Novel Coronavirus: Covid 19 – you can ignore the ‘publication date’ – the page is updated by Keith Perdue every time there’s a change to the guidelines.

GRAFTON MEDICAL PRACTICE

Important information re Covid19.  

The Application link for swabbing is at the end of this page. But please read this important information first-

  Swabbing is designed to identify restrict and control the Covid 19 virus. It says nothing about the severity of the infection. If you are seriously sick / unwell ie:

  1. Severe shortness of breath: so bad you can’t walk, talk, eat and / or breathing rate of more than 30 breaths per minute
  2. CHANGE IN LEVEL OF CONSCIOUSNESS
  3. CLINICAL MEASUREMENTS: A) Temperature > 38C  +/- B) Respiratory rate > 20  +/- C) HEART RATE >100
  4. Information about how to take all of these measurements is on YouTube- see below in Explanations-

Call the ambulance on 112 or 999. They will take it from there-

Treatment and further action:

1) ‘Serious’ infections need to call the ambulance on 112. How do you know you are ‘serious’? – SEE CLINICAL MEASUREMENTS ABOVE

2) Less serious infections can self-treat:  we advise that you rest, take plenty of fluids, and use supportive measure like paracetamol, honey and lemon.  You will likely need to have a swab so please follow the links at the end. One of our team will phone you the same working working day (9-5, M-F).  If it cannot wait till then please use our emergency numbers- Dubdoc 014545607 (6pm-10pm M-F & 10-6 w/e and BH). Outside of those hours call Dr -on duty 014200880).

If you need to call us, please have the following information for the Dr / Nurse:

2a) Is your breathing worsening (see 1 above) – YES / NO?

2b) What is your pulse? (See Explanation 5 below as to how to take it)- PULSE IS:

2c) What is your breathing rate? (See Explanation 5 below as to how to take it) – BREATHING RATE IS:

2d) What is your temperature in Celcius? TEMPERATURE IS: 

3)  Be alert for deterioration – ie increasing shortness of breath –particularly in the second week- let us know by phone (016712122), NOT email, if this happens- see emergency numbers above.

4) You need to self-isolate* for 14 days from the date of symptoms.

5)  If the swab is +, public health will contact you, and you can go back to work 14 days after the symptoms started, and after 5 days of no fever.

6)  If the swab says CV19 is  ‘not detected’ – you can go back to work 48 hours after your symptoms settle.

Who to swab in the community?-  only the following people need to be swabbed-

  1. People with an ‘acute respiratory infection (sudden onset of at least one of the following: cough, fever, shortness of breath) AND no other disease explanation)  OR
  2. People with any new respiratory illness+ contact* with a confirmed or probable* Covid 19 case in the last 14 days before your symptoms started.
  3. (It is no longer necessary for you to be in one the ‘Special categories’ below. )

 Explanations:

  1. *Contact: less than 2m away from a known case for greater than 15 minutes.  *Probable-someone in category 1 above who has not yet been tested.
  2. *Respiratory symptoms: cough / (fever)/ shortness of breath (typical in Covid 19) – other symptoms are: sore throat, runny nose, sinus pain, ear-ache, loss of ability to smell.
  3. *Swabbed: this is done by the National Ambulance Service, once we have referred you. The swab goes up your nose.  They will make contact and arrange an appointment.
  4. * Special categories: 1) Close contacts of a confirmed case. 2) Healthcare workers (HCW) in the frontline. 3) Groups most at risk of severe infection such as people with a) heart or stroke disease, b) high blood pressure, c) diabetes, d) obesity, e) cancer in the last 5 y, f) ‘chronic’ ie ongoing lung, kidney , liver disease,  g) ‘extremely medically vulnerable people who need cocooning. 4) Household contacts of HCWs and high-risk groups. 5) Staff and residents of nursing homes and other residential care settings, those in direct provision, homeless, Roma, travellers and other settings where symptom management is difficult. 6) Prison staff and prison users where self-isolation may be difficult to implement. 8) Pregnant women.
  5. Links to How to take your pulse (6)  Someone else should do your breathing (7)
  6. https://youtu.be/AHHr8qNU9QY
  7. https://www.youtube.com/watch?v=35rHkV5KmkA
  8. If you are in self isolation* you cannot go out.  https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/guidance/selfisolationathome/Patient%20information%20sheet%20for%20self-%20isolation.%20V4.27.03.2020.pdf
  9. Information for people who are contacts of someone who is self-isolating:   https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/guidance/selfisolationathome/Advice%20sheet%20for%20people%20who%20live%20in%20the%20same%20home%20as%20a%20person%20with%20COVID_v3.27.03.20.pdf

 

1) Once we have spoken to you , if you need to have a swab done, we will refer you electronically for swabbing by NAS (National Ambulance service).

2) Please note that testing kits are still in short supply and the NAS has the final say on who to test and when, and it may take some days. 

3) If the test is positive Public health doctors will tell you and talk to you more for contact tracing.  If they don’t, we will, as soon as we know.

4) If the test is ‘not detected’ – we’ll let you know, as soon as we do.

5) You may need to be tested again later on if you develop symptoms again.

6) If you need certificates for work or for Dept of social protection let us know with dates.

 

 NB- Social distancing and hand-washing are the most important things- 

 

Dr Keith Perdue – Grafton Medical

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APPLICATION FORM FOR SWABBING – PLEASE CLICK ON THIS LINK: please noted that the request is not processed until the next working day. 

https://screeningform.com/grafton-medical

 

 

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