FHS Covid-19 Handbook

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Course: School of Therapeutic Sciences Learning Zone
Book: FHS Covid-19 Handbook
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Date: Wednesday, 14 April 2021, 10:36 PM

Description

Title

Foreword

The FHS COVID-19 Handbook is a guide for Wits Faculty of Health Science students and staff to access relevant information concerning  the COVID-19 response on campus, residence, transport, common areas and clinical areas.

 

Intro and Purpose

Intro

INTRODUCTION

The return of the Faculty of Health Sciences students to campus and clinical training sites in the current COVID-19 pandemic is the basis for this Handbook to provide both students and staff with relevant, current, applicable information as we re-integrate ourselves with the 2020 academic year.  

These guidelines are based on government, non-governmental organisations and university documents released by the NDoHET, NDoH, NICD, Higher Health and Wits University amongst others. The Handbook follows recommendations by the Wits COVID-19 Emergency Response Plan.  

The structure of the Handbook is purposeful, with “at a glance” content provided from the relevant sections of the national guidelines and recommendations followed by links to the full sources for further information.  

PURPOSE

  1. FHS Online Student & Staff Handbook to give details to guide students and staff for day to day teaching & learning in times of COVID-19 
  2. Provide standard, universal message/content/guidelines “at finger tips” (Evidence Based on COVID-19) 
  3. Provide practical/applicable information for students and staff to adjust behaviour and day to day interactions and movements related to campus, classrooms, residence, clinical areas, transportation and other relevant areas 
  4. Provide specific guidelines for COVID-19 related actions – Screening, sanitising, social distancing, use of masks, testing, quarantine and self-isolation 
  5. Provide relevant academic and social support resources for students and staff during COVID-19 pandemic

Use the menu Tool to access information.

Site developed & maintained by Faculty of Health Sciences Logistics/Operations Student Return to Campus Committee.

For any comments, corrections, suggestions or updates to this site, please use the Contact Us tool.

For any questions or explanations about information in this site, please contact your Course Coordinator for assistance. For any healthcare concerns, please contact or visit Campus Health, a public health facility or contact your health care provider. 

Emergency Contact Numbers:

  • Campus Health and Wellness Centre on Education Campus is 011 717 9113
  • Campus Health and Wellness Centre on Main Campus is 011 717 9111
  • NICD HOTLINE is 0800 029 999
  • Ambulance is 10177 from landline or 112 from mobile phone
  • Office of Student Success COVID-19 Care Line is 076 518 7499 (office hours)
  • Wits Student Crisis Line is 0800 111 331 (24 hours)

What is COVID-19

What is

WHAT IS THE CORONAVIRUS (COVID-19)?

According to the World Health Organisation, “Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases. A novel coronavirus (SARS-CoV-2) is a new strain that has not been previously identified in humans. COVID-19 is the name of the illness caused by SARS-CoV-2.

HOW DOES IT SPREAD? 

The disease can spread from person to person through small droplets from the nose or mouth, from sneezing or coughing. This means that the virus can spread from touching surfaces and then your nose or mouth as well as by breathing these droplets in or if droplets land in your eyes, nose or mouth. 

SHOULD I BE WORRIED ABOUT CATCHING COVID-19? 

The World Health Organisation (WHO) has issued the following information:  

“Illness due to COVID-19 infection is generally mild, especially for children and young adults. However, it can cause serious illness: about 1 in every 5 people who catch it need hospital care”. 

Source: http://www.kaelo.co.za/coronavirus 

More information found at: South Africa COVID-19 Online Resource and News Portal

Distance, Dose, Dispersion: Experts’ guide on Covid-19 risks in South Africa and how to manage them

Click here to read the article to Understand the three things that can make the most difference to easing the lockdown and reopening South Africa with the least risk.

WITS COVID-19 South Africa Dashboard

Click here for WITS COVID-19 South Africa Dashboard for tracking cases

HELPFUL INFOGRAPHICS ON COVID-19

info

info

info

Info 3

  • CORONA VIRUS (COVID-19) 24-HOUR HOTLINE NUMBER: (General public)

    0800 029 999 

  • CORONA VIRUS (COVID-19) 24-HOUR HOTLINE NUMBER: (Clinicians)

    082 883 9920

  • CORONA VIRUS (COVID-19) WhatsApp number: 

    Send "Hi" to 0600 12 3456 

Click here for link to SA COVID-19 Key Contact Directory

 Contact

Helpful links for COVID-19 information:

Wits COVID-19 Portal website

National Department of Health COVID-19 website 

National Institute for Communicable Diseases COVID-19 website

South Africa COVID-19 Online Resources & News Portal website

Screening and Testing

Screening

Contains 3 sections:

  1. Screening and Risk Scenarios
  2. Testing
  3. Quarantine / Self-isolation / Isolation

Screening and Risk Scenarios

WITS COVID-19 SCREENING APP

Wits has developed a COVID-19 Screening App called LogBox Patient App which can be downloaded from the App Store or the Google Play Store. 

