Effective: March 25, 2022Terrebonne General Health System strives to provide a caring compassionate environment, recognizing the important role that visitation by family and friends play in our patient’s recovery. We must balance this with adhering to state guidelines and protecting the health of our patients, staff and community during this pandemic in order to prevent and minimize the risk of spreading COVID 19. We encourage the use of phone and video chat as an additional means of communication with our patients to supplement when visiting is limited or not possible. We are allowing in person visits and overnight stays, however precautions will be in place to protect patients, families and staff and must be adhered to at all times.
The following are visitation policies at this time:
- General Visiting Hours – 7:30 AM to 8:00 PM. The patient’s appointed support person/care team member is considered a visitor and is allowed and encouraged to be with the patient outside of visiting hours, unless treatment circumstances prevent this. Two visitors are allowed to be with the patient during visiting hours. Children ages 12 and older are allowed to visit. However, they are included as one of the visitors and count as such. Visitors may switch out during the visiting hours; however, the switching of visitors must be done outside the facility. (i.e.- one person must leave for the other to come into the hospital)
One person is allowed to remain overnight with the patient provided it does not cause a disruption to patient care. The overnight visitor must arrive by 8:00 p.m. and remain in the patient’s room for the duration of the night. If they leave the facility at any time during the night, they will not be allowed back in until morning visiting resumes.
- Emergency Department - The Emergency Department reserves the right to limit visitation based on operational and situational concerns. One person is allowed to be with the patient in the Emergency Department. Should admission be required, they will follow the general inpatient visitation guidelines of the area of admission. For patients less than 17 years of age, both parents will be allowed with the patient. Emergency Department leadership may make changes to this policy if needed in order to avoid overcrowding if necessary or to accommodate special circumstances. Children under the age of 12 shall not be allowed at the bedside unless approved by Emergency Department Leadership. No visitor will be allowed with the PEC patient unless ED Leadership determines it in consultation with the ED provider and social services that it is in the patient’s best interest and it is safe to do so.
- Hospice - To the extent possible, visitors of Hospice patients shall be allowed unrestricted visiting privileges, including, but not limited to, children of all ages. This will be arranged and communicated with the respective Nurse Director and Supportive Care Department.
Critical Care (CCW):Visiting times are as follows: 8:30AM to 9:30AM; 11:00AM-12:00PM; 2:00 PM to 3:00 PM and 6:00 PM to 7:00 PM. Only two visitors at a time are allowed to visit. Children 12 and older are allowed to visit, however they do count as one of the two visitors. Visitors are allowed to switch out during the visiting time. If needed, visitors may be called to come at alternate times for family meetings with the medical staff, etc. This will be arranged by the Critical Care staff, and social services or supportive care. Critical Care Leadership can make exceptions to these visitation guidelines depending on the special circumstance.
- Post-Acute Care Visiting: The Health & Rehabilitation Center/Skilled Nursing: Visitation is encouraged during the following hours Monday through Friday 4:00 PM to 8:00 PM; Saturday 12:00 AM to 8:00 PM; Sunday 9:00 AM to 8:00 PM. Two visitors at a time can visit. They can switch out during the visitation periods as per general hospital guidelines. Should there be stricter guidelines per LDH for SNF, those guidelines will be followed. Based on patient and staff needs, these hours may be modified for both Rehab and SNF at Post Acute leadership discretion. Although it is recommended that visitation not occur during specified times, such as but not limited to: during therapy, accommodations can be made if resident request this and no other times can arranged.
- PACU: Visiting shall not be permitted except in specific unusual circumstances, i.e.: inconsolable children, patients requiring long recovery periods or overnight stays.
- OB Triage- Two support persons are allowed with the patient in the OB Triage room.
- Antepartum- Two support persons are allowed with the patient at all times.
Labor and Delivery and Post-Partum- two support persons will be allowed to stay with the mother 24/7 from admission to discharge. They both will be allowed to attend delivery, unless otherwise directed by the OB physician. In the event of an emergency C-section or epidural/spinal anesthesia administration, visitors shall be required to leave during the procedure.
