I am a member of the public

 

I am part of the healthcare workforce

(includes Staff, Physicians, Learners, Contractors, Contracted Individuals, Volunteers, Patient Family Advisors (PFAs), Knowledge Keepers)

I am an essential family or support person

(If you want to learn more about what it means to be an essential family or support person or want to review other guidelines for visiting patients/residents click here)

Are you experiencing any of the following:

  • severe difficulty breathing (e.g., struggling for each breath, speaking in single words)
  • severe chest pain
  • having a very hard time waking up
  • feeling confused
  • lost consciousness

Are you experiencing any of the following:

  • short of breath at rest
  • inability to lie down because of difficulty breathing
  • chronic health conditions that you are having difficulty managing because of your current respiratory illness

The rest of this assessment will ask you questions to determine whether or not you will require COVID-19 testing.

Do you have any of the following:

• Fever• Muscle or joint aches and pains
• Cough• Loss of sense of smell or taste
• Shortness of breath• Dizziness
• Sore throat• Nausea
• Chills • Vomiting
• Headache• Diarrhea
• Runny nose• Loss of appetite (or difficulty feeding for children)
• Conjunctivitis• Fatigue
• Nasal congestion

Were you exposed to someone who is under investigation for COVID-19 or has been confirmed as having COVID-19 within 14 days of your symptoms starting?

Did you travel internationally within 14 days of your symptoms starting?

Were you exposed to someone who is under investigation for COVID-19 or has been confirmed as having COVID-19 within the last 14 days?

In the past 14 days have you returned from international travel?

Attention

  • The SHA requires you to answer the following questions to assist in determining your fitness to work during COVID-19.
  • You have the option to complete the screening questions online, no more than 2 hours prior to starting work.
    • If you do not have access to the online tool, you will have the option to answer the questions on site.
    • The results of this screening tool are valid for 24 hours providing you remain asymptomatic.
  • We are not screening for seasonal or environmental allergies; related symptoms to these scenarios would not preclude you from work. The following questions are meant to capture new symptoms, or a worsening of long-standing symptoms.


The information collected by this questionnaire will be used and disclosed solely for the purposes of screening for fitness for work during the COVID-19 pandemic in accordance with the SHA’s obligations to provide a safe work and clinical environment for all.

SHA Health Care Worker Screening Tool

In the last 48 hrs, have you had any of the following symptoms?
Reminder: we are not screening for seasonal or environmental allergies

  • Fever (temperature ≥ 38.0 Celsius)
  • New or worsening respiratory symptoms i.e. cough, shortness of breath or difficulty breathing, sore throat, runny nose?
  • New onset atypical symptoms including chills, aches and pains, headache, loss of sense of smell or taste, diarrhea, nausea/vomiting, loss of appetite, fatigue or weakness?

SHA Health Care Worker Screening Tool

Since your last screening, have you tested COVID-19 positive using an at-home antigen screening test?

SHA Health Care Worker Screening Tool

Have you tested positive for COVID-19 (lab-confirmed)?

NOTE: if you’ve been cleared to go back to work by Occupational Health and Safety, Employee Health, or Public Health answer NO

SHA Health Care Worker Screening Tool

In the last 14 days,

  • Have you been outside of Canada, including to the United States, in the past 14 days?

    NOTE: If you have an approved travel exemption (including approval via the ArriveCAN process) answer NO – be prepared to provide documentation (example: ArriveCAN Receipt) regarding the exemption

SHA Health Care Worker Screening Tool

In the last 14 days,

  • Have you been identified by Public Health/OHS/Employee Heath as a contact to a confirmed or probable case of COVID-19 and told to self-isolate?

If you’ve been cleared to go back to work by Occupational Health and Safety, Employee Health, or Public Health answer NO

SHA Health Care Worker Screening Tool

Do ANY of these apply to you?

In the last 14 days

  • You have been outside of Canada, including to the United States (with an approved travel exemption)
  • You have been in contact with a confirmed or probable case of COVID-19 and Public Health or OH&S have told you to self-monitor.

