Novel Coronavirus: Covid 19 – Updated by KP 27/03/2020

GRAFTON MEDICAL PRACTICE

Application form in order to be swabbed for Covid19.  Last update: 28/3/20 by Dr Keith Perdue.

This post has 2 pages. The first is important information about CV-19. The second page is the application link for swabbingPlease click on it and answer all the questions.

  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  +/- D) OXYGEN SATURATION OF LESS THAN 94% measured either by a pulse oxymeter (widely available but not many people have them, or the ‘Roth test.’
  4. Information about how to take all of these measurements is on YouTube.

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

Who to swab in the community?- As of today, the WHO rules for swabbing say that only the following people can be swabbed-

  1. People with a fever + at least one sign of respiratory* illness  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  AND
  3. Is in one of the ‘Special categories’* (see below).

 Explanations:

  1. *Contact: less than 1m away from a known case for greater than 15 minutes.  Being in a high risk Covid 19 area.  Being in a healthcare facility where Covid 19 is known to be.
  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.  The swab goes up your nose.  They will make contact and arrange for you to go to them.
  4. * Special categories:a) Close contacts of a confirmed case -b) Healthcare workers with symptoms c) Symptomatic ‘at risk groups’ (people who are 65 years of age and over, have diabetes, are immunosuppressed, who have chronic (ie ongoing) heart, lung , kidney, cerebrovascular , liver disease, and smokers).d) symptomatic household contacts of the at-risk groups above e) Symptomatic staff or residents in a long-term facility. f) symptomatic prison staff and inmates where it may be difficult to implement self-isolation advice. g) Symptomatic pregnant women.

What next:

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

2) Please note that testing kits are 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.

4) If the test is ‘not detected’ – the NAS will let you know. Please note the result only comes to us by post, much later.

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.

 

 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.

3)  Be alert for deterioration – ie increasing shortness of breath – let us know by phone (016712122), NOT email, if this happens.

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.

 

Explanations:

1) Self-isolation:

https://www2.hse.ie/conditions/coronavirus/self-isolation-and-limited-social-interaction.html#self-isolate

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

Dr Keith Perdue – Grafton Medical

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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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