Wellness checkpoints

 

We implemented the wellness checkpoint screening process at sites nationally for all employees, contractors, donors, visitors and volunteers early on in the pandemic. This process is in place to protect the health and safety of our teams, donors and to maintain our essential operations. Please take a moment to review what you can expect when entering a Canadian Blood Services site. If you have questions, please speak with your manager.

Employee Wellness Checklist and provincial health guidelines

Before coming to work each day, employees (including fee for service) and volunteers are required to review the online Employee Wellness Checklist applicable to their province to determine if they meet the wellness criteria. If you answer yes or receive a result that indicates you should be isolating or getting tested, please reach out to your supervisor. 

If you have any questions about this information or return to work, please contact EHS@blood.ca

The following links are subject to change and are not actively monitored and updated by Canadian Blood Services. The summaries of provincial public health testing and self-isolation requirements should be used primarily as a reference tool. It shall not be taken as legal or public health advice. Please refer to your local and provincial public health authority, as applicable, for the most up to date information and requirements. In all cases, the public health requirements shall supersede Canadian Blood Services summary tables.

British Columbia

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing?   
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms 

Testing is recommended for people who meeting one of the following criteria and have symptoms associated with COVID-19 infection:

(1) People for whom testing is clinically indicated

People who are moderately to severely immunocompromised:

  • Have had an organ transplant and are taking anti-rejection medications
  • Are receiving treatment for cancer
  • Have had a bone marrow or stem cell transplant
  • Have been diagnosed with a primary immunodeficiency disorder
  • Have been diagnosed with HIV and are not currently taking medication for it
  • Are on active treatment with immunosuppressive therapies
  • Are on dialysis and/or have severe kidney disease

People for whom a positive result could impact treatment or care: 

  • Hospitalized individuals of any age 
  • Pregnant women or individuals 

People who are fully vaccinated: 

  • 70 years or older with 3 or more chronic conditions that increase the risk of severe illness or hospitalization  

People who are unvaccinated whose vaccines are not up to date, if they are: 

  • 50 years of age and older; or 
  • Have 3 or more chronic conditions that increase risk of severe illness or hospitalization 
  • People who have not received a booster dose (1) aged 50-69 years and have 3 or more chronic conditions that increase the risk of severe illness or hospitalization; (2) aged 70 years and older and have one or more chronic conditions that increase the risk of severe illness or hospitalization
  • People with conditions that put them at risk: Cystic fibrosis; Severe COPD or asthma, or another serious respiratory condition (e.g., on long-term home oxygen); Diagnosed with a rare blood disorder or inborn error of metabolism; Splenectomy or functional asplenia; Insulin-dependent diabetes; Significant developmental disabilities; Neurological or other condition requiring use of a ventilator or continuous bi-PAP

Individuals who live or work in high-risk settings:

  • Healthcare workers in hospitals, long-term care facilities, assisted living facilities or in a clinic in the community
  • First responders (i.e. police officer, emergency medical technician /paramedic, or firefighter)
  • Staff and residents in congregate settings, such as long-term care facilities, shelters, correctional facilities and group homes
  • Communities that are far from testing centres and hospitals, such as rural, remote, or Indigenous communities, or work-camps, and Indigenous people living in urban settings

Self-Assessment Tool and App

Testing

Eligibility for testing based on other reasons

Testing eligibility depends on being symptomatic (more than mild or moderate) and/or belonging to a group for whome testing is clinically indicated or being a resident or worker in a high-risk setting. See Eligibility based on symptoms cell above. 

Time of Isolation for those with Symptoms 

If persons with symptoms are not recommended for testing, self-isolate until you feel well enough to return to regular activities and no longer have fever (without the use of medicines that reduce fever-like Tylenol or Advil).

Positive test result: if fully vaccinated, self-isolate for at least 5 days since the start of symptoms. Wear a mask even in settings where a mask isn’t required and avoid higher risk settings, such as long term care facilities and gatherings, for another 5 days after ending isolation. If not feeling better after 10 days, continue until you feel better and your fever is gone (without taking medicines that reduce fever).

Isolation

Other isolation requirements 

Individual Travel including for how long 

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada.

Household members 

See close contacts below. “Close contact” includes someone who lived with an individual with COVID-19.

Close contact including for how long 

If you are identified as a close contact of someone who tested positive for COVID-19, you need to monitor yourself for symptoms of COVID-19, avoid high-risk settings for 10 days, and follow public health measures. If you develop symptoms, stay at home until you are well enough to participate in your usual activities and check to see if you are recommended to get tested.

Positive test or awaiting results including for how long 

Start your self-isolation right away if you have a positive test, and follow public health instructions on length of isolation.

If you test positive for COVID-19 and are fully vaccinated, you need to self-isolate at home for 5 days AND until your symptoms improve and you no longer have a fever.

Additional supporting information: 

Self-Assessment Tool and App: https://bc.thrive.health

 

Testing: http://www.bccdc.ca/health-info/diseases-conditions/covid-19/testing/when-to-get-a-covid-19-test

http://www.bccdc.ca/Health-Info-Site/Documents/COVID_public_guidance/When_to_get_tested.pdf

Isolation: http://www.bccdc.ca/health-info/diseases-conditions/covid-19/self-isolation#How--long.

 

For positive cases: http://www.bccdc.ca/health-info/diseases-conditions/covid-19/if-you-have-covid-19.

For close contacts: http://www.bccdc.ca/health-info/diseases-conditions/covid-19/self-isolation/close-contacts. 

Alberta

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing? 
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms 

Free PCR testing from AHS is available for:

  • People with symptoms of COVID-19 who may be eligible for Sotrovimab (monoclonal antibody treatment) or Paxlovid (anti-viral drug) 
  • People with symptoms who are household contacts of a person who works in continuing care or acute care 
  • People with symptoms who are pregnant 
  • People with symptoms who live or work in isolated and remote First Nation, Inuit, and Metis communities  
  • Returning international travellers who become symptomatic within 14 days after their return to Canada  
  • Healthcare workers or workers in specific high-risk settings, including AHS/Covenant Facility in which patient care is provided, home care, primary care, diagnostic imaging or laboratory clinics, medical specialty clinics, continuing care and licensed supportive living sites, pharmacists and pharmacy techs (in patient care settings), and other settings where face-to-face patient care is provided (including emergency medical responders) 

 

Symptoms

Assessment and Testing

Eligibility for testing based on other reasons

PCR tests will be available only for the following individuals:

  • Group home, disability support and shelter workers
  • Correctional facility staff in provincial and federal facilities
  • Health care workers. You are considered a health care worker if you work in the following settings:
  • AHS or Covenant facility in which patient care is provided 
    • Home Care 
    • Primary Care 
    • Diagnostic Imaging or Laboratory Clinics 
    • Medical Specialty Clinics 
    • Continuing Care and Licensed Supportive Living Sites 
    • Pharmacists and Pharmacy Technicians in patient care settings 
    • Other settings where face-to-face patient care is provided (including emergency medical responders) 

Time of Isolation for those with Symptoms 

If fully vaccinated, isolate for a minimum period of 5 days from the first day on which the person exhibits [core] symptoms, or until the person’s symptoms resolve, whichever is longer. Following isolation, wear a mask at all times when around others outside of home for up to 5 more days (10 total). This means you must eat or drink alone, away from others. For any “other” symptom, stay home and limit contact with others until symptoms are gone

Isolation

 

Other isolation requirements 

Individual Travel including for how long 

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada.

Household members 

If you are a household contact of a positive case and you are not fully vaccinated, you should stay home for 10 days and monitor for symptoms. If they develop, isolate immediately.

Close contact including for how long 

No longer legally required to quarantine if you are a close contact of someone who has tested positive for COVID-19 but should follow recommendations:

If you have been exposed to COVID-19 by someone outside of your household, you should:

  • avoid high risk locations such as continuing care facilities and crowded indoor spaces 
  • monitor for symptoms, and if they develop, isolate immediately.

Positive test or awaiting results including for how long 

Starting the first day of symptoms or positive test, isolate for a minimum of 5 days or until symptoms resolve, whichever is longer. Following isolation, wear a mask at all times when around others outside of home for up to 5 more days (10 total). This means you must eat or drink alone, away from others. 

Additional supporting information: 

Self-Assessment Tool: https://myhealth.alberta.ca/Journey/COVID-19/Pages/Assessment.aspx.

Testing: https://www.albertahealthservices.ca/topics/Page17058.aspx.

Isolation: https://www.alberta.ca/isolation.aspx

Saskatchewan

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions. 
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing? 
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating. 

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms  

If you are experiencing mild cold-like symptoms including cough, sore throat, sneezing without fever, it is recommended that you stay home, use rapid antigen testing and self-isolate based on those results.

SHA Public PCR testing is now reserved for priority populations at elevated risk for severe outcomes, including symptomatic clients on a waitlist for and scheduled to receive surgery in the next 90 days, and symptomatic pregnant women greater than 30 weeks gestation.

Additionally, health care workers and essential workers with negative rapid test results who remain symptomatic will continue to be eligible for PCR tests to protect Saskatchewan’s essential services.

Symptoms 

Testing 

Eligibility for testing based on other reasons

SHA PCR testing will be reserved for priority populations at elevated risk for severe outcomes, including: 

  • Hospitalized patients including newborns, if parents COVID-positive 
  • Residents upon entry to long-term and personal care homes 
  • International travelers from an area of concern 
  • Immunocompromised and those with chronic illness (diabetes, history of cancer, cardiac failure, etc.) 
  • Transplant donors and recipients 
  • Oncology patients receiving chemotherapy 
  • Residents of First Nation and Metis communities 

Time of Isolation for those with Symptoms  

Symptoms on their own do not trigger self-isolation requirements.

But it is recommended you self-isolate and test at home with a rapid antigen test. If the test results are negative, self-isolate until at least 48 hours after symptoms resolve.

Anyone who tests positive for COVID-19 should self-isolate immediately at home or in another suitable environment. It is recommended you self-isolate for five days from the date of test or 24 hours after fever has resolved without the aid of fever-reducing medications and all other symptoms have been improving for at least 48 hours, whichever is later.

Isolation  

Other isolation requirements  

  

Individual Travel including for how long  

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada. 

Household members  

If someone in your household is sick and self-isolating, self-isolation is not required. You should self-monitor for symptoms. If you develop symptoms, you should immediately self-isolate and self test. If you test positive, it is recommended to self-isolate for five days.

Close contact including for how long  

Self-monitoring for at least 10 days is recommended for close contacts. Self-test immediately and again on days three and five from the point of exposure to the confirmed case. Close contacts can continue to go to work and school while self-monitoring and should respect and follow all organizational policies and guidelines that are in place to protect others. You should self-Isolate if you become symptomatic, or if you test positive.

Positive test or awaiting results including for how long  

It’s strongly recommended that you self-isolate immediately for 5 days if you test positive.

COVID-19 exposure including for how long

If you receive an exposure notification from COVID Alert, regardless of your vaccination status, self-monitor for symptoms. If you develop any symptoms during this time, self-isolate and get tested.

Additional supporting information:  

Assessment/Self-monitoring: https://www.saskatchewan.ca/government/health-care-administration-and-provider-resources/treatment-procedures-and-guidelines/emerging-public-health-issues/2019-novel-coronavirus/about-covid-19/self-monitoring​​​​​​​

Testing: https://www.saskatchewan.ca/government/health-care-administration-and-provider-resources/treatment-procedures-and-guidelines/emerging-public-health-issues/2019-novel-coronavirus/testing-information/when.  

Isolation: https://www.saskatchewan.ca/-/media/files/coronavirus/covid-main/know-when-to-self-isolate---feb-28.pdfCOVID-19 Case and Contact Management | Living with COVID | Government of Saskatchewan

Manitoba

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing? 
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms  

RAT testing:

  • Individuals with symptoms.
  • Those advised by public health officials 
  • Asymptomatic individuals who plan to use a test if they become symptomatic

 

PCR testing:

Symptomatic people who fall into one of the following groups are eligible for PCR testing:

  • hospitalized patient
  • patients seeing a physician if the physician determines that a PCR COVID-19 test is important for medical management (e.g., eligible for COVID-19 treatment or as part of the work-up for multisystem inflammatory syndrome in children (MIS-C)
  • people with an immune system moderately to severely weakened by disease or medical treatment
  • people who may be eligible for COVID-19 treatment and determined by a prescribing clinician to require a PCR test
  • people experiencing homelessness or are under-housed
  • people who have traveled outside of Canada in the past 14 days
  • pregnant individuals 
  • unvaccinated or partially vaccinated people age 40 and older 

 

Symptoms and When to Get Tested 

Online Screening Tool 

Testing Eligibility   

Eligibility for testing based on other reasons 

 

People who tested positive on a rapid antigen test and are:

  • health care workers who provide direct patient care and first responders
  • staff who have direct contact with patients, residents, and clients in hospitals and congregate living settings/residential care facilities (including personal care homes, assisted living, group homes, shelters and correctional institutions)
  • symptomatic residents in congregate living settings/residential care facilities if there has been no known case in the facility or specific unit in last 14 days
  • people who may be eligible for COVID-19 treatment and determined by a prescribing clinician to require a PCR test
  • People admitted or transferred to or from hospital or PCHs

People having surgery that require PCR testing prior to the procedure

People advised by public health officials including for the purpose of initial investigation in a confirmed or suspected outbreak in high risk settings;

Residents of First Nation communities; and

Before travel to or return to First Nations and Indigenous and Northern Relations communities

Time of Isolation for those with Symptoms  

 

 

 

If you have COVID-19 symptoms and do not go for testing, you should isolate for five days after your symptoms started and until you no longer have a fever and your other symptoms have been improved over the past 24 hours.

Isolation

Other isolation requirements  

  

Individual Travel including for how long  

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada.

Household members  

All household members of someone who has symptoms, tests positive or is awaiting test results should self-monitor for symptoms for 14 days following exposure and are not routinely required to self-isolate (quarantine), except where advised by public health in high risk situations, such as outbreaks, or in health care facilities.

Close contact including for how long  

Close contacts are not routinely required to self-isolate (quarantine), except where advised by public health in high risk situations, such as outbreaks, or in health care facilities. If you live in a First Nation community, check with your community for further guidance. 

Positive test or awaiting results including for how long

Isolation is recommended when you test positive on a laboratory based (e.g. PCR) test, on a rapid antigen test, or if you have symptoms without testing: 

  • You should isolate for 5 days after your symptoms started and until you have no fever and your other symptoms have improved over the past 24 hours. 
  • If you don't have symptoms and test positive, you should isolate for 5 days after your test date 

Additional supporting information:  

Assessment

Symptoms: https://www.manitoba.ca/covid19/fundamentals/symptoms.html 

Screening tool: https://sharedhealthmb.ca/covid19/screening-tool/ 

Screening questions: Covid-19 Generic Screening Checklist June 2021 (manitoba.ca) 

 

Testing: https://manitoba.ca/covid19/testing/testing-eligibility.html  

 

Isolation: https://www.gov.mb.ca/covid19/fundamentals/self-isolation.html#when-isolate 

Ontario

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing?   
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms 

PCR testing will only be recommended for individuals if they belong specific groups, including:

Symptomatic people who fall into one of the following groups:

  • Patient-facing health care workers
  • Staff, volunteers, residents/inpatients, essential care providers, and visitors in highest risk settings (I.e. hospitals, including complex continuing care facilities and paramedic services) and congregate living settings, with medically and socially vulnerable individuals, including but not limited to, long-term care, retirement homes, First Nation elder care lodges, group homes, shelters, hospices, and correctional institutions, Provincial Demonstration Schools and hospital schools
  • Home and community care workers
  • Household members of workers in highest risk settings and patient-facing health care workers 
  • Temporary foreign workers in congregate care settings
  • Patients in an emergency department, at the discretion of the treating clinician
  • Outpatients for whom COVID-19 treatment is being considered
  • Other outpatients for whom a diagnostic test is required for clinical management 
  • Pregnant people
  • People who are underhoused or experiencing homelessness 
  • First responders, including fire, police and paramedics 
  • Elementary and secondary students and education staff who have received a PCR self-collection kit through their school
  • A student or staff at a Provincial Demonstration School or a hospital school 
  • someone at higher-risk for severe COVID-19 who would be eligible for outpatient treatment (treatment outside hospital) following an assessment and positive test 
  • other individuals as directed by the local public health unit based on outbreak investigations in high risk settings, etc. 

 

Self-Assessment Tool

Symptoms

Testing and Isolation

Eligibility for testing based on other reasons

The following people are eligible for molecular testing (PCR or rapid molecular testing):

  • People who are from First Nation, Inuit, and Métis communities and/or who self-identify as First Nation, Inuit, Metis or live with someone who does
  • Individuals travelling into the above communities for work
  • People on admission/transfer to or from hospital or congregate living setting
  • Close contacts and people in the context of confirmed or suspected outbreaks in highest risk settings as directed by the local public health unit
  • Individuals, and one accompanying caregiver, with written prior approval for out-of-country medical services from the General Manager, OHIP
  • In hospital, long-term care, retirement homes and other congregate living settings and institutions as per provincial guidance and/or Directives, or as directed by public health units

Time of Isolation for those with Symptoms 

Individuals with symptoms consistent with COVID-19 are presumed positive and are advised to  self-isolate as soon as possible after symptom onset. Fully vaccinated persons must self-isolate for 5 days after symptom onset and can end once symptoms have improved for at least 24 hours.

Testing and Isolation

Other isolation requirements 

Individual Travel including for how long 

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada.

Household members 

Household contacts of individuals with COVID-19 or symptoms are required to isolate while the positive/symptomatic individual is isolating (or for 10 days if you are immunocompromised), with the following exceptions:  

  • Household members who are 18+, asymptomatic and boosted are not required to self-isolate; 
  • Household members who are under 18 years of age and are considered fully vaccinated and asymptomatic are not required to self-isolate 
  • Household members who have previously tested positive for COVID-19 in the last 90 days (based on positive RAT or molecular test results), are not required to self-isolate, as long as they are currently asymptomatic.

If symptoms develop, you must self-isolate for 5 (or 10 days as applicable) days from symptom onset and get tested if eligible

Close contact including for how long 

Non-household contacts who do not have symptoms are required to self-monitor for 10 days. They are also required to wear a mask, avoid activities where mask removal is necessary (such as dining out, high contact sports) and follow all other public health measures if leaving home; and not visit any highest-risk settings (such as long-term care or retirement homes) or people who may be at higher risk of illness (such as seniors) for 10 days after your last exposure.

If symptoms develop, self-isolate immediately for 5 days from onset of symptoms (or 10 if applicable) and until no fever and other symptoms are improving for 24 hours (or 48 hours for gastrointestinal symptoms).  Get tested if eligible and follow guidance for cases. 

Positive test or awaiting results including for how long 

If fully vaccinated, isolate for 5 days following the date of specimen collection or onset of symptoms (whichever is earlier/applicable). End isolation after 5 days if symptoms are improved for at least 24 hours (or 48 hours if gastrointestinal symptoms) and there is no fever present prior to ending self-isolation.

For five days (or 10 days if you are immunocompromised) after your isolation period ends, you must continue to wear a well-fitted mask in all public settings. 

Additional supporting information: 

Assessment: https://covid-19.ontario.ca/self-assessment/

Testing and Isolation:

COVID-19 Integrated Testing & Case, Contact and Outbreak Management Interim Guidance: Omicron Surge, Version 3.0 March 9, 2022

https://covid-19.ontario.ca/covid-19-test-and-testing-location-information#who-is-eligible-for-pcr-or-rapid-poc-molecular-testing

Quebec

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions. 
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing? 
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating. 

The following links from the Quebec government are provided for information purposes only. Canadian Blood Services staff who live in Quebec but work in Ontario will still need to meet the Ontario requirement for isolation to be able to return to work as the rules in Ontario will apply to workplaces in Ontario. 

Assessment: https://www.quebec.ca/sante/problemes-de-sante/a-z/coronavirus-2019/isolement/outil-autoevaluation-covid-19

Testing: https://www.quebec.ca/sante/problemes-de-sante/a-z/coronavirus-2019/tests-de-depistage/faire-test-de-depistage  

Isolation: https://www.quebec.ca/en/health/health-issues/a-z/2019-coronavirus/self-isolation/when-do-i-need-to-self-isolate

New Brunswick

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing? 
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms 

PCR tests for symptomatic people are only for those who are:

  • 50 and over and under 2
  • Live/work in a hospital, Extra Mural and Ambulance New Brunswick, LTC, correctional facility, shelter or is precariously housed
  • Immunocompromised or pregnant

Symptoms

Testing

Eligibility for testing based on other reasons

Everyone not encompassed by the above row will be advised to take point-of-care rapid tests when symptomatic. A positive rapid test will be treated as a positive result for COVID-19

Time of Isolation for those with Symptoms 

People are encouraged to stay home and work from home if possible:  

  • While sick  
  • Until your symptoms improve  
  • Until you have been fever free for 24 hours 
  • Until you have been diarrhea and vomit free for 48 hours 

Isolation

 

Other isolation requirements 

Individual Travel including for how long 

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada.

Household members 

Household contacts should monitor for symptoms and stay home if they are feeling sick. If a household contact develops symptoms, they can complete the online form and request a test 

Close contact including for how long 

No isolation requirements for close contacts 

Positive test or awaiting results including for how long 

The following measures are encouraged: 

  • Stay home and work from home if possible: 
  • While sick 
  • Until your symptoms improve 
  • You have been fever free for 24 hours 
  • You have been diarrhea and vomit free for 48 hours 
  • For at least 5 days after leaving home, or for 10 days if you are immunocompromised: 
  • Wear a multi-layer well-fitting mask 
  • Physical distance from others as best as possible 
  • Avoid gatherings 
  • Avoid visiting vulnerable individuals or settings (i.e. long-term care homes, correctional facilities, hospitals or shelters.) 
  • Wash or sanitize hands frequently 
  • Cough and sneeze into your elbow. 
  • Open a window or door to improve indoor ventilation where possible 
  • Notify your employer that you tested positive for COVID-19 if you work in a vulnerable setting as your employer may be provided with additional guidance. 
  • Access COVID medication if eligible and necessary. 
  •  The above advice is for the general public and is not meant to replace guidance for people who live or work in a hospital, Extra Mural and Ambulance New Brunswick (EM/ANB) 

Additional supporting information: 

Assessment

Testing: https://www2.gnb.ca/content/gnb/en/corporate/promo/covid-19/about-covid-19/testing-tracing.html

Isolation: https://www2.gnb.ca/content/gnb/en/corporate/promo/covid-19/self_isolation.html#1.2

Nova Scotia

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing?   
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms  

People who have symptoms or have been identified as close contacts AND fall into one of the categories listed here:

https://www.nshealth.ca/coronavirustesting#am-i-eligible-for-a-pcr-test-

NS Health has resumed confirmation PCR testing for people who test positive on a RAT. 

Self-Assessment Tool

Symptoms

Testing

Eligibility for testing based on other reasons

PCR tests are only available for:

  • Testing required for medical procedure
  • People who test positive on a take-home RAT

Time of Isolation for those with Symptoms  

Symptoms have been broken down into either “A” or “B”. You need to self-isolate and complete a COVID-19 self-assessment if in the past 48 hours you have had or you are currently experiencing an “A” symptom or two or more “B” symptoms. Self-isolate until you receive your results and directions for next steps

If you’ve recovered from COVID-9 and have symptoms: For the immediate three months (90 days) after you are considered recovered, COVID-19 testing is typically not recommended. If you develop symptoms in these 3 months, self-isolate until symptoms have been improving for at least 24 hours (or 48 hours if you have gastrointestinal symptoms such as diarrhea or vomiting) and you don’t have a fever. 

Isolation

 

Other isolation requirements 

Individual Travel including for how long  

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada.

Household members  

Those who have an exposure in their household but have no symptoms are recommended to complete testing 72 hours from the diagnosed person’s specimen collection date for testing 

If you have symptoms, self-isolate immediately, and complete a COVID-19 test immediately and again at least 72 hours later. You can only stop isolating if you get a negative test taken at least 72 hours after your symptoms started in accordance with Public Health Guidelines and symptoms are improving (including no fever for 24 hours).

If you do not complete testing, you are required to isolate a full 7 day from the date the symptoms started.

Close contact including for how long  

No requirement in effect. Monitor for symptoms.If symptoms develop, self isolate and get tested as soon as possible. You can stop isolating if you receive a negative PCR test result OR you receive two negative rapid tests taken at least 48 hours apart.

Positive test or awaiting results including for how long  

If symptomatic, you must isolate on the first day symptoms started and continue thereafter for a minimum of 7 days or as directed by a MOH. If asymptomatic, self-isolate on the first day of positive diagnosis and continue thereafter for 7 days following positive diagnosis or as directed by a MOH. They can leave isolation after 7 consecutive days. If they no longer have symptoms, or symptoms are improving (including no fever for at least 24 hours).

Additional supporting information:  

Assessment: https://covid-self-assessment.novascotia.ca/en 

Testing: https://www.nshealth.ca/coronavirustesting 

Isolation: https://www.nshealth.ca/what-do-i-need-know-about-covid-19-self-isolation 

Information for COVID-19 Close Contacts | Nova Scotia Health Authority (nshealth.ca)

Prince Edward Island

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing?   
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms 

Eligible for a PCR test based on any symptom listed below.

Self-Assessment Tool

Symptoms

Testing

Eligibility for testing based on other reasons

Eligibility for PCR testing:

  • If you are a close contact of a positive case and work, live or access services in a vulnerable setting with no symptoms– at a testing clinic
  • If you tested preliminary positive with a rapid antigen test – at a testing clinic
  • Upon entry to the province - at the point of entry

Time of Isolation for those with Symptoms 

If you have symptoms and are waiting for COVID-19 test results and have not been in close contact with a known case: you only need to self-isolate until you receive a negative COVID-19 test result, unless otherwise instructed by a public health official.

Isolation

Other isolation requirements 

Individual Travel including for how long 

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada. 

Household members 

If a household is unable to ensure that a member who is required to self-isolate remains isolated from the other members, the other members must isolate with the case for the same period of time as the positive case.

Close contact including for how long 

Fully vaccinated close contacts who have symptoms must self-isolate for at least 7 days after the onset of COVID-19 symptoms or at least 7 days after the date of the initial positive test, whichever is earlier and for such additional time as indicated by a public health official (including 10 days for immunocompromised individuals).  

Positive test or awaiting results including for how long 

Persons diagnosed with COVID-19 and fully vaccinated shall self-isolate for a period of 7 days after the onset of symptoms or the day the positive test, whichever is earlier, and for such additional time as indicated by publci health officials.. If you are immune compromised, you must isolate for 10 days and must be feeling better with no worsening symptoms to exit isolation. If you are immune compromised and if hospitalized, you must isolate for 14 days, and must be feeling better with no worsening symptoms to exit isolation.

Persons symptomatic and awaiting a test result shall self-isolate until they receive a negative test result.

Additional supporting information: 

Assessment: https://assessment.princeedwardisland.ca/

Testing: https://www.princeedwardisland.ca/en/information/health-and-wellness/covid-19-testing-in-pei

Isolation: https://www.princeedwardisland.ca/en/information/health-and-wellness/covid-19-self-isolation

For positive cases: https://www.princeedwardisland.ca/en/information/health-and-wellness/information-for-people-who-have-tested-positive-for-covid-19

For close contacts: https://www.princeedwardisland.ca/en/information/health-and-wellness/covid-19-close-contacts

 

Newfoundland and Labrador

  • Are you experiencing any new or worsening symptoms associated with COVID-19? Symptoms should not be chronic or related to other known causes or conditions.
  • Are you required or recommended to self-isolate under local or provincial requirements due to travel, symptoms, close contact or testing?   
  • Complete the applicable provincial COVID-19 assessment screening tool for your jurisdiction below to determine if you need to obtain a COVID-19 test or should be isolating.

Public health criteria for testing and isolation

Description 

Eligibility for testing based on symptoms 

Eligible for a PCR test based on any symptom listed below within 30 days of using the self-assessment tool depends on belonging to a certain group, unless you have been infected with COVID-19 in the last 3 months: 

  • Over 60 and under 2 
  • Non-household contact with symptoms and you do not have rapid tests  
  • Frontline health care worker with direct patient care; 
  • Work in a LTC, personal care home, community care home, assisted living facility; 
  • Work in a correctional facility; 
  • Live/work in a shelter, transition house, or temporary foreign worker setting; 
  • Pregnant; 
  • First Nations, Inuit or Metis; 
  • Immunocompromised; that is: 
    • You are undergoing cancer treatment 
    • You had a solid organ transplant and are taking immunosuppressive therapy
    • You had a stem cell transplant in the last 2 years
    • You have received CAR-T cell treatment in the last 2 years
    • You have a moderate or severe primary immunodeficiency (diagnosis of DiGeorge syndrome, Wiskott-Aldrich syndrome, common variable immunodeficiency, Good’s syndrome or hyper IgE syndrome). 
    • You have advanced or untreated HIV (n/a if undetectable viral load) 
    • You are taking high dose corticosteroids (e.g., 20 mg or greater of prednisone daily for over 2 weeks) 
    • You are taking a highly immunosuppressive drug (biologic medication, transplant or chemotherapy related immunosuppressant

Symptoms 

Symptoms

Self-Assessment and Testing Referral Tool

Eligibility for testing based on other reasons

You are eligible for a PCR test if any of the following apply:

  • In the last 14 days, have been in close contact with a household known case (unless exempt)
  • Are being admitted to a LTC, personal care home, community care home, or assisted living facility

Time of Isolation for those with Symptoms 

If no exposure but you have symptoms: self-isolate and determine if you need to get tested. If your test is negative, you should self-isolate until 24 hours after your symptoms resolve. If positive, follow guidance for positive cases below.

Isolation Guidelines

Isolation Assessment Tool

Other isolation requirements 

Individual Travel including for how long 

No isolation requirements after travel within Canada, follow federal isolation requirements after travel outside Canada. 

Household members 

Household members of persons self-isolating because they have COVID-19 must comply with the following:

  • If symptomatic and fully vaccinated, follow rules for positive cases.
  • If asymptomatic and fully vaccinated follow modified self-isolation for 5 days after the person in your household started having symptoms, or if no symptoms, 5 days after their test; complete a test (PCR or RAT) at least 72 hours after becoming aware of case in household. If using rapid self-tests and your first test was negative, complete a second test 48 hours later (day 5). 

Household members of persons self-isolating because they may have been exposed to COVID-19 must comply with the following:

  • If symptomatic and fully vaccinated: self-isolate for 7 days after having symptoms and book a test; if negative continue isolating until 24 hrs after symptoms resolve; if positive, self-isolate for 7 days after having symptoms.
  • If asymptomatic and fully vaccinated, there is no need to self-isolate 

Close contact including for how long 

If you were infected in the last 3 months: You do not need to get tested. If you have symptoms, self-isolate until your symptoms have improved with no fever for at least 24 hours. If you do not have symptoms, you do not need to self-isolate 

For those who were not infected in the last 3 months:  

  • If identified as a high risk close contact and symptomatic: self isolate immediately and complete a test ASAP (if rapid test taken and your first was negative, complete a second test 72 hrs later). Leave isolation after you have negative results and your symptoms have improved with no fever for at least 24 hours. If positive, follow requirements for positive cases. 

  • If asymptomatic, you do not need to isolate or get tested; but must monitor for symptoms for 7 days after last contact 

Positive test or awaiting results including for how long 

If you get tested for COVID-19 and the test result is positive, you must self-isolate according to the following:for 10 days from your test date or until 10 full days after your symptoms started. 

  • If fully vaccinated and symptomatic: 7 days from the date you had your first symptom. Continue until 24 hours after your symptoms are gone.
  • If fully vaccinated and asymptomatic: 7 days from the date the test was completed.
  • If unvaccinated or partially vaccinated or immunocompromised and symptomatic: 10 full days after your symptoms started.
  • If unvaccinated or partially vaccinated or immunocompromised and asymptomatic: 10 days from your test date.
COVID-19 exposure including for how long

Public exposure:  

If received a notification from COVID Alert app, received an email/call from a business about potential exposure, or were in a place that was part of a public exposure notification and symptomatic: you must self isolate if symptomatic. 

Additional supporting information: 

Assessment and Testing Referral Tool: https://covidassessment.nlchi.nl.ca/

Screening questionnaire (daily fit-to-work assessment):

https://www.gov.nl.ca/covid-19/files/Covid-Questionnaire-Work.pdf

 

Isolation: https://www.gov.nl.ca/covid-19/public-health-guidance/self-isolation/

https://www.gov.nl.ca/covid-19/public-health-guidance/testing/if-you-test-positive/

Isolation assessment tool: https://www.gov.nl.ca/covid-19/public-health-guidance/self-isolation/assessment-tool/

FAQ: Wellness screening

How are employees being screened in donor centres?

Posters at the entrances to our sites focus on wellness and remind employees and volunteers to stay home if they are sick, or recommended or required to isolate. Before coming to work each day, employees and volunteers are required to review the online Employee Wellness Checklist applicable to their province to determine if they meet the wellness criteria. The Employee Wellness Checklist can be found on the employee portal and is accessible from any device. Visit: https://www.blood.ca/en/employees/wellness-checkpoint

Any employee who is sick, including but not limited to those who develop flu-like symptoms, is instructed to stay away from the workplace.  

Employees with COVID-19 symptoms are being asked to contact their physician and local public health authority for direction on whether it is safe to come into work. Employees can also reference the public health summary page. 

Any employee diagnosed with COVID-19 would not return to work until they are fully recovered aligned with local provincial public health guidance. An individual may also get advice and guidance from public health and/or their physician and may need to consult with EHS.  

Any employee who is sick will be paid at their regular rate of pay for hours that would otherwise be worked, even if they would normally not have paid sick leave, or have paid sick leave that is less than their regular rate of pay.  

Employees do not need to provide medical documentation to their managers.  

We ask that employees refer to, and follow, any provincial requirements for travel. If an employee is required to self-isolate upon return, they are not to return to work until it is deemed safe by their public health authority. 

What changes have been implemented to streamline the wellness checkpoint process for employees?

New posters at the entrances to our sites focus on wellness and remind employees (including fee for service) and volunteers to stay home if they are sick, or recommended or required to isolate.  

Before coming to work each day, employees (including fee for service) and volunteers are required to review the online Employee Wellness Checklist applicable to their province to determine if they meet the wellness criteria. The Employee Wellness Checklist can be found on the employee portal and is accessible from any device. Visit: https://www.blood.ca/en/employees/wellness-checkpoint

As has always been the case, employees and volunteers are expected to follow their applicable local, provincial public health guidelines.

Why did you remove the employee wellness poster that outlined the public health guidelines specific to my province?

At the onset of the COVID-19 pandemic, wellness checkpoints were one of the many measures implemented to keep our teams and donors safe and protect our essential operations.   

These measures are being consistently reviewed to ensure we can continue to safely deliver on our promise to patients and improve the donor and employee experience.   

Public health guidance on isolation and testing is rapidly evolving.  Each province and territory establishes their own regulations, and there are differences across all jurisdictions. With public health guidelines rapidly evolving, and differing in each province, it is no longer practical to maintain detailed posters outlining requirements for each province. Wellness guidance for employees remains the same: all who are sick, or recommended or required to isolate must stay home.  
 
Employee wellness checklists specific to each province are now available on the employee portal. To support the wellbeing of everyone in our sites, employees and volunteers are required to review this before coming to work. The checklists can be accessed from any device. Visit: https://www.blood.ca/en/employees/wellness-checkpoint

There is a new poster on the door asking employees to stay home if they are sick, or recommended or required to isolate. How do I know if I am recommended or required to isolate?

As has always been the case, everyone must follow the public health guidelines outlined by their own province. We understand that these guidelines are changing regularly and are different in each province. Please consult your province’s public health resources to review the latest guidance for your area. We have compiled a summary of these guidelines for reference purposes and links to relevant resources, available at: https://www.blood.ca/en/employees/wellness-checkpoint

Why is there a detailed poster specific to donors?

Eligibility to donate is different than eligibility to enter a Canadian Blood Services site. If a donor is feeling sick or should be isolating, they should not be entering. The additional information provided for donors is specific to their eligibility to donate based on our donor selection criteria manual. To improve donor experience, we have highlighted a few COVID-19 specific reasons that would result in a deferral from donating that day. 

Why are employees entering the workplace subjected to different screening criteria than donors seeking to donate?

Before coming to work each day, employees (including fee for service) and volunteers are required to review the online Employee Wellness Checklist applicable to their province to determine if they meet the wellness criteria. 

Eligibility to donate is different than eligibility to enter a Canadian Blood Services site. If a donor is feeling sick or should be isolating, they should not be entering. The additional information provided for donors is specific to their eligibility to donate based on our donor selection criteria manual. To improve donor experience, we have highlighted a some key COVID-19 donor eligibility criteria that could result in a deferral from donating that day.

I have a cough due to a pre-existing condition. I am concerned that if I answer “yes” to having a cough at the wellness checkpoint that I will not be permitted to enter the building even through it isn’t related to COVID-19. What should I do?

Some employees may have COVID-like symptoms that are caused by another medical issue such as allergies or asthma. A declaration from their physician will need to be provided to Employee Health Services in order for a letter to be issued advising that they are safe to report to work. Employees should bring the letter with them each time they report to work. For more information, please speak with your supervisor.  

If an employee cannot obtain a letter from their doctor, we ask that they stay home until they are able to do so. To avoid unnecessary trips outside of the home, we understand that health care providers may be able to email EHS with the letter. 

How do I find out how long I need to isolate before returning to work after testing positive for COVID-19?

Everyone must follow the public health guidelines outlined by their own province. We understand that these guidelines are changing regularly and are different in each province. Please consult your province’s public health resources to review the latest guidance for your area and with employee health services. We have compiled a summary of these guidelines for reference purposes and links to relevant resources, available at: https://www.blood.ca/en/employees/wellness-checkpoint

I have reviewed the provincial public health guidelines and I am not sure what applies to me because of my own personal circumstances. What should I do?

If you have reviewed your provincial guidelines and are still unsure of what is required, please consult public health. For all other questions, contact communications@blood.ca.

The screening process seems less stringent than before, and I am concerned that a simple question about ‘are you well or recommend or required to isolate’ won’t stop sick colleagues from coming to work. Will I be safe?

Your safety at work continues to be a priority.  By moving the screening questions online, we are improving the process by directing employees to the latest, most up-to-date public health guidance and resources. Employees are expected to review the Employee Wellness Checklist before coming to work. 

How are we supporting those who are visually impaired to read the wellness check questionnaire poster?

To provide support, our teams will always work hard to accommodate donors who are visually impaired by taking the time to read through the questionnaire.

Who should I contact if I have questions/concerns?

For donor-related questions or concerns, please reach out to collectionandcliniclogisticsquestions@blood.ca.  

For employee safety questions or concerns, please contact OH&S.  

For all other inquiries, please contact communications@blood.ca or visit blood.ca/employees for more information.

FAQ: Employee temperature checks

Why are we removing the temperature taking process from the Wellness Checkpoint?

The organization continues to navigate the COVID-19 landscape, and as always, we constantly review, analyze and revise as necessary, our COVID-19 protocols and safety measures. Our priority has always been to protect the health and wellness of our employees, volunteers and donors using evidence-based data and information.  

Assessment of the infrared thermometer demonstrated that ambient temperature affected the accuracy of the temperature readings. The affect was more pronounced at cold temperatures with the device taking between 10 and 20 minutes to stabilize to get an accurate reading (and at extreme cold temperatures the device will not even read a temperature). This may negatively impact operations, as well as donor experience. 

In consideration of the operations assessment and as part the COVID-19 protocol and safety measure review process, the COVID-19 Program requested that the Surveillance and Medical Issues (SMI) working group review the positives and negatives of taking temperatures for wellness screening. They found that the screening questions at the wellness checkpoint provide the strongest level of screening and there is no evidence that temperature checks provide incremental benefit over the current wellness check point screening questions. In addition, temperature checks, as a part of COVID-19 wellness screening, are not required in any province and are not required by the Public Health Agency of Canada. 

We don’t require donors to be vaccinated – isn't this change increasing risk of exposure?

We recognize there is some perceived risk in removing temperature taking from the wellness checkpoints. We are also aware that a vaccination policy for donors would alleviate these concerns. We are confident that removing this measure at this time will not have a negative impact on the health and safety of employees. We have a fully vaccinated workforce, as well as vaccination requirements for volunteers, contractors and visitors. We are continuing to do the necessary work and assessments to inform a decision on a vaccination policy for donors. This work is ongoing and until that decision is made, we are reassured that our stringent COVID-19 measures such as PPE, enhanced cleaning, barriers and physical distancing have been and will continue to safeguard employees, volunteers, donors and contractors in our environments.

Can we move Carescape back to the wellness checkpoint?

The use of the Carescape thermometer will remain in the donor screening area.  

It was determined that the screening questions at the wellness checkpoint provide the strongest level of screening and there is no evidence that temperature checks provide incremental benefit over the current wellness check point screening questions. 

Donor temperature oral temperature taking will still be required and will be done at the time of donor eligibility screening in the private screening rooms, where there is an acrylic barrier between the donor and employee. Taking the donor’s oral temperature is the last screening step in our thorough wellness check and medical screening process. 

I don’t feel comfortable with donors taking their mask off in the enclosed screening room, even after passing the wellness check.

Health Canada requires that all donor temperatures are recorded to ensure the blood donated is safe for transfusion, therefore oral temperature will be taken inside the private screening room. We have taken measures to ensure donors and employees are safe in the private screening rooms, such as installed acrylic barriers and the requirement for employees to wear masks.