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The Visitation Policy is designed to promote residents, visitors, and employees’ safety and compliance with applicable laws and regulations. The community does not restrict visitation. As per Florida Statute 408.823, the Administrator is responsible for ensuring that staff adhere to the policies and procedures.
- Visitors are not required to submit proof of any vaccination or immunization.
- Consensual physical contact is allowed between a resident and a visitor.
As per Florida Statute 408.823, the Administrator is responsible for ensuring that staff adhere to the policies and procedures.
General Guidelines
- If the individual is a first-time visitor, offer them the Infection Control Training and Education.
- Screening Process/personal protective equipment, and infection control protocols.
- Ensure hand sanitizer is available for staff, visitors, and residents throughout the community.
- Screening is no longer required for entrance to the community.
- Face mask use for residents and visitors is optional, regardless of vaccination or immunization status, unless the resident or visitor is ill or symptomatic.
- If the individual’s loved one is in Isolation, they are required to wear a N-95 mask, gown, and face shield. An N95 mask may be offered upon request.
- Provide the individual with any personal protective equipment (PPE) needed prior to permitting entry.
- If their loved one is in quarantine, the individual is required to wear a N-95 mask.
- If they do not have one, provide them with one prior to permitting entry
- Hand hygiene should be performed by the residents and the visitors before and after contact.
- Visits for residents who share a room should ideally not be conducted in the residents’ room. If in-room visitation must occur (e.g., the resident is unable to leave the room), an unvaccinated roommate should not be present during the visit. If neither resident is able to leave the room, communities should attempt to enable in-room visitation while maintaining recommended infection prevention and control.
- Residents can visit with any person of his or her choice, at any time between the hours of 9:00 a.m. and 9:00 p.m. at a minimum.
- There is no limit on the number of visitors allowed per visit.
- The Administrator is responsible for ensuring that staff adhere to the policies and procedures of the visitation policy.
- Visitors are not required to submit proof of any vaccination or immunization.
- Consensual physical contact between a resident and the visitor is allowed.
Essential Caregivers
A resident or their party responsible may designate anyone they choose as an Essential Caregiver. There are no limits on the number of identified Essential Caregivers per resident.
Special Circumstances
In the event a State Agency might require restrictions, the Essential Caregiver will be allowed in all the following circumstances, unless the resident objects:
- End-of-life situations
- A resident who was living with family before moving into the community is struggling with the change in environment and lack of in-person family support.
- The resident is making one or more major medical decisions.
- A resident is experiencing emotional distress.
- A resident is grieving the loss of a friend or family member who recently died.
- A resident needs queueing or encouragement to eat or drink which was previously provided by a family member or caregiver.
- A resident, client, or patient who used to talk and interact with others is seldom speaking. During these times, visits must be conducted in the resident’s room.
For more information about visiting Florida communities generally, please visit ahca.myflorida.com/visitation/. If you believe that you or your loved one's rights are being violated, please contact AHCA by calling the toll-free Complaint & Information Call Center at 1 (888) 419-3456, or by completing an online complaint form at: https://ahca.myflorida.com/.
Community Access Procedure
- Upon arrival check in at the front desk.
- Sign in and out on the Visitor Log.
- Visitors will be instructed and given the Visitation/Infection control guidelines.
Visitor Education
Standard Precautions
- Every visit shall require the visitor to sign in and out in the visitor log
- Regular hand washing will be adhered to before, during and after the visit
Standard Precautions eliminates the need to routinely place residents in private rooms for infection control purposes.
Handwashing for Visitors
- Hand-washing facilities will always be available for use by visitors.
- Alcohol-based gels will be available to all visitors.
- Hand washing and cleansing with an alcohol-based sanitizer are acceptable methods for hand hygiene.
- Hand washing with soap and warm water should be performed to remove dirt, blood, and body fluids.
- Visitors will clean their hands before and after visit, and as needed during the visit.
Proper Hand-washing Technique:
- Remove all jewelry, including rings.
- Run the faucet so that the water is lukewarm and wet the hands.
- Use a small amount of liquid soap to cover the hands and wrists.
- Soap the forearms, if necessary, to cleanse beyond the area of contamination.
- Use friction. Rub one hand upon the other, and interlace the fingers of both hands, using a back-and- forth motion for at least 20 seconds.
- Rinse your hands and wrists under running water. Always hold the hands so that they are lower than the elbows to allow water to flow from the fingertips.
- Dry your hands with a clean paper towel.
- Use a paper towel to turn off the water faucet.
Visitors will be required to practice hand hygiene before, during, and after visits.
All visitors shall be required to support Universal Source Control.
Source control refers to use of well-fitting cloth masks, face masks, or respirators to cover a person’s mouth and nose to prevent spread of respiratory secretions when they are breathing, talking, sneezing, or coughing. In addition to supplying source control, these devices also offer varying levels of protection for the wearer against exposure to infectious droplets and particles produced by infected people. Ensuring a proper fit is important to optimize both the source control and protection offered. Because of the potential for asymptomatic and pre-symptomatic transmission, source control measures are recommended for everyone in a healthcare community, visitors should wear their own well-fitting form of source control upon arrival to and throughout their stay in the community. If they do not bring their own, they should be offered an option that is equivalent to what is recommended for people in the community.
