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LTC and ADS COVID-19 staff screening

You will need to complete this screening tool before starting your shift.

If you are not able to proceed to the next step, you have failed screening.

If you have any respiratory or gastrointestinal symptoms, do not visit, and contact your supervisor for more information.

Do you have any of these symptoms that are not related to pre–existing conditions?

  • Fever of 38° C or greater and/or chills
  • Cough (new or Worsening)
  • Shortness of breath
  • Sore throat
  • Decrease or loss of sense of smell or taste
  • Nausea, vomiting and/or diarrhea
  • Fatigue
  • Headache
  • Runny or stuffy nose/congested nose
  • Muscle aches and joint pains
  • Abdominal Pain
  • Pink Eye or conjunctivitis

Next step

Do any of the following apply to you?

  • Has a health care provider or government authority told you that you should currently be isolating (staying at home) or to not go to a Long Term Care Home?
  • In the last 10 days, have you been identified as a "close contact" of someone who has tested positive for COVID-19 or have symptoms consistent with COVID-19?

In the last 10 days have you tested positive on a COVID-19 rapid antigen test or home-based self-testing kit? If you have currently tested negative on a lab PCR test, answer "No."

Please contact your IPAC lead or supervisor or designate.

Previous step Complete

Screening date:

Sanitize your hands, follow the centre's IPAC protocols and proceed to you RHA to start your shift.

Masks are required when in Resident Home Areas and ADS Program.

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