NSW Health established clinical communities of practice to support the NSW Health response to COVID-19.
The ACI is leading 12 of these communities, bringing our networks of clinicians together with representatives from local health districts and specialty health networks in NSW. The ACI has produced the following information to support clinical practices during COVID-19.
Adult and Paediatric ICU
ECMO (extracorporeal membrane oxygenation) during COVID-19
Extracorporeal membrane oxygenation (ECMO) is an advanced form of life support – targeted at the heart and lungs. This document provides the framework to support the provision of ECMO during an escalating pandemic, aimed at informing local policies and procedures.
Paediatric patients requiring ICU during COVID-19
Recommendations for the management of paediatric patients requiring intensive care.
NSW adult intensive care services pandemic response planning
This document provides guidance to NSW local health districts for the delivery of adult intensive care services during a respiratory pandemic.
Adult intensive care workforce report in COVID-19 pandemic
This report provides recommendations to support adult intensive care surge demand during the COVID-19 pandemic. It will be revised as the situation evolves.
Adult basic life support (BLS) guidance - Suspected or confirmed COVID-19 ONLY
This document provides guidance on basic life support for adults with suspected or confirmed COVID-19.
Renal replacement therapy in the ICU during COVID-19 pandemic
This document provides the framework to support the provision of renal replacement therapy during an escalating pandemic. It should be used to inform local policies and procedures.
NSW critical care management of neonatal patients
This document provides guidance to managers and clinicians for the critical care management of neonates and babies requiring neonatal care during the COVID-19 pandemic.
COVID-19 and Delirium
Delirium can be a feature of COVID-19. Delirium is a common and serious medical problem that is characterised by changes in mental and physical function.
Talking to relatives
A guide to communicating compassionately to relatives during COVID-19 for clinicians working in aged care.
Caring for the wandering person during COVID-19
This document outlines the principles for caring for the wandering person in hospital and residential aged care facilities during COVID-19.
Managing suspected or confirmed COVID-19 patients in positive pressure operating theatres
Not all facilities have access to a negative pressure room or have the option to convert rooms from positive to negative pressure settings. This document provides recommendations for managing suspected and confirmed COVID-19 patients in positive pressure operating theatres.
Resumption of cardiac rehabilitation in NSW
This document provides guiding principles for resuming face-to-face cardiovascular rehabilitation services, group exercise and education classes as COVID-19 pandemic restrictions are being eased.
Management of STEMI during COVID-19 in NSW
The Cardiac Community of Practice recommends the State Cardiac Reperfusion Strategy (SCRS) to remain unchanged during the COVID-19 pandemic, with primary percutaneous coronary intervention (PCI) offered as the first-line therapy for patients presenting with STEMI.
Stress testing during COVID-19
Exercise stress testing is a procedure which may have a high risk of droplet spread. This document outlines the guiding principles for conducting stress testing during the COVID-19 pandemic.
Procedural sedation in the ED
Procedural sedation in the emergency department (ED) may result in airway complications. Airway interventions to address complications of procedural sedation in ED should be managed as an Aerosol Generating Procedure (AGP).
Emergency department assessment and management of COVID-19
This is a quick reference guide for assessing and managing patients presenting to ED with suspected or confirmed COVID-19 infection.
Commencing resuscitation in ED
This document provides guidance to emergency department clinicians on the safe practice of advanced life support and CPR in ED during the COVID-19 pandemic.
COVID-19 medical imaging referral
Guide for referring doctors relating to chest X-ray, CT scans, interventional radiology, magnetic resonance imaging, nuclear medicine and ultrasound.
Information for medical imaging managers and clinicians
This information sheet applies to the medical imaging diagnosis of COVID-19 and the diagnosis of other conditions in patients with suspected, probable or confirmed COVID-19. The imaging strategies and principles for infection prevention and control aim to support staff and patient safety. The document also aims to provide information to assist with the long term sustainability of medical imaging services during COVID-19 pandemic surge periods.
Principals of Rehabilitation
This document suggests escalation principles that may be of assistance to local health districts and/or individual hospitals as they prepare local escalation plans.
Restoration of rehabilitation services
This document provides principles and guidance for restoring rehabilitation services in NSW to a modified level of business as usual in the aftermath of the COVID-19 pandemic.
Multidisciplinary rehabilitation communication and referral - information for acute care physicians and allied health
This document provides guidance to acute care physicians and allied health professionals on referring people who are diagnosed with, or are recovering from COVID-19 to multidisciplinary rehabilitation assessment and management.
