Model of care for the use of antiSARS-CoV-2 monoclonal antibodiesĬonsider if the patient has an advanced care directive and whether referral to palliative care is appropriate.Ĭlinical Practice Guide for respiratory support in adults with COVID-19Ĭommence oxygen via nasal prongs and titrate to SaO2 92% - 95%.Caring for adults and children in the community with COVID-19.Management Mild No known risk factors for disease progressionĭischarge home with education on self-management Risk factors presentĬonsider referral for disease modifying treatments according to hospital or local health district supply and policy Recommendations for COVID Surveillance Testing in NSW Healthcare Facilities These are only a guide for complexity of disease and should not replace clinical judgement.Ĭheck if your patient has had a recent previous positive COVID-19 diagnosis and belongs to a community care team or is allocated to a virtual service.Ĭheck recent eMR entries for any community care team notes for COVID related care.įurther information on the current testing regime for COVID - see Clinical Excellence Commission Risk factors for increased severity of disease in COVID-19 Or subjective symptoms of shortness of breath – Transient hypoxia – mild hypoxia is escalating to major hypoxia quickly with the Delta strain.Hypotension including symptomatic postural hypotension. Severe GI symptoms – diarrhoea, vomiting, abdominal pain > 4x/day.Red flags - A person presenting with these signs and symptoms should be flagged as a higher risk for further deterioration If any exertional hypoxia noted discuss with your inpatient admission teamĩ2–95% including exertional desaturations Undertake an ambulatory SpO2 for exertional hypoxia Gastrointestinal (GIT) symptoms, including vomiting and diarrhoea.Respiratory symptoms including cough, runny nose, sore throat.is the patient, or any household members essential workers, working in high-risk areas?.is the patient, or any household members known close COVID-19 contacts?.the rate of COVID-19 infection in your area.High epidemiological risk use this document in combination with your clinical assessment to determine whether this is suspected COVID-19: PCR/RAT testing should be prioritised for this cohort of patients to protect them from cross infection and early identification for use of COVID therapies. If you are unable to zone within your department, where possible identify vulnerable patients who would benefit from being streamed into a dedicated reverse isolation zone to provide protection from COVID-19. Patients meeting case definition criteria should be streamed into a dedicated 'high-risk' zone, ensuring immediate isolation from other waiting patients.
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