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Original Question

This was the scenario; Scenario Brianna is 25 years old. She was involved in a serious car accident about one year ago and was paralysed from the waist down. She now uses a wheelchair for mobility. She has recently moved into a shared house with some long-time friends. You are her care worker, providing support for her transition to independent living. She has been happy and adjusting well to living with her friends and they have all been very supportive of Brianna and made necessary adjustments to their home to accommodate her individual needs. When you go for your client visit today, you notice that Brianna is coughing a lot. Given that there is a resurgence of COVID-19 in the community you decide to treat this as a possible COVID-19 case and respond appropriately. At the moment here is a state government mandate to report all confirmed cases of COVID-19. At the time of your visit Brianna is the only person who is at home. You will administer a COVID-19 RAT, and the result will return positive, at which time you must determine how to respond. You must decide how to handle the situation and who you will inform, and how you will report it. And this is the role play of the scenario; Care Worker (Jenny): Hi Brianna, it’s Jenny, your care worker from First Access. How are you feeling today? Brianna {Peem}: Not very good. I’ve been coughing since yesterday, and I’m just exhausted. Jenny: I’m sorry to hear that. Have you taken your temperature today? Brianna{Peem}: I haven’t checked yet. Jenny: That’s Okay, Brianna. If it’s okay with you, we can do that for you now. Brianna{Peem}: Yeah, sure. That would be helpful. Jenny: [Jenny takes out a thermometer and checks Brianna’s temperature.] It appears that you have a slight fever. This, along with the coughing. We should consider a COVID-19 Rapid Antigen Test to confirm. Brianna{Peem}: I haven’t taken a COVID test yet. Is it necessary? Jenny: Look, Brianna. Given the current resurgence of COVID-19 in the community, it’s a reasonable precaution to avoid spreading to other residents. So, yes, it’s necessary to do the test. Is that okay with you? Brianna{Peem}: Yeah, that’s fine. I don’t wanna spread it to everyone. Jenny: Great, thank you, Brianna. Let’s get that done to ensure everyone stays safe. Brianna, I need permission to do a swab test in your nose, please, if that’s okay? Brianna{Peem}: Yeah. Sure. [Alex proceeds to administer the Rapid Antigen Test.] [Pause for the test to process.] Jenny: Brianna, the test result is positive. It means you need to isolate to prevent spreading the virus to your friends and family. Brianna{Peem}: Oh no, I’m worried. What should I do now, and what about my friends here? Jenny: I understand, Brianna. First, let’s focus on keeping you calm. We’ll make sure you have everything you need during isolation. You should stay in your room as much as possible and avoid close contact with your housemates. We must also wash our hands regularly, take our temperature, and get a COVID-19 test regularly. We can also inform your friends to be cautious and get tested regularly as well. Brianna{Peem}: Can anyone help me during this time? Jenny: Absolutely, Brianna, we’re here to support you. I’ll coordinate with your friends and our support staff to ensure you have meals and any other necessary supplies. We’ll also check in with you regularly, so you don’t feel alone. Our staff will wear masks and gloves, and wash their hands frequently to ensure that we don’t spread the virus to others. Okay? Brianna{Peem}: Thank you. I’m just worried about them getting sick, too. Jenny: It’s understandable to feel that way. We’ll follow safety measures to minimise any risk to your friends. Everyone in the premises must undergo testing and be monitored for symptoms, and we’ll ensure they have all the necessary information. Brianna{Peem}: Okay, I’ll make sure to follow the guidelines. Will you report this to someone? Jenny: Yes, I will follow the First Access policy to report this case. It’s also a government mandate to report confirmed COVID-19 cases, so I’ll handle that, ensuring all information is kept confidential and protected. This will help you quickly set up any necessary support. Brianna{Peem}: Thanks, Jenny. I appreciate your help. Jenny: You’re welcome, Brianna. We’ll get through this together. If you have any questions or need anything, don’t hesitate to reach out. [Jenny ensures Brianna has a phone or device for communication and provides information papers about isolating safely and support contacts.] Main contact 0453242347. That’s the primary contact. Make a phone call whenever you need assistance. Okay? We’re only a phone call away. Brianna: I really appreciate the support. It makes me feel a lot better knowing I’m not alone in this. Jenny: We’re here for you every step of the way. You focus on resting and getting better. I’ll be in touch soon to ensure everything’s alright. Brianna: Thank you, Jenny. Jenny: Take care, Brianna. See you soon. This is the Incident, Injury, Trauma, and Illness Record that needs to be completed. Personal Details of Client/Visitor/Staff Member First name: Family name: Employee Client Contractor/Volunteer Visitor Agency Casual D.O.B: ____ / ____ / ____ Age: Department: Name of emergency contact: Address: Contact Phone Number: Incident Details Date: ____ / ____ / ____ Day of Week: Time: _________ a.m. / p.m. Location: Describe the incident, illness, trauma or injury sustained: State exactly what happened: Tick the appropriate box. For physical injury – indicate on the image where this has occurred. ☐ Fall ☐ Sprain ☐ Fracture ☐ Broken Bone ☐ Cut/Graze ☐ Bump/Bruise ☐ Incontinence Accident ☐ Eye Injury ☐ Nosebleed Certification Emergency contact of the affected person has been notified if practicable? ☐ Yes ☐ No The affected person has been kept under observation for a reasonable period? ☐ Yes ☐ No First Aid provided? ☐ Yes ☐ No If yes to First Aid – by who? Name: Medical assistance has been obtained? ☐ Yes ☐ No Medical examination was conducted by a nurse? If yes to nurse, who? Name: Follow-up medical action required: ☐ Yes ☐ No If yes to above, specify: Name of person completing the form: Signature: Date: ____ / ____ / ____ Personal Details of Client / Visitor / Staff Member First name: Address: Post Code: Witness contact number: If you witnessed the incident please provide a brief summary of what occurred:

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