Updated 29 October 2020
School Based Health Clinics under Level 1.
We recommend that all nurses download the Awhina app (which is available on the apple and google app stores). This has all the latest information on Covid19 for health professionals.
All nurses should be aware of current Covid-19 testing criteria refer to MOH for latest
advice Link here
No staff or students should be at school if unwell
Additional precautions will be individualised and guided by the person’s own medical provider.
All students/staff who arrive with, or develop, respiratory symptoms should be sent
home (consult the case definition to see if they should attend Community Testing
Centre (CTC), Accident and Medical or GP Practice for Covid-19 testing.
When referring a student or staff member to a designated practice please provide them
with a referral letter and remember to contact them via phone/email, unless walk-in is
indicated as being acceptable, to ensure the practice has capacity to see them
According to the New Zealand Resuscitation Council the following modifications should be made to essential life support https://www.nzrc.org.nz/assets/Guidelines/COVID-19/2020-03-27-Temporary-Guideline-in-State-of-EmergencyFINAL.pdf
Lay a piece of clothing or a towel over the persons mouth (this may prevent droplets/cough spray)
Do not listen or feel for breathing by placing your face next to theirs
You should still follow DRS ABCD, including opening the persons airway with head tilt/chin lift; provide rescue breaths via face mask and ambi bag (do not insert airway devices); provide chest compressions; use a defibrillator
Personal Protective Equipment
Please refer to the current guidelines on the Awhina app regarding when and what PPE to use.
If there is an emergency the nurse should attend the incident with full PPE (gown, gloves, goggles, and mask) available. If there are any respiratory symptoms present full PPE should be donned.
PPE should be put on and taken off according to the instructions below
PPE should be disposed of in a separate bag, sealed and then into general rubbish. You can place your used mask, gown and gloves in a plastic bag and put it in with the waste for disposal. You will need to talk to your manager about how best to do this in your workplace.
N95 masks are only for use for aerosol-generating procedures, therefore should not be required in a SBHS.
Regular cleaning of commonly touched surfaces should be undertaken.
Students should use hand sanitizer on entry to health centre and again before exiting.
Isolation room protocol: Once a suspect case has been transferred from the premises, a general clean of the room can be undertaken. You do not need a stand-down period before you can use the room again. If the patient uses the toilet, the following cleaning procedures also apply.
Remove any linen that has been used into linen bags for hot washing.
Wipe down hard surfaces with detergent and water, then hospital grade disinfectant.
Remove and discard PPE as clinical waste
Perform hand hygiene thoroughly to elbows.
Any hospital grade detergent/disinfectant products are suitable for cleaning following a suspected, probable, or confirmed case of Covid-19. Read label of cleaning products and follow recommendations provided on product labels. Labels contain instructions for safe and effective use of the cleaning product, including precautions you should take when applying it. Specific PPE and dwell time (how long the cleaning product should remain wet on the surface before drying) should be included in product instructions. Recommended cleaning product should be a 2-in-1 product (containing both cleaning and disinfectant properties) to increase efficiency.
Keep the windows open for ventilation if possible.
Support Agencies and useful numbers