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    COVID-19 Community Care

    Resources available from this page

    Care in the community flow chart | inTouch Covid Community Care | Disease modifying treatments for COVID-19 | Antiviral Treatments |Information and resources for patients | Pregnancy and COVID-19 | Guidelines and resources for health Professionals

     

    Flow Chart - Caring for adults and children in the community with COVID-19

    FlowChartv3

    Agency for Clinical Innovation (ACI) Flow Chart as at January 12, 2022, adapted to WSLHD

    Flow Chart - Caring for adults and children in the community with COVID-19

    *Links to more information

    Positive rapid antigen tests (RAT) for community (COVID-19)

    Positive polymerase chain reaction (PCR) test (COVID-19 Clinics)

    Patient registers a positive rapid antigen test result on Service NSW website

    Patient registered on NSW Patient Flow System (PFP)

    Patient completes 1st online questionnaire (short) Service NSW website

    Self-management Information sent to patient

    De-isolation – Got COVID-19 and wondering when to leave isolation

    WSLHD Community COVID-19 Services 

    WSLHD COVID-19 community services to support people in the community with COVID-19:

    • inTouch COVID Community Care – for symptom management support
    inTouch COVID Community Care

    inTouch COVID Community Care provides telehealth and virtual care services 7 days per week, to support adults diagnosed with COVID-19 aged 16 years and over, isolating at home. The service provides support with:

    • COVID-19 symptom management 
    • Referral to social support services 
    • Post hospital discharge follow up

    Patient Criteria

    Exclusion criteria

    • Residing in an aged care facility
    • No symptoms or able to self-manage

    See inTouch COVID Community Care Flyer (WSLHD inTouch COVID Community Care Flyer)

    How to refer

    WSLHD internal referrals: make an eReferral via the Patient Electronic Medical Record 
    See How to initiate an e-Referral to inTouch COVID Community Care through eOrders (eOrder Referral to COVID inTouch WSLHD User Guide)

    NOTE: If the patient registers a positive RAT with Service NSW, the NSW Patient Flow System will refer the patient to inTouch COVID Community Care. 

    Contact details:

    WSLHD Public Health Unit & COVID Hotline

    Ph: 1800 843 434
    Select option 1: COVID related enquiries
    Select option 5: InTouch COVID Community Care

    Service hours: 8 am – 8 pm, 7 days per week

    What happens when the referral is received by inTouch COVID Community Care?

    The referral is processed on the date of receipt and a clinician will contact the patient within 24 hours.

     

    Provide the patient with information about inTouch COVID Community Care (WSLHD InTouch COVID Care Patient Information Sheet)

    Disease modifying treatments for COVID-19

    For eligibility, see the ANTIVIRALS ELIGIBILITY FOR ≥18yo COVID-19 PATIENTS Flow Chart

    Antiviral Treatments

    1. Oral NIRMATRELVIR & RITONAVIR (PAXLOVIDTM):
      Contraindications:
      • pregnancy and breastfeeding (do not re-start breastfeeding for 7 days after the last dose)
      • severe renal (eGFR <30) impairment
      • severe hepatic (Child-Pugh Class C) impairment
      • concomitant medications primarily metabolised by CYP3A inhibition (see PI or interaction checker).
      • Sexually active women of childbearing potential should use effective contraception while taking and for 7 days after the last dose.
    2. Oral MOLNUPIRAVIR (LAGEVRIO®):
      Contraindications:
      • pregnancy and breastfeeding (do not re-start breastfeeding for 4 days after the last dose).
      • Sexually active:
        • women of childbearing potential should use effective contraception while taking and for 4 days after the last dose
        • men with a partner of childbearing potential should use contraception while taking and for 3 months after the last dose.
    3. IV REMDESIVIR (VEKLURY®) – Consider if above Antivirals contraindicated. Referral to ED for assessment and first dose.

    To prescribe:

    • For inpatients: prescribe antiviral orals via eMED.
    • For outpatients use Prescription & Declaration PDF form available here
      • Email to: wslhd-covid19-treatments@health.nsw.gov.au or
      • Fax to: 8890 1022 for dispensing

    Outpatients – to collect medication:
    Outpatient COVID-19 positive patients prescribed oral antiviral medication, can be collected where practical, by non-COVID-19 positive non-isolating family members or carers on the patients behalf, from:

    Westmead Hospital Outpatient Pharmacy
    Outpatients (University Clinic)
    F Block, Level 2
    Westmead Hospital
    Darcy Road, Westmead
    Open Monday to Friday: 9am-5pm

    Where collection is not possible, arrangements will be made to deliver in suburbs near to Westmead Hospital. This may be the next business day depending on time the request is received.

    Patients in the Community with COVID-19 Information and Resources

    COVID-19 Symptom Management Plan in the community 

    The COVID-19 Symptom Management Plan provides advice for people with COVID-19, what actions need to be taken accordingly to the severity of their symptoms and minimise risk of deterioration at home. Click here to see the COVID-19 Symptom Management Plan

    Patient resources: Tips to manage COVID-19 at home

    See:

    GoShare
    Note: These resources are available on GoShare to send information to the patient electronically. 

