Three inpatient units removed from GBGH COVID-19 outbreak

December 22, 2020 – Three of five inpatient units at Georgian Bay General Hospital (GBGH) have been removed from the organization’s COVID-19 outbreak. 2 East, Obstetrics and the Intensive Care Unit (ICU) are no longer considered to be part of the outbreak as there has been no transmission in these areas. This decision was made in consultation with the Simcoe Muskoka District Health Unit.

The outbreak was initially declared on the 2 North inpatient unit on December 4 and was then expanded to all inpatient units as a precaution on December 7.

“Soon after the outbreak was declared on the 2 North inpatient unit, we added all inpatient units as a precaution to monitor possible transmission beyond the initial cluster of cases,” says Dr. Dan Lee, chief of Emergency Medicine and COVID-19 medical lead, GBGH. “Now that we have confirmed no transmission in these areas, we have consulted with public health and it has been deemed safe to remove the ICU, 2 East and Obstetrics from the outbreak.”

All areas of the hospital will continue to maintain strict guidelines related to personal protective equipment (PPE), enhanced cleaning, and other infection prevention and control measures such as the masking of patients for any contact within two metres. All new admissions to the hospital will continue to be tested for COVID-19 and all patients are receiving care under the presumption of possibly being COVID-positive.

As of the end of day December 21, there have been the following cases related to the outbreak:

• 23 patient cases
  • 12 remain admitted in hospital
  • Eight discharged
  • Three outbreak-related deaths
• 24 staff/credentialed staff cases
• One visitor related to the outbreak (high risk contact of a COVID positive patient during their period of communicability)

Statistics related to the outbreak are updated daily and can be found on the GBGH website – https://gbgh.on.ca/covid-19-novel-coronavirus-updates/

Contact:

Jennifer Moore

Communications Officer, GBGH

705-526-1300 ext 5177

moorejen@gbgh.on.ca

GBGH COVID-19 outbreak update: December 17, 2020

December 17, 2020 – The COVID-19 outbreak on all inpatient units at Georgian Bay General Hospital (GBGH), declared December 4 in consultation with the Simcoe Muskoka District Health Unit (SMDHU), continues. Through extensive contact tracing with public health, the hospital is making significant progress in determining the original location and source of the outbreak.

As of the end of day December 17, there have been the following cases related to the outbreak:

• 18 patient cases
  • Ten remain admitted in hospital
  • Six discharged home
  • Two outbreak-related deaths
• 22 staff/credentialed staff cases
• One visitor related to the outbreak (high risk contact of a COVID positive patient during their period of communicability)

At this time, all the cases confirmed to date are related to the initial transmission in early December. There have been no new sources of transmission found since outbreak infection prevention and control protocols were implemented on December 4.

“We know the incubation period for COVID-19 can be up to 14 days long,” says Dr. Dan Lee, chief of Emergency Medicine and COVID-19 medical lead, GBGH. “The cases we’ve discovered over the past 13 days, through our surveillance testing and from looking at connections between cases, are all related to the initial source of the outbreak. Although we’ve had infection prevention and control measures in place from the outset of the pandemic, the enhanced precautions post-outbreak have helped prevent new transmissions.”

At this time, non-urgent and elective surgeries and procedures are still postponed. GBGH is taking guidance from public health regarding timing to safely resume these services.

“We understand the postponement of non-urgent or elective procedures and surgeries is never ideal,” says Dr. Vik Ralhan, chief of staff and chair, Elective Surgical and Procedural Oversight Committee, GBGH. “Some conditions can become more urgent when delayed, it is frustrating for patients who have to wait, not only for safety, but quality of life as well. Our physicians always have timely patient care at the top of their minds and are eager to proceed with a ramp up when authorized. The resumption date is being evaluated on a daily basis to get elective procedures and surgeries up and running. We recognize this is frustrating, but want everyone to know that one of our top priorities is to get up and running safely.”

Statistics related to the outbreak are updated daily and can be found on the GBGH website – https://gbgh.on.ca/covid-19-novel-coronavirus-updates/

Contact:

Jennifer Moore

Communications Officer, GBGH

705-526-1300 ext 5177

moorejen@gbgh.on.ca

GBGH COVID-19 outbreak update: December 10, 2020

December 10, 2020 – The COVID-19 outbreak on all inpatient units at Georgian Bay General Hospital (GBGH), declared December 4 in consultation with the Simcoe Muskoka District Health Unit, continues.

