Visitation Policy and Procedure

This policy defines and sets expectations regarding persons visiting hospitalized patients and recognizes our commitment to provide visitation in accordance with our non-discrimination policy, which provides access without regard to race, color, sex, national origin, disability, age, religion, marital status, citizenship, gender identity, gender expression, sexual orientation, and/or other legally protected classifications. The manager for each unit is responsible for ensuring that staff adhere to the Visitation Policy.

This policy is designed to support patient and family-centered care throughout the patient’s stay, and to ensure the safety of all patients, visitors, and staff, while at the Hospital. We strive to provide an environment that is comfortable and appropriate for patient recovery. Family, friends and/or representatives of the patients' choosing are encouraged to visit and provide support during the patients hospital stay. Patients and families are informed of visiting hours and rules during admission and orientation to the unit. Visitors are welcome unless their presence interferes with others’ rights, safety, or is medically contraindicated. In general, patients have the right to identify a Support Person, or Essential Caregiver, to be available during the course of their stay. Some specialty areas have additional rules for visitation that are listed below under Specialty Areas. Patients have the right to withdraw permission or deny visitors at any time.

Guidelines for the participation of persons spending time with the patient are flexible in order to respond to the diverse and changing needs and preferences of each patient and the hospital. Time and treatment may alter patient wants, desires or needs. Wherever possible, patients' wishes regarding visitation are recognized and honored.

Recognizing that it is impossible to anticipate every clinical reason that could warrant limitations on visitation, the hospital reserves the right to determine any situation where it is necessary to limit visitation. The hospital may suspend in-person visitation of a specific visitor if the visitor knowingly violates the Visitation Policy.

Any questions or concerns related to the UF Health Jacksonville Visitation Policy should be directed to our Patient Relations Department.

Incarcerated patients are exempt from this policy as their visitation is determined by the authority having legal jurisdiction.

Visitation for COVID-19 Patients

• Visitation for positive COVID patients in Inpatient Units, Emergency Departments and Clinics is authorized. All visitors for positive COVID-19 patients must be 16 years or older to allow for proper fit of Personal Protective Equipment (PPE).
• Visitors will be required to wear a non-fit tested 8210 N95 mask and eye protection. All isolation precautions must be followed by any visitor and staff must educate the visitor on how to appropriately don/doff personal protective equipment prior to the visit.

Definitions

• Essential Caregiver: A patient designated visitor who is a family member, friend, guardian, or other individual. The Essential Caregiver will not be required, nor expected to, provide any necessary care to the patient.
• Family or Family Member: The terms "family" or "family member" include any person(s), as defined by the patient, who plays a significant role in an individual’s life. This may include a person(s) not legally related to the individual. "Family" includes spouses, domestic partners, and significant others of both the same and opposite sex. "Family" includes a minor patient’s parents, regardless of the gender of either parent. Solely for purposes of this visitation policy, the concept of parenthood is to be liberally construed without limitation as encompassing: biological parents, legal parents, foster parents, same-sex parents, step-parents, those serving in loco parentis, and other persons operating in caretaker roles, consistent with applicable law.
• Hospital – Shands Jacksonville Medical Center, Inc., dba UF Health Jacksonville and dba UF Health North.
• Support Person: A person chosen by the patient to be present with them during the course of their stay, unless the individual’s presence infringes on the rights of others, patient or staff safety, or is medically or therapeutically contraindicated. A Support Person may or may not be the patient’s surrogate decision maker or legally authorized representative and may be a family member, friend, or other individual.
• Visitor: A "visitor" is defined as a guest of the patient. "Family" and "family members" are considered to be visitors.