ALL STUDENTS AND STAFF TO COMPLETE THE SELF-SCREENING FORM ON THE APP EVERY DAY, BEFORE ENTERING CAMPUS, RESIDENCE, USING WITS TRANSPORT, ATTENDING CLINICAL SITES

  1. Download the Logbox Patient Application from the App Store or the Google Play Store. Click here for Logbox App in App Store. Click here for Logbox App in Google Play Store.
  2. Follow the initial instructions in the Wits Logbox brochure to set up the app. 
  3. Fill in the screening form every day. 
  4. You will receive a notice on your mobile phone that either clears you for entry or denies you entry to campus, residence, Wits transport or attending clinical sites.
  5. Show your clearance note to the security officers. If you receive a NOT clear message, you need to contact your Course Coordinator/Supervisor, immediately to be provided with advice for next steps.

For those staff members and students without smartphones or computers, hard copies of the screening form can be filled in and provided to Wits Security. Click here for link to Wits website with Logbox Screening tool information and paper-based form.

HONESTY & INTEGRITY

Students are reminded of the importance of honesty in completing the daily screening app. The falsification of information concerning COVID-19 is considered a serious misrepresentation during the State of Disaster Management and can potentially have legal consequences.  Students are reassured that every effort will be made to complete the year for missed time.

SCREENING TOOL QUESTIONS

Wits COVID-19 Screening App asks the following questions.

  1. Do you have fever, dry cough, sore throat, redness of eyes, short of breath, body aches/muscle pains, loss of smell/taste, nausea/vomiting, diarrhoea, fatigue/physical weakness?
  2. Have you been exposed to someone diagnosed with Covid-19 or had recent contact with someone who is self-isolating whilst waiting for a Covid-19 test result?
  3. Have you been in quarantine/self-isolation for the past 14 days?

NEXT STEPS IF NOT CLEARED

phone

If you answer "yes" to any question, you will receive a message as above, please contact your Supervisor/Course Coordinator and/or Campus Health to inform them that you are not cleared and use the following COVID-19 Risk and Scenarios table, with your Supervisor/Course Coordinator, to identify the Scenario, Risk level and subsequent steps to take if you are not cleared (e.g. you have a positive test, symptoms or exposure to a suspect or confirmed positive COVID-19 case.)

Emergency Contact Numbers:

  • Campus Health and Wellness Ctr on Education Campus is 011 717 9113
  • Campus Health and Wellness Ctr on Main Campus is 011 717 9111
  • NICD HOTLINE is 0800 029 999
  • Ambulance is 10177 from landline or 112 from mobile phone
  • Office of Student Success COVID-19 Care Line is 076 518 7499 (office hours)
  • Wits Student Crisis Line is 0800 111 331 (24 hours)

COVID-19 RISK AND SCENARIO TABLE

Use this table to identify the Scenario, Risk and subsequent steps to take should a student test positive, have symptoms and/or exposure to a COVID-19 presumptive or positive case. The table follows the guidelines presented by NDOH Occupational Health and Safety Committee – Covid-19 Response.

table 1

Source: Adapted from NDOH Guidelines for symptom monitoring and management of essential workers for COVID-19 related infections, June 2020

Additional Source: NDOH Guidelines for symptom monitoring and management of essential workers for COVID-19 Dec 2020 updates, no significant changes from June 2020 guidelines

Click here for Updated De-Isolation Guidelines, 17 July 2020

LEAVE OF ABSENCE

Students are not obliged to return to campus/clinical training if they have personal health or family considerations that prevent them from doing so, and are eligible to apply for Leave of Absence (LOA) for the remainder of the year. Students who become ill and/or are in Quarantine/Self-Isolation/Isolation are also able to apply for Temporary Leave of Absence (TLOA). 

  • Students should communicate with their Programme/Course Coordinator who will advise on the process for TLOA and LOA.
  • All TLOA and LOA applications will be handled by the office of the Assistant Dean of Teaching, Learning and Undergraduate Affairs, Prof Judy Bruce.  
  • Instances where students may have to Quarantine/Self-Isolate or take TLOA due to COVID-19 infection will be considered on a case-by-case basis.  
  • Every attempt will be made to ensure that a student is not unfairly disadvantaged for having to quarantine/isolate. 
  • Evidence of online engagement during quarantine/isolation (mild symptoms) ensures eligibility to sit for theory assessments.
  • For clinical students, evidence of clinical time make-up/catch-up, as documented in a dedicated logbook signed off by a clinical site supervisor, ensures eligibility to sit for clinical assessments. 
  • If make up time is not possible in current academic year, student may become asynchronous to complete requirements in 2021.  
  • Students are reminded that they must still meet all current Satisfactory Performance requirements per degree. 

