COVID-19 information
This page contains advice for health professionals and community members on COVID-19 vaccination, and how to identify, manage and prevent the spread of COVID-19. Please note that the situation in Australia with regards to COVID-19 is changing rapidly and official local and national government sources will provide the most up-to-date information.
You can find this ATAGI advice – issued 26 May 2022 here >new guidance on additional (booster) doses of the Covid-19 vaccines
Thank you for your continued efforts on winter preparedness and resilience building in our northside community.
General information for health professionals
- COVID-19 vaccines: health.gov.au/initiatives-and-programs/covid-19-vaccines
- TGA Information: tga.gov.au/covid-19-vaccines
- HealthPathways COVID-19 Vaccine Information: sydneynorth.communityhealthpathways.org/835663.htm
- COVID-19 Vaccination in NSW – Fact Sheet for NSW Healthcare Workers: health.nsw.gov.au/Infectious/factsheets/Pages/covid-vaccination-health-workers.aspx
- The NSW Health Critical Intelligence Unit provides rapid, evidence-based advice during the COVID-19 pandemic. Its operations focus on systems intelligence, clinical intelligence and evidence integration. Subscribe to the daily digest by emailing NSWH-CriticalIntelligenceUnit@health.nsw.gov.au.
- Talking to patients about AstraZeneca vaccine
- Department of Health: accurate, evidence-based answers to people’s various questions about the vaccines: click here
- NSW Health: health.nsw.gov.au/Infectious/covid-19/Pages/covid-vaccination-faqs.aspx
- For the latest information on the COVID-19 vaccination process for GPs please visit COVID-19 vaccine information for GPs
Product information and consumer medicine information
- Australian product information for Pfizer COVID-19 vaccine (COMIRNATY™): click here
- Consumer medicine information on Pfizer COVID-19 vaccine (COMIRNATY™): click here
- Australian product information for AstraZeneca COVID-19 vaccine: click here
- Consumer medicine information on AstraZeneca COVID-19 vaccine: click here
Information about priority groups
- For information on COVID-19 vaccination in pregnant and breastfeeding women click here.
- For information about COVID-19 vaccines for Aboriginal and Torres Strait Islander peoples click here.
- Guide to where Aboriginal and Torres Strait Islander people can get their vaccine in the Northern Sydney region
- For information about COVID-19 vaccines for people with a disability click here.
- For information about COVID-19 vaccines and people with chronic health conditions click here.
- COVID-19 vaccination decision guide for frail older people, including those in residential aged care facilities
A statement from the Australian Technical Advisory Group on Immunisation (ATAGI) on the use of COVID-19 vaccines in an outbreak setting (including a recommendation on a shortage dosage interval for COVID AstraZeneca vaccines in an outbreak situation).
AstraZeneca
The ability to apply to join the roll-out (with the AstraZeneca vaccine) is now open ongoing.
Please click here to apply.
Pfizer
If your practice is already vaccinating with AstraZeneca and would like to apply to administer the COVID-19 Pfizer (Comirnaty) vaccine, please click here.
Moderna
General practices who are currently participating in the COVID-19 Vaccination Program can now indicate their interest in receiving an ongoing allocation of the Spikevax (Moderna) vaccine. This would be in addition to Vaxzevria (AstraZeneca) vaccine and/or Comirnaty (Pfizer) vaccine allocations. All interested participating general practices will have the opportunity to administer the Spikevax (Moderna) vaccine.
Please refer to this Moderna EOI (including site requirements on p.3) and the key differences fact sheet for more information on all available vaccines.
To submit an Expression of Interest for your practice, please complete the Moderna EOI here: https://forms.office.com/r/kttmUi753S
General practices who are currently participating in the COVID-19 Vaccination Program can now indicate their interest in receiving an ongoing allocation of the Spikevax (Moderna) vaccine. This would be in addition to Vaxzevria (AstraZeneca) vaccine and/or Comirnaty (Pfizer) vaccine allocations. All interested participating general practices will have the opportunity to administer the Spikevax (Moderna) vaccine.
Please refer to this Moderna EOI (including site requirements on p.3) and the key differences fact sheet for more information on all available vaccines.
Please note: Moderna has not applied for regulatory authorisation to be used as a booster, so Spikevax cannot be used as a booster dose at this time. Pfizer is the preferred (and authorised) booster at this point, so Spikevax can only be used for primary vaccination courses.
To submit an Expression of Interest for your practice, please complete the Moderna EOI here: https://forms.office.com/r/kttmUi753S
MBS items: in-depth patient assessment for a COVID-19 vaccine
On 18 June 2021, the Australian Government introduced two new MBS items (10660 and 10661) to support general practitioners and other medical practitioners. The two new MBS items provide in-depth clinical assessments of patients. This is in regards to the patient’s individual health risks and benefits associated with receiving a COVID-19 vaccine.
- MBS items 10660 and 10661 may only be claimed where a GP or OMP attends to a patient in person for more than 10 minutes.
- The item must be billed in association with a relevant MBS COVID-19 vaccine suitability assessment item.
- Consistent with the other MBS vaccine suitability assessment items, items 10660 and 10661 must be bulk-billed.
Note: Effective 29 June 2021, age restrictions on the use of these items have been removed.
Further information on the in-depth patient assessment items is provided in the Item descriptors and Fact Sheet.
MBS flag-fall item for vaccine assessment in RACF, disability facility or home
From 14 June 2021, the Australian Government introduced MBS item 90005 to provide a call-out or “flag-fall” fee for general practitioners (GPs) and OMPs who conduct a COVID-19 vaccine suitability assessment service in a residential aged care facility (RACF), a residential disability facility setting or at a patient’s place of residence.
Read the full article and find further information here.
General information
- Information for COVID-19 vaccination providers
- Information on COVID-19 AstraZeneca vaccine
- ATAGI clinical guidance on COVID-19 Vaccine in Australia in 2021
- COVID-19 vaccine – Clinical considerations
Quality improvement
- To assist in preparation, SNHN is offering all general practices (whether they are eligible or non-eligible at this stage) incentives for completing Quality Improvement activities – see information and resources below:
Guidance and onboarding advice
- General Practice Guidance for Phase 1B of the Vaccine Rollout (published by Commonwealth Department of Health)
- Pfizer information pack: primary care roll-out provides info and advice specific to the administration of the Pfizer vaccine in primary care
MBS items
- MBS COVID-19 Vaccine Suitability Assessment Service (alternatively, click here for a quick guide to the MBS items)
Screening, consent, and equipment and procedures
- Immunisation providers should screen people before vaccination, obtain valid consent, and ensure that the correct equipment and procedures are in place before vaccination: see “Preparing for Vaccination” information in the Australian Immunisation Handbook
- Provider guide for obtaining informed consent (updated on 3 April 2021 to include information on a safety investigation into a rare clotting condition reported after COVID-19 Vaccine AstraZeneca): click here
- Patient eligibility declaration form: click here
- Consent form for COVID-19 vaccination: click here
- Patient guide on what to expect after receiving the AstraZeneca vaccine
Adverse events
- Anaphylaxis: For GPs and practices undertaking vaccinations, before any vaccination session, check that you have the protocols, equipment and medicines to manage anaphylaxis. Please check you have an anaphylaxis response kit on hand. See anaphylaxis response kit link for what is required: immunisationhandbook.health.gov.au/resources/publications/preparing-an-anaphylaxis-response-kit
- TGA Adverse Event Following Immunisation reporting form
- ASCIA Anaphylaxis Resources: allergy.org.au/hp/anaphylaxis
ATAGI advice on influenza and COVID-19 vaccines
Reporting vaccinations to the Australian Immunisation Register
It is now mandatory to report all National Immunisation Program (NIP) vaccinations to the Australian Immunisation Register (AIR).
