AMGA CMO Council: Updated Visitor Policies

AMGA COVID-19 Resources
 

Discussion Summary
August 4, 2020

This summary is based on discussions via AMGA’s Chief Medical Officer Council listserv as of August 4, 2020.  For more information on the Council, please click here.

 

Question: As the second surge appears to be at hand in many parts of the country, what is your visitor policy?

 

One Companion/Visitor per Patient

  • We currently allow one companion per patient. We were at no visitors, and I could see us going back to that if there was a significant surge here. 
  • We are no longer allowing visitors except for minors and those who require a caregiver.
  • We have not relaxed the policy after the initial surge. 
  • One companion/visitor per patient. No change since beginning of COVID crisis.
  • We began with a pilot program limited initiation of allowing visitors, after initially banning all visitation. One visitor, time-limited hours, occasional exceptions for labor support, pediatrics, end-of-life, etc. We are multi-state, but use this guidance uniformly.
  • During the surge, we were no visitors. Now, one visitor per person. In our offices we allow one companion per patient if we felt it was medically necessary in the best judgment of the clinician. 
  • No visitors during initial surge, except one for pediatrics. Now one visitor for adults, with exception for end-of-life, two visitors for pediatrics. In ambulatory environment, one companion allowed, but patients encouraged to come alone and companions managed dependent upon space.
  • Our hospital has liberalized the visitor policy from no visitors (with a few exceptions) to one healthy visitor. We have not felt we could do this because of concerns about our ability to maintain physical distancing in many of our practice waiting rooms. Our policy has been modestly liberalized to allow visitors when the patient needs assistance, when there will be a weighty discussion, for first-time chemotherapy, and in pediatrics.
  • We allow one visitor (with screening).
  • Our second surge has crested and our volume of COVID-19 inpatients has declined significantly. We therefore recently began allowing one visitor per patient, unless the patient is admitted for COVID (positive or rule-out). However, we are not allowing visitors in our ambulatory clinics yet, due to the limited ability to social distance for a larger number of people in our waiting rooms. Exceptions are made for minors and for others who require a caregiver.

No Visitors

  • We have a no visitor policy except for OB and for certain situations when the patient needs support (disabled, etc.).
  • We have not allowed visitors in the outpatient offices since March 1.  We only allow one adult to accompany pediatric patients and those who need medical/physical assistance. No non-essential visitors (e.g., vendors) are allowed in our buildings. We do not plan to change these protocols in the near future.
  • Overall, the policy is "no visitors." We do allow one visitor for minors and those who need physical/medical assistance. We are not allowing vendors currently. We do not plan to change in near future.

Visitor Policy for Inpatient and Outpatient Services

  • Pediatric Inpatient
    •  Up to two adult primary caregivers can accompany neonatal and pediatric patients. For pediatric patients who have tested positive for COVID-19 or are being evaluated for COVID-19, only one adult primary caregiver may accompany the patient and must remain in the patient's room for the duration of the patient's admission.
  • Adult inpatient
    • One visitor per day, 16 years of age or older, can accompany each adult inpatient during visiting hours (9 a.m. – 9 p.m.). No visitors are allowed for adult patients who have tested positive for COVID-19 or are being evaluated for COVID-19.
  • Adult and Pediatric End of Life
    • Up to six designated visitors may visit a patient at end of life, up to two at a time. If the patient has tested positive or is being evaluated for COVID-19, only two designated visitors are allowed.
  • Adult and Pediatric Patients at Discharge
    • Up to three visitors who require home caregiver training may visit the hospital in anticipation of the patient being discharged, based on the recommendation of the patient's care team.
    • For adult patients being discharged from the hospital, one visitor, 16 years of age or older, can accompany a patient on the day of discharge.
    • For pediatric patients being discharged from the hospital, two adult primary caregivers may accompany a patient on the day of discharge.
  • Labor and Delivery
    • Up to two support persons may accompany a patient on the labor and delivery or postpartum unit. If the patient has tested positive for or is being evaluated for COVID-19, only one support person is allowed and must remain in the patient's room.
  • Outpatient Surgery, Procedures, Infusions
    • One visitor is allowed to accompany each adult patient to a procedure or same-day surgery, unless an additional aide or assistant is required.
    • Two adult primary caregivers can accompany each pediatric patient to an outpatient procedure or surgery.
    • To support social distancing in our procedural waiting areas, visitors accompanying adult patients will be asked to wait in common waiting areas during the appointment or procedure.
    • In many cases, visitors are also able to wait outdoors or offsite during the procedure.
    • For patients that are admitted to the hospital after surgery, the visitor restrictions for pediatric inpatients or adult inpatients shown above would apply.
  • Outpatient Clinics
    • One adult visitor can accompany each adult or pediatric patient to an appointment, unless an additional aide or assistant is required. Siblings are not permitted.
    • To support social distancing in our clinic evaluation rooms, visitors accompanying adult patients may be asked to wait in common waiting areas during appointments or procedures.
  • Adult Emergency Services
    • No visitors are allowed in Adult Emergency Services. An exception can be made for a single visitor if essential to the adult patient's care. No visitors are allowed to wait in the Adult Emergency Services waiting room or other locations in the hospital.
  • Children’s Emergency Services
    • Two adult primary caregivers can accompany each pediatric patient. Siblings and extended family are not permitted at this time. No visitors are allowed to wait in the emergency services waiting room or other locations in the hospital once the patient is taken back to a room.
  • Psychiatric Emergency Services
    • One visitor or primary caregiver will be allowed per patient. It is preferred that one caregiver be designated for the entire stay. Siblings or extended family are not permitted at this time.
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