Division of Aging COVID-19 Guidance for Visitation

March 15, 2020

Indiana Family and Social Services Administration

The U.S. Centers for Disease Control and Prevention has released guidance to nursing homes to help them improve their infection control and prevention practices to prevent the transmission of COVID-19, including revised guidance for visitation.

As a result, the Indiana State Department of Health and issued these visitation guidelines from ISDH for the following types of facilities; Nursing homes, Residential care facilities, Assisted-living facilities, Residential care & assistance program providers, Housing with services establishments, Intermediate care facilities for IDD including group homes, Rehabilitation hospitals, State psychiatric hospitals, Free standing psychiatric hospitals. All facilities should restrict visitation of ALL visitors and non-essential healthcare personnel. The only exception for visitors is for compassionate care situations, as in end of life. Decisions about visitation during an end of life situation should be made on a case-by case-basis, which should include careful screening of the visitor (including clergy, bereavement counselors, etc.) for fever or respiratory symptoms. Those with symptoms of a respiratory infection (fever, cough, shortness of breath, or sore throat) should not be permitted to enter the facility at any time (even in end-of-life situations). Those visitors who are permitted will be Instructed before entry to the facility of the need to be screened for temperature and symptoms; Limited to a specific location (the resident’s room or other designated location); and Required to perform hand hygiene and wear personal protective equipment (PPE) including gloves and a standard surgical facemask, if available. In addition, facilities are asked to advise visitors and any individuals who enter the facility to monitor for signs and symptoms of respiratory infection for at least 14 days after leaving the facility. If symptoms occur, the visitor should self-isolate at home, contact a healthcare provider and immediately notify the facility of the date and person visited.

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