Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response Local Health Departments: • Consult with NYSDOH regarding activation of HERDS to begin collection of hospital resources data. State Health Department: • Implement emergency response plans including continuous collection of data concerning medical and material supplies and their allocation. • Initiate a HERDS incident and begin data collection and analysis. • Communicate information to LHDs and appropriate level of Incident Command. E. Nursing Homes Interpandemic and Pandemic Alert Periods Nursing Home Providers: • Recruit and train volunteers in coordination with LHD, OEM and hospitals. • Review emergency plans including surge plan and staff call-down lists and revise as needed. Staff to be educated on any changes. • HPN Coordinator(s) to review and revise the Communications Directory, including Emergency Office 24/7 Contacts and Contact Persons. • HPN Coordinator(s) to obtain HPN accounts for all Contact Persons listed in the Communications Directory. • Reinforce infection control education and training of personnel, including strict adherence to hand hygiene and standard respiratory precautions. • Educate personnel on proper use of Personal Protective Equipment (PPE), including paper ‘surgical masks’, gowns and gloves. • Educate personnel and cognitively aware residents on avoidance of hand to mucous membrane contact, and need for thorough hand hygiene if such contact is made. • Instruct all personnel to report influenza-like symptoms/illness to employee health or designated nursing staff immediately. • Educate personnel on influenza, including epidemiology, signs and symptoms, and transmission. • Encourage personnel and residents to obtain appropriate influenza vaccines. • Investigate any clusters of influenza-like illness and report to LHD and NYSDOH. Nosocomial Outbreak Reporting Application (NORA) may be used for reporting influenza-like outbreaks to NYSDOH. • Review contact numbers for NYSDOH Regional Office and Duty Officer, LHD, local OEM and community partners with appropriate staff and maintain in a location readily accessible by February 7, 2006 3-31
Section 3: Healthcare Planning and Emergency Response staff. Include both a primary and secondary method of communication where possible (e.g., phone, fax, e-mail). • Educate appropriate staff on the location and purpose of this information. Local Health Departments: • Recruit and train volunteers in coordination with OEM, hospitals and other health care facilities/agencies. • Notify NYSDOH Regional Epidemiology Office of diagnosed influenza cases within the community, including those reported by nursing homes. State Health Department: • Issue routine flu advisory to health care providers encouraging vaccination. • Health Alerts will be posted on the HPN, and blast fax alerts will be sent to all nursing homes, advising attention at once to the HPN/HAN. • NYSDOH Regional Offices will review facilities’ surge plans for ability to receive an influx of patients. • Nursing homes currently managing ventilator dependent residents will be assessed for extended vent capacity through the facility surge plans. • Work with LHDs to develop HERDS templates focused on anticipated needs during a pandemic flu. • Continue to recruit volunteers on the NYSDOH Public Health Preparedness Volunteer Practitioner Database. Pandemic Period Nursing Home Providers: • Review emergency preparedness and infection control plans with staff. • Be prepared to implement surge plan. • Inform facility staff, visitors, vendors and subcontractors of the emergency situation. • Attending physicians and/or Infection Control Practitioners will notify the NYSDOH Regional Office and LHD of all influenza diagnoses. • Instruct all personnel to report influenza-like symptoms/illness to employee health or designated nursing staff immediately. • Be prepared to make reports to NYSDOH through HERDS regarding influenza cases, staffing and resources levels and census. February 7, 2006 3-32
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February206 Pandemic Plan NewYorkSt
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Introduction Pandemic influenza occ
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example, at this time, it is realis
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Acronyms (cont.) IND IHANS IRB ISHS
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Section 1: Command and Control I. O
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Section 1: Command and Control pers
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February 7, 2006 Appendix 1-A
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Appendix 1-B The Public Health Law
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Appendix 1-B communicable diseases
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Appendix 1-C Management Office or t
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Appendix 1-E Suspension of Public M
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Appendix 1-G A Guide to New York St
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Appendix 1-G health commissioner. P
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Appendix 1-G 8. State Institutions
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Appendix 1-G b. Governor May Invoke
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Appendix 1-G may direct, pursuant t
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Appendix 1-G c. Commissioner of Gen
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Appendix 1-G Designation of emergen
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Appendix 1-G physician’s assistan
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Appendix 1-H Summary of Public Offi
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Section 2: Surveillance and Laborat
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Section 4: Infection Control Health
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Appendix 4-A Soiled linen and laund
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Appendix 4-B Respiratory Hygiene/Co
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Section 5: Clinical Guidelines I. O
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Section 5: Clinical Guidelines incu
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Section 5: Clinical Guidelines 1) N
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Section 5: Clinical Guidelines infe
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Section 5: Clinical Guidelines Alth
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Section 5: Clinical Guidelines Infe
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Section 5: Clinical Guidelines •
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Appendix 5-B Clinical Evaluation of
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Appendix 5-C Special Situations and
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Appendix 5-D handling soiled laundr
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DRAFT Appendix 5-E Footnotes to App
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Appendix 5-F February 7, 2006 1
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Appendix 5-F 7. Guidance on the eva
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Appendix 5-H Source: U.S. Departmen
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February 7, 2006 2 Appendix 5-I
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Appendix 5-J Clinical Presentation
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Appendix 5-J diabetes mellitus), re
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Appendix 5-J resistant S. aureus (M
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Appendix 5-K eight patients—all o
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Appendix 5-L Guidelines for Managem
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Appendix 5-L testing should be perf
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Appendix 5-L February 7, 2006 5
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Section 6: Vaccine Procurement, Dis
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Appendix 6-A Vaccine Priority Group
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Appendix 6-B Mass Clinic Planning O
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Appendix 6-C Vaccine and Antiviral
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Appendix 6-C 1. Request Phase The r
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Appendix 6-C 3. Receipt and Sign-of
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Appendix 6-C • Work with local he
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Section 7: Antiviral Medication Pro
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Appendix 7-A Characteristics of Ant
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Appendix 7-B a The drug package ins
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Appendix 7-C 7 HCWs in emergency de
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Section 8: Travel-Related Disease C
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Appendix 8-A Home or Community-Base
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Appendix 8-B Contact Identification
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Appendix 8-B • Determine the time
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Appendix 8-C Administrative Data: S
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Appendix 8-D CONTACT DAILY TEMPERAT
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Appendix 8-F Definitions: Intervent
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Appendix 8-F facility. No specific
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Appendix 8-F • Resources Required
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Appendix 8-G Business Pandemic Infl
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Appendix 8-G 4. Allocate resources
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Appendix 8-H CDC guidelines suggest
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Appendix 8-H If I am not masked I
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Appendix 8-H NYSDOH Model Influenza
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Appendix 8-H I understand that if
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Section 9: Communications I. Overvi
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Section 9: Communications and commu
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Section 9: Communications web pages
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Section 9: Communications Local Hea
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Section 9: Communications • A JIC
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Section 9: Communications backup to
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Section 9: Communications • In th
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Appendix 9-A Public Health Risk Com
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Appendix 9-C New York State Departm
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Appendix 9-C PRE-EVENT MESSAGE MAP:
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Appendix 9-C PROTECTIVE MESSAGE MAP
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Appendix 9-C TREATMENT MESSAGE MAP:
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Appendix 9-C BUSINESS CONTINUITY PR
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Section 10: Training and Education
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Appendix 10-A NYSDOH STAFF PRIVATE
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FACILITY- BASED RNs FACILITY- BASED
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Section 11: Workforce Support I. Ov
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Section 11: Workforce Support Pande
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Section 12: Highly Pathogenic H5N1
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Section 12: H5N1 in Non-Human Anima
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Section 13: Public Health Preparedn
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Appendix 13-A NYSDOH Roles Notified
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Appendix 13-B Notifications sent by
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Appendix 13-B HAN posting is used a
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Appendix 13-B notification system t
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Appendix 13-C Overview of the Healt
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Appendix 13-C • Ongoing surveilla
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Table 1. Summary of HERDS Use To da
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Appendix 13-D Commerce Access and A
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Appendix 13-D Table 3. Organization
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Pandemic Influenza Plan - Questar III

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