- GYN patient- Two visitors will be allowed with the patient from admission until discharged home following outpatient procedures. Should the patient require admission, they will follow the same procedure for general inpatient admissions in regards to visiting policy. Patients 17 and under will be allowed to have both parents or two visitors at parent’s approval at all times.
- NICU- Mother and Father are allowed to visit 24/7. However, after 8:00 p.m. it is discouraged unless needed for feedings or change in condition. Times in which visitors may be asked to leave will be during shift change, MD rounds, NICU admits or emergencies.
- Pediatrics (<17) - Both parents/legal guardians can visit 24/7 from admission to discharge. For overnight stays, the parent/legal guardian must be present by 8:00 p.m. and remain for the duration of the night.
- Maternal Fetal Medicine- Two support persons will be allowed with the patient.
- Immunocompromised Patients: Refer to the “Care of the Immunocompromised Patient Policy” for visitation standards.
- Isolation Patients: Refer to the “Isolation Plan Policy” for visitor requirements.
- Out Patient Pavilion: Two visitors may be with the patient in OPP at all times. However, the Out Patient Pavilion reserves the right to limit visitation based on operational and situational concerns.
- Medical Outpatient Testing (Radiology, Lab etc.)- Two people will be allowed with the patient during their out-patient testing visit.
- Visitors should not visit if they are sick.
- Must adhere to any isolation guidelines of patient they are visiting.
- Must be 12 years of age or older and accompanied by an adult if 12 years to 17 years old.
- Must remain in the patient room and not gather in common areas such as waiting rooms.
- Will be asked to leave if they exhibit symptoms of respiratory infection (fever, runny nose, cough, shortness of breath, etc.)
- No plants or flowers shall be allowed in Critical Care or the Oncology unit.
- Visitors shall not be permitted to sleep in the patients bed
- Children 12 years or older may stay overnight with an adult patient at the discretion of the staff.
- Adults staying overnight with minors shall be parents, guardians or other adults authorized by the parent or guardian to stay with the minor
A baby will be allowed to stay overnight with the readmitted post-partum
mother as long as the following guidelines are adhered to:
- In this situation, the baby is considered a visitor not a patient. Terrebonne General staff is not responsible for providing care to the infant.
- The post-partum mother cannot be the primary care taker for the baby; another adult must be present to care for the baby.
- If the baby stays overnight with the mother, Terrebonne General will provide a crib or bassinet for the baby to sleep in.
- The baby should not be allowed to sleep over night in a car seat or infant carrier.
- The family will be responsible for providing all other provisions for the baby such as, but not limited to, diapers, formula, clothes, blankets, bottles.
Education – Staff will be educated about patient visitation during their departmental orientation and as needed.
COVID POSITIVE PATIENTS- We will not allow visitor for COVID positive patients. Staff should assure that updates on patient condition are given to appoint family members daily if the patient is unable to communicate the information or request that the staff and physician provide the updates. In special circumstances, approved by the COVID Medical Team leader and the Nurse Executive, arranged visiting may be scheduled for COVID positive patients.
Pediatric COVID positive patients- will be allowed to have one parent/legal guardian with them at all times. However, they cannot leave the room and the visitor must wear a mask when staff enter the room.
OB COVID positive patients- willbe allowed to have significant other with them at all times. However, they cannot leave the room and the visitor must wear a mask when staff enter the room.
COVID positive Hospice and End of Life Care- A visitor may remain with them 24/7 and will be allowed to switch out once during regular visiting hours. Under special circumstances, more than one visitor may be allowed to remain at the bedside. This will be a decision of Nursing Leadership and the Attending physician.
Phone and Video Chat- Should in person visiting not be an option for any particular reason, staff will work with the patient and family/support person(s) to identify specific times to schedule phone calls/chats, etc. as appropriate.