Noble's Hospital

     

Smoke Free DHSC Policy

The Department of Health and Social Care will launch their new smoke free policy starting 2021. All Island Hospital sites will be Proud to Be Smoke Free.
As of 1st April 2021 Smoking will no longer be permitted anywhere on the grounds of any Isle of Man Hospital. 

For further information, advice regarding temporary abstinence from smoking whilst on DHSC premises or Specialist advice regarding quitting smoking please contact the Quit4You service by calling 642404 or email quit4you@gov.im

Hospitals Visiting Policy

Whilst we recognise that friends and family members are a vital support, the health and safety of our patients, residents/service users, staff, and our communities are a top priority. Therefore, in line with the latest guidelines related to COVID-19, we have revised our visiting policy.

Thank you for your understanding and cooperation over recent months as we have protected those in our care who are vulnerable from potential exposure to COVID – 19. We do however need to remain vigilant and will continue to consider the criteria for exclusion as per the attached Visitor Registration form.

Religious and spiritual support is available for patients either face-to-face or by telephone.

During the current COVID-19 situation visiting at Noble’s and Ramsey Hospitals will be as detailed below:

• Visitors who are sick or showing any symptoms related to COVID 19 will not be permitted to enter the Hospital; this is without exception.
• All visitors must complete the registration form and health declaration form for each visit. They must consent for their information to be retained by Manx Care for the purposes of containing the spread of COVID-19.
• All visitors are required to wash \ sanitize their hands on entry and exit to the hospitals and again when entering and leaving wards. 

Registration and Health DeclarationForm

• A registration and health declaration form MUST be completed each time a visit takes place.
• Registration and health declaration forms for completion by ALL VISITORS to be placed at the entrance to each ward / clinical area.
• Completed registration and health declaration forms MUST be checked by a Registered Nurse or Health Care Assistant prior to visiting taking place.
• Registration and health declaration forms MUST be kept in a file on each ward / clinical area for 21 days after the visit (to enable contact tracing if required).

Ambulance Transfer

Escorts for patients arriving by Ambulance will be limited to one person. However, any escort who meets the criteria for exclusion as per the visitor registration and health declaration form will not be permitted to travel with the patient or enter the Emergency Department. Additional family members or friends wishing to travel to the hospital in their own transport should note that they may not be permitted to enter the Emergency Department as detailed below.

Emergency Department

1. At this time, no visitors are permitted in adult Emergency Department areas. However, based on the clinical team’s judgment, other visitors/escorts may be permitted in exceptional circumstances.
2. 1 parent /escort per child will be permitted for the duration of the child’s stay in the Emergency Department.
3. A clinical decision must be made for any patient who requires additional assistance.

Outpatient Areas

Outpatient clinics have returned to their usual schedule

1. Any visitor who has travelled from the UK in the last 21 days, is a high risk contact of another person who has Covid-19 or who is displaying symptoms of Covid-19 e.g. new continuous cough, loss of taste and/or smell, shortness of breath or a temperature of 37.8C or above will not be permitted to enter the Outpatient Department.
2. Staff at the clinics will assess patients prior to entering the waiting rooms.
3. ALL VISITORS complete the registration and health declaration form for each visit made.

Oncology Day Unit

To protect our vulnerable patients whilst they undergo Oncology treatments, visitors are restricted from attending the Oncology Day Unit, except in exceptional circumstances.

Inpatient Wards

For all wards except Ward 7, Children’s Ward and Jane Crookall Maternity Unit:

1. Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time.
2. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place.

Ward 7

To maintain a full rehabilitation programme for stroke patients admitted to Ward 7 visiting will be:

• 1pm to 8pm  - only for next of kin or those who will be involved in the direct care and support of the person affected by stroke in the future. This is normally 1 or 2 people per person.
• Other visitors to be able to visit between 6pm to 8pm - to prevent conflict between therapy and contact with friends.

Jane Crookall Maternity Unit (Ward 10)

1. Partners are permitted between 10am and 8 pm.
2. All other visitors are between 7pm to 8pm.
3. Siblings can also visit but for short periods, they are not permitted to visit all day.
4. ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends.

