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COVID-19: Visitor Restrictions at Hospitals and Health Care Facilities

Coronavirus (COVID-19)

Throughout the COVID-19 pandemic, Horizon has taken measures in our facilities to reduce patient traffic and create a safe and healthy environment for our patients, clients, staff, physicians and communities.

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. 

Effective Friday, Oct. 8 there will be NO VISITORS ALLOWED in our hospitals.

Exceptions are in place for Designated Support Persons (DSPs) of eligible patients.

  • All designated support persons must monitor themselves for COVID-19 symptoms before each visit.
  • Active screening of patients and support persons will take place before entering a Horizon facility. A screener will greet you and ask you a series of COVID-19 related questions, including questions about COVID-19 symptoms and recent travel. Screeners and the questions are in place to help protect patients, staff and visitors. Do your part to help keep our health care facilities safe by answering questions honestly and respectfully.
  • When visiting a Horizon hospital or health care facility as a patient or designated support person (DSP), you must answer screening questions honestly. Patients and DSPs must past screening criteria before entering a Horizon facility. A negative self-administered rapid test result does not override screening criteria. For example, if a patient or DSP has two COVID-19 symptoms, they fail screening and can't enter the building, regardless of a negative rapid test result.
  • Patients and designated support persons will not be permitted to enter without a mask. When you come to a Horizon facility for an appointment or to visit a loved one, please wear your own face mask. You will be provided a medical grade face mask or KN95 during the screening process and asked to put on this face mask before entering. If you are wearing a KN95 face mask or N95 respirator, you will not be asked to change it.

Visitor Exceptions

Some exceptions are in place for certain patients. They are:

Palliative Care

The following guidelines apply to palliative visitation in any alert level.

  • ONE designated support person at a time, from a list of 10 designated individuals, unless associated support is required. The facility is to be provided with the list of designated support persons in advance.
  • When a patient is actively dying, TWO designated support persons at a time from the list of 10 designated individuals may attend.
  • ONE additional visitor for pastoral/spiritual care for a palliative care patient at the end-of-life is permitted to visit to provide comfort to the patient, family and loved ones during this end-of-life care period.
  • Out-of-province visitors must follow Public Health guidelines regarding application for exemptions, testing and isolation.

Critical Care

  • Critical Care patients may have ONE designated support person at a time. The length of these visits will be determined by the unit staff based on unit activity. This includes: Intensive Care and Critical Care patients.

Pediatrics, Labour and Birth and Neonatal Intensive Care

  • For Pediatrics ONE designated support persons may visit at a time.
  • For Labour and Birth and Neonatal patients, TWO designated support persons may visit at a time - when physical space permits.

Emergency Departments

  • Patients visiting Emergency Departments who require assistance may have ONE support person only. No other visitors permitted. Only ONE person per pediatric patient is allowed (parent or caregiver only).

Outpatient Departments

  • Patients visiting Outpatient Departments  may have ONE support person - ONLY for patients who require assistance with decision-making, communication, physical and emotional support.
  • There may be circumstances where physical distancing with other patients within clinical areas will not allow for a support person to be present. In this case, staff will communicate this to the patient and their support person, and discuss options based on patient need.
  • Patients requiring obstetrical ultrasounds may have a support person present in the exam room for the second part of the exam (viewing).


  • At Discharge, ONE healthy individual allowed to pick up discharged patients.

Compassionate visitation

For those from outside Atlantic provinces OR those who travelled from a higher COVID-19 risk area or those unvaccinated within Atlantic provinces (including New Brunswick): A request to the facility's executive director or designate must be submitted to obtain permission to visit a Horizon facility for compassionate reasons.

Under exceptional circumstances, a one-time rapid test may be available and if negative for COVID-19, the family member may be permitted to visit within that 24-hour period from the time the swab was obtained.

Designated Support Person (DSP)

A DSP is an active partner in care and an essential member of the health care team who can provide personalized physical, and emotional support, as deemed important by the eligible patient.    

A DSP is an individual the patient wants involved in their care and can include family members, close friends or other caregivers and are identified/designated by the patient or substitute decision maker (SDM).

A DSP is different from a social visitor and is often a family member or close friend who has knowledge about the patient's health history, lifestyle and personal values.

Eligible patients can identify / designate a maximum of two DSPs, but only one DSP is permitted by their bedside at one time.

