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Yellow Visitor Guidelines for Patient Care Partners During COVID-19

Yellow Level Outpatient Care Partner Guidelines - Some Limits

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 YELLOW: MEDIUM RISK
Ambulatory Surgery Centers; Hospital-based
Adult Same Day Surgery
  • One adult care partner may be with the patient until the patient is taken into the prep area if there is enough space for physical distancing. 
  • The care partner may wait in the waiting room if there is enough space for physical distancing.
  • One adult care partner may be with the patient in recovery if there is enough space for physical distancing.
Outpatient Obstetrics and Gynecology;
Maternal Fetal Medicine, Fetal Assessment;
Fetal Therapy; or Perinatal Ultrasound
  • One care partner may be with patient throughout the visit, including in waiting areas.
    • If the person accompanying a patient is under 18 years old, they must be supervised at all times by the adult patient.
Outpatient Cancer Center Clinics; Infusion Suites*
  • One adult care partner may be with patient throughout the visit, including in waiting areas.
  • *For infusion suites where there may not be enough space to accommodate a care partner: One adult care partner may accompany patient to and from the patient’s space in the infusion suite and wait in the waiting room during the infusion.
Adult Office Visits at Any Johns Hopkins Medicine Facility
  • One care partner may be with patient throughout the visit, including in waiting areas.
    • If the person accompanying a patient is under 18 years old, they must be supervised at all times by the adult patient.
Pediatric Office Visits at Any Johns Hopkins Medicine Facility
  • Up to two care partners may come with the patient to the visit. The care partners may be two adults, or one adult and one sibling.

LEVEL YELLOW: Some limits to visits

Please review the guidelines below for visits. It is also very important to review the Care Partner Guidelines: What You Need to Know section before you come to the hospital so you can be sure you understand what is expected.

Exceptions may be granted under the following circumstances:

  • A patient with a disability needs assistance.
    • 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.
  • Please speak with your care team about requests for exceptions

Yellow Level Inpatient Care Partner Guidelines - Some Limits

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.
  • In certain circumstances, care partner visitation may be approved and arranged with the care team for long-term patients with COVID-19. Please speak with your care team for details.
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
(e.g., semiprivate rooms,
bays, waiting rooms)

 

  • Waiting rooms: Care partners may wait in waiting areas, provided there is enough space for physical distancing.
  • Semiprivate rooms: One care partner per patient may be at the bedside during visiting hours. For example, if there are two patients in the room, each patient may have one care partner at the same time.
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 the patient is taken into the prep area and may wait in the waiting room if there is enough space for physical distancing.
  • One care partner may be with the patient in recovery if there is enough space for physical distancing.
  • Once a patient is in a private room, care partner guidelines apply based on indications on this grid.
Emergency Department
(patients in private rooms)
  • Provided there is enough space for physical distancing, one care partner per emergency department visit.
  • The care partner will be called once the patient is in a private room.
  • Must be the same care partner while in the Emergency Department.
Patients requiring aerosol-generating procedures
(e.g. continuous nebulizers)
  • No care partners may be in the patient’s room during the procedure but they may enter once the procedure is done.
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.
Obstetrics/Labor and Delivery
  • One care partner at the bedside at a time will be permitted for labor, delivery, and duration of birth parent’s hospital stay.
  • Children under 18 years old years old may visit if accompanied by an adult care partner. Maximum of one child visitor at the bedside at a time.
  • Up to four care partners may rotate during visiting hours. To prevent over crowding in waiting areas, “care partner exchange” must occur outside the hospital.
  • One doula is permitted for labor and delivery.
  • One care partner OR one doula is allowed in the operating room during surgical delivery.
Psychiatry
  • One care partner may be permitted at the discretion of the clinical team. 
  • Time and duration of visit will be determined by clinical team.
Pediatrics
(patients who do not have COVID-19/are
not suspected of having COVID-19)
  • Up to two care partners may be at the bedside at the same time.
  • Care partners must be the parents/guardians or be approved by the parents/guardians.
  • Siblings under 18 years old may visit inpatient units during visiting hours if accompanied by the patient’s parent/guardian.
    • Intensive Care Units: Visiting hours and guidelines may vary. Please check with your care team.
    • General Care Units: Maximum of three siblings and one adult, or two adults and two siblings, may be at the bedside at a time during visiting hours.
  • Care partners may rotate during the day and care partners may stay overnight as long as there are only two care partners at the bedside at a time.
    • Applies to inpatient, all surgeries and procedures, and emergency department visits.
  • For patients having surgery or a procedure at Johns Hopkins Children’s Center or Johns Hopkins All Children’s Hospital:
    • Two parents/guardians may accompany patient to waiting area and prep area.
    • One parent/guardian at a time to recovery; they may swap out.
All Other Adult Inpatients
(patients in private rooms)
  • One care partner may be at the bedside during visiting hours.
  • Children under 18 years old may visit if accompanied by an adult care partner.
    • Maximum of one care partner and one child at the bedside at a time.
  • One care partner may stay overnight if either the care partner or patient is fully vaccinated for COVID-19.
    • Intensive Care Units at Johns Hopkins Bayview Medical Center: Guidelines for overnight visitation may vary. Please check with your care team
  • Up to four care partners may rotate during visiting hours. To prevent overcrowding in waiting areas, “care partner exchange” must occur outside the hospital.
  • If the number of care partner rotations is a safety concern for the care team, they will discuss with the patient and arrange a visitation schedule that is safe and feasible.
 
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