Wednesday, 4 August 2021
To: All CALHN staff
This bulletin covers:
- Latest update
- Visitor changes
- Emergency Management (supervised Quarantine No.10) (COVID-19) Direction 2021 – red zones
- Transit through Sydney Airport
- Queensland border update
Action: Please ensure you adhere to the below requirements. Managers are asked to actively share this information with staff who may not have access to email.
Three new COVID-19 cases have been announced today, one linked to the Modbury cluster who has been in quarantine and therefore poses low risk to the community. The two other cases are returning travellers who have been in medi-hotel quarantine. We currently have three patients at the RAH admitted with COVID-19, two on our COVID-19 ward 6GG and one in ICU but all stable and I thank all staff involved in their care.
The situation continues to evolve in Queensland and New South Wales, and today the Premier flagged potential further border restrictions and encouraged that any South Australians in Queensland to make their way home as soon as possible. The transition committee will be meeting again tomorrow and we will keep you updated regarding any further changes to restrictions or borders.804
We know that some of the current restrictions across SA will be eased at one minute past midnight tonight and we ask staff to familiarise yourselves with these changes here.
Our Network Incident Management Team have meet twice this week and will again meet on Friday however have determined that the network will remain at Co-STAT 2 “Initial Response” to ensure we remain ready to respond if needed. A review of our response and COVID status will take place in the next week as we continue to monitor the situation both here in SA and across Australia.
A range of changes come into place tomorrow which include the move from 1 person per 4m2 to 1 person to 2m2, which means that we can accommodate more people in our facilities.
With this change, we look forward to welcoming more staff back onto our sites – don’t forget to scan the QR code upon arrival. In addition, where the density requirements may be difficult to be maintained, we encourage all staff to liaise with your line manager around ongoing flexible arrangements such as working from home and if so please complete the working from home form here: https://forms.sa.gov.au/#/form/5e9e7475ad9c5d09c0d9428d
Masks will still be required under the new restrictions, and I thank all our staff who have adhered to this, however I once again would like to remind all staff that this is a requirements across our sites.
I also ask for those that work in blue or open space to try and seek some relief by spending some time in vacant offices or quiet rooms etc as we understand that wearing a mask all day can be challenging.
From midnight tonight, the restrictions relating to visitors will change to allow two visitors per day to attend patients at our sites, with further flexibility in compassionate situations.
This change will be shared on CALHN’s social media sites with signage updated over the next 24 hours.
Emergency Management (supervised Quarantine No.10) (COVID-19) Direction 2021 and associated ‘high risk areas’
To help protect our community and prevent the spread of COVID-19 in South Australia, the Emergency Management Supervised Quarantine No 10) (COVID-19) Direction 2021 has been updated to introduce the requirement for people to be vaccinated against COVID-19 before entering a designated ‘red zone’. This will come into effect from today.
The updated direction outlines that persons who provide clinical care or support to a person undertaking supervised quarantine be vaccinated against COVID-19. For CALHN this means anyone providing clinical care of support to a person from supervised quarantine (i.e. a medi hotel).
From today, you must have had at least one COVID-19 vaccine dose of a TGA approved vaccine before providing care to a person identified in a designated red zone.
A designated red zone means a zone, airport site, medi-hotel site, quarantine facility site or a hospital and health care facility (where care or support is provided to a person undertaking supervised quarantine).
The 'red zone' is a bio-secure corridor which wraps around the patient, it is not a physical location and changes depending on where the patient is located. For example, if the patient is in the emergency department, then the designated 'red zone' is a 2m corridor around the patient, if the patient is then moved to a ward the 'red zone' travels with the patient regardless of the location.
Patients in a ‘red zone’ will be highlighted in the medical record and also made apparent in the clinical handover process. A physical sign will also be placed outside the door of a patient with a ‘red zone’ to ensure staff can identify a patient with a ‘red zone’ and ensure only those that are vaccinated enter that zone. Local managers in areas most likely to be impacted by having a patient with a ‘red zone’ are implementing local practices to support this such as ensuring suitable measures in place for rosters and that records of vaccination status are up to date to ensure compliance but more importantly keep our staff and community safe.
CALHN will work with both ‘red zone’ areas on complying with this direction.
For the RAH these areas are likely to include the ED (including radiology), ICU (wings 2 and 3), theatres (zones 1 and 2), wards 6G and other COVID-19 wards such as 8G and 9G, and mental health short stay. This will also apply to our emergency response teams such as code black, MER, stroke and stemi teams and also TQEH ED, as we have learnt from the recent Modbury cluster that this is where a case 0 can first present.
The introduction of mandatory vaccination in red zones will significantly reduce the risk of potential community transmission.
Vaccination is the most effective way to protect patients and staff against infectious diseases. Most of our staff have chosen to be vaccinated and we are really pleased with this response as this is the best way to keep yourself and our patients safe.
To book your vaccination click here. If you are not intending to receive the vaccination, please complete and return the vaccine refusal form
Transit through Sydney Airport
Emergency Management (Cross Border Travel - Associated Direction No 38) (COVID-19) Direction 2021 came into effect at 1.46 pm on Tuesday 3 August 2021 which means that any person that transits through Sydney Airport from another state will be subject to level 4 requirements upon arrival in South Australia:
- COVID-19 test on day 1, 5, & 13
- Must self-quarantine for 14 days
- A person must wear a face mask (covering mouth and nose) at any time that they come into contact with the public.
More information on these requirements can be found here.
Queensland border update
Effective as of 5:10pm on Monday 2 August 2021:
- Any person (including Essential Travellers and Permitted Arrivals) arriving from Queensland (other than Greater Brisbane LGAs) after 5:10pm on Monday 2 August 2021, is subject to Level 3 requirements:
- COVID-19 test on day 1, 5, & 13.
- Must self-quarantine until a negative test result is returned.
A person must not enter or remain in a high risk setting in SA for a period of 14 days after their arrival in SA unless the person is permitted to enter in accordance with clause 9 of Cross Border Travel - General COVID-19 Direction 2021.
No entry to COVID Management Plan events or at which more than 1000 people are present for a period of 14 days after their arrival in South Australia.
Any person (excluding Essential Travellers and Permitted Arrivals) who has been in the Greater Brisbane area in the 14 days prior to arrival is prohibited from entering South Australia.
All existing directions, frequently asked questions and other information about exposure sites and locations can be found here: https://www.covid-19.sa.gov.au/emergency-declarations
CALHN COVID-19 Commander