Emergency Preparedness & Infection Prevention and Control

Emergency preparedness includes all plans developed and reviewed in anticipation of a crisis, which includes a wide variety of public health emergencies such as pandemic influenza and natural disasters that impact on the infrastructure that supports the health care system.


Disease Specific Information

Novel Coronavirus (COVID-19)

As with every public health issue, it is essential that you stay informed and that the information you obtain comes from reputable sources. For additional links to several key agencies that offer reliable and up-to-date information on the most recent respiratory illness first identified in Wuhan, Hubei Province, China please click here.

For media inquiries or to view recent articles related to COVID-19 please see our media room.

For information on Emergency Registration please click here.

Information regarding COVID-19 Temporary Pandemic Pay

Ontario Health Workforce Matching Portal information.

CRTO Updates

CRTO FAQs related to COVID-19

Message from the CRTO to Graduate Respiratory Therapists (GRTs) Working in a Healthcare Setting During the PandemicSent April 06, 2020

Message from the CRTO to RT Students Working in a Healthcare Setting During the PandemicSent April 06, 2020

Update on Emergency Registration in Response to COVID-19Sent March 24, 2020

COVID-19 Update to ALL CRTO MembersSent March 17, 2020

COVID-19 Directives

Directive #1 for Health Care Providers and Health Care Entities Issued under Section 77.7 of the Health Protection and Promotion Act (HPPA), R.S.0.1990, c. H.7 – March 30, 2020

Directive #2 for Health Care Providers (Regulated Health Professionals or Persons who operate a Group Practice of Regulated Health Professionals) – May 26, 2020

COVID-19 Operational Requirements: Health Sector Restart

Ramping up of non-essential services

The Ministry of Health has revised Directive #2 to enable Regulated Health Care Professionals to gradually resume the provision of non-essential and elective services. The resumption of these services must be done in accordance with the requirements set out in Directive #2 and the COVID-19 Operational Requirements: Health Sector Restart document.

For RTs, this means that diagnostic tests such as spirometry, pulmonary function testing, and sleep studies that were previously deemed to be non-essential can now be performed as long as it can be done so safely. Considerations for ramping up services are (but are not limited to):

    • Can the service be provided virtually?
    • If the service requires in-person contact:
      • are there ways to reduce the amount of time the RT and patient will be in close proximity (e.g., virtual pre/post appointment assessments)?
      • can the physical space be modified to minimize risk of exposure for the patient, staff and others (e.g., limited number of patients in the waiting area, plexiglass barriers)?
      • is there adequate staff and appropriate PPE to support the resumption of the service?

If further clarification is required, please contact the CRTO at hamp@crto.on.ca.

Directive #3 for Hospitals within the meaning of the Public Hospitals Act and Long-Term Care Homes within the meaning of the Long-Term Care Homes Act, 2007 – May 23, 2020

Directive #4 for Ambulance Services and Paramedics under the Ambulance Act – March 30, 2020

Directive #5 for Hospitals within the meaning of the Public Hospitals Act – March 19, 2020

Updates

  • For the most up to date COVID-19 information and numbers please see the MOH website here.
  • Assistive Devices Program (ADP) Update – August 17, 2020

    During the COVID-19 pandemic, the Assistive Devices Program (ADP) has made temporary changes to the policies governing funding assistance for home oxygen therapy. The CRTO/RTSO has highlight two (2) of these most recent changes that will impact current or future ADP-funded clients.

    • The ADP has extended funding assistance for current ADP-funded clients if their funding assistance for home oxygen therapy is scheduled to end between March 12, 2020, and August 30, 2020.  The funding period has been extended to August 31, 2020.
    • For the duration of the pandemic, ADP has waived the requirements for a physician or nurse practitioner to submit ABG or oximetry test results to confirm that first-time applicants meet the Program’s medical eligibility criteria for ADP-funded home oxygen therapy. The ADP will accept a prescription from a physician or nurse practitioner, licensed to practice in Ontario, as confirmation of the need for home oxygen therapy.  The ADP-registered vendor will still need to complete an application form.

    Full details are included in the Memorandum “COVID-19 Pandemic – Home Oxygen Therapy” (UPDATE to the memo dated April 03, 2020)” dated August 17, 2020.  Questions regarding these or any other temporary changes can be sent to adp@ontario.ca.

Additional Resources and Guidance Documents

  1. Ministry of Health and Long-term Care – Guidance Documents for Health Care Workers
    1. Guidance for Acute Care – June 05, 2020
    2. Guidance for Home & Community Care Providers – May 04, 2020
    3. Guidance for Primary Care Providers in a Community Setting – May 22, 2020
    4. Guidance for Long-Term Care Homes – April 15, 202
  2. Public Health Ontario
    1. Updated IPAC Recommendations for Use of Personal Protective Equipment for Care of Individuals with Suspect or Confirmed COVID-19
    2. COVID-19: Aerosol Generation from Coughs and Sneezes
    3. COVID-19: Aerosol Generating Medical Procedures
    4. COVID-19: Personal Protective Equipment (PPE)  for Neonatal Resuscitation
  3. Several websites have been created for COVID-19 that act as a portal for trusted and legitimate information and resources and have been shared below:
  4. Optimizing the use of masks and respirators during the COVID-19 outbreak

  5. COVID-19 information for Internationally Educated Health Professionals (IEHPs)
  6. RTSO’s Staged Precautions for Pulmonary Diagnostic Testing During and After COVID-19 Pandemic in Ontario.

 

Influenza

Updates

MOHLTC Health System Action Plan: Respiratory Illness Surge – December 20, 2017 – English French

MOHLTC Influenza Season Preparedness & Monitoring Memo – November 6, 2017

MOHLTC Situational Update on Avian Influenza A(H7N9) Virus – October 11, 2017 – English French

Ministry of Health and Long-term Care

 

Other Alerts/Patient Issues

2,4-dinitrophenol (DNP) Consumption

Updates

Update June 17, 2015                         Update June 17, 2015 – French 

Infection Prevention and Control Lapse Investigation Process Updates


Guidance Documents – General

Resources – General