Presentation of a Vaccination Passport and an Photo Identity Card

Since October 15, 2021, family caregivers, visitors, suppliers and partners must present proof of vaccination and an identity card with photo to enter an installation * of the CIUSSS de l'Estrie - CHUS. 

 

Exceptions

Please note that this instruction does not apply to the following people: 

  • Users who spend time in a covered setting to receive care or services
  • A person who accompanies: 
    • a child under the age of 14
    • a person who is incapable of consenting
    • a woman giving birth
  • A parent or guardian of a child placed in a rehabilitation centre for young people with adjustment problems, as well as any person with visitation rights as ordered by the Court of Quebec (e.g., a parent or guardian of a child in a rehabilitation centre for young people with adjustment problems (e.g., supervised visits) 
  • Visitors of a relative in palliative care
  •  People whose health or safety requires support that cannot be provided by the setting 
    • Examples: A user accompanied by a translator when the service is not offered by the institution
  • Persons responsible for IRs and FTRs as well as their family members, when they share their primary place of residence with children or adults in the care of a public institution
  • A peace officer or firefighter who, in the performance of their duties, is required to enter a covered setting

 

*Examples of facilities: CHSLD, CLSC, youth centre, rehabilitation centre, and hospital centres

If you have any questions: See the frequently asked questions (FAQ) below.

Clarification of the application of Order in Council 1276-2021, making vaccination mandatory for certain persons in covered settings, starting on October 15, 2021 or November 15, 2021, depending on the individuals covered. 

Persons covered by the order

Who are "health and social services providers" within the meaning of the order?

Anyone who works or intervenes in a covered setting: 

  • Individuals, whether remunerated or not, who have direct contact with users.
    • Examples: Care providers, housekeepers, volunteers.
  • Individuals who have direct contact with the persons cited above, including through the sharing of common spaces.
    • Examples: Administrative staff who share the same break room or locker room as the nursing staff. 
  • Users of spaces in the covered settings, including tenants, for commercial or noncommercial purposes, as well as participants in any kind of event, if they are in direct contact with users or with a covered provider.
    • Examples: Hairdresser in a CHSLD or community organization that uses CLSC premises 

Are visitors, informal caregivers, and accompanying persons included?

Yes. Persons 13 years of age or older who enter a facility of a health-care institution, an intermediate resource (IR), a family-type resource (FTR), or a seniors' residence (SR) must be adequately protected, subject to the exceptions noted above. For these individuals, proof of vaccination will be required as of October 15, 2021.

  • For examples, see the summary table of covered persons in Appendix 1 at the end of this FAQ. 

Are some people exempt from having to demonstrate that they are adequately protected?

Yes. The order provides for certain exceptions: 

  • Users who spend time in a covered setting to receive care or services 
  • A person who accompanies:
    • a child under the age of 14 
    • a person who is incapable of consenting 
    • a woman giving birth 
  • A parent or guardian of a child placed in a rehabilitation centre for young people with adjustment problems, as well as any person with visitation rights as ordered by the Court of Quebec (e.g., a parent or guardian of a child in a rehabilitation centre for young people with adjustment problems (e.g., supervised visits)  
  • Visitors of a relative in palliative care 
  • People whose health or safety requires support that cannot be provided by the setting 
    • Examples: A user accompanied by a translator when the service is not offered by the institution
  • Persons responsible for IRs and FTRs as well as their family members, when they share their primary place of residence with children or adults in the care of a public institution 
  • A peace officer or firefighter who, in the performance of their duties, is required to enter a covered setting.

Does the obligation to demonstrate adequate protection apply to users, beneficiaries, and clients who receive health care and services in the covered settings?

No. 

 

What is the definition of a "person incapable of giving consent"?

A person who is not able to consent, either permanently (e.g., protective mandate) or temporarily (e.g., unconscious person). 

 

Are school personnel assigned to the covered institutions affected?

Yes, starting on November 15, if they are in direct contact with users or a covered provider. 

 

For pregnant women, what about the birth attendants that the government currently allows (2nd attendant) during the delivery and post-partum period?

Accompanying persons must be adequately protected, starting on October 15. Only the spouse or the person personally accompanying the pregnant woman (one person only) may not be adequately protected.

 

The person accompanying the woman during childbirth is not covered by the order. What about siblings?

Siblings must be adequately protected, starting on October 15, and must abide by the policies of the institution, including visiting hours.

 

Do the measures apply to a construction contractor performing work in a covered setting?

