Visitation Policy

VISITATION PROTOCOL & PROCEDURE FOR COMPLAINTS

The Policy and Procedure has been inclusive of the following requirements:

1. Revised Visitation Policy and Procedure inclusive of in-person visitation during a crisis/pandemic/any situation out of the norm needing the implementation of infection control/any established CDC Regulation and/or regulations to be established by such entity for prevention of emergency/crisis situation.

2. Forms/Documents that clearly establish a record of compliance such as Caregiver designation form, consents for compliance of physical contact, sign in and out sheet establishing record of visitation and Acceptance of Responsibility as an Essential Care Giver/Delegation of Responsibility Form.

3. Establishment of circumstance/reason why visitation must be allowed.

4. Manner in which compliance of such policy and procedure will be implemented.

5. For Health Care Administration with an Initial License Application, Renewal, Change of Ownership, or upon request from AHCA when needed.

6. The Publishing of such information via Website as of May 6’\ 2022 in the event any of the required facilities have such and posting the document in a visible area of the facility for compliance.

7. Policies and Procedures of the new requirement must specify hours of visitation, duration of visitation, infection control policy, education of visitors, designation of visitation area and education on prevention to visitors, staff and residents.

FILLING VISITATION RELATED COMPLAINTS

IN THE EVENT OUR FACILITY DOES NOT MEET CRJTERIA WITH THE COMPLIANCE OF COMPLAINTS CAN BE FILED AS FOLLOWS:

1. Online by visiting: https://apps.ahca.myflorida.com/hcfc

or

2. Via telephone by calling 1-888-775-6055 Monday to Friday from 8am to 5pm EST.

 

 

 

 

INFECTION CONTROL, HAND WASHING AND UNIVERSAL PRECAUTIONS POLICY AND PROCEDURE

 

POLICY:

Infection Control Procedures are established during visitation for the prevention, control, and investigation of communicable diseases within our facility. Our goal is to maintain visitation following the protocol while being preventive and educational regarding the situation at hand. All Protocols have been based for compliance with Rule 59A-36.007(10) the goal is for our facility to prevent the spread, and protect resident, staff, visitors from severe infections, hospitalization or death. We aim to continue a personal exchange between residents and their caregiver/responsible party implementing procedures that set protocols of compliance yet allowing a personal exchange in order to prevent any sense of abandonment, neglect, depression, distant feeling on behalf of the resident by allowing the caregiver/responsible party personal interaction with the resident. Any visitors must comply with the Procedures established in our policy therefore it shall be made clear that in order to enter the visitor must not propose danger to Residents or Staff and must be willing to comply with the specifications of the procedures established and detailed under the Procedure Section.

 

PROCEDURE:

Our facility will integrate the Standard Infection Control Policy with Special Precautions and Adjustments implemented during the pandemic outbreak along with Hand Hygiene in order to successfully achieve our goal of compliance while maintaining a healthy environment for Residents, Staff, and Visitors,

Our Facility will secure the following:

• Continue the Implementation of PPE Equipment when needed. The use will be determined possible exposure, signs and symptoms, or any other indication of exposure.

• Hollowing the Hand Washing techniques to maintain hand hygiene.

• Follow CDC cough etiquette and or any respiratory protocols for prevention.

• Following proper measures to disinfect, maintain facility and assistive devices clean.

• Secure with proper protocols that visitors understand and agree to visitation regulation.

• Designate areas for visitation, duration and amount of visitors per resident.

• Follow the traditional Infection Control, Special Precautions, and Hand Hygiene

specified bellow:

1. All employees that come in contact with blood, body fluids, and absorbent materials contaminated with blood or fluids or sharp (needles) must use appropriate barrier precautions to prevent skin and mucous membrane exposure when contact with the above listed materials of any clients is reasonably anticipated.

2. Gloves must be worn for:

·       Touching blood/body fluid.

·       Touching mucous membranes/non-intact skin.

·       Handing items or surfaces contaminated by blood/body substances.

·       Performing blood drawings. Gloves must be changed after contact with each resident.

·       Care should be taken not to contaminate the environment with soiled gloves.

3. Mask and protective eyewear or face shields must be worn for procedures that are

likely to generate splashes of blood/body fluids.

4. Gloves, aprons/gowns must be worn for procedures that are likely to generate splashes of blood/body fluids.

5. Hands and other skin surfaces must be washed immediately and thoroughly if

contaminated with blood/body fluids.