PLEASE NOTE in the case of the GEMP programme, TLOA or deferral of a rotation does not equate to a failed rotation, and would not necessitate having to repeat an entire year. 

ACADEMIC SCENARIO TABLE 

Clinical Risk & Scenarios 

Possibility of Quarantine or Self-Isolation/Isolation

TLOA Period (estimate) 

Academic implications/outcomes 

Scenario 1, High Risk 

Positive test, 10 day Isolation from positive test date

10 days 

 

 

Student’s health and well-being is always prioritised over their continued involvement in the academic programme. 

 

Student continues with online programme during quarantine/isolation. Student can sit for theory assessment with demonstrated online engagement and catch up material as required.

In addition for clinical students: Student supported to make up clinical hours in remainder of academic year. Practical assessment is withheld until all clinical time made up as documented in a dedicated logbook signed off by a clinical site supervisor. Student may need to be asynchronous to complete clinical hours in 2021 to meet all SP requirements per degree.  

By exception, individual departments will decide the threshold over which a student will need to repeat individual rotations/academic programme. This will be communicated to the Office of  Teaching, Learning and Undergraduate Affairs.

Scenario 2, Low to High Risk 

Symptomatic – mild/ moderate recovery time 

1 to 10 days 

Scenario 3, High Risk 

Quarantine for 5 days, (monitor for symptoms), if asymptomatic with Neg test on Day 5.  

 

 

OR  

 

5 days 

 

Quarantine for 5 days (monitor for symptoms), asymptomatic with Pos test on Day 5. Continue 10 days of Isolation from positive test date.

14 days  

Scenario 4, Low Risk 

Return to campus   

0 to 1 day 

No impact to academic programme 

Testing

TESTING FOR COVID-19

Follow the latest National Department of Health (NDoH) and National Institute for Communicable Diseases (NICD) case definition for Person Under Investigation (PUI) to initiate COVID-19 testing.

Current case definition for PUI as of 2 April 2020:

TESTING OPTIONS

If you think you might have contracted the virus, you can call the NICD helpline (0800 029 999) and you will be advised on possible testing facilities. However, testing is not routinely done unless testing is indicated by a health professional therefore one would need to be assessed by a medical practitioner in order to qualify for testing.

Per the COVID-19 Risk & Scenarios table, a student with acute respiratory symptoms and/or contact with a COVID-19 positive case (without proper PPE) who meets the PUI criteria, can request for COVID-19 testing with a medical provider or public health facility, or visit Campus Health for advice. (Campus Health does not provide COVID-19 testing.) Click here for Wits Campus Health.

Public sector testing is free of charge. Private laboratories such as Lancet, Ampath and Pathcare can also test for SARS-CoV-2. Enquiry should be with the respective laboratory for their costing of the test. If going via a private lab, it is advisable to check with your medical aid to ascertain if they will cover the costs for the test.

Source: Coronavirus disease 2019 (COVID-19) Quick Reference for Health Workers, NDoH, NICD, 2 April 2020. NICD website for COVID-19 Guidelines

Click here for link to NICD website for COVID-19 Advice to Public, includes Frequently Asked Questions or SA Corona Virus website for Frequently Asked Questions

WHAT STEPS DO I FOLLOW TO TEST FOR COVID-19 ACCORDING TO PUI GUIDELINES?

  1. Confirm medical provider and/or clinical site has confirmed PUI status.
  2. Decide on testing facility location:
  3. Inform Course Coordinator of having been tested, circumstances around need for testing.
  4. Inform Residence Manager next (whether stay at a Wits Residence, Hospital Nurses Residence or non-Wits Private Residence)
  5. Begin Quarantine, Self-Isolation and/or Isolation following guidelines while waiting for test results (follow Quarantine/Self-Isolation/Isolation Guidelines in section below) and self-monitor for symptoms or worsening if present.
  6. If positive test result, follow Scenario 1 in Risk & Scenarios table above.
  7. If negative test result, continue to follow Scenario 2, 3 or 4.

WHAT DO I DO IF I TEST POSITIVE FOR COVID-19?  

On receiving news that you have tested positive for COVID-19, your response may be one of anxiety and concern. This is understandable as you will be concerned for yourself and concern for others with whom you have come into contact recently. 

Firstly, there is no reason to panic. You should remain calm and rational, as your own safety and those of others is supported by you responding to this news in a calm and rational manner. In fact, you can use your anxiety positively; you should use these emotions to help you focus on your next steps.  

Step 1, you should self-isolate as soon as possible. If you have been classified as a high-risk exposure in accordance with the screening guidelines, you will already be self-isolating at home or in your university residence. Similarly, if you have been experiencing symptoms, you will be doing the same. 

