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Policies

Find VA policies on privacy and patient rights, family rights, visitation, and more.

Privacy and patient rights

Read VA's national privacy and patient rights policies

Family rights

Read VA's national family rights policy

Visitation policy

COVID-19 Visitation Policy

At the North Florida/South Georgia Veterans Health System (NF/SGVHS), safety is ingrained in our culture and the foundation of everything we do. We have updated our safety measures to guarantee that Veterans have the best experience while visiting one of our health facilities while we continue to ensure we mitigate risk of COVID-19 in our local communities.  Policies currently in effect are reflected below.

Appointments

  • All clinical services (Primary Care, Mental Health, and Specialty Care) are at 100% capacity for face-to-face appointments. Virtual/Connected Care options are available as clinically appropriate and/or Veteran’s preference.

Visitation

  • Gainesville and Lake City Community Living Centers are permitted one visitor at a time on designated days by appointment only. Visitors will need to contact staff of the unit for schedule. Visitors must have a negative antigen rapid test prior to the scheduled visit. The test will be conducted on-site at the CLC.
  • Visitation is restricted for COVID-19 positive patients.

Masking

To ensure the safety of Veterans while accommodating individual masking preferences and aligning with CDC guidelines, NF/SGVHS has conducted a health care system-wide risk assessment and has established the following policies. Masking will continue to be required for individuals with suspected or confirmed COVID-19 or other viral respiratory infections. 

Effective immediately, masking will be optional unless you are having cold or flu like symptoms, you are caring for a Veteran in a high risk area, or you are visiting patients in one of the following high-risk areas:

  • Open Bay Medical Intensive Care Units 
  • Emergency Department & Urgent Care
  • Infusion Clinic/Chemotherapy Units
  • Community Living Center & SCI (staff and visitors only)
  • Dialysis 
  • Transplant Units

Staff may remove masks in these high-risk areas only under the following circumstances:

  • they are not in a patient room;
  • they are not within six feet of a Veteran in a congregate area (e.g., shared meals in CLC); or
  • they are not within six feet of a patient in an open treatment area/room.

Masking also continues to be required:

  • for those with a suspected or confirmed COVID-19 infection or other viral respiratory infection;
  • for VA staff during clinical encounters when requested by a Veteran, caregiver or family member; or 
  • where local leadership warrants continued masking is required.

Masking is no longer universally required in the following locations:

  • Acute inpatient medical/surgical units
  • Acute inpatient mental health units
  • Intensive care units with closed rooms
  • Clinical areas where aerosol generating procedures are performed
  • Laboratories collecting or handling specimens from known or suspected COVID-19 patients (e.g., areas where staff are manipulating cultures from known or suspected COVID-19 patients)
  • Congregate settings and bedded residential settings (e.g., blind rehab, residential mental health, homeless shelters) 
  • Outpatient areas where a significant proportion of patients have high-risk for complication

Universal masking will be relaxed in well-defined non-patient care areas when in low (green) and medium (yellow) levels as defined by the NF/SGVHS Infection Prevention and Control Department’s assessment of COVID-19 transmission rates. Additionally, the following rules/allocations apply:

  • Any individual desiring to personally continue with universal masking will be allowed to do so. 
  • Visitors must adhere to masking requirements when in the presence of Veterans in a high-risk area. 
  • Staff members will be allowed to participate in the OSHA Emergency Temporary Standard (ETS) Mini-Respiratory Protection Program which allows the use of N95 respirator for source control. 
  • Continued use of entrance self-screening.  
  • Use of transmission-based precautions (Droplet + Airborne/Contact) for patients/residents with laboratory confirmed COVID-19.  
  • COVID-19 testing, and vaccination support will continue to be made available. 
  • Employees should continue to not report for work with flu like symptoms and contact supervisors. 
  • VHA healthcare personnel must mask if a Veteran, caregiver, or family member asks them to wear one. 

We will continue to monitor our current data to determine if additional measures will need to be implemented. 

Screening

COVID- 19 screening for staff, patients, and visitors will be completed by self-certification.

Veterans experiencing symptoms of COVID-19 must contact their health care team or contact the VISN 8 Clinical Contact Center (1-) first- before visiting a hospital or clinic.

Volunteers

  • Volunteers that are fully vaccinated against COVID-19 are welcomed back into NF/SGVHS operations. Vaccines are available through the VA. Volunteers will be required to adhere to all guidance outlined by our COVID-19 Health Protection Levels and all other VA hospital policies. Learn how to become a volunteer here.

 

Security 

Patient safety is our number one concern. We have a VA Police Service with uniformed federal officers stationed at the medical centers. Our officers provide 24-hour patrols of the facility and parking lots. At our clinics/additional locations, we utilize local authorities and emergency services, should the need arise.

If you find you are in need of Police assistance, please ask a staff member who can put you in touch with the appropriate authorities. To help keep our campuses safe, please report all suspicious or criminal activity, vehicle accidents, and personal property losses to the VA Police while on the facility grounds as soon as possible.

Because the VA healthcare system is federal property, all persons and bags are subject to search. In addition, no weapons, alcohol, or illegal drugs are permitted.

VA general visitation policy

The medical center respects the patient's right to make decisions about his or her care, treatment and services, and to involve the patient's family in care, treatment, and services decisions to the extent permitted by the patient or surrogate decision-maker. 

"Family" is defined as a group of two or more persons united by blood, or adoptive, marital, domestic partnership, or other legal ties. The family may also be a person or persons not legally related to the individual (such as significant other, friend or caregiver) whom the individual considers to be family. A family member may be the surrogate decision-maker, as defined in VHA Handbook 1004.02, if authorized to make care decisions for the individual, should he or she lose decision-making capacity or choose to delegate decision making to another. 

The medical center allows a family member, friend or other individual to be present with the patient for emotional support during the course of their stay. The medical center allows for the presence of a support individual of the patient's choice, unless the individual's presence infringes on others’ rights or safety, or is medically or therapeutically contraindicated. The individual may or may not be the patient's surrogate decision-maker or legally authorized representative. 

The hospital prohibits discrimination based on age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression.

Advance directives

When faced with difficult decisions about health care, you may struggle with the question of "what should be done?" These resources can help you deal with tough decisions about health care and how to plan for it.

Health Care Ethics Resources for Veterans, Patients, and Families

VA Form 10-0137 - VA Advance Directive: Durable Power of Attorney for Health Care and Living Will

What You Should Know about Advance Directives

Report patient quality of care concerns

Visit the Joint Commission page to report concerns you have about the quality of patient care.