General Visiting Guideline
At this time, we welcome approved Care Partners (individuals that have been identified by the patient or substitute decision maker as being essential for the patient’s well-being and who provided direction in their care, and/or whose presence enhances their stay and contributes positively to their overall healing process) into the hospital for approved visits only. Visitors (general well wishers) are not yet allowed to come into the hospital.
Care Partners must:
- Be identified and approved by the patient as a Care Partner;
- Review a care partner visiting agreement. This agreement outlines steps care partners must follow for the safety and wellness of all;
- Pass COVID screening;
- Show proof that they are fully vaccinated against COVID-19 at the entrance to visit or accompany a patient in hospital. To be considered exempt from our vaccination guidelines, please speak with the manager of the area providing care about your situation before coming to the hospital. Exemptions are approved on a case-by-case basis;
- Visit one at a time, unless there are exceptional circumstances (or in childbirth – where we allow up to two care partners while the patient is in labour). See below for more information about exemptions to the number of Care Partners allowed in the building);
- Check in with the patient's care team before visiting to ensure the patient is currently able to have visitors. You may have to arrange an appointment time to visit, depending on the patient's care needs.
- Be patient with and kind to our staff, we are doing our best to support visiting as quickly as possible AND keep patients and staff safe. Abuse will not be tolerated and may result in visiting privileges being revoked.
Exceptions: We recognize that each patient’s circumstance and needs are different and may allow for exemptions to our guidelines. Exemptions are reviewed on a case-by-case basis by the manager of the area where the patient is receiving care. For more information about this, please review the information included below, or call 519-742-3611 and ask to speak to the manager of your loved one’s care area to discuss. We continue to look at ways to safely expand visiting.
Exceptions to the general guideline
Exceptions for patients coming to ambulatory (outpatient) clinic appointments:
To protect our patients as much as possible, we need to maintain physical distancing. In many outpatient areas, we have smaller waiting rooms, which make physical distancing a challenge: we do not always have space for care partners to join patients safely. Below are areas that are able to support Care Partners in certain circumstances:
- Medical Imaging: Patients under 18 and patients that require physical assistance (i.e. getting to their appointment, using the bathroom, etc.) may bring one Care Partner. Please call the department at 519-749-4262 in advance of your appointment to make these arrangements of if you have questions.
- Emergency Department: All patients are allowed to bring one Care Partner to accompany them in triage. Due to available space, Care Partners will not be able to accompany patients being treated in the emergency department’s ambulatory area (for non-urgent needs).
- Children’s Outpatient Clinics: Children may be accompanied by one Care Partner (e.g. parent or guardian).
- Pre-surgical clinic: Please call the hospital at 519-742-3611 and ask to speak to the pre-surgical clinic manager to request a Care Partner for your visit to the pre-surgical clinic.
- Day surgery: Patients under 18 may bring one Care Partner (parent or guardian). All other patients may not bring a Care Partner, unless there are exceptional circumstances. If you believe your case is an exceptional circumstance, please call the hospital at 519-742-3611 and ask to speak to the day surgery clinic manager to discuss. While the patient is in surgery, Care Partners will be asked to wait outside of the hospital.
Exceptions for Care Partners of patients coming to the Childbirth Program
- While the patient is seen in the triage area, only one Care Partner is invited to wait in the family waiting area until the care team has finished their assessment. Following the assessment, the Care Partner is invited to join the patient in triage.
- Childbirth patients may have up to two Care Partners to support them while they are in labour, unless the patient is COVID-19 positive or is suspected of having COVID-19.*
- After the baby is born, only one Care Partner will be allowed to stay.
- Patients who are COVID-19 positive or have a suspected case of COVID may have only one Care Partner.*
Please note that midwives are registered health care professionals. You do not need to designate your midwife as a ‘Care Partner’; they will be able to join you in hospital just like the rest of our GRH childbirth team. Doulas, however, are unregistered support people. If you wish to have a doula, they must be chosen as one of your two ‘Care Partners’ (or your single care partner if you are COVID-19 positive, or COVID-19 suspect)*.
Exceptions for COVID-19 positive or COVID-19 suspect patients, and for patients on any unit that is currently in COVID-19 outbreak
Patients who have COVID-19, or are waiting for the results of a COVID-19 test cannot have in-person visits, unless there are exceptional circumstances.
We do not allow in-person visits on units that have a current COVID outbreak, for the safety of patients and care partners. If you believe you are an exceptional circumstance, please call 519-742-3611 and ask to speak with the manager of the unit where your loved one is receiving care
Other exceptions, including accommodating Care Partners that are not fully vaccinated against COVID-19
We know that not every case is the same. In some cases, patients receive more visits, or visit with more than one Care Partner at a time care, or Care Partners that are not fully vaccinated may be approved to visit. “Exceptional circumstances” generally include:
- Patients near end of life, or at high risk of last possible meaningful interaction;
- Patients who are critically ill, or receiving palliative care or receiving a potentially traumatic test result/prognosis;
- Patients experiencing a mental health crisis; and/or
- Individuals providing care to a patient who would be at risk if the personal care provider or care partner were not available. This includes infants, children and adults/seniors with dependencies of some kind (such as communication, physical or cognitive impairments). “At risk” includes but is not limited to the potential for physical/psychological harm, delayed recovery, further decline, prolonged hospitalization and compromised treatment decision-making and care planning.
If you feel your case warrants an exemption from our Care Partner guidelines, please call 519-742-3611 and ask to speak with the manager of the area where your loved one is receiving care.
