You have printed or saved this information from www.HorizonNB.ca, the website for the Horizon Health Network

Facebook Icon LinkedIn Icon Twitter Icon Icon Icon
Print this page

Red Level: Clinical Services Changes and Visitor Restrictions

Red Level Button

On Wednesday, Jan. 20, Zone 1 (Moncton area), Zone 2 (Saint John area), and Zone 3 (Fredericton and Upper River Valley area) move to the Red Alert Level of New Brunswick's COVID-19 recovery plan.

At Horizon facilities, this means:

  • There will be NO VISITORS ALLOWED in our hospitals. Some exceptions to these visitor restrictions are in place for certain patients. More information on visitor restrictions is below.
  • Some non-urgent medical procedures and elective surgeries may be postponed. Horizon will contact all patients and clients if their surgery or outpatient appointment is postponed, and will call those affected to reschedule when the situation allows. More information on what to do if you have an appointment in the coming days is below.
  • Horizon's health centres and community health centres will continue to provide access to primary care by appointment, both in-person (when necessary) and by phone. Some services may be postponed, and affected clients will be contacted.  
  • Addictions and Mental Health Services for adults, youth and children will continue. In-person services will be available for patients in a crisis or high-risk situations. Intervention by virtual care and/or phone will be offered when appropriate.
  • All patients, clients and visitors will be screened for COVID-19 symptoms and asked a series of questions upon entry to our facilities. It's important to be honest when answering these questions so we can stop the spread of COVID-19.
  • Our COVID-19 Assessment Centres continue to operate -by appointment only. More sites will be added soon, providing New Brunswickers in rural communities improved access to COVID-19 testing.
  • Patients are urged to seek alternate options for non-urgent health care needs, rather than presenting to an Emergency Department/Urgent Care Centre.
  • All New Brunswickers should limit travel outside their zone. Residents of a Red Level zone are restricted from visiting a patient in a Horizon hospital outside their zone. You can continue to travel within the province for medical appointments.

Zone 7 (Miramichi area) remains in the Orange Alert Level. For more information on services changes and visitor restrictions in the Miramichi area, click here.

Visitor Restrictions at Horizon Facilities in Fredericton and Upper River Valley, Moncton and Saint John areas

Zone 1 (Moncton area), Zone 2 (Saint John area), and Zone 3 (Fredericton and Upper River Valley area) have returned to the Red Level, and strict visitor restrictions are now in place at Horizon facilities in the area. 

By limiting the number of people in our facilities through visitor restrictions, we are reducing the chance of COVID-19 infecting our patients, clients, staff and physicians.

There are NO VISITORS ALLOWED at:

Moncton (Zone 1)

Saint John (Zone 2)

Fredericton (Zone 3)

Some exceptions to visitor restrictions are in place for certain patients.

Visitor restrictions: Exceptions

ONE healthy designated visitor is permitted for patients in:

  • Critical Care
  • Labour and Delivery
  • Postpartum Care
  • Pediatrics
  • Neonatal
  • Palliative Care

NOTE: TWO healthy designated visitors may be permitted for palliative patients receiving end-of-life care. The two designated visitors cannot attend at the same time.

Discharge:

  • ONE  healthy individual allowed to pick up discharged patients.

For Emergency Departments:

  • ONE support person ONLY for patients requiring assistance.
  • Only ONE person per pediatric patient is allowed (parent or caregiver only).

For Outpatient Departments:

  • ONE support person ONLY  for patients requiring assistance.

Masks are mandatory for all visitors and support persons; when entering and leaving the facility visitors must wash their hands.

While visitor restrictions are in place, we can arrange a virtual visit with your loved one. You can arrange a virtual visit by contacting your loved one's health care provider. For more information on staying connected while restrictions are in place, click  here

Clinical Services Changes

Horizon will maintain as many services as possible in the Red Level.

Decisions to postpone services and appointments are based on a variety of factors, including:

  • Hospital capacity and occupancy rate;
  • Staffing resources; and
  • Maintaining Infection Prevention and Control and Public Health guidelines, such as enhanced cleaning protocols and physical distancing within our facilities.

Hospital occupancy rates are an indicator of the combined impact on our health care system or hospital, such as the number of scheduled surgeries, Emergency Department admissions, patients designated Alternate Level of Care (ALC) and much more - on any given day.

Occupancy rates reflect the demand on the system and our efforts to manage the appropriate use of the facility. Staff and physicians in each facility address these challenges every day, working together to ensure the length of hospital admission is appropriate. These factors play a part in why a surgery or service may be postponed.

Surgery

Our goal is to ensure as many surgeries as possible can continue while also maintaining capacity in our Intensive Care Units (ICUs) and COVID-19 units in the event of a COVID-19-related surge.

Horizon will contact all patients and clients if their surgery is postponed and will call those affected to reschedule when the situation allows.

If you have a scheduled appointment for surgery at any Horizon hospital or health care facility, please attend your appointments as you normally would.

  • All services continue to be provided by appointment only.
  • Arrive within 15 minutes of your appointment. If you arrive earlier, you may be asked to wait in your vehicle. This allows for proper physical distancing in our waiting areas.
  • Upon arrival for your appointment, you will be screened for COVID-19 symptoms, and asked to wear a mask and clean your hands. We encourage you to wear your own mask; if you don't have one, one will be provided.
  • If you arrive without an appointment, you will be asked to return home and contact your health care provider.
  • Based on patient screening, some patients will be tested for COVID-19 no more than four days in advance of their planned surgery date. These patients will need to self-isolate between their COVID-19 test date and surgery date.
  • Arrival times for surgical procedures may differ from other appointments. Please follow the instructions provided to you by your health care provider.