Any of us at any time may learn we test positive for COVID-19. Remember that the normal social distancing guidelines and Infection Prevention and Control (IPC) measures presume that anyone may have COVID-19, so in the immediate aftermath of receiving your news, you must simply be especially sure to adhere to the same guidelines as always.   

  • Wear a cloth face mask at all times when outside your home or Residence room
  • Keep your distance from others 1.5 to 2m, and do not congregate
  • Sanitize/wash your hands and the surfaces you come into contact with as regularly as possible
  • Return to your home/residence to self-isolate and remain in your room following Self-Isolation/Isolation guidelines described in the next section

If you live in a Wits Residence and test positive for COVID-19

Be sure to inform both your Course Coordinator and your Residence Manager once you hear news of your test result. You need to start self-isolation (a person who tested positive and/or has symptoms who self-isolates in their own Residence room if able to) or start Isolation (a person who tested positive and/or has symptoms who relocates to a designated Isolation Residence).

If you can self-isolate in your own residence room and have a shared ablution/kitchen, use these common areas as sparingly as possible. Use these common areas on your own, wear a mask and sanitize all the surfaces with which you come into contact. 

The university has agreed that each Wits Residence will have designated Isolation rooms available for Wits Residence students. If you can not Self-Isolate in your own residence room, then within 24 hours of your test results, you will be assisted to relocate to the designated Isolation room, or to a different facility for the duration of your period of Isolation. You will be able to apply for a Care Kit, with household goods as necessary, because you will not be able to shop during this period.

Please contact anelisa.mofakeng1@wits.ac.za from Office of Student Success to apply for a Care Kit with food and supplies.  Or contact family members/relatives if they live within the area to help for food purchases and delivery.

Please follow the principles detailed in the national guidelines in the next section Quarantine/Self-Isolation/Isolation as applied to your context. 

If you live in a Hospital Nurses residence and test positive for COVID-19

Be sure to inform both your Course Coordinator and your Hospital Nurses Residence Manager once you hear news of your test result. It may not be possible for a Wits students who resides at a Hospital Nurses Residence to Self-Isolate in the residence (i.e. Witswaters Nurses Res, CHBAH Nurses Res). In this situation, arrangements will be made for the student to Isolate at a Government Isolation Facility set up for Healthcare workers and clinical students who test positive and/or have symptoms and need to Isolate.

Please follow the principles detailed in the national guidelines in the next section Quarantine/Self-Isolation/Isolation as applied to your context. 

If you live in a non-Wits Private Residence and test positive for COVID-19

Be sure to inform both your Course Coordinator and your non-Wits Private Residence Manager once you hear news of your test result. It may not be possible for a Wits students who resides at a non-Wits Private Residence to Self-Isolate in the residence (ie South Point, Student Digz, etc). However, arrangements will be made by the non-Wits Private Residence for the most appropriate location for the student to Isolate. This may require the student to re-locate to a Government Isolation Facility set up for Healthcare workers and clinical students who test positive and/or have symptoms and need to Isolate.

Please follow the principles detailed in the national guidelines in the next section Quarantine/Self-Isolation/Isolation as applied to your context. 

If you live at home and test positive for COVID-19

Be sure to inform your Course Coordinator once you hear news of your test result. If your home situation does not equate with communal living of a residence, then self-isolation could be considered at home (for a person who tests positive and/or has symptoms and can stay in their own room in their home). However, the risk of infecting family members/housemates or anyone else you live needs to be acknowledged, and appropriate precautions must be taken.  In this situation a student may need to Isolate in a Government Isolation Facility.

Please follow the principles detailed in the national guidelines in the next section Quarantine/Self-Isolation/Isolation as applied to your context. 

CONTACT TRACING GUIDELINE 

Contact tracing is being performed by NICD with every reported positive COVID-19 case. The Faculty of Health Sciences and the clinical sites, if relevant, can be proactive to inform any close contacts of the student.

  • If the student was at a clinical site and subsequently tests positive for COVID-19, the student should provide the clinical site Preceptor with the locations and people they interacted with as close contacts for the clinical site to inform their staff and students.
  • If the student was in an academic session, on campus, the student should provide their Course Coordinator with the location and people they interacted with as close contacts for the Course Coordinator to inform Wits staff and students.
  • If the student was in a Wits Residence, Hospital Nurses Residence, non-Wits Private Residence, the student should provide their Residence manager with their location and people they interacted with as close contacts for the Residence Manager to inform the residents and staff. 
  • The student should inform all their close contacts who they interacted with 14 days prior to testing positive for COVID-19.

Quarantine / Self-isolation / Isolation

GENERAL GUIDELINES FOR QUARANTINE, SELF-ISOLATION AND/OR ISOLATION

Students who are required to begin Quarantine or to start Self-Isolation/Isolation should adhere to the following national guidelines during the required Quarantine/Self-Isolation/Isolation period.

