Year: 2021

Dear Residents, Family and Friends of RK MacDonald

There were further easing of restrictions in LTC at the June 30, 2021 announcement. There are a number of different regulations we must continue to follow. Restrictions have eased but Public Health measures have not. The Delta variant is in the province. Our experience with the UK variant tells us the new strains can quickly take hold.

Please wear your mask properly at all times on the property– inside and outside. Residents live communally and exposure for one person has the potential to affect everyone. We have to remain committed and vigilant to keeping each other virus free.

Wear a mask. Wash your hands. Get fully vaccinated. Encourage loved ones to get fully vaccinated. Don’t visit with cold symptoms. Don’t visit if you have a close contact who has cold symptoms/awaiting testing results. Get regular asymptomatic testing.

It is also imperative that anyone who develops COVID-19 symptoms and/or tests positive within two weeks of their visit to the facility, notifies the facility immediately to ensure we take the necessary precautions here.

Based on staffing availability, we are now booking indoor and outdoor visits seven days a week. Please call 902-870-3458 to book an appointment. Residents can have 3-5 visitors at one time.  Visitors must be screened prior to the visit.

For residents who are fully immunized against COVID-19:

Indoor visits:

• Are available in designated visitation areas and in resident rooms.
• We are only able to accommodate 2 visitors indoors at a time.
• Scheduling is required. Book your appointment by calling 902-870-3458
• Visitors must be screened prior to entry into the Home.
• Residents are encouraged, but are not required, to wear a mask and physically distance from their visitor(s).
• Indoor visits are scheduled for 30 minutes.
• These Indoor visits are in addition to visitation from Designated Care providers.
• Maximum number of visitors indoors is 4 per resident. If that number is exceeded- especially in semi-private bedrooms, staff will support finding alternative visiting spaces inside or on the grounds. We ask for your cooperation and flexibility to ensure we can accommodate visits indoors.
• Indoor visits will begin on Monday, July 5, 2021 between 11:00 am-4:30pm. As noted they must be pre-booked.

Outdoor Visits:

• Are available in designated areas outside
• Outdoor visits can accommodate 3-5 people at one time.
• Scheduling is required. Book your appointment by calling 902-870-3458
• If the visitor(s) are wearing a mask, social distance is not required. If the visitor(s) are unmasked, social distancing is required.
• Visits are scheduled for 30 minutes.
• Visitors must be screened prior to the visit.

Full community access is now permitted for residents who are fully vaccinated.

• Designated Caregivers are able to accompany residents to retail stores, restaurants, banks, etc.
• Those residents who remain independent, may access the community unaccompanied.
• The Team Lead RN/LPN in the care area must be notified of the outing- ideally in advance, to ensure residents are prepared to go out.
• A sign-out/sign-in book will be available in the front lobby.

For residents who are partially immunized or not immunized against COVID-19,

Outdoor Visits

• The resident can have 3-5 visitors outside.
• Visits outdoors without physical distancing are now permitted.
• Residents are encouraged, but are not required, to wear a mask. Visitors must wear a mask.
• The visitor and the resident may hug, touch, or exchange a handshake during an outdoor visit.
• Residents may now access outdoor public areas such as boardwalks, parks, etc. The resident must maintain physical distancing (except with their Designated Caregiver or support person accompanying them).
• Partially or unimmunized residents are not permitted to come into contact with others during the outing and are not able to access restaurants, banks, stores etc at this time.

The Chief Medical Officer of Health determines what can or cannot happen in each phase of lifting restrictions, with advice from the Department of Health and Wellness, Public Health, Infection Prevention and Control, and Continuing Care. The foundation of decision-making is rooted in clinical and public health evidence, and considers factors including COVID-19 activity, vaccination rates, and an understanding of the unique needs of our long-term care residents. As always, it will take us several days to adapt to the increased visitation. There continue to be a number of safeguards and monitoring required on the part of the facility.

We are inching through this and making progress. Thank you for your ongoing patience and support as we continue to ease restrictions.

The RK MacDonald Nursing Home is delighted to see its residents connecting with local students. During a time when so many of us feel isolated already, the burden on our residents has been even higher as public health measures have often resulted in visits from loved ones being cancelled or postponed.

