09 425 7358

Please note that for the next 3 months we will be on a reduced staff level.

Please book in advance wherever possible, as last-minute appointments will be difficult to provide.

Kowhai Surgery Appointments

We are still open and doing both telephone and Face to Face consults. You will be screened for Acute Respiratory symptoms and Covid contacts, this is to allow us to ensure you will be seen in a way that keeps everyone as safe as possible.

Masks Are mandatory inside the surgery.

Routine vaccinations continue by appointment. Childhood / Pregnancy / Flu 

Covid swabbing/RAT  testing continues and we can log your test if required. Phone 09 4257358 A nurse will call you back with details. Please ensure we have your correct details for contact and results.

 

 

Immunisations: Yes we are doing these.

The clinic offers all funded vaccinations for New Zealand. An will arrange vaccinations that are not funded as required.

Vaccination in childhood  Funded up to 18y of age 

Vaccination in pregnancy

Vaccination for the older adult [65y+]

HPV: funded 12y – 26y male and female

MMR: funded for all ages 

Home

Yes we do Covid swabbing RAT testing at the Surgery in booked appointments with the nurse. Call and make an appointment. We do not have  stock to provide for  self testing at this stage. 

      • This is a drive-thru system. All paperwork is done prior to swab so this makes the system much quicker. If you have not booked and completed questions prior you may delay the system.
      • You will receive a text within 1 hour with your results.
      •  It is recommended that only the following people should be tested:
        • Those who have COVID-19 symptoms;
        • Household contacts.
        • Those who have been directed to take a test(s) by a health official. For example, border workers, port workers, and workers in MIQF.

        People can order through http://requestrats.covid19.health.nz/ or by ringing 0800 222 478 (option 3) from 8am to 8pm. People will need to have access to a mobile phone to validate their order

Self Isolation with Covid 19

Self-monitoring

Advise the patient to:

  • record symptoms and observations, ready to report at clinical review. Recommend frequency based on clinical status.
  • watch for worsening symptoms.
  • What to do if their condition deteriorates
    • Advise the patient to call 111 for an ambulance (free for patients with COVID-19) if acute care is consistent with their wishes and they experience any of the following:
      • Severe trouble breathing or severe chest pain
      • Confusion or not thinking clearly
      • Feeling faint or passing out (losing consciousness)
      • Significant haemoptysis [coughing up blood] – streaks of blood are very common and not of clinical concern

    Inform the ambulance service that they are COVID-19 positive. They will still come to you and care for you.

    If acute admission is not consistent with the patient’s wishes, please contact your clinical team.

  • contact your clinical team (or, out of hours, Whakarongorau on 0800‑358-5453) if you experience any of the following:

      • New or worse trouble breathing
      • Symptoms getting worse
      • Getting worse after they begin to improve
      • Symptoms of severe dehydration, e.g:
        • having a very dry mouth
        • passing only a little urine
        • feeling very light-headed
  • How to seek help for unwell household members
    • Advise to seek medical advice:
      • During clinic opening hours, contact the household member’s usual general practice clinic.
      • After hours, contact the COVID-19 Healthline – phone0800‑358‑5453 or (09) 358‑5453.
    • Seek telephone advice first before attending any medical clinic or emergency department.
    • If you need to call an ambulance, ensure you inform the ambulance service of COVID cases in the house. The service will still be provided if appropriate and is free of charge for patients with COVID-19.
  • Mental health and well-being
  • Manaaki/welfare needs  This covers needs for the case and household relating to accommodation, safety, income/benefits, kai/food, power, telecommunication access, data, pets, whānau/family, and connection. Healthline – 0800‑358‑5453 (24 hours, seven days a week) for support, including self-isolation certificates for the case and household close contacts
  • Testing and isolation requirements for close contacts    Household contacts are permitted to attend a drive‑through testing centre for swabbing, whether they are symptomatic or asymptomatic.