Visitation Guidelines

1. In general, visitors are encouraged to visit the patient from 9 a.m. to 9 p.m. (09:00-21:00) and are free to move about during these times in areas open to the public. In most cases, to avoid overcrowding in the patient’s room, 2 visitors are allowed to visit a patient at a time during regular visiting hours. Some units in the hospital may set specific hours or additional restrictions for the purpose of providing safe care, privacy, or security, for patients in that area. The patient, patient’s designated representative or the healthcare team, may limit visitation based on the individual needs of the patient.
2. A visitor who has been designated by the patient as an Essential Caregiver will be allowed in-person visitation for at least 2 hours in addition to normal visitation hours.
3. Consensual physical contact, such as holding hands or hugging, is allowed between the patient and visitor.
4. If the patient is on isolation precautions, the visitor must comply with the applicable isolation precautions. Hospital staff will provide the necessary education to the visitor regarding the isolation precautions.
5. In-person visitation is allowed in all of the following circumstances unless the patient objects:
   1. End of life situations
   2. The patient who was living with family before being admitted to the Hospital is struggling with the change in environment and lack of in-person family support.
   3. The patient is making one or more major medical decisions.
   4. The patient is experiencing emotional distress or grieving the loss of a friend or family member who recently died.
   5. The patient needs cueing or encouragement to eat or drink which was previously provided by a family member or caregiver.
   6. The patient who used to talk and interact with others is seldom speaking.
   7. In cases of childbirth, including labor and delivery
   8. Pediatric patients.
6. All visitors are required to wear a surgical mask while indoors, regardless of vaccination status. Surgical masks are available at hospital entry points.
7. All visitors are required to do self-screening upon entry to any hospital building for symptoms of COVID-19.
8. Special considerations that determine the amount of time visitors spend with the patient include:
   1. The clinical and emotional needs of the patient. Having Visitors present must not put the patient at undo risk or cause harm. Patients who exhibit symptoms including, but not limited to, exhaustion, overstimulation, or marked increase in agitation may have visitation limited.
   2. Visitors who are unable or unwilling to comply with hospital infection control policies may be asked to limit visitation or may have visitation suspended.
   3. Visitation may be suspended in situations when an individual’s presence infringes on the rights of others or poses a safety risk for patients or staff.
   4. The need to maintain a sterile environment during bedside procedures may result in visitors being asked to leave the room temporarily.
   5. One visitor is allowed overnight stays in private rooms. We discourage overnight visitors in semi-private rooms as we need to be sensitive and not infringe upon others’ privacy. Visitors shall inform the Charge RN if staying overnight in a semi private room. Accommodations will be made when possible via the Nursing Resource Office to move patient to a private room.
   6. In the intensive care areas, general Emergency Department (ED) areas, Trauma, PACU, and other areas with limited space, the preferred number of visitors at the bedside is no more than one at a time. If the patient is nearing end of life, special circumstances or accommodations may be made for additional visitors on a case by case basis.
   7. Visitors with prohibitive legal documentation, such as restraining orders, will not be allowed to visit.
   8. Visitors may be asked to leave the patient room or area in the event of a new incoming patient, deterioration in a patient’s status, or disruption of the therapeutic environment.
9. In order to maintain a therapeutic healing environment, visits should be brief, quiet, and pleasant.
10. Patients always have the right to refuse visitors.
11. Visitors are expected to be as quiet as possible in the patient care areas.
12. Visitors are expected to adhere to all isolation restrictions. Unit staff will provide education to visitors regarding isolation restrictions.
13. Visitors are expected to be appropriately dressed (shirt and shoes are required).
14. Visitors must be able to care for themselves. If they are unable or unwilling to care for themselves, they must be accompanied by another adult who agrees to supervise and care for them.
15. The nursing staff and Security Officers are responsible for informing visitors and patients of the visitation guidelines.
16. Security should be notified as necessary if a visitor The Hospital has zero tolerance for violence (see Workplace Violence policy A-04-026). Security will be contacted if a visitor is disruptive, inebriated, abusive, threatening, coercive, disrespectful to staff or patients, or otherwise interferes with hospital operations or patient care. Security will be notified if a visitor is suspected of committing a criminal act.
17. Food preparation is not permitted in the visitor lounges or patient rooms. Coffee makers, crock pots, Coleman stoves, hot plates, or any other types of cooking devices are not permitted at any time.
18. Food brought into the Hospital should be kept to a minimum. Any food brought in should be intended solely for the visitor or the specific patient being visited if diet allows. Food may not be distributed to other patients. Food should be cleared with the clinical staff treating the patient before being given to a patient to insure that dietary restrictions are observed. No alcoholic beverages are allowed on the Hospital campus.

