No assessment if:
– Client is awaiting a COVID test result or living in the same household as someone who is
– Client has not signed in/declines to wear a mask if requested (unless exempted) or declines to sign declaration

No assessment if client showing any of the following:
– A fever of at least 38 degrees
– A new or worsening cough
– Sore throat
– Shortness of breath
– Sneezing and runny nose not associated with hay fever
– Temporary loss of taste or smell

GREEN – Cases of COVID-19 but limited community transmission
– Client is required to show vaccination passport
– Client completes declaration and has a temperature check if symptomatic
– Unvaccinated clients – Temperature check, nurse wears N95 mask
– Able to complete all services – PEM & Full AHM
– Client wears a mask
– OHN wears a surgical mask (min)
– 1m distancing or less for minimal periods
– Vaccinated clients continue all services as normal including spirometry/breath alcohol, Fit Testing
– Unvaccinated staff – all services but additional PPE and RAT may be required
– Hand Sanitising
– Wipe down equipment after each client

ORANGE – Increasing Community transmission but health system managing
– Client is required to show vaccination passport
– Client scans in, completes declaration and has a temperature check if symptomatic or at discretion of the OHN
CLINIC
– Vaccinated client – PEM/Asbestos medicals/spirometry/fit testing/random/just cause breath alcohol. OHN wears surgical mask as a minimum
– Unvaccinated client or exemption from wearing a mask must complete a Negative Rapid Antigen Test (RAT) first if full lung function with spirometry or breath alcohol is required (determined at booking and additional 15 min allowed). No otoscope examination unless warranted
OFFSITE
– Vaccinated Staff – All health monitoring including spirometry/fit testing/breath alcohol (Minimum PPE – surgical mask, viral filter, gloves/hand sanitizing)
– Unvaccinated Staff – No offsite spirometry/fit testing/breath alcohol to be booked into OH Well clinic. Rapid Antigen Test to be completed first and if a pass health monitoring completed at OH Well. No otoscope examination unless warranted (PPE N95, gloves, viral filter, disposable apron)

GENERAL
– Client always wears a face mask unless required to remove for spirometry/breath alcohol, vision (keystones)
– Vaccinated clients: OHN wears a surgical mask as minimum and good hand sanitization/gloves
– Unvaccinated clients: OHN wears a minimum of a N95 & gloves, disposable apron (spirometry)
– Rapid Antigen Testing (RAT) – (N95 mask, gloves, visor, and gown required)
– Maintain 2m distancing where practical and 1m distancing or less for minimal periods
– Wipe down of equipment & surfaces after each client

RED – Action needed to protect the health system due to high levels of COVID Cases and the need to protect at risk populations (Changes may occur dependent on OH Well staffing level and changes to MOH / GOVT advice)
– Client is required to show vaccination passport
– Client scans in , completes declaration and has a temperature check
CLINIC
– Pre-employment medicals-vaccination status to be confirmed at booking. If unvaccinated additional PPE- N95, gloves, protocols
-AHM – vaccination status to be confirmed at booking. Vaccinated staff can be seen at the red setting however, if unvaccinated or vaccine status unknown -rebook at orange level
– Asbestos Medicals (high risk workers) -vaccinated staff can be seen and spirometry completed (additional PPE – N95, disposable apron, gloves, protocols). Unvaccinated staff/ vaccination status unknown- wait till orange setting
– Fit Testing – Essential Workers only. Vaccination status to be confirmed at booking. Vaccinated staff only. Unvaccinated staff rebook at orange ( additional PPE – N95, disposable apron, gloves. protocols)
– RAT Testing – additional PPE- N95, gloves, full gown, visor, protocols
OFFSITE
– AHM – all staff can be seen. PPE-N95, gloves (minimum), protocols
– Fit Testing -Essential Workers Only . Vaccination status to be confirmed at booking. Vaccinated staff only. Unvaccinated staff rebook at orange (additional PPE – N95, disposable apron, gloves)
– RAT testing – additional PPE – N95, gloves, full gown, visor, protocols

GENERAL
– Client completes declaration and has a temperature check
– Client wears a surgical mask at all times
– OHN wears a surgical mask and hand sanitising (as a minimum)
– Reduce contact with client to minimum
– 2m distancing where practical and limited 1m distancing
– Vision checks – Charts & confrontational peripheral vision (No Keystones)
– PEM / AHM – No spirometry (only questionnaires and training in regard to respiratory protection)
– Complete assessment of questionnaire, BP, MSK assessment, hearing test but no otoscope examination. No spirometry (except asbestos medicals)
– Drug test but NO breath alcohol
– Wipe down of equipment and surfaces after each client