From 1 July 2021, under the AIR Act, it is mandatory to report all NIP, COVID-19 and influenza vaccines administered to the AIR.
Immunisation providers can submit vaccination encounters to the AIR using:
- practice management software
- the AIR site via Health Professional Online Services (HPOS) using PRODA.
Managing anaphylaxis after vaccination
Click here to download the PDF on managing anaphylaxis after vaccination.
Training programs
- COVID-19 vaccine training program: health.gov.au/initiatives-and-programs/covid-19-vaccines/covid-19-vaccine-training-program
- COVID-19 vaccination training for health workers: https://openwho.org/courses/covid-19-vaccination-healthworkers-en
- Vaccine Storage and Cold Chain Management: heti.nsw.gov.au/education-and-training/courses-and-programs/vaccine-storage-and-cold-chain-management-
- Immunisation Practice: benchmarquegroup.com.au/courses/immunisation-practice
- 307 Immunisation for Health Practitioners: acn.edu.au/education/307-immunisation-for-health-practitioners-hesa-accredited
- Accessing AIR using PRODA for Organisations: phnimmunise.org.au/assets/resources-public/Accessing-AIR-using-PRODA-Organisations-User-Guide-July-2020-V1-0.pdf
Mandatory vaccinations for staff
- COVID-19 vaccine options for Northern Sydney Residential Aged Care workers
- How aged care workers can access a COVID-19 vaccination
The Department of Health is encouraging all primary care vaccination sites, including general practices and Commonwealth Vaccination Clinics, to make vaccination appointments within seven days of a booking request from residential aged care workers. Please see this factsheet for more details.
Practice incentive payments for holding in-reach clinics
To support primary care vaccination providers to conduct in-reach COVID-19 vaccination clinics, additional funding will be available to primary care vaccination providers who administer an in-reach clinic in a residential aged care or disability care setting from 29 April 2021 until 31 October 2021. Read more here: factsheet
Residents who have not yet received a vaccine
The Department of Health is communicating the following advice to RACFs about residents who have not yet received a vaccine:
There may be instances where existing or new residents have not received a COVID-19 vaccination through the Commonwealth’s in-reach Pfizer vaccine clinics. This could be due to:
- being unwell or absent for the first dose clinic
- not giving consent to receive a vaccine at the first dose clinic
- having moved into the facility after the first or second dose clinic.
This policy document from the Department of Health notes that residents requiring two doses of a COVID-19 vaccine can receive an AstraZeneca vaccine through a:
- general practice
- visiting GP
- Commonwealth Vaccination Clinic (GP respiratory clinic)
- Aboriginal and Torres Strait Islander Community Controlled Health Service
We are receiving numerous enquiries from facilities about doses for residents and staff. We are currently advising them to discuss the option of their visiting GPs administering an Astra Zeneca or Pfizer Vaccine from the GP’s existing allocation as an initial step. If this is option is not possible, please feel free to contact us so that we can explore other approaches.
Additionally, SNHN is offering scholarships for nurses working in RACFs to undertake the nurse immuniser courses, to boost the local workforce longer term.
Please contact us on pcait@snhn.org.au if you have any questions regarding the administration of vaccines to residents in RACFs.
COVID-19 vaccination – New resident entrance protocol flow chart
- Click here to view the flow chart.
Thrombosis with thrombocytopenia syndrome (TTS)
Information for immunisation providers: Thrombosis with Thrombocytopenia Syndrome (TTS) following COVID-19 vaccination
- The above fact sheet contains advice for vaccine providers of COVID-19 vaccines, regarding the link between the AstraZeneca vaccine and a rare new adverse event called thrombosis with thrombocytopenia syndrome (TTS).
Primary care approach to thrombosis with thrombocytopenia syndrome after COVID-19 AstraZeneca vaccine
Update 13th July 2021:
- Please read this ATAGI statement (13th July) on the use of AstraZeneca vaccinations for adults younger than 60 in an outbreak setting where Pfizer (Comirnaty) supply is constrained, plus advice on dosage intervals.
Update 17th June 2021:
ATAGI statement on revised recommendations on the use of COVID-19 Vaccine AstraZeneca, 17 June 2021
ATAGI advises that the Pfizer COVID-19 vaccine (Comirnaty) is preferred over COVID-19 Vaccine AstraZeneca from the age of 16 to under 60 years. This is based on recent data regarding TTS cases in Australia and a reassessment of current age-specific risks and benefits of vaccination.
Please read the full article from the Department of Health here.
Myocarditis and pericarditis
The Product Information (PI) used by healthcare professionals for COMIRNATY has been amended to include safety-related information on myocarditis and pericarditis.
Please read the full media release here (contains link to product information).
Primary care COVID-19 vaccination sites can now choose to transfer AstraZeneca or Pfizer vaccines from one participating vaccination site to another under certain circumstances.
Transfers are the responsibility of the sites to manage (maintaining cold-chain integrity, etc) and must be captured within the weekly Stock Management Report in CVAS (due 9pm Fridays). The Stock Management Report has been updated to allow this.
For full details on transfers, including how the vaccines should be transported, please read the following from the Department of Health:
To enquire about donating or receiving additional vaccines, please contact us at PCAIT@snhn.org.au.
- COVID-19 Vaccines Multicultural Outreach: Stakeholder Pack (Department of Health): click here.
- Contains translated resources explaining recent updates to the COVID-19 vaccine rollout; information on pregnancy and COVID-19 vaccines; videos from community members explaining why they got vaccinated; easy-to-read factsheets and a range of other videos, audio, posters, social media assets and factsheets.
- To help organisations spread the message about vaccination, NSW Health has put together a toolkit that includes in-language resources. Download toolkit here.
The Northern Sydney Local Health District has made a vaccination sedation service available for young individuals requiring sedation to receive a COVID vaccination, located at the Royal North Shore Hospital Child and Adolescent short stay unit.
This service is available for any individual under 15 years and 11 months, however they can prioritise anyone above that age if necessary.
The referral form is to be completed by a GP or carer for patients requiring sedation and returned via email to: NSLHD-VaccinationSedationIntake@health.nsw.gov.au.
COVID-19 information for health professionals
The Sydney North HealthPathways team have completed a rapid localisation of the pathway Coronavirus Disease (COVID-19) Information (including vaccination information). To request access to HealthPathways, or if you have any questions, please contact the HealthPathways Team: healthpathways@snhn.org.au
- The GP COVID clinical advice line allows GP’s to seek clinical advice for escalation and/or referral to Sotrovimab clinic from GPs working in the Virtual Hospital.
- Available from Mon-Fri between 9am-5pm until June 2022.
Phone – 0418 579 373
Email – For referral for monoclonal antibody treatment
– NSLHD-COVID@health.nsw.gov.au
- Mobile medical service for people in isolation due to COVID-19 to access clinical assessment and treatment for COVID and non-COVID related matters.
- Available to all household members at no cost.
- GP referral only via Healthlink, Fax or Phone.
Phone – 0412 617 276
Fax – 02 9216 7677
Healthlink – WISEMEDM
For more information contact SNEOC@snhn.org.au
- Offer social support for individuals in isolation due to COVID-19 to access local support services and community resources
- Provide practical assistance with daily living and lifestyle needs, support to access services etc
- No cost to patient
- Referral required, available at pccs.org.au/chiss
Phone – 9477 8700
Fax – 02 9477 8799
Healthlink – GPSOCIAL
For more information contact SNEOC@snhn.org.au
Updated information and advice for health professionals
- NSW Health guidance (includes FAQs, clinical advice, resources and more)
- Australian Government Department of Health website
- Case numbers, case locations and vaccination numbers
- Home Care Guidelines for Adult Patients with mild COVID-19
- Managing mild COVID-19 at home with assistance from your GP
COVID-19 Infection Control Online Training
This is designed to provide training on protecting yourself and the people you are caring for from infection with COVID-19. The training takes approximately 30 minutes. Training is accessible here.
