COVID-19 Clinical Response

Introduction

This document is designed to align with the Department of Health System Alert and Response document and should be used in conjunction with the COVID Management guideline relating to clinical care of patients, the COVID-19 Quick Reference Guide and information on Personal Protective Equipment

This document should be considered a ‘live document’ and will be reviewed and updated regularly in response to:

  • New legislation or statutory directions;
  • Changes in advice based on emerging evidence or national guidelines;
  • Learnings from outbreak management locally, in other jurisdictions and internationally; or
  • Stakeholder engagement and feedback.

As this is a living document please ensure you regularly return to this page to stay current on latest information

Regional response levels

RegionResponse level
KimberleyRed
PilbaraRed
MidwestRed
GoldfieldsRed
WheatbeltRed
Perth-PeelRed
South WestRed
Great SouthernRed
Last updated: 03/03/2022; Source: WA Department of Health. Note: As St John WA's Clinical Response framework does not include items impacted by Interim response levels, the DoH Amber - Interim level is reflected in this document only as Amber.

Clinical and epidemiological criteria of COVID-19

Clinical evidence:

  • Fever (≥37.5⁰C) or recent history of fever (e.g. night sweats, chills)
  • Acute respiratory infection (e.g. cough, shortness of breath, sore throat)
  • Acute loss of smell or taste
  • A positive or inconclusive rapid antigen test result

Other reported non-specific symptoms of COVID-19 include: fatigue, headache, runny nose, acute blocked nose (congestion), muscle pain, joint pain, diarrhoea, nausea/vomiting and loss of appetite.

Epidemiological evidence:

  • Close contact (refer to Close contacts) with a confirmed case
  • Domestic and international travel
  • Workers supporting designated COVID-19 quarantine and isolation services
  • Air and maritime crew, airport and seaport workers and associated support services (including international border staff)
  • Health, aged or residential care workers and staff with potential COVID-19 patient contact
  • People who have been in a setting where there is a COVID-19 case
  • People who have been in areas with recent local transmission of SARS-CoV-2

Response framework

Response categoryGreen (COVID-19 READY)Amber (COVID-19 ALERT)Red (WIDESPREAD TRANSMISSION)Black (SYSTEM AT CAPACITY)

PPE

 

Supporting documents:

 

SJWA COVID-19 Personal Protective Equipment

Applicable at ALL alert levels - Standard Precautions apply. Additional PPE requirements for each alert level outlined in table below

Applicable for ALL alert levels - PPE for management of patients suspected/confirmed to have COVID-19, and for patient testing as per PPE interim guidelines:

  • P2/N95 respirator
  • Eye protection
  • Risk assess need for gown/coveralls
  • Risk assess need for gloves

Public Health and Social Measures, including face mask directives, should be complied with in all regions when not covered by circumstances below

Surgical masks for patients - if clinically appropriate and tolerated patients should wear a surgical mask (and have them perform hand hygiene)

For all patient contacts

  • P2/N95 respirator
  • Eye protection
  • Risk assess need for gown/coveralls
  • Risk assess need for gloves

When in emergency departments without a patient

  • P2/N95 respirator
  • Eye protection

Other areas of hospitals

  • Comply with site specific policies and public health and social measures

For all patient contacts

  • P2/N95 respirator
  • Eye protection
  • Risk assess need for gown/coveralls
  • Risk assess need for gloves

When in emergency departments without a patient

  • P2/N95 respirator
  • Eye protection

Other areas of hospitals

  • Comply with site specific policies and public health and social measures

For all patient contacts

  • P2/N95 respirator
  • Eye protection
  • Risk assess need for gown/coveralls
  • Risk assess need for gloves

When in all areas of a hospital without a patient

  • P2/N95 respirator
  • Eye protection

 

    As per Red response

    Patient screening and testing

     

    Supporting documents:

     

    Clinical Skill - Rapid Antigen Testing

    • Screen patients and any persons accompanying patient for epidemiological and clinical COVID-19 risk factors
    • Screen patients and any persons accompanying patient for epidemiological and clinical COVID-19 risk factors
    • Rapid Antigen Testing (RAT): If supplies of RAT adequate, test all patients being transported to emergency department per clinical skill
    • Screen patients and any persons accompanying patient for epidemiological and clinical COVID-19 risk factors
    • Rapid Antigen Testing (RAT): If supplies of RAT adequate, test all patients being transported to emergency department per clinical skill
    • Screen patients and any persons accompanying patient for epidemiological and clinical COVID-19 risk factors
    • Rapid Antigen Testing (RAT): If supplies of RAT adequate, test all patients being transported to emergency department per clinical skill

    Nebulisation

     

    Supporting documents:

     

    Clinical Skill - Nebuliser

    • Normal practice per CPGs
    • A Metered-dose Inhaler (MDI) + Spacer is very effective in most situations. Avoid nebulisers in all patients unless deemed clinically necessary. Agree treatment plan with your partner and wear full PPE if proceeding
    • Nebulised adrenaline can continue to be used for severe croup as per the current CPG.
    As per Amber responseAs per Amber response

     

    Other relevant St John WA guidelines

    External resources

    Document Control


    Directorate
    Clinical Services

    Responsible Manager
    Head of Clinical Services

    Date

    Review Date

    St John Ambulance Western Australia Ltd © Copyright 2020, All Rights Reserved

    Privacy Policy | Copyright Statement & Disclaimer