Flow chart and care protocols as at January 12, 2022

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COVID-19 care in the community: flowchart for adults and children

Flowchart for adults and children

COVID-19 care in the community: Care protocols for adults and children

Low risk patients

Identified during 1st online questionnaire (short), 2nd online questionnaire (detailed) or call with symptoms.

Low care pathway

  • Patients receive information via Service NSW app
  • Escalation phone numbers supplied.

High risk adults and children

  • Immunosuppressed
  • Serious chronic or complex condition
  • Pregnant
  • Children with severe obesity

Disease-modifying treatment pathway

  • Eligible patients are contacted by LHD
  • GPs can refer eligible patients to LHD via NSW Health COVID-19 Care at Home line 1800 960 933 (8:30am-8:30pm)

Patients directed to local pathway - See current advice for eligibility:

High care pathway

Patients with high risk and moderate symptoms are managed by the LHD according to local pathways.

This may include increased monitoring, involvement of patient's specialists.

Consider for disease modifying treatment

Immunosuppressed, including:

  • Current or within 3 months of treatment for cancer
  • Organ transplant
  • Immunosuppressant medication
  • Immune deficiency

Serious chronic health problems including heart, lung, kidney, brain, nerves or muscles, metabolic:

  • Seeing a specialist 4 or more times per year
  • Taking 4 or more different medications daily
  • Needing equipment to help their breathing – e.g. CPAP, BiPAP, home oxygen
  • Needing equipment to help with their feeding – e.g. nasogastric tube, gastrostomy (PEG)

Severe obesity in children, indicated by weight over 99th percentile for age or Type 2 Diabetes (treated with oral medication)

High care pathway - consider for closer monitoring

Moderate Symptoms (also advised to contact their usual doctor if moderate symptoms)

and

Serious chronic health problems (including heart, lung, kidney, brain, nerves or muscles, metabolic), for example:

  • Seeing a specialist 4 or more times per year
  • Taking 4 or more different medications daily
  • Needing equipment to help their breathing – e.g. CPAP, BiPAP, home oxygen
  • Needing equipment to help with their feeding – e.g. nasogastric tube, gastrostomy (PEG)

or

Severe asthma, as indicated by:

  • Admitted to hospital 4 or more times in the last year
  • Admitted to intensive care because of their asthma (ever)
  • On monoclonal treatments for asthma
  • Prompt to take their usual preventer medicine, follow their asthma plan, contact their doctor

Document information

Developed by

NSW Agency for Clinical Innovation

Consultation

COVID Care in the Community Subject Matter Expert Reference Group.

Endorsed by

Dr Nigel Lyons, Deputy Secretary, Health System Strategy and Planning, NSW Ministry of Health.

For use by

NSW Health local health districts, specialty health networks and primary health care

Supersedes

  • Caring for adults in the community with COVID-19 – Flow chart and care protocols
  • Caring for children in the community with COVID-19 – Flowchart and care protocols

Current as at: Wednesday 12 January 2022
Contact page owner: Health Protection NSW