Supporting people with disabilities during COVID-19
- Helpline to assist health professionals to deliver care to people with a disability (diagnosed with COVID-19 or experiencing symptoms): call 1800 131 330 between 8am – 9pm (AEST), Monday to Friday. Calls will be answered by health professionals with disability service qualifications and experience working with people with disability. More info here.
- Department of Health factsheets
COVID-19 outbreak preparation: Advice for GPs with patients in Aged Care Facilities
Click here to view the tip sheet. This document is the first in a series to support GPs working in residential aged care facilities (RACFs) and is designed to support involvement in RACF COVID-19 ou-break preparedness activities. It incorporates the expertise of a range of stakeholders including our local Emergency Response Outbreak Advisory Group GPs, Dr James Hardy and Prof Sue Kurrle, Geriatricians in Northern Sydney LHD.
Process for Residents Developing COVID-19 Symptoms
During Regular Hours
Northern Sydney Local health District (NSLHD) mobile ‘Swab Team’ is available to attend Residential Aged Care Facilities (RACFs) to complete COVID-19 swabbing. The ‘Swab Team’ can be contacted on 0438 613 273 during these hours:
- Monday to Sunday (7 days)
- 9am – 5pm
After Hours
Outside of these hours, NSLHD does not provide a mobile COVID-19 testing service.
If a RACF resident develops COVID-19 like symptoms outside of these hours, please implement the following recommendations:
-
- Contact the resident’s GP for medical advice and/or follow your usual after hours GP protocols.
- Isolate the resident and implement contact and droplet precautions.
- Utilise appropriate PPE.
- If the resident remains well enough to remain in the RACF, contact the ‘Swab Team’ at 9am the following day.
- If the resident becomes acutely unwell, requiring urgent medical attention, call an ambulance on 000 and advise that the resident is potentially COVID-19 positive.
Guidelines for Aged Care Facilities on COVID-19 outbreaks – Dept of Health
https://www.health.gov.au/resources/publications/coronavirus-covid-19-guidelines-for-outbreaks-in-residential-care-facilities (latest version is available but currently under review by Australian Government Department of Health)
COVID-19 Vaccination for Aged Care Information
- COVID-19 vaccination – Aged care stakeholder kit: https://www.health.gov.au/resources/collections/covid-19-vaccination-aged-care-stakeholder-kit
- Reporting of clinical Incidents
Vaccine Operations Centre (VOC): 1800 318 208 (7 days, 7 am-10 pm AEDT) - Triaging and Directing Enquiries: https://www.health.gov.au/resources/publications/covid-19-vaccination-triaging-process-for-aged-care-facilities
- Aged Care Staff Eligibility Factsheet: https://www.health.gov.au/resources/publications/covid-vaccination-staff-definition-for-phase-1a-inclusion-in-residential-aged-and-disability-care-facilities
- Guidance for monitoring side effects of COVID-19 vaccines: https://www.health.gov.au/resources/publications/covid-19-vaccination-monitoring-and-reporting-side-effects
- COVID-19 vaccination decision guide for frail older people: https://www.health.gov.au/resources/publications/covid-19-vaccination-covid-19-vaccination-decision-guide-for-frail-older-people-including-those-in-residential-aged-care-facilities
- Translated information: https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/covid-19-vaccine-information-in-your-language
- COVID-19 vaccination – Triage process and scenario mapping for residential aged care facilities
Department of Health newsletter for aged care sector
This specific COVID-19-related newsletter ensures those in the aged care sector have access to best-practice information and resources. You can subscribe to the newsletter here or view web versions of past editions here.
Helping patients with Dementia navigate COVID-19
- To find out more click here.
- National Dementia Helpline, 1800 100 500 – for all health professionals supporting people living with dementia, and family carers in need of support during this difficult time.
Information for discharging new and returning residents
https://www.health.nsw.gov.au/Infectious/diseases/Pages/covid-19-discharging-residents.aspx
Flu Vaccination Information for Aged Care Facilities
https://www.health.nsw.gov.au/Infectious/Influenza/Pages/residential-care.aspx
Secondary Triage – Information for Patients and Their Families, and RACF workers
Palliative Care
Advance Care Planning during the time of COVID-19:
https://www.advancecareplanning.org.au/for-health-and-care-workers/covid-19-web#/
Caring at Home package for carers during COVID
Palliative care resources for GPs during COVID-19
https://www.caresearch.com.au/caresearch/tabid/5971/Default.aspx
Respiratory high-risk therapies
The NSW Government’s Agency for Clinical Innovation (ACI) has released some resources on the use of respiratory therapies that generate aerosolised particles. These therapies are capable of transmitting respiratory viruses including COVID-19. For this reason, they are considered high-risk.
The documents, which can be found here, provide some guidance around how to mitigate the risk of these therapies to keep people safe. There are also some alternatives that should be considered. These documents were informed by an evidence review, and developed by experts from the respiratory, intensive care, anaesthetics, paediatrics and infection control disciplines.
- Respiratory physiotherapy
- Nebuliser
- High flow nasal prong oxygen (HFNPO2)
- Non-invasive ventilation (NIV)
From 13 March 2020 to 31 December 2021, new temporary MBS telehealth items have been made available to help reduce the risk of community transmission of COVID-19 and provide protection for patients and health care providers.
- The list of telehealth services has continued to expand since 13 March. The latest factsheet provides details on all current telehealth items.
- The MBS telehealth items are available to GPs, medical practitioners, nurse practitioners, participating midwives and allied health providers.
- Please read the factsheet above for more information (conditions, exceptions, etc).
MBS items for longer telephone consults in hotspot areas
From 16th July 2021, Medicare-supported telephone consultations lasting more than 20 minutes have returned to Commonwealth-declared COVID-19 hotspots.
MBS rebates for Level C telephone consultations with a GP took effect on Friday 16 July. A new MBS item (92746) was introduced for a phone attendance by a GP lasting at least 20 minutes, if the service is performed on a person who is in:
- a COVID-19 Commonwealth declared hotspot
- COVID-19 isolation or quarantine because of a state or territory public health order.
An MBS item for Level C phone attendances by other medical practitioners (92747) is also available.
These items are exempt from the ‘usual medical practitioner’ rule that require a patient to have received a face-to-face consultation from the medical practitioner or the practice in the last twelve months.
Visit MBS Online for more information.
We can help you set up telehealth technology in your practice
SNHN can help primary care practitioners and specialists get set up with a free, fit-for-purpose telehealth solution designed for health professionals. Email your query to digitalhealth@snhn.org.au
Process for prescribing during telehealth consults
The Department of Health has issued a ‘Guide for Prescribers’ fact sheet, containing interim arrangements for prescriptions to support telehealth services.
It contains instructions on how to correctly send prescriptions to pharmacies via email, text message or fax, as well as other guidance on medicine delivery services, and existing prescriptions and repeats.
NSW Government Clinical Excellence Commission
Training, posters and resources on using PPE (fit-testing, PPE, airborne and contact precautions) in response to COVID-19 in NSW (for health professionals). Click here to access.