  • Discharge from clinical care and release from isolation

     Discharge from regular clinical follow-up usually after 10 days and 72 hours symptom free or, if residual symptoms (which are common at 14 to 21 days), after 72 hours of stable or improving symptoms.

  •      A COVID‑19 test at the end of isolation is not required for those who have isolated with Covid infection. 

    • a negative test is not required prior to return to work or school
    • they are unlikely to become re-infected with COVID-19 within 4 weeks.

    Release from isolation

    Advice: Will be released from isolation after 10 days from onset of symptoms or from the date of the positive test if asymptomatic. Processes will change depending on disease prevalence.

    Ongoing symptoms

    • Patients with mild illness are expected to recover relatively quickly (typically in 1 to 2 weeks) whereas people with severe disease take longer. The most common persistent symptoms include fatigue, dyspnoea, chest pain, cough, and cognitive deficits (brain fog). See Post‑COVID‑19 Conditions (Long COVID).
    • If the patient is still suffering fevers or significant symptoms of the acute illness in the 72 hours leading up to their expected de-isolation date, request advice.

Covid 19 managing symptoms

Symptoms and signs

Mild

Moderate

Severe – hospital admission indicated

  • Able to maintain adequate hydration
  • No breathlessness
  • Fatigue
  • Sore throat
  • Headaches
  • Muscle or joint aches
  • Fever
  • Runny or congested nose
  • Cough
  • Breathlessness, not meeting severe criteria
  • Oxygen saturation > 93% or < 3% drop from baseline
  • Concern about hydration
  • New postural dizziness
  • New shortness of breath at rest or on minimal movement, or unable to talk in full sentences.
  • Sudden onset of shortness of breath with or without chest pain.
  • Oxygen saturation ≤ 93%, or ≥ 3% drop from baseline
  • Unable to stand, or new onset of multiple faints or falls.
  • New confusion or abnormally drowsy.
  • Severe dehydration – minimal fluid intake with little or no urine output.
  • Rapid deterioration

Managing symptoms

Symptom

Management advice

Seek medical help if:

Fever

Take paracetamol following the label directions.

Persistent fever > 39°C.

Cough, sore throat, runny nose

Take paracetamol, or in adults, standard cold and flu over-the-counter medications following the label directions.

Shortness of breath or difficulty breathing, severe cough, coughing up more than streaks of blood (streaks of blood are very common). If severe symptoms, phone 111.

Nausea, loss of appetite, vomiting, diarrhoea

Drink frequent small amounts of fluid, oral rehydration supplements, e.g. Hydrolyte.

Unable to drink, more than 4 episodes of diarrhoea a day, significant reduction in urine output (less than 50% of usual daily output), dizziness or fainting.

Headache, body aches

Take paracetamol or ibuprofen following the label directions.

Severe persistent headache despite treatment.

Shortness of breath

Suggest positions to make breathing easier.

If severe shortness of breath or difficulty breathing, phone 111.

Chest pain in children or young adult with no cardiac risk factors

If mild and associated with general body aches, no palpitations nor breathless and otherwise not unwell, trial ibuprofen following the label directions.

Chest pain persisting longer than 10 minutes, particularly if associated with additional symptoms such as breathlessness, palpitations, sweating or collapse. Phone 111 for emergency assistance.

Rash

Check for a blanching or non‑blanching rash. Take antihistamines for itch, use emollients for dry skin, or topical corticosteroids if known atopic dermatitis.

  • At any time the rash is non‑blanching or the patient is unwell, in case there is another diagnosis, e.g. meningitis, measles.
  • Onset in a child after day 14 of illness, and the child is unwell. Medical review to consider possibility of multi-system inflammatory syndrome in children (PIMS-TS). Consider PIMS-TS in an adult if relapsed fevers/features of PIMS-TS after mild COVID-19, especially if unvaccinated.

Conjunctivitis

Use saline drops and consider antibiotic drops if yellow discharge.

If in a child who is also unwell with rash – may need assessment for other inflammatory conditions including multi-system inflammatory syndrome in children (PIMS-TS).

