09 425 7358

Covid Vaccine clinics:  Make an  appointment via Book My Vaccine or call 09 4257358

Covid swabbing by appointment call 094257358

 

Kowhai Surgery Level 3 services

We are still open and doing telephone consultations. This can be booked on line via portal. We will see people in urgent situations with full PPE and strict screening please call to make appointment 094257358. All non urgent procedures will be defered.

We will see people face to face if required, but will screen to see what is requried to keep you and the staff as safe as possible.

 

Scheduled  vaccinations  continue by appointment. Childhood / Pregnancy / Flu 

Covid vaccination clinic appointment only.   Use Book my Vaccine or  Phone 094257358 press one to be put thru to booking requests. Leave a clear message with your name and contact details  If you have an appointment please keep it unless unwell or waiting for a swab result. Please ring or manage on Book My Vaccine  any cancellations so we can offer to someone else these are in high demand.

Covid swabbing we are swabbing anyone with symptoms or been in a place of interest at time of  a contact, and work related requirements, these are by appointment only. Phone 09 4257358 A nurse will call you back with details. Please be clear on symptoms or place of interest and ensure we have your correct details for contacting and results.

 

 

COVID swabbing

Yes we do Covid swabbing at the Surgery in booked appointments with the nurse. Call and make an appointment.

Guidance for primary and secondary care on essential groups for testing

19 November 2020

 

Updated advice for clinicians on community testing for COVID-19.

 

Key messages

  1. It is critical to encourage all patients presenting with symptoms consistent with COVID-19 to be tested, irrespective of region – this advice remains unchanged.
  2. There is clarified advice on the ‘Essential Groups for Testing’ (see Table 1).
  3. There is no new advice on the ’Testing in asymptomatic people’ (Table 2).
  4. DHBs may operate ‘pop-up’ testing facilities in your community, for additional testing of asymptomatic people.
  5. The assessment and swabbing for those covered by this guidance is at no charge to the individuals.

Encourage all patients presenting with symptoms consistent with COVID-19 to be tested.

Table 1: Essential groups for testing and isolation advice

Who

Action

Has symptoms of COVID-19 and meets the higher index of suspicion (HIS) criteria, as follows:

In the 14 days prior to illness onset, person has:

·         had contact with a confirmed or probable case

·         had international travel

·         had direct contact with a person who has travelled overseas (e.g. Customs and Immigration staff, staff at quarantine/isolation facilities)

·         worked on an international aircraft or shipping vessel

·         cleaned at an international airport or maritime port in areas/conveniences visited by international arrivals,

·         exited an MIQ facility (excluding recovered cases), or

·         any other criteria requested by the local Medical Officer of Health

Test and notify the Medical Officer of Health. The individual must self-isolate while test is pending, irrespective of Alert Level.

Meets the HIS criteria, and has one or more of the following less typical symptoms: fever, diarrhoea, headache, myalgia, nausea/vomiting, or confusion/irritability, and there is not another likely diagnosis.

Test and notify the Medical Officer of Health. The individual must self-isolate while test is pending, irrespective of Alert Level.

 

 

Has symptoms of COVID-19. Does not meet the HIS criteria.

Test.  The individual must stay at home while test is pending. 

 

Table 2: Testing in asymptomatic people

Who

Action

Does not have symptoms of COVID-19. Does not meet HIS criteria but are:

·         Health workers, including Aged Residential Care workers

·         Hospitality workers, including hotel, restaurant staff

·         Public-facing tourism workers

·         Public-facing transport workers (eg, bus, taxi, uber)

·         Close contact of border worker groups

Offer testing if they present to your service.

No need to self-isolate while awaiting test result.

Asymptomatic border worker groups; including those who work at Managed Isolation and Quarantine Facilities 

 

Test as per Border Order.

No need to self-isolate while awaiting test result.

Asymptomatic close contacts of a confirmed or probable case

Test as per advice from public health unit.

Asymptomatic New Zealand-based air crew*

Test

*More information on requirements for international airline crew is available here https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-information-specific-audiences/covid-19-resources-border-sector/covid-19-aviation-sector