After Hours Visitation (9 p.m. – 9 a.m.)

1. Visitor waiting rooms, with the exception of Labor and Delivery, OR, MICU, SICU, the Pavilion, and UF Health North will be locked at 9 p.m. for the safety of our patients, guests and staff. Visitors are encouraged to leave the facility after 9 p.m. to obtain respite in order to better provide emotional support for the patient. Visitors choosing to remain after 9 p.m. will be directed to stay in the patient’s room or go to one of the open visitor waiting rooms, the first floor lobby, or cafeteria.
2. For patients having surgery or any other procedure after hours, visitors are permitted to wait in the appropriate visitor waiting room. After hours visitors must obtain a Visitor Pass from Security.
3. Approved visitors arriving after 9 p.m. and before 5 a.m. must obtain a Visitor pass from Security which will contain the patient location (room), the visitor’s name, and the date. The Security Officer will call the floor and speak to the charge nurse to verify that visitors are allowed after hours. After hour security locations are:
   1. Clinical Center - Elevators adjacent to the ED waiting rooms.
   2. Pavilion - Ground floor at the security desk.
   3. North Campus - Patient Relations/Security desk in the ED waiting room.
4. Visitors with patients who are arriving for early morning procedures will be directed to the appropriate visitor waiting room after the patient is registered for their procedure.
5. Adults staying overnight must be able to care for themselves and, at the discretion of the nurse, may participate in the basic care of the patient such as feeding and bathing.

Child Visitors

Children under the age of 12 years will not be permitted visitation. All children over the age of 12 years must be accompanied by a responsible adult over the age of 18 or a parent at all times based upon parental supervision and appropriateness of the patient’s condition. The patient being visited may not serve as the responsible adult for child visitors. Due to sizing limitations with proper fitting masks for children, no children under the age of 16 will be allowed to visit a patient that is positive for COVID-19. The following guidelines are to be followed:

1. A responsible adult will accompany the child at all times and will check-in with the unit nurse manager or designee upon arrival to the unit.
2. Children with an illness, cough or skin rash may not visit patients.
3. For their safety, children are not permitted to visit patients in isolation, unless approved by the nurse manager.
4. Children are not permitted to stay overnight unless unusual circumstances warrant such action and it is approved at the discretion of the unit Nurse Manager or designee.
5. If any of the above guidelines are not adhered to, or the child’s behavior is disruptive, the unit nurse manager or designee, or security officer will request that the responsible adult leave the unit with the child. Security will be notified of failure to comply with the request.

Specialty Areas

The following specialty areas have additional individual, unit-specific, guidelines related to visitation:

1. Inpatient Psychiatric Unit:
   1. Visiting Hours are as follows unless a physician order exists for an alternate time:
      1. Tuesday and Thursday, 6:30 p.m. - 8:00 p.m.
      2. Saturday, Sunday and holidays, 1:30 p.m. - 3:00 p.m.
   2. Denial of visiting rights requires a physician order. If visitors are denied, this order must be renewed every 48 hours, and this action must be explained to the patient and to visitors as applicable. The decision to deny visitation is documented in the progress notes.
   3. All visitors must check in at the nursing station.
   4. Visitors will be asked to place their belongings into the lockers in the vestibule prior to entering the unit.
   5. Child visitors under the age of 12 are not permitted unless special arrangements have been made in advance with the nursing staff.
   6. Only two visitors are allowed at the same time unless a physician order for more than two visitors is obtained.
   7. All visiting must take place in the general patient areas. Patients and their visitors are given as much privacy as possible within these restrictions.
   8. Any items brought in for the patient must be checked by the nurse prior to giving the item to the patient. Contraband is not permitted.
   9. Food is only permitted to be brought in if special arrangements have been made in advance with the nursing staff.
   10. Visitors must comply with unit rules, such as NO smoking. Visitors who do not comply with unit rules will be asked to leave the unit.
2. Emergency Department (ED):
   1. All visitors must have a pass stating the patient’s last name and area of the ED in which patient is located (Downtown only).
   2. Due to space constraints, visitation in the ED ICU/Resuscitation areas is restricted to one visitor at the discretion of the Nurse Manager or designee.
   3. No children are permitted to visit in the ED patient care area under the age of 12 years, except when warranted due to unusual circumstances and at the discretion of the Nurse Manager or designee.
3. Trauma Center:
   1. All visitors to the Trauma Center must be approved by the Trauma Center nursing staff with assistance from the chaplain and/or physician.
   2. No children are permitted to visit in the Trauma Center patient care area under the age of 12 years, except when warranted due to unusual circumstances and at the discretion of the Nurse Manager or designee.
   3. Visitors may be asked to leave at any time in the event of an incoming patient, deterioration in patient status or disruption of the therapeutic environment.
4. Mother / Baby Areas:
   1. All adult Visitors must have photo identification (driver’s license, state ID, employee badge) before access will be authorized. At the Downtown Campus, identification is verified by a Security Officer. At the North Campus, identification is verified by the staff member in the waiting area. If a staff member is not available in that area, visitors should use the video phone outside the door that rings back to the Nursing Station. If a visitor does not have the required photo identification, the Security Officer or staff member verifying will call the nurse who will speak to the patient to verify she is expecting this visitor.
   2. All Visitors wearing scrubs will follow the same procedure in this policy above.
   3. Identification will be verified even if the visitor has a newborn identification band.
   4. Visitation on mother/baby at the Downtown Campus will be limited to two (2) visitors at a time. The visitor with the newborn identification band provided post- delivery and the newborn’s siblings will be allowed to visit and are not included in the two (2) visitor rule. All newborn siblings are allowed to visit no matter their age.
   5. Non-sibling visitors under the age of two (2) years old will not be permitted at the Downtown Campus.
5. Labor and Delivery:
   1. Sibling children are permitted in the Labor and Delivery Rooms at the discretion of the patient and / or nursing staff.
   2. (Downtown campus only) Upon transfer of the patient to the mother / baby unit, only the visitor with the newborn identification band will be allowed to accompany the patient through the staff hallway from labor and delivery to 3N. All other visitors will be asked to go to the waiting area for 30 minutes to allow for admission process.
6. NICU:
   1. Visitation of guests other than the parent(s)/guardian(s) is at the discretion of the parent(s)/guardian(s). Guests must be accompanied by a parent/guardian during visitation. Exception: Grandparents may visit with the permission of the parent/guardian and are not required to be accompanied by the parent/guardian.
   2. Infant contact may be made by Visitors at the discretion of the nurse.
   3. Siblings of infants must be at least 12 years of age, and parents must complete the NICU Wellness Screening Tool (health questionnaire) for every visit. Visits by siblings more than twelve years old should be limited to 30 minutes. Younger siblings may visit at the discretion of the Nurse Manager or designee for period not to exceed 5 minutes. Infant contact with the sibling is at the discretion of the nurse. All siblings will have temperature taken before entering NICU which must be within normal limits for entry.
   4. During times of increased risk of infection due to certain viruses such as, influenza and Respiratory Syncytial Virus, the entry of siblings under 12 years of age will be restricted and parents and visitors may be restricted.
7. PRE-OP:
   • A maximum of one visitor (over 12 years of age) is permitted at bedside for 15 minutes once the patient is prepped at the nurse’s discretion with social distancing until capacity is met.
8. PACU:
   • A maximum of one visitor (over 12 years of age) is permitted at bedside for 15 minutes once the patient has met phase 1 discharge criteria or the return to procedure baseline vitals with no nausea or vomiting, and adequate pain control. Children under age 16 are permitted one parent at bedside upon arrival into PACU until discharge from PACU. Visitors may be asked to leave at any time in the event of special procedures, deterioration of a patient status, or at the request of the physician or nurse as necessary to meet patient care needs.
9. Surgery:
   1. In-Patient Surgery – two visitors are allowed to wait in the patient’s room. If no room is assigned, one family member may wait in the surgical waiting room with social distancing until capacity is met.
   2. Outpatient Surgery - two visitors per patient in the waiting room with social distancing until capacity is met. Outpatient Support Persons take precedence because of the need to receive discharge instructions and to provide the ride home.
10. Pediatrics/PICU:
    1. Parent(s)/guardian(s) are encouraged to spend as much time with the child as possible, including overnight stays. One parent/guardian will be permitted to stay overnight in the child’s room. Parents/guardians may switch out during the overnight stay so that both parents/guardians are able to spend time with the child.
    2. Visitation of additional guests will be at the discretion of the parent(s)/guardian(s), in collaboration with nursing staff. One visitor will be permitted at the bedside at any given time, in the presence of a parent/guardian or immediate Family member of the child.
11. Clinics:
    1. Visitation for clinics is allowed until waiting rooms are at capacity.