6. Hands must be washed immediately after gloves are removed.

7. Needles and other sharp objects:

·       Must not be manipulated by hand.

·       Needles must be recapped, broken or bent by hand.

·       Must be handled with extreme care during disposal.

·       Must be placed in a puncture-resistant container after use.

8. Soiled articles, linen, trash .must be securely contained to prevent leaks.

9. Spills of blood of other body fluids should be cleaned with soap and water or household detergent.

10. Individuals cleaning up such spills should wear disposable gloves.

11. A disinfectant solution or a solution of household bleach should be used to wipe the

area after cleaning.

12. All potentially infectious material shall be disposed according to ALF policy “Disposing of Bio-hazardous Waste”.

13. Precautions shall be implemented when dealing with open wounds, cuts, abrasions, hanging Nails, blood, bodily fluids, urine, feces, secretions of any kinds, also with anything that can be of risk or contamination indicator. Staff is encouraged to wear gloves when cleaning common areas, laundry, etc.

 

HAND WASHING

POLICY:

Hand washing 1s the single most important means of preventing the spread of

infections in the facility.

PROCEDURE:

A. Employee’s hands must be washed for at least 20 seconds using soap and water.

1. Before and after contact with the resident (mandatory).

2. After contact with blood, body fluids, or visibly contaminated surfaces.

3. After contact with objects and surfaces in the resident’s environment.

4. After removing Personal Protective Equipment (gloves, gown, facemask, eye

protection).

5. After using the restroom.

6. After blowing one’s nose, sneezing or coughing.

7. Before eating or preparing food.

8. When their hands are visible soiled.

9. At the beginning and the end of each shift.

10. After contact with animals or pets.

B. Residents should always wash their hands at least 20 seconds using soap and water.

1. Before meals.

2. After toileting.

C. The combination of soap and water, friction and time is essential to any good hand

washing procedure.

D. Hand washing procedure:

1. Standing a comfortable distance from the sink, turn the water on and adjust to the

proper temperature. Cool or lukewarm water tends to remove less oil from the skin,

therefore, is less drying.

2. Wet hands and wrists thoroughly, holding them downward over the sink to enable the

water to run toward the fingertips.

3. Apply large lather of soap. Cover well beyond area of contamination, at least one inch.

Portion is determined by the instructions on the dispenser.

4. Wash well under running water for at least 20 seconds using a rotary motion and

friction, by interlacing fingers and moving the hands back and forth.

5. Nails should be short. Pay particular attention to areas between fingers, around nail

beds and under fingernails. Nails are cleaned best by working them against the palms

of the hands, or by using an orange stick, if necessary. (Use brush is not advised

because ii may irritate the skin when hands are washed as often as they should be in a

resident care).

6. Rinse hands thoroughly by holding them under running water with elbows higher than

the hands so that the water flows downward to the fingertips. All soaps should be

carefully removed to avoid roughened skin.

7. After final rinse and during drying, hold hands so direction of water flow is from

fingertips to wrist.

8. Dry wrists and hands with a paper towel from the area of the wrists to the fingertips.

Discard each towel after one motion from the wrists to fingertips.

9. Since the faucet handle is considered contaminated, turn the water off by using the

paper towel to cover the handles.

10. Assure the effective hand washing by:

a. Keep fingernails short.

b. Remove rings and other jewelry as they shelter large numbers or organisms.

c. When turning the faucets and when handling the lids of garbage cans, use paper

towels to keep from infecting your hands.

d. Do not use a communal bar of soap. This may spread infection.

 

 

UNIVERSAL, PRECAUTIONS (BLOOD HOllNll PATHOGENS/OSHA)

POLICY:

All employees having direct contact with residents and or material that can directly affect the

life of the resident will observe universal precautions. This practice is to minimize or prevent

exposures of health care workers to blood borne pathogens.

PllOCllDIJllllS:

1. Universal precautions, disposable gloves will be worn when handling blood, mucous

membranes or on intact skin (skin with a breakdown).

2. Disposable gloves will be used when cleaning surfaces or articles ( ex: clothing)

contaminated with blood or bodily fluids.

3. Disposable gloves may be worn any time hands are likely to be contaminated by urine,

feces, or other bodily fluids.

4. Hands are to be washed after removal of gloves.

5. Staff with open wounds, cuts, abrasions and hanging nails is to wear gloves when

providing care to the residents.

