{"id":1536,"date":"2020-03-24T15:46:00","date_gmt":"2020-03-24T05:46:00","guid":{"rendered":"https:\/\/metronorth.health.qld.gov.au\/extranet\/?p=1536"},"modified":"2020-04-24T11:24:05","modified_gmt":"2020-04-24T01:24:05","slug":"20200323-2","status":"publish","type":"post","link":"https:\/\/metronorth.health.qld.gov.au\/extranet\/covid-ce\/20200323-2","title":{"rendered":"23 March 2020 (2)"},"content":{"rendered":"

<\/div><\/div>
<\/div><\/div><\/div><\/div><\/div>\n
\"Message<\/span><\/div>
<\/div><\/div><\/div><\/div><\/div>

23 March 2020 \u2013 COVID-19 (coronavirus)<\/strong><\/p>\n

Message 2 of 3<\/strong><\/p>\n

Dear Colleagues,<\/p>\n

As you\u2019re aware, we have activated our pandemic plan in response to COVID-19.<\/p>\n

I want you to have the confidence that we can and will flex up to meet this challenge. As part of our pandemic plan we have a three-tiered response after the initial containment phase.<\/p>\n

Since the end of January, we have been in the Contain phase which has included our incoming traveller screening at the Brisbane International Airport and establishing our Fever Clinics and Community Assessment Centres. With the increase in confirmed cases over the weekend, we are now moving into Sustain Tier 1.<\/p>\n

The tiers are:<\/p>\n<\/div>

<\/span><\/div>

Triggers are determined for each phase and may vary for each of our facilities, depending on its baseline capacity and capability. As the situation is changing rapidly the triggers will be used as a guide for transition between tiers rather than having a definitive hard number trigger.<\/p>\n

Each tier has specific actions to be undertaken which may change if there is new scientific knowledge of COVID-19 or new information about the effectiveness of containment in Queensland and Australia.<\/p>\n<\/div>

\n\n\n\n\n\n\n\n\n\n\n\n\n
<\/td>\nContain<\/strong><\/td>\nSustain Tier 1<\/strong><\/td>\nSustain Tier 2<\/strong><\/td>\nSustain Tier 3<\/strong><\/td>\n<\/tr>\n
Definition\u00a0<\/strong><\/td>\nTravellers, no local transmission<\/td>\nLimited community transmission<\/td>\nModerate community transmission<\/td>\nSignificant community transmission<\/td>\n<\/tr>\n
Trigger<\/strong><\/p>\n

Trigger metrics may vary hospital to hospital<\/td>\n

Presentations with influenza like illness (ILI)<\/td>\nPresentations to ED<\/p>\n

Admissions\u00a0to hospital<\/p>\n

Admitted patients with COVID-19<\/p>\n

Medical beds with COVID-19 patients<\/p>\n

ICU beds and acuity<\/td>\n

Presentations to ED<\/p>\n

Admissions to hospital<\/p>\n

Admitted patients with COVID-19<\/p>\n

Medical beds with COVID-19 patients<\/p>\n

ICU\u00a0beds and acuity<\/td>\n

Presentations to ED<\/p>\n

Admissions to hospital<\/p>\n

Admitted patients with COVID-19<\/p>\n

ICU\u00a0beds and acuity<\/td>\n<\/tr>\n

Response<\/strong><\/td>\nContain<\/strong><\/td>\nSustain Tier 1<\/strong><\/td>\nSustain Tier 2<\/strong><\/td>\nSustain Tier 3<\/strong><\/td>\n<\/tr>\n
Fever clinic \u2013 asymptomatic or mild\/moderate ILI symptoms,<\/p>\n

Drive-through and home-based assessment<\/p>\n

capacity<\/p>\n

additional to physical spaces<\/td>\n

In or adjacent to ED, community-based – increase based on demand<\/p>\n

Increase and\/or redeploy staff<\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH \u2013 20 (6+16)<\/p>\n

TPCH – 7<\/p>\n

Redcliffe \u2013 20 (8+12)<\/p>\n

Caboolture \u2013 16 (2+8+6)<\/p>\n

Brighton \u2013 13<\/p>\n

Pine Rivers \u2013 22\u00a0(2+20\u00a0drive through)<\/p>\n

Total\u00a098<\/strong><\/td>\n

Adjacent to ED,\u00a0external to ED,\u00a0community-based, home \u2013 increase based on demand<\/p>\n

