04/07/20 – Menno Place COVID-19 Emergency Response Plan

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April 7, 2020

Menno Place COVID-19 Emergency Response Plan is created by the COVID-19 Emergency Response Team:

COVID-19 EMERGENCY RESPONSE TEAM

Karen Baillie, CEO; Kathrin McMath, EDFO; Cyndy Gabriel, DOC; Kim Cantwell, Mgr. Care, Infection Control Lead; Smitha Varghese, Mgr. Care; Jeanette Lee, Dir. HR; Sharon Simpson, Dir. Community Enrichment; Pearl Nucich, Executive Assistant. The COVID-19 Emergency Response Team has been in weekly consultation and planning with the Leadership Team.

The COVID-19 Emergency Response Team has been meeting to review the Menno Place Pandemic Plan and make adjustments to it for this COVID-19 Pandemic. To view the Menno Place Emergency Response – Pandemic Plan, go to Sharepoint and search “pandemic plan” – CLICK HERE

COVID-19 EMERGENCY RESPONSE PLAN

COMMUNICATIONS

  • Signage across campus – coordinated by Director, Community Enrichment
  • Update staff via managers, email newsletter, MennoPlaceStaff.com, Twitter.com/MennoPlaceAlert and posters at hand scanners
  • Update residents via Menno TV, email and memos
  • Physician communication – coordinated by Director of Care and Director, Community Enrichment
  • Leadership Team – communication through COVID-19 Response Team
  • Family Members & Friends – Family Members website, Family Members Facebook Page
  • Volunteers – Public website
  • All audiences will be notified by Twitter.com/MennoPlaceAlert if there is a positive COVID-19 case at Menno Place

STAFF

  • Currently all staff are screened on beginning and end of their shift, as well as self-screening throughout, asking the questions:
    1. Do you have a fever?
    2. Do you have a new or worse cough?
    3. Do you have new or worse sneezing?
    4. Do you have new or worse shortness of breath?
    5. Do you have a new or worse sore throat?
      If yes to any of these, if after 4pm, RN does swab for COVID-19.
      If between 10 & 4pm, they are directed to the testing site to have swab for COVID-19 done.
  • Reception desks & hand scanners, have 6 ft markings for social distancing at shift change.
  • Reducing cross campus travel. Re: mail deliveries/stores deliveries, leadership movement.
  • Reducing inter-building travel – staff limited to one building per shift when working at Apts
  • Staff taking breaks with only those on their units – furniture removed so staff can practice 6ft social distancing
  • Signage indicating immediate hand sanitizing or handwashing upon entrance at all staff entrances
  • Effective week of 4/4/20, all staff to wear masks and goggles.
  • Week of 03/04/20, staff limited to one-site only. Menno Apts, Home and Hospital considered one site.
  • Staff to shower and change uniforms between Menno sites.
  • To limit movement of staffing providing documents to RN on evenings. Staffing will do sick call-outs from home.
  • Music Therapist to one unit/day.
  • Decrease in personal meetings. Use of ZOOM or other virtual methods.
  • More staff working from home. (Finance/SWs, etc)
  • Staff permitted to cancel pre-arranged vacations in order to keep coverage
  • No new vacations/LOAs at this time.
  • Staffing guideline for International Travel – staff travelled internationally self-isolate and stay away from workplace for at least 14 days
  • Living in same household with someone who has tested positive for COVID-19 must self-isolate for at least 14 days

STAFF EDUCATION

  • What is COVID-19?
  • Hand-Hygiene – Posters, Huddle, Signage at Entrance, biometric hand-scanner
  • SafeWork Procedure – WorkStation Cleaning Instructions
  • Safework Procedure – Disinfecting Contaminated Equipment – Sharepoint
  • Safework Procedure – Contaminated Laundry – Sharepoint
  • PPE Usage
  • Point of Care Assessment

Staff who tests Positive:

  • ALL units go into outbreak mode isolation.
  • Follow Public Health/MHO directions.
  • Monitoring of residents and staff ongoing, including taking the temp using touchless thermometer.
  • Communication – inform everyone: staff/families/residents, including the unit affected.
  • Twitter.com/MennoplaceAlert for real-time updates
  • SWAT clean to unit to do thorough cleaning. (all housekeeping staff on duty at the time)

RESIDENTS

  • All residents are screened twice daily in Home/Hospital/AL
  • All residents screend once / day in IL Apts
  • Anyone returning from ARH are pre-screened and screened twice daily ongoing, including temp taking.
  • Any new move-ins (none from community, only acute) are pre-screened and screened BID ongoing.
  • Group residents activities stopped, smaller groups (providing they can maintain the 6 ft distance)
  • Newspapers cancelled.
  • All volunteers cancelled.
  • No inter-facility transfers.
  • Dining rooms are separated, residents as close as possible to 6 ft apart.
  • Apartments residents meals served to their suite.
  • Canada Post deliveries to be held 48 hours before delivering to residents.

Resident who tests Positive:

  • As above plus:
  • Needs to be managed in a private room.
  • Triangle ‘ALERT’ signage on door.
  • Enhanced cleaning with PPE.
  • Full PPE when entering room (as per our norm)
  • Caution tape on outside of door to unit.
  • Dining carts wiped down after use on the unit.
  • Maintenance/If essential work required, PPE on unit. All non-essential work postponed.
  • Pastoral care – no access to isolated resident
  • Palliative res in isolation – no family visits (a difficult decision!)
  • Pick up at door to unit – laundry/stores supplies/garbage)
  • No movement of staff between buildings

SUPPLIES

  • Supplies and inventory being reviewed daily.
  • Supplies centralized in stores as much as possible. Masks kept in nursing stations.
  • Isolation carts being inspected for contents numbered and moved to central location – Menno Hospital chapel.
  • Donations of goggles being received daily.
  • Plan to also discuss with pharmacy at ARH
  • LPNs at the Apartments to be educated on swab collection.
  • Tuck cart for Apartments residents – Tena products, toilet paper, etc.

VISITORS

  • Home, Hospital, Assisted Living: Visitation limited to palliative only. Families must wear PPO and be screened upon entrance and exit of buildings.
  • Independent Living: Registered Visitor Program

BUILDINGS/SITE

  • One primary entrance to each building.
  • Increase of signage
  • Hospital Conference Room – designated command post.
  • Enhanced cleaning of all surfaces twice/day.
  • Maintenance to wear booties at entrance and exit of unit. Garbage cans placed at entrances.