Video series: how to use personal protective equipment (PPE)
The RACGP has released a handy series of short videos on using personal protective equipment. See below:
View full version here (7 mins)
Other helpful links:
GPs and GPRCs Order Form
Please read the following points to assist you in completing the order form correctly and the relevant sections:
- Section 1: GPs, ACCHSs and GPRCs willing to manage COVID positive patients face-to-face, until 30 September 2022 (please order under Section 1). GPs and GPRCs willing to support COVID positive people virtually, and respiratory patients face-to-face are eligible to access P2/N95 respirators and eye protection, until 30 September 2022 (please order under Section 1(a)) Please note you must not place an order for a practitioner if you have previously ordered PPE items for the same practitioner within the last 4 weeks.
- Section 2: Only complete this section if you have damaged stock.
- Section 3: There is currently one allocation of 10 pulse oximeters per practice managing COVID-positive patients. You will not be eligible for pulse oximeters if you have already placed an order for 10, previously.
- Section 4: Emergency Provision PPE ordered per practice. Emergency Provision PPE can only be accessed where there is no local supply available commercially, or from another State or Territory government scheme, until 30 September 2022
Pharmacy PPE Order Form
This order form is intended to supply approximately one month’s supply of PPE to each pharmacist administering COVID-19 vaccinations Please note you must not place an order for a pharmacist if you have previously ordered PPE items for the same pharmacist within the last 4 weeks.
- Pharmacists must provide PHNs with the APHRA number of the relevant pharmacist (trained to provide Covid vaccinations), for whom the PPE is sought.
- If the pharmacy cannot access PPE through this process, we can proceed with the order. However, Emergency Provision is per Pharmacy not per Pharmacist, eligible for 1 box of surgical masks.
Allied Health PPE Order Form
Emergency Provision PPE can only be accessed by Allied Health professionals where there is no local supply available commercially, or from another State or Territory government schemes. Allied Health Professionals can access the following Emergency Provision PPE: • Surgical masks – (1 box per practice)
- Section 1: Allied Health – Emergency Provision PPE Emergency Provision PPE can only be accessed where there is no local supply available commercially, or from another State or Territory government schemes
Please send your orders to masks@snhn.org.au
Do I need to get tested for COVID-19?
Anyone with COVID-19 symptoms should get tested.
People with coronavirus may experience any of the following:
- fever
- cough
- tiredness (fatigue)
- sore throat
- shortness of breath
- loss of taste or
- loss of smell.
If you have COVID-19 symptoms you can:
- call your GP
- call Healthdirect on 1800 022 222 or use the Healthdirect symptom checker here
- visit a respiratory clinic (see details below)
- visit a NSW Health COVID-19 clinic (see details below)
- In an emergency dial 000
You can use the healthdirect online Coronavirus Symptom Checker tool at the bottom of this section to find out what, if any, actions you need to take to protect yourself and your community.
COVID-19 testing options: what are the differences?
From Respiratory Clinics to self-collection test kits at home, click here to find out which testing option is best for you.
Where can I get tested?
Use the NSW Health ‘COVID-19 clinics’ tool to search for your nearest testing clinic by suburb, postcode or local council.
Click on the image below or here to access the Vaccine Eligibility Checker.
What does it do?
- Helps you check your eligibility for a COVID-19 vaccination
- Lets you know where you can make a booking to receive your vaccination if you’re eligible
You can make an appointment at a local vaccine-providing GP, Mona Vale Hospital, Royal North Shore Hospital, Roseville Vaccination Clinic, or Ryde Vaccination Clinic in the Northern Sydney region, or you can make an appointment at another provider in a different region.
If you are eligible you can filter the results by proximity or earliest available appointment. If you are not yet eligible you can register your interest in receiving a vaccine and you will be notified when there is availability for you.
If you speak a language other than English and would like to check your eligibility and find a vaccination clinic, please follow the instructions below:
- Click here, then select your preferred language.
- Follow the prompts.
If your preferred language is not listed here, you can still call the National Translating and Interpreting Service (call 131 450), who may be able to find an interpreter for you. This interpreter will then interpret a call between you and the National Coronavirus Helpline, so that you can find out your eligibility for a COVID-19 vaccination and find a vaccination clinic.
If you don’t want to use the Vaccine Eligibility Checker above, other ways to make a COVID-19 vaccination booking include:
- finding an AstraZeneca vaccination at a pharmacy: https://www.findapharmacy.com.au/
- calling your GP to see if they offer COVID-19 vaccinations
- finding a vaccination provider on this page: https://www.nsw.gov.au/covid-19/health-and-wellbeing/covid-19-vaccination-nsw/get-your-covid-19-vaccination-nsw
About COVID-19 vaccinations
Australia’s COVID-19 vaccination program will commence with priority population groups. Find out more about the national roll-out strategy here.
- Why should I get vaccinated for COVID-19?
- COVID-19 vaccines – Is it true? – your questions and concerns answered.
- Statement on COVID-19 AstraZeneca vaccine advice from ATAGI
- FAQs about ATAGI advice that Pfizer COVID-19 vaccination is recommended for people under 60 years
- Factsheet: Weighing up the potential benefits against risk of harm from AstraZeneca COVID-19 vaccine
Find information on COVID-19 vaccines for…
- priority groups and when you will receive the COVID-19 vaccine: click here
- pregnant and breastfeeding women: click here
- Aboriginal and Torres Strait Islander peoples: click here
- people with a disability: click here
- people with chronic health conditions: click here
- aged care residents and their families: click here
- frail older people, incl. those in residential aged care facilities (information about COVID-19 vaccines and vaccination decisions): click here
- children aged under 12 years: click here
Before vaccination
- For information on what to do before you get vaccinated click here.
- COVID-19 Vaccination Consent Form
After vaccination
- COVID-19 Vaccine Side Effect Checker
- Find out what you need to do after you are vaccinated for COVID-19
What is the difference between a third primary dose and a booster dose?
Third primary dose
Some people who are severely immunocompromised should have a third dose of the vaccine to achieve the same level of immunity as the general population. An mRNA vaccine (Pfizer or Moderna) is preferred to Vaxzevria (AstraZeneca) for this third dose. Read more about third doses of the vaccine.
Booster dose
A booster dose is recommended to maintain immunity against COVID-19. It increases your protection against:
- infection with the virus that causes COVID-19
- severe disease
- dying from COVID-19.
Read more about booster doses here and see if you are eligible.
Third doses and booster doses are available now and free for everyone.
Update 17th June 2021:
ATAGI statement on revised recommendations on the use of COVID-19 Vaccine AstraZeneca, 17 June 2021
ATAGI advises that the Pfizer COVID-19 vaccine (Comirnaty) is preferred over COVID-19 Vaccine AstraZeneca from the age of 16 to under 60 years. This is based on recent data regarding TTS cases in Australia and a reassessment of current age-specific risks and benefits of vaccination.
Please read the full article from the Department of Health here.
The Therapeutic Goods Administration have created a COVID-19 vaccine information page for consumers and health professionals which answers common questions about how the TGA assesses and monitors a vaccine for safety, quality and effectiveness.
You can get an immunisation history statement or digital certificate to show proof of your coronavirus (COVID-19) vaccinations. Click here to find out how.
The Northern Sydney Local Health District has made a vaccination sedation service available for young individuals requiring sedation to receive a COVID vaccination, located at the Royal North Shore Hospital Child and Adolescent short stay unit.
This service is available for any individual under 15 years and 11 months, however they can prioritise anyone above that age if necessary.
The referral form is to be completed by a GP or carer for patients requiring sedation and returned via email to: NSLHD-VaccinationSedationIntake@health.nsw.gov.au.
If you’ve received a TGA-approved or TGA-recognised COVID-19 vaccine outside of Australia, and you received it on or after 1 October 2020, you can have it recorded on the Australian Immunisation Register (the AIR) when you return to Australia. It will then appear on all of the following:
- your COVID-19 digital certificate
- your International COVID-19 Vaccination Certificate
- your immunisation history statement.