Yes. All service providers who are in a covered setting and who may be in direct contact with users or a covered provider must be adequately protected, starting on October 15.

 

What is the consequence for a visitor, volunteer, or informal caregiver of not demonstrating adequate protection when entering a covered setting?

Access to the covered setting will be denied, starting on October 15.

 

Definition of "Adequately Protected"

How is "adequately protected" defined?

For the purposes of the order, adequately protected means: 

  • Having received all required doses depending on the type of vaccine administered, with a minimum interval of 21 days between doses and having received the last dose at least 7 days ago
  • Having contracted with COVID-19 more than 6 months ago and having received a dose of vaccine according to the recommendations of the Québec Immunization Program (QIP) 
  • Having contracted COVID-19 in the last 6 months
    • The individual is recognized as being adequately protected, but they must receive a dose of vaccine before the end of the 6-month post-COVID period to continue to be considered adequately protected.

Specific implementation rules for service providers

Is a service provider or a person working on behalf of a staffing agency responsible for providing proof of adequate protection?

Yes. Starting on November 15, they must submit their proof of vaccination according to the procedure adopted by the institution where they have been assigned.

 

What consequences do service providers and employees of an employment agency face for not providing proof that they are adequately protected?

Starting on November 15, they will no longer able to provide care and services in the covered settings and they will receive no remuneration.

What happens if a service provider is unable to perform a contract with a public or private body because the provider is not adequately protected?

The organization can have the work done by another service provider without incurring a penalty.

Specific implementation rules for home support direct allocation - service employment paycheque

Are institutions responsible for verifying the vaccination status of service employment paycheque workers?

No. The covered provider must have proof that they are adequately protected. The beneficiary of the services can verify provider status if they so desire. 

 

Specific implementatin rules for the Youth sector

Can a parent who is not adequately protected visit their child in a rehabilitation centre for young people with adjustment problems (CRJDA)?

Yes. A parent or guardian of a child placed in such a centre, as well as any person with visitation rights as ordered by the Court of Quebec, are among the persons exempt from demonstrating adequate protection.

 

Is a placed child in an IR or FTR under the LRR* or in a CRJDA allowed to visit their parent if the parent is not adequately protected?

Yes. The parents' home is not a covered setting.

* Act respecting the Representation of Family-Type Resources and Certain Intermediate Resources and the Negotiation Process for Their Group Agreements

Specific terms of application for private living settings (CHSLD, RPA, RI and RTF)

What organizations, living settings, or programs are covered by the order?

The following are covered:

  • Home-support social-economy businesses (EESADS): All employees, including those who offer services to clienteles not referred by the CISSS or CIUSSS and administrative personnel 
  • Residential and long-term care centres (CHSLDS), whether public or private whether subject to an agreement or not 
  • Private seniors' residences (PSRs)
  • Intermediate resources (IRs) and family-type resources (FTRs), subject to exemptions in the order 
  • Employees hired on a contractual basis through the home support direct allocation – service employment paycheque
  • Employees of private businesses that provide home care and support services to users in CHSLDs, PSRs, IRs, or FTRs 

Are religious communities covered by the order?

No. That notwithstanding, health and social services providers from the CISSS and CIUSSS as well as outside home support providers who must travel to a religious community to provide care and services must be adequately protected.

 

In a living setting, such as a CHSLD, PSR, IR, or FTR, who must present proof that they are adequately protected?

Any person who accesses a covered setting and who might come into direct contact with a user or a provider will have to present proof that they are adequately protected. In particular, this includes the following: 

  • Health-care workers 
  • Administrative and support staff 
  • Personnel paid by the community (e.g., musician) 
  • Informal caregivers, subject to the exemptions provided for in the order
  • Visitors to the resident or the community (e.g., friends, family members) 
  • Volunteers (including members of the users' or in-patients' committee)
  • Persons who offer private services within a covered setting (e.g., hairdresser in dedicated space, convenience-store employee)
  • Personnel hired by the resident or family (e.g., hairdresser, foot-care provider) 
    Members of the following: Quality, Ethics, Performance and Partnership Department (QEPD); visitors for infection prevention and control (IPC) monitoring visits; Accreditation Canada visitors; departmental inspectors; MAPAQ inspectors; CNESST; RBQ; etc.
     

Are construction workers, movers, and delivery people who come in to a covered setting required to be adequately protected?

Yes. These individuals must prove that they are adequately protected as soon as they enter a covered setting and are therefore likely to be in direct contact with a user or covered provider.