DSPs must be fully vaccinated against COVID-19 to visit eligible inpatients and to accompany patients to outpatient appointments and in the Emergency Department in all Horizon hospitals and/or health care facilities.

This measure is required for the safety of our vulnerable patients/clients, employees, and physicians.

DSPs will be asked to provide proof of COVID-19 vaccination along with government issued ID to the screeners upon entry to all Horizon hospitals and health care facilities. 

Patients eligible for the DSP program are asked to appoint a fully vaccinated DSP.

There are limited exceptions to the vaccine requirement for urgent or essential reasons including emergency and critical care, end of life and support/care for children under 16 years of age. In these exceptional circumstances a negative COVID-19 PCR test completed within 72 hours is required. Please speak to your health care team regarding these limited exceptions.

Who can have a DSP?

We recognize the importance of family presence to our hospitalized patients. To balance this integral part of a patient's healing process while safely providing care by limiting the number of people in our facilities due to COVID-19, DSP eligibility will be based on a patient's individual health care needs and overall length of hospital stay.

The following patient populations are eligible for a DSP:

  • End of Life - Palliative Care
  • Obstetrics (Labour and Delivery, Postpartum)
  • Neonatal
  • Intensive Care/Critical Care Units
  • Pediatrics
  • Patients who have been in hospital for 14 days or longer
  • Patients with intellectual / communication impairments (cognitive impairment leading to agitation and inability to console; communication impairment which affects care)

If you have questions about the DSP program, please email or call the toll-free number 1-833-625-1653.

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

In addition to these visitor guidelines, we have also introduced limitations to what items can be brought into or dropped off at our facilities for patients, including food and clothing. Please note: This does not apply to patients being admitted to hospital (new admissions).

We can accept a patient's personal items as long as they can be easily wiped and cleaned with a disinfectant and the item is from a household where none of the occupants are self-isolating. Accepted personal items include: electronic devices, glasses, hearing aids, etc.

Patient/Designated Visitor personal items will be accepted into the facility if items can be easily wiped and cleaned with a disinfectant, and meet the screening criteria of being from a household where none of the occupants are inself-isolation.

The following are examples of accepted and not accepted items but is not an all-inclusive list:

Chart - COVID-19 - Guidelines Personal Items and Food (All Phases) EN - Oct 18 2021

Chart - COVID-19 - Guidelines Personal Items and Food (All Phases) EN 2 - Oct 18 2021

Take Out Food and Homemade Food

Take-out and homemade food will now be permitted for patients in all phases of the pandemic.

Take-out food must come from a licensed establishment and will only be permitted if a support person/visitor is available to deliver to the patient's room. Staff will not be responsible for the delivery of food. Food delivery personnel will not be permitted to deliver food to the patient's room.

If a patient chooses to have take-out food delivered at the hospital, the delivery person will need to successfully pass the screening protocol at the facility's designated entrance before the food is accepted into the facility. The support person / visitor will then pick up the food at the entrance.

Homemade food is permitted if a support person/visitor is available to deliver the food to the patient's room. The food must be stored in a container that can be easily cleaned and disinfected with a hospital approved cleaner/disinfectant wipe. The container must be taken home for cleaning and not left in the patient's room.

Information for contractors

Contractors who are required to be at a Horizon facility for essential construction work must arrive on the property at an entrance that has been agreed upon with their Facilities, Engineering and Property Management (FEPM) contact.

They must notify the FEPM contact by phone when they arrive, and their FEPM contact will review all screening questions. No contractors should arrive on-site if they have any of the following symptoms:

  • Fever above 38 degrees Celsius
  • A new cough, or worsening chronic cough
  • Sore throat
  • Runny nose
  • Headache
  • A new onset of fatigue
  • A new onset of muscle pain
  • Diarrhea
  • Loss of sense of taste
  • Loss of sense of smell
  • Difficulty breathing
  • Pneumonia

Contractors must be aware of and follow a designated path to the approved work area. Contractors must not travel through the hospital.

When a contractor is ready to leave a site because work is complete, or for lunch or supplies, they should notify the FEPM contact.

Note: Notification of construction start-up must be provided at least five (5) business days in advance. Contractors will need to provide a written COVID-19 compliance plan, measures and monitoring process that complies with the Occupational Health and Safety Act and associated regulations and Public Health directives and guidelines. Construction activity on-site must also follow all facility Infection Prevention and Control guidelines.