Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response • Collaborate with County Emergency Manager and EMS Coordinator in the implementation and use of alternate means for transporting noncritically ill patients to and between medical facilities. State Health Department: • Collaborate with County EMS Coordinator and EMS agencies regularly as the influenza pandemic unfolds. • Monitor status of EMS resources through County EMS Coordinators. • Assist in mobilization and allocation of requested resources through SEMO. • Monitor for critical gaps in ability to provide emergency medical services. • Provide regular updates for EMS staff on the current status of the pandemic. J. Mass Fatality Interpandemic and Pandemic Alert Periods Funeral Firms: • Standard operating procedures for funeral firms. • Funeral Directors and cemetery personnel should be immunized to insure staffing. • Conduct a meeting at the county level with all active funeral directors, firm mangers, medical examiners and coroners to discuss infection control guidelines for handling the event. Guidelines should include: o Infection control precautions o Personal protective equipment o Environmental disinfection • Identify the surge capacity of the funeral firms in the county. • Identify the surge capacity of the Article 28 facilities in the county. • Funeral firms should develop an internal mass fatality plan. • Identify other funeral service resources (i.e., mortuary science students and registered residents). Funeral firms should contact suppliers for products for: o Disinfection o Embalming o caskets/alternative containers o body bags o PPE February 7, 2006 3-43
Section 3: Healthcare Planning and Emergency Response Local Health Departments: • Every county must have a plan in place for mass fatality dispositions that are outside of the current/standard means of disposal. • Conduct a meeting at the county level with all active funeral directors, firm managers, medical examiners and coroners to discuss infection control guidelines for handling the event. Guidelines should include: o Infection control precautions o Personal protective equipment o Environmental disinfection • Work with local OEM to: o Identify the surge capacity of the funeral firms in the county. o Identify the surge capacity of the Article 28 facilities in the county. o Identify the surge capacity, if any, at the medical examiners/coroners office. o Identify a threshold for the number of deaths within the county that will be used to determine when different aspects of the plan will be implemented. • LHDs continue to have ongoing communication with medical examiners/coroners and funeral directors. State Health Department: • Revisit guidelines, and revise and distribute with information specific to the virus. • Contact the Division of Cemeteries (1-212-417-5713) to identify the surge capacity for cemeteries and to assess their labor availability and/or labor issues. • Require registrars to develop an emergency staffing plan to address the anticipated surge in volume and registrar absenteeism associated with Pandemic Influenza. These plans should be shared with LHD and local OEMs. • Require medical examiners and coroners to develop an emergency staffing plan to address the anticipated surge in volume and absenteeism associated with Pandemic Influenza. These plans should be shared with LHD and local OEMs. • Work on streamlining the process and form for filing death certificates. • Coordinate actions with New York City Vital Statistics. Pandemic Period Funeral Firms: • Standard operating procedures for funeral firms. However, this may change depending on each Article 28 facility’s morgue surge capacity. (metropolitan vs. suburban vs. rural) Report pandemic influenza cases or fatalities as requested by the LHD and NYSDOH. February 7, 2006 3-44
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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 2-A • Surveillance Crite
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Appendix 2-A • In New York City,
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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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