Quarantine

Quarantine is for people who are asymptomatic, but may have been in close contact* with a known positive COVID-19 patient. Quarantine keeps these people away from others so they do not spread possible infection.

Quarantine is for the following:

  1. Students who are asymptomatic and in close contact* with a COVID-19 positive case.
  2. Students who are asymptomatic who tested for COVID-19 and waiting for test results.

*Close Contact: A person having had face-to-face contact (≤1 metre) or in a closed space with a COVID-19 case for at least 15 minutes without wearing masks. This includes:

Self-Isolation/Isolation

Self-Isolation/Isolation is for people who are symptomatic and/or test positive for COVID-19. Self-Isolation is to isolate in one’s own Residence room or own room at home. Isolation is to isolate at a designated Wits Residence Isolation Facility or Government Isolation Facility.

Self-Isolation/Isolation is for the following:

  1. Students who are symptomatic for COVID-19 and are waiting to be tested, or are symptomatic and have been tested for COVID-19 and waiting for test results.
  2. Students who are symptomatic with mild/moderate symptoms who tested positive (severe symptoms may need to be admitted to hospital for isolation).
  3. Students who are asymptomatic who tested positive for COVID-19.

Number of days one needs to Quarantine/Self-Isolate/Isolate

It is important to understand the purpose of Quarantine and Isolation is to reduce the risk of transmission of COVID-19 to other people. Therefore, one is under Quarantine/Isolation for the time period one is contagious.  This period is sometimes difficult to calculate accurately, with most studies indicating a person is contagious 2 days prior to symptoms and 8 days following onset of symptoms. As stated by the Health Minister, DR Zwelini Mkhize: “Asymptomatic patients represent a conceptual challenge, since it is not possible to estimate where in the course of viral shedding they are at the time point at which they test positive.”

Given current information, the NDoH has updated the De-Isolation guidelines on 17 July, 2020 as the following:

Updated De-Isolation Recommendations, 17 July 2020

  1. Asymptomatic student requires isolation for 10 days after their positive test date.
  2. Symptomatic student with mild disease requires isolation for 10 days after the onset of their symptoms (regardless of a positive test date) provided their fever has resolved and their other symptoms are improving.
  3. Hospitalised patients with moderate-severe disease require isolation for 10 days following achievement of clinical stability (i.e. from when they are not requiring supplemental oxygen and are otherwise clinically stable).
  4. Students exposed in a high-risk scenario (who are asymptomatic) start quarantine and should have a negative COVID-19 PCR test performed on day 5 and experience no symptoms before they return to campus/clinical training. If they develop symptoms, or test positive, then follow above scenarios for De-isolation.

Repeat COVID-19 PCR testing is NOT required in order to de-isolate a patient and is not recommended.

Source: Reduction in the Isolation period for patients with confirmed COVID-19 Infection

Explanation of various scenarios

Scenario A: If a student has close contact* or high risk exposure to a COVID-19 case and they are asymptomatic, they need to start quarantine for 5 days, then on day 5 be tested for COVID-19 as per the updated national guidelines (of 17 July and of Dec 2020). If the test is negative, they can end quarantine, given they remain asymptomatic and can return to campus to continue school activities. If they test positive on day 5 and remain asymptomatic, they start isolation for 10 days from test date. If they develop COVID-19 symptoms, they continue to isolate for 10 days from onset of symptoms.

Scenario B: If a student develops symptoms of COVID-19, they may meet the criteria for a PUI and be tested. They will need to self-isolate/isolate while waiting to test and/or for test results to prevent possible further transmission of the virus. If the test is negative, they can end isolation, returning to campus when symptoms resolve for other illness, to continue school activities. If they test positive, they need to isolate for a total of 10 days from onset of COVID-19 symptoms, returning to campus when symptoms resolve to continue school activities.

Scenario C: If a student is asymptomatic and tests positive for COVID-19, they need to self-isolate/isolate for 10 days from the positive test date.

There is no need to test/retest at the end of the quarantine/self-isolation/isolation period. People discharged from quarantine/isolation after 10 days should self-monitor symptoms for a further 14 days, and report development of any symptoms to Campus Health, their general practitioner, to the NICD hotline or to their local health facility.

The layouts of the Wits Residences and Hospital Nurses Residence are not all conducive to quarantine and/or self-isolating students appropriately. Where possible, students can quarantine/self-isolate in their own room if with own (non-shared) kitchen and bathroom. If not, students will be moved to a Quarantine floor in the Residence, or moved to an Isolation floor or a different building or block, subject to using separate ablution, kitchen and recreational areas (i.e. common areas). Students must be able to meet the criteria of quarantine/self-isolation, if this is not possible, the student will be moved to a different residence/facility that meets the isolation criteria.

