Appendix K: Vaccination practice variation according to the COVID-19 Protection Framework changes

Appendix K: Vaccination

practice variation according to the COVID19 Protection Framework changes

This appendix provides guidance in the event of any Protection Framework (traffic light) changes. All guidance will be regularly reviewed and has been updated in response to the Omicron variant. This should be read in conjunction with COVID-19 Readiness Plans The COVID-19 Protection Framework (PDF, 422 KB) and the Primary care quick reference

guide.

For the latest Ministry guidelines on IPC please see the following link.

For “vaccination in high risk or screened positive consumers”, please see the corresponding section above for PPE guidance.

Category C19 Protection Framework: Green (Sporadic Cases) Environmental and Operational

Physical distancing At least 1 metre physical distancing between bubbles for consumers/public being vaccinated.

Contract Tracing Physical barriers Not mandated.

Gathering restrictions Site planning must apply the Physical distancing guidance. The hospitality guidance does not apply to vaccination sites (including car park drive through sites). Restrict number of consumers within the vaccination site to maintain 1m spacing, including use of restricted/monitored entry (i.e., one-in, one-out) paying attention to minimising numbers in physically restricted spaces such as the observation area, and mitigation strategies such as outdoor/carpark waiting and observation areas, and observation of physical distancing requirements for consumers. Restrict staff numbers to those essential for core tasks. Restrict number of consumers within the vaccination site to maintain 1m spacing, including use of restricted/monitored entry (i.e., one-in, one-out) paying attention to minimising numbers in physically restricted spaces such as the observation area, and mitigation strategies such as outdoor/carpark waiting and observation areas and physical distancing requirements for consumers. Restrict staff numbers to those essential for core tasks.

C19 Protection Framework: Orange (Increasing Cases) C19 Protection Framework: Red (Widespread Cases)

At least 1 metre physical distancing. At least 1 metre physical distancing.

Must have a way for consumers to record their visit (e.g., NZ COVID Tracer QR code) Perspex/physical barriers between staff and consumers, where possible, i.e., at reception and screening. Perspex/physical barriers between staff and consumers, where possible i.e., at reception and screening.

Support people As above, to apply Physical distancing guidance.

Flow

1-way flow through vaccination site, if possible. Staff cohorting Staff limited to one work site per day as much as possible. Staff should keep at least 1 metre apart, between staff. Avoid unnecessary congregations, like in break rooms, avoiding being in confined spaces unless necessary. Not permitted in the vaccination site unless extenuating circumstances (for instance, disability, language, or cultural support). Note: when vaccinating a child 5-11 years the site clinical lead can decide on support people to accompany a child. Not permitted in the vaccination site unless extenuating circumstances (for instance, disability, language, or cultural support). Note: when vaccinating a child 5-11 years the site clinical lead can decide on support people to accompany a child.

1-way flow through vaccination site, if possible. Staff limited to one role/shift (as much as possible) and one site per day. In the setting of extended site opening hours, should be limited to working with a defined team of staff (i.e., working within a defined group and not mixing across shifts). Avoiding unnecessary congregations, like in break rooms, avoiding being in confined spaces unless necessary.

At risk staff No additional precautions At risk staff should avoid direct consumer contact.

Parking on site If required, additional parking space between vehicles if possible (i.e., block alternate parks off with cones). Additional parking space between vehicles if possible (i.e., block alternate parks off with cones).

Ventilation See ‘site considerations’ section in Operating Guidelines. See ‘site considerations’ section in Operating Guidelines.

Infection Prevention and Control

Staff PPE In addition to standard precautions, all staff to wear a medical mask continuously. Medical mask can be worn for duration of session, up to four hours. Optional to wear eye protection when administering vaccine (can be worn for the duration of a session and cleaned if reusable). In addition to standard precautions, all staff to wear a medical mask continuously. Medical mask can be worn for duration of session, up to four hours. Optional to wear eye protection when administering vaccine (can be worn for the duration of a session and cleaned if reusable).

Consumer Masks Consumers are encouraged to wear a face covering (their own or a medical mask provided)

Surfaces & site cleaning Clean and disinfect as per local cleaning policy. Clean and disinfect environmental surfaces in the vaccination and vaccine preparation areas at least twice daily. Special attention to high touch surfaces. Clean and disinfect environmental surfaces in the vaccination and vaccine preparation areas at least twice daily. Special attention to high touch surfaces.

Vaccination Process

Screening

Consenting Before entering site. If vaccinating in high risk COVID-19 environments, see “Vaccination in high risk or screened ‘positive’ consumers” section above

At reception Remote consent (telephone or online) prior to entering site, where possible. May consider consent outside in a separate resourced space. Remote consent (telephone or online) prior to entering site, where possible. May consider consent outside in a separate resourced space.

Vaccination record card Consumers must wear a face covering (their own or a medical mask provided) at all times. For current guidelines see here.

Before entering site. If vaccinating in high risk COVID-19 environments, see “Vaccination in high risk or screened ‘positive’ consumers” section above

Must be provided to the consumer as a hard copy record 1-way flow through vaccination site, if possible. Staff limited to one role/shift (as much as possible) and one site per day, and in general encourage consistency in site and work bubble. In the setting of extended site opening hours, should be limited to working with a defined team of staff (i.e., working within a defined group and not mixing across shifts). Avoiding unnecessary congregations, like in break rooms, avoiding being in confined spaces unless necessary. At risk staff should work from home. Additional parking space between vehicles if possible (i.e., block alternate parks off with cones). See ‘site considerations’ section in Operating Guidelines.

In addition to standard precautions, all staff to wear a medical mask continuously. Medical mask can be worn for duration of session, up to four hours. Optional to wear eye protection when administering vaccine (can be worn for the duration of a session and cleaned if reusable).

Consumers must wear a face covering (their own or a medical mask provided) at all times. For current guidelines see here.

Before entering the site. If vaccinating in high risk COVID-19 environments, see “Vaccination in high risk or screened ‘positive’ consumers” section above

*Using COVID 19 Community Protection Framework. This guide will be updated as required according to new advice.