COVID-19 Acute Addendum Archive

COVID-19 Acute Addendum Archives

Version

Date

Summary of changes

Version 1.0

26/10/2020

First publication

Version 1.1

28/10/2020

Update to section 5.7 ‘Safe Management of the Care Environment’ to reflect detail of 2nd daily clean.

Update to section 5.5 ‘Personal Protective Equipment’ to be more explicit.

Version 1.2

06/11/2020

Update to align references to changing of facemasks between pathways.

Version 1.3

20/11/2020

New section on communications when transferring a suspected/confirmed case

New section on car sharing

New section on visiting

Update to definition of recovered patient

Version 1.4

09/12/2020

New section on PPE requirements for delivery of vaccinations

New section on outbreaks

Version 1.5

17/12/2020

New section on COVID-19 testing

New section on Patients returning from weekend/day pass

New section on Whole Genome Sequencing (WGS)

Link to RCPCH paediatric guidance for pre-operative admission assessment and testing requirements

New FRSM poster (ways to improve fit)

Version 1.6

23/12/2020

Update to 5.0.3 to reflect changes in stepdown guidance

Inclusion of SG link to asymptomatic staff testing information

New section on 5.1.1  Non-COVID patient transfers between different wards and hospitals

Version 1.7

22/01/2021

Update to the COVID-19 testing section and associated testing table

New section on guidance for the Discontinuation of Infection control precautions and discharging COVID-19 patients from hospital

Update to PPE guidance specifically in relation to visors

New section on the hierarchy of controls

Version 1.8

18/02/2021

Update to resources and Rapid reviews content

Additional wording added to definition of suspected case section to reflect wide variety of presenting symptoms

Strengthening of triage question relating to travel history

Additional paragraph in PPE section reinforcing need for visiting staff to seek clarity on patient pathway and PPE requirements prior to patient contact

Version 1.9

26/03/2021

Sessional PPE use no longer accepted beyond eye protection in the high risk pathway and FRSMs across all pathways.

Update to stepdown requirement for inpatient table to recognise need for clinical assessment

Useful tools section

Version 2.0

07/05/2021

Environmental risk assessment

Version 2.1

14/05/2021

Change to AGP list to remove upper airway suctioning during Upper GI Endoscopy and replace with suctioning beyond the oro-pharynx.

Version 2.2

18/05/2021

Update to COVID-19 testing table to reflect the need to test all contacts of confirmed cases.

Version 2.3

25/06/2021

Update to PPE table to emphasise Risk Assessment in low and medium risk pathway

Addition of risk associated with valved respirators

Change in controls for management of linen, waste and environmental cleaning from TBPs to SICPs within the Medium Risk pathway

Version 2.4

8/7/2021

5.2 COVID-19 testing.  Update made to include 'or the first positive test, if asymptomatic or other symptoms, unless they develop new possible COVID-19 symptoms' regarding any patient who has previously tested positive for SARS-CoV-2 by PCR.

5.3.8 Update to table 2 - stepdown table for 'Patient discharging to a care facility including nursing homes and residential homes'

5.3.8 Inclusion of section on 'Patients discharged from hospital to a care home (non-COVID-19)

Version 2.5

19/7/2021

Update to Hierarchy of control including risk assessment algorithm

Inclusion of a specific paragraph advising on the use of FFP3 masks

Version 2.6

30/8/2021

Update to physical distancing

 

29/11/2021

Replaced by Version 1.0 of the respiratory addendum