Transitional Care Unit (TCU) Visitation Policy

This Policy defines and sets expectations regarding persons visiting residents in the Transitional Care Unit (TCU) and recognizes our commitment to provide visitation in accordance with our non-discrimination policy, which provides access without regard to race, color, sex, national origin, disability, age, religion, marital status, citizenship, gender identity, gender expression, sexual orientation, and/or other legally protected classifications. The Director of Nursing for the TCU is responsible for ensuring that staff adhere to the Visitation Policy.

This policy is designed to support resident and family-centered care throughout the resident’s stay, and to ensure the safety of all residents, visitors, and staff, while in the TCU. We strive to provide an environment that is comfortable and appropriate for recovery. Family, friends and/or representatives of the residents’ choosing are encouraged to visit and provide support during the resident’s stay. Residents and families are informed of visiting hours and rules during admission and orientation to the unit. Visitors are welcome unless their presence interferes with others’ rights, safety, or is medically contraindicated. Residents have the right to identify a Support Person, or Essential Caregiver, to be available during the course of their stay. Residents have the right to withdraw permission or deny visitors at any time.

Guidelines for the participation of persons spending time with the resident are flexible in order to respond to the diverse and changing needs and preferences of each resident and the TCU. Time and treatment may alter resident wants, desires or needs. Wherever possible, residents’ wishes regarding visitation are recognized and honored.

Recognizing that it is impossible to anticipate every clinical reason that could warrant restrictions or limitations on visitation, the TCU reserves the right to determine any situation where it is necessary to limit visitation. The TCU may suspend visitation of a specific visitor if the visitor violates the Visitation Policy. If at any time (24/7) there are questions or concerns regarding visitation, the issue should be escalated to the Nursing Supervisor or the Administrator on Duty (AOD) pager 904-498-4894.

All isolation precautions must be followed by any visitor and staff must educate the visitor on how to appropriately don/doff personal protective equipment prior to the visit.

Incarcerated residents are exempt from this policy as their visitation is determined by the authority having legal jurisdiction.