Find more details here about having your COVID vaccines recorded on the AIR: https://www.servicesaustralia.gov.au/individuals/subjects/getting-help-during-coronavirus-covid-19/covid-19-vaccinations/how-get-help-proof/help-adding-overseas-vaccinations
COVID-19 information for community members
Where can I find trusted sources of information?
Whilst media coverage of COVID-19 can help you feel informed, it can also trigger feelings of anxiety and agitation. To stay up to date with accurate, factual information you can access:
- NSW Government COVID-19 webpage: gov.au/covid-19
- Service NSW App (available in the Apple App Store or Google Play)
- The Australian Government Department of Health Coronavirus Australia App (available in the Apple App Store or Google Play)
- The Australian Government’s WhatsApp channel on iOS or Android for official advice and information in real-time
- Australian Government Department of Health website: health.gov.au
Sometimes the information provided by the NSW Ministry of Health and Australian Government Department of Health may differ. This is because the NSW Government provides information specifically for NSW, which has the highest number of confirmed cases of COVID-19. The Australian Government provides information which is relevant for the whole of Australia – as a result, their messages may not be identical.
Multilingual Resources
NSW Health COVID-19 Information and resources in languages other than English
COVID-19 in-language resources from NSW Multicultural Health Communication Service
Translated resources for health workers and communities
Information from the Australian Government in your language Find information on health, education, business and financial support, visas and the border during the COVID-19 pandemic.
SBS Radio Coronavirus Information in Your Language
Australian Government Department of Health COVID-19 Fact Sheets
COVID-19 – What you need to know
COVID-19 – Information on social distancing
COVID-19 – Information about routine environmental cleaning and disinfection in the community
NSW Health and Australian Government Department of Health Information
NSW Health Novel coronavirus FAQs
Australian Government Department of Health Novel coronavirus (2019-nCoV) Information
Healthdirect
healthdirect website coronavirus (COVID-19) hub – first point of reference for reliable information about COVID-19
healthdirect Symptom Checker – an online tool that allows people to check their symptoms using a simple self-guided process.
Supporting people with disabilities during COVID-19
Person-centred emergency preparedness planning for COVID-19
- information on how to assist people with disability in planning for how they will manage the impacts of the pandemic
Coronavirus (COVID-19) hospital companion for people with disability
- information on how to assist a person with disability if they need to go to hospital
Coronavirus (COVID-19) – Information for Families
- information for families of a person with intellectual or developmental disability during the COVID-19 pandemic
Information for Disability Support Providers and Workers
- information and guidance for disability support providers and workers who provide health care to people with intellectual or developmental disability
Guide to personal protective equipment (PPE) for disability care providers
- information and guidance for disability care providers on the use of PPE
- information on who should be tested, where testing can be done, and how to explain the testing process to a person with disability
Do I need to get tested for COVID-19?
Anyone with COVID-19 symptoms should get tested.
People with coronavirus may experience any of the following:
- fever
- cough
- tiredness (fatigue)
- sore throat
- shortness of breath
- loss of taste or
- loss of smell.
If you have COVID-19 symptoms you can:
- call your GP
- call Healthdirect on 1800 022 222 or use the Healthdirect symptom checker here
- visit a respiratory clinic (see details below)
- visit a NSW Health COVID-19 clinic (see details below)
- In an emergency dial 000
You can use the healthdirect online Coronavirus Symptom Checker tool at the bottom of this section to find out what, if any, actions you need to take to protect yourself and your community.
COVID-19 testing options: what are the differences?
From Respiratory Clinics to self-collection test kits at home, click here to find out which testing option is best for you.
Where can I get tested?
Use the NSW Health ‘COVID-19 clinics’ tool to search for your nearest testing clinic by suburb, postcode or local council.
Self-isolate when you have a COVID-19 test, are diagnosed with COVID-19, or have been told you are a close or casual contact of a confirmed COVID-19 case.
Self-isolation periods and testing requirements differ based on exposure and vaccination status.
For full details, including how you will find out if you are a close contact, please see the following links:
Have you been informed that you are a close contact of someone with COVID-19? Find out what to do next.
It is important to ensure you are still taking care of your health during this unprecedented time. GPs and Allied Health Practitioners are here for you during COVID-19.
Practices are taking extra measures to ensure patient welfare, so it is still safe to visit your GP, Physio, Podiatrist or Dietician.
If you have a chronic disease, or if you are concerned about a change to your health, you must visit a health professional.
You can contact your local practice to book a face-to-face appointment or arrange a telehealth consultation over the phone.
The following videos have been designed to provide you with further information about using health care services during COVID-19.
It is safe to return to your GPs, specialists, allied health professionals and hospitals during this time to receive regular healthcare.
Geriatrician, Professor Sue Kurrle, tells us why older Australians should look after their health in the times of COVID-19. It is safe to return to your GPs, specialists, allied health professionals and hospitals during this time to receive regular healthcare.
RACGP President, Dr Harry Nespolon shares the importance of maintaining your healthcare appointments during COVID-19.
Clinical and Counselling Psychologist, Ros Knight, shares the importance of looking after your physical and mental health in the times of COVID-19.
Local GP, Professor Simon Willcock shares the importance of maintaining your regular health check-ups during COVID-19.
To help stop the spread of COVID-19 everyone should:
- Find out what you can and can’t do in NSW under the new laws.
- Practice good hygiene measures
– make sure you clean your hands thoroughly for at least 20 seconds with soap and water, or an alcohol-based hand rub
– cover your nose and mouth when coughing and sneezing with tissue or a flexed elbow
– avoid close contact with anyone with cold or flu-like symptoms
– clean and disinfect your home or business to help to prevent the virus from spreading from contaminated surfaces
– stay at home if you feel unwell or are experiencing any symptoms - Practice social distancing – You should stay at least 1.5m away from others. Avoid physical greetings of any kind such as hugs or handshakes. Read more here.
- Wear a mask in some situations – The NSW Government is strongly encouraging greater use of masks in high-risk public settings to help prevent the spread of COVID-19. The advice from the NSW Chief Health Officer Dr Kerry Chant specifically recommends:
-
- the use of face masks in indoor settings where physical distancing is hard to maintain, such as on public transport or in supermarkets
- the use of face masks (where practical) in indoor settings with a higher risk of transmission, such as for the staff of hospitality and customer-facing venues i.e. cafes, restaurants, pubs and clubs
- during attendance at places of worship.
For a quick guide on how to wear a mask, click here. (NB: this resource is available on 67 other languages here.)
-
Some people should:
- Self-isolate – If you have been diagnosed with COVID-19 you must separate yourself from other people to prevent the spread of the virus for 14 days. Click here for more information on self-isolating.
- Self-quarantine – If there is potential that you are carrying the virus because you have returned from overseas or have been in contact with someone who has a confirmed case of COVID-19 you must also avoid contact with other people for 14 days.
Find information on self-quarantining if you have been overseas
Self-quarantining information if you are a close contact of a confirmed case
Mental and Emotional Wellbeing
Many aspects of life are affected by a pandemic. Most people have little experience of an event like COVID-19 and it can be quite overwhelming when your health, social life, employment and financial situation are impacted. It is important to look after your mental health during this time. You can do this by:
- Spending time outside during the day if possible – fresh air and daylight will help you sleep and improve your overall mood.