Wits FHS has a level of responsibility to oversee and monitor those students who may test positive for COVID-19 in Wits Residences.

CATEGORIES OF QUARANTINE/ISOLATION FOR WITS STUDENTS

The table below describes four categories of Wits students (who either live at a Wits Residence, Hospital Nurses Residence, non-Wits Private Residence or at home) and the ability for a student to quarantine, self-isolate or isolate in their current living situation, or if arrangements need to be taken to relocate. Steps are provided after the table for students to follow should they need to relocate from their current living situation to quarantine, self-isolate or isolate properly to follow the national guidelines.

Student Living situation

Steps for Quarantine

Steps for Self-Isolation/Isolation

1. Wits Student who resides at Wits Residence

1a. Student can Quarantine in own Wits Res room if with own self-cater kitchen and self-contained bathroom. Student stays in own room.

1c. Student can Self-Isolate in own Wits Res room if with own self-cater kitchen and self-contained bathroom. Student stays in own room.

1b. Student to move to a Quarantine area or floor in their Wits Res if Res with shared kitchen/bathrooms. Or Student moves to a different Wits Res set up for Quarantine.

1d. Student to move to a Wits Res Isolation Block if room without own kitchen/ bathroom. Student to be transported & relocated to new Res by Wits.

2. Wits Student who resides at Hospital Residence (e.g. Witwaters Nurses Res, CHBAH Nurses Res)

2a. Student can not Quarantine own room because of shared facilities. Student to move to Quarantine area or floor in the Hospital Nurses Res (if available) 

2c. Student to Isolate in a Government Isolation Facility for HCW/clinical students. Student to be transported & relocated to Isolation Facility by Wits.

2b. If Quarantine floor not available, Student to move to a Government Quarantine Facility for Healthcare workers/clinical students. Student to be transported & relocated to Quarantine Facility by Wits.

2d. Student to Self-Isolate in Wits Res Isolation Block if space available with motivation for acceptance, and make full payment for Wits Res costs.

3. Wits Student who resides at non-Wits Private Residence (e.g. South Point, Digz)

3a. Student can not Quarantine own room because of shared facilities. Student to move to Quarantine floor in the non-Wits Private Res (if available)

3c. Student to Isolate in a Government Isolation Facility for public. Student to self-transport & relocate to Isolation Facility

3b. Student to move to a Government Quarantine Facility for public. Student to self-transport & relocate to Quarantine Facility.

3d. Student to Self-Isolate in Wits Res Isolation Block if space available with motivation for acceptance, and make full payment for Wits Res costs.

4. Wits Student who resides at home, private residence

4a. Student to Quarantine in own room at own home (if meet criteria)

4c. Student to Self-Isolate in own room at own home (if meet criteria)

4b. Student to move to a Government Quarantine Facility for public. Student to self-transport & relocate to Quarantine Facility.

4d. Student to Isolate in Government Isolation Facility for public. Student to self-transport & relocate to Isolation Facility.

4e. Student to Self-Isolate in Wits Res Isolation Block if space available with motivation for acceptance, and make full payment for Wits Res costs.

 

Any Student can move home for Quarantine or Self-Isolation in any situation above if applicable. Provide own transportation.

STEPS TO FOLLOW FOR NEED TO QUARANTINE/ISOLATE IN RESIDENCE

1

  1. Student to begin quarantine/self-isolation/isolation as soon as possible.
  2. Any student who needs to start quarantine/self-isolation/isolation to contact their Course Coordinator, if not done so already to inform of the following:
    1. to be contactable by mobile phone and email at all times during their period of quarantine/isolation.
    2. to check-in with their Course Coordinator/Residence Manager twice a week.
    3. To declare any relevant co-morbidities to a Wits-designated clinician, to allow identification as vulnerable to more severe COVID-19 disease.
    4. To provide details of any health care practitioner involved in their care, allowing a Wits-designated clinician contact as necessary.
    5. To self-monitor for the development and/or worsening of symptoms, with special vigilance concerning possible progression of the disease.

3.  Students to contact their Wits Residence Cluster Manager/Warden, or Hospital Nurses Residence Manager, or non-Wits Private Residence Manager to organise/verify for student to remain in current room, or if necessary for student to be relocated to another room available in Quarantine Floor, or move to Isolation area of Residence or relocate to a Government Isolation Facility as needed. (See table above)

4.