In situations where an in-person Care Partner visit is not possible, our staff can support patients and families to connect virtually and/or by telephone.
GRH offers free wireless internet (“GRH-Guest-Wifi”) inside the hospital to support virtual visiting.
Patients are encouraged to have their mobile phones with them. We have a limited number of bedside phones available which are reserved for patients who do not have access to a mobile phone.
Please speak to your loved one's care team for more information.
Frequently Asked Questions
Why do Care Partners need to be vaccinated?
Many of our patients are immunocompromised. In addition to mandating vaccines for our staff, our Care Partner vaccine guidelines limit the opportunity of exposure in our buildings and support our focus on protecting staff, patients and our community from COVID-19. This aligns with our staff vaccine policy; both are extremely important to protect our patients and team members.
What can I expect when I come to for my approved, scheduled, care partner visit?
You will be screened for symptoms when you arrive and asked to show proof of full COVID-19 vaccination (unless you are approved as an exemption), and government issued photo identification. Staff will ask you to sanitize your hands and provide you with a mask to wear. You must wear a hospital-issued mask at ALL times while in the hospital. At this time, we do not allow visitors to eat at the bedside with the patient they are visiting or bring food into the hospital. We also ask that you stay in the patient's room for the duration of your visit, unless you have been provided with special permission to leave the unit. All of these precautions are to reduce the spread of illness to others.
What are acceptable pieces of ID?
Acceptable forms of identification must include name and date of birth:
- Birth certificate.
- Citizenship card.
- Driver's licence.
- Government (Ontario or other) issued identification card, including health card.
- Indian status card /Indigenous membership card.
- Permanent resident card.
Will I need to show proof of vaccination and ID each time I visit the hospital?
Yes, proof of vaccination and ID is required each time you visit the hospital. This ensures we can accurately monitor our care partner vaccine guideline compliance as we continue to focus on protecting our patients, staff and the community.
Where can I get vaccinated?
Vaccine locations are available at regionofwaterloo.ca. You can also call your local pharmacy to book an appointment.
How can I download my proof of vaccination?
You can download or print your personal vaccination QR code at ontario.ca/proofofvaccination.
Why are you allowing unvaccinated patients come into the hospital if an unvaccinated care partner cannot?
Patients don’t have a choice in coming to the hospital; if they require care, we will provide care, regardless of their vaccination status. However, care partners do not require care and do not need to be in the hospital. We are asking that they be vaccinated as a requirement to access the hospital site.
I don’t plan to get vaccinated, does this mean I can’t visit as a care partner?
There will be exceptions to our care partner vaccination guidance. If you have any questions about your specific situation, please reach out to the manager of the area where your loved one is, or will receive care.
Can I just be tested at the door? Why or why not?
We are focusing on devoting our staff resources to providing and supporting patient care as much as possible. We will not have the resources to offer COVID-19 tests at the entrance.
I am not vaccinated but have been approved to visit as an exception. Why do I need someone to accompany me to my loved one for a visit?
Exposure to others increases the risk of the spread of illness. To limit exposure as much as possible, care partners that are not vaccinated but approved to visit as an exception to the guidance will be – where possible - taken directly to their loved one’s room/designated visit space.
What about my child, who is too young to be vaccinated?
Currently, children under 12 are not eligible to be vaccinated. Our current care partner vaccination guidance will not apply to children in this age group.
If they change the age groups for vaccinations, will my child need to be vaccinated?
As the vaccine is released to additional age groups, we will review the guidance provided and update it if necessary.
I’ve already had COVID and have natural immunity. Why can’t I visit?
In a healthcare setting, we deal with a number of individuals whose immunity levels don’t respond well to the COVID-19 vaccine. Natural immunity is only good for so long. Previously infected, unvaccinated individuals are getting COVID-19 at a higher rate than vaccinated individuals. For more information on vaccine efficacy, we encourage you to watch our virtual vaccine education panel.
Does this guidance only apply to care partners? What about staff and doctors?
As of October 12, all staff, physicians, students, volunteers and contractors working at and with GRH were required to be vaccinated. You can read more about our vaccine mandate on at grhosp.on.ca/news.
Why do I have to be vaccinated to visit a loved one when paramedics can be unvaccinated?
Each organization is implementing their own guidance around vaccines. For more information about paramedics and EMS services and vaccines, please contact the Region of Waterloo.
I only have one dose of the vaccine, will I be allowed in?
No, unless approved as an exceptional circumstance, care partners must be fully vaccinated.
Who can I contact about this change?
If you would like to provide feedback about the process, please contact our patient relations team at email@example.com or 519-749-4300, ext. 2966.
How can I request an exception to this process?
If you would like to be considered as an exception, please call the hospital at 519-749-4300, ext. 0 and ask to be connected to the manager of the program where your loved one is receiving care.
Are any programs exempt from this guidance? For example, an unvaccinated spouse being present for the birth of their child?
We’ve always allowed for exceptions under exceptional circumstances. We know in most cases, these occasions occur at the beginning of life, the end of life, for the most serious of illness and injury, and when a patient isn’t cognitively or developmentally able to advocate for themselves. Exemption decisions will be made on a case-by-case basis. To discuss your situation, please speak with the manager where your loved one is, or will receive care.
What are my options if I’m unvaccinated?
If you would like to be considered as an exception, please call the hospital at 519-749-4300, ext. 0 and ask to be connected to the manager of the program where your loved one is receiving care to discuss your case.
Alternatively, you and/or the patient can identify another care partner to support their care provided they are fully vaccinated.
Find a list of clinics that are providing the vaccine and book your appointment at regionofwaterloo.ca.