As of the end of day December 9, there have been the following cases related to the outbreak:

• Six inpatient cases
  • Four remain admitted in hospital
  • One discharged home
  • One death
• 17 staff/credentialed staff cases

Contact tracing for current patients and staff is being completed through the hospital’s Occupational Health and Safety and Infection Prevention and Control departments. Contact information for anyone who has been an inpatient (and has now been discharged) or outpatient at the hospital, or who may be considered a high-risk contact of one of these cases, has been provided to public health for community follow-up.

GBGH has tested 527 staff and credentialed staff since December 5.

Contact:

Jennifer Moore

Communications Officer, GBGH

705-526-1300 ext 5177

moorejen@gbgh.on.ca

GBGH COVID-19 outbreak: Contact tracing update

December 8, 2020 – Due to the COVID-19 outbreak on all inpatient units at Georgian Bay General Hospital (GBGH) extensive contact tracing is taking place in consultation with the Simcoe Muskoka District Health Unit.

If someone received care at the hospital between November 23 and December 4 (the day the outbreak was declared) and were in contact with a patient or staff member who has tested positive for COVID, their names have been identified through extensive contact tracing. Contact tracing for current patients and staff is being completed through the hospital’s Occupational Health and Safety and Infection Prevention and Control departments. Contact information for anyone who has been an inpatient (and has now been discharged) or outpatient at the hospital, or who may be considered a high-risk contact of one of these cases, has been provided to public health for community follow-up.

There are currently 16 staff/credentialed staff cases and three inpatient cases identified as part of the outbreak. This is an increase of three staff and one inpatient since December 7.

GBGH continued to test staff and credentialed staff on December 8 as part of efforts to identify any positive cases. All inpatients have been tested and all new patient admissions to the hospital are being tested.

“Over the past four days, the hospital has tested more than 520 staff and credentialed staff,” says Dr. Dan Lee, COVID medical lead and chief of Emergency Medicine, GBGH. “As more testing tends to net more positive results, we do expect the potential to see an increase in positives, similar to when testing increases in the community and more positive cases are detected.”

The Midland COVID-19 Assessment Centre has also seen an increase in positive cases in the past week with eight new confirmed community cases. This does not include cases related to the outbreak at GBGH. Anyone in the community who is experiencing symptoms should seek COVID-19 testing via the Midland COVID-19 Assessment Centre by booking online via the GBGH website or by calling 705-529-1025.

Contact:

Jennifer Moore

Communications Officer, GBGH

705-526-1300 ext 5177

moorejen@gbgh.on.ca

GBGH COVID-19 outbreak update: December 7, 2020

December 7, 2020 – An outbreak of COVID-19 declared at Georgian Bay General Hospital (GBGH) on December 4, in collaboration with the Simcoe Muskoka District Health Unit, has now been changed to include all inpatient units at the hospital due to additional staff positive cases. This includes 2 North, 2 East, 1 North, Intensive Care Unit (ICU) and Obstetrics.

Initially the outbreak impacted the 2 North inpatient unit. On December 3, one admitted patient and one staff member from 2 North were confirmed positive for COVID-19, initiating the outbreak to be called on the specific unit.

Through testing over the weekend, the hospital has now confirmed an additional 12 staff and credentialed staff (physicians, midwives, dentists) infections in areas of the hospital outside of 2 North. GBGH has confirmed an additional inpatient case bringing the total to two patients and 13 staff/credentialed staff.

“We are deeply concerned about the status of this outbreak and I want to assure our staff and our community we are doing everything we can in the best interests of our patients and our team members,” says Gail Hunt, president and chief executive officer, GBGH. “Over the weekend, our team has been working tirelessly to test, conduct contact tracing and implement the necessary measures to manage this outbreak and we will continue to put all our best efforts forward.”

Over the weekend, GBGH conducted extensive testing of all patients on the 2 North and 1 North units. On December 7 all patients on the 2 East inpatient unit and ICU were swabbed. Of the testing completed with 2 North patients on December 5, results have been received and they have all been negative. The hospital is awaiting results for 1 North, 2 East and the ICU. Contact tracing is currently underway to thoroughly examine transmission and potential exposures, either high or low risk.

“GBGH continues to work closely with public health to manage and control this outbreak which includes thorough contact tracing and enhanced infection prevention and control,” says Dr. Dan Lee, COVID medical lead and chief of Emergency Medicine, GBGH. “Based on the test results we’re receiving we are seeing more positive cases among staff than patients. The majority of transmission appears to be from staff to staff based on our preliminary findings.”

