Pandemic Influenza Plan - Questar III

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Section 4: Infection Control • Monitor and reinforce adherence to recommended infection control practices to prevent exposure to, and transmission of, pandemic influenza within the healthcare setting. • Communicate to clinicians and direct patient care staff updated information on the epidemiology, clinical characteristics, and additional control measures for pandemic influenza provided on the NYSDOH Health Advisory Network (HAN). • <strong>Plan</strong> for how cohorting (if applicable to your healthcare setting) would be operationalized. • Establish and implement surveillance systems for cases of influenza-like-illness (ILI) and confirmed influenza among patients/residents and healthcare workers. • Report cases of novel influenza and influenza outbreaks as per the Surveillance and Laboratory Testing (Section 2) and per the Nosocomial outbreak management for all influenza pandemic periods (IV. G) in this section. • Assess current triage settings and other common patient areas and plan for source control strategies to contain transmission from potentially infectious patients. • Establish with the local health department geographical areas (border states/regions/counties) that would trigger the initiation of more conservative infection control measures. <strong>Pandemic</strong> Period State Health Department: • Provide information on the evolvement of the pandemic in the world and any specific changes or additions to current infection control guidance to local health departments and healthcare providers through the HAN. • Alert local health departments and healthcare facilities when the pandemic nears bordering states and advise on the implementation of additional conservative infection control measures (e.g., active screening of healthcare workers, implementation of non-traditional triage sites, cohorting of patients/residents) as indicated. • Provide consultation to local health departments and healthcare facilities for complex situations that necessitate alterations of infection control practices (e.g., shortages of PPE, routine outbreak control measures ineffective). Local Health Department: • Regularly access the HAN for new information and changes in guidance for pandemic influenza and disseminate to healthcare providers and community as appropriate (e.g., those without access to the HAN). • Communicate the need for the initiation of conservative infection control measures to facilities within the local jurisdiction when the pandemic reaches the geographical borders identified during pandemic planning. • Provide consultation to non-Article 28 facilities and community settings for complex situations that necessitate alterations of infection control practices (e.g., shortages of PPE, routine outbreak control measures ineffective). Seek consultation from the NYSDOH as necessary. February 7, 2006 4-32
Section 4: Infection Control Healthcare Facilities: • Regularly access the HAN for new information and changes in guidance for pandemic influenza and disseminate to direct care providers. • Initiate conservative infection control measures to when the pandemic reaches the geographical borders identified during pandemic planning. • Report to appropriate public health entity (i.e., Article 28 facilities to the NYSDOH; non-Article 28 facilities to the local health department) when complex situations necessitate alterations of infection control practices (e.g., shortages of PPE, routine outbreak control measures ineffective). February 7, 2006 4-33
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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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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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