All staff and visitors entering a NSW Health hospital or health service must be screened at entry.

COVID-19 health screening involves a symptom check, a temperature check and an exposure assessment.

Last updated: 25 February 2021

Symptom check

Ask if they have any of these symptoms

Fever, cough, shortness of breath, chills, body aches, sore or scratchy throat, headache, runny nose, muscle pain, vomiting, nausea, diarrhoea, or loss of smell or taste.

Temperature check

Check the person’s temperature via infrared or tympanic thermometer

If temperature < 37.5˚C, complete symptom check and exposure assessment.

If the person has a temperature of ≥ 37.5˚C or reports any symptoms, provide a mask and refer them to the closest COVID-19 testing clinic for COVID-19 testing. Tell them to self-isolate until they receive their results. If the person is attending a clinical appointment in the facility check with the treating team prior to referral to the COVID-19 clinic.

COVID-19 exposure assessment - Staff

  1. Ask if they have been in contact with a COVID-19 case in the last 14 days without appropriate PPE or if they have been asked to self-isolate by a health official.
    • If yes to either, record their contact details and ask your manager to refer to the local public health unit for follow up. Exclude them from working at the facility and tell them they must immediately self-isolate for 14 days since the exposure. Ensure details are available of the staff member to assist with follow up.
  2. Ask if they have a household member who is a close contact of a COVID-19 case.
    • If yes, ask secondary questions:
      1. if the household member has received a negative COVID-19 test result as part of their close contact follow-up
      2. if they have been appropriately isolating from the household member since the household member was identified as a close contact.
    • If no to either of the secondary questions, record their contact details and ask your manager to refer to the local public health unit for follow up. Exclude them from the facility until further advice is received from the public health unit.
    • If yes to both secondary questions, they are not excluded from the facility, and you should continue the exposure assessment.
  3. Ask if they have been to any of the locations or travelled on nominated public transport routes, during the time and date indicated, in the “Close contacts – Get tested immediately and self-isolate for 14 days” table  NSW Health - Case locations and alerts.
    • If yes, record their contact details and ask your manager to refer to the local public health unit for follow up. Exclude them from the facility and tell them they must follow the advice on that web page.
  4. Ask if they have been to any of the locations or travelled on nominated public transport routes, during the time and date indicated, in the “Casual contacts – Get tested immediately and self-isolate until you get a negative result” table at NSW Health - Case locations and alerts.
    • If yes, ask secondary question:
      1. if they have been tested for COVID-19 and received a negative result.
    • If no to the secondary question, exclude them from the facility and advise they must get tested immediately and isolate until they get a negative result.
    • If yes to the secondary question, they are not excluded from the facility, and you should continue the exposure assessment.
  5. Ask if they have been in Auckland in the past 14 days.
    • If yes, exclude them from the facility; (in exceptional circumstances contact the Public Health Unit for advice).

COVID-19 exposure assessment - Visitors

  1. Ask if they have been in contact with a COVID-19 case in the last 14 days or been asked to self-isolate by a health official.
    • If yes to either question, record their contact details and ask your manager to refer to the local public health unit for follow up. Exclude them from the facility and tell them they must immediately self-isolate for 14 days since the exposure.
  2. Ask if they have been to any of the locations or nominated public transport routes during the time and date indicated, in the  “Close contacts - Get tested immediately and self-isolate for 14 days” table at NSW Health - Case locations and alerts.
    • If yes, record their contact details and ask your manager to refer to the local public health unit for follow up. Exclude them from the facility and tell them they must follow advice on that web page.
  3. Ask if they have been to any of the locations or nominated public transport routes during the time and date indicated, in the “Casual contacts - Get tested immediately and self-isolate until you get a negative result” table at NSW Health - Case locations and alerts.
    • If yes, record their contact details and ask your manager to refer to the local public health unit for follow up. Exclude them from the facility even if they have been tested and received a negative result. If they haven’t been tested advise them to do so immediately.
  4. Ask if they have been in Auckland in the past 14 days.
    • If yes, exclude them from the facility; (in exceptional circumstances contact the Public Health Unit for advice).

Where a patient arrives seeking treatment (e.g. ongoing chemotherapy) please ensure that advice is sought from their treating team before excluding the patient from the facility. A discussion between the Public Health Unit and the treating team may be needed to determine whether to delay treatment or review, or to arrange a safer way of providing this treatment/review.

Current as at: Thursday 25 February 2021
Contact page owner: Health Protection NSW