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SickKids

COVID-19 Info Hub

Coming to SickKids? Learn what to expect ahead of your appointment or stay.

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Complete your entrance self-screening online

On the day of your visit, complete our COVID-19 Self-Screening Form before arriving to get through our screening process as smoothly as possible. A form must be completed for the patient and anyone coming to SickKids with them.

COVID-19 Self-Screening Form

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COVID-19 cases currently at SickKids

Paediatric patients: 25

Last updated: Jan. 24, 2022, 12:21 p.m.


COVID-19 vaccine for children and youth

SickKids wants to help parents, caregivers and youth make informed decisions about the COVID-19 vaccine using trusted information.

COVID-19 Vaccine Consult Service

Book a confidential conversation about the COVID-19 vaccine.

COVID-19 Learning Hub on AboutKidsHealth

Learn more about COVID-19 vaccines and their safety and effectiveness.

KidsHealthFirst.ca

Created by the Children's COVID-19 Vaccine Advisory Table


Screening

All patients and family caregivers will be screened for COVID-19 risk factors and symptoms. If you are not feeling well or have any symptoms, please make every effort to find someone else who can bring your child to the hospital. 

If you are experiencing any of the following symptoms that we screen for at SickKids in the last 10 days, had close contact with a confirmed case of COVID-19, had close contact with somebody experiencing symptoms of COVID-19 or have recently travelled internationally, please contact your clinic or health-care provider before coming to the hospital:

  • Runny nose
  • Nasal congestion/stuffy nose
  • Cough
  • Fever and/or chills
  • Sneezing
  • Shortness of breath
  • Decrease or loss of taste or smell
  • Fatigue/lethargy
  • Feeling unwell (malaise)
  • Muscle aches
  • Nausea/vomiting
  • Diarrhea

SickKids, like all hospitals, is a high-risk setting. If you have tested positive for COVID-19, you cannot visit SickKids for at least 10 days since the positive test or onset of symptoms. If you have been in close contact with someone who has COVID-19, you cannot visit SickKids for at least 10 days since your last contact with them. All this applies regardless of your vaccination status.

  1. You can complete an online COVID-19 Self-Screening Form before you arrive.
  2. When you arrive, show your Self-Screening Form at a screening station.
  3. Please note: You will be asked additional screening questions when you reach your destination at SickKids (e.g., Emergency Department, clinic, inpatient unit).

Family presence

The Omicron strain of COVID-19 is extremely contagious and can infect and be transmitted by anyone, even by people who are vaccinated. For the protection of everyone at SickKids, the current family presence and visitor restrictions will remain in place until further notice. As a children’s hospital, there are additional safety factors we must consider:

  • Being fully vaccinated doesn't fully protect you from becoming infected or from being able to transmit the Omicron strain.
  • Many SickKids patients are unable to get vaccinated at this time.
  • Many SickKids patients may be more vulnerable to infections including COVID-19.
  • Limited space makes it challenging for everyone to stay physically distanced.
  • Wearing masks and other pandemic precautions remain important safety measures for everyone at SickKids. 

For these reasons, active screening, family presence and visitor restrictions, masking and distancing remain in effect. Thank you for your cooperation.

Please note our current family and visitor restrictions:

  • For patients coming for tests, procedures and clinic appointments, one family caregiver may accompany the patient.
  • For patients coming to the Emergency Department, families may designate two caregivers to take turns being with the child but only one caregiver may be present at any time.
  • For inpatient units (patients staying overnight on a unit), families may designate two caregivers to take turns caring for their child but only one may be present in the hospital at any time. 
  • Siblings and other visitors are not allowed but some exceptions may apply. We appreciate that this restriction may require you to make childcare arrangements for siblings, and we thank you for your understanding during this challenging time. Please speak with your health-care team if you have any questions.

What do we need to know before coming to SickKids?

Safety measures remain in place for the protection of patients, families and staff. As the Omicron variant is much more contagious than any other form of COVID-19 we have seen, we must remain vigilant in following all precautions. These include masking, distancing and cleaning our hands frequently, as well as limiting our contacts/gathering with others as much as possible by asking patients and their caregivers to stay in their rooms as much as possible. 

What has changed for patients and families as a result of Omicron?

You may see fewer staff in general as we limit who needs to be at SickKids to those who provide direct patient care and other essential work. Inpatients and their families are asked to spend as much time in their rooms as possible to avoid contact with others. For outpatients we are conducting as many visits virtually wherever possible with exceptions for in-person visits where it is deemed medically necessary by a health-care provider. Please follow the universal masking policy for everyone's protection. 

What should I do if I have symptoms and I need to bring my child to SickKids?

