Covid19

.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.

 

  • Schools connected to a confirmed or probable case of COVID-19 must close on an individual or group basis for 72 hours to allow contact tracing and cleaning. They could be closed for a further 14 days, but open for distance learning. Public health units will manage this and the direction to close will come from the Medical Officer of Health.

 

  • No throat swabbing or examining of throats should be undertaken in the Health Clinic without full PPE.  Students fitting the at-risk category for Rheumatic Fever as per the Heart Foundation Sore Throat Management Algorithm (link below) should be treated empirically or referred to their GP

        https://www.heartfoundation.org.nz/resources/a-guide-for-sore-throat-management-algorithm

 

CPR Management

 

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

 

  • Wear PPE

  • 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.

 

Cleaning

 

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.

Useful Documents:

CDC Donning and Doffing PPE

Support Agencies and useful numbers

The artwork on this website has been used with the permission of the Mangere College Art Department.