Vulnerable people

  • People aged 70 years and older.
  • Māori, Pacific, and other ethnic minorities, particularly with:
    • a higher rate of chronic health conditions.
    • crowded housing.
    • difficulty accessing health care.
  • People with relevant conditions, including:
    • chronic renal failure.
    • coronary heart disease or congestive cardiac failure.
    • chronic lung disease, e.g. severe asthma (for which frequent medical consultations or the use of multiple medications is required), cystic fibrosis, bronchiectasis, suppurative lung disease, chronic obstructive pulmonary disease, chronic emphysema.
    • poorly controlled diabetes.
    • poorly controlled hypertension.
  • People at any age with significant immunosuppression, as defined as:
    • haematologic neoplasms: leukaemias, lymphomas, myelodysplastic syndromes.
    • post-transplant: solid organ (on immunosuppressive therapy), haematopoietic stem cell transplant (within 24 months or on treatment for GVHD).
    • immunocompromised due to primary or acquired immunodeficiency (including HIV infection).
    • current chemotherapy or radiotherapy.
    • high-dose corticosteroids (20 mg or more of prednisone per day, or equivalent) for 14 days or longer.
    • all biologics and most disease-modifying anti-rheumatic drugs (DMARDs) as defined as follows:
      • Azathioprine: more than 3 mg/kg per day.
      • 6-Mercaptopurine: more than 1.5 mg/kg per day.
      • Methotrexate: more than 0.4 mg/kg per week.
      • Prednisone: more than 20 mg per day. If less than 14 days treatment, the person can resume work when treatment ceases.
      • Tacrolimus (any dose).
      • Cyclosporine (any dose).
      • Cyclophosphamide (any dose).
      • Mycophenolate (any dose).
      • Combination (multiple) DMARDs irrespective of dose.

 

Covid Vaccines-

  • owhai Surgery: 

  • Book My Vaccine or call 094257358 for help 
  • All people over 12 years are eligible.
  • Ring 094257358
  • Leave details and we will call back to make appointment.
  • All covid vaccines are full funded.
  • Allow at least 30 min for ther proceedure – wait time post vaccine 15 – 20min [this is strictly adhered to]

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

 

Flu Vaccinations 2021 : Everyone can now book. If you have not had and want please complete ASAP

We are still doing these in Alert level 3

We are now taking bookings for all flu vaccines. Please use Connectmed patient portal or call 09 4257.58

For those not eligible for funding the cost is $37.00

 

 

Portals From 20th April 2021

 Please see reception for more information and to join. Or  see the  “how to do” on the menu bar. 

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 on the  service. We will have signs up when available.

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.

 

Immunisations/Vaccinations: We are still doing these in Alert level 3

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 

Covid 19: Booking appointments when you have respiratory symptoms.

Clinical criteria

 

The following symptoms are consistent with COVID-19:

Any acute respiratory infection with at least one of the following symptoms: new or worsening cough, sore throat, shortness of breath, coryza[1], anosmia[2] with or without fever.

 Some people may present with symptoms such as only: fever, diarrhoea, headache, myalgia, nausea/vomiting, or confusion/irritability. If there is not another likely diagnosis, and they meet the HIS criteria then test.

 Higher Index of Suspicion (HIS) criteria 

Either, in the 14 days prior to illness onset have:

  • had contact[3]  with a confirmed or probable case
  • had international travel
  • had direct contact with a person[4] who has travelled overseas (eg Customs and Immigration staff, staff at quarantine/isolation facilities)
  • worked on an international aircraft or shipping vessel
  • cleaned at an international airport or maritime port in areas/conveniences visited by international arrivals, or
  • any other criteria requested by the local Medical Officer of Health

 [1] Coryza – head cold e.g. runny nose, sneezing, post-nasal drip.

[2] Anosmia – loss of sense of smell.

[3] Excludes household and community contacts of aircrew

If you suspect you have Covid 19,  Please phone the Covid Healthline number on 0800 3585453. For further information on COVID-19 please visit the Ministry of Health website

Appointments

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

We are screening every patient for symptoms at time of making 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 19 keeping your bubble safe.

23.04.2020
How to keep your home bubble safe
Guidance on keeping you and your whānau and family safe when you have finished work during the COVID-19 pandemic.
INFORMATION FOR:

Health professionals, carers – all health care
settings (including community), all workers and the general public
Perform hand hygiene and respiratory hygiene. Wash your hands often and always use respiratory hygiene and cough etiquette (coughing or sneezing into your elbow or a tissue and then wash your hands). These basic actions will keep you and the people around you from sharing germs.
Take only what you need for work. Time to minimise – essential items only.
Cell phone (remove case if not wipeable), cash card and drivers licence. We recommend you use a plastic lunchbox or something you can clean easily and re-use.
If you have a locker or office at work, use it to store what you don’t need when you need to go to other areas, otherwise just have whatever you can put in your pocket.
If your car is your mobile workplace, keep it clean and minimise what you have lying around. If you are a worker who provides community care, keep the vehicle clean (especially important if it is a pool car). Only take what you need into someone’s home and wipe and clean anything you need to put back into your car.
If you’re going food shopping or to the pharmacy, only take what you need into the store – phone and cash card – and observe your supermarket etiquette.
While at work: remember to keep physical distance when possible

Health care setting for health professionals caring for patients with suspected, probable or confirmed COVID-19
At work
Ensure you have followed hand hygiene, personal protective equipment (PPE) guidance and standard precautions throughout your shift.
Adhere to any uniform policy your organisation has in place with regard to hair (tied up) and minimal jewellery.