- While it’s normal to feel anxious or uncertain during this time, you can seek help if these feelings start to affect your everyday functioning. There are a number of free support services, resources and mobile apps available:
- Head to Health Pop Up
- Coronavirus Mental Wellbeing Support Service (BeyondBlue): support via phone, web chat, community forum, and suicide & crisis support
- Black Dog Institute
- Healthy Minds Digital Coach
- COVID-19 – Look after your mental health during the COVID-19 (coronavirus) pandemic document
Also available in Arabic, Armenian, Assyrian, Bangla, Burmese, Croatian, Dari, Dinka, Farsi, French, Greek, Indonesian, Italian, Japanese, Khmer, Korean, Kurdish-Kurmanji, lao, Macedonian, Mongolian, Nepali, Polish, Portuguese, Punjabi, Russian, Simplified Chinese, Serbian, Spanish. Swahili, Tamil, Traditional Chinese, Thai, Turkish, Urdu,Vietnamese - Remember – stay on top of the facts, but limit your exposure to the hype!
Physical care
Nutrition
- Eating balanced, nutritious meals will help your immune system defend itself, as well as recover if you become unwell.
- Limit your intake of sugary food, drinks and alcohol to help improve your body’s immune system. Read more about the importance of moderating alcohol consumption.
- Drink plenty of water to maintain your hydration levels
- For more information on nutrition and COVID-19, see:
Exercise
Although it is may be more challenging to stay fit when self-quarantining, daily exercise is critical to overall physical and mental health. You could take up running, yoga, or other home workouts. There are many free online guides and mobile apps to guide you through home workouts. Some of these include:
- Home workouts from accredited exercise professionals
- How to stay fit and active at home during the coronavirus self-isolation
- Exercise at home for over 50s, 60s, 70s and older
Temporary changes to cancer-screening programs
During lockdowns, some of the three national cancer-screening programs may be temporarily suspended. For more information, see the websites below:
- Breast screening NSW (currently suspended)
- Bowel screening
- Cervical screening
What if I need to see a doctor?
If you need to see a doctor, call (don’t visit) your local practice. The staff will help you decide whether you require a face-to-face consultation, or a consultation over the phone or by video (‘telehealth’).
- Telehealth is designed to protect you, your GP and the wider community by reducing the number of people visiting GP waiting rooms, where the virus could potentially spread
- If you have symptoms such as fever, shortness of breath, headache, cough, sore throat or muscle aches, your doctor may refer you to a Respiratory Clinic or an Emergency Department. If you need a prescription your doctor will send this directly to your local pharmacy where you can collect it, or your pharmacy may be able to deliver to your home.
The Home Medicines Service is available for people in home isolation and for vulnerable patient groups who wish to limit their potential exposure to novel coronavirus (COVID-19) in the community. For more information click here.
Domestic violence and homelessness services
Domestic Violence Services NSW
Services for older Australians
- Older or vulnerable people can contact Service NSW on 13 77 88 or visit nsw.gov.au/. This service provided daily check-in phone calls and can assist with making arrangements for grocery shopping, medication and other tasks if needed.
- The Older Persons COVID-19 Support Line (1800 171 866) is an important first step for any older Australians who need support or assistance. Call Monday to Friday, except public holidays, from 8.30am to 6pm.
Financial assistance
- As this is a difficult time for local businesses, consider checking in with business owners. If you (or someone you know) are experiencing difficulties with your business due to COVID-19, you can access a number of support resources:
Resources for businesses in regards to COVID-19 vaccination
The NSW Government has prepared a series of resources covering what businesses need to know:
ATAGI Site Requirements for COVID-19 Vaccination in Community Pharmacies
The following site readiness requirements for COVID-19 vaccination in community pharmacies have been developed by the Australian Government in consultation with expert advice from the Australian Technical Advisory Group on Immunisation (ATAGI) and standards outlined in the Australian Immunisation Handbook. Identified/participating community pharmacies must confirm compliance with the minimum requirements outlined in the below requirements prior to delivery of vaccine doses. Find requirements here: https://www.health.gov.au/resources/publications/covid-19-vaccination-site-requirements-for-covid-19-vaccination-in-community-pharmacies
NSW Pharmacist Vaccination Standards
The NSW Pharmacist Vaccination Standards have been further updated and published on the NSW Health website.
Online Training Resources
- WEBINAR: The Pharmacy Guild of Australia – COVID-19 Vaccination: What do we know so far?
- MODULE: Vaccine Storage and Cold Chain Management
- DOCUMENT: Anaphylaxis after vaccination
- VIDEO: NCIRS Shoulder injury related to vaccine administration (SIRVA) presentation
It is a requirement for pharmacists involved in the administration of the COVID-19 vaccine to have completed the COVID-19 Vaccination Training Program. This is to ensure vaccination providers are competent in the safe management and administration of COVID-19 vaccines.
The training content is delivered via an e-learning platform at no cost which you can access and complete by visiting covid19vaccinationtraining.org.au.
Training is also available for non-clinical and administration staff and can access the non-clinical modules which cover the handling, storage and communication around the COVID-19 Vaccine.
Information on Vaxzevria (AstraZeneca) vaccine
Information on Spikevax (Moderna) vaccine
Information on Comirnaty (Pfizer) vaccine
Booking and patient management systems
Participating community pharmacies will be vaccinating patients in Phase 2a of the national COVID19 vaccine rollout. Particpating pharmacies will receive vaccine stock and access to the National Booking System, which is currently being developed by Health Engine as the Government’s chosen vendor. If pharmacies already have a booking/management system in place, that can also be used as majority of vendors integrate with the Australian Immunisation Register (AIR).
HealthEngine to build COVID-19 National Booking System
The Department of Health has selected HealthEngine to build the booking platform that will underpin the federal government’s Covid-19 vaccination information and booking service. The platform, which is expected to be up and running in time for the next phase of the vaccine rollout in the coming weeks, will allow patients to locate and book appointments with clinics. Pharmacies, general practices and state-run vaccination clinics, will be able to use the platform where they do not already have a booking system in place.
| Benefits | Cost | |
|---|---|---|
| Go Bookings/Vaccine Connect | Integrates with AIR. Payment can be made online. Management of bookings, including walk ins. Can add multiple services. SMS reminders. Voucher management system. Multi-dose booking function. Inventory management. Ability to disable services e.g., flu vaccines when stock is low. | $100 per month. $250 once off activation fee. |
| HealthEngine | Integrates with AIR via Med Advisor. Voucher management system. Online pre-screening forms. Recall system to remind patients of subsequent vaccine dose. SMS reminders. Payment can be made online or instore. Management of bookings, including walk ins. Electronic recording of vaccination encounters. Ability to manage appointment availability. Can add multiple services. Ability to disable services e.g., flu vaccines when stock is low. | $85 per month. $125 once off activation fee. Provide ongoing support. Can provide training sessions. |
| GuildCare NG | Integrates with AIR. Integrated with more than 10 dispensing vendors. Subscription includes myPharmacyLink – medication management app for patients. Manage service appointments via inbuilt calendar. Select dates and times services are available. Ability to disable services e.g., flu vaccines when stock is low. SMS reminders. User guides and training videos. Generates unique link to be shared with customers to book online. | Guild Members: Annual – $1644.50 Monthly – $146.30 Non-Guild Members: Annual – $2194.50 Monthly - $192.13 |
PRODA is an online authentication system providers use to securely access government online services such the Australian Immunisation Register (AIR) and Health Professionals online Services (HPOS).
A PRODA account can be created by visiting the PRODA registration page here and selecting Register Now. You’ll need to complete the following steps:
- Create your account – you will need to provide personal details, create a username and password, and verify your email address.
- Verify your identity – you will need to verify your identity online using Government-issued identity documents e.g Australian Passport, Medicare card. A list of documents accepted can be viewed here.
- Link existing records – to gain access to services you’re eligible for as an individual such as HPOS, you’ll need to link your PRODA account to the service by clicking on the tile and enter any relevant details.
Recognised vaccination providers and administrators can use the AIR site through HPOS to record immunisation details for individuals, view and print immunisation history statements, request reports and update their contact details.
