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Pandemic Influenza Plan - Questar III

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Section 4: Infection Control<br />

A. Basic infection control principles for preventing the spread of pandemic<br />

influenza for all pandemic periods<br />

• Limit exposure to infectious/potentially infectious persons (i.e., febrile respiratory<br />

symptoms).<br />

o Identify potentially infectious individuals and physically isolate if<br />

possible/indicated for the setting.<br />

o Promote spatial separation in common areas (i.e., maintain at least 3 feet<br />

from symptomatic persons).<br />

• Protect healthcare workers from exposure to the influenza virus while delivering<br />

care.<br />

o Wear a surgical or procedure mask for close contact with infectious<br />

patients (i.e., within 3 feet).<br />

o Wear personal protective equipment (i.e., gloves, gowns, mask and eye<br />

protection) to prevent contact with respiratory secretions and skin, mucous<br />

membranes and clothing (i.e., standard precautions).<br />

o Perform hand hygiene after contact with infectious patients or their<br />

immediate environment. Reinforce compliance with hand hygiene by:<br />

• Educating on the importance of hand hygiene for the prevention of<br />

transmission of infectious agents;<br />

• Providing easy access to hand hygiene products at the point of care.<br />

• See CDC Guideline for Hand Hygiene in Health Care Settings<br />

(http://www.cdc.gov/handhygiene/) for more details on guidance and<br />

suggestions for improving adherence.<br />

o Educate healthcare workers to avoid touching their eyes, nose or mouth<br />

with contaminated hands (gloved or ungloved) while delivering care and<br />

until they perform hand hygiene.<br />

o Food and drink should not be consumed by healthcare workers in patient<br />

care areas where contamination is likely.<br />

• Contain infectious respiratory secretions<br />

o Implement the use of respiratory hygiene/cough etiquette<br />

o Promote the use of masks by symptomatic persons in common areas (e.g.,<br />

waiting areas) or when being transported (e.g., in emergency vehicles).<br />

• Assure adequate cleaning of the patient care environment by:<br />

o Assessing the protocols used by your facility for daily and discharge<br />

cleaning to assure adequacy. They should minimally include:<br />

• Daily cleaning of:<br />

horizontal surfaces (e.g., over-bed table, night stand).<br />

frequently touched surfaces (e.g., bed rails, phone);<br />

lavatory surfaces.<br />

• Discharge cleaning of:<br />

surfaces described above.<br />

visibly soiled vertical surfaces (e.g., walls, curtain dividers).<br />

frequently touched surfaces such as light switches and door<br />

knobs.<br />

February 7, 2006 4-5

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