Menno Place Memo

To: All Residents, Staff & Families of Menno Place
Re: Primrose Gardens, Terrace West & Terrace East Self-Isolation Period Lifted Sunday, August 30th, 2020
Date: Saturday, August 29, 2020

As of Saturday, August 29th, NO residents of Primrose Gardens and Terrace West Independent Living Apartments and Terrace East Assisted Living Apartments have tested positive or are exhibiting COVID-19 symptoms. 

The self isolation period for these residents will be lifted on Sunday, August 30th, 2020 at 9:00am. 

• Residents are permitted to leave their suites and go outdoors if they are feeling well.
• Masks must be worn in indoor public spaces, and outdoors if a physical distance of 6 feet cannot be maintained. Residents, family and friends are no longer required to wear a mask outdoors on the Menno Place campus as long as they remain 6 feet apart. 
• Registered Visitors of Primrose Gardens and Terrace West may resume their visits and deliveries as before. Indoor masks and hand hygiene required. 
• Residents of Primrose Gardens, Terrace West & Terrace East may resume walks to Mill Lake, shopping, appointments, and short visits to family members’ homes as before. Masks must be worn and a physical distance of 6 feet must be maintained. Any gatherings off campus may not be larger than 50 people. We encourage residents not to attend large gatherings if possible. 
• Meals in the dining room will resume next week. Invitations will be issued as before. 

IMPORTANT REMINDERS:

• Your safe, physically distanced outdoor visit on the Menno Place campus is a no-touch visit. No holding hands, shaking hands, back rubbing, hugging, kissing, or touching. 
• Every visitor is expected to practice hand hygiene. You should bring your own hand sanitizer with you so that you can clean your hands before and after your visit with your loved one.
• Only Registered Visitors may enter the apartment buildings. You must wear your ID badge to enter. There are NO visitors inside Terrace East. If a visitor needs to use the restroom, there is a porta-potty available near Terrace East at the Living Waters Garden. You must hand-sanitize after use.
• Residents: If you are going off of the Menno Place campus, keep yourself safe. Avoid crowds and practice hand hygiene. Always bring a mask and a personal sized hand sanitizer with you. Minimize the number of indoor events you go to each week (once per week is a reasonable number). Keep a physical distance of 6 feet between you and others. Sharing car rides should only be done with masks on. 
• Continue to Self-Screen and report any symptoms to staff immediately:

Self-Screening Questions

Do you have new onset of any of these symptoms:

Do you have any of these risk factors?

Thank you for your patience and compliance during this self isolation period. If you have any questions, please contact Manager of Community Enrichment for Menno Place Apartments, Cheryl Dawes, at cheryl.dawes@mennoplace.ca or 604-851-4020.

All other protocols for Pavilion Independent Living and Long Term Care in Menno Home & Hospital remain unchanged.

Karen Biggs
CEO, Menno Place 

P.S. Have you found our Family & Friends website? For information and updates, go to: www.MennoPlaceLife.com

For information and discussion with others whose loved one lives at Menno Place, please ask to join the Menno Place Family & Friends Facebook Group.

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.
• 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.