To download and print an immunisation history statement, please follow instructions here
OR
view our guide here.
NSW Health has developed a procedures guide around the cold chain management of the COVID-19 Vaccine AstraZeneca. This guide describes the process of receiving, storing, and administrating a COVID-19 vaccine. Click here to view.
Other useful resources
- Vaccine Refrigerator Protocol
- Cold Chain Breach and Vaccine Wastage Reporting Form
- NSW Cold Chain Breach Protocol
- Cold Chain Toolkit
- Strive for 5 guidelines
Click here to download the above infographic.
For Patients
- Display signage/posters in the pharmacy to encourage patients with symptoms to identify themselves early to pharmacy staff so they can be triaged accordingly. Signage is available from NSW Health.
- Display signage/posters to encourage patients with symptoms to seek testing for COVID-19.
- Encourage physical distancing of 1.5 metres where possible, for example through floor markings and barriers to create space at counters, seated areas, etc. Speak to patients from a safe distance to avoid contact with respiratory droplets.
- Put alcohol-based hand rub dispensers in prominent places around the pharmacy, including the entrance and at counters where surfaces are touched.
- Inform patients of places where they can wash their hands with soap and water (for a minimum of 20 seconds).
For Staff
- Be familiar with your pharmacy’s COVID-19 Safety Plan.
- Don’t go to work if you have one or more COVID-19 symptoms. Make alternative arrangements with your workplace and get tested as soon as possible. Do not return to work until you receive a negative test result and are feeling well.
- Staff who are close or casual contacts should only return to work when advised by NSW Health.
- Know where the nearest COVID-19 testing clinics are located and encourage patients seeking cold and flu preparations to get tested.
- Follow patient screening protocols and be prepared to follow the steps to minimise COVID-19 risk if providing services to a patient who has COVID-19 symptoms.
- Be ready to respond to enquiries about COVID-19 vaccinations by referring to COVID-19 vaccination in NSW and COVID-19 vaccination FAQs .
- Practise effective hand hygiene, wash hands thoroughly or use an alcohol-based hand rub throughout the work day and avoid touching your face as much as possible.
- Keep a distance of 1.5 metres between staff and patients where possible.
- Limit the number of people in the consultation room to the pharmacist, patient, and carer (where necessary).
- Wear a mask if you are in an area where there is active or recent community transmission, if providing services to a patient with an acute respiratory condition, or if otherwise indicated by NSW Health.
- Pharmacists undertaking direct clinical services (e.g. vaccination or examining a skin rash) should follow standard precautions – personal protective equipment, such as a mask or gloves, would not be required routinely unless there is a risk of exposure to blood or body substances. Hand hygiene remains the cornerstone of infection prevention. Wearing gloves is not a substitute for hand hygiene.
For Managers
- It is recommended that community pharmacies have a COVID-19 Safety Plan. A template plan is available. This plan should consider the unique circumstances and location of the business, and routinely be reviewed and updated.
- Ensure patient screening processes are understood and followed by all staff.
- Incorporate recommendations on infection prevention into each step of service models. This includes handwashing facilities, hand sanitiser provision, physical distancing and wearing masks.
- If there is active community transmission, NSW Health strongly recommends that pharmacists and staff working directly with patients wear masks. Pharmacies should consider the Clinical Excellence Commission advice on when healthcare workers in different contexts should wear masks.
- Staff who are close or casual contacts must follow NSW Health advice and only return to work when advised by NSW Health.
- Prepare staff to refer patients to information about how NSW is implementing parts of the Australian COVID-19 vaccine program.
- Encourage staff to get vaccinated for influenza when vaccines become available next flu season. This is to protect themselves, their families and vulnerable patients from seasonal flu.
Cleaning and Waste Management
Key recommendations for pharmacies include:
– increasing the frequency of environmental cleaning, particularly high touch surfaces like benchtops and handles
– timing scheduled appointments to support physical distancing and appropriate cleaning of surfaces
– ensuring closed bins are provided for safe disposal of tissues by staff and patients.
Cleaning and waste management should be included in the pharmacy’s COVID-19 Safety Plan (recommended). A template plan is available for use.
You can view your customer’s immunisation status by accessing the “Immunisation view” from their My Health Record via your conformant dispensing software or the National Provider Portal. The immunisation details in their My Health Record are directly from AIR.
The immunisation view will inform you when their next immunisation(s) due and their status for the COVID-19 vaccine. Below is a snapshot of a consolidated view of the Immunisation document in a customer’s MHR:
NOTE: Under the My Health Record Act 2012, as a healthcare provider you have the right to access and view the My Health Record of a customer you are providing care for. This means you do not need to obtain consent prior to accessing and uploading information when providing services to the customer.
If you need help viewing your customer’s immunisation record, please contact digitalhealth@snhn.org.au.
Preparing an anaphylaxis response kit (click here to download PDF)
Managing anaphylaxis after vaccination (click here to download PDF)
NSW Health info sheet: anaphylaxis after vaccination
This NSW Health information sheet covers:
- signs and symptoms
- managing anaphylaxis
- risk factors for fatal anaphylaxis
All uncommon, serious or unexpected Adverse Event Following Immunisations (AEFIs) should be reported to your local public health unit.
To report a suspected AEFI, please complete the National Adverse Events Following Immunisation (AEFI) Reporting Form and contact your local Public Health Unit on 1300 066 055.
Further information: NSW Health – what is an AEFI?
ATAGI Site Requirements for COVID-19 Vaccination in Community Pharmacies
The following site readiness requirements for COVID-19 vaccination in community pharmacies have been developed by the Australian Government in consultation with expert advice from the Australian Technical Advisory Group on Immunisation (ATAGI) and standards outlined in the Australian Immunisation Handbook. Identified/participating community pharmacies must confirm compliance with the minimum requirements outlined in the below requirements prior to delivery of vaccine doses. Find requirements here: https://www.health.gov.au/resources/publications/covid-19-vaccination-site-requirements-for-covid-19-vaccination-in-community-pharmacies
NSW Pharmacist Vaccination Standards
The NSW Pharmacist Vaccination Standards have been further updated and published on the NSW Health website.
Online Training Resources
- WEBINAR: The Pharmacy Guild of Australia – COVID-19 Vaccination: What do we know so far?
- MODULE: Vaccine Storage and Cold Chain Management
- DOCUMENT: Anaphylaxis after vaccination
- VIDEO: NCIRS Shoulder injury related to vaccine administration (SIRVA) presentation
It is a requirement for pharmacists involved in the administration of the COVID-19 vaccine to have completed the COVID-19 Vaccination Training Program. This is to ensure vaccination providers are competent in the safe management and administration of COVID-19 vaccines.
The training content is delivered via an e-learning platform at no cost which you can access and complete by visiting covid19vaccinationtraining.org.au.
Training is also available for non-clinical and administration staff and can access the non-clinical modules which cover the handling, storage and communication around the COVID-19 Vaccine.
Information on Vaxzevria (AstraZeneca) vaccine
Information on Spikevax (Moderna) vaccine
Information on Comirnaty (Pfizer) vaccine
Booking and patient management systems
Participating community pharmacies will be vaccinating patients in Phase 2a of the national COVID19 vaccine rollout. Particpating pharmacies will receive vaccine stock and access to the National Booking System, which is currently being developed by Health Engine as the Government’s chosen vendor. If pharmacies already have a booking/management system in place, that can also be used as majority of vendors integrate with the Australian Immunisation Register (AIR).