  1. For Wits Residence Students in quarantine or self-isolation:
    1. Course Coordinator to contact Mr Nazime Randera, Assistant Registrar, Campus Housing and Residence Life at Nazime.randera@wits.ac.za who will inform Cluster/Res Manager
    2. Cluster manager will allocate a room appropriate for student situation (See table above)
    3. Res Manager to organise transport for student to travel from current location to designated Isolation location if necessary. (Wits transport service to be identified)
    4. Res Manager/student to inform Campus Health and Wellness Centre (CHWC) and Sister Maggie about the case and contact will be made with the student. Email Anna.Moloi@wits.ac.za
    5. The student will update CHWC for any changes in their health condition, i.e. worsening of symptoms, if any
    6. Thereafter, contact should be made by telephone to ensure quick response
    7. If a catered students, the student may continue booking meals and such will be delivered daily and placed at the door of the room. Student will be alerted to delivery of meals.
    8. If Self-catering, student will be allocated to a self-catering room with cooking facilities. Student may be provided with food parcels by the cluster manager or apply for Care Kit food parcel from OSS, email Makeadifference.health@wits.ac.za
    9. If need to be relocated to new room and within walking distance, a student will be encouraged to take basic necessities to walk to the new room
    10. If new room is of greater distance, transport will be arranged
    11. The quarantined student will be checked telephonically daily to establish possible needs they may have
    12. Student will be provided with cleaning material for the duration of their stay
    13. Student will be given time out of the Quarantine/Self-Isolation site if they have to go conduct further tests, otherwise students are to remain in their designated room
  2. All students to follow Quarantine/Self-isolation checklist when in their rooms as described below

CHECKLIST FOR QUARANTINE/SELF-ISOLATION/ISOLATION AT RESIDENCE OR HOME

  • You should Quarantine/Self-Isolate/Isolate yourself at residence or home for number of days as described in guidelines.
  • Quarantine/Self-Isolate/Isolate yourself in a separate, well-ventilated room at residence or home.
  • Don’t go to school, campus, clinical sites or work. Do not leave you residence or home, unless for medical reasons.
  • Avoid unnecessary travel outside your residence or home, and as far as possible avoid close interactions with other people.
  • Visitors are not be allowed until you have completely recovered from signs and symptoms.
  • You should clean your hands with soap and water frequently. Alcohol-based sanitizers may also be used, provided they contain at least 60% alcohol.
  • Hand hygiene should also be performed before and after preparing food, before eating, after using the toilet, and whenever hands look dirty.
  • Do not have visitors in your room at home/residence. Only those who live in your home should be allowed to stay. If it is urgent to speak to someone who is not a member of your household, do this over the phone.
  • At home, you should stay in a specific room and use your own bathroom (if possible). If you live in shared accommodation (university residence or similar) with a communal kitchen, bathroom(s) and living area, you should stay in your room with the door closed, only coming out when necessary, if in self-isolation with symptoms, you should wear a surgical mask when using communal areas.
  • If in self-isolation, with symptoms and others are in close proximity to you (due to necessity only, when in the same room, when using a shared bathroom/kitchen area), please ensure that you are wearing a surgical mask that is fitted tightly around your nose and mouth. The mask should be used when you are near other people until your symptoms have resolved or you have been informed by your doctor as such.
  • You should practice good cough and sneeze hygiene by coughing or sneezing into a tissue, discarding the tissue immediately afterwards in a lined trash can, and then wash your hands immediately.
  • Household/residence members should stay in a separate room/s from the suspected case. If this is not possible, a minimum distance of 1.5 to 2 meters should be maintained at all times. If you are symptomatic and need assistance, limit the number of caregivers. Ideally assign one person who is in a good health without underlying chronic conditions or immunocompromised conditions.
  • The caregiver should wear a tightly fitted medical mask that covers his/her mouth and nose when in the same room with the patient. Masks should not be touched or handled during use. If the mask gets wet or dirty with secretions, it must be replaced immediately with a new, clean, dry mask. Remove the mask by using an appropriate technique (i.e. do not touch the front but remove the lace from behind). The surgical mask can be reused if not soiled, wet or degraded. Following mask removal, perform hand hygiene.
  • Wash laundry at the highest temperature compatible for the fabric using laundry detergent. This should be above 60° C. If possible, tumble dry and iron using the highest setting compatible with the fabric. Wear disposable gloves and a plastic apron when handling soiled materials if possible and clean all surfaces and the area around the washing machine. Do not take laundry to a laundrette. Wash your hands thoroughly with soap and water after handling dirty laundry (remove gloves first if used).
  • You should avoid sharing household items like dishes, cups, eating utensils and towels. After using any of these, the items should be thoroughly washed with soap and water.
  • All high-touch surfaces like table tops, counters, toilets, phones, computers, etc. that you may have touched should be appropriately and frequently cleaned.
  • Clean and disinfect frequently touched objects and surfaces with soap and water followed by 60% alcohol or bleach containing solution.
  • Clean and disinfect bathroom and toilet surfaces at least once daily. Regular household soap or detergent should be used for cleaning and then, regular household disinfectant should be applied to these surfaces.
  • Monitor your symptoms, take your temperature daily - Seek prompt medical attention if you develop symptoms or if currently with symptoms and they worsen. For example, if you have fever, cough, sore throat and/or difficulty breathing, then call your doctor, healthcare facility or Campus Health and or call the NICD Hotline to inform them of changes to your condition.
  • Campus Health and Wellness Centre on Education Campus is 011 717 9113
  • Campus Health and Wellness Centre on Main Campus 011 717 9111
  • NICD HOTLINE is 0800 029 999
  •  If it is an emergency and you need to call an ambulance, inform the call handler or operator that you are being quarantined/ isolated for SARS-CoV-2.
  • Ambulance is 10177 from landline or 112 from mobile phone

