Covid-19 Updates Residents

COVID-19 UPDATE: consent form for resident vaccination
Dear Family / Whanau of CHT Residents,

As you are the nominated key contact person, please share this important information with others in your family and frequently check our website http://www.cht.co.nz/covid19-updates-residents/ for ongoing updates.

As we work towards the COVID-19 vaccine roll out programme in our aged care facilities, which is due to commence in mid-April, now is the time to complete the consent form process for all residents.

This process has been created by the NZ Aged Care Association (NZACA) and the Ministry of Health (MOH) and applies to all residential aged care facilities nationwide.

The following important information, available by clicking each of the links, has been provided to us by the NZACA and will help inform the personal vaccination decision for each resident.

•         COVID-19 vaccination consent form for residents in ARC  (NZACA)
•         Getting your COVID-19 vaccine: what to expect  (MOH)
•         After your immunisation (MOH)
•         Privacy statement (MOH)

There are two separate ways that a resident’s consent form is managed.

1: Residents with an activated Enduring Power of Attorney (Personal Care and Welfare):

You, the activated EPOA, are empowered to make the vaccination decision on behalf of the resident and must complete and sign the consent form. You can download and print the consent form here or collect a hard copy from the reception at the Unit.

Please complete, sign and return this form to the Unit Manager by Friday 9 April 2021.

2: Residents with no activated Enduring Power of Attorney:

The resident will be provided with print outs of the important information linked to earlier in this letter, and will be required to sign their own form if they choose to be vaccinated.

This process will be completed by Friday 9 April 2021.

Thank you for your ongoing support and I will be back in touch once our vaccination dates have been confirmed.

Yours sincerely,

Stuart Tabuteau
Acting Chief Executive
CHT Healthcare Trust

COVID-19 UPDATE: vaccination for residents
Dear Family / Whanau of CHT Residents,

As you are the nominated key contact person, please share this important information with others in your family and frequently check our website http://www.cht.co.nz/covid19-updates-residents/ for ongoing updates.

Following the Government’s recent announcement regarding the nationwide Pfizer vaccine roll out programme, I am getting in touch with you as I am sure you will be eager to know our plans as an organisation.

The elderly are one of the most vulnerable groups in our society, so protecting the health and safety of our residents is extremely important, as is protecting our staff and wider communities. People over 65 years old, and workers within the healthcare workforce, are amongst the first groups to be able to receive the Pfizer vaccine and are being strongly encouraged to do so.

Vaccination is a personal choice for every New Zealander, and we want to ensure your family have as much credible, reliable information as possible. Below are listed some very helpful authorised resources which I encourage you to explore:

o How the vaccine works
o What to expect when getting vaccinated
o Vaccine safety and side effects
o 10 Common Misconceptions around the COVID-19 vaccines

There is also a helpful ‘frequently asked questions’ document on our website just for residents and families, so please take a look if you have any further questions at this stage, otherwise feel free to discuss with your Manager.

We are working closely with local health authorities to determine how and when we will be vaccinating our residents and staff, and I will be back in touch with you again once we have those details finalised.

Yours sincerely,

Stuart Tabuteau
Acting Chief Executive
CHT Healthcare Trust

RESIDENTS & FAMILIES FAQ: COVID-19 VACCINE ROLLOUT

1. Will CHT residents be required to have the vaccine?
Vaccination is the choice of each individual resident and their family, however it is highly recommended that all residents are vaccinated so that we can reduce the risk of COVID-19 within our facilities. Elderly populations have also been shown to be one of the most vulnerable sections of society so we want to ensure our resident population is protected from COVID-19.

We will be updating our admission agreement to include a section on COVID-19 vaccination.

2. Will CHT staff be required to have the vaccine?
It is highly desirable that all staff are vaccinated so that we can reduce the risk of COVID-19 within our facilities.

All new staff will be screened, as part of the pre-employment process, as to whether they have been vaccinated or not. Vaccination will become a highly desirable pre-condition of employment for all new staff. All staff will be required to wear PPE when there is a COVID-19 outbreak in the community.

3. Will our contractors be required to have the vaccine?
It is highly desirable that all our contractors are vaccinated so that we can reduce the risk of COVID-19 within our facilities. We are working with our contractors to ensure they have a vaccination plan for their employees.

4. Who can receive the COVID-19 vaccine?
People under the age of 16 are not included for now. There’s limited data available for this age group as they weren’t part of the clinical trials. You should get advice from your specialist if your relative is receiving cancer treatment.

