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Purple Visitor Guidelines for Patient Care Partners During COVID-19

Purple Level Outpatient Care Partner Guidelines - Most Limited

The health and safety of our patients, their families and JHM staff members is our top priority. Our care partner visitation guidelines balance prevention of the spread of the coronavirus that causes COVID-19 with the needs of our patients and their loved ones. Guidelines may vary slightly depending on care needs and location.

Responsibilities of a Care Partner for Outpatient Visits

A care partner may be a relative, partner, friend or anyone patients choose to have at their sides during care. When permitted by the risk level, children under 18 years old accompanying adult patients to clinic visits must be supervised by an adult at all times.

Care partners must follow these safety precautions, even if vaccinated for COVID-19:

  • Wear a face mask at all times. The following face coverings are not allowed: bandanas, gaiters, masks with exhalation valves, or clear shield-like face masks. A mask will be provided for you if you need one.
  • Participate in screening for COVID-19 symptoms by answering questions when entering a building or by using Johns Hopkins’ COVID-19 screening via smartphone (see instructions below). Care partners and support persons arriving with, or later developing, symptoms of COVID-19 must leave immediately.
  • Practice physical distancing of at least 6 feet.
  • Wash hands or use hand sanitizer often, including upon entering the building and at entry and exit to the clinical care room.

Care partners who do not comply with these guidelines will be asked to leave Johns Hopkins Medicine’s facilities.

Please do not come to a Johns Hopkins facility if you:

  • Feel sick
  • Have symptoms of COVID-19 or flu-like symptoms
  • Tested positive for SARS-CoV-2, the coronavirus that causes COVID-19, within the last three weeks
  • Have been advised to get a COVID-19 test, but have not yet obtained one
  • Are waiting for the results of a COVID-19 test
  • Have been in contact with someone who tested positive for the coronavirus that causes COVID-19 within the last two weeks
  • Have been asked to be on home quarantine or in isolation

Screen Before You Arrive

Fill out this form to perform a COVID-19 screening before coming to a Johns Hopkins facility. If you are unable to self-screen, you will be screened in person upon entry to the facility.

 LEVEL PURPLE: HIGHEST RISK
Ambulatory Surgery Centers;
Hospital-based Adult Same Day Surgery
  • One adult care partner may come with the patient to check-in then must leave the facility until the care team contacts them.
Outpatient Obstetrics and Gynecology;
Maternal Fetal Medicine, Fetal Assessment;
Fetal Therapy; or Perinatal Ultrasound
  • Care partner exception for disability only.
  • One adult care partner may assist vulnerable patients with transport to and from clinic but must wait outside of clinic area during visit.
Outpatient Cancer Center Clinics; Infusion Suites
  • Care partner exception for disability only.
  • One adult care partner may assist vulnerable patients with transport to and from clinic or infusion suite but must wait outside of clinic area during visit.
Adult Office Visits at Any Johns Hopkins Medicine Facility
  • Care partner exception for disability only.
  • One adult care partner may assist vulnerable patients with transport to and from clinic but must wait outside of clinic area during visit.
Pediatric Office Visits at Any Johns Hopkins Medicine Facility
  • One adult care partner; no one else (including siblings) may accompany the care partner and patient to the visit.

LEVEL PURPLE: Most limited visits

Johns Hopkins Medicine evaluates its visitation risk levels every week, and uses data that monitors the spread of COVID-19 in states and counties to help determine the level.

At the critical level, all care partners must request a visitor exception. All exceptions require review and approval before a care partner may arrive. Please talk to your provider or care team about an exception.
One care partner who has an approved exception is allowed per patient. Exceptions may be granted under the following circumstances:

  • A patient with a disability needs assistance.
    • Up to two care partners may be identified so they can take turns being with the patient 24 hours per day, if needed.
    • One care partner may be at the bedside at a time.
  • A patient is undergoing emergency surgery related to a traumatic event.
  • The care team for a patient with rehabilitation or cognitive needs has scheduled care-partner training.
  • In-person bedside discharge education is required for a patient and care partner.
  • Once eligible adult patients have been hospitalized for seven or more calendar days, they may schedule acare partner visit once every seven days for a maximum of four hours for each visit.

Purple Level Inpatient Care Partner Guidelines - Most Limited

Type of Inpatient VisitNumber of Care Partners
Confirmed or Suspected COVID-19Adult
  • No care partners may visit except for end-of-life care, medical necessity and patients in labor.
Pediatrics
  • One parent or guardian may be present; must stay with the patient in their room throughout the patient’s stay.
  • Neonatal intensive care unit policies for confirmed or suspected COVID-19 may vary. Please check with your care team.
Shared Spaces
(for example, semiprivate rooms, bays, waiting rooms)
  • No care partners may visit except for end-of-life care and medical necessity.
Adult patients prior to a surgery or
procedure requiring an inpatient
hospitalization in a private room
  • One care partner may be with the patient until patient is taken intoprep, provided there is enough space for physical distancing.
  • Once the patient is taken into the prep area, the care partner mustleave.
  • Once a patient has been admitted, follow the guidelines listed belowunder the “All Other Adult Inpatients” section of this chart
Emergency Department
(patients in private rooms)
  • No care partner may visit except for designated exceptions.
Obstetrics/Labor and Delivery
  • One care partner will be permitted for labor, delivery and duration of birth parent’s hospital stay; must be same care partner throughout stay, except in cases where the patient has a disability (see above exceptions).
  • One care partner is allowed in the operating room during surgical delivery.
Pediatrics
(patients who do not have COVID-19/are not
suspected of having COVID-19)
  • 1 parent/guardian may visit at a time; may rotate with a second parent/guardian once per day; end of life exceptions for siblings may apply; must be the same care partners throughout stay.
  • Applies to inpatient and emergency department visits.
  • For patients having surgery or a procedure at the Johns Hopkins Children’s Center and Johns Hopkins All Children’s Hospital:
    • 1 parent/guardian may accompany patient to waiting area, in prep area and in recovery.
Psychiatry
(All care partners to inpatient psychiatry
units must be approved in advance by
the service line leader, nurse manager,
and clinical director/vice chair.)
  • No care partner except for designated exceptions.
  • All care partners to inpatient psychiatry units must be approved in advance by the service line leader, nurse manager and clinical director/vice chair.
End of Life (all patients)
  • Up to two care partners at the bedside at the same time; care partners may switch out throughout the day, for as long as the clinical team deems that it is safe and feasible.
Patients requiring aerosol-generating procedures
(e.g. continuous nebulizers)
  • No care partner except for designated exceptions.
  • If exception is granted, no care partners may be in the patient’s room during the procedure but they may enter once the procedure is done.
  • Please speak with your care team about visitor exceptions.

 

All Other Adult Inpatients
  • No care partner may visit except for designated exceptions.
  • Once eligible adult patients have been hospitalized for seven or more calendar days, they may schedule a care partner visit once every seven days.
    • These visits will be managed at the unit level and do not require approval through the entity visitor exception request process.
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