Definitions

1. Essential Caregiver: A resident designated visitor who is a family member, friend, guardian, or other individual. The Essential Caregiver will not be required, nor expected to, provide any necessary care to the resident. In the TCU, an Essential Caregiver, may also be referred to as a Compassionate Caregiver. It is a person chosen by the resident to be present with them during the course of their stay, unless the individual’s presence infringes on the rights of others, resident or staff safety, or is medically or therapeutically contraindicated. The individual may or may not be the resident’s surrogate decision maker or legally authorized representative and may be a family member, friend, or other individual
2. Family or Family Member: The terms “Family” or “Family Member” include any person(s), as defined by the resident, who plays a significant role in an individual’s life. This may include a person(s) not legally related to the individual. “Family” includes spouses, domestic partners, and significant others of both the same and opposite sex. “Family” includes a minor resident’s parents, regardless of the gender of either parent. Solely for purposes of this visitation policy, the concept of parenthood is to be liberally construed without limitation as encompassing: biological parents, legal parents, foster parents, same-sex parents, step-parents, those serving in loco parentis, and other persons operating in caretaker roles, consistent with applicable law.
3. TCU: Transitional Care Unit, a licensed skilled nursing facility part of Shands Jacksonville Medical Center, Inc., dba UF Health Jacksonville
4. Visitor: A “Visitor” is defined as a guest of the resident. “Family” and “Family Members” are considered to be Visitors.
5. COVID-19: A highly contagious respiratory illness caused by infection with a new coronavirus (also called SARS-CoV-2). There still may be concerns associated with visitation when either the resident or visitor are not up-to-date with all recommended vaccine doses during times when the community transmission is substantial or high. However, adherence to the core principles of COVID-19 infection prevention mitigates these concerns. The resident has the right to make choices about aspects of his or her life in the facility, including visitation. If a COVID-19 outbreak occurs in the TCU, the TCU will limit visitor movement in the facility and visitation should occur in the resident’s room.