5. Is it possible to choose to be vaccinated at a later time, rather than within the national rollout period?
We are not clear about this and will be waiting for advice from the Ministry of Health. We will be strongly recommending that everyone who wants to be vaccinated is vaccinated within the national rollout period.

6. Is the vaccine safe?
Yes, according to information available. There’s never been this level of global collaboration amongst scientists and governments in vaccine development – and that has improved the speed of its development and the launch of clinical trials around the world.

We are moving swiftly but without taking any short cuts or compromising safety.

7. What are the potential side effects of the Pfizer vaccine?
Like all medicines, the vaccine may cause side effects in some people. These are common, are usually mild and don’t last long. They won’t stop someone from having the second dose or going about their daily life.

The most common reported reactions are:
• pain at the injection site
• a headache
• feeling tired or fatigued
• muscle aches
• feeling generally unwell
• chills
• fever
• joint pain
• nausea.

Serious reactions are very rare.

8. How is the vaccine given?
The vaccine is given via an injection in the upper arm. Two doses of the Pfizer vaccine are required, three weeks apart. It’s very important residents get their second dose, as they will have the best protection once they have both doses. Vaccination staff will observe every resident for 30 minutes after their injection.

9. Who will give the vaccines?
Each DHB is planning the roll out of the vaccine for their region. At this stage it appears that staff contracted to the DHB who have been trained in vaccinating will be administering the vaccines to CHT staff.

It is still being determined who will give the vaccines to residents. This may be done by our own staff who have been trained to give vaccinations or through the GP or pharmacy. We will confirm details once we have further information.

10. Is the COVID-19 vaccine free?
Yes it is free. The full cost of the vaccine is funded by the Ministry of Health.

11. Will there be a choice of which vaccine a resident can receive?
Not right now. The four vaccines New Zealand has secured are going through the approval process at different times. The Pfizer vaccine is the only current vaccine that has been approved by Medsafe as being safe and effective for use in New Zealand at this time.

12. How does the Pfizer vaccine work?
Vaccines work by teaching the body’s immune system to respond quickly to infection without being exposed to the infection itself. Traditionally, most vaccines work by introducing modified versions, or bits of the virus, to the immune system, prompting the body’s immune system to respond by making protective antibodies so that when you come across the real infection your body is prepared to fight it off.

The Pfizer vaccine uses a different approach. This is known as a ‘messenger RNA’ vaccine. This vaccine doesn’t use virus cells at all – instead it contains a piece of RNA code that essentially teaches your body to recognise the virus, so it can respond straight away if you get infected.

13. Is the vaccine effective against new strains of the virus?
The Ministry of Health is evaluating preliminary data from other countries about the impact new strains may have on vaccine effectiveness. Some companies have indicated they may make changes to the vaccine to ensure they work properly – this is similar to the regular changes made to the influenza vaccine.

14. Does the vaccine prevent someone from transmitting the virus to others?
We don’t know at this stage. We do know that being vaccinated does not remove the need for PPE, regular testing and continuing with other infection control precautions.

15. Will residents need to have a COVID-19 vaccine each year as with the ‘flu vaccine?
We are waiting on advice from the Ministry of Health about this and will let you know.

16. Can a staff member be at work if they have only had my first dose or do they need to wait until they have had both doses?
Staff may return to work following their first dose.

17. How long will someone be protected after receiving the COVID-19 vaccine?
The clinical trials performed on the Pfizer vaccine show it’s approximately 95% effective against symptomatic COVID-19, seven days after receiving two doses.
We don’t yet know how long a person will be protected for or if it will stop them from catching and passing on the virus. Research has shown that immunity following natural infection remains for at least eight months and we have every expectation the vaccine immunity will be even longer.

18. When will there be more about the details of getting vaccinated?
Detailed information on vaccination locations, when staff and residents are likely to get vaccinations and how to arrange vaccinations will be finalised soon and we will let you know.

19. Do staff and residents need to be vigilant about hygiene after being vaccinated?
It is also an important reminder that the vaccines are not a substitute for good hygiene practices of washing hands, coughing and sneezing into your elbow, wearing masks or face coverings and other precautions, including PPE.

20. Will there be a record of which staff and residents have been vaccinated?
The Ministry of Health has set up a vaccination database to record who has been vaccinated. CHT will be recording this information in its HR system for staff and in VCare for residents.

21. Will residents and families be told which staff members or other residents have been vaccinated and which haven’t?
To protect the privacy and personal decisions of our staff, this information will not be made publicly available or available on request.

