UNCONTROLLED WHEN PRINTED

The purpose of these COVID-19 Interim Guidelines is to provide short-term advice to manage the risks associated with COVID-19 in the community and to protect patients and St John WA staff from potential exposure whilst maintaining the highest possible standards of clinical care to the community of Western Australia.

FRONT LINE STAFF SAFETY IS OUR PRIMARY CONCERN.

All Clinical Practice Guidelines not addressed in this document remain unchanged and still apply in full. Staff should ensure that they stay up to date with the latest information regarding COVID-19 on Connect.

This update is provided in the setting of very low penetration of COVID disease in Western Australia and zero or close to zero community transmission.

Scope:

  • Oxygenation

Definitions:

  • ILI: Influenza-like illness

Instruction:

Crews are advised to limit the use of oxygen in patients with influenza like symptoms wherever possible to avoid aerosolisation.

Recommendations:

  • Nasal prongs:              1-4 litres per minute – ideally with surgical mask over the top where possible.
  • Therapy mask:             Maximum 10 litres per minute.
  • Non-rebreather mask: Maximum 15 litres per minute.

Crews are advised to tolerate lower SpO2 than usual in patients with ILI; ≥ 88% is acceptable. Note: It may not be possible to improve SpO2 to an acceptable level within the oxygenation guideline described above.

Crews treating patients who are on home BiPAP/CPAP or with a tracheostomy should don full PPE requirements for aerosol generating procedures (AGP’s) if the presentation is an infective respiratory illness. See PPE requirements.

Always turn the oxygen off first, then remove the nasal prongs/mask from the patient.

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