Increase and\/or redeploy staff<\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 22<\/p>\n

TPCH – 25<\/p>\n

Redcliffe – 26<\/p>\n

Caboolture – 16<\/p>\n

Brighton \u2013 13<\/p>\n

Pine Rivers \u2013\u00a022 (2+20\u00a0drive through)<\/p>\n

Total 154<\/strong><\/td>\n

External\u00a0to ED, community-based, home \u2013 increase based on demand<\/p>\n

Increase and\/or redeploy staff<\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 29<\/p>\n

TPCH – 35<\/p>\n

Redcliffe – 26<\/p>\n

Caboolture – 16<\/p>\n

Brighton \u2013 13<\/p>\n

Pine Rivers \u2013\u00a042\u00a0(2+40\u00a0drive through)<\/p>\n

Home based – 17<\/p>\n

Total\u00a0178<\/strong><\/td>\n

External\u00a0to ED, community-based\u00a0clinic, home \u2013 increase based on demand<\/p>\n

Increase and\/or redeploy staff<\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 29<\/p>\n

TPCH – 35<\/p>\n

Redcliffe – 26<\/p>\n

Caboolture – 16<\/p>\n

Brighton \u2013 13<\/p>\n

Pine Rivers \u2013\u00a060\u00a0(2+\u00a058\u00a0drive through)<\/p>\n

Home based –\u00a019<\/p>\n

Total\u00a0198\u00a0<\/strong><\/td>\n<\/tr>\n

ED \u2013 ILI patient requiring ED treatment or non-ILI patients requiring ED assessment<\/p>\n

Fever clinic and ED capacity = 465+ spaces (+310)<\/strong><\/p>\n

 <\/p>\n

In addition <\/strong><\/p>\n

GP respiratory clinics<\/strong><\/td>\n

Repurpose locations in ED for patients with ILI symptoms e.g. fast track<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 47<\/p>\n

TPCH – 56<\/p>\n

Redcliffe – 27<\/p>\n

Caboolture \u2013 25<\/p>\n

Total<\/strong> –\u00a0155<\/strong><\/td>\n

Relocate ED patient cohorts to alternate location outside ED e.g. fast track to OPD, to allow space for ILI patients<\/p>\n

Increase and\/or redeploy staff<\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 60<\/p>\n

TPCH – 56<\/p>\n

Redcliffe – 27<\/p>\n

Caboolture \u2013 25<\/p>\n

Total 168<\/strong><\/td>\n

Expansion of ED spaces to other locations e.g. into SSU and relocate SSU to accommodate all patients<\/p>\n

Increase and\/or redeploy staff<\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 74<\/p>\n

TPCH – 66<\/p>\n

Redcliffe – 51<\/p>\n

Caboolture \u2013 37<\/p>\n

Total 228<\/strong><\/td>\n

Expand ED spaces into adjacent or nearby areas to accommodate all patients<\/p>\n

Increase and\/or redeploy staff<\/p>\n

 <\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 108<\/p>\n

TPCH – 66<\/p>\n

Redcliffe – 56<\/p>\n

Caboolture \u2013 37<\/p>\n

Total 267<\/strong><\/td>\n<\/tr>\n

\n

Inpatient \u2013 COVID-19<\/p>\n

Potential bed capacity<\/strong> 1700<\/strong><\/p>\n

(+130)<\/strong><\/td>\n

Single rooms, isolate suspected\/ confirmed COVID-19 patients<\/td>\nSingle rooms, isolate suspected\/ confirmed COVID-19 patients. Assess need for Designate 1 COVID-19 ward<\/td>\nDesignate second COVID-19 ward. Assess need for third COVID-19 ward<\/td>\nMultiple designated wards and or floors or designated COVID-19 hospital<\/td>\n<\/tr>\n
Virtual ward<\/strong> \u2013 for COVID-19<\/td>\nVirtual ward<\/strong> \u2013 for COVID-19 including RACF<\/p>\n