Attention

  • The SHA requires you to answer the following questions to assist in determining your fitness to work during COVID-19.
  • You have the option to complete the screening questions online, no more than 2 hours prior to starting work.
    • If you do not have access to the online tool, you will have the option to answer the questions on site.
    • The results of this screening tool are valid for 24 hours providing you remain asymptomatic.
  • We are not screening for seasonal or environmental allergies; related symptoms to these scenarios would not preclude you from work. The following questions are meant to capture new symptoms, or a worsening of long-standing symptoms.

The information collected by this questionnaire will be used and disclosed solely for the purposes of screening for fitness for work during the COVID-19 pandemic in accordance with the SHA’s obligations to provide a safe work and clinical environment for all.

SHA LTC Screening Tool

In the last 48 hrs, have you had any of the following symptoms?
Reminder: we are not screening for seasonal or environmental allergies

  • Temperature ≥ 37.8°C or 100.0°F
  • New or worsening respiratory symptoms i.e. cough, shortness of breath or difficulty breathing, runny nose or sneezing, nasal congestion, hoarse voice, sore throat or difficulty swallowing
  • Any new onset atypical symptoms including but not limited to chills, muscle aches, nausea/vomiting, diarrhea, loss of appetite, malaise, fatigue or weakness, loss of sense of smell, loss of sense of taste, or headache

SHA LTC Screening Tool

Since your last screening, have you tested COVID-19 positive using an at-home antigen screening test?

SHA LTC Screening Tool

Have you tested positive for COVID-19 (lab-confirmed)?

NOTE: if you’ve been cleared to go back to work by Occupational Health and Safety, Employee Health, or Public Health answer NO

SHA LTC Screening Tool

In the last 14 days,

  • Have you been outside of Canada, including to the United States, in the past 14 days?

NOTE: If you have an approved travel exemption (including approval via the ArriveCAN process) answer NO – be prepared to provide documentation (example: ArriveCAN Receipt) regarding the exemption

SHA LTC Screening Tool

In the last 14 days,

  • Have you been identified by Public Health/OHS/Employee Heath as a contact to a confirmed or probable case of COVID-19 and told to self-isolate?

If you’ve been cleared to go back to work by Occupational Health and Safety,

Employee Health, or Public Health answer NO

SHA LTC Screening Tool

Do ANY of these apply to you?

In the last 14 days

  • You have been outside of Canada, including to the United States (with an approved travel exemption)
  • You have been in contact with a confirmed or probable case of COVID-19 and Public Health or OH&S have told you to self-monitor.

Attention

  • Please complete this screening tool when planning to come to SHA sites (hospitals, long term care homes, clinics , other SHA buildings).
  • You can share the results of the screen with the entryway screeners by taking a screenshot of your result.
  • No record of your result is maintained by this tool.

We thank you for your support and cooperation to contain the spread of the COVID-19 virus and keep everyone safe.

The SHA is committed to returning to open family presence as soon as it is safe to do so, and is regularly assessing the impact of COVID-related restrictions.

Family/Support in Long Term Care

In the last 48 hours have you had any of the following symptoms?


Reminder: we are not screening for seasonal or environmental allergies

  • Fever (temperature ≥ 37.8 Celsius)
  • New or worsening respiratory symptoms i.e. cough, shortness of breath or difficulty breathing, runny nose or sneezing, nasal congestion, hoarse voice, sore throat or difficulty swallowing
  • New onset Symptoms you don’t normally have including but not limited to chills, muscle aches, nausea/vomiting, diarrhea, loss of appetite, malaise, fatigue or weakness, loss of sense of smell, loss of sense of taste, or headache?

Family/Support in Long Term Care

Since your last screening, have you tested COVID-19 positive using an at-home antigen screening test?

Family/Support in Long Term Care

Have you tested positive for COVID-19 (lab confirmed)?

NOTE: if you’ve been cleared as no longer a risk by Public Health answer NO



Family/Support in Long Term Care

In the last 14 days,

  • Have you been outside of Canada, including to the United States?

NOTE: if you have an approved travel exemption (including approval via the ArriveCAN process) answer NO – be prepared to provide documentation (example: ArriveCAN Receipt) regarding the exemption

Family/Support in Long Term Care

In the last 14 days,

  • Have you been identified by Public Health as a contact to a confirmed or probable case of COVID-19 and told to self-isolate?

