This guidance informs mask use of all employees, volunteers and contractors of healthcare facilities, and patient/clients and visitors of healthcare settings.
The guidance informs healthcare facilities of the minimum mask wearing recommendations during this time. Healthcare providers can make their own requirements for healthcare workers, patients and visitors.
As the national situation changes the guidance will be reviewed and updated. Local requirements may be added, based on current epidemiology and other factors (for example, facility-based outbreak, staff resourcing).
Health care settings include:
- primary and community care (eg, general practice)
- iwi and Pacific healthcare providers
- pharmacies – other than those located within supermarkets
- urgent care services (eg, after-hours clinics and accident and emergency)
- disability support services
- residential care (aged and disability-related)
- diagnostic services (eg, diagnostic laboratories, radiology services)
- oral health services
- allied health services which may include but are not limited to:
- occupational therapy
- acupuncture treatment
- audiology services
- chiropractic treatment.
A clinical zone is considered:
- an area where a healthcare worker is providing care, assessment, expertise or therapy to a patient/client
- a public facing area within a clinical zone including waiting areas, reception areas, and transit areas between clinical zones
- patient/resident rooms where care is being delivered in home-based or residential care settings.
Healthcare workers in all healthcare settings
In general, healthcare workers are recommended to wear a medical mask as a minimum when working in a patient or public-facing role and/or in a clinical zone or a public facing area.
This includes both clinical and non-clinical support workers if they are working in a clinical zone or public facing area of a healthcare facility.
Healthcare workers are required to wear a P2/N95 particulate respirator when providing care to patients/clients/residents with confirmed or clinically suspected COVID-19 infection or when working in a COVID-19 treatment or assessment zone.
Patients in hospital settings
Minimum recommendations for patients in hospital settings:
- Patients/clients are recommended to wear a medical mask while attending acute assessment units, outpatient services, day procedures, outpatient investigations. Patients/clients with mask exemptions should follow the local facility policy.
- Hospital inpatients’ use of masks is guided by local hospital policy and should include clinical assessment of the need for transmission-based precautions, and a patient’s ability to tolerate a mask and where and when it may be required (refer to PPE in acute healthcare guidance).
Patients/clients in community healthcare settings (except residents in aged or residential care)
Patients/clients receiving care at community-based healthcare settings are recommended to wear a medical mask. Patients/clients with mask exemptions should follow the local facility policy.
Aged and other residential care residents are not required to wear a mask.
Whānau/visitors/support people/kaitiaki in all healthcare settings
Whānau, visitors, support people and kaitiaki of patients are required to wear a medical mask at a minimum while onsite. Those with mask exemptions should follow the local facility policy.
Non-clinical zones are the areas which are not patient/client/public facing within the healthcare settings* listed. These include administrative areas and offices, workspaces, dispensaries, laboratories, meeting rooms and other shared spaces, provided these do not form part of a clinical zone.
Healthcare workers working in non-clinical zones
Healthcare workers working in non-clinical zones are not required to wear a medical mask at all times, however mask wearing is encouraged in shared spaces. Any local requirements should be followed. People should remain respectful of colleagues.
Posters are available to facilitate use of masks in health care settings.
They are available for download from the Unite Against COVID-19 Resource Toolkit.
Face mask album – Unite against COVID-19 Resource Toolkit.
Further detailed advice on the use of personal protective equipment in health care:
- PPE guidance for primary and community health and disability care workers
- COVID-19: Advice for community allied health, scientific and technical providers