Clinical reasoning and risk assessment remain the fundamental principles for considering how to provide care for patients.
Clinicians will be able to see patients face to face if the following processes are in place:
- screening for COVID-19 symptoms prior to face-to-face appointment
- infection prevention control measures including PPE where required.
- transmission precaution measures including consideration of ventilation
- keep accurate documentation of appointments to aid contact tracing if required.
People should stay home if they are unwell. You can support this by using signage asking them not to attend if unwell. If you cannot do this before you see them, try to keep one metre of physical distance while assessing their health.
You should not be treating people who are a probable or confirmed case of COVID-19 unless they require urgent treatment that cannot be delivered by a service elsewhere or by a clinician already in contact with the patient.
Personal protective equipment (PPE)
Clinicians should assess the infection risk with their patient before a face-to-face visit. This will allow clinicians to assess their own PPE requirements and their patients’ requirements before commencing face-to-face treatment.
The level of PPE required for clinician and patient depends on the infection risk of the patient, and the nature of the care provided.
There is information and guidance on PPE at Personal protective equipment use in health care and specific PPE respiratory physiotherapy guidelines below.
Clinical rehabilitation for people with long COVID
This guidance is intended to provide clinical guidance on long COVID conditions in both children and adults in Aotearoa New Zealand.
It is an evidence-based summary that covers the definition and diagnosis of long COVID. It seeks to provide the best evidence currently available to assist informed decision-making to improve the health, vocational and social outcomes for individuals with long COVID.
There are also two summary fact sheets available – for clinicians, and for individuals and whānau.
Guidance for the acute phase of rehabilitation of people with or recovering from COVID-19 in Aotearoa New Zealand
The purpose of this document is to highlight the complexity and potential long-term needs of people recovering from COVID-19 and to demonstrate the importance of the allied, scientific and technical workforce in reducing the short- and long-term health and wellbeing implications of COVID-19 infection.
Minimising risks of COVID-19 transmission in medical imaging rooms
This document provides guidance for medical imaging departments in a hospital setting to manage suspected or confirmed COVID-19 patients.