Manannan Court

1. Visiting will be typically be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily, however, there may be some variation to this influenced by the individual need of the patient or visitor.
2. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form.
3. ALL VISITORS must report to the reception area prior to visiting their relatives/friends.

Mortuary Department

Two 'essential visitors' will be permitted to the viewing facility within the Mortuary Department.

How will viewing appointments be arranged to the Mortuary?

Please contact the Relatives Support Service (RSS) 650615. 
RSS normal hours:  Monday to Friday 8am to 4.30pm. 

An appointment will be made for a mutually convenient time.  Viewing appointments will usually be arranged for Monday – Friday afternoons.  The RSS staff will meet the visitor(s) in the main reception area of the hospital. Once permission has been given to visit, the visitor(s) will be asked screening questions about their health in relation to COVID-19. If requirements are met, a designated time will be agreed for the visit. The visitor(s) will need to bring a recognised form of photographic identification with them such as a passport or driving licence.

Personal Protective Equipment

• All visitors are required to wash \ sanitizetheir hands on entry and exit to the hospitals and again when entering and leaving wards. 
• If visitors require PPE, staff from the ward must ensure that the visitor has been shown how to correctly don and doff full PPE (eye protection, gloves, mask and apron) and be supervised whilst undertaking this process.
• All visitors are to be reminded to practice good hand hygiene and wash their hands for 20 seconds with soap and water or use the hand sanitiser provided on entry and exit to the area.

Visits to patients who:

• Are Possible or Confirmed case of COVID-19
• have travelled to the Isle of Man in the past 21 days or travelled to the Isle of Man in the past 14 days and awaiting test results at either Day 1, 6, 13
• have been asked to isolate by the 111 Team

A.   Patients who are imminent end of life

and

B.   Patients who are imminent end of life who have a confirmed diagnosis of Covid 19

The utmost care and consideration must be given to the safety of other patients, visitors and staff by maintaining infection prevention and control procedures at all times.

1. The hospitals will allow and facilitate each relative one visit to allow them to see their relative. The time duration of visits will be at the discretion of the Senior Nurse and Senior Sister for the Ward area.
2. Only 1 person must visit their relative at any one time – all other visitors must wait in a location as directed by ward staff.
3. Visitors must be advised that the following will be discussed and agreed by the Director of Operations (or in their absence another member of the Executive Leadership Team) in consultation with the relevant Senior Nurse and Senior Sister for the Ward area.

• Number / frequency and duration of any further visits – visitors from OFF ISLAND must not visit at the same time as Manx visitors.
• Time and where visits will take place within a ward area.

Before entering their relative’s room, staff from the ward must ensure that the relative has been shown how to correctly don and doff full PPE (eye protection, gloves, IIR mask and apron).

Relatives must be informed that at no time must they remove their PPE whilst in the room.

Any subsequent amendments to the original agreed arrangements must be approved by the Director of Operations (or in their absence another member of the Executive Leadership Team).

C. Patients who are unwell

The utmost care and consideration must be given to the safety of other patients, visitors and staff by maintaining infection control procedures at all times.

Visitors must be advised that the following will be discussed and agreed by the Director of Operations (or in their absence another member of the Executive Leadership Team) in consultation with the relevant Senior Nurse and Senior Sister for the Ward area.

• Number / frequency and duration of visits
• Time and where visits will take place within a ward area.

Before entering their relative’s room, staff from the ward must ensure that the relative has been shown how to correctly don and doff full PPE (eye protection, gloves, IIR mask and apron).

Relatives must be informed that at no time must they remove their PPE whilst in the room.

Any subsequent amendments to the original agreed arrangements must be approved by the Director of Operations (or in their absence another member of the Executive Leadership Team).

People who are arriving on the Isle of Man to visit their relatives in Noble’s Hospital/Ramsey District Cottage Hospital on compassionate grounds. 

Where visits on compassionate grounds have been approved and exemptions have been granted by the COVID Team in Cabinet Office, the arrangements for each patient and their relatives will be agreed on a case by case basis to reflect the individual circumstances of the situation. The relative should be advised to contact the relevant ward to advise the nurse in charge of their planned arrival on island.

