COVID-19 FAQs - Physiotherapy Board of New Zealand

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COVID-19 FAQs

Information for Physiotherapists
With the COVID-19 situation changing rapidly, Physiotherapy New Zealand and the Physiotherapy
Board are continuing to monitor updates to provide physiotherapists with the latest information as it
becomes available.

We urge you to be vigilant for signs of the virus and be aware of Government information sources.

The PNZ website has links to shared resources, including the Ministry of Health (MoH) and Ministry of
Business, Innovation and Employment (MBIE). While this website is being updated regularly, please
be aware that the latest information is on the Government pages. Likewise, the Physiotherapy Board
is updating its website and it’s Facebook group as new information is made available.

There are, of course, some physiotherapy specific questions. We will continue to add to these where
it is helpful to provide more specific advice not covered elsewhere. Because the answers are date
specific we have dated the answers and will update as the situation changes.

Tables
Table Title
 Question                                                 Answer
                                                          ACC have agreed to fund physiotherapists to
                                                          provide telehealth for initial contact and follow
 Will telehealth be funded if we can’t see patients?
                                                          up.
                                                          The ACC COVID-19 information for providers
                                                          is here
                                                                                                 12 August
                                                          The government has updated its guidance
                                                          regarding wearing masks – particularly at Alert
                                                          Level 2 and above. At this stage the
                                                          government is recommending, but not
                                                          requiring, masks where physical distancing is
                                                          not possible. Physiotherapy treatment will fit
 What is the advice about masks now – it has              that category therefore recommending
 changed since the earlier Alert Levels?                  wearing a mask is recommended.
                                                          This may change.
                                                          The Ministry of Health advice around masks is
                                                          here
                                                          At Alert Levels 3 & 4 where urgent treatment
                                                          is given PPE including masks is required
                                                                                                 12 August
                                                          Yes. The government advice for people at
                                                          Alert Level 2 is “wear a mask in situations
                                                          where physical distancing is not possible”.
 Can physiotherapists require a patient to wear a         Physiotherapy treatment will fit that category
 mask as a condition of providing treatment to the
 patient?
                                                          therefore recommending wearing a mask is
                                                          recommended.
                                                          Treatment at Alert Level 3 is only for urgent
                                                          care and PPE including masks is required.
                                                                                                 13 August
                                                          Yes. Under the Physiotherapy Code of Ethics
                                                          4.5 a Physiotherapist can refuse to treat a
 If the patient refuses to wear a mask, can the           patient if they have good reasons. The patient
 therapist refuse to provide treatment?
                                                          should be informed of the reasons; offered
                                                          alternative options of care, such as telehealth
                                                          or can be referred to another healthcare
                                                          provider

                                                       CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 1
Question                                                  Answer
                                                                                              13 August
                                                          The Ministry of Health advice on cleaning
                                                          following a probable COVID case is here.

What cleaning process should I be using in my             Any hospital grade detergent/disinfectant is
clinics?                                                  suitable. MoH recommend a 2in1 (cleaning
                                                          and disinfectant) to increase efficiency
                                                                                                12 August

                                                          Your usual supplier should be able to provide
                                                          PPE including hand sanitiser and masks.
                                                          The Ministry of Health have requested you
                                                          only contact them if you cannot access your
                                                          own supply.
                                                          Note: surgical masks are recommended for
Where can I get PPE, including masks?
                                                          most physiotherapy treatment. Aerosol
                                                          generating procedures may require a fitted
                                                          N95 mask. Such procedures should only be
                                                          done in the DHB setting for if COVID-19
                                                          infection is suspected.
                                                                                                 13 August
                                                          For Alert Level 2 the advice around group
                                                          sessions (presuming these are fewer than 100
                                                          people) is they can continue with physical
                                                          distancing measures in place– but of course
                                                          that does depend on the group.
                                                          Your consideration for a group session for
Should I be cancelling group exercise classes?
                                                          mostly vulnerable population would be
                                                          different to a Pilates reformer class in the
                                                          community.
                                                          At Alert Level 3 group treatment and exercise
                                                          classes are cancelled.
                                                                                                 12 August
                                                          Contact the Ministry of Health’s, Healthline on
                                                          0800 358 5453 as soon as possible to
                                                          determine:
                                                               • contact tracing requirements
                                                               • who needs to be tested
                                                               • their advice around the
                                                                   clinic/organisation remaining open
                                                          Risk assess to determine if it is safe to remain
What happens if a Physio or one of my staff is            open or if the clinic/organisation needs to be
thought to have COVID?                                    closed if awaiting guidance and instruction
                                                          from the Ministry of Health
                                                          Deep cleaning of the clinic in line with
                                                          guidance from the Ministry of Health Cleaning
                                                          following a confirmed or probable case of
                                                          COVID-19
                                                          Contact the Physiotherapy Board for any
                                                          further guidance
                                                                                                 12 August
                                                          The Ministry of Health do not require this
                                                          provided you have the QR Code for NZ
Do I have to register all kanohi-ki-te-kanohi visits      COVID Tracer app in place and are recording
with the Physiotherapy Board?                             patient details. This allows track and trace
                                                          information to be collected
                                                                                                 13 August

