Alert Levels

Updated 22 September 2021
 

Alert Level 3

The Auckland region is currently at Alert Level 3. 

Oral health professionals in the Auckland region will need to follow Ministry of Health & Dental Council New Zealand Guidelines for oral health services at COVID-19 Alert Level 3

Under level 3 you can provide oral health care for your patients that ensures a balance between patients’ access to care and protecting public safety by limiting the opportunities for COVID-19 community spread. Please triage the patient by phone first.

Patients are in either a low-medium or high risk category for care, depending on their responses to the risk assessment questions detailed below (or page 4 of the Guidelines).

Triage all patients by phone first. If in your professional judgement you need to see the patient to effectively manage their dental condition, then determine the patient’s risk category by asking the risk assessment questions, over the telephone.

You can see the patient if you can meet the room and PPE requirements. If you are unable to meet these requirements, and the patient requires care, then refer the patient to where they can receive this.
 

Alert Level 2

For the the rest of New Zealand Ministry of Health & Dental Council New Zealand Guidelines for Oral Health Services at COVID-19 Alert Level 2 will apply.

Under level 2, you can provide oral health care for your patients that ensures a balance between patients’ access to care and protecting public safety by limiting opportunities for COVID-19 community spread.

Patients are in either a low or high risk category for care, depending on their responses to the risk assessment questions detailed below (or page 4 of the Guidelines).

For ALL patients ask the risk assessment questions, before scheduling an appointment, and record the patient’s responses in their record.

This assessment will determine whether you need to take extra infection prevention and control precautions because the patient is at risk of having COVID-19, or has potentially been exposed to COVID-19 in the past 14 days and therefore has a risk, although very low, of being a pre-symptomatic or an asymptomatic COVID-19 case.

When the patient arrives for their appointment, confirm their responses to the questions asked when scheduling, and record the patient’s responses in their record.

Within the context of limiting the spread of any COVID-19 community transmission, for patients with COVID like symptoms or epidemiological risks, encourage them to defer their care if not urgent.
 

Risk assessment questions:

  • Do you have a confirmed diagnosis of COVID-19?
  • Are you a probable COVID-19 case?
  • Are you required to self-isolate and/or waiting for COVID-19 test results?

If NO to ALL: 

  • Do you have new or worsening respiratory symptoms including one of the following: new or worsening cough, sneezing and runny nose, sore throat, fever, temporary loss of smell or altered sense of taste, shortness of breath? 
  • Do you have any of the less common symptoms, such as: diarrhoea, headache, muscle aches, nausea, vomiting, malaise, chest pain, abdominal pain, joint pain or confusion/irritability - where there is no other likely diagnosis? 

If YES to ANY:

In the 14 days before the start of your symptoms have you: 

  • had close contact* with someone who is a probable or confirmed COVID-19 case? 
  • been in attendance at a current location of interest? 
  • travelled internationally (excluding travel by air from a country/area with which New Zealand has quarantine-free travel (QFT))? 
  • had direct contact with someone who has travelled overseas (excluding travel by air from a QFT country/area). This includes border staff, quarantine and isolation facility staff, and international aircraft and shipping vessel crew, except those who have travelled exclusively between New Zealand and QFT destinations? 
  • exited an MIQ facility (excluding recovered COVID-19 cases)? 
  • Worked on an international aircraft or shipping vessel (excluding aircraft from a QFT country/area)? 
  • cleaned at an international airport or maritime port in areas/conveniences visited by international arrivals (excluding areas/conveniences for travellers by air from a QFT country/area)? 
  • worked in cold storage areas of facilities that receive imported chilled and frozen goods directly from an international or maritime port? 
  • travelled from an area with an evolving community outbreak (including in New Zealand and any other country/area with which New Zealand has QFT)?**

*A close contact is defined in Appendix 2 of the guidelines
** travel from an area with Alert level 3 or 4 restrictions

Face masks and PPE continuity

Under the Ministry of Health & Dental Council New Zealand Guidelines for Oral Health Services at COVID-19 Alert Levels 2 & 3 there are revised requirements around the use of N95 masks. 

Checklist, buying guide, and presentation counterfeit facemasks

Mask fit testers
Aside from securing your stock of facemasks, it’s important to find a registered fit tester.  Find a tester by name or region with this register. 

Face masks and PPE continuity
The following list of PPE providers is being updated regularly. We have asked vendors that they meet the specified standard, but it is up to practitioners to ensure that this is the case.

Last updated 22 September 2021
 

Organisation Name Email Phone

Amtech Medical

Lauren Reid or Jayden Currie  lauren@amtech.co.nz       jayden@amtech.co.nz 0800 268 324 or
Jayden Currie 021 194 8213
Aluro HealthcareNZ

Customer Services or Rudy Tavarez

orders@aluro.co.nz or rudyt@aluro.co.nz 0800 800 085 or 021 269 2384

DRC NZ

Adrienne Renton or Bianca Tripiano    info@drcnz.co.nz
or visit website
0800 372 972
Imex Medical Ltd Bryce Filleul sales@imexmedical.com 0800 463 963 or
09 280 3936
Leedsafe Ltd Sales - Lucy Burch lucy@leedsafe.co.nz 03 379 2055
NXP (National Xpress Products) NXP Customer Care Team yes@nxp.nz 0800 800 547
Oraltech  Christine Bell Christine@oraltec.co.nz 0508 478 222
Ormiston Kiwi Chemist Michael Mishriki ormiston@kiwichemist.co.nz 021 645 321
Security Alert Michael Mathieson mike@securityalert.co.nz 0800 732 258 or
027 457 5509
Vendella International Melissa Murran melissa@vendella.co.nz 0800 836 335



Amtech

Access an Amtech order form here
We have a full range of PPE and infection control products in stock.
 

Aluro HealthcareNZ

PPE Product List:
N95 Fluidshield Respirators
Type IIR ASTM Level 3 Fluidbloq Surgical Facemasks
Type IIR ASTM Level 3 Beesure VIBE Surgical Facemasks
ASTM Level 2 Surgical Facemasks
Level 1 Facemasks – for patients or support people on arrival to practice
Faceshields
Goggles
Safety Glasses
Impervious Long Sleeve Gowns
Overshoes
Bouffant Caps
Nitrile Gloves
Latex Gloves 
Biodegradable Nitrile Gloves

Extra Aerosol Management and Infection Control Measures:
Aerosol Max Extra Oral Suction Machine with Hepa Filter
Sanuvox Hepa Filter Air purifying Units
Kona Ozone infection control sensor tap
Rubber Dam (latex and non latex)
1% hydrogen peroxide pre-procedural sanitising mouthrinse
Perio Plus CHX + Citrox Mouthrinse (0.2%)
Cotton Mouth Swabs

Surface Management & Disinfection Products:
BLB alcohol based hand sanitiser
Hand Sanitising Foam – kills 99.9% microorganisms 
ALuroHQ Bulk liquid flowing hand soap
AluroHQ ECOCLOTH Biodegradable clean & Disinfection cloths – proven effective against C-19
Viraclean Surface Clean and disinfection spray – proven effective against C-19
Clinimax neutral detergent liquid
AluroHQ Biodegradable neutral detergent
Neutral detergent wipes
Barrier sleeves and cover-all

For more product information, please visit their website

Oraltec

PPE product list
Overshoes – ex stock
Large plastic patient bib – ex stock
KN95 masks – ex stock
Face shields – ex stock
New style face shields – ex stock
Instrument reprocessing gloves – ex stock
Latex gloves – ex stock
Level 2 earloop masks – ex stock
Non contact thermometer – ex stock

Disinfection productsAlcogel hand sanitiser – ex stock
Hygiene liquid soap – ex stock
Foam 2 alcohol free cleaning and disinfection wipes  
Alcohol free cleaning and disinfection spray for surface wiping – ex stock
70% ethanol disinfection spray can – ex stock
1% hydrogen peroxide Preprocedural rinse solution – ex stock
Micro 10 Enzyme 2 for cleaning and disinfecting instruments – ex stock
Impresafe for disinfecting impressions – ex stock
Listerine for preprocedural rinsing – ex stock
Barrier film – ex stock
Autoclave pouches – ex stock

For more information please visit their website.
 

ShieldsUp

ShieldsUp started in response to the outcry of medical & emergency staff across the country facing the COVID-19 pandemic. They put their own health at risk to help protect others, often without adequate personal protective equipment. We are now a community of over 500 volunteers, 3D printing and manufacturing face shields for our medical and emergency heroes at the forefront of this awful pandemic. We have doctors, sterilisation specialists, engineers, as well as 3D printing experts on our team. We are also consulting with our medical community to ensure the design is appropriate and fit for purpose. For more information about our face shields, or if you would like to request them for your practice, you can do so on our website – we are humbled to be able to help you in our own small way and are grateful for the work that you continue to do. ShieldsUp, offering protection to Kiwi’s against COVID-19.

ShieldsUp are now able to offer a purpose built dental shield, based on feedback we have received from dentists. This version differs from our standard model in that it sits further from the face, accommodating loupes and other equipment.

Orders can be made via our website. For further design modifications or input, please contact Aida Rasmussen on 021 101 8160 or aida.rasmsusen01@gmail.com 

Notice in practices  

As per MoH & DCNZ Guidelines practices should post visual alerts (e.g. signs, posters) at the entrance and in strategic places (e.g. waiting areas, elevators) to provide patients and health care practitioners with instructions (in appropriate languages) about hand hygiene, respiratory hygiene, and cough etiquette.

Automated appointment reminders

Dentists with an ability to schedule automated appointment reminders should consider sending the following (or similar) to your patients. Template COVID-19 patient advice notice

Phone appointment responses

Dentists who remind patients of upcoming appointments by phone, should consider what advice is being given to patients and may wish to provide similar information as that written in the above template. 

Ministry of Health

As we have previously advised and continue to advise, members should regularly review Ministry of Health advice which is constantly being updated here. There is useful information here for health professionals.