NAN In Person Visit COVID-19 Volunteer Policy and Procedure

NAN In Person Visit COVID-19 Volunteer Policy

As a Nanny Angel volunteer who intends to visit NAN families in person, you agree to:

  • Conduct self-monitoring practices for the entirety of your contract with NAN.
  • Immediately suspend visits, self-isolate, report to NAN and seek medical advice by contacting your primary care provider or Telehealth Ontario (1-866-797-0000) for further direction on clinical assessment at the onset of any of the following symptoms:
    • Fever (temperature equal to or greater than 37.8 degrees Celsius)
    • New or worsening cough
    • Shortness of breath
    • Sore throat
    • Difficulty swallowing
    • New olfactory or taste disorder (decrease or loss of sense of taste or smell)
    • Nausea/vomiting, diarrhea, abdominal pain
    • Runny nose, or nasal congestion – in absence of underlying reason for these symptoms such as seasonal allergies, post nasal drip etc.
    • And other atypical symptoms of COVID-19
  • Follow medical advice on how to respond to suspected or confirmed COVID-19 case.
  • Inform NAN immediately if a positive COVID-19 result has been issued to you.
  • Provide supporting documentation, such as COVID-19 results or physician notes, if required to continue to NAN visits.
  • Conduct and participate in health screening checklist at the beginning of every NAN visit.
  • Record the results of health screening checklist as part of regular feedback at the end of every NAN visit.
  • Practice excellent hand hygiene and sanitization of high touch surfaces and spaces.

NAN In Person Visit COVID-19 Volunteer Procedure

Health Screening Questionnaire: This questionnaire will be initiated by the volunteer at the start of every NAN visit.

At the start of the NAN visit, the volunteer will ask the following questions at a distance of 6 feet and while wearing mask. The volunteer will offer the answers to each of the questions, as well as receive the answers for each member of the household.

  • Have you or any member of your household travelled outside of Canada within the last 14 days?
  • Have you or any member of your household tested positive for COVID-19 or had any contactwith a confirmed or probable COVID-19 case without wearing appropriate PPE since your lastNanny Angel visit?
  • Do you or any member of your household have any of the following symptoms:
    • Fever (temperature equal to or greater than 37.8 degrees Celsius)
    • New onset cough or worsening chronic cough
    • Shortness of breath
    • Sore throat
    • Difficulty breathing
    • Difficulty swallowing
    • Decrease or loss of sense of taste or smell
    • Chills
    • Headaches
    • Unexplained fatigue/malaise/muscle aches
    • Nausea/vomiting. Diarrhea, abdominal pain
    • Pink eye (conjunctivitis)
    • Runny nose or nasal congestion without other known cause
  • A note about cancer patients: Many cancer patients have symptoms similar to those of COVID-19 and thus any cancer patient receiving treatment is tested for the virus often and in the following manner:
    • All asymptomatic cancer patients are tested prior to starting on immunosuppressive cancer treatment and radiation treatment
    • There is a low threshold for re-testing. Even if new symptoms are likely due to the cancer or the effects of treatment, re-testing will be issued.
  • Should a cancer patient respond YES to exhibiting any of the above symptoms, they should be further asked if their health care provider is aware of this symptom. If the answer is YES, the volunteer will ask if the patient was tested and has a positive result.

If the response to any of the screening questions is YES, the visit is to be suspended immediately, volunteer must report to NAN and individual must contact their primary care provider or Telehealth Ontario (1-866-797-0000) for further direction on clinical assessment.

Volunteer visits will resume when proof of a negative COVID test is provided to Nanny Angel Network.

If the response to all of the screening questions is NO, the volunteer may begin their visit either in the home or in an identified and agreed upon outdoor space.

A NAN volunteer must always exercise regular handwashing, practice good respiratory hygiene and assist children with healthy hygiene habits where possible.

Volunteer will immediately enter hours and feedback into ‘My Impact’ app, including result from health screening questionnaire at the end of every visit.

If Volunteer/Child Exhibit Symptoms During Visit

If an individual is identified to exhibit symptoms of illness during a visit, where symptoms were not present or reported during health screening, the following protocol should be followed.

If the sick person is a child, the volunteer must isolate the child (keep distance of 6 feet), except if age does not permit, and notify the family immediately.

  • The volunteer must stay with the child until the parent or emergency contact arrives.
  • If the child is above the age of 2, the child should wear a mask.
  • The child should be provided with tissues and reminded of hand hygiene, respiratory etiquette, and proper disposal of tissues.
  • All items used by the sick person should be cleaned and disinfected. All items that cannot be cleaned (paper, books, cardboard puzzles) should be removed and stored in a sealed container for a minimum of 7 days, or until a negative COVID-19 test result is received.
  • When parent arrives, volunteer should change out of NAN uniform, wash hands, leave NAN family home and contact Nanny Angel Network to report the possible COVID-19 exposure. The volunteer will also be document this in ‘My Impact’ app.
  • Volunteer should self-monitor at home for symptoms.
  • If worried about exposure to COVID-19 volunteer should take self-assessment at https://covid-19.ontario.ca/self-assessment/, contact primary care provider or Telehealth Ontario (1-866-797-0000) for further direction on clinical assessment.
  • When a negative COVID-19 test result has been provided by the NAN family to Nanny Angel Network, the organization will inform the volunteer that it is safe to resume visits.
  • If the sick person is a volunteer, and symptoms present during visit that were not present and reported during health screening, the volunteer must isolate from the child if possible (keep distance of 6 feet), except if age does not permit, and notify the family immediately.
  • The volunteer must stay with the child until the parent or emergency contact arrives.
  • The volunteer must wear a mask, wash hands and practice excellent hand hygiene and respiratory etiquette.
  • Volunteer will sanitize high-touch areas and items that may be contaminated, and avoid touching anything believed to be non-contaminated.
  • All items that cannot be cleaned (paper, books, cardboard puzzles) should be identified to the NAN family, and removed and stored in a sealed container for a minimum of 7 days, or until a negative COVID-19 test result is received.
  • When the parent arrives, the volunteer should change out of the NAN uniform, wash hands, leave NAN family home and contact Nanny Angel Network to report the possible COVID-19exposure. The volunteer will also be document this in ‘My Impact’ app.
  • Volunteer will contact primary care provider or Telehealth Ontario (1-866-797-0000) for further direction on clinical assessment
  • Volunteer will not return to in-home visits until they provide a negative COVID-19 test result to Nanny Angel Network.

Positive COVID-19 Screening

  • If a positive result is issued, visits will be suspended until note from health care provider can be produced that states it is safe to resume contact or a report that states negative COVID-19results can be produced.
  • In any situation where NAN requests note from HCP, NAN will reimburse costs incurred.

Please note that policies and procedures are subject to change as new information is released by Canadian Public Health Agencies. You will be notified of changes as they occur.

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