This memo was delivered to the Assisted Living Residents (Terrace East) on 15/04/20:

Assisted Living Resident Memo 15/04/20 – CLICK HERE

15/04/20

The safety of our residents is our highest priority.

There are three principles that we follow in making decisions about what protocols and processes we put into place as we seek to protect the residents who call Menno Apartments their home:

We follow the Public Health Officer and Medical Health Officer orders.

The Medical Health Officer (MHO) gives orders that are specific to Assisted Living, the Terrace East building.
All residents within the Terrace East building are under these MHO orders:

• NEW: Residents in Terrace East are not allowed to be off the Menno Place campus. This means NO driving, no walking to Mill Lake. Essential medical appointments may be kept. Call Cheryl Dawes if you need clarification: 604.851.4020
• NEW: All staff wear Personal Protective Equipment (PPE) in resident spaces – goggles and mask.
• NO Visitors. Nobody is allowed to be in or walk through the Terrace East building who doesn’t work in the building. Pharmacy delivery is allowed.

We seek to limit the number of people or objects that enter our apartment buildings – and all who do are following infection control protocols.

• NEW: Grocery Delivery ONLY to the apartment building front entrance between 9am – 12pm seven days per week. Details below.
• Terrace East has NO VISITORS. Only Grocery Delivery.
• NO Grocery Delivery directly to resident suite unless you are providing another key service: medication delivery, housekeeping or laundry. All groceries MUST be disinfected thoroughly.

We seek to have limited reasons for a resident to exit their apartment suite.

• NEW: Mail delivery to resident apartment suite

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Grocery Delivery – ALL apartments – Groceries can be dropped off 9am – 12pm seven days a week – Monday to Sunday

Primrose Gardens

9am – 12pm | 7 days a week | Main Entrance Primrose Gardens

Monday – Friday: Bring groceries during this time frame to Main Entrance and call Reception to receive groceries: 604.851.4000

Saturday and Sunday: Bring groceries during this time frame to Main Entrance and call Kitchen to receive groceries: 604.851.7398

Groceries disinfected and Delivered to suite by Dietary team.

Terrace East

9am – 12pm | 7 days a week | Main Entrance Terrace East

Monday – Friday: Bring groceries during this time frame to Main Entrance and call Reception to receive groceries: 604.851.4004

Saturday and Sunday: Bring groceries during this time frame to Main Entrance and call Kitchen to receive groceries: 604.851.4011

Groceries disinfected and Delivered to suite by Dietary team.

Terrace West

9am – 12pm | 7 days a week | Main Entrance Terrace East

Monday – Friday: Bring groceries during this time frame to Main Entrance and call Reception to receive groceries: 604.851.4004

Saturday and Sunday: Bring groceries during this time frame to Main Entrance and call Kitchen to receive groceries: 604.851.4011

Groceries disinfected and Delivered to suite by Dietary team.

Pavilion

9am – 12pm | 7 days a week | Main Entrance Pavilion

Monday – Sunday: Bring groceries during this time frame to Main Entrance and call Kitchen to receive groceries: 604.870.2926

Groceries disinfected and Delivered to suite by Dietary team.

Grocery Tuck Cart

Do not depend on the Grocery Tuck Cart to provide your loved one with essential groceries. Those who have NO support will be served FIRST by this service.

Update – 10/04/20

How will you know if Menno Place has COVID-19?

We will tell you. It will be tweeted on Twitter.com/MennoPlaceAlert which will be visible on multiple websites, including the Family and Friends website – MennoPlaceLife.com/Coronavirus

We are committed to telling you the location of COVID-19 if we have a positive case – building and unit.

Visiting:

• Now is the time to be careful – very careful. Do not tempt your loved one to get close to you in a visit, even on this beautiful Easter Weekend where you are used to having family gather together.

Dropping your groceries off:

• Beginning on Tuesday, April 14, all groceries dropped off at Reception or Kitchen.
• Menno Place will wipe down and deliver to your loved one.

Tuck Cart:

The priority for the tuck cart will be for the residents who do not have a registered visitor. Recreation staff are doing a one-on-one survey with residents to find out their need of the Grocery Tuck Cart. Orders for supplies are being made through our central purchasing. Billing is direct to the resident’s monthly billing statement (no money exchanged at purchase).

Menno TV:

We have a complete television channel! Wow! Three weeks ago this did not exist. This channel is streamed directly through Channel 10 (Apartments) and Channel 59 (Home/Hospital). It is a combination of live programming, including devotions each morning as well as exercises, bingo, riddles and fun! We are so proud of our amazing Recreation Team (Timea and Rebecca) and Chaplains (John, Ingrid and Ingrid) for creating the schedule and all of the programming!

Here is the TV Guide – Click Here – Devotions on Wednesday morning has been changed from 11:30 to 11:00am. We are also streaming multiple local church services now. Thank you to Central Heights, Emmanuel Mennonite, Bakerview and Clearbrook MB! What a blessing!

Mail:

• Mail is being delivered in a bag to our Apartments by Canada Post every Friday.
• We are sitting that mail in a secure office for 48 hours.
• We are delivering mail door-to-door.
• Grocery and mail delivery will happen between 1:30-3:30pm each day in every apartment building.

Active Screening:

We are asking the 5 Active Screening for COVID-19 questions every day to every person who lives in the apartments. We have organized someone to go along with the dietary team and ask these questions at every lunch service. Residents who live in Terrace East will be screened twice a day (minimum) at meal service. Those who receive support through Fraser Health are also asked these five questions before their personal care giver will enter their suite.

1. Do you have a fever?
2. Do you have a new or worsening cough?
3. Do you have a new or worsening sore throat?
4. Do you have a new or worsening sneezing?
5. Do you have a new or worsening shortness of breath?

If there is a “yes”, the primary contact for that individual will be notified.

Our staff are actively screened 2x per day – at the beginning and the end of their shift.

This is the poster that is on each apartment suite door.

Masks:

• We are asking that you wear a mask and provide a mask to your loved one when you come to provide key services.
• We have asked the community for mask donations so that we can supply masks to residents.
• Staff are wearing PPE (personal protective equipment) at all times.
• PPE at this time (no COVID-19 outbreak) is goggles and

Focus of Support:

We have over 170 Registered Visitors (click here to register)

Our focus of support at this time is for the 51 seniors who do not have a Registered Visitor to support them. They will receive masks first and will have the tuck cart as a priority. Our goal is to register a visitor for each of our residents. Life Enrichment Coordinators, Nik Van Egdom and Garry Janzen are working on this by phoning each of the primary contacts to encourage registration. Rebecca and Timea (Recreation) are doing a survey with the residents asking them if they need support. They are focusing on this group of 51 to see if we can find a way to support them.

Zoom Calls:

These are going to be available first to Home, Hospital and Terrace East where there is a No Visitor policy and the residents are less able to use the phone to connect. We may be able to roll this out in the apartments if we have the staff to do so.

 

 

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. 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.