January 19, 2022
COVID Peak Surge – Model of Care changes
In response to Victoria’s COVID Peak Surge Status and the activation of a state-wide code brown, the Emergency Departments at Footscray and Sunshine will be altering the COVID Model of Care.
The COVID Peak Surge Model of Care aims to:
- Improve provision of care to patients who are acutely unwell
- Improve access to care for low acuity patients who can be rapidly reviewed and discharged
- Reduce strain on staffing resources
At a high level, the altered model of care removes the process of streaming patients by COVID risk and replaces it with streaming by acuity (high acuity v low acuity).
Patients will be streamed to a High or Low Acuity cubicle according to triage category and a defined set of clinical criteria.
High and Low Acuity Zones
Adult Acute Area = High Acuity Zone – twenty four points of care
Short Stay Unit = Low Acuity Zone – twenty four points of care
Red and Yellow = High Acuity Zone – twenty four points of care
Blue and Fast Track = Low Acuity Zone – twelve points of care
Nursing ratios will be altered to optimise care for high acuity patients. A a ratio of 1:3 will be maintained in the high acuity area and 1:1 in the resuscitation zone. In the low acuity zone the Nursing ratio will be between 1:4 and 1:6, with additional alternative staffing resources being deployed to the low acuity area.
Infection prevention principles:
The following strategies will be implemented throughout the department:
- All patients will be placed in N95 masks
- Air exchanges will be maximised in all areas of the ED
- Patients who are PCR or RAT positive, who are have aerosol generating procedures or have aerosol generating behaviours, will be placed under a McMonty Hood where possible
- Tier 3 PPE and good hand hygiene practices should be observed
Full details of the COVID Peak Surge Model of Care can be found here:
COVID Peak Surge Status Model of Care