22. Will residents, staff or family members who chose not to get vaccinated be required to provide a reason?
No they will not be required to give a reason however they will be advised of the risk they pose to other staff, residents and families by not getting vaccinated.

23. Will CHT be allowing visitors to come into the facilities if they have not been vaccinated?
All visitors to CHT facilities will be welcomed however it is strongly encouraged that visitors are vaccinated so that we can reduce the risk of COVID-19 amongst our residents, staff and communities. Elderly people are especially vulnerable to COVID-19, so keeping them safe and protected should be our collective priority.

We will be performing health checks on all our visitors, including those who have been vaccinated to ensure they are safe to enter the facility.

24. What exact precautions will CHT continue to take to protect residents and staff from COVID-19 alongside vaccinations?
We will continue our mandatory check-in process, health checks for visitors, vigilant infection control practices and the use of PPE when required.

25. What happens if a non-vaccinated person is carrying COVID-19 and unknowingly infects residents or staff?
This scenario is highly unlikely due to widespread vaccination and our own robust processes however we do have infection management plans in place should we be required to act swiftly.

URGENT COVID-19 UPDATE:
Level 4 lock down – New Restrictions

Dear Family Member / Whanau of Resident in CHT Facility,

As you are the nominated key contact person, please share this important information with others in your family and frequently check http://www.cht.co.nz/covid19-updates-residents/ for ongoing updates.

We understand that this is a distressing time for you being separated from your loved one and we are committed to providing the very best care while still ensuring we are protecting their health as well as our staff.

Our staff and management continue to enforce the Level 4 lock down restrictions as prescribed by the Ministry of Health, and we want to keep you updated with further new measures as they are confirmed. We require your full co-operation.

Our new measures – effective immediately:

• Please do not attempt to visit any CHT facilities, including standing outside and speaking through a window.
• The only exception for visiting is if a resident is in palliative care and a case-by-case decision will be made following advice from the Public Health (DHB), and infection control procedures will be followed. The family and Unit Manager will discuss this situation.
• Family members are not allowed to drop off food or laundry to residents
• Family member are allowed drop off a mobile device or computer for their relative to use for communication with family members.

You must follow this process:

• Device must be supplied with a charger

• Both the device and charger must be thoroughly cleaned before being dropped off to us. You can find some helpful information on this website https://support.apple.com/en-us/HT204172

• Call the Unit Manager to advise about the drop off, timing and adherence to the process outlined

• All devices and chargers will be labelled by CHT for identification

• Devices will not be shared amongst residents in order to protect the health and safety of residents and staff

• We strongly discourage families from taking residents home at this time. In addition to possible exposure to a person with COVID-19 and the 14 day isolation required on return, we cannot guarantee re-admission due to demand for beds at present.
• All non-essential external services (other than life support clinical services) will stop. GP consultations will continue using video or phone communications.
• All new admissions (from hospital or the community) will immediately go into isolation for 14 days.
• Should you have any questions, please contact the Unit Manager at your CHT Facility.

We will continue to update you as information becomes available from the Ministry of Health.

You can view the Ministry of Health’s latest updates on this website https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-novel-coronavirus-information-specific-audiences/covid-19-information-aged-care-providers

Thank you for your patience at this time, and for helping to protect our residents and staff.

Yours sincerely,

Max Robins Chief Executive

URGENT COVID-19 UPDATE:
Level 4 lock down – all CHT Facilities

Dear Family Member / Whanau of Resident in CHT Facility,

As you are the nominated key contact person, please share this important with others in your family and frequently check http://www.cht.co.nz/covid19-updates-residents/ for ongoing updates.

In response to the Prime Minister’s escalation this afternoon of the national alert level for COVID-19 to level three today, then to level 4 tomorrow, we are placing all CHT facilities into complete lock down to protect the health of our residents and staff, effective immediately. You can find out more about the Prime Minister’s announcement here.

Appropriate levels of care will continue to be delivered and GP consultations will be conducted via video or phone unless urgently required.

Please do not attempt to visit any relatives or staff as you will be turned away. Likewise residents are not permitted to leave the Facility. Should you have any questions, please contact the Unit Manager at your CHT Facility.

We will continue to update you as information becomes available from the Ministry of Health. You can view the Ministry of Health’s latest updates here.

Thank you for your patience at this time, and for helping to protect our residents and staff.

Yours sincerely,

Max Robins Chief Executive