As COVID-19 continues to spread, and as our federal, provincial, and local officials share guidance on making decisions, we want to inform the healthcare community that HIROC is here for you.
As the situation develops we will continue to communicate with you, ensuring you have accurate and relevant information.
Subscribers with questions may reach out to us at any time at riskmanagement@hiroc.com.
Trusted Sources for Information
- CMPA COVID-19 Hub
- COVID-19 for Health Professionals (Government of Canada)
- COVID-19 Operational Requirements: Health Sector Restart (Ontario Ministry of Health)
- COVID-19 Toronto Self-Assessment Tool (Ontario Health)
- COVID-19 Vaccine Clinic Operations Planning Checklist (Ontario Ministry of Health)
- Cyber Healthy (Canadian Centre for Cyber Security)
- Cyber: COVID-19 and Malicious Websites (Canadian Centre for Cyber Security)
- Government of Canada Travel Advice (COVID-19)
- Ministry of Health (ON) with link to self-assessment tool
- Mental Heath and the COVID-19 Pandemic (CAMH)
- OHA Updates
- Public Health Agency of Canada
- Stress and Coping (CDC)
- World Health Organization
HIROC Resources
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Failure to Appreciate Status Changes and/or Deteriorating Patient / Client (Risk Reference Sheet)
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Inadequate Triage Assessment/Reassessment (Risk Reference Sheet)
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Strategies for Improving Documentation: Lessons from Medical-Legal Claims (Guide)
Legal Resources
- Contractual Risks Amid the COVID-19 Outbreak (BLG)
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Detecting Fraudulent Schemes Perpetrated by Employees, COVID-19 (Bennett Jones)
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Novel Coronavirus Outbreak: Legal and Practical Insights and Perspectives (BLG)
Other Resources, by Topic
Disclosure
- Canadian Disclosure Guidelines
- Critical Incidents – Disclosure Documentation
- Disclosure of Incidents
Duty to Provide Care
- British Columbia College of Nursing Professionals, COVID-19 FAQ
- College of Nurses of Ontario, COVID-19
- College of Nurses of Ontario, Disagreeing with the Care Plan
- College of Registered Nurses of Manitoba, Duty to Provide Care
- Nova Scotia College of Nursing, Departing from Established Procedures and Typical Practices During COVID-19
Hand Sanitzer
- Recall of Certain Hand Sanitizers that may Pose Health Risks (Health Canada - June 6)
- Drug Reporting, Report a Side Effect
- Health Canada’s decision on technical-grade ethanol for the manufacture of hand sanitizers: Notice to industry
- Technical-grade ethanol for the manufacture of hand sanitizers during the COVID-19 pandemic: Risk assessment summary report
- Interim guide on the production of ethanol for use in alcohol-based hand sanitizers
Infection Prevention and COntrol (IPAC)
- Construction, Renovation, Maintenance and Design (CRMD), Public Health Ontario
- Infection Control Risk Assessment Checklist, Public Health Ontario
- IPAC Canada National Standard
Informed Consent for research
Immunities & Indemnifications
Mass Fatality and Temporary Morgues
- BC Coroners Service, Mass Fatality Response Plan
- Expedited Death Response Process (Ontario)
- In-Hospital Facility Surge Body Collection Point, Operation Guide (New York Hospital Association)
- Management of Mass Fatalities: Canadian Pandemic Influenza Preparedness
Maternal-Neonatal
Medical Device
PPE
- Considerations in the use of homemade masks to protect against COVID-19
- Ethical Framework for the Allocation of Personal Protective Equipment (during COVID-19)
- Health Canada: Regulatory Considerations for the Reprocessing of Single Use N95 Respirators during the COVID-19 Response
- Health Canada: Interim Order Respecting the Importation and Sale of Medical Devices for Use in Relation to COVID-19
- Health Canada: Notice – Important Regulatory Considerations for the Reprocessing of Single Use N95 Respirators during the COVID-19 Response
- Health Canada: Notice – Reprocessing of N95 Respirators for Healthcare Professionals
- Optimizing the use of masks and respirators during the COVID-19 outbreak
- Notice to General Public and Healthcare Professionals: Considerations in the use of homemade masks to protect against COVID-19
- Ministry of Health Guidance: Information on the Use of N95 Filtering Facepiece respirators beyond the manufacturer-designated shelf life
- Ministry of Health Order on the requirement to provide information respecting supplies of PPE
- Ministry of Health memo outlining the process for organizations to request supply and equipment needs
Resource Allocation
- Alberta's ethical framework for responding to pandemic influenza
- CanPREP Policy Brief
- Ethical considerations in preparedness planning for pandemic influenza
- Ethical decision-making about scarce resources: A guide for managers and governors
- Ethics Framework: A Guide for AHS Staff, Physicians and Volunteers
- Ethical Framework for Resource Allocation during the Drug Supply Shortages
- Fair Allocation of Scarce Medical Resources in the Time of Covid-19
- Health Services Ethics Decision-Making Guide
- Idea: Ethical Decision-Making framework Guide and Worksheets
Shipping and Packaging Infectious Substances
- Biosafety Advisory
- Packaging of Category A and Category B infectious substances (Class 6.2) and clinical, (bio) medical or regulated medical waste
- Requirements for safe transportation of infectious substances (Class 6.2)
- Shipping Infectious Substances
- Temporary Certificates
Staffing
- Alberta, Order 10-2020
- Newfoundland, Special Measures Order
- Ontario, Limiting Work to a Single Long-Term Care Home
- Saskatchewan, Public Health Order
Statutory Immunity
- US: Public Health Emergency – Office of the Secretary, Department of Health and Human Services, COVID-19
- UK: Specification for ventilators to be used in UK hospitals during the coronavirus (COVID-19) outbreak
Student Placements
- Canadian Nurses Protective Society (2002). Managing Legal Risks in Preceptorships
- British Columbia College of Nursing Professionals. (N.D.) Regulatory Supervision of Nursing Student Activities
- College of Nurses of Ontario (N.D.). Supporting Learners
- Nova Scotia College of Nursing (N.D). Practice Scenario: Supervising or Providing Guidance and Direction to Assistive Care Providers in a Pandemic
Telehealth, Virtual and Outpatient Care
- Guidance on Virtual Care Delivery (Shared Health Manitoba)
- Telehealth Clinical Guidelines (Province of BC)
- Thinking of working with virtual clinics? Consider these medical-legal issues (CMPA)
- Virtual Care and the 2019 Novel Coronavirus (Ontario MD)
Vaccinations
Ontario Regulation (O.Reg. 9/21)
Ontario Ministry of Health - Recommendations for special populations (version en Français)
Ontario Ministry of Health - Prioritizing healthcare workers for COVID-19 Vaccination (version en Français)
Ontario Ministry of Health - Ethical Framework for COVID-19 Vaccine Distribution
Ontario Ministry of Health - Guidance for COVID-19 Immunization in LTC Homes and Retirement Homes (version en Français)
Ontario Ministry of Health - COVID-19 Vaccine Relevant Information and Planning Resources (en Français)
Ontario Ministry of Health - COVID-19 Vaccine Screening and Consent Form (version en Français)
Ontario Ministry of Health - Orders, Directives, Memorandums and other Resources (en Français)
Ontario Ministry of Health - Vaccine Storage and Handling Guidance Pfizer-BioNTech and Moderna COVID-19 Vaccines (version en Français)
Ontario Ministry of Health - COVID-19 Vaccine Clinic Operations Planning Checklist (version en Français)
Government of Canada - Planning Guidance for Immunization Clinics for COVID-19 Vaccines (en Français)