6. If linen is wet, moist from bodily fluids then staff is to wear gloves.

7. Staff is encouraged to wear disposable gloves when cleaning common areas, laundry, etc.

8. All sharp needles, syringes are immediately disposed of in sharps containers. The sharps

containers are sealed when full and treated as a BIOHAZARDOUS WASTE.

INl1 1lt:’l’ION CON’l’ltOI, Pllll\’EN’l’ION HllASUIUlS:

Residents, Staff, Visitors and any other individual having direct contact with residents and

entering our Facility shall adhere to all of the Infection Control Measures established for the

prevention, or containment of any situation that may pose a life threating risk.

We will base ourselves on the CDC guidelines and the Regulatory Protocol from the Agency

for Health Care Administration and adhering to:

1. Infection Control

2. Universal Precautions

3. Hand Hygiene

4. Use of PPE Equipment

5. Admission Criteria

6. Education of Residents, Staff, and Visitors

7. Documentation compliance

8. Encouragement of keeping vaccines up to date

9. Keeping a Clean Environment

10. Preventing Gatherings in Large Scale

11. Maintain a close relationship with Health Department, CDC, and Agency for Health

Administration in the event an outbreak occurs.

12. Maintaining Hand Sanitizer or any alcohol based substance that has approved use as an anti-bacterial.

PROCEDURE:

The facility will provide tile following Personal Protective Equipment (PPE) and will

purchase additional when needed:

• Gloves

• Facemasks (Surgical mask, N95 mask)

• Gowns

• Eye Protection (goggles, face shield)

Employees who are expected to use PPE will receive training on selection and use of PPE, including demonstrating competency with putting on and removing PPE in a manner to prevent self-contamination. The facility will provide information about communicable disease to educate residents, family members, and employees.

 

GllNllllAJ, S’l’ANDAIU) PRECAUTIONS

Keeping communicable disease out of the facility:

♦ Use of PPE by ALF personnel, Resident and Visitors if needed to maintain the flow

of physical contact.

♦ Keeping hands clean, hand hygiene. Provide access to alcohol-based hand sanitizer

with 60-95% alcohol throughout the facility iu every resident room and common areas. If there are shortages of alcohol-based hand sanitizer, hand hygiene using soap and water is still expected. Keep sinks stocked with liquid soap and paper towels.

♦ Respiratory hygiene/cough etiq uette: Make tissues and trash cans available in

common areas and resident rooms for respiratory hygiene and cough etiquette and

source control.

• Residents, Staff, and Visitors should wear a cloth face covering or facemask (if

tolerated) in the event of detection of risk.

♦ Advise residents, staff and visitors entering the facility, regardless of symptoms, to

put on a cloth face covering or facemask before entering the building in the event of

risk. If a visitor or resident or staff arrives to the facility without a cloth face covering and a risk is suspected facility will provide the PPE.

♦ Actively screening all resident, and visitors by completing the sign in log and

asking the pertinent questions prior to entering the facility after an exit.

Staff will be required to require to answer questions about signs and symptoms

upon entering the facility before each shift or after return to work when having days

off.

♦ Actively request any (Health Care Personnel) entering the facility also sign in and

answer the required prevention questions.

♦ Facility keeps record of any contact with MD or medical staff in the event any signs

and symptoms are detected in residents, staff, or visitors.

♦ Performing infectious disease testing for all employees (i.e. clinical, housekeeping,

nutrition, maintenance, administration, and contract).

♦ For ALFs with a suspected or confirmed infectious disease case, contract HCP

(Health Care Personnel) should be notified by ALF owner or designate employee

and told to self-m onitor for fever or respiratory symptoms daily, and inform both

the ALF staff and their employing agency if they have symptoms. They should also

not report to work if they develop symptoms.

♦ ALF staff should identify and maintain a list of the names, contact information, and

services provided for all contract staff/HCP, in case they need to be alerted about

suspected or confirmed infectious diseases cases in the facility.

♦ Cancel all field trips outside of the facility in the event of positive.

♦ Implementation of social distancing among residents. Social distancing means

people remain at least 6 feet apart to limit potential for transmission. Work to

implement social distancing among resident if risk is detected.

♦ Cancel all group activities if social distancing cannot be kept in the event of risk.

♦ Cancel or restrict communal dining, consider delivering meals to rooms or staggering meal times to accommodate social distancing while dining in the event of risk.

♦ Implement universal facemask use by all (source control) when they enter the

facility; if facemasks are in short supply, they should be prioritized for direct care

personnel.