If visitors have completed the 21 day self isolation period, had negative swab results and complied with their exemption certificate they are able to visit patients in accordance with this visitors policy without having to self-isolate at all other times

Before arrival to the Island

It is advisable that the visitor contacts the Isle of Man 111 Service prior to their arrival to arrange for a Covid swab to be taken as soon as possible after their arrival.

On arrival to the Island

Visitors must comply with the self-isolation and covid swab testing requirements of their exemption certificate issued by the Cabinet Office.

Within their self isolation period, when not visiting patients they must self isolate at all other times.

If visitors have completed the 21 day self isolation period or had required negative swab results after 14 days and complied with all other aspects of their exemption certificate they are able to visit patients in accordance with this visitors policy without having to self-isolate at all other times.

A.  Patients who are imminent end of life

and

B.  Patients who are imminent end of life who have a confirmed diagnosis of Covid-19

The utmost care and consideration must be given to the safety of other patients, visitors and staff by maintaining infection prevention and control procedures at all times.

1. The hospitals will allow and facilitate each relative one visit to allow them to see their relative. The time duration of visits will be at the discretion of the Senior Nurse and Senior Sister for the Ward area.
2. Visits to patients who are imminent end of life can take place even whilst waiting for the results of their Covid swab.
3. Only 1 person must visit their relative at any one time – all other visitors must wait in a location as directed by ward staff.

Visitors must be advised that the following will be discussed and agreed by the Director of Operations (or in their absence another member of the Executive Leadership Team) in consultation with the relevant Senior Nurse and Senior Sister for the Ward area.

1. Number / frequency and duration of any further visits – visitors from OFF ISLAND must not visit at the same time as Manx visitors.
2. Time and where visits will take place within a ward area.

COVID test and complying with exemption notices and self-isolation requirements If a visitor has been granted exemption to visit their relative in hospital, they must self-isolate at all other times to comply with the exemption notice and remain in their 21 day isolation period (or 14 day isolation period if they have had required negative swab results). If not already done so, the visitor must arrange for their own Covid swab to be taken by contacting the 111 service. Rapid swabs MUST NOT be arranged by ward staff for visitors to the hospitals. Visits to patients who are imminent end of life can take place even whilst visitors are waiting for the results of their Covid swab. If visitors have completed the 21 day self isolation period or had required negative swab results after 14 days and complied with all other aspects of their exemption certificate they are able to visit patients in accordance with this visitors policy without having to self-isolate at all other times.

Prior to arriving the ward staff will inform the relatives that they must wear a IIR mask on entering hospital premises.

The relative must be met at the Main Entrance by a member of the ward staff.

The relative will then be escorted to the ward by the staff member (also wearing a IIR mask).

Before entering their relative’s room, staff from the ward must ensure that the relative has been shown how to correctly don and doff full PPE (eye protection, gloves, IIR mask and apron).

Relatives must be informed that at no time must they remove their PPE whilst in the room.

Once the visit is over, ward staff must escort the visitor(s) out to the Main Entrance. Visitors should be advised not to go to any other departments or locations within the hospital after visiting.

Any subsequent amendments to the original agreed arrangements must be approved by the Director of Operations (or in their absence another member of the Executive Leadership Team).

C.  Patients who are unwell

The utmost care and consideration must be given to the safety of other patients, visitors and staff by maintaining infection control procedures at all times.

Visitors must be advised that the following will be discussed and agreed by the Director of Operations (or in their absence another member of the Executive Leadership Team) in consultation with the relevant Senior Nurse and Senior Sister for the Ward area.

• Number / frequency and duration of visits – visitors from OFF ISLAND must not visit at the same time as Manx visitors.
• Time and where visits will take place within a ward area.

COVID test and complying with exemption notices and self isolation requirements If a visitor has been granted exemption to visit their relative in hospital, they must self-isolate at all other times to comply with the exemption notice and remain in their 21 day isolation period (or 14 day isolation period if they have had required negative swab results). If not already done so, the visitor must arrange for their own Covid swab to be taken by contacting the 111 service. Rapid swabs MUST NOT be arranged by ward staff for visitors to the hospitals. They MUST NOT visit until they have received a negative swab result. Each visitor must provide evidence that their Covid swab result is negative. If visitors have completed the 21 day self isolation period or had required negative swab results after 14 days and complied with all other aspects of their exemption certificate they are able to visit patients in accordance with this visitors policy without having to self-isolate at all other times.

 Prior to arriving the ward staff will inform the relatives that they must wear a IIR mask on entering hospital premises.

The relative must be met at the Main Entrance by a member of the ward staff.

The relative will then be escorted to the ward by the staff member (also wearing a IIR mask).

Before entering their relative’s room, staff from the ward must ensure that the relative has been shown how to correctly don and doff full PPE (eye protection, gloves, IIR mask and apron).

Hand hygiene must be undertaken on donning and between each part of doffing PPE.

Relatives must be informed that at no time must they remove their PPE whilst in the room.  

Once the visit is over, ward staff must escort the visitor(s) out to the Main Entrance. Visitors should be advised not to go to any other departments or locations within the hospital after visiting.

Any subsequent amendments to the original agreed arrangements must be approved by the Director of Operations (or in their absence another member of the Executive Leadership Team).

Nobles Hospital floor plan

If you do not know which Ward a friend or relative is on, please ring the hospital switchboard.

Ward	Phone number	Visiting Arrangements
Ward 1 – Acute Medical ward	+44 (0) 1624 650021	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 2 – COVID Ward	+44 (0) 1624 650022	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 3 Children's Ward	+44 (0) 1624 650023	2 parents can visit at any time Maximum of another 2 visitors at any one time in addition to the parents between 3pm to 7pm
Ward 4         Female Surgical Ward	+44 (0) 1624 650024	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 6 Acute Medical Ward	+44 (0) 1624 650026	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 7 Stroke and TIA	+44 (0) 1624 650027	To maintain a full rehabilitation programme for stroke patients admitted to Ward 7 visiting will be 1pm to 8pm  - only for next of kin or those who will be involved in the direct care and support of the person affected by stroke in the future. This is normally 1 or 2 people per person. Other visitors to be able to visit between 6pm to 8pm - to prevent conflict between therapy and contact with friends.
Oncology	+44 (0) 1624 650025	To protect our vulnerable patients whilst they undergo Oncology treatments, visitors are restricted from attending the Oncology Day Unit, except in exceptional circumstances.
Ward 8 Male Surgical Ward	+44 (0) 1624 650028	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 9 Acute Medical Ward	+44 (0) 1624 650029	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 10 Jane Crookall Maternity Unit	+44 (0) 1624 650030	Partners are permitted between 10am and 8 pm. All other visitors are between 7pm to 8pm. Siblings can also visit but for short periods, they are not permitted to visit all day.
Ward 11 Trauma & Orthopaedics	+44 (0) 1624 650031	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 12 Trauma & Orthopaedics	+44 (0) 1624 650032	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 16 Neonatal	+44 (0) 1624 650035	Two ‘essential visitors’ only per baby will be permitted on the Neonatal Intensive Care Unit (NICU). Both parents may visit for a block period each day; multiple daily visits are not permitted. No siblings can visit.
Ward 17 Intensive Care Unit	+44 (0) 1624 650036	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place
Ward 18 Coronary Care Unit	+44 (0) 1624 650037	Visiting will be restrictedto between the hours of 2pm to 4pm and 7pm to 8pm daily. There is no restriction on the number of visitors as long as ALL VISITORS complete the registration and health declaration form for each visit made. ALL VISITORS must report to the nurse’s station prior to visiting their relatives/friends. However there should be no more than 3 visitors around a bed at any one time. Visiting out of restricted visiting times will be reviewed in exceptional circumstances. Visiting out of restricted visiting times will be at the discretion of the Senior Nurse/Site Manager in consultation with the nurse in charge of the shift prior to visiting taking place