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.

Essential Deliveries only to Menno Home, Menno Hospital and Terrace East

Delivereis must be essential for the resident’s survival. There will be few items that fit this category as we supply most of their needs, particularly in Home and Hospital. The list will be a bit different for Assisted Living, Terrace East. Essential items may be hearing aids, medical supplies, dentures, incontinence products.

We are NOT accepting (and this is really hard to do) flowers, personal packages, coffees, special gifts, cards, etc.

Thankyou for your understanding. We are working as hard as we can to limit the risk of exposure to COVID-19.

 

For those in Independent Living (Pavilion, Terrace West, Primrose Gardens) – the Registered Visitor / Family member may bring groceries, laundry, medicine.

TERRACE EAST – ASSISTED LIVING BUILDING

In order to follow the Assisted Living Registrar’s directives and the Public Health Officer’s Order to practice social distancing (6 ft away from each other), Menno Apartments is putting into place:

1. Terrace East will accept Essential Visitors ONLY. This is ONLY for palliative residents and one at a time per day. One visit per day. Residents must be assessed as palliative by their doctor. These are ORDERS from the Assisted Living Registrar. Menno Place must comply.
2. Groceries (essential ONLY) can be dropped off at TE Main Entrance during Reception hours ONLY. Monday – Friday: 8:30am – 4pm.
3. Independent Living residents in TE (no care plan) will be under the same restrictions as the other residents in order to minimize risk of COVID-19 entering the building.
4. Personal laundry and housekeeping will be done in-house by Menno Place staff. Details to be worked out shortly. Please notify Reception if you have a personal housekeeper or have someone who provides personal laundry services for you.
5. Lunch meal will be served at your Apartment suite door beginning Thursday, March 26^th. Dining room will be closed to all. This is in place until further notice.
6. Only one door will be open for you to use to enter and exit the building – the front door. This is so that we can monitor who is coming and going through our building.
7. Practice Social Distancing. It will help you to figure this out if you imagine yourself already being infected. You don’t want to infect others, so you stay 6 feet away from them.
8. Lounges, bistro and wellness areas are closed until further notice.
9. Recreation and Chaplains are going to do a survey to see what you need and what you’d like to keep you going through this strange time when you are asked to stay in your apartment suite most of the time.
10. Recreation will be providing fun stuff to do in your Apartment suite. Tune in on channel 10 next week. We are creating programs for you to enjoy.
11. Recreation will be bringing a library and puzzle cart around for you to get new books and puzzles each week.
12. The chaplains will be providing spiritual care on channel 10 and you can also ask them to come to your apartment door to connect with you.
13. You can go for walks. Stay 6 feet away from anyone, including your friend who is walking with you. You can take your scooter out and drive around. When you go out, don’t touch anything.
14. DO NOT go to Abbotsford Regional Hospital unless you have an appointment there.
15. We encourage you to get your medication delivered from a pharmacy. Rexall in Pavilion is closed. Please arrange medication delivery by pharmacy to your suite.
16. One person in the elevator at a time.
17. The best thing you can do for your own safety and the safety of everyone else in this building is to stay in your own apartment suite. If you are driving, it’s time to stop going out.
18. How do you get groceries and supplies? Recreation will bring a tuck cart to each floor every week with basic groceries such as milk, eggs, toilet paper, bread. If you need other groceries your family or friend can bring those to Reception. Billing for tuck cart will be direct to your monthly billing statement. No cash or credit. You can ask a friend or family member to deliver groceries to Reception.
19. Soap kills this COVID-19 virus. Wash your hands OFTEN – before and after using the bathroom, eating, going out of your apartment for an appointment and when you get into your Apartment building – before you go to your own suite and AGAIN when you enter your suite.
20. Recreation is starting a Buddy Phone System where you can pair up with somebody else in your apartment building to chat every once in a while.