 

What terms and conditions apply to mixed living settings (e.g., PSR–IR, CHSLD–PSR)?

The order in council applies.

 

Who is responsible for ensuring that employees (including qualified replacements) in a covered setting are adequately protected?

The covered setting is responsible. 

 

Who is responsible for ensuring that visitors, informal caregivers, and others accessing IRs and FTRs are adequately protected?

The covered setting is responsible. 

 

Procedures dealing with refusal to comply with the order in council in private living settings

Could users in an IR or FTR be moved from their living setting if it does not meet the requirements of the order?

Yes, subject to the exemptions set out in the order. 

If a resource fails to comply with the order AND is unable to provide the support or assistance services, which results in a breakdown of essential services, users could be relocated if no alternative is available. Such situations have to be assessed by the institution on a case-by-case basis. Relocating users remain a last resort.
 

Does an institution have to stop paying an IR or FTR that fails to comply with the order?

Yes.

 

Could an IR or FTR's specific or particular agreement be terminated or not renewed if the facility fails to comply with the requirements of the order?

Each situation has to be assessed individually in accordance with the mechanisms already provided for in the national collective agreements.

 

What are the procedures that apply when an employee in a private, nonunionized setting cannot demonstrate that they are adequately protected?

All such employees, whether unionized or not, will be reassigned or removed from work without pay. 

 

Specific terms of application for professionnal offices and certain businesses

Are all private professional practices covered by the order?

No. Only the following are covered: 

  • Nurses
  • Licensed practical nurses 
  • Respiratory therapists
  • Midwives
  • Pharmacists
  • Physicians

Does this include a private practice of professionals who provide home care or services?

Yes, if the care and services are delivered by a provider covered by the order.

 

Is a big-box store with a pharmacy covered?

No. In this case, only the pharmacy staff is covered. For example, staff assigned to the toy department who have no direct contact with the pharmacist or pharmacy staff are not covered.

 

Is a person who goes to the store section of a pharmacy to purchase items, but does not receive any health or social services, covered and do they have to demonstrate adequate protection?

No. If the person enters to receive a health or social service, at that time, the person accompanying him or her would be subject to vaccination-passport control.

 

Summary table of persons covered*

Subject to clarifications and exemptions in the order

People

 

Covered

Not Covered

 

RSSS institutions

Research teams

November 15

 

Students and interns

November 15

 

Suppliers, deliverers, workers

October 15

 

Parent visiting their child in a youth centre

 

x

[DVX31] Staff of a private agency (MOI)

November 15

 

Staff on maternity leave

 

x

Full telecommuting staff

 

x

Personnel providing home care

November 15

 

Personnel in categories 1 to 5 or nonunionized unionizable and non-unionizable staff

November 15

 

Managerial staff

November 15

 

Administrative staff whose office is in an institution with an exclusively administrative mission

 

x

Administrative staff whose office is in an administrative wing and who take their meals in the hospital cafeteria

November 15

 

Users, beneficiaries, clients

 

x

Visitors aged 13 or older

October 15

 

Accreditation Canada visitor

October 15

 

ACCOMPANYING PERSONS

Person accompanying an elderly person obtaining physiotherapy services in a private clinic

 

x

Person accompanying an elderly person obtaining physiotherapy services in a hospital

x

 

Person accompanying a person in a wheelchair (when the facility cannot provide the support)

x

 

Peace officer accompanying an inmate to a hospital for treatment

 

x

Spouse, birth companion

 

x

Parent accompanying a child under the age of 14

 

x

Representative of a person in a coma

 

x

RELIGIOUS COMMUNITIES

Residents

 

x

Personnel hired by the religious community (e.g., lawn mowing)

 

x

CISSS personnel offering services to the religious community

(date to be confirmed)

 

Volunteer

(date to be confirmed)

 

Musician

(date to be confirmed)

 

Hairdresser

(date to be confirmed)

 

Convenience store in a PSR

(date to be confirmed)

 

Employees of an IR or FTR

(date to be confirmed)

 

Person in charge of an IR or FTR who practises at their main place of residence

 

x

Person in charge of an IR or FTR who does not practise at their main place of residence but who spends time in the living setting

(date to be confirmed)

 

Health-care personnel

(date to be confirmed)

 

Support staff

(date to be confirmed)

 

Informal caregiver

(date to be confirmed)

 

Family member visiting a resident in palliative care

 

x

Foot-care professional

(date to be confirmed)

 

Owner of a PSR

(date to be confirmed)

 


Je n'ai aucune idée de ce que MOI veut dire.

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