    WSLHD internal GoShare enquiries– see WSLHD GoShare intranet page  

    Social supports for people in isolation

    Medications

    Food and shopping: Western Sydney Community COVID-19 resources – Food Support Services

    Financial support: Western Sydney Community COVID-19 resources – COVID-19 financial support options and information

    Mental Health Support: Western Sydney Community COVID-19 resources – Mental Health

     

    Useful COVID NSW Health and WSLHD links

    NSW Health Management and support after testing positive for COVID-19 and leaving isolation 

    Service NSW Register a positive rapid antigen test result

    Service NSW Pandemic Leave Disaster Payment - New South Wales

    WSLHD COVID-19 Community Resources for Western Sydney

     

    COVID-19 Helplines

    Australian Government National Coronavirus Helpline - 1800 020 080
    Service hours: 24 hours a day, 7 days a week
    For information or advice on COVID-19 or COVID vaccines, 

    NSW Health Coronavirus Community Support Line - Phone 1800‑960‑933 

    Information, assistance, and support for anyone affected by COVID-19.

    WSLHD Public Health Unit & COVID-19 Hotline - 1800 843 434
    Select option 1: COVID related enquiries
    Service hours: 8 am – 8 pm, 7 days per week

    Service NSW – 13 77 88

    Service hours: 7am - 7pm, Monday to Friday and 9am - 5pm on weekends and public holidays.
    Information and service to support people & businesses affected by COVID-19

    Beyond Blue Coronavirus Mental Wellbeing Support Service - 1800 512 348 

    Service hours: 24 hours, 7 days a week
    For people who need counselling during the COVID-19 pandemic.

     

    PREGNANCY AND COVID-19

    This fact sheet provides information to pregnant women who have COVID-19, and covers the following topics:

    What if I am pregnant and have COVID-19?

    Pregnant women, who are more than 14 weeks pregnant have a higher chance of having problems with COVID-19. Pregnant women with some medical conditions are more likely to get very sick with COVID-19 who:

    • are older than 35 years
    • are overweight
    • have high blood pressure
    • have diabetes

    You must tell your maternity provider (e.g. GP, midwife, obstetrician or local maternity service) if you have COVID-19.

    This is important if you are more than 14 weeks pregnant. It is safe for most pregnant women to stay at home while they have COVID-19. It is important to:

    • Drink plenty of fluids (e.g. water).
    • If you feel sick, take paracetamol (e.g. Panadol) to help with symptoms. Do not take ibuprofen (e.g. Nurofen) while you are pregnant.
    • Move about regularly to stop your chance of getting blood clots.
    • Check your baby is moving.
    • Call your maternity care provider right away if your baby’s movements change.

    Signs to watch for are:

    • Bleeding from the vagina
    • Stomach (abdominal) pain
    • Clear, watery vaginal fluid that won't go away
    • Tightening across your stomach (contractions) if less than 37 weeks pregnant
    • Fever that doesn't go away
    • Headaches
    • sudden swelling of your face and hands
    • signs you are in labour

    Call your maternity provider right away if you have any serious concerns about your pregnancy.

    Call 000 for:

    • trouble breathing
    • chest pressure or pain, or
    • have headaches or feel dizzy.

    Tell them you are pregnant and have COVID-19.

    When you get better from COVID-19 it is important to continue your usual ante-natal care. Make a clinic booking after isolation.

    Can COVID-19 affect my baby?

    There is a chance of premature or stillbirth when you have COVID-19 in pregnancy. Your maternity care providers will check your baby’s care while you have COVID-19.

    Some women who are very sick with COVID-19 will need to go to hospital and may have their baby early.

    There is no proof yet that COVID-19 causes miscarriages or birth defects.

    Can I pass on COVID-19 to my baby while I am pregnant?

    There are reports of COVID-19 passing from mother to baby. There is a low chance of COVID-19 affecting your baby.

    Just 2 pregnancies in every 100 pregnancies are affected by COVID-19.

    Babies who get COVID-19 in the womb or during childbirth have mainly been well and have not needed extra care.

    Can I go to my usual ante-natal clinic if I have COVID-19?

    Speak to your maternity care providers, as they will help with antenatal bookings. If required you will come in for your clinic booking in person, but you will be required to follow face mask and hand washing rules. Most appointments however can actually be done by phone or by video call (telehealth).

    It’s important that you keep up with your ante-natal appointments, even if you have COVID-19. Your doctor or midwife will plan on how best to have your usual tests, scans and vaccinations.

    What happens if I go into labour while I have COVID-19?

    You will have your baby as planned in a hospital or birthing centre. A water birth may not be possible as masks and gowns (protecting from COVID-19) cannot get wet. Other things like pain relief and choice in birthing plans will be the same.

    If you're planning a home birth, your maternity providers may advise you to have your baby in a hospital.

    We check you and your baby during labour. Unless there are other problems with your labour, there is no need for a caesarean.

    Should I get the COVID-19 vaccine if I'm pregnant?

    There are two groups in Australia that give advice on vaccination.

    They are: the Australian Technical Advisory Group on Immunisation (ATAGI) and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).

    They advise pregnant women can safely have the Pfizer or Moderna vaccines and booster at any stage of their pregnancy.


    Health Professional COVID-19 Guidelines and Resources

    COVID-19 and Clinical Practice:

    COVID-19 Infection Prevention and Control

    Community Care Model – inTouch COVID Community Care

    WSLHD Health Worker COVID-19 Exposure Management

     

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    Disclaimer: Information on the COVID-19 Staff Information, Staff Wellbeing and other COVID-19 pages are intended for WSLHD staff. Information from these pages is not permitted to be disseminated or distributed to any third party outside WSLHD.
    Any such act may constitute a breach of the WSLHD Code of Conduct.