HealthEngine to build COVID-19 National Booking System
The Department of Health has selected HealthEngine to build the booking platform that will underpin the federal government’s Covid-19 vaccination information and booking service. The platform, which is expected to be up and running in time for the next phase of the vaccine rollout in the coming weeks, will allow patients to locate and book appointments with clinics. Pharmacies, general practices and state-run vaccination clinics, will be able to use the platform where they do not already have a booking system in place.
| Benefits | Cost | |
|---|---|---|
| Go Bookings/Vaccine Connect | Integrates with AIR. Payment can be made online. Management of bookings, including walk ins. Can add multiple services. SMS reminders. Voucher management system. Multi-dose booking function. Inventory management. Ability to disable services e.g., flu vaccines when stock is low. | $100 per month. $250 once off activation fee. |
| HealthEngine | Integrates with AIR via Med Advisor. Voucher management system. Online pre-screening forms. Recall system to remind patients of subsequent vaccine dose. SMS reminders. Payment can be made online or instore. Management of bookings, including walk ins. Electronic recording of vaccination encounters. Ability to manage appointment availability. Can add multiple services. Ability to disable services e.g., flu vaccines when stock is low. | $85 per month. $125 once off activation fee. Provide ongoing support. Can provide training sessions. |
| GuildCare NG | Integrates with AIR. Integrated with more than 10 dispensing vendors. Subscription includes myPharmacyLink – medication management app for patients. Manage service appointments via inbuilt calendar. Select dates and times services are available. Ability to disable services e.g., flu vaccines when stock is low. SMS reminders. User guides and training videos. Generates unique link to be shared with customers to book online. | Guild Members: Annual – $1644.50 Monthly – $146.30 Non-Guild Members: Annual – $2194.50 Monthly - $192.13 |
PRODA is an online authentication system providers use to securely access government online services such the Australian Immunisation Register (AIR) and Health Professionals online Services (HPOS).
A PRODA account can be created by visiting the PRODA registration page here and selecting Register Now. You’ll need to complete the following steps:
- Create your account – you will need to provide personal details, create a username and password, and verify your email address.
- Verify your identity – you will need to verify your identity online using Government-issued identity documents e.g Australian Passport, Medicare card. A list of documents accepted can be viewed here.
- Link existing records – to gain access to services you’re eligible for as an individual such as HPOS, you’ll need to link your PRODA account to the service by clicking on the tile and enter any relevant details.
Recognised vaccination providers and administrators can use the AIR site through HPOS to record immunisation details for individuals, view and print immunisation history statements, request reports and update their contact details.
To download and print an immunisation history statement, please follow instructions here
OR
view our guide here.
NSW Health has developed a procedures guide around the cold chain management of the COVID-19 Vaccine AstraZeneca. This guide describes the process of receiving, storing, and administrating a COVID-19 vaccine. Click here to view.
Other useful resources
- Vaccine Refrigerator Protocol
- Cold Chain Breach and Vaccine Wastage Reporting Form
- NSW Cold Chain Breach Protocol
- Cold Chain Toolkit
- Strive for 5 guidelines
Click here to download the above infographic.
For Patients
- Display signage/posters in the pharmacy to encourage patients with symptoms to identify themselves early to pharmacy staff so they can be triaged accordingly. Signage is available from NSW Health.
- Display signage/posters to encourage patients with symptoms to seek testing for COVID-19.
- Encourage physical distancing of 1.5 metres where possible, for example through floor markings and barriers to create space at counters, seated areas, etc. Speak to patients from a safe distance to avoid contact with respiratory droplets.
- Put alcohol-based hand rub dispensers in prominent places around the pharmacy, including the entrance and at counters where surfaces are touched.
- Inform patients of places where they can wash their hands with soap and water (for a minimum of 20 seconds).
For Staff
- Be familiar with your pharmacy’s COVID-19 Safety Plan.
- Don’t go to work if you have one or more COVID-19 symptoms. Make alternative arrangements with your workplace and get tested as soon as possible. Do not return to work until you receive a negative test result and are feeling well.
- Staff who are close or casual contacts should only return to work when advised by NSW Health.
- Know where the nearest COVID-19 testing clinics are located and encourage patients seeking cold and flu preparations to get tested.
- Follow patient screening protocols and be prepared to follow the steps to minimise COVID-19 risk if providing services to a patient who has COVID-19 symptoms.
- Be ready to respond to enquiries about COVID-19 vaccinations by referring to COVID-19 vaccination in NSW and COVID-19 vaccination FAQs .
- Practise effective hand hygiene, wash hands thoroughly or use an alcohol-based hand rub throughout the work day and avoid touching your face as much as possible.
- Keep a distance of 1.5 metres between staff and patients where possible.
- Limit the number of people in the consultation room to the pharmacist, patient, and carer (where necessary).
- Wear a mask if you are in an area where there is active or recent community transmission, if providing services to a patient with an acute respiratory condition, or if otherwise indicated by NSW Health.
- Pharmacists undertaking direct clinical services (e.g. vaccination or examining a skin rash) should follow standard precautions – personal protective equipment, such as a mask or gloves, would not be required routinely unless there is a risk of exposure to blood or body substances. Hand hygiene remains the cornerstone of infection prevention. Wearing gloves is not a substitute for hand hygiene.
For Managers
- It is recommended that community pharmacies have a COVID-19 Safety Plan. A template plan is available. This plan should consider the unique circumstances and location of the business, and routinely be reviewed and updated.
- Ensure patient screening processes are understood and followed by all staff.
- Incorporate recommendations on infection prevention into each step of service models. This includes handwashing facilities, hand sanitiser provision, physical distancing and wearing masks.
- If there is active community transmission, NSW Health strongly recommends that pharmacists and staff working directly with patients wear masks. Pharmacies should consider the Clinical Excellence Commission advice on when healthcare workers in different contexts should wear masks.
- Staff who are close or casual contacts must follow NSW Health advice and only return to work when advised by NSW Health.
- Prepare staff to refer patients to information about how NSW is implementing parts of the Australian COVID-19 vaccine program.
- Encourage staff to get vaccinated for influenza when vaccines become available next flu season. This is to protect themselves, their families and vulnerable patients from seasonal flu.
Cleaning and Waste Management
Key recommendations for pharmacies include:
– increasing the frequency of environmental cleaning, particularly high touch surfaces like benchtops and handles
– timing scheduled appointments to support physical distancing and appropriate cleaning of surfaces
– ensuring closed bins are provided for safe disposal of tissues by staff and patients.
Cleaning and waste management should be included in the pharmacy’s COVID-19 Safety Plan (recommended). A template plan is available for use.
You can view your customer’s immunisation status by accessing the “Immunisation view” from their My Health Record via your conformant dispensing software or the National Provider Portal. The immunisation details in their My Health Record are directly from AIR.
The immunisation view will inform you when their next immunisation(s) due and their status for the COVID-19 vaccine. Below is a snapshot of a consolidated view of the Immunisation document in a customer’s MHR:
NOTE: Under the My Health Record Act 2012, as a healthcare provider you have the right to access and view the My Health Record of a customer you are providing care for. This means you do not need to obtain consent prior to accessing and uploading information when providing services to the customer.
If you need help viewing your customer’s immunisation record, please contact digitalhealth@snhn.org.au.
Preparing an anaphylaxis response kit (click here to download PDF)
Managing anaphylaxis after vaccination (click here to download PDF)
NSW Health info sheet: anaphylaxis after vaccination
This NSW Health information sheet covers:
- signs and symptoms
- managing anaphylaxis
- risk factors for fatal anaphylaxis
All uncommon, serious or unexpected Adverse Event Following Immunisations (AEFIs) should be reported to your local public health unit.
To report a suspected AEFI, please complete the National Adverse Events Following Immunisation (AEFI) Reporting Form and contact your local Public Health Unit on 1300 066 055.
Further information: NSW Health – what is an AEFI?