Multidisciplinary rehabilitation communication and referral – information for virtual care clinics and services
This document provides guidance to virtual care clinics and services on referring people who are diagnosed with, or are recovering from COVID-19 to multidisciplinary rehabilitation management.
Multidisciplinary rehabilitation communication and referral – information for GPs, public and primary health teams
This document provides guidance to public health physicians and their teams, general practitioners and primary health teams on referring people who have recovered from COVID-19 and are experiencing ongoing symptoms, to multidisciplinary rehabilitation assessment and management.
COVID-19 and high flow nasal prong oxygen (HFNPO2)
Make sure that HFNPO2 is the most appropriate intervention for your patient with acute respiratory viral illness (including COVID-19) as HFNPO2 generates aerosolised droplets that spread widely and may increase the risk of transmission of respiratory viruses to healthcare workers.
Nebulisers and COVID-19
Make sure there is no alternative to delivering medication via a nebuliser for your patient with acute respiratory viral illness (including COVID-19) as nebulisers generate a high level of aerosolised particles that spread widely and may infect staff and other patients.
Physiotherapy and COVID-19
Make sure respiratory physiotherapy techniques are the most appropriate intervention for your patient with acute respiratory viral illness (including COVID-19) to protect both patient and the risk of transmission of respiratory viruses to healthcare workers.
Non-invasive ventilation (NIV)
Make sure that non-invasive ventilation is the most appropriate intervention for your patient with acute respiratory viral illness (including COVID-19) as non-invasive ventilation (CPAP/BIPAP) generates a high level of aerosolised droplets that spread widely and may increase the risk of transmission of respiratory viruses to healthcare workers.
Lung function testing in COVID-19
Make sure that lung function testing is needed at this time for your patient. Asymptomatic patients may be infected with acute respiratory viral illnesses (including COVID-19) and may increase the risk of transmission of respiratory viruses to healthcare workers.
Delivering pulmonary rehabilitation via telehealth during COVID-19
This document has been developed to assist pulmonary rehabilitation (PR) programs to continue to provide patient care during the COVID-19 pandemic. The document provides organisational models of PR and options for the delivery of home-based PR supported by telehealth (i.e. telephone or videoconferencing).
Rehabilitation following COVID-19 in the pulmonary rehabilitation setting
This document provides a guide for pulmonary rehabilitation programs in delivering rehabilitation within existing programs (outpatient or community settings) for people recovering from COVID-19 who have persistent impairments that would respond to pulmonary rehabilitation.
Spinal Cord Injury
Information on COVID-19 for people with spinal cord injury
Patient information. If you have a tetraplegia or high-level paraplegia injury and have existing problems with your lungs or reduced breathing capacity, then you may be at higher risk of having more severe problems related to COVID-19. Your spinal clinician or general practitioner (GP) can help assess your personal level of risk.
Inspiratory muscle training in people with spinal cord injury
Patient information. For people with tetraplegia, regular use of a resistance-based inspiratory muscle trainer (IMT) promotes stronger respiratory muscles and improves lung capacity. The training program has been shown to reduce the risk of developing respiratory complications such as pneumonia after spinal cord injury and is easy to complete at home using a lightweight, inexpensive device.
Planning for disruption of supports and services due to COVID-19
If you become unwell and need medical care, your usual doctor and hospital services are still able to help, although they may use other options, such as contact by phone or video consults. If you have an emergency, you can call an ambulance.
Key principles for management of surgery during COVID-19
Guideline with key principles for NSW surgical services during COVID-19 pandemic.
COVID-19 aerosolisation during laparoscopic surgery
Risks and recommendations for clinicians about the safety of laparoscopic surgery given its nature as an aerosol generating procedure (AGP).
Principles for resuming elective surgery
This document outlines the key principles for resuming non-urgent elective surgical procedures to safely increase access to services, while maintaining service capability to respond should a surge in pandemic activity occur.
Personal protective equipment in the operating theatre
This decision support tool outlines what specific personal protective equipment is to be worn by each staff member in the operating theatre environment during the COVID-19 pandemic.
Telehealth quick reference guide
Key information in setting up telehealth and where to find information on key resources, training sessions and technical support.
Caring for adults with COVID-19 in the home
Appropriate community management of people with COVID-19 will contribute to preserving hospital capacity during the pandemic response. This clinician guide provides support for implementing clinical models for the management of COVID-19 positive adults in the community.
Caring for adults with COVID-19 in the home – quick reference guide
A quick reference guide for clinicians implementing clinical models to manage COVID-19 positive adults in the community.
Last updated: 8 Dec 2020