Red (Extremely Limited Visitation)

Select a topic: Inpatient Facilities  |  Inpatient Visitation Guidelines | Outpatient Appointments and Procedures | Exceptions

At the red level, visitation is extremely limited.

Visiting Hours

  • Adults suspected or confirmed to have COVID-19 are not allowed visitors, with  designated exceptions.
  • Inpatients who are not suspected or confirmed to have COVID-19 will be allowed to have one care partner visit during specified facility visiting hours (maximum one visit for up to 2 hours per calendar day), with designated exceptions. Visiting hours should avoid mealtime when possible. 

Patient Safety Measures

These measures are in place for both care partners (visitors) and Designated Support Persons until the pandemic emergency is considered over as declared by the State of Maryland. Learn more about who is considered a care partner or designated support person.

Inpatient Facilities

  1. Masks must be worn at all times while in the hospital and must be worn above the nose and below the mouth. Cloth masks (without exhalation valves) are acceptable for care partners.
  2. Patients are required to wear masks at all times for the duration of visit when a care partner is visiting. 
  3. Care partners must be 18 years of age or older. No care partners under the age of 18 will be allowed to enter the facility unless the individual is the parent or guardian of a hospitalized patient.
  4. Disabled patients may identify two Designated Support Persons as care partners (per Maryland regulation). Designated Support Persons, like all members of the UMMS community, are required to follow all Infection Prevention policies established by the hospital. These practices may prohibit the Designated Support Person from entering certain areas of the hospital.
  5. All care partners and Designated Support Persons will undergo question-based screening for potential COVID-19 exposure and symptoms at the point of entry. Entry will be denied if concern for exposure or symptoms is elicited.
  6. Care partners who are suspected or confirmed to have COVID-19 should not visit until they are considered recovered based on CDC guidelines for duration of isolation precautions for COVID-19; exceptions may be made for end-of-life visitation on a case-by-case basis.
  7. All care partners visiting end-of-life patients who are suspected or confirmed to have COVID-19 must have reviewed and signed the Acknowledgement of Risk Form with designated hospital staff before visiting the patient.
  8. Patients who have been tested for asymptomatic COVID-19 screening while in the hospital  and have not been identified as being suspected or confirmed to have COVID-19 can have visitors only after either 1) Acknowledgement of Risk Form has been reviewed and signed by the care partner OR 2) Initial admission testing for a patient has been completed and their COVID-19 status is known.
  9. Care partners should not eat or drink inside patient rooms or other patient care areas. Outside food and beverage cannot be brought into patient rooms or care areas without approval by a physician or nurse.
  10. Care partners must follow the facility's check-in process upon entry. They will be screened for symptoms of COVID-19, may be asked about prior travel and gatherings, and may be required to have a temperature screening as well, per facility protocol. If it is determined that the care partner is exhibiting symptoms associated with COVID-19, he or she will not be permitted to enter the facility.
  11. Frequent entry and exit from the hospital will be discouraged. Hospitals may not allow care partners who leave to return in the same day unless approved for overnight stay.
  12. Care partners may switch out per calendar day, but not more frequently.
  13. If the patient and/or care partner are unable to comply with the hospital's Infection Prevention measures, they may propose other reasonable accommodations that also comply with the hospital's measures and will not adversely impact the health of staff and other patients. All proposed accommodations shall be reviewed by an identified Infection Prevention lead at the local facility. Approval of any proposal is at the sole discretion of the designated Infection Prevention lead.

Condition Red – Inpatient Visitation Guidelines

  • Adult Inpatients (Not Suspected or Confirmed to Have COVID-19): One care partner permitted during specified facility visiting hours (maximum one visit for up to 2 hours per calendar day)
  • Shared Spaces (Bays [e.g., PACU], Emergency Department waiting rooms: No care partners except for designated exceptions 
  • Individuals with Disabilities: One care partner (this is a designated exception)
  • Behavioral Health Unity and Inpatient Rehabilitation Units: No care partners except for end of life care, or family training to enable discharge
  • Emergency Department: No care partners except for end of life care or a parent accompanying a minor.
  • Obstetrics/Labor and Delivery: One care partner (this is a designated exception)
  • Pediatrics and Neonates: One parent or guardian (this is a designated exception)

End of Life for Patients Suspected or Confirmed to Have COVID-19

  • End of life is defined as a patient who is actively dying, i.e., death is anticipated within the next 24 hours or receiving inpatient hospice
  • Up to three care partners are permitted at the bedside at any one time; a maximum of nine care partners may be identified for visitation privileges.
  • Patients may receive religious services in compassionate care circumstances or at the end of life.
  • The care partners must put on and take off the provided personal protective equipment (PPE) under the direction of unit staff. This visit is limited to the patient’s room only, and will not exceed one hour in duration; care partners will be provided PPE including instructions on how to utilize it
  • Care partners for patients who are COVID-positive or under investigation for COVID must have reviewed and signed the Acknowledgement of Risk Form.

