Pandemic Influenza Plan - Questar III

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Appendix 1-G IV. PROVISIONS GOVERNING CRITICAL AREAS A. SAFE DISPOSAL OF INFECTIOUS WASTE Authority: See Public Health Law Article 13, Title X<strong>III</strong>, entitled Storage, Treatment, and Disposal of Regulated Medical Waste. Included are the following definitions: Regulated medical waste – 1389-aa(1) Infectious agents – 1389-aa(5) Cultures and stocks – 1389-aa(1)(a) Human pathological waste– 1389-aa(1)(b) Sharps– 1389-aa(1)(d) In addition, see 6 NYCRR 364.9, which establishes a program for tracking and managing medical waste shipments pursuant to the Environmental Conservation Law. B. SAFE DISPOSAL OF HUMAN REMAINS Authority: See generally Public Health Law Article 41, Title IV (Registration of Deaths: Burial Permits); and Public Health Law Article 42 (Cadavers). Public Health Law 4140 requires that in the case of a death occurring from a disease which is designated in the State Sanitary Code as a communicable disease, no permit for the removal or other disposition of the body shall be issued by the registrar, except to a funeral director or undertaker licensed in accordance with Public Health Law Article 34 (Funeral Directing), under such conditions as may be prescribed in the State Sanitary Code. C. DESTRUCTION OF PROPERTY Authority: Public Health Law 2100 (2)(b) provides that every local board of health and every health officer may, subject to the provisions of the State Sanitary Code, prohibit and prevent all contact with or use of infected premises, places and things, and require, and if necessary, provide the means for their thorough purification and cleansing before contact may be resumed. According to an 1894 Opinion of the Attorney General, it was within the power of a local board of health to destroy clothing which had become infected with infectious or contagious disease germs. D. LICENSING AND APPOINTMENT OF HEALTH PERSONNEL 1. Coroner, Coroner’s Physician and Medical Examiner Authority: Outside of New York City, County Law Article 17-A applies and describes their duties and manner of investigating deaths within their jurisdiction. 2. Physicians Authority: Education Law Article 131 (Medicine); Education Law Article 131-A (definitions of professional misconduct applicable to physicians); Public Health Law 230 et seq.(Professional Medical Conduct); Public Health Law Article 33 (Controlled Substances) 3. Physician’s Assistants Authority: Education Law Article 131-B (Physician Assistants and Special Assistants); Education Law Article 131-A (definitions of professional misconduct applicable to February 7, 2006 14
Appendix 1-G physician’s assistants and special assistants); Public Health Law Article 33 (Controlled Substances) 4. Nurses Authority: Education Law Article 139 (Nursing); Public Health Law Article 33 (Controlