Pandemic Influenza Plan - Questar III

Section 4: Infection Control
The following should be done to identify and report an influenza outbreak in a hospital
setting:
• Perform syndromic surveillance (patients and staff) for respiratory illness on all
units to identify any clusters of influenza-like illness.
• If a cluster of ILI is identified in an Article 28 facility (i.e., hospitals, nursing
homes and diagnostic and treatment centers) and other state facilities (e.g.,
Department of Corrections), report to the NYSDOH, Bureau of Communicable
Disease Control, Regional Epidemiology Program by:
o Electronically reporting on the Nosocomial Outbreak Reporting
Application (NORA) on the following NYSDOH Health Provider
Network (HPN)Website link:
https://commerce.health.state.ny.us/hpn/infecontrol/forms.html ;
OR
o Faxing an Infection Control (Nosocomial) Report Form (DOH form 4018)
to 518-408-1745 (diagnostic and treatment centers and state facilities do
not have access to NORA and are required to fax their report).
• If a cluster of ILI is identified in a non-Article 28 facility or a community setting,
report to the local health department in the county where the facility is located.
If limited transmission is detected (e.g., limited to one unit, or two units with an
established epidemiological link), appropriate control measures include:
• Establish cohorts of patients and staff (see IV.D and IV.E of this section).
• All personnel and visitors should wear a surgical mask when entering the ill
cohorting area. Masks are to be changed when moist with condensation or
visibly soiled.
• Utilize droplet precautions for patients exposed to pandemic influenza.
• Vaccinate unvaccinated staff and patients if vaccine is available (see Section 6).
• Provide antivirals for treatment of patients with influenza-like illness if antivirals
are available (see Section 7).
• Provide antivirals for prophylaxis for both patients and staff of affected units if
antivirals are available (see Section 7).
• Ill staff should not report to work unless needed for a critical staffing shortage. Ill
staff needed for work should be placed on antiviral treatment and assigned to the
ill cohort (see parts III.C and III.D of this section).
• Restrict new admissions (except for other pandemic influenza patients) to the
affected unit(s).
• Restrict visitors to the affected unit(s) to those who are essential for patient care
and support.
• Designate personnel who have received enhanced infection control training to
screen/triage patients, visitors and employees and perform direct patient care for
patients with known or suspected pandemic influenza.
• Designate specific influenza patient-flow routes that minimize contact with
employees, visitors and other patients.
February 7, 2006 4-14