Procedure

Visitation Guidelines

1. In general, visiting hours are from 9 A.M. to 9 P.M. (0900-2100). In-person visitation is permitted unless the resident objects. The resident, resident’s designated representative or the healthcare team, may limit visitation based on the individual needs of the resident. If questions or concerns arise regarding visitation, these should be directed to the unit’s Director of Nursing, Nursing Supervisor, or Administrator on Duty (AOD) pager 904-498-4894 24/7.
2. TCU will post instructional signs at entrances to alert visitors with symptoms of COVID-19, those who have a positive viral test for COVID-19 or close contact with someone with COVID-19 to defer non-urgent visitation until they meet the CDC criteria to end isolation.
3. TCU instructional signage will indicate if facemasks are required or optional for visitors. The requirement for facemasks during visitation will be determined using the current COVID-19 community transmission levels. If the county COVID-19 community transmission level is high, the TCU will require facemasks for visitors. For community transmission below the high level (substantial, medium or low), facemasks will be optional. Despite community transmission levels, residents and visitors when alone in the resident’s room may choose to wear facemasks or not.
4. A visitor who has been designated by the resident as an Essential Caregiver will be allowed in-person visitation for at least 2 hours in addition to normal visitation hours.
5. Consensual physical contact, such as holding hands or hugging, is allowed between the resident and visitor.
6. If the resident is on isolation precautions, the visitor must comply with the applicable isolation precautions. TCU staff will provide the necessary education to the visitor regarding the isolation precautions.
7. Special considerations that determine the amount of time visitors spend with the resident include:
   1. The clinical and emotional needs of the resident. Having visitors present must not put the resident at undo risk or cause harm. Residents who exhibit symptoms including, but not limited to, exhaustion, overstimulation, or marked increase in agitation may have visitation limited.
   2. Visitors who are unable or unwilling to comply with hospital infection control policies may be asked to limit visitation or may have visitation suspended.
   3. Visitation may be suspended in situations when an individual’s presence infringes on the rights of others or poses a safety risk for residents or staff.
   4. The need to maintain a sterile environment during bedside procedures may result iin visitors being asked to leave the room temporarily.
   5. One visitor is allowed overnight stays in private rooms.
   6. Visitors with prohibitive legal documentation, such as restraining orders, will not be allowed to visit.
   7. Visitors may be asked to leave the resident room or area in the event of a new incoming resident, deterioration in a resident’s status, or disruption of the therapeutic environment.
8. In order to maintain a therapeutic healing environment, visits should be brief, quiet, and pleasant.
9. Residents always have the right to refuse visitors.
10. Visitors are expected to be as quiet as possible in the resident care areas.
11. Visitors are expected to adhere to all transmission-based precautions. Unit staff will provide education to visitors regarding transmission-based precautions. Visitors, who are unwilling or unable to comply with transmission-based precautions, may be asked to limit or defer non-urgent visitation until precautions are lifted.
12. Visitors are expected to be appropriately dressed (shirt and shoes are required).
13. Visitors must be able to care for themselves. If they are unable or unwilling to care for themselves, they must be accompanied by another adult who agrees to supervise and care for them.
14. The nursing staff and Security Officers are responsible for informing visitors and residents of the visitation guidelines.
15. Security should be notified as necessary if a visitor is disruptive, inebriated, abusive, threatening, coercive, disrespectful to staff or residents, or otherwise interferes with hospital operations or resident care. The Hospital has zero tolerance for violence (see Workplace Violence policy A-04-026).
    1. If Security determines the visitor’s presence poses a risk to the safety of the residents or staff, or interferes with normal operations or resident care, then the visitor’s permission to be on the premises may be revoked.
    2. Once a visitor’s permission to be on the premises is revoked, they become subject to legal processes.
    3. Security will be contacted if a visitor is suspected of committing a criminal act.
16. Food preparation is not permitted in the visitor lounges or resident rooms. Coffee makers, crock pots, Coleman stoves, hot plates, or any other types of cooking devices are not permitted at any time.
17. Food brought into the Hospital should be kept to a minimum. Any food brought in should be intended solely for the visitor or the specific resident being visited if diet allows. Food may not be distributed to other residents. Food should be cleared with the clinical staff treating the resident before being given to a resident to insure that dietary restrictions are observed. No alcoholic beverages are allowed on the Hospital campus.

After Hours Visitation (9 p.m. – 9 a.m.)

1. Visitors are encouraged to leave the facility after 2100 (9pm) to obtain respite in order to better provide emotional support for the resident. Visitors choosing to remain after 2100 will be directed to obtain an after hours visitor pass, and stay in the resident’s room or go to one of the open visitor waiting rooms.
2. Approved visitors arriving after 2100 hours and before 0500 will obtain a visitor pass from Security which will identify the resident’s location (room), the visitor’s name, and the date. The Security Officer will call the floor and speak to the charge nurse to verify that visitors are allowed after hours. After hour security location: Pavilion- Ground floor at the security desk.
3. Adults staying overnight must be able to care for themselves and, at the discretion of the nurse, may participate in the basic care of the resident such as feeding and bathing.

Child Visitors

All visitors under the age of 18, must be accompanied by a responsible adult The resident being visited may not serve as the responsible adult for visitors under the age of 18. The following guidelines are to be followed:

1. A responsible adult will accompany the child at all times.
2. Children with an illness, cough or skin rash are discouraged from visiting.
3. For their safety, children are discouraged from visiting residents with isolation precautions.
4. If any of the above guidelines are not followed, or the child’s behavior is disruptive, the unit Director of Nursing or designee, or Security Officer will request that the responsible adult leave the unit with the child. Security will be notified of failure to comply with the request.

Special Consideration

1. In circumstances where in public relations or media problems develop, the Nursing Supervisor will be contacted to call Media Relations and Security.
2. If at any time (24/7) there are questions or concerns regarding TCU visitation, escalate the question or concern to the Nursing Director or the Administrator on Duty (AOD) pager 904-498-4894.