During outbreaks, while stringent infection control measures are necessary, it is crucial to recognise the significant benefits that continued visitor access can bring to the lives of residents, especially when other activities may be restricted. As part of outbreak planning, discuss options for visiting with the resident and their family/whānau so they may be informed and educated about the necessary precautions to protect them during an outbreak. This should also include a discussion regarding cultural issues around visiting. The following IPC points should be considered

Understanding IPC Measures

Provide information about specific infection control protocols and measures. Including

Hand hygiene

Correct use of personal protective equipment (PPE) such as masks and gloves

Respiratory etiquette

Physical distancing guidelines

Screening Procedures

Educating visitors about the purpose and importance of these procedures ensures that only individuals free from symptoms or potential exposure to infections are allowed to enter the facility. Screening procedures may include

Temperature checks

Completion of health questionnaires

Adherence to specific entry and exit points

Limiting Visitors

During an outbreak, limiting the number of visitors and the duration of visits may be necessary to reduce the potential risk of transmission. Providing information about these restrictions is essential to ensure compliance and understanding. Encourage visitors to plan their visits, schedule appointments if required, and adhere to the allocated visiting times to avoid overcrowding and maintain a safe environment.

Awareness of Symptoms and High-Risk Behaviour

Emphasise the responsibility of visitors in protecting vulnerable residents by refraining from visiting if there is any potential risk of transmission

Provide information about the symptoms of infectious diseases and encourage visitors to stay home if they are feeling unwell, have been in close contact with someone sick or have recently travelled to high-risk areas

Respecting Physical Distancing and Hygiene Practices

Provide information on the significance of maintaining physical distancing during visits, including avoiding physical contact, such as hugs or handshakes, and maintaining a safe distance from residents and employees

Remind visitors to follow proper respiratory etiquette by covering their mouth and nose with a tissue or elbow when coughing or sneezing

Emphasise the importance of practising good hand hygiene throughout the visit, including before and after interacting with residents or touching surfaces

Utilising Alternative Means of Communication

In situations where physical visits may be restricted or limited, alternative measures may be used,e.g., video calls, phone calls, or virtual platforms.

Encourage visitors to maintain regular contact with their loved ones through these channels to provide emotional support and reduce feelings of isolation.

Australia

Partner in Care (PiC) programmes provide a person-centred approach to promoting existing relationships of care between a resident and their family or friends. A fact sheet is available from ACQSC.  Residents should always have access to one visitor, an Essential Visitor, who could be a PiC or a nominated Named Visitor and their visits should continue even during an outbreak.

New Zealand

Residents have a right to meet with and connect with family/whānau. Preplanning, communication and working in partnership with residents and their families/whānau are vital to protect all residents' health, safety and welfare. Any restrictions put in place must be for the shortest time possible. Ensure that communication meets the different cultural needs of residents and provide information in their native language, e.g., Te Reo.