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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.

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.

Download (PDF 177 KB)

Paediatric patients requiring ICU during COVID-19

Recommendations for the management of paediatric patients requiring intensive care.

Download (PDF 417 KB)

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.

Download (PDF 455 KB)

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.

Download (PDF 280 KB)

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.

Download (PDF 194 KB)

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.

Download (PDF 204 KB)

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.

Download (PDF 271 KB)

Adult ICU and Paediatric ICU Community of Practice | Intensive Care NSW Network

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.

Download (PDF 193 KB)

Talking to relatives

A guide to communicating compassionately to relatives during COVID-19 for clinicians working in aged care.

Download (PDF 274 KB)

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.

Download (PDF 1098 KB)

Aged Health Community of Practice | Aged Health Network

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.

Download (PDF 206 KB)

Anaesthesia Community of Practice | Anaesthesia Perioperative Care Network

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.

Download (PDF 183 KB)

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.

Download (PDF 186 KB)

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.

Download (PDF 173 KB)

Cardiac Community of Practice | Cardiac

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).

Download (PDF 186 KB)

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.

Download (PDF 216 KB)

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.

Download (PDF 204 KB)

Emergency Department Community of Practice | Emergency Care Institute

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.

Download (PDF 176 KB)

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.

Download (PDF 339 KB)

Medical Imaging Community of Practice | Radiology Network

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.

Download (PDF 203 KB)

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.

Download (PDF 386 KB)

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.

Download (PDF 222 KB)

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.

Download (PDF 225 KB)

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.

Download (PDF 346 KB)

Rehabilitation Community of Practice | Rehabilitation Network

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.

Download (PDF 184 KB)

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.

Download (PDF 180 KB)

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.

Download (PDF 191 KB)

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.

Download (PDF 178 KB)

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.

Download (PDF 182 KB)

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).

Download (PDF 522 KB)

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.

Download (PDF 914 KB)

Respiratory Community of Practice | Respiratory Network

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.

Download (PDF 191 KB)

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.

Download (PDF 189 KB)

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.

Download (PDF 251 KB)

Spinal Cord Injury Community of Practice | Spinal Cord Injury Service

Key principles for management of surgery during COVID-19

Guideline with key principles for NSW surgical services during COVID-19 pandemic.

Download (PDF 226 KB)

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).

Download (PDF 186 KB)

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.

Download (PDF 291 KB)

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.

Download (PDF 282 KB)

Surgery Community of Practice | Surgical Services Taskforce

Telehealth quick reference guide

Key information in setting up telehealth and where to find information on key resources, training sessions and technical support.

Download (PDF 147 KB)

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.

Download (PDF 403 KB)

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.

Download (PDF 212 KB)

Virtual Care Community of Practice | Telehealth

Last updated: 8 Dec 2020