More information on Quarantine/Isolation: What to do if I test positive for coronavirus disease and I am asked to isolate?

Categories of people and quarantine/isolation recommendations per national guidelines, updated 13 July 2020

Category

Quarantine

Isolation

Student asymptomatic with close contact* to positive COVID-19 person without social distancing

Quarantine at home/Res for 10 days. If not possible, admit to a quarantine facility. If PUI and test neg, end quarantine.

If test positive, start isolation, follow below

Clinical student close contact to positive COVID-19 patient without proper PPE

Quarantine at home/Res. If not possible, admit to a quarantine facility. If well, test on day 5 and if result is negative return to campus/school

If test positive, start isolation, follow below

Student with symptoms who meets PUI criteria, waiting test result

Quarantine at home/Res for 10 days from onset of symptoms. If not possible, admit to quarantine facility. Can be released from quarantine if test result is negative.

If test is positive, start Isolation, follow below

Student asymptomatic who test positive for COVID-19

If test positive, student need to Self-Isolate/Isolate

Self-Isolate at home/Res for 10 days from positive test date. If unable to self-isolate at home/Res, admit to isolation facility

Student with mild symptoms who test positive for COVID-19

If test positive, student need to Self-Isolate/Isolate

Self-Isolate at home/Res for 10 days from onset of symptoms. If unable to self-isolate at home/Res, admit to isolation facility

Student who test positive for COVID-19 has been admitted to hospital

If test positive, student need to Self-Isolate/Isolate

Isolate at hospital. De-isolate 10 days after clinically stable (not requiring oxygen) or 10 days after onset of symptoms (if did not require oxygen)

Source: Updated NDOH De-Isolation Guidelines as of 13 July, 2020

Source: NDOH Guidelines for Quarantine and Isolation COVID-19

Click here for more information on Quarantine/Isolation

FHS+PT+Bronchial+Hygiene+and+Exercies+during+Quarantine+_+Isolation+in+COVID19

Click here for further information on Home Isolation from SA Coronavirus website

PPE Training and Information

PPE

This following sections will be covered:

PPE training

PPE training videos

Hand washing

Cloth masks

Social distancing

PPE Training

PPE TRAINING

Welcome to the Personal Protective Equipment (PPE) Training Workshop

Infection prevention and control is the first step for health and safety. Infection prevention and control (IPC) is a scientific approach and practical solution intended to prevent harm caused by infection to persons, patients and health workers. It is grounded in infectious diseases, epidemiology, social science and health system strengthening.

An important component of IPC is personal protective equipment (PPE) which is clothing or equipment designed to act as a barrier between an individual’s skin, mouth, nose, or eyes and viral and bacterial infections. Personal protective equipment (PPE) is specifically used to protect clinical and non-clinical health workers from exposure to body fluids or from droplet or airborne pathogens, chemicals or heat. The use of PPE is based on risk assessment and evidence of the route of transmission for a given microbe.

When used properly and with other infection control practices such as hand-washing, using alcohol-based hand sanitizers, and covering coughs and sneezes, PPE minimizes the spread of infection from one person to another.

All clinical sites will be providing required PPE to students. The University will provide two cloth masks (Wits logo) as well as once off, back up provision of PPE for your use in the event that you are not able to source these in your clinical sites. The Back-up PPE includes 1 box of 50 surgical masks, 1 set of goggles, 1 visor and 1 bottle of hand sanitising gel.

PPE FOR HEALTHCARE WORKERS AND STUDENTS DURING COVID-19

This poster from the NDOH demonstrates the three levels of PPE required for three levels of risk you may be exposed to when providing care for patients in the clinical settings. PPE for Low risk setting with treatment for non-COVID-19 patients is a surgical mask, no other PPE is needed. PPE for High risk settings with treatment of confirmed or presumptive COVID-19 patients is a surgical mask, apron, visor or goggles and non-sterile gloves. N95 mask is not needed unless performing aerosol-generating procedures (AGP) for confirmed or presumptive COVID-19 patients. Students are to follow these PPE guidelines along with protocols for each clinic/hospital.