Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response • Review and post contact numbers (see above) in a readily accessible location. Include both a primary and secondary method of communication (e.g., phone, fax, e-mail) where possible. • Nursing homes in affected counties within NYS should restrict visitation from outside vendors and visitors. • Minimize/cancel group activities and outside group visits. • Institute isolation in accordance with plan where necessary. • Activate and deploy recruited volunteers • Request additional volunteers from local OEM if necessary. • Report emergency resource requests to the local OEM health desk through HERDS. Local Health Departments: • Recommend activation and deployment of volunteers to local OEM to assist facilities. • Work with NYSDOH to regularly update providers as the influenza pandemic unfolds. • Assist local OEM by providing guidance on health related decisions and prioritization of asset requests consistent with ICS. • Coordinate activation of HERDS with NYSDOH. State Health Department: • Update LHDs and OEMs providers regularly through the HPN and other communication routes as the influenza pandemic unfolds. • Use HERDS to assist LHDs and local OEMs in identifying nursing homes that are projecting shortages or have shortages of food, supplies, pharmaceuticals, equipment and assists with acquisitions as possible. • Work with LHDs and Wadsworth Center to coordinate testing. • Use HERDS to identify to LHD and local OEM nursing homes that could accept additional ventilator residents/patients and identify needed supplies, equipment and staff for these facilities. • Assist local OEM by providing guidance on health related decisions and prioritization of asset requests consistent with ICS. • Work with nursing homes capable of surging capacity to provide temporary emergency approval for increased capacity. • Work with LHDs to investigate and report special pandemic situations. • Issue guidance to providers on decisions made on altered standards of care. • Communicate with the appropriate level of SEMO to determine the status of needed health care volunteers. • Activate and deploy volunteers as demand for volunteers at the local level exceeds local resources in accordance with ICS. February 7, 2006 3-33
Section 3: Healthcare Planning and Emergency Response F. Adult Care Facilities: Interpandemic and Pandemic Alert Periods Adult Home Providers: • Physicians will report any influenza diagnoses to the ACF administrator. • Administrator will notify NYSDOH Regional Office and LHD of influenza diagnoses on a regular basis. • Review emergency plans including surge plans and 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 of personnel and residents, including strict adherence to hand hygiene and standard respiratory precautions. • Educate personnel and residents on proper use of Personal Protective Equipment (PPE), including paper ‘surgical masks’, gowns and gloves. • Educate personnel and residents on avoidance of hand to mucous membrane contact, and need for thorough hand washing if such contact is made. • Establish procedures to assure precautionary measures for cognitively impaired residents. • Determine how the facility will communicate with resident representatives and advocates and help educate them regarding prevention and control measures. • Develop a plan for procuring the supplies (e.g., PPE) needed to manage residents with influenza. • Instruct all personnel to report influenza-like symptoms/illness to designated staff immediately. • Educate personnel on influenza, including signs and symptoms, and transmission. • Encourage personnel to obtain appropriate influenza vaccines. • Investigate any clusters of influenza-like illness and report to LHD and NYSDOH Regional Office. • Review contact numbers for NYSDOH Regional Office and Duty Officer, LHD, local OEM, community partners with appropriate staff and maintain in a location readily accessible by 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. February 7, 2006 3-34
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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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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 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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