Golden Dawn Senior Citizen Home

COVID-19 STAFF UPDATES 

We are constantly receiving updated directives from the Ministry of Health & Long-Term Care. To help keep everyone safe, please stay informed. 

1. Prior to coming to work, check your phone (for any mass messages) and this page - save it as a bookmark on your device for quick & easy access. 

2. When you arrive at work, check the bulletin board, Point Click Care and with the charge nurse for the latest direction. 

COVID-19 Guidance for the Health Sector

COVID-19 Outbreak Guidance for Long-Term Care Homes

Monitor yourself for symptoms. 

If you develop symptoms: 1) Do not come to work and report to Barb/Jeri; 2) Go to an assessment centre for testing immediately; 3) Self-isolate.


IMPORTANT STAFF MEMOS & UPDATES 

May 16, 2020 - Outbreak declared over after two additional tests both returned negative. We continue to follow public health guidelines.  
May 15, 2020 - Today and everyday, we thank you, our staff, for your endless hard work and dedication in providing the best possible care for our residents! This past week, we showed our appreciation through pizza days, donuts and draws for small gifts, but of course, this will never be enough to express our appreciation for all that you do! We applaud and recognize each and every one of our staff for not letting the difficult circumstances of COVID-19 stand in the way of providing exceptional care. Thank you! 

May 10, 2020 - Please practice self-isolation at work and home if Barb has directed you to do so.  If you become symptomatic, please report to Barb/Jeri and go to an assessment centre for testing immediately. Do not come to work. If any residents become symptomatic, we will have them tested again and follow the usual procedure and put them on droplet and contact precautions. 


May 9, 2020 As a result of our universal swabbing this past Tuesday, we have had a positive result. This means we will be placed into COVID-19 outbreak and will follow all directives  and implement protocols as per Grey Bruce Health Unit and COVID-19 Outbreak Guidance for LTCH (see link at top of page). 

May 8, 2020 - Mother's Day update for families, volunteers and our Golden Dawn community
May 1, 2020 - As part of province-wide testing, Public Health will be swabbing all staff & residents next Tues. May 5, from 1 pm to 6 pm. 
April 30, 2020 - Updated COVID-19 Precautions & Communications 
April 29, 2020 - Complete 4 Moments of Hand Hygiene" and PPE training on SURGE by May 8 
April 29, 2020 - Q & As for Staff, Residents and Families from the Ontario Ministry of Long-Term Care
April 27, 2020 - Changes to GD Management Team
April 19, 2020 - 2nd Test Results Negative, Suspect Outbreak Over & Resume Earlier Screening & Prevention Measures
April 17, 2020 - 1st Test Results Negative, 2nd Suspect Case, Suspect Case Measures Still In Effect
April 13, 2020 - Suspect Case, Suspect Outbreak Measures in Effect 
April 10, 2020 - Staff Memo: Q & As 
April 2, 2020 - Uniforms, Cohorting & PPE

More than ever, it is important that all staff stay calm, informed and continue to support each other and residents. Please refrain from communicating information informally to other staff, family members or the public. We are following specific communication protocol in place to make sure these individuals receive the appropriate information at the right time. 


Protect Yourself & Others with Proper Hand Hygiene & PPE

4 Moments of Hand Hygiene 

How to Put On PPE     How to Remove PPE 

If working in an isolation room, wear a face shield or goggles, gloves and gown.

How to Clean Face Shields & Goggles 

  1. While wearing gloves, carefully wipe the inside, followed by the outside of the face shield or goggles using a clean cloth saturated with neutral detergent solution or cleaner wipe.
  2. Carefully wipe the outside of the face shield or goggles using a wipe or clean cloth saturated with EPA-registered hospital disinfectant solution.
  3. Wipe the outside of face shield or goggles with clean water or alcohol to remove residue.
  4. Fully dry (air dry or use clean absorbent towels).
  5. Remove gloves and perform hand hygiene.
Extended use of eye protection = wearing the same eye protection for repeated close contact encounters with several different patients, without removing between patient encounters, which can apply to disposable and reusable devices.

  • Remove and reprocess when eye protection becomes visibly soiled or difficult to see through.
    • If a disposable face shield is reprocessed, it should be dedicated to one HCP and reprocessed whenever it is visibly soiled or removed (e.g., when leaving the isolation area) prior to putting it back on. See protocol for removing and reprocessing eye protection below.
  • Discard if damaged (e.g., face shield can no longer fasten securely to the provider, if visibility is obscured and reprocessing does not restore visibility).
  • Do not to touch their eye protection. If you touch/adjust, perform hand hygiene.
  • If you need to remove eye protection, leave patient care area. 
For more information, refer to manufacturer's instructions or refer to CDC recommendations on eye protection

Wear a surgical mask at all times at work. 