• All ALF staff and HCP should be reminded to practice social distancing when in

break rooms or common areas in the event of risk.

• Environmental cleaning and disinfection, and reprocessing of reusable or share.

resident medical equipment (glucometers, nebulizers, thermometers, blood pressure

cuffs/machines, etc.).

♦ Ensure adequate cleaning and disinfection supplies are available.

• Provide EPA-registered disinfectant so that commonly used surfaces can be wiped

down. Routinely (at least once per shift) clean and disinfect surfaces and objects

that are frequently touched in common areas ( door handles, faucets, toilet handles,

light switches, handrails, countertops, chairs, tables, remote controls, shared

electronic equipment)

♦ Any individuals that is permitted to enter will .be instructed to perform hand

washing or sanitizing; should maintain social distancing, limit their interactions

with others in the facility and surfaces touched; restrict their visit to the resident’s

room or other location designated by the facility; and wear a cloth face covering or

facemask as supply allows. Also they will be advised to monitor for signs and

symptoms of communicable dise_ase and appropriate actions to take if signs and/or

symptoms occur.

♦ Strengthen hand hygiene adherence. Provide access to alcohol-based hand sanitizer

with 60-95% alcohol throughout the facility to facilitate hand hygiene by staff.

Keep sinks stocked. with liquid soap and paper towels.

• Evaluation of housekeeping or cleaning services provided in the ALF should

include the use of appropriate protection for persons providing these services in

A LFs and follQw CDC cleaning and disinfecting guidance.

 

O’l’llmt AC’l’ION ‘l’O ‘l’Alrn DIJIUNG l’UE\’ENTION:

Version 3.3

l. Immediately isolate anyone who is symptomatic

2. Wear all recommended PPE.

3. Move the resident to an isolated room and closing the door.

4. Monitor ill resident at least 3 times daily including evaluating symptoms,

vital signs, and oxygen saturation via pulse oximetry to identify and quickly

manage clinical deterioration.

5, Notify the Health Department if one resident or employee develops

symptoms, or individuals with known or suspected of an infectious disease

are identified.

6. Transfer to Hospital if showing symptoms from any communicable disease

and MD provides instruction.

7. Call 911 for any resident in acute distress.

8. Monitor Staff for signs and symptoms in the event of having positive

findings replace staff immediately and request they take time-off until the

risk is over.

9. Advise unexposed Residents, Visitors, and Staff of any Risk.

10. Advise Visitors of risk when entering the facility.

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ALF Salmos23 LLC

PllllSON1U, l’ltO’l’llC’l’l\’ll ll(UJIPHllN’I’ (PPll)

Staff appropriately use PPE including, but not limited to, the following:

• Gloves are worn if potential contact with blood or body fluid, mucous membranes, or

non-intact skin;

• Gloves are removed after contact with blood or body fluids, mucous membranes, or

non-intact skin;

• Gloves are changed and hand hygiene is performed before moving from a

contaminated body site to a clean body site during resident care; and an isolation gown

is worn for direct resident contact if the resident has uncontainecl secretions or

excretions.

• PPE appropriately removed and discarded after resident care, prior to leaving room

( except in the case of extended use

followed by hand hygiene.

of PPE per national/local recommendations),

• If PPE use is extended/reused will be clone according to national and/or local

guidelines. If it is reused, is it cleaned/decontaminated/maintained after and/or

between uses.

• PPE is available, accessible and used by staff.

• The Administrator or ALF Owner will keep track of the PPE and reordering of

replacement supplies as needed.

IN THIES OI’ l’l’E SIIOU’l’AGES:

o Gowns only used during aerosol-generating procedures such as

nebulization; care activities where splashes and sprays are anticipated;

during high-contact resident care activities. The same gown and gloves

may NOT be used for more than one resident.

o The same facemask and eye protection may be used during the care of

more than one resident. The mask must be discarded when:

• Damp, damaged or hard to breathe through

• If used during aerosol generating procedures such as nebulization

• If contaminated with blood or other body fluid

o Eye protection must be replaced (can be reused after cleaning and

disinfection) when:

• Damaged or hard to see through

• If used during aerosol generating procedures such as nebulization

• If contaminated with blood or other body fluid.

♦ Assess supply of Personal Protective Equipment (PPE) and initiate measures to

optimize current supply:

Version 3.3

o Maintain inventory and strict access controls on your PPE clue to the

risk of inappropriate use or theft.

