COVID-19 FAQs - Physiotherapy Board of New Zealand
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COVID-19 FAQs Information for Physiotherapists With the COVID-19 situation changing rapidly, Physiotherapy New Zealand and the Physiotherapy Board are continuing to monitor updates to provide physiotherapists with the latest information as it becomes available. We urge you to be vigilant for signs of the virus and be aware of Government information sources. The PNZ website has links to shared resources, including the Ministry of Health (MoH) and Ministry of Business, Innovation and Employment (MBIE). While this website is being updated regularly, please be aware that the latest information is on the Government pages. Likewise, the Physiotherapy Board is updating its website and it’s Facebook group as new information is made available. There are, of course, some physiotherapy specific questions. We will continue to add to these where it is helpful to provide more specific advice not covered elsewhere. Because the answers are date specific we have dated the answers and will update as the situation changes. Tables Table Title Question Answer ACC have agreed to fund physiotherapists to provide telehealth for initial contact and follow Will telehealth be funded if we can’t see patients? up. The ACC COVID-19 information for providers is here 12 August The government has updated its guidance regarding wearing masks – particularly at Alert Level 2 and above. At this stage the government is recommending, but not requiring, masks where physical distancing is not possible. Physiotherapy treatment will fit What is the advice about masks now – it has that category therefore recommending changed since the earlier Alert Levels? wearing a mask is recommended. This may change. The Ministry of Health advice around masks is here At Alert Levels 3 & 4 where urgent treatment is given PPE including masks is required 12 August Yes. The government advice for people at Alert Level 2 is “wear a mask in situations where physical distancing is not possible”. Can physiotherapists require a patient to wear a Physiotherapy treatment will fit that category mask as a condition of providing treatment to the patient? therefore recommending wearing a mask is recommended. Treatment at Alert Level 3 is only for urgent care and PPE including masks is required. 13 August Yes. Under the Physiotherapy Code of Ethics 4.5 a Physiotherapist can refuse to treat a If the patient refuses to wear a mask, can the patient if they have good reasons. The patient therapist refuse to provide treatment? should be informed of the reasons; offered alternative options of care, such as telehealth or can be referred to another healthcare provider CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 1
Question Answer 13 August The Ministry of Health advice on cleaning following a probable COVID case is here. What cleaning process should I be using in my Any hospital grade detergent/disinfectant is clinics? suitable. MoH recommend a 2in1 (cleaning and disinfectant) to increase efficiency 12 August Your usual supplier should be able to provide PPE including hand sanitiser and masks. The Ministry of Health have requested you only contact them if you cannot access your own supply. Note: surgical masks are recommended for Where can I get PPE, including masks? most physiotherapy treatment. Aerosol generating procedures may require a fitted N95 mask. Such procedures should only be done in the DHB setting for if COVID-19 infection is suspected. 13 August For Alert Level 2 the advice around group sessions (presuming these are fewer than 100 people) is they can continue with physical distancing measures in place– but of course that does depend on the group. Your consideration for a group session for Should I be cancelling group exercise classes? mostly vulnerable population would be different to a Pilates reformer class in the community. At Alert Level 3 group treatment and exercise classes are cancelled. 12 August Contact the Ministry of Health’s, Healthline on 0800 358 5453 as soon as possible to determine: • contact tracing requirements • who needs to be tested • their advice around the clinic/organisation remaining open Risk assess to determine if it is safe to remain What happens if a Physio or one of my staff is open or if the clinic/organisation needs to be thought to have COVID? closed if awaiting guidance and instruction from the Ministry of Health Deep cleaning of the clinic in line with guidance from the Ministry of Health Cleaning following a confirmed or probable case of COVID-19 Contact the Physiotherapy Board for any further guidance 12 August The Ministry of Health do not require this provided you have the QR Code for NZ Do I have to register all kanohi-ki-te-kanohi visits COVID Tracer app in place and are recording with the Physiotherapy Board? patient details. This allows track and trace information to be collected 13 August CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 2
Question Answer From midday on Wednesday 19 August all businesses must display a QR Code for the Do I need a QR code for the NZ COVID Tracer App? NZ COVID Tracer App. You can download the posters from here 12 August The requirement is for each business to display a QR Code. If your business is separate to the medical centre then you should have your own code. If your business is part of the medical centre My practice is inside a medical centre – if they have a QR Code do I need one also? you may still chose to have a QR Code poster – this will help your staff and patients register their visits to you. If you are a mobile or community physiotherapist you must have a QR code. 13 August You cannot make a patient have the app or use it however it is advisable to inform your patients at the time of booking their appointment that you use QR codes for What if my patient does not have the Contact tracing app or does not wish to use it? contact tracing and request they download and use the app. If they refuse – this is a risk assessment you make plus if you see the patient that visit must be recorded. 14 August The PNZ insurance programmes through BMS are designed to protect members against professional indemnity and/or public liability. Members who have a personal accident or illness policy to protect their own incomes Does the PNZ insurance cover business whilst unable to work should check to see continuity? what cover this would provide. Members should also refer to their clinic insurance for any potential business continuity cover that may apply due to closure or loss of income. 30 March The Ministry of Health set up a register of health professionals available to support the Covid 19 response – the Surge Workforce. This is currently under review. What can physiotherapists do to support the Physios who had registered for this can Public Health CoVID19 response? expect to be contacted and have their details and availability confirmed. 12 August The DHBs are each expected to have blanket If I take on work from the Ministry Surge insurance that covers clinical practice of the Workforce register will this be covered by my whole clinical workforce, so seconded staff BMS insurance policy through PNZ? would be covered by that. 30 March The public health imperative to reduce person to person contact to an absolute minimum in Why isn’t physiotherapy able to provide Alert Levels 3 and 4 override any kanohi-ki- te-kanohi (person to person) care considerations about the important place of like GPs? physiotherapy in the primary health system and post op rehab. CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 3
Question Answer The New Zealand health system is not well placed to manage the levels of outbreaks seen in other jurisdictions. The important role of physiotherapy is recognised in the Ministry and we have the Chief Allied Health Professions Officer at the top table in the Ministry. 12 August CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 4
Services can be provided to essential workers under Alert Levels 3 &4 through telehealth, unless it meets the criteria for urgent care. The guidance provided by the Physiotherapy I provide services to essential workers – does Board for Alert Level 3 should be used to that mean I am an essential service too? determine whether kanohi-te-kanohi service can be delivered. The best email is physio@physiotherapyboard.org.nz 13 August CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 5
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