Discard the surgical mask when it becomes visibly soiled, it makes contact with a resident/client, very moist, feels damp, or is hard to breathe through.

Additional surgical masks will be available from the charge nurse. 

Do not wear under your chin or hang from ear or head. 

If you touch your mask, wash/sanitize your hands (20 sec rub). 

Remove mask properly when you go on break or use the washroom. 

1. Remove gloves and wash hands. 

2. Remove the mask, touching only the elastic (not the inside) and place on a paper towel.

3. To put it on again, wash hands, and put it on.

4. Use wipe to clean surfaces you touch.

5. Discard your mask at the end of the shift in the garbage container by the front door when exiting the home. Sanitize your hands afterwards.

While on break, please maintain physical distance (2 m) from others. 

Handle your uniform with care & leave work shoes at work. 

1. Wear street clothes to work. 
2. Once at work, change into clean uniform and duty shoes. 
3. When shift is done, change back into street clothes,
4. Bag uniform & leave duty shoes at work. 
5. Wash your hands. 
6. Wash uniform and shower when you get home. 


IPAC Recommendations for PPE When Caring for Confirmed/Suspect Resident: 

  1. Point of Care Risk Assessment (PCRA) to assesses the task, the resident and environment, completed by the care worker before every resident interaction to determine risk of being exposed to an infection - the first step in routine practices, use with all residents, for all care and for all interactions to determine the correct PPE. 
  2. For every patient and/or patient environment encounter, apply the 4 Moments for Hand Hygiene
  IndividualActivity

   Type of PPE or Procedure 
Healthcare workerAerosol-generating medical procedures performed on suspect or confirmed COVID‑19 patients Airborne, Droplet and Contact Precautions, including:
 N95 respirator (fit-tested, sealchecked)
 Isolation gown
 Gloves
 Eye protection (goggles or face shield)
 Negative pressure room, if available   
Healthcare workerProviding direct care to suspect or confirmed COVID19 residents, including nasopharyngeal and oropharyngeal swab collectionDroplet and contact precautions, including:
  • Surgical/ procedure mask
  • Isolation gown
  • Gloves
  • Eye protection (goggles or face shield)
Healthcare workerProviding CPAP and/or open suctioning to suspect or confirmed COVID-19 resident.Droplet and Contact precautions using a N95 respirator when providing CPAP. Manage in single room with door closed. Keep the number of people in the room during the procedure to a minimum.   
Environmental service workers
When entering the room of a resident suspected or confirmed to have COVID-19Droplet and contact precautions, including:
  • Surgical/ procedure mask
  • Isolation gown
  • Gloves
  • Eye protection (goggles or face shield)
Admin areas
Administrative tasks that do not involve contact with resident suspected or confirmed to have COVID-19No PPE required.

N95 MASKS are to be worn for any Aerosol Generating Medical Procedures: Tracheal intubation, CPR, open airway suctioning, bronchoscopy, autopsy, sputum induction, non invasive positive pressure ventilation for acute respiratory failure (CPAP, BiPAP, high flow oxygen therapy). 

Collection of a a throat swab is not considered an aerosol generating medical procedure, so you can wear a surgical/procedure mask. 

(From Public Health Ontario,  "IPAC Recommendations for Use of Personal Protective Equipment for Care of Individuals with Suspect or Confirmed COVID-19" - April 6, 2020) 

THANK YOU FOR ALL YOU DO! 

Thank you to all the staff who were swabbed this week. I know this is not a pleasant experience, but the results will be important for us to know so we can keep everyone safe and healthy, and for public health to understand the level of risk and spread. 


Happy Mother’s Day to all our mothers and grandmothers on staff! And even if you aren’t a mother, we also celebrate you because you are doing the important work of supporting mothers & grandmothers - both fellow staff and our residents!


As always, if you have any questions, concerns, ideas or need some extra support, please reach out to your supervisor or Barb - we’re in this together!


A Letter to PSWs in Ontario - April 10, 2020



Learn more from these trusted sources: 

GBHU - COVID-19 Info for Health Care Providers

Ontario Government - COVID-19 

AdvantAge Ontario - COVID-19 Resources

CLRI Supports for LTC Team Members 

World Health Org COVID-19 Online Training

*NEW  TRAINING - Thoughtful Words for End of Life in LTC

FREE COVID-19 Training & Tools from AdvantAge Ontario (...including providing appropriate palliative care during COVID-19 on May 19, outbreak management on May 21, HR implications on May 26 and crisis communications on June 4)

Feeling overwhelmed? 

Options for professional, one-on-one support: 

  • To book a phone appointment with the Peninsula Family Health Team social worker, call the clinic at 519-793-3445 and ask for an appointment with Krystal.