If you’ve been cleared as no longer a risk by Public Health answer NO

Family/Support in Long Term Care

In the last 14 days,

  • Have you been identified by Public Health as a contact to a confirmed or probable case of COVID-19 and told to self-monitor?

Family/Support in Long Term Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you need to immediately self isolate & contact 811
  • you need to be tested for COVID-19

Family/Support in Long Term Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you need to be tested for COVID-19 at a testing site

Family/Support in Long Term Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you need to continue to self isolate
  • contact 811 if you have questions

Family/Support in Long Term Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you are required to self-isolate for 14 days
  • Go for immediate testing if you develop symptoms

All travellers returning from international destinations are subject to a mandatory self-isolation order under the Public Health Order (March 20,2020). Violation of the order may result in a fine.

For more information on applying for a federal travel exemption click here

Family/Support in Long Term Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you are required to self-isolate for 14 days
  • Go for immediate testing if you develop symptoms

Anyone identified as a close contact of someone with COVID-19 shall go into mandatory self-isolation for 14 days from the date of having been exposed under the Public Health Order.

Family/Support in Long Term Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers, you are a possible close-contact

Go for immediate testing if you develop symptoms

  • you are NOT permitted to enter/accompany today

You will be instructed on next steps when the household member receives confirmatory lab testing

Family/Support in Long Term Care
PERMITTED TO ENTER/ACCOMPANY TODAY - Higher Risk

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are permitted to enter today
  • BUT

    you present a higher than normal risk - we’d ask you to consider alternatives like rescheduling or asking for another essential family member/support person to take your place.

    IMPORTANT: While you are on site, you will be required to:

  • follow all required infection control practices
  • keep movement within the home to an essential minimum
  • leave the building as soon as you’re done

NOTE: The use of masks by all family and supports is still strongly recommended. If you are not fully vaccinated (two doses of COVID-19 vaccine at least 14 days prior), it is important to wear a mask and maintain a physical distance of two metres to protect your loved one and all of our residents.

Family/Support in Long Term Care
PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

The variants of concern present a real risk

If you develop symptoms, GO FOR IMMEDIATE TESTING

Based on your answers

  • you are permitted to enter today
  • IMPORTANT: While you are on site, you will be required to:

  • follow all required infection control practices
  • keep movement within the home to an essential minimum
  • leave the building as soon as you’re done

NOTE: The use of masks by all family and supports is still strongly recommended. If you are not fully vaccinated (two doses of COVID-19 vaccine at least 14 days prior), it is important to wear a mask and maintain a physical distance of two metres to protect your loved one and all of our residents.

Attention

  • Please complete this screening tool when planning to enter come to SHA sites (hospitals, long term care homes, clinics , other SHA buildings).
  • You can share the results of the screen with the entryway screeners by taking a screenshot of your result.
  • No record of your result is maintained by this tool.

We thank you for your support and cooperation to contain the spread of the COVID-19 virus and keep everyone safe.

The SHA is committed to returning to open family presence as soon as it is safe to do so, and is regularly assessing the impact of COVID-related restrictions.

Family/Support in Acute or Primary Care

In the last 48 hours have you had any of the following symptoms?

Reminder: we are not screening for seasonal or environmental allergies

  • Fever (temperature ≥ 38.0 Celsius)
  • New or worsening respiratory symptoms i.e. cough, shortness of breath or difficulty breathing, sore throat, runny nose?
  • New onset Symptoms you don’t normally have including chills, aches and pains, headache, loss of sense of smell or taste, diarrhea, nausea/vomiting, loss of appetite, fatigue or weakness?

Family/Support in Acute or Primary Care

Since your last screening, have you tested COVID-19 positive using an at-home antigen screening test?

Family/Support in Acute or Primary Care

Have you tested positive for COVID-19 (lab confirmed)?

NOTE: if you’ve been cleared as no longer a risk by Public Health answer NO

Family/Support in Acute or Primary Care

In the last 14 days,

  • Have you been outside of Canada, including to the United States?

