Please complete the survey below, to help us understand your needs with respect to visitors in a Carewest site in the context of changing public health orders intended to keep your loved ones and our staff safe.  We have been directed as of October 30, 2020 to permit only designated visitors within our sites. 

Introduction
The Chief Medical Officer of Health (CMOH) has revisited the current practices for visitation to continuing care sites across Alberta due to the increased risk associated with increased numbers of positive case.  

One of the key measures for protecting residents/clients and staff in congregate living settings against COVID-19 exposure is limiting the number of people on site at any one time. To recognize the threat of COVID-19, the CMOH has called for all operators to develop processes for safe visiting, informed by the needs and preferences of residents.

To understand the level of risk tolerance to enable safe visitations, we ask you to complete the survey below. Completing the survey is voluntary. Your answers will not affect the care or treatment you or your loved one receives.

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* 1. The person completing this survey is

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* 2. Please enter your name in full

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* 3. If you are not a resident/client, please identify the person you wish to visit (first and last name in full)

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* 4. Please identify the Carewest site they are currently at.

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* 5. Two people are allowed to be identified as Designated Family/Support Persons (must be 18 or older).  If you have already provided those names to your site, please skip to question 5.  Otherwise, please enter the following information for each designated visitor.

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* 6. What is your preferred frequency of visits with your loved one?

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* 7. All visits are required to be scheduled. Recurring set scheduled visits are easier for sites to manage. Would you be willing to have a recurring visiting slot (i.e. at the same day/time every visit)?

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* 8. We recognize that preferences may change over time. However, in the next few months, what is your preference for visits?

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* 9. What is your preferred location for indoor visits to take place? Even if your preference is for outdoor/video visits, please let us know where you would prefer other residents/clients to receive indoor visits.

In the Chief Medical Officer of Alberta's most recent update, different levels of risk are presented:  

Low Risk

To be considered at low risk of unknown exposure, all the following conditions must be met:
  • Does not work or live in an area of high COVID-19 exposure (refer to Risk designation of region)
  • Works from home
  • Part of a small cohort (15 or less) who consistently practices physical distancing and masks when cannot maintain distance
  • Not have had guests at home in the past 14 days
  • Visits resident(s) in one site in a day 
  • Makes essential outings only
  • Uses own vehicle
  • Consistently maintains 2 metres of distance from those outside household in all activities
  • Mask worn when cannot maintain physical distancing
  • Consistent hand hygiene
  • No interprovincial travel within the last 14 days
Medium Risk

There will be many variations that arise between the extremes of high and low risk of unknown exposure   Individuals must use their best judgement to determine risk of unknown exposure where neither low nor high is appropriate.

 
High Risk

To be considered at high risk of unknown exposure, any one or more of the following may be met:
  • Works or lives in an area of high COVID19 exposure (refer to Risk designation of region)
  • Works outside home in settings where distancing is not consistently maintained and masking is not consistently used
  • Worked at or visited a location with a declared COVID-19 outbreak in last 14 days
  • Part of a large cohort (more than 15)
  • Cohort inconsistently practices physical distancing and use of masks when cannot maintain distance
  • Have had guests in home in last 14 days 
  • Visits resident(s) in multiple sites in one day 
  • Outings where contact with others outside household is likely
  • Use of public transit or carpooling where distancing is not consistently maintained and masking is not consistently used 
  • Does not maintain physical distancing and does not wear a mask
  • Infrequent or inconsistent hand hygiene
  • Interprovincial travel within the past 14 days

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* 10. Please select  the answer which best reflects your response to the question

  Not concerned Not very concerned Neutral Somewhat concerned Very Concerned Not applicable
How concerned are you that having indoor visitors in the site will put your health at risk?
How concerned are you with visiting in shared indoor visiting spaces?
How concerned are you with having two visitors in your room?
How concerned are you with having your room-mate have two visitors within your room? 

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* 11. For indoor visits at the site, what is your preference for who should participate in indoor visits? Check all that apply:

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* 12. Do you have any other comments or concerns about the changes to visitation?

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* 13. Would you be willing to participate on a committee that meets via Zoom to review and discuss the visitation process and risk tolerance?

Thank you for providing your input.  Each site will be reviewing results and implementing plans that align with collective responses from residents, agents and staff. 

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