Health Professionals

 

Important Information for Health Professionals Regarding Services Provided by Hospice Waikato

Hospice Waikato Services and COVID-19 (novel coronavirus)

Because of the current nationwide restrictions related the COVID-19 pandemic, Hospice Waikato has had to implement significant changes to how we provide many of our services. Some services have changed or reduced, and others have stopped.

Hospice Waikato is closely monitoring our own staff, ensuring appropriate screening of staff is undertaken and strictly enforcing all Ministry of Health guidance on infection control and hygiene.


REFERRALS
We will endeavour to continue to take new referrals, however our acceptance criteria will become stricter depending on our ability to deliver services. Patients who are palliative but stable may not be visited. Patients with unstable symptoms or are end of life will be prioritised for hospice care at this time.

TELEPHONE ADVICE
Hospice Waikato will be maintaining a telephone / telemedicine advice service.

• Main phone line (07) 859 1260 (to speak with a Registered Nurse or Palliative Medicine Doctor) – this number will be manned 8:00am to 5:00pm via reception and afterhours by a Registered Nurse.
• Fax (07) 859 1266
• Palliative Care SMO on-call: via Waikato Hospital switchboard (07) 839 8899
• Hospice Community doctor phone 027 809 3186 (Mon – Fri, 08:00-17:00 hours)
• Email for clinicians: gpadvice@hospicewaikato.org.nz

IN-PATIENT UNIT
Visiting is closed except for named immediate family to a maximum of 1 visitor per patient at any time
The In-Patient Unit is still operating, but we are only admitting patients with complex symptom management issues or for end of life care that cannot be managed at home.

COMMUNITY VISITS
Hospice staff will be doing the majority of patient/client contact by phone or video call.
In-person visits will be restricted to those in urgent need of symptom management and for end of life care (including syringe drivers, bolus medications). In rural areas, District Nurses will also be making visits for clinical care.

All patients/clients are being telephone screened to assess any risk of exposure to COVID-19 before any in-person visit. If there is a risk, the visit can still happen if essential, but staff will be required to wear PPE.
We will be doing our very best to ensure any patient who needs an in-person visit will have a Hospice staff member visit them.

Aged Residential Care
Hospice Waikato’s Aged Residential Care Liaison Clinical Nurse Specialists are available by telephone/video call between 08:00am and 8:00pm for advice on the care of Residents who are palliative or in the last days of life. The telephone advice numbers listed above can also be called for advice.

OUTPATIENT CLINICS
All Hospice Waikato Outpatient Clinics have stopped.

PATIENT, CARER AND BEREAVEMENT GROUPS
These groups have been stopped until further notice. Individual support (counselling, social work, spiritual care) will continue by phone or video call.

CLINICAL GUIDELINES AND INFORMATION

1. Hospice Waikato website: www.hospicewaikato.org.nz
Healthcare Professionals: Clinical resources, including Covid-19 resources can be found on Clinical Guidelines & Drug Protocols page

• Clinical guidelines and drug protocols: https://www.hospicewaikato.org.nz/clinicalguidelinesdrugprotocols
• Symptom Response Kit: https://www.hospicewaikato.org.nz/file/file5c3ba805a2fbb/open

2. Te Ara Whakapiri: Care in the Last Days of Life guidance document and tool kit (symptom management flowcharts from page 14 on): https://www.hospicewaikato.org.nz/file/te-ara-whakapiri-care-plan-inpatient-and-residential-care/open

3. Hospice New Zealand website: www.hospice.org.nz
Covid response support: https://www.hospice.org.nz/resources/covid-19-response/

4. What to expect when someone is dying information leaflet https://www.hospicewaikato.org.nz/file/file5c16d936b562d/open

5. Authority for subcutaneous administration of medications: https://www.hospicewaikato.org.nz/file/file5c3ba8aaa587e/open

6. Palliative Care Handbook (downloadable PDF): https://www.hospice.org.nz/wp-content/uploads/2019/03/Palliative-Care-Handbook.pdf

7. Ministry of Health COVID-19 related advice: https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus

8. COVID-19 and Palliative, End of Life and Bereavement Care in Secondary Care
https://apmonline.org/wp-content/uploads/2020/03/COVID-19-and-Palliative-End-of-Life-and-Bereavement-Care-22-March-2020.pdf

This information is subject to change without notice, so please check back regularly

Last updated: 30/03/2020