Staff will also be required to re-tested for the coronavirus once a week.
Annapolis, Md (KM) Governor Larry Hogan has announced a plan for limited outdoor visits to nursing homes. In a statement, the Governor’s Office says the plan will allow for limited communal dining and small group activities to resume with precautions in place.
The Governor calls it the first step in beginning a safe and phased reopening of nursing homes where a lot of COVID-19 cases have been reported. “The COVID-19 pandemic has required all of us to make incredible sacrifices, including being unable to visit family members and loved ones in nursing homes,” said Governor Hogan, in a statement. “As our state continues on the road to recovery, this Father’s Day weekend we are able to begin safely allowing outdoor visits to certain nursing homes. This is made possible by our early and aggressive actions to slow the spread of the virus, and the tremendous efforts of doctors, nurses, and especially nursing home staff across the state.”
Hogan also announced that state health officials will require weekly re-testing of nursing home staff. Residents will also be re-tested weekly at facilities which continue to report active coronavirus cases. Currently ,107 nursing homes in Maryland are reporting active COVID-19 cases.
Facilities must meet a series of prerequisites to begin relaxing any restrictions, including:
The facility must not be experiencing an ongoing outbreak of COVID-19, defined as one or more confirmed cases of COVID-19 in a resident or staff member.
Absence of any facility-onset COVID-19 cases within the last 14 days. If a new case is detected, the facility shall return to the highest level of mitigation (pre-Phase 1) and begin again.
No staffing shortages and the facility must not be under a contingency or crisis staffing plan as described in the CDC’s Strategies to Mitigate Healthcare Personnel Staffing Shortages.
Universal source control is in place, requiring all residents, staff, and anyone else entering the facility to wear a facemask or cloth face covering at all times while in the facility.
Staff must have access to adequate personal protective equipment (PPE).
Nursing homes must be able to conduct COVID-19 testing among residents and staff at sufficient frequencies to fulfill the CDC’s Testing Guidance for Nursing Homes.
Read the Maryland Department of Health’s order and guidance.
Provided a facility has met the prerequisites for reopening, limited outdoor visitation is allowable if:
Visitors and residents wear a face covering at all times.
Visitors and residents maintain proper social distancing at all times.
There is not an ongoing outbreak at the facility.
Additionally, it is strongly recommended that there are no more than two visitors at a time per resident per visit.
Read the Maryland’s Department of Health’s outdoor visitation guidance here.
A number of restrictions at nursing home facilities will remain in place for the foreseeable future and will not be relaxed at any time during the reopening process, including:
Facilities must continue to screen all people who enter the facility, and screen all staff at the beginning of each shift.
Facilities must continue to screen all residents at least daily, including performance of temperature checks, pulse oximetry checks, observing for signs and symptoms of COVID-19, and asking questions about signs and symptoms of COVID-19.
Facilities must continue to dedicate space for cohorting and managing care for residents with COVID-19 separate from the general population. Additionally, facilities must continue to dedicate space to quarantine new admissions and readmissions in private rooms for 14 days for the purposes of monitoring these residents for the development of signs or symptoms of COVID-19.
All staff must wear appropriate PPE, including use of procedure or surgical facemasks (i.e. not cloth face coverings) when they are interacting with residents.
By Kevin McManus