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Version 1.0
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07/01/2021
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First version
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Version 1.1
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25/01/2021
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Addition of section 7.2.5 'Discontinuing IPC control measures in community health and care settings for COVID-19 individuals'
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Version 1.2
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31/03/2021
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Health Centres included in list
Additional paragraph added clarifying position when organisations adopts practices that differ from those in this national guidance.
7.1.2 Definition of suspected case; Additional information and links included
7.1.4 Triaging individuals. International travel isolation changed to reflect current guidance
7.2 Individual placement/Assessment of Infection Risk section updated.
7.2.3 Individuals returning from day or overnight stay, new section included.
7.2.4 Providing care at home; Title amended
7.2.6 Table 1 Stepdown requirements for community health and care settings amended.
7.5.1 Extended use of Face Masks for staff, visitors and outpatients; additional information with link to new FRSM poster (ways to improve fit) link included.
7.5.2 Table 2: PPE for direct patient/individual care determined by pathway; Eye/face protection updated to include coughing & sneezing in medium pathway.
7.5.7 Table 3: PPE for Aerosol Generating Procedures determined by category; additional information below table included on respirators.
7.5.10 New section on PPE for delivery of COVID-19 Vaccinations
7.7 Safe Management of the Care Environment; Additional detail provided where items cannot stand application of chlorine releasing agents. Also additional information if an organisation adopts practices that differ from those recommended/stated.
7.7.1 Cleaning practice points; Additional detail also included where items cannot stand application of chlorine releasing agents. Additional information if an organisation adopts practices that differ from those recommended/stated.
7.8 Safe management of linen amended to clarify linen categorisation where no outbreak.
7.10 Safe Disposal of waste (including sharps). Wording amended to provide clarity.
7.11.1 Vehicle sharing for all staff; title amended
7.12 New section on hierarchy of controls added.
7.1.6 Resources and tools section updated
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Version 1.3
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08/07/2021
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7.5.5 Change to AGP list to remove upper airway suctioning during Upper GI Endoscopy and replace with suctioning beyond the oro-pharynx.
7.5.7 Update to PPE table to emphasise Risk Assessment in medium risk pathway. Addition of risk associated with valved respirators
7.6 and 7.7 Change in controls for environmental and care equipment cleaning from TBPs to SICPs within the Medium Risk category.
7.8 and 7.10 Clarification on the safe management of linen and waste.
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Version 1.4
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25/08/2021
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Inclusion of dental services within the addendum
Additional wording added to ‘patient placement in primary care settings’
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Version 1.5
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31/08/2021
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Update to physical distancing
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Version 1.6
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15/09/2021
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Update to physical distancing to include further information for visitors and residents within residential homes.
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29/11/2021
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Replaced by Version 1.0 of the respiratory addendum
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