The hospital tested 167 staff on Saturday and Sunday, and is continuing to test today and December 8. GBGH is also testing all new admissions to detect infections which may have been contracted in the community.

Effective December 8, non-urgent and elective surgical and ambulatory care (endoscopy) procedures scheduled at the hospital are being postponed at this time. Urgent and emergent surgeries and endoscopies will proceed at this time, as will Diagnostic Imaging. Physicians’ offices or the hospital will contact patients to notify them if their procedure is being postponed.

Visitation to the hospital remains restricted with the exception of special circumstances (palliative, birthing unit) on a case-by-case basis.

Currently, there are 44 active hospital outbreaks across the province.

Contact:

Jennifer Moore

Communications Officer, GBGH

705-526-1300 ext 5177

moorejen@gbgh.on.ca

GBGH declares COVID-19 outbreak on 2 North inpatient unit

December 4, 2020 – An outbreak of COVID-19 has been declared at Georgian Bay General Hospital (GBGH) on its 2 North inpatient unit, in collaboration with the Simcoe Muskoka District Health Unit. On December 3, one admitted patient and one staff member were confirmed positive for COVID-19. Contact tracing is currently underway to determine the origin of the infection and the risk of exposure among staff and patients.

“GBGH is working closely with public health to manage and control this outbreak so we can declare it over as soon as possible with limited transmission,” says Dr. Dan Lee, COVID medical lead and chief of Emergency Medicine, GBGH. “Our infection prevention and control measures have been very successful throughout the pandemic to date and our hospital has all the preventive measures in place to ensure the continued safety of our patients, staff and credentialed staff.”

The impacted unit – 2 North – is now closed to new patient admissions for the duration of the outbreak. The patient has been relocated to GBGH’s dedicated COVID beds on the 2 East inpatient unit.

Effective today, all visitation to the hospital has been restricted with the exception of special circumstances (palliative, birthing unit).

Contact:
Jennifer Moore
Communications Officer, GBGH
705-526-1300 ext 5177
moorejen@gbgh.on.ca

GBGH awarded for championing organ and tissue donation

Georgian Bay General Hospital (GBGH) was recently honoured by Trillium Gift of Life Network (TGLN) with a Provincial Conversion Rate Award. This award is presented to hospitals who exceed the target of 63 per cent conversion rate set by TGLN, reaching 100 per cent. This is the first year GBGH is receiving the Provincial Conversion Rate Award. Accepting the award on behalf of GBGH are (form left): Tyler Pilon, GBGH’s TGLN operations lead and manager of Intensive Care, Surgical Services & Respiratory Therapy, and Dr. Khalid Tahir, GBGH’s TGLN medical lead, intensivist and chief of Critical Care.

November 24, 2020 – At a virtual awards ceremony held November 24, Georgian Bay General Hospital (GBGH) was honoured with a Provincial Conversion Rate Award by Trillium Gift of Life Network (TGLN), Ontario’s organ and tissue donation and transplantation agency. This award recognizes GBGH for its outstanding efforts to integrate organ and tissue donation into quality end-of-life care in 2019-2020.

The Provincial Conversion Rate Award is presented to hospitals who exceed the target of 63 per cent conversion rate set by TGLN, reaching 100 per cent. The conversion rate is the percentage of potential organ donors (patients who die in a hospital setting and are deemed medically suitable for donation) who went on to become actual donors.

“Organ donation is a complex process, and the conversion rate reflects how well Trillium Gift of Life Network and GBGH are working together to save lives,” says Dr. Khalid Tahir, TGLN medical lead, intensivist and chief of Critical Care, GBGH. “By working closely with TGLN in 2019-20, GBGH was able to identify and facilitate one organ donation which lead to one transplant and 25 tissue donations. I know our GBGH team is extremely proud of our role in helping facilitate these donations which enhance the lives of many.”

Although GBGH is one of 30 hospitals to be awarded a 2019-2020 Trillium Gift of Life Network Achievement Award, this is the first year GBGH is receiving the Provincial Conversion Rate Award. In the past two years, GBGH has received consecutive Provincial Routine Notification Rate Awards. Routine notification is the rate at which hospitals notify TGLN when a patient has died and there may be the potential for organ and/or tissue donation.

“GBGH has made an outstanding contribution to organ and tissue donation in Ontario and this award is a reflection of that important work,” says Ronnie Gavsie, president and CEO, TGLN. “The collaboration and partnership we have with our hospitals is critical to saving lives. Every Ontarian can play a part by registering to donate at BeADonor.ca. Now is the time to think about what we can do to protect the health of others, and this includes saving more lives through donation.”