A recent article in Saltwire covers the wonderful relationship between the students and our residents.

A pen pal project at Dr. J.H. Gillis Regional High School has allowed students to connect with senior citizens in the community.

Students in Mrs. Synishin’s Grade 12 health and human services class were tasked with the assignment of writing letters to residents of the R.K. MacDonald Nursing Home.

“I was pleasantly surprised with how much the Grade 12s loved it,” said Synishin. “One sort of incidental thing that they learned that a lot of them didn’t know was just the art of writing a personal letter … and practicing their cursive writing was a big deal because I wasn’t gonna let them email. I said it has to be a generational thing where you’re personally writing a letter to someone.”

Read the full article on the Saltwire website here.

June 16, 2021

As always the easing of restrictions is exciting and while the highlights are announced, often the details are not. New easing of restrictions means increased access to visitors and the community, but the Public Health measures have not eased. Wash your hands, wear a mask, physically distance, and don’t visit if you’re sick. Getting asymptomatic testing done, getting vaccinated, and disinfecting high touch surfaces are also essential components for keeping each other well. The changes in the document are effective tomorrow, Thursday, June 17, 2021.

As we enter these new phases-please be gentle with the staff, particularly the screening staff. Rules for the broader community are not the same for Long Term Care. The rules we follow and have to enforce are mandated by the “COVID-19 Management in LTC Facilities Directive under the Authority of the Chief Medical Officer of Health –June 7,2021” which are posted on our website.

Here are the document highlights related to visits and outings:

When visitation occurs (as permitted within the Health Protection Act Order) in long term care facilities the following measures must be in place:

• Visitor information must be logged, including name, contact information, date and time of attendance at the facility.
• Visitors must be screened upon arrival and be asymptomatic
• Environmental cleaning of surfaces in the designated visiting areas occurs before and after each visit.
• Visitors, DCP’s and volunteers are not permitted to enter the facility or grounds if they are under a requirement to self-isolate (due to travel, awaiting for results of COVID-19 testing , due to contact with a COVID-19 case, are currently ill with COVID-19 or for other reasons).
• In addition to the requirements listed above, for outdoor social visits, visitors must wear a medical or non –medical mask during the visit.
• In addition to the requirements listed above, for indoor social visits, visitors must wear a medical mask during the visit.
• Outdoor visits are permitted for all residents. Outdoor visits without physical distancing is permitted for fully immunized residents only, and all visitors must be masked.
• 2 DCP’s can visit a resident at the same time

NOTE: Volunteers and DCP’s are not required to maintain a physical distance of 2 meters /6 feet while performing care related tasks.

OFFSITE ACCESS:

Residents can go offsite with the DCPs or facility support person and access local parks, trails etc as able. They should not have contact with community members without wearing a mask.

Residents who are able, are permitted to go offsite to access trails, parks etc. alone if it is mutually agreeable between resident and the facility.

CAR RIDES:

As residents are not able to leave the vehicle while on an outing, we suggest a 60-90 minute maximum time frame. Those requesting longer outings will be redirected to a senior leader to discuss.  Residents are still not able to have access to community members or loved ones while out- we expect more freedoms in phase three and four.

The following measures are required for care outings:

• The vehicle is cleaned and disinfected prior to and after each trip/outing.
• The driver (DCP) is screened as per facility protocols and must be asymptomatic.
• Residents are not permitted to get out of the vehicle during the trip/outing.
• Hand hygiene must occur prior to and after the trip/outing.
• Trip/outing information must be logged, including the DCP information, date and time of trip/outing.
• Overnight visits are not permitted at this time

PACKAGE and MEAL DROP OFFS

In order to manage screening, supervising outdoor visits and daily deliveries we are also making the following changes:

• Non-perishable items will be delivered once daily (around 2pm).
• DCPs are welcome to drop off items in the care areas during visiting hours.
• Meal drop off– We are finding that there are times meal drop offs come after mealtime has started in the care areas. In order to get meals to the residents before the scheduled meal times, we suggest the following drop off times:
  • Breakfast: Between 8:00am and 8:15 am
  • Lunch between: Between 11:30am-11:45am
  • Supper/Dinner: Between 4:00pm-4:15pm

We have streamlined the DCP and outdoor visits screening, but we must still collect the necessary information.