Increase and\/or redeploy staff<\/td>\n

Virtual ward<\/strong> \u2013 for COVID-19 including RACF<\/p>\n

Increase and\/or redeploy staff<\/td>\n

Virtual ward<\/strong> \u2013 for COVID-19 including RACF<\/p>\n

Increase and or redeploy staff<\/td>\n<\/tr>\n

Inpatient \u2013 non COVID-19<\/td>\nElective procedures (surgery, medical\u00a0and dental\u00a0procedures and outpatients) \u2013 continue as is<\/p>\n

Outsource elective surgery and endoscopy<\/td>\n

Reduce or suspend Category 3 and 6 surgery, medical and dental\u00a0procedural activity<\/p>\n

Outsource elective surgery and endoscopy<\/p>\n

Reduce, suspend or deliver virtual outpatient Category 3 and 6 activity<\/p>\n

Increase and\/or redeploy staff<\/p>\n

Review category 2 and 5 in line with workforce availability<\/p>\n

Repurpose outpatient areas<\/p>\n

Repurpose surgical wards to medical wards<\/td>\n

As per Tier 1 plus reduce or suspend Category 2 and 5 surgery, medical and dental\u00a0procedural activity<\/p>\n

Outsource elective surgery and endoscopy<\/p>\n

Reduce, suspend or deliver virtual outpatient Category 2 and 5 activity<\/p>\n

Increase and\/or redeploy staff<\/p>\n

Repurpose outpatient areas<\/p>\n

Repurpose surgical wards to medical wards<\/td>\n

As per Tier 2 plus suspend Category 2 and 5 activity<\/p>\n

Outsource elective surgery and endoscopy<\/p>\n

Increase and\/or redeploy staff<\/p>\n

Repurpose outpatient areas<\/p>\n

Repurpose surgical wards to medical wards.<\/td>\n<\/tr>\n

Critical services \u2013 dialysis, cancer care, maternity and neonatal care, mental health, transplant services, burns service, trauma services, emergency surgery, Category 1 and 4 surgery\/ procedural work \u2013 maintain<\/td>\nMaintain activity and critical referrals in from other HHSs.<\/p>\n

HITH \u2013 25% increase in capacity including virtual capability<\/p>\n

Increase and\/or redeploy staff<\/td>\n

Maintain activity and critical referrals in from other HHSs.<\/p>\n

HITH \u2013 50% increase in capacity\u00a0including virtual capability<\/p>\n

Increase and\/or redeploy staff<\/td>\n

Maintain activity and critical referrals in from other HHSs.<\/p>\n

HITH \u2013 100% or more increase in capacity including virtual capability<\/p>\n

Increase and\/or redeploy staff<\/td>\n<\/tr>\n

ICU<\/p>\n

ICU capacity 149 (+81)<\/strong><\/td>\n

Maintain as is.<\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 36<\/p>\n

TPCH – 18<\/p>\n

Redcliffe – 7<\/p>\n

Caboolture \u2013 7<\/p>\n

Total\u00a0– 68<\/strong><\/td>\n

Expand in ICU footprint.<\/p>\n

Increase and\/or redeploy staff<\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 44<\/p>\n

TPCH – 27<\/p>\n

Redcliffe – 10<\/p>\n

Caboolture \u2013 8<\/p>\n

Total\u00a0– 89<\/strong><\/td>\n

Expand in ICU footprint and into adjacent areas (RBWH only).<\/p>\n

Increase and\/or redeploy staff<\/p>\n

Review need to expand into PACU and operating theatres.<\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 54<\/p>\n

TPCH – 27<\/p>\n

Redcliffe – 10<\/p>\n

Caboolture \u2013 8<\/p>\n

Total\u00a0– 99<\/strong><\/td>\n

Expand into PACU and operating theatres.<\/p>\n

Increase and\/or redeploy staff<\/p>\n

 <\/p>\n

Capacity\u00a0<\/u><\/p>\n

RBWH – 82<\/p>\n

TPCH – 37<\/p>\n

Redcliffe – 16<\/p>\n

Caboolture \u2013 14<\/p>\n

Total\u00a0– 149<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

It\u2019s important to note that because our facilities are different, we may have facilities and services on different tiers and there will be movement up and down tiers as needed.<\/p>\n

Shaun Drummond
\nChief Executive<\/strong><\/p>\n<\/div>