Today, more than 1,600 people in Ontario are on the waitlist for a life-saving organ transplant, and every three days someone will die without one. While the majority of Canadians support donation only 35 per cent of Ontarians have formally registered their consent for organ and tissue donation.

While some people believe that their age or medical condition prevents them from donating, in actuality, neither age nor health precludes someone from becoming a donor. Every potential donor is assessed at the time of death for medical suitability. Others may believe that doctors won’t work hard to save a life if someone is a registered donor, but in fact, saving a life is always the priority. Donation is only considered after all lifesaving efforts are exhausted, there is no chance of recovery, and the family accepts the diagnosis of death.

Midland and Penetanguishene – both with 54 per cent donor registration rates – well exceed the average provincial registration rate of 35 per cent. Midland ranks 19th and Penetanguishene ranks 20th for organ donation registration out of 170 communities in Ontario. Visit www.beadonor.ca to register or find out more.

Contact:
Jennifer Moore
Communications Officer, GBGH
705-526-1300 ext 5177
moorejen@gbgh.on.ca

Midland COVID-19 Assessment Centre now offers online appointment booking

November 17, 2020 – Effective today, the Midland COVID-19 Assessment Centre will offer online appointment booking via the Georgian Bay General Hospital (GBGH) website. Anyone interested in booking their appointment online can do so here – https://gbgh.on.ca/covid-19-novel-coronavirus-updates/

Appointments can still be booked via telephone by calling 705-529-1025 between:

Monday: 7:00 a.m. – 6:00 p.m.

Tuesday – Friday: 7:00 a.m. – 3:00 p.m.

The Midland Assessment Centre has swabbed nearly 11,000 people since opening on March 25, 2020. The centre is staffed by community partners including GBGH, Waypoint Centre for Mental Health Care, Centre de Santé Communautaire CHIGAMIK Community Health Centre and the North Simcoe Family Health Team.

Contact:

Jennifer Moore

Communications Officer, GBGH

705-526-1300 ext 5177

moorejen@gbgh.on.ca

GBGH tightens visitation in response to pandemic status

November 3, 2020 – Georgian Bay General Hospital (GBGH) is revising its visitation policy in response to an increase of COVID-19 cases in the community. Effective November 4, admitted patients are permitted one visitor per day between the hours of 9:00 a.m. and 8:00 p.m. Exceptions can be made for palliative patients working with a patient’s care team.

All inpatient visits must be scheduled in advance by calling the hospital at 705-526-1300.

Prior to this change (since early September), GBGH was permitting two visitors at a time for inpatients anytime within the visiting hours of 9:00 a.m. and 8:00 p.m.

“Given the increase in cases within our region, GBGH has made the difficult decision to return to a more structured system with visitation being booked in advance,” says Gail Hunt, president and CEO, GBGH. “Although we wish we didn’t have to ever restrict visitation, this will allow us to safely manage visitation while ensuring patients can still enjoy time with their loved ones.”

To attend a scheduled visit, the public must enter the hospital through the main entrance and check-in with the screener who will confirm their information (contact, visitation time, unit receiving visitor).

Emergency department patients may have one support person with them if additional assistance is required. Circumstances where support could be required include:

• Pediatric patients – i.e. children under 18 (one guardian permitted with child)
• Language barrier (translation required)
• Mental health/competency/confusion challenges
• Palliative

Patients attending the hospital for scheduled appointments or procedures may have one support person accompany them if the patient requires it for similar reasons as in the Emergency department (listed above).

All permitted visitors will continue to be screened upon entering the hospital. Any visitor who screens positive for COVID-19 symptoms will be asked to not visit. In exceptional circumstances (such as a support person for a woman in labour, a parent/guardian of a child in the Emergency department or a palliative/end of life patient), a visitor who screens positive for symptoms will be reviewed by GBGH’s infection prevention and control practitioner or hospital coordinator prior to entry.

All visitors must comply with hand hygiene practices, wear a hospital-provided mask and follow physical distancing. Visitors could also be asked to wear additional personal protective equipment as determined by the care team based on a patients’ condition.

Visitor guidelines are subject to change based on the status of the pandemic within the region GBGH serves.

For more information, please visit https://gbgh.on.ca/covid-19-visitor-restrictions/.

Contact:

Jennifer Moore

Communications Officer, GBGH

705-526-1300 ext 5177

moorejen@gbgh.on.ca