If you are wearing general scrubs as part of your uniform and your organisation has a laundry protocol, continue to follow this process.
If you wear a personal uniform:
• wear civvies to work and change into your uniform at your place of work
— end of shift: clean phone with disinfectant wipe, wash hands/arms, remove uniform, fold up used uniform and put into separate bag, clean hands/arms and change back into civvies
• if unable to change into your uniform at your place of work, don fresh uniform for start of shift and follow hand hygiene and PPE donning and doffing as required during working hours
— end of shift: clean phone with disinfectant wipe and clean hands/arms.
Arrival home
• Remove your shoes outside before entering the house.
• Change out of your uniform and fold up carefully.
Wash your hands. Follow your normal routine, ie, shower, change into civvies. Wait to hug family/whānau
until this step is complete.
• Wash your uniform according to normal laundry instructions and dry as per normal. Remember to wash your hands after touching an unwashed uniform.
• Wash lunchbox and/or drink bottles.

Non-health care worker
Follow steps as above if you have any interaction with individuals with suspected, probable or confirmed COVID-19. Otherwise follow your normal routine when at work and arriving home with frequent hand washing and physical distancing when possible.

Everybody else
(ie, out for essential journeys like supermarket or collecting medication)
• Only touch what you intend to purchase.
• Wash and dry your hands thoroughly on returning home. No other special conditions.

Covid 19 Casual Contact

Covid 19 casual contact
Novel Coronavirus (COVID-19) – Information for casual contacts
Current as at: 10/12/2020
You may have had limited contact with someone with COVID-19.
You are considered a casual contact if you have been in the same space as someone
infectious with COVID-19, but not close enough or for long enough to be at high risk.
WHAT YOU NEED TO KNOW
You are unlikely to have been infected just by being in the same building or venue as
someone with the virus. Public Health assesses the level of risk by considering factors such
as the setting where you were exposed, and how long you were exposed for.
People most at risk are those who have been within two metres of someone with COVID-19
AND for longer than 15 minutes. They are called close contacts. Public Health asks them to
self-isolate for 14 days and get tested. Close contacts usually live or work with the person
with COVID-19, or have been near enough to interact with them.
If you have not been identified as a close contact, but you have been in the building or
venue at the same time as the case, you may be a casual contact.
As a casual contact, there is a small possibility you may become unwell.
WHAT YOU NEED TO DO
You may be asked by Public Health to get a test – usually around
five days after the casual contact took place. If you are asked to
get a test, please stay home until you receive a negative test
result. A negative test does not mean that you will not develop
COVID-19, but it does mean that it is less likely.
Even if you are not tested, or if your test result is negative, please
watch for symptoms of COVID-19 for 14 days after the casual
contact occurred. Symptoms can include one or more of the following:
-New or worsening cough
-Fever
-Sore throat
-Temporary loss of taste and/or smell
-Difficulty breathing
-Runny nose.
YOU ARE A CASUAL CONTACT OF SOMEONE
WITH COVID-19
2
Novel Coronavirus (COVID-19) – Information for casual contacts
Current as at: 10/12/2020
If you develop symptoms or become unwell you will need a test. Phone your GP or
Healthline (a 24/7 service with interpreters available) on 0800 358 5453 to arrange this. Tell
them you are a casual contact.
 Call an ambulance on 111 if you have difficulty breathing. Tell the phone operator
that you have been in contact with someone with COVID-19.
 Self-isolate at home until 24 hours after your
symptoms clear, even if you have a negative test
result. Please keep yourself apart from other people in
your household as much as possible, e.g. stay in a
separate room and use a separate bathroom if
available.
 Use a face mask if you have one (if the mask gets
damp or dirty with secretions, it must be changed
immediately and not be reused. Put it in the bin, being
careful not to touch the front of the mask).
Information on self-isolation is available on-line at moh.govt.nz/covid19
Practise good hygiene to protect others
 Wash and dry your hands often and thoroughly
 Avoid touching your eyes, nose, and mouth with unwashed
hands. Clean high-touch surfaces like kitchen benches and door
handles regularly.
 Cover your mouth and nose with a tissue when you cough or
sneeze, or you can cough or sneeze into your bent elbow.
 Throw used tissues into a lined rubbish bin, and immediately
wash your hands with soap and water for at least 20 seconds,
making sure you dry them thoroughly. You can also use a hand
sanitiser if there is no soap and water available.
FOR MORE INFORMATION
Visit moh.govt.nz/covid19

warkwork family doctors

IF THIS IS AN EMERGENCY PLEASE DIAL 111

Kowhai Surgery
CORNERSTONE

Find Us

Street Address

10 Percy Street,
Warkworth
Auckland 0910

~|icon_pens~|elegant-themes~|outline

Postal Address

PO Box 285,
Warkworth

Auckland 0941

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