End of Life for Patients Not Suspected or Confirmed to Have COVID-19

  • End of life is defined as a patient who is actively dying, i.e., death is anticipated within the next 24 hours or receiving inpatient hospice
  • Up to three care partners are permitted at the bedside at any one time; a maximum of nine care partners may be identified for visitation privileges.

Outpatient Appointments and Procedures

  • No care partners permitted at outpatient appointments except for designated exceptions. If there are waiting room space constraints, staff will work with the patient and their care partner to determine optimal waiting arrangements. 
    • The care partner should be 18 years of age or older. Patients should be strongly discouraged from having individuals under the age of 18 accompany them to an office visit at the time the visit is scheduled. Exceptions include: 1) if the patient is a minor and the accompanying individual is a parent or guardian, or 2) if the accompanying individual is the infant of a nursing mother.
      • If the patient is accompanied by an individual under the age of 18, the practice shall inform the patient that the accompanying minor must (1) stay in close proximity to the patient at all times; (2) avoid being within 6 feet of another person; and (3) if the minor is able, must wear a mask for the duration of the visit.
    • For all other situations where a patient comes to an outpatient appointment with a minor care partner, the practice and the patient should consider whether the visit can be rescheduled and conducted through a telehealth visit within a reasonable and appropriate time period. 
    • Care partners who are visiting, like all members of the UMMS community, are required to follow all Infection Prevention policies established by the hospital.
      • They must adhere to the facility's check-in process, which includes screening for symptoms of COVID-19 and may include temperature screening, per facility protocol. They must remain with the patient or in the designated waiting area at all times. They may not be permitted to remain in the facility if waiting room restrictions create the potential for an unsafe environment of care or work for patients, staff and/or providers.
      • They should not eat or drink in patient care areas during outpatient visits occurring inside UMMS facilities.

Exceptions

Designated Support Persons

Patients with disabilities have the right to have a Designated Support Person present, in accordance with the Maryland Department of Health.

  • Patients with disabilities who require support are allowed one Designated Support Person at their bedside at all times. Overnight stays may be allowed for these patients.
  • Patients with disabilities may have one care partner (this is a designated exception).
  • If the patient and Designated Support Person are unable to comply with the hospital's Infection Prevention measures, the patient may propose other reasonable accommodations that also comply with the hospital's measures and will not adversely impact the health of staff and other patients. All proposed accommodations shall be reviewed by an identified Infection Prevention lead at the local facility. Approval of any proposal is at the sole discretion of the designated Infection Prevention lead. 
  • Designated Support Persons for patients who are suspected or confirmed to have COVID-19 must have reviewed the Acknowledgement of Risk Form (attached), which will be signed by designated hospital staff prior to patient visitation.
  • Communication with Designated Support Persons
    If a patient with disabilities does not have a Designated Support Person present at the hospital, staff shall make reasonable efforts to communicate relevant information with a patient's designated representative, in alignment with patient privacy requirements. Effort shall be made to communicate in advance of admission, if possible. The hospital shall inform the patient and any Designated Support Persons, or care partners, of this policy.

Other Exceptions

  • Patients undergoing emergency surgery related to a traumatic event.
  • If the patient's care team requests the care partner to be a part of scheduled care partner training for patients with rehabilitation or cognitive needs.
  • For patient and care partner discharge education when in-person bedside education is medically necessary, or when critical updates need to be provided e.g., patients presenting for surgery, as determined by the patient's treatment team.

Religious Accommodations

  • For patients who are suspected or confirmed to have COVID-19, an exemption shall be granted for the patient to receive religious services in compassionate care circumstances or at end of life.
  • Patients in non-COVID-19 units, who are neither suspected or confirmed to have COVID-19, may receive religious services from clergy of the patient's choice at any reasonable time, if it can be provided without disruption to the clinical care of the patient or other patients on the unit or in the room.
  • All clergy must follow hospital policies and procedures relating to patient visitation, will be screened for symptoms of COVID-19, and may be required to have temperature screening as well, per facility protocol. They also must have reviewed the Acknowledgement of Risk Form for patients who are suspected or confirmed to have COVID-19 (attached), which will be signed by designated hospital staff prior to patient visitation.