Outpatient (Ambulatory Care) Clinics

Some outpatient (Ambulatory Care) clinics may be affected to allow patients to be pre-screened and to maintain Infection Prevention and Control and Public Health guidelines, such as enhanced cleaning protocols and physical distancing within our facilities.

Horizon will contact all patients and clients if their outpatient appointment is postponed and will call those affected to reschedule when the situation allows.

If you have a scheduled appointment at an outpatient (ambulatory care) clinic at any Horizon hospital or health care facility, please attend your appointments as you normally would.

  • All services continue to be provided by appointment only.
  • Arrive within 15 minutes of your appointment. If you arrive earlier, you may be asked to wait in your vehicle. This allows for proper physical distancing in our waiting areas.
  • Upon arrival for your appointment, you will be screened for COVID-19 symptoms, and asked to wear a mask and clean your hands. We encourage you to wear your own mask; if you don't have one, one will be provided.
  • If you arrive without an appointment, you will be asked to return home and contact your health care provider.
  • If you can't make your appointment, someone else can. Please call to cancel and rebook.

Professional Service Outpatient Appointments

Professional service outpatient appointments include therapeutic services, blood and specimen collection, diagnostic imaging (X-ray), electrodiagnostics and respiratory therapy at all of our hospitals, as well as Horizon's Stan Cassidy Centre for Rehabilitation.

Horizon will contact all patients and clients if their Professional Service outpatient appointment postponed and will call those affected to reschedule when the situation allows.

If you have a scheduled Professional Service outpatient appointment at any Horizon hospital or health care facility, please attend your appointments as you normally would.

  • All services continue to be provided by appointment only.
  • Arrive within 15 minutes of your appointment. If you arrive earlier, you may be asked to wait in your vehicle. This allows for proper physical distancing in our waiting areas.
  • Upon arrival for your appointment, you will be screened for COVID-19 symptoms, and asked to wear a mask and clean your hands. We encourage you to wear your own mask; if you don't have one, one will be provided.
  • If you arrive without an appointment, you will be asked to return home and contact your health care provider.
  • If you can't make your appointment, someone else can. Please call to cancel and rebook.

Community Services

Horizon's health centres and community health centres will continue to provide access to primary care by appointment, both in-person (when necessary) and by phone. Some services may be postponed, and affected clients will be contacted. For more information on Horizon's health centres and community health centres, click here.

Our COVID-19 Assessment Centres continue to operate - by appointment only. More sites will be added soon, providing New Brunswickers in rural communities improved access to COVID-19 testing.

If you are experiencing non-urgent symptoms, visit sowhywait.ca to help choose the best option for care: pharmacist, primary health care provider, after-hours clinic, Tele-Care 811, or the Emergency Department. 

Addictions and Mental Health Services for adults, youth and children will continue. In-person services will be available for patients in a crisis or high-risk situations. Virtual care and intervention by-phone will be offered when appropriate.

Click  here for a complete list of Horizon's Addiction and Mental Health services and programs.

Coping With COVID-19

Fear and anxiety about a new disease and what could happen can be overwhelming. It is normal to feel worried and stressed. If you or someone you know is struggling, know help is available. We might be apart, but no one has to go through this alone. Someone is always there to listen.

Things change quickly in the world of COVID-19. Change can be hard to navigate, and it can have a big impact on our mental health. For helpful family resources for dealing with COVID-19, click here.

Important Public Health Measures

Map - Communities by Zone - EN - January 19 2021

We all have a role to play in preventing the spread of COVID-19.

Taking simple actions such as wearing a mask, keeping a physical distance of two metres (six feet) from others, washing your hands regularly, covering your coughs and sneezes and staying home when sick will help prevent the spread of COVID-19, especially to vulnerable populations.

When entering a Horizon facility, patients and visitors are required to wear a mask. You will not be permitted to enter without one - even if you have an appointment.

To prevent the spread of COVID-19, while in a Horizon facility and whenever possible, keep a physical distance of two metres or six feet between yourself and others. This includes standing in line to enter the facility, in waiting areas, elevators and cafeterias.

It's also important to continue to take important everyday precautions such as washing your hands often and avoiding touching common surfaces in public places.

There are two effective hand cleaning methods:

  • An alcohol-based hand rub is the preferred method for cleaning your hands;
  • Soap and water must be used when hands are visibly soiled, when an infectious disease is present and after using the washroom.

The COVID Alert app is now available in New Brunswick.

The app will notify you if you've recently been exposed to someone with COVID-19.

Download it today:

The app uses strong measures to protect the privacy and confidentiality of any data it collects. The app does not track a user's location or collect personally identifiable information.

Symptoms such as fever, cough, sore throat, headache, difficulty breathing, and other symptoms may take up to 14 days to appear. If you are displaying mild or moderate symptoms of COVID-19, complete the self-assessment by visiting  www.gnb.ca/coronavirus or call Tele-Care 811.

For up-to-date and accurate information about cases of COVID-19 in New Brunswick, click here.

We will continue to keep you informed on any further clinical services changes and visitor restrictions on our website, community news channel and social media channels. Subscribe to our e-newsletter to receive updates to your email.