Here is a list of expected phases and the associated loosening of restrictions. Please remember, lifting and loosening restrictions does not mean Public Health measures are changing. Subject to change*****

I know it’s a lot of information to absorb. As you can see, there are many details we are required to follow as we move through the new phases.

We are almost there! We have accomplished and endured a lot over the past 15 months. We can finish strong!! Vaccinations have been key to our growing freedoms, and Public Health measures continue to keep us open and safe.

Michelle Thompson

Dear Family and Friends of RK MacDonald:

Please see the following update regarding our visitation restrictions. You will notice that there is an updated email address and phone number in order to book Indoor visits.

1. DCPs may visit in the room with the resident on their regularly scheduled days- Tuesday, Thursday, Saturday downstairs and Wednesday, Friday Sunday on second floor. Visitation hours are from 11:00am-5:00pm. DCPs who live in the same home may visit together, otherwise, visitors are unable to visit at the same time. This is unchanged.
2. There are no restrictions on DCP visits related to geography. If travel restrictions are implemented in the province, we will revisit this.
3. Family and friends may visit with residents in the Chapel on Tuesdays and Thursdays. These visits must be pre-booked. There can be up to 3 people in each group visiting with a resident in the chapel. Both the resident and visitors must wear masks and remain 6 feet apart. Visits can now be made by phoning 902-870-3458 – and email is rkmacdonaldnursinghomevisits@gmail.com
4. Residents are able to go for a drive with their DCP. There can be no stops including drive thrus or driveway/parking lot visitations with others. DCPs must wear masks at all times during the outing.

DCP visits:

Ideally DCP visits will occur in residents rooms, or in one of the gardens- weather permitting, however we know that for some residents, meaningful visits require that DCPs walk with Residents in common areas. The necessity of this is to ensure that we can accommodate social distancing between DCPs and residents. DCPs must wear their mask at all times, cannot eat or drink with their loved one, and the bedroom doors must remain open. PLEASE do not visit if you have a new cough or fever, or have any cold symptoms- rather book a COVID test, and reschedule your visit once your COVID test has come back negative and your symptoms have resolved.

Drives:

Please pre-book your drives as before with the staff at the screening desk.

While we are encouraged and hopeful now that many of us are vaccinated, we still have residents, staff and DCPs who are new to the community and not yet vaccinated or have a medical reason that does not allow them to be vaccinated. I understand that the restrictions are wearisome for many, but the cost of letting our guard down is far too high. We must continue to work together as a community and adhere to Public Health measures.

Public Health measures keep us all safe. Please socially distance from other residents and DCPs, keep your nose and mouth under your mask, use your hand sanitizer often and please DO NOT VISIT if you have cold symptoms or have been around somebody waiting for a COVID test/ is symptomatic.

We will be in touch very soon to get the second consent for resident vaccination from the Substitute Decision makers in preparation for the second dose of vaccine. We plan to give the vaccine to residents on April 14, 2021.

DCPs will receive their second dose of vaccine on April 17, 2021. We will be calling soon to book your second appointment.

Michelle Thompson
CEO R.K. MacDonald Nursing Home
64 Pleasant St, Antigonish, NS
B2G 2K9
Phone: 902-863-2578 ext 232

To: RK MacDonald Nursing Home – Designated Care Providers

We all know COVID-19 is never far away and we need to continue to be extra vigilant as we await vaccination for our residents. In response to growing concerns pertaining to the additional COVID-19 related restrictions being  applied to Halifax, Hants and Lunenburg Counties, the RK requests:

• Those DCP’s and Chapel visitors that have travelled to Halifax, Hants or Lunenburg County within the past 10 days are asked to please get tested and await test results before visiting the Home
• Those DCP’s that live in Halifax, Hants or Lunenburg Counties are asked to not visit the Home until the present restrictions on those Counties have been lifted by Public Health.
• Exceptions for compassionate reasons will continue to be addressed on a case by case basis
• Offsite outings for non-medical/dental reasons are discontinued for two weeks

Updates can be reviewed at: https://novascotia.ca/coronavirus/