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SALMOS 23 NO. <ii, IL.L.C

o Optimize PPE supplies, monitor daily use and identify when supplies

will rnn low and re-order as needed.

NEW AllHISSIONS Oil llEAIHIISSIONS ‘l’O ‘I’llll 11J\C11,l’I’\’

o Newly admitted and readmitted resident’s needs to be monitored for any signs and

symptoms indicating risk.

o For those whose infectious disease status is unknown they must be observed for

evidence of infectious disease after admission and cared for using all recommended

infectious disease PPE.

o A newly admitted Resident will be requested to provide a copy of the vaccil\ations in

the event it has been received. If not vaccinated, the facility will encourage the

completion of the implementation of any other vaccines pending. No resident will be

forced to receive a vaccine against their will or decision of any responsible pai1y if not

self.

o All recommended infectious disease PPE should be worn during care of residents

under observation, which includes use of an N95 or higher-level respirator (or

facemask if a respirator is not available), eye protection (i.e., goggles or a disposable

face shield that covers the front and sides of the faee), gloves, and gown.

VISl’l’A’l’ION INDOOll Oil OU’l’UOOll

l’Ol,ICY:

Our Facility allow the visitation Indoor and Outdoor yet encourage the Outdoor common area

as the preferred visitation area. Open air spaces are safer when being preventive. As a facility

we will consider changes or intolerable weather, temperature changes and also any special

needs or health conditions of our Residents. We as a Facility are committed to creating a

comfortable and accessible outdoor space for visitation. We will also consider that any

common areas indoors can be used for visitations.

Our facility will not prevent indoor visitations regardless of the vaccination status. We will

only reduce or limit the visitation to the facility in the event of Risk to the residents, staff or

visitors. At such time our facility will calculate the available space and inform the pertinent

individuals of the restriction which shall be specific to amount visitors, length of time,

f requency of visitation.

In-room visitations will also be allowed yet our facility will enforce the social distancing and

the communicable disease infection prevention. If a when the facility is at risk we will also

calculate the outdoor space in order to implement the nee_ded limitation.

PROCEDURE:

1. Visitors will be asked to avoid visitation if ill with any communicable disease.

2. Visitors will be asked to consider not entering if positive to any signs a symptoms.

3, Resident must sign a written authorization to receive consensual physical contact.

4. Visitors, Staff, or Residents exiting the facility must sign in and out and answer the

questions on the sign in log.

5. Resident must Sign a Car􀈮giver Designation Form.

6, If Resident cannot sign the Caregiver Designation Form such must be signed by the

Responsible Party.

7. Visitor, Resident and Staff must understand that education of prevention will be

provided.

8. Resident, Staff and Visitors must understand that at any time the facility can

implement the use of PPE Equipment.

9. Resident, Staff and Visitor must understand that at any time the facility may request

social distancing.

10. Resident Needs will be respected and taken into account for the visitations.

11. The facility will receive visitors from 9am to 9 pm.

12. ln the event of crisis the hours of visitation will be reduced from 9am to 9 pm. Only 2

visitors per residents will be allowed and a max of 4 visitors at a time. The visits may

have a duration of2 hours a( a time, unless otherwise requested prior to the visit.

13. Facility will be open to special request for visitation for individuals that cannot meet

the facility schedule with a prior 24 hour request via email, phone, or mail.

14. Visitors and Resident understand that staff will conduct rounds during visit.

15. In the event any visitor poses a risk to the Resident or to the Staff the Facility holds the

right to request such visitor to exit the facility immediately.

16. Visitors can not be compelled to provide proof of vaccination or immunization status.

17. Administrator will be responsible for adherence to the visitation policy and

18. The facility will allow In-Person visitation in all of the following situation unless the

Residents refuses:

A. Eminent death or life ending scenarios.

B. Adaptation period of new admission to the facility.

C. Medical Decision making processes.

D. Any emotional crisis being experienced by the Resident to include but not

limited to anxiety, depression, helplessness, grief, loss of appetite, or medical

condition that requires the support of a caregiver.