Chilblain-like lesions “COVID toes”

Keep affected region warm. Will usually resolve within about 2 weeks. Using hydrocortisone cream up to 3 times a day may help with redness, swelling, itch, and pain.

Medical assessment in a child, if associated with other symptoms such as rash and the child is unwell.

Dizziness or fainting

Seek urgent medical assessment, and if associated with vomiting or diarrhoea, focus on oral hydration while awaiting assessment.

Phone 111 for an ambulance if associated with chest pain or palpitations or any suggestion of a seizure, unconsciousness longer than 30 seconds, or persisting drowsiness.

Covid 19: Booking appointments when you have respiratory symptoms.

The following symptoms are consistent with COVID-19:

Clinical criteria

Assess for COVID-19 symptoms
Do you have any of the following symptoms:

New or worsening: Cough?

Breathlessness?

Sneezing and runny nose?

New loss or altered sense of smell/taste? Sore throat?

Do you have a fever?
NB: Less common symptoms almost always occur with one or more of the common symptoms, so you don’t need to screen
specifically for less common symptoms. However, have a high degree of suspicion if people mention any less common
symptoms (new diarrhoea/vomiting or abdominal pain, new muscle aches or headache, malaise, chest pain, joint pain or
confusion/irritability), with no other explanation.

Assess whether a person could have COVID-19 or has exposure risk for COVID-19:

Have you tested positive in the last 7 days for COVID-19 infection?
• Are you awaiting the result of a COVID-19 test because you had COVID symptoms?
• Have you had close contact in the last 10 days with someone who has COVID-19
infection?
• Have you been notified in last 10 days that you have been exposed to someone with
COVID-19 and been asked to stay at home and isolate?
• Have you returned from overseas in the last 10 days? (excluding from a Quarantinefree travel zone)
If unable to obtain a contact or exposure history, assume that the patient has exposure risk.

Appointments

Please phone ahead with any questions and to book appointments. You may be offered a telephone consultation if appropriate. We are trying to minimise all respiratory illnesses in the Surgery to protect patients and staff. 

We are screening every patient for symptoms at the time of making an appointment and on arrival to the Surgery.

Be kind, stay safe and remember we are here if you need us.
From the team at Kowhai Surgery

Covid Vaccines

  • Kowhai Surgery:  We are no longer providing Covid vaccinations. Please see  Book my vaccine for local services available. 

  • Book My Vaccine 
  • All people over 5 years are eligible.
  • Boosters are now available for those over 18 years AND 4 months since 2nd dose.
  • All covid vaccines are fully funded.
  • Are you concerned regarding the vacciantion and have questions please call and speak with a doctor or nurse.

Getting a COVID-19 vaccine is an important step you can take to protect yourself, your kaumātua and whānau from the effects of the virus. View the Health Navigator – COVID-19 vaccines website for more information

 

 

 

 

Connect Med Portals are available for your convience.

 Please see reception for more information and to join. Or see the  “how to do” on the menu bar.  You must have a personal email for this, that no one else uses for a ConnectMed account.

This will allow you to make appointments 24/7.

You will be able to access your test results.

You will be able to request prescriptions as per our guidelines/conditions.

You will have to enroll in the service.  

Please note the script fees automatic calculations are set for standard fees only – this does not reflect under 14y or community services cards – see insert list for these fees.

 

warkwork family doctors

IF THIS IS AN EMERGENCY PLEASE DIAL 111

Kowhai Surgery
CORNERSTONE

Find Us

Street Address

10 Percy Street,
Warkworth
Auckland 0910

Postal Address

PO Box 285,
Warkworth

Auckland 0941

Portal

ConnectMed 

Open Hours

Monday to Thursday

8am to 5.30pm

Friday

8am to 5pm

Bank Details

02 0480 0141717 00

After Hours 

After Hours
Saturday Morning

8am to 12 noon   Shared with Warkworth Medical Centre

After hours Phone Triage 24/7, call 09 425 7358