NOTE: if you have an approved travel exemption (including approval via the ArriveCAN process) answer NO – be prepared to provide documentation (example: ArriveCAN Receipt) regarding the exemption

Family/Support in Acute or Primary Care

In the last 14 days,

  • Have you been identified by Public Health as a contact to a confirmed or probable case of COVID-19 and told to self-isolate?

If you’ve been cleared as no longer a risk by Public Health answer NO

Family/Support in Acute or Primary Care

In the last 14 days,

  • Have you been identified by Public Health as a contact to a confirmed or probable case of COVID-19 and told to self-monitor?

Family/Support in Acute or Primary Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM


Based on your answers

  • you are NOT permitted to enter/accompany today
  • you need to immediately self isolate & contact 811
  • you need to be tested for COVID-19

Family/Support in Acute or Primary Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you need to be tested for COVID-19 at a testing site

Family/Support in Acute or Primary Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you need to continue to self isolate
  • contact 811 if you have questions

Family/Support in Acute or Primary Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM


Based on your answers

  • you are NOT permitted to enter/accompany today
  • you are required to self-isolate for 14 days
  • Go for immediate testing if you develop symptoms

All travellers returning from international destinations are subject to a mandatory self-isolation order under the Public Health Order (March 20,2020). Violation of the order may result in a fine.

For more information on applying for a federal travel exemption click here

Family/Support in Acute or Primary Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are NOT permitted to enter/accompany today
  • you are required to self-isolate for 14 days
  • Go for immediate testing if you develop symptoms

Anyone identified as a close contact of someone with COVID-19 shall go into mandatory self-isolation for 14 days from the date of having been exposed under the Public Health Order.

Family/Support in Acute or Primary Care
NOT PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

Based on your answers, you are a possible close-contact

Go for immediate testing if you develop symptoms

  • you are NOT permitted to enter/accompany today

You will be instructed on next steps when the household member receives confirmatory lab testing

Family/Support in Acute or Primary Care
PERMITTED TO ENTER/ACCOMPANY TODAY
- Higher Risk

Sat Jul 17 2021 11:47:10 AM

Based on your answers

  • you are permitted to enter today
  • BUT

    you present a higher than normal risk - we’d ask you to consider alternatives like rescheduling or asking for another essential family member/support person to take your place.

    IMPORTANT: While you are on site, you will be required to:

  • wear a mask at all times while in facility as well as any other Personal Protective Equipment that is required
  • practice good & frequent hand hygiene throughout your time in the facility
  • practice physical distancing of 2 meters in all spaces including common areas and respect traffic signage
  • keep movement within the facility to an essential minimum
  • leave the building as soon as you’re done

Family/Support in Acute or Primary Care
PERMITTED TO ENTER/ACCOMPANY TODAY

Sat Jul 17 2021 11:47:10 AM

The variants of concern present a real risk

If you develop symptoms, GO FOR IMMEDIATE TESTING

Based on your answers

  • you are permitted to enter today
  • IMPORTANT: While you are on site, you will be required to:

  • wear a mask at all times while in facility as well as any other Personal Protective Equipment that is required
  • practice good & frequent hand hygiene throughout your time in the facility
  • practice physical distancing of 2 meters in all spaces including common areas and respect traffic signage
  • keep movement within the facility to an essential minimum
  • leave the building as soon as you’re done

Please call 911 or go directly to your nearest emergency department.

Please go directly to your nearest emergency department. If your symptoms worsen, call 911.

Mandatory Self-Isolation
Please Call HealthLine 811.

All travellers returning from international destinations are subject to a mandatory self-isolation order under the Public Health Order (March 20, 2020). Violation of the order may result in a fine.

Based on the responses you've just provided, please call HealthLine 811 to have your symptoms assessed.

Please do not go to an emergency department, family doctor or walk-in clinic unless your symptoms worsen.

Visit https://www.saskatchewan.ca/coronavirus for more information

Self Isolation
Please Call HealthLine 811.

Based on the responses you've just provided, please call HealthLine 811 to have your symptoms assessed and to determine if you require testing for COVID-19.

Visit https://www.saskatchewan.ca/coronavirus for more information

Mandatory Self Isolation
Call 811 for additional information
Since you don’t have any COVID-19 symptoms, you don’t need to be tested for COVID-19.

All travellers returning from international destinations are subject to a mandatory self-isolation order under the Public Health Order (March 20, 2020). Violation of the order may result in a fine.

If you get any COVID-19 symptoms, take this self-assessment again.

If you are experiencing other symptoms and want assessment, contact HealthLine 811.

Visit https://www.saskatchewan.ca/coronavirus for more information

You may need to Mandatory Self Isolate
Please call 811 for further assessment
Since you don’t have any COVID-19 symptoms, you don’t need to be tested for COVID-19.

Anyone identified as a close contact of someone with COVID-19 shall go into mandatory self-isolation for 14 days from the date of having been exposed under the Public Health Order (March 20, 2020). Violation of the order may result in a fine.

If you get any COVID-19 symptoms, take this self-assessment again.

If you are experiencing other symptoms and want assessment, contact HealthLine 811.

Visit https://www.saskatchewan.ca/coronavirus for more information

Since you don’t have any COVID-19 symptoms, you don’t need to be tested for COVID-19.

However, there’s a chance you could get sick since it’s less than 14 days since your exposure. You should self-isolate until 14 days after the exposure. Self-isolation means don’t go to any public places, stay at home, and don’t have any visitors. If you have questions, visit https://www.saskatchewan.ca/coronavirus.

If you get any COVID-19 symptoms, take this self-assessment again.

If you are experiencing other symptoms and want assessment, contact HealthLine 811. We are experiencing heavy call volumes and will get to your call as quickly as we can.

Self-Monitor

Testing is available to anyone wishing to be tested. You do not need to travel internationally or demonstrate symptoms in order to be tested. Any individual can obtain a referral to a community testing centre by phoning HealthLine 811, speaking to your family physician or nurse practitioner.

If you are experiencing symptoms and want assessment, contact HealthLine 811.

If you get any COVID-19 symptoms, take this self-assessment again.

Visit https://www.saskatchewan.ca/coronavirus for more information

Since you don’t have any COVID-19 symptoms, you don’t need to be tested for COVID-19.

If you get any COVID-19 symptoms, take this self-assessment again. If you need more information, visit https://www.saskatchewan.ca/coronavirus

If you are experiencing other symptoms and want assessment, contact HealthLine 811. We are experiencing heavy call volumes and will get to your call as quickly as we can.

SHA Health Care Worker Screening Tool
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you need to immediately self isolate and you are NOT permitted to work

Based on your results, you need to be tested for Covid-19

  • You are required to self-isolate until you receive further instructions
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

SHA Health Care Worker Screening Tool
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you

  • are not permitted to work
  • must go for a confirmatory PCR test as soon as possible
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Healthcare Worker At Home Testing Program section of the COVID-19 page

SHA Health Care Worker Screening Tool
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you need to continue to self isolate and you are NOT permitted to work

  • You are required to self-isolate until you receive further instructions
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

SHA Health Care Worker Screening Tool
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you need to mandatory self isolate and you are NOT permitted to work

If you develop symptoms, GO FOR IMMEDIATE TESTING

  • You are required to self-isolate for 14 days from your return to Canada
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

SHA Health Care Worker Screening Tool
PERMITTED TO WORK – Self Monitor

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment, you ARE permitted to work BUT need to self-monitor

  • You are required to self-monitor and maintain a physical distance while working and on breaks
  • If you are unable to maintain appropriate physical distance, you should mask even if not in clinical areas or zones
  • Self-monitoring includes temperature checks, pre and post shifts
  • Please take a screenshot/picture of this result and present it to the screening staff on arrival to your workplace if you are able.
  • Ensure you are always following hand hygiene protocols and cleaning your keys, phone, computer and other personal items.

SHA Health Care Worker Screening Tool
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM

Based on the answers to your Screening Assessment you are mandated to self isolate and you are NOT permitted to work

If you develop symptoms, GO FOR IMMEDIATE TESTING

  • You are required to self-isolate for 14 days from the date of your last exposure
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

SHA Health Care Worker Screening Tool
PERMITTED TO WORK – Self Monitor

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment, you ARE permitted to work BUT need to self-monitor and,

If you develop symptoms, should go for immediate testing

  • Self-monitoring includes temperature checks twice a day
  • Please take a screenshot/picture of this result and present it to the screening staff on arrival to your workplace if you are able.
  • Ensure you are always following hand hygiene protocols and cleaning your keys, phone, computer and other personal items.

SHA Health Care Worker Screening Tool
PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM

You ARE permitted to work

The variants of concern present a real risk

If you develop symptoms, GO FOR IMMEDIATE TESTING

  • Please take a screenshot/picture of this result and present it to the screening staff on arrival to your workplace if you are able.
  • Ensure you are always following hand hygiene protocols and cleaning your keys, phone, computer and other personal items.

LONG TERM CARE TOOL
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you need to immediately self isolate and you are NOT permitted to work

Based on your results, you need to be tested for Covid-19

  • You are required to self-isolate until you receive further instructions
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

LONG TERM CARE TOOL
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you

  • are not permitted to work
  • must go for a confirmatory PCR test as soon as possible

  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Healthcare Worker At Home Testing Program section of the COVID-19 page

LONG TERM CARE TOOL
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you need to continue to self isolate and you are NOT permitted to work

  • You are required to self-isolate until you receive further instructions
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

LONG TERM CARE TOOL
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you need to immediately self isolate and you are NOT permitted to work

If you develop symptoms, GO FOR IMMEDIATE TESTING

  • You are required to self-isolate for 14 days from your return to Canada
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

LONG TERM CARE TOOL
NOT PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment you are mandated to self isolate and you are NOT permitted to work

If you develop symptoms, GO FOR IMMEDIATE TESTING

  • You are required to self-isolate for 14 days from the date of your last exposure
  • Contact your manager / supervisor to inform them of your screening results
  • Take a screenshot/picture of your result to send to your manager/supervisor if able
  • For more information, refer to the Return to Work Guide

LONG TERM CARE TOOL
PERMITTED TO WORK – Self Monitor

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment, you ARE permitted to work BUT need to self-monitor

  • You are required to self-monitor and maintain a physical distance while working and on breaks
  • If you are unable to maintain appropriate physical distance, you should mask even if not in clinical areas or zones
  • Self-monitoring includes temperature checks, pre and post shifts
  • Please take a screenshot/picture of this result and present it to the screening staff on arrival to your workplace if you are able.
  • Ensure you are always following hand hygiene protocols and cleaning your keys, phone, computer and other personal items.

LONG TERM CARE TOOL
PERMITTED TO WORK – Self Monitor

Sat Jul 17 2021 11:47:10 AM


Based on the answers to your Screening Assessment, you ARE permitted to work BUT need to self-monitor and,

If you develop symptoms, should go for immediate testing

  • Self-monitoring includes temperature checks twice a day
  • Please take a screenshot/picture of this result and present it to the screening staff on arrival to your workplace if you are able.
  • Ensure you are always following hand hygiene protocols and cleaning your keys, phone, computer and other personal items.

LONG TERM CARE TOOL
PERMITTED TO WORK

Sat Jul 17 2021 11:47:10 AM


You ARE permitted to work

The variants of concern present a real risk

If you develop symptoms, GO FOR IMMEDIATE TESTING

  • Please take a screenshot/picture of this result and present it to the screening staff on arrival to your workplace if you are able.
  • Ensure you are always following hand hygiene protocols and cleaning your keys, phone, computer and other personal items.

Mandatory Self-Isolation
Please Call HealthLine 811.

Anyone identified as a close contact of someone with COVID-19 shall go into mandatory self-isolation for 14 days from the date of having been exposed under the Public Health Order (March 20, 2020). Violation of the order may result in a fine.

Based on the responses you've just provided, please call HealthLine 811 to have your symptoms assessed.

Please do not go to an emergency department, family doctor or walk-in clinic unless your symptoms worsen.

Visit https://www.saskatchewan.ca/coronavirus for more information









Adapted from and with thanks to Alberta Health Services
Date Modified: 22 July, 2021