Residents have the option to assign/designate a visitor that can be a family member, friend,

guardian, community support, or any other person they see fit as the Essential Caregiver. This

person must be allowed to conduct in-person visitations for a period of minimum two hours

daily this does not include any other visitation allowed by the facility. The Resident

understand assign the Essential Caregiver the correct form must be completed. In the even the

resident is not fit to make decisions and a POA is appointing the Ess􀅆ntial Caregiver the POA

may assign another person to conduct such visitation yet the person being assigned must sign

the acceptance of responsibility.

llDU(;A’l’ION:

Our facility will maintain on-site literature provided by the CDC in order to facilitate educate

visitors on hand washing, proper sneezing/coughing technique. We will educate staff, resident

and visitors on hand washing techniques. Our facility will post the policies and procedures

making it accessible for anyone that is interested in learning the protocols and compliance.

We will educate Residents, Staff and Visitors as to the proper use of PPE equipment, why it

should be implemented and how to properly use.

Visitors will be educated on compliance upon the implementation of this Policy. Residents,

Staff and Visitors will be provided an overview of the policy and indicated which are the

areas preferred for the visitation,

All forms that will be implemented for compliance will be explained to Resident, Visitors,

Essential Caregivers, POA and Staff.

In the event there are any questions regarding compliance of the policy our facility

administrator will set an appointment with the visitor, resident, and/or staff and will sit one on

one to explain what is expected, how it will be implemented and any other questions that may

nse.

EDUCATION SHALL BE PROVIDED VIA LITERATURE, VERBAL INSTRUCTION

OF PROTOCOL, DEMONSTRATION, QUESTION AND ANSWER.

SCUllllNING PllOCESS/DDIUNIZA’l’ION S’l’A’l’US

It is the understanding of any individual in any capacity who visits the Assisted Living

Facility that a screening can be implemented at any time in order to secure the well-being of

the Residents and/or Staff. Visitors can be subject to the questions formulated on the Visitor

Departure and Return Log which directly target identification of any symptoms/signs of

illness. In the event any of the questions on the questionnaire are answered as a ‘:Yes,” the

facility reserves the right to non-entry.

In the event any visitor has any of the following symptoms the assisted living will kindly

request they return when symptoms are no longer persisting:

I. Cough

2. Sore Throat

3. Chills

4. Tremors

5. Headache

6. Muscle Aches

7. Fever

8. Diarrhea

9. Lack of Smell

I 0. Lack of Taste

11. Shortness of Breath

12. Difficulty Breathing

13. Any visible sign of infection, severe rash or open wound

Although, visitors may not be allowed entry upon any signs and symptoms that may provide a

risk to the health of Resident and/or Staff at NO time will visitors be compelled to provide

proof of vaccination or immunization Status. It shall be deemed a private the immunization

choice of any visitor to the facility. In any event such topic shall not be discussed or serve as

an evaluation tool for entry.

PHYSICAi, CON’l’A«;’l’f\’ISl’I’ SPIWll1JCA’l’IONS

It is the right of the Resident to decide if they consent to physical contact during a visitation.

In the event the Resident has a legal guardian and or a Power of Attorney and/or any legal

representative such has the right to elect if the Resident may receive physical contact .visits.

The facility shall have the Resident Acknowledgement of Consensual Physical Contact Form

in order for the Resident and/or any legal representative choose what .type of visitations the

Resident will have.

In the event the Resident and/or any legal representative elects not to have physical contact

the facility will have available contact via phone, zoom, or video call. The facility will assist

in the coordination of any contact that may be out of the scope of the defined Physical

Contact.

In the event the Resident decides to agree to physical contact the following shall apply:

I. Residents may have 2 Visitors at a time.

2. Maximum amount of time for each visit is 2hrs.

3. Residents may request the administration to allow on specific occasions and or with

prior notice more than 2 v,isitors at a time. Administration will coordinate visits in

order to secure there is not an excess of visitors at any given time.

IHPUl􀀠lllN’l’A’l’ION llllSPONSIHll,l’l’Y

The implementation of the visitation policy shall be the responsibility of the

Administration. Facility administrator shall discuss the compliance with day/night

Staff in order to secure understanding of such and compliance. Administration shall

conduct weekly supervision of the Staff at hand to secure that the visitation Policy is

being implemented by:

I. Reminding Staff that there educational material is available.

2. Reminding Staff that before any visitor enters the facility we should fill the

appropriate form in order to secure there are no signs illne,ss/disease.

3. Conduct trainings for Staff regarding Visitation Policy.

4. Secure any documentation needed is being fulfilled to substantiate the

implementation of the Visitation Policy.

5. Conducting Infection Control Trainings and Implementation reminders.

In the event the Administrator is not available the delegation of authority shall handle

the responsibility of the Visitation Policy Implementation.