Living Well Integrative Health Center

2176 Windsor Street, Halifax, Nova Scotia, Canada. (902) 406-1500

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COVID Pandemic Guidelines for In-Person Primary Care & test restrictions...

Dear Patients please read this...
During one of our groups this week it was suggested that I ensure to inform patients as to what restrictions have been placed on primary care and access to tests. I hope that this is helpful in providing information that enables you to better understand our need to take significant precautions in order to protect and minimize risks of exposure. The restrictions are also in place as so very many laboratory staff and resources are being delegated and dedicated to Covid screening. It is hard to understand and often frightening to hear, read or interpret. It is not meant as a deterrent to seeking care. But know that if a test is required we will secure it but that which is not urgent or emergent will have to wait. Please book your apts on line sooner rather than later. Don't wait for your health to worsen nor for meds to run out. Don't wait till you feel you are at rock bottom. Reach out, book, join our group offerings and take care by staying safe and following Covid prevention guidelines....

Dear Colleagues, As a result of the increase of COVID 19 tests being performed, there will be changes to the availability of Laboratory Testing in Central Zone effective immediately.Date: November 25, 2020 Suspension of Microbiology Testing for COVID-19 Second WaveEffective immediately, the Microbiology Laboratory at the QEII HSC will enact our business continuity planning due to an unprecedented increase in demand for services related to COVID-19 testing. The following services will be suspended until further notice
• Throat swabs for Group A Streptococcus
• Routine HSV / VZV swabs for PCR
• Stool testing for viral gastroenteritis
• Oral swabs for fungal culture / stain
• fungal culture for skin, hair and nails
• Chlamydia and Gonorrhea testing except for prenatal screening
We would encourage our front line clinicians to reduce the use Routine Urine cultures Do not culture urine in asymptomatic individuals. Asymptomatic bacteriuria should not be treated except in pregnant women or prior to an invasive urologic procedure. Most inpatient urine cultures are unnecessary. Women with symptoms should be empirically treated with nitrofurantoin. Other options include trimethoprim-sulfamethoxazoleor fosfomycin and culture reserved for persistent symptoms. See NSH Spectrum App or AMS website for guidance (https://library.nshealth.ca/ams)
Skin Swabs Avoid swab specimens of superficial ulcers, especially of inadequately debrided wounds
We sincerely apologize for the inconvenience and thank you for your understanding and cooperation.
If you have any questions, please do not hesitate to contact the laboratory at 902-473-2120
December 2, 2020 • There will be a suspension of Urine drug screens. • Tests for HbgA1C and Urinalysis will have reduced availability unless necessary • Some endocrine testing turnaround time will be delayed.

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