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Covid-19 Questionnaire


Outpatient, Oncology, & Minor (Day Case) appointments, please note:

The following Covid-19 screening questionnaire must be read in advance of attending for any appointment:

1. Have you had a sudden onset of any of the following symptoms within the past 2 weeks:

  • Fever
  • Cough
  • Sore throat
  • Runny nose
  • Shortness of breath
  • Difficulty breathing
  • Sudden loss of taste or smell
  • Sudden loss of energy

2. Have you had a positive test for COVID-19 within the past 2 weeks?


If you answer YES to either of the above questions, please:

Do NOT attend Blackrock Clinic for your appointment

  • For Outpatient / Radiology appointment call us on 1800 300 200 to rearrange your appointment (lines are open Monday to Friday 9am to 5pm)
  • For Oncology appointment  call us on 01 206 4226  to rearrange your appointment (lines are open Monday to Friday 8.00am to 5.30pm)
  • For Minor / Day case appointment please contact your referring Consultant to rearrange your appointment

Contact your GP to discuss your symptoms

In advance of an In-Patient Stay – Reducing the Risk and What you can do to Help

Before you attend the hospital for an in-patient stay, patients should be mindful of ensuring that contact is minimised with people outside of their family group as much as possible. Physical distancing, the wearing of face mask or covering, and general conformance with all the current recommendations is highly advised.

Hand Hygiene

Hand hygiene remains the most important factor in the prevention of infection. By having clean hands, you will prevent picking up infection and also reduce any risk of contaminating surfaces. Blackrock Clinic provides alcohol gel at the correct concentration of 70% throughout the hospital, inside and outside of every patient room, and at each hospital entrance.

We have increased the disinfection of touch areas throughout the hospital which includes all waiting area chairs, door handles and bathrooms.

Masks

Posters are displayed throughout on how to wear your mask correctly. Our teams comply with the national recommendations in relation to wearing a face mask.

Cough Etiquette

If you sneeze or cough, please do so into a tissue and then dispose of it and clean your hands. If you do not have a tissue, please cough into your elbow.