In the event of a viral outbreak the visitor will be subject to the appropriate PPE as required to mitigate and prevent spread of the virus. Community staff will instruct on the proper PPE for the individual situation.
When visiting a resident that is quarantined due to an active contagion period the visitor will be required to wear full PPE. Community staff will instruct on proper donning and doffing of the PPE.
The PPE recommended when caring for a resident with suspected or confirmed Infection includes the following:
Respirator
Put on an N95 respirator (or equivalent or higher-level respirator) before entry into the resident room or care area, if not already wearing one as part of extended use strategies to optimize PPE supply. Other respirators include other disposable filtering face piece respirators, powered air purifying respirators (PAPRs), or elastomeric respirators.
N95 respirators or respirators that offer a higher level of protection should be used when performing or present for an aerosol generating procedure. See appendix for respirator definition.
Disposable respirators should be removed and discarded after exiting the resident’s room or care area and closing the door unless implementing extended use or reuse. Perform hand hygiene after removing the respirator or face mask.
If reusable respirators (e.g., powered air-purifying respirators [PAPRs] or elastomeric respirators) are used, they should also be removed after exiting the resident’s room or care area. They must be cleaned and disinfected according to manufacturer’s reprocessing instructions prior to re-use.
Eye Protection
Put on eye protection (i.e., goggles or a face shield that covers the front and sides of the face) upon entry to the resident room or care area.
Protective eyewear (e.g., safety glasses, trauma glasses) with gaps between glasses and the face do not protect eyes from all splashes and sprays.
Ensure that eye protection is compatible with the respirator so there is no interference with proper positioning of the eye protection or with the fit or seal of the respirator.
Remove eye protection after leaving the resident room or care area, unless implemented extended use.
Reusable eye protection (e.g., goggles) must be cleaned and disinfected according to manufacturer’s reprocessing instructions prior to re-use. Disposable eye protection should be discarded after use unless following protocols for extended use or reuse.
Gloves
Put on clean, non-sterile gloves upon entry into the resident room or care area.
Change gloves if they become torn or heavily contaminated.
Remove and discard gloves before leaving the resident room or care area and immediately perform hand hygiene.
Gowns
Put on a clean isolation gown upon entry into the resident room or area. Change the gown if it becomes soiled. Remove and discard the gown in a dedicated container for waste or linen before leaving the resident room or care area. Disposable gowns should be discarded after use. Reusable (i.e., washable or cloth) gowns should be laundered after each use.
Donning
Perform hand hygiene.
Put on gown.
Fully cover your torso from your neck to knees and your arms to the end of your wrists, then tie at the back.
The gown should be large enough to allow unrestricted movement without gaping.
Fasten at the back of the neck and waist.
Put on surgical mask or P2/N5 respirator.
Secure the ties or elastic bands at the middle of the head and neck.
Fit flexible band to the nose bridge.
Fit mask snug to face and below the chin.
Fit-check respirator according to manufacturer instructions.
Put on protective eyewear or face shield.
Place over eyes/face and adjust to fit.
Put on gloves,
Extend the gloves to cover the wrist of the gown.
(Adapted from diagrams by Queensland DoH 2020;CDC 2014)
If at any point your gloves become contaminated, you must dispose of them, perform hand hygiene and then replace them with new gloves (CEC 2020).
Remember to always refer to WHO'S '5 Moments for Hand Hygiene'.
Donning must be performed in the correct order to prevent infection transmission.
Doffing
Following a correct doffing procedure is especially crucial in the control and prevention of infection. It is the most important step of preventing infection transmission (CEC 2020).
The doffing of PPE should protect your clothing, skin and mucous membranes from contamination (CDC 2014).
Remember that all PPE is contaminated after use. Perform hand hygiene immediately after each step of doffing.
Your gloves and gown should be removed before exiting the patient's room (CDC 2014).
- Remove gloves.
- Using one hand, grasp the palm of the other hand and peel off the first glove.
- Hold the removed glove in the gloved hand.
- Slide fingers of the ungloved hand under the remaining glove at the wrist and peel it off over the first glove.
- Discard gloves in a waste container.
- Perform hand hygiene.
- Remove gown.
- Unfasten the ties, ensuring the sleeves don't make contact with your body.
- Pull the gown away from the neck and shoulders, touching the inside only. Tum the gown inside out.
- Fold or roll the gown into a bundle and discard in the waste container.
- Perform hand hygiene.
- Exit the patient's room and close the door.
- Remove goggles/face shield.
- Remove from the back of the head by lifting headband or earpieces.
- If reusable, place it in the designated reprocessing receptacle. If not, discard it in waste container.
- Perform hand hygiene.
- Remove mask/respirator.
- Grasp the bottom ties/elastics, then the top ones, and remove without touching the front of the mask.
- Discard in the waste container.
- Immediately perform hand hygiene.
(Queensland DoH 2020; CEC 2020)
Note: PPE must be disposed of after use unless it is marked as reusable. Reusable PPE must be reprocessed before being used again (DoH 2020).
Appropriate PPE for Exposure to COVID-19 Patients
Transmission-based precautions should be used when dealing with confirmed or suspected COVID-19 patients.
- Contact and droplet precautions should be used for routine care of COVID-19 patients.
- Contact, droplet and airborne precautions should be used for:
- Performing aerosol-generating procedures on COVID-19 patients; and
- Caring for critically ill COVID-19 patients in ICU.
