The Questions e-mail queue is monitored throughout the week, and answered Monday mornings. Responses are developed at Management’s daily meeting and uploaded to Safety-24/7 when complete. Please direct urgent matters to your supervisor. This email is for general questions, suggestions, and comments relating to Cassellholme's pandemic response.
Helping Hands – ability to chart
Helping Hands staff typically do not chart in POC (point of care). PSWs complete the POC charting. The exception would be if you are doing a 1:1 on a resident with behaviours, you would document their behaviours in the DOS charting. Helping hands may be required to document a progress note in PCC (Point Click Care) related to an incident that may have occurred (i.e., behaviours, falls).
Why aren’t Helping Hands staff assigned to one specific work area?
Helping hands are usually assigned to one unit for their shift depending on where shortages are for that day. In the event that we have a confirmed COVID case (we currently do not have any) then we will be trying to restrict staff to work one area.
Why aren’t staff required to wear masks throughout their shifts?
Cassellholme is currently following the recommendations of the Ministry of Health, IPAC and Public Health Ontario regarding the effective use of PPE to ensure the safety of staff, residents, and essential visitors.
Residents with respiratory symptoms are placed on additional precaution (isolation), droplet/contact precautions, which includes the use of procedure-type masks, eye protection, gowns and gloves. N95 masks are to be used for AGMPs only, where there is the risk of aerosolization of contaminants.
All staff, residents and essential visitors are screened twice daily, including temperature checks. It is currently not recommended for staff to wear masks throughout their shift, as this can create a risk of cross-contamination, and is not an effective use of precious PPE stock, based on current guidelines and best practices relating to this pandemic. If you have further questions relating to this information, please contact your supervisor.
Why isn’t meal time being offered in resident rooms?
This initiative is underway, with trial dining services to begin on certain units to be rolled out home-wide when possible. We are working to acquire the necessary equipment (trays, tables, etc.) as well as ensuring proper staffing to ensure the safety of our residents while they eat their meals.
Should CSS reduce services to essential clients only?
At this point there has been no direction from the NELHIN or the Ministry of Health and Long Term Care to put services on hold. A large number of Home Help Homemaking clients have chosen to put their services on hold for the duration of the pandemic. Due to the constant fluctuation in CSS, we are assessing our ability to complete these visits on a daily basis.
It’s important to remember that these clients also depend on our services as many have no other supports in place. These services can be just as important as personal care in some instances. We continue to monitor our staffing situation daily and we will continue to prioritize the visits.
We are in the process of trialing bulk shopping trips to help lessen the staff’s exposure to others in the grocery store. All staff have been given direction on the screening process that must take place prior to entering any client’s home. In addition, CSS staff are being screened at least twice daily. This has been put in place to help mitigate the risk to both staff and clients we support.
With the government's statement today that they now acknowledge the transmission can be pre symptomatic and asymptomatic, should we be wearing masks to help prevent transmission to our home care clients
Cassellholme’s management team meets daily to discuss, review and implement directives from the Ministry of Health, including the use of masks and other PPE by employees. This includes both the type of mask and the location where it should be worn. The team is ready to make any changes as soon as they are required.