Given the rapid transmission of the Omicron variant, we’re asking all caregivers to avoid coming to the hospital if they have any symptoms. If your child has an appointment or needs to come to the Emergency Department, please make every effort to make arrangements to have another family member or caregiver accompany your child if you’re unwell. If you have any symptoms, or are unsure what to do, please call your provider in advance of your visit for further direction and information.

How does my vaccination status impact my ability as a caregiver to be in the hospital with my child?

Although we ask about your vaccination status at screening to better understand caregiver vaccination rates, it will not impact your ability to enter SickKids. However, we continue to encourage you to get your vaccination as it can help prevent severe disease and protects you and those around you. The Omicron variant is much more contagious than the Delta variant, and fully vaccinated people are still able to get COVID-19 and pass it on to others.

How long do family caregivers have to wait before coming to SickKids after testing positive for COVID-19 or are in close contact with someone who has COVID-19?

As SickKids, like all hospitals, is a high-risk setting, anyone who tests positive for COVID-19 or is in close contact with someone who has COVID-19 cannot come to SickKids for at least 10 days since the positive test/onset of symptoms/last close contact, regardless of vaccination status. This timeframe is greater than what is allowed for lower-risk settings if you are fully vaccinated. Unless SickKids grants an exception, please wait the full 10 days before coming to the hospital.  

Research study participants:

  • The same policies as above apply: one adult family caregiver may accompany participants who are under 18.
  • Study participants and their accompanying caregiver (if applicable) should complete the online self-screening form in advance. On the form enter “other” for type of visitor and then “research participant.” Check with the study team about what to put in the “Where are you going?” field.

Entrances

  • Enter and exit SickKids using the Elizabeth Street entrance or the parking garage. All other entrances are closed until further notice.
  • In addition to regular parking rates, SickKids offers discounted parking passes for parents of patients. Visit Parking for more information.

Universal masking policy

Everyone age 2 and older is required to wear a hospital-provided mask at SickKids. We will provide you with a mask when you arrive at the hospital. This policy also applies to family caregivers, visitors, vendors, suppliers, and contractors.

  • If patients of any age are not able to wear a mask safely, they will not have to.
  • If you prefer to wear the hospital provided mask over top of one you are wearing when you arrive, you can do so.
  • Gloves are not allowed in the hospital - instead we ask that you clean your hands often with hand sanitizer. 
  • Mask exemption cards are not accepted at SickKids. Exceptions will only be considered for family caregivers with medical conditions that prevent them from safely wearing a mask and must be approved by the patient’s SickKids health-care team in advance.

Physical distancing is not always possible and wearing a mask helps to protect everyone at the hospital, including you and your child, from the spread of COVID-19. 

Please review our frequently asked questions about family/caregiver and patient masking.

What is a universal masking policy?  

A universal masking policy means that everyone age 2 and older coming into the hospital must wear a hospital-provided mask while inside. This policy also applies to staff, family caregivers, visitors, vendors, suppliers, and contractors. 

If patients of any age are not able to wear a mask safely, they will not have to.

Exceptions will only be considered for family caregivers with medical conditions that prevent them from safely wearing a mask and must be approved by the patient’s SickKids health-care team in advance. ​ 

Why is everyone being asked to wear masks at SickKids? 

COVID-19 can be spread by people who do not have any symptoms or who do not realize they have the virus. Universal masking helps to prevent the spread of infection to other patients and to our staff, especially when physical distancing – staying two metres or six feet apart – is not possible. 

How does wearing a mask help?

Masks can decrease the spread of COVID-19 in two ways:  

  1. Wearing mask helps protect others around you by limiting the spread of your droplets when coughing, sneezing, and speaking.  
  2. Wearing mask protects you by reducing the chance of inhaling droplets from others around you. 

Can I wear my own mask or face covering? What about my child? 

Not on its own. To ensure the safety of everyone at SickKids, we are providing masks at our entrances. Not all masks are the same – KN95, N95, disposable and cloth face masks come in a range of qualities, and there are counterfeit products on the market.  Since entrance screening staff are not able to check the quality of masks people wear to the hospital, we require everyone to wear the medical mask provided. By providing our own masks we can be certain that the one you are wearing will offer the right amount of protection for you and our staff.

If you choose to wear your own mask, you will also have to wear a hospital-provided mask on top.  

Where will I get a mask when I arrive at SickKids?  

Entrance screening staff will ask you to clean your hands and then give you a medical mask. They will explain how to put it on properly. Clean your hands again after putting on your mask.  

What if I can’t or don’t want to wear a mask?  

Everyone age 2 and older is required to wear a hospital-provided mask at SickKids. This policy is to protect those around you who may be at a higher risk for severe illness due to COVID-19.  

If you do not have, or do not qualify for an exception – you will not be allowed to enter SickKids without a mask. 

If patients of any age are not able to wear a mask safely, they will not have to. If you are a family caregiver who has a legitimate medical condition that prevents you from wearing a mask, contact your SickKids health-care team before your appointment and request an exceptionIf approved, tell the screening staff that you have an exception, and they will give you a face shield to wear instead.  

No exceptions to the Universal Masking Policy will be made for other types of visitors. 

How do I safely put a mask on and take a mask off? 

Our staff can teach you about wearing and removing masks. Have a look at this handy poster (PDF) for a step-by-step guide to wearing and removing a mask properly and safely. Clean your hands before and after putting on or taking off your mask.

How can I be sure a mask fits properly? 

Follow this checklist to ensure a mask fits properly: 

  • Fully covers your mouth, nose and chin once the elastics are secure around ears 
  • Has minimal gaps between your face and the mask – the mask should fit tightly but not feel uncomfortable
  • Does not need to be repositioned or adjusted while being worn
  • Is easy to remove safely

A mask that does not fit well can compromise the safety of the person wearing the mask and those around them. 

What should I do if my mask gets wet or dirty?  

If your mask gets wet or dirty during your appointment, let your health-care team know that you need a new mask. 

Can I remove my mask to eat or drink?  

You may remove your mask to eat or drink while you are at the hospital if you are in an eating area or in a designated patient space where you can reliably distance from others 2 metres (or 6 feet)You must put on your mask on when a staff member enters the room and when you move from one area to another in the hospital.  

What should be done with the mask if I need to take it off? 

Masks must be worn at all times in the hospital - however you may remove your mask (PDF) to eat or drink in eating areas or in designated patient spaces. Clean your hands first and remove it carefully by handling the ear loops. Do not touch your face. Place it on a clean piece of paper towel or inside a plastic container. If you are changing to a fresh mask or leaving the hospital, be sure to dispose of your mask in a waste container. 

Can I take my mask off once my appointment is over?  

Please leave your mask on the entire time you are inside the hospital. If you need to take it off to eat or drink, or as part of your medical appointment, first wash your hands and then remove your mask carefully, without touching your face.  

If you are taking public transit, a rideshare, or will be entering any indoor spaces on your way home from the hospital, you will need to be wearing a mask in accordance with the City of Toronto’s Mandatory Mask or Face Covering Bylaw. 

My child is staying the night at the hospital. Do I have to wear a mask in the patient room? 

Yes, you must wear a mask in your child’s single room if you are unable to maintain the physical distance of two metres from your child or a member of the health-care team. 

Will all patients be asked to wear a mask at SickKids? 

Masking for children depends on a lot of things including age, ability, willingness, and safety. We will mask patients age 2 and older, but if your child is not able or willing to wear a mask, they will not have to. 

We will not mask children younger than 2 for safety reasons. Please discuss with your health-care provider if you have any questions. 

If your child is COVID-19 positive or has any COVID-19 risk factors (travel history, exposure to COVID-19, or symptoms) and is 2 years or older, they will be required to wear a hospital-provided mask. 

Why can’t children under the age of 2 wear masks? 

It is understood that masking children under the age of 2 could be a safety risk for many reasons, including an increased risk of introducing germs to their face when touching or moving the mask and possible choking or strangulation. 

My child has been asked to wear a mask. Where inside SickKids does it have to be worn? 

If your child is at SickKids for a test, clinic visit or to go to the Emergency Department, the mask must be worn at all times due to limited space at the hospital and the difficulty of keeping two metres apart. Your child’s mask may be removed once they are in an assigned treatment space, but the mask must be on when a staff member is present. 

If your child is staying overnight, they can remove the mask while they are in their own room. If they leave their room for any reason (e.g., a test in another department) they must put the mask back on. 

What suggestions can you offer to help my child understand why wearing a mask is important for them and others? 

Masks can be confusing to children, depending on their age. That is why we recommend age-appropriate explanations, play therapy and role modelling to help kids accept and wear their masks. 

For older children, answer their questions in simple language that they will understand, saying masks will help stop COVID-19 from spreading and keep you safe. For younger children, try focusing on germs and how masks can help keep them away. 

SickKids can also help with trained staff members who are able to talk to children and videos by our Child Life specialists related to masking and other topics. 

How do I decide if my child is able and willing to wear a mask? 

Caregivers know their children best, including what they can and cannot do.  

  • Do you think your child will want to touch or play with the mask?  
  • Is your child sensitive to new types of clothing/coverings?  

If so, it may not be safe for them to wear a maskIt is important that children who are asked to wear masks follow the instructions for putting a mask on safely, which means not touching, adjusting, or playing with the mask because this reduces its effectiveness. 

My child is older than age 2 and cannot wear a mask. What can I do? 

We understand that not all children, regardless of age, will be able or willing to wear a mask. In certain cases, your health-care team will speak to you about alternatives. 

What is important to know about children wearing masks? 

Safety is the most important thing to consider when masking children, which is the reason we look at factors other than age. Safety risks include: 

  • increased difficulty breathing 
  • introducing germs to the face by frequently adjusting the mask  
  • reduced ability to communicate 
  • anxiety or fear 
  • greater risk for misidentification by health-care providers without facial recognition 

Masks should not be used for children under age 2 who are not able to understand how to wear a mask or communicate if they become distressed. It is important that staff assess the child carefully and regularly and always ensure that patient identification arm bands are in place and used to confirm the child’s identity. 

Changes during your visit or stay

Coming to Emergency

Our Emergency Department does not test children without symptoms who are being discharged. Children with mild symptoms should go to an assessment centre to be tested.

Coming for Clinic

We've made changes to our clinic spaces and appointment processes to ensure everyone’s safety. Learn what you need to know before your next appointment.

Staying Overnight

While at SickKids, you’ll notice many new measures in place. Learn about changes to programs and services available during your overnight stay.

Scheduled care activity (surgeries & procedures)

SickKids continues to perform emergent, urgent and time-sensitive surgeries and procedures. To ensure that we have the capacity for any unplanned increase in hospital activity and that our clinical staff are available to provide care, some other surgeries and procedures may be rescheduled. We recognize that delays caused by the COVID-19 situation are difficult for patients and their families. SickKids will contact patients and families directly when it is time to reschedule surgeries and procedures that have been postponed due to the pandemic — there is no need to contact the hospital at this time.

How are you deciding which patients are being treated and when?

An ethics framework document and new waitlist management system was developed by our staff and family advisors to ensure we continue to treat patients fairly and equitably. The timing of surgeries and procedures will consider many factors to ensure patient needs are met in the safest and most timely manner possible.

How can I ensure the urgency of my child's surgery is being considered when it is being rescheduled?

SickKids never stopped treating patients who had urgent needs or emergencies. Our ethics framework will guide us in prioritizing the order patients are seen and treated. We will contact you with a new date as soon as we can.

Does my child need a COVID-19 test prior to a surgery or procedure? What if we live far away?

SickKids requires a pre-procedure COVID-19 test for all patients, whether vaccinated or unvaccinated. Pre-procedure testing is mandatory and must be performed at SickKids (except Haematology/Oncology patients) to ensure timely results, avoid delays and to keep everyone safe. Testing at community/satellite centres is not available. We recognize the added burden this will place on some patients and families.

If you are concerned about the distance and costs involved, please reach out to your SickKids social worker for support. If you do not have a SickKids social worker, you can contact our Resource Navigation team regarding resources and to determine if you qualify for financial assistance. Email resource.navigation@sickkids.ca or call 416-813-6787 or 416-813-8548.

My child turned 18 and is still on the waitlist. What happens now?

We are committed to completing the care we started before it was interrupted by COVID-19 for all of our patients. If your child turned 18 during this time, there is no need to be concerned. Your health-care team will continue to care for your child until the surgery or procedure is finished, including any follow-up treatment or appointments that are necessary afterwards.

I am not very comfortable coming to SickKids. What are my options and what safety protocols are in place?

We will continue to offer virtual care first when possible, but if a surgery or other procedure needs to be performed, it will be necessary to come to the hospital. Safety is our number one priority at all times for everyone. For those coming to the hospital we are maintaining a number of safety measures to keep everyone healthy, including screening, testing, masking, physical distancing and family/visitor restrictions.

With potential delays due to traffic, screening and elevator restrictions, how early should I arrive for my procedure or appointment?

The safety measures in place and external factors can cause delays in getting inside the hospital. Your health-care team will advise you on how to best plan ahead.

Are there any exceptions to the current visitor policy?

We recognize the challenges associated with limiting visitors. Please discuss your situation with the health-care team and they will let you know if the policy allows for an exception. To appeal a decision, contact the Office of Patient and Family Experience.

What supports are in place for my child if they are feeling anxious about having surgery or coming to the hospital for any reason during COVID-19?

Our staff are trained to support children who are anxious. Your health-care team can also connect you with our Child Life Specialists, who have a number of programs in place and prepared videos to help your child feel comfortable at all times at SickKids. You can also refer to the AboutKidsHealth COVID-19 Learning Hub for resources.

COVID-19 news & research studies

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