Pandemic Influenza Plan - Questar III

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Section 4: Infection Control • Optimize the vehicle’s ventilation to increase the volume of air exchange during transport. When possible, use vehicles that have separate driver and patient compartments that can provide separate ventilation to each area. • Notify the receiving facility that a patient with possible pandemic influenza is being transported. • Follow standard operating procedures for routine cleaning of the emergency vehicle and reusable patient care equipment. IX. Specific Infection Control Guidance for Outpatient Medical Offices Patients with nonemergency symptoms of an influenza-like illness may seek care from their medical provider. Implementation of infection control measures when these patients present for care will help prevent exposure among other patients and clinical and nonclinical office staff. Detection of patients with possible pandemic influenza • Post visual alerts (in appropriate languages) at the entrance to outpatient offices instructing persons with respiratory symptoms (e.g., patients, persons who accompany them) to: o Inform reception and healthcare personnel when they first register for care to practice respiratory hygiene/cough etiquette (see www.cdc.gov/ncidod/hip/enviro/Enviro_guide_03.pdf) o Sample visual alerts may be found on CDC’s SARS website: http://www.cdc.gov/ncidod/hip/INFECT/RespiratoryPoster.pdf • Triage patients calling for medical appointments for influenza symptoms: o Discourage unnecessary visits to medical facilities. o Instruct symptomatic patients on infection control measures to limit transmission in the home and when traveling to necessary medical appointments. “Source control” measures • Post signs that promote cough etiquette in common areas (e.g., elevators, waiting areas, cafeterias, lavatories) where they can serve as reminders to all persons in the healthcare facility. Signs should instruct persons to: o Cover the nose/mouth when coughing or sneezing. o Use tissues to contain respiratory secretions. o Dispose of tissues in the nearest waste receptacle after use. o Perform hand hygiene after contact with respiratory secretions. • Facilitate adherence to respiratory hygiene/cough etiquette. Ensure the availability of materials in waiting areas for patients and visitors. o Provide tissues and no-touch receptacles (e.g., waste containers with pedal-operated lid or uncovered waste container) for used tissue disposal. o Provide conveniently located dispensers of alcohol-based hand rub. o Provide soap and disposable towels for hand washing where sinks are available. February 7, 2006 4-26
Section 4: Infection Control • Promote the use of procedure or surgical masks and spatial separation by persons with symptoms of influenza. o Offer and encourage the use of either procedure masks or surgical masks by symptomatic persons to limit dispersal of respiratory droplets. o Encourage coughing persons to sit at least 3 feet away from other persons in common waiting areas. Patient placement • Where possible, designate separate waiting areas for patients with symptoms of pandemic influenza. Place signs indicating the separate waiting areas. • Place symptomatic patients in an evaluation room as soon as possible to limit their time in common waiting areas. X. Specific Infection Control Guidance for Other Ambulatory Settings A wide variety of ambulatory settings provide chronic (e.g., hemodialysis units) and episodic (e.g., freestanding surgery centers, dental offices) healthcare services. When pandemic influenza is in the region, these facilities should implement control measures similar to those recommended for outpatient physician offices. Other infection control strategies that may be utilized include: • Screening patients for influenza-like illness by phone or before coming into the facility and rescheduling appointments for those whose care is non-emergency. • Canceling all non-emergency services when there is pandemic influenza in the community. XI. Care of <strong>Pandemic</strong> <strong>Influenza</strong> Patients in the Home Most patients with pandemic influenza will be able to remain at home during the course of their illness and can be cared for by other family members, or others who live in the household, provided their home is a suitable location for them during their illness. Voluntary home confinement by symptomatic persons will limit their contact with uninfected persons and help slow the spread of influenza. Anyone residing in a household with an influenza patient during the incubation period and illness is at risk for developing influenza. A key objective in this setting is to limit transmission of pandemic influenza within and outside the home. The decision to remain at home when ill with influenza will best be made in consultation with the person’s/family’s health care provider. Epidemiologic investigation of pandemic cases may reveal what characteristics (e.g., age less than 2 or greater than 64 years, underlying cardiac or respiratory disease, compromised immunity) increase a person’s risk for severe disease and who will benefit most by receiving medical care (including antiviral treatment) early in the course of their infection. When a person remains at home, the appearance of certain conditions (i.e., shortness of breath while resting, difficult or painful breathing, wheezing, bloody sputum, fever for more than 4 days or a sudden February 7, 2006 4-27
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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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NYSDOH Novel Influenza Case Report
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Appendix 2-C to health care provide
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Virus Detection History NYS Lab Num
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Section 3: Healthcare Planning and
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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 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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