                                                       CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 2
Question                                                Answer
                                                        From midday on Wednesday 19 August all
                                                        businesses must display a QR Code for the
Do I need a QR code for the NZ COVID Tracer
App?
                                                        NZ COVID Tracer App. You can download
                                                        the posters from here
                                                                                                12 August
                                                        The requirement is for each business to
                                                        display a QR Code. If your business is
                                                        separate to the medical centre then you
                                                        should have your own code.
                                                        If your business is part of the medical centre
My practice is inside a medical centre – if they have
a QR Code do I need one also?
                                                        you may still chose to have a QR Code poster
                                                        – this will help your staff and patients register
                                                        their visits to you.
                                                        If you are a mobile or community
                                                        physiotherapist you must have a QR code.
                                                                                                13 August
                                                        You cannot make a patient have the app or
                                                        use it however it is advisable to inform your
                                                        patients at the time of booking their
                                                        appointment that you use QR codes for
What if my patient does not have the Contact
tracing app or does not wish to use it?
                                                        contact tracing and request they download
                                                        and use the app.
                                                        If they refuse – this is a risk assessment you
                                                        make plus if you see the patient that visit must
                                                        be recorded.                          14 August
                                                        The PNZ insurance programmes through
                                                        BMS are designed to protect members
                                                        against professional indemnity and/or public
                                                        liability.
                                                        Members who have a personal accident or
                                                        illness policy to protect their own incomes
Does the PNZ insurance cover business
                                                        whilst unable to work should check to see
continuity?
                                                        what cover this would provide.
                                                        Members should also refer to their clinic
                                                        insurance for any potential business continuity
                                                        cover that may apply due to closure or loss of
                                                        income.
                                                                                                 30 March
                                                        The Ministry of Health set up a register of
                                                        health professionals available to support the
                                                        Covid 19 response – the Surge Workforce.
                                                        This is currently under review.
What can physiotherapists do to support the
                                                        Physios who had registered for this can
Public Health CoVID19 response?
                                                        expect to be contacted and have their details
                                                        and availability confirmed.

                                                                                              12 August
                                                        The DHBs are each expected to have blanket
If I take on work from the Ministry Surge               insurance that covers clinical practice of the
Workforce register will this be covered by my           whole clinical workforce, so seconded staff
BMS insurance policy through PNZ?                       would be covered by that.
                                                                                               30 March
                                                        The public health imperative to reduce person
                                                        to person contact to an absolute minimum in
Why isn’t physiotherapy able to provide
                                                        Alert Levels 3 and 4 override any
kanohi-ki- te-kanohi (person to person) care
                                                        considerations about the important place of
like GPs?
                                                        physiotherapy in the primary health system
                                                        and post op rehab.

                                                   CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 3
Question      Answer
              The New Zealand health system is not well
              placed to manage the levels of outbreaks
              seen in other jurisdictions.
              The important role of physiotherapy is
              recognised in the Ministry and we have the
              Chief Allied Health Professions Officer at the
              top table in the Ministry.
                                                   12 August

           CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 4
Services can be provided to essential workers
                                                 under Alert Levels 3 &4 through telehealth,
                                                 unless it meets the criteria for urgent care.
                                                 The guidance provided by the Physiotherapy
I provide services to essential workers – does
                                                 Board for Alert Level 3 should be used to
that mean I am an essential service too?
                                                 determine whether kanohi-te-kanohi service
                                                 can be delivered. The best email is
                                                 physio@physiotherapyboard.org.nz
                                                                                       13 August

                                             CoVID19 PNZ and Phsysio Board FAQs| March 2020| Page 5
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