulnerable patients.
  • Personal protective equipment (PPE) must be worn.

For more information, consult Soins palliatifs et de fin de vie (SPFV) (French) from the Ministry of Health and Social Services (MSSS) (French).

 

 

Intensive care

  • Depending on the patient's clinical condition, visits could be adjusted for the length, frequency, and time of the visit in order to avoid too much traffic at the same time, given the physical layout of the premises.

 

 

Obstetrical, neonatal and pediatric care

Please note that a parent of a hospitalized child or the person accompanying a pregnant woman during delivery are not considered visitors.

  • Obstetrics
    • All reasonable measures have been put in place to encourage the presence of the second parent or a significant person (1st accompanying person) at the birth (including Caesarean section) and during the postnatal stay. The second accompanying person might be access, depending on the region's alert level (refer to the section on Specific conditions for certain sectors).
    • You should enquire about visiting conditions at the unit reception desk.
    • In the case of pregnant women with COVID-19, the second parent or accompanying person with COVID-19 could be present, if he or she moves about in the hospital only at the same time as the pregnant woman (such as on arrival) and wears a mask.
  • Neonatology
    • One parent at a time, however, the child's clinical situation should guide the decision to allow both parents access at the same time.
    • Parents with COVID-19 cannot enter, except under exceptional circumstances.
  • Pediatrics
    • One parent at a time, however, the child's clinical situation should guide the decision to allow both parents access at the same time.
    • In the case of children with COVID-19, parents with COVID-19 could be present, if they move about in the hospital only at the same time as the child (such as on arrival) and wear a mask.

For more information, consult Special conditions for certain sector.

Consult the second-wave plan for mother–child services (French)

 

 

Medical Imaging – Obstetrical Ultrasound

  • Only one companion is permitted for obstetric pregnancy ultrasounds (morphology scan | ±20 weeks)
  • The pregnant woman must sign in at the ultrasound reception desk.
  • The administrative officer at the CIUSSS de l’Estrie – CHUS facility will provide the companion with instructions.
  • Wearing a face covering (handcrafted mask) is mandatory for pregnant woman and her companion.
  • Both the pregnant woman and her companion must wash their hands.
  • Both the pregnant woman and her companion will be given a medical questionnaire to fill out.

CHSLDs in an outbreak or preventive isolation

Visits are not permitted, except for family caregivers known at the care setting who provide significant assistance (one family caregiver per day).

CHSLD not in an outbreak or preventive isolation

  • Informal caregivers are auhorized:
    • maximum 1 informal caregiver at a time; 
    • maximum 2 informal caregivers per day;
    • except for compassionate grounds: Ask a nurse in the unit for more information. 
  • Visitors and volunteers are not admitted.

* If you live outside Estrie, please ask a nurse in the care unit about the measures to take.

ATTENTION: In exceptional situations, the institution might need to temporarily restrict access.

Rules

The following rules must be followed in addition to the instructions required for visiting our facilities.

  • Sign the visitor log on arrival and departure; make sure you do not have any COVID-19 symptoms. 
  • Wear obligatory a procedure mask at all times (both inside and outside the facility). Procedure masks are provided by the institution and are available at the entrances to the facilities (1 mask per person per visit).
  • Visit only one resident at a time: Go directly to their room and stay there (avoid common areas).
  • Do not exchange any items with the resident (gifts will be kept in quarantine before being given to the resident).
  • Comply with the measures related to accessing the facility:
Informal caregiverVisitor
Inside the facility, in the room

Permitted
Maximum 1 family caregiver known at a setting per day
Maximum 2 informal caregivers per day 
 Refer to palliative-care visiting guidelines.

Not permitted
Refer to palliative-care visiting guidelines.

Inside the facility, in common areas (living room, dining room, etc.)Not permitted
Except to go to the room
Not permitted
Common roomPermitted
Maximum 1 informal caregiver at a time
Not permitted
On the grounds of facility Permitted
Maximum 1 informal caregiver at a time

 

Not permitted

 

Informal caregivers, visitors and volunteers will not be admitted to the CHSLD if they:

  • have COVID-19 associated symptoms;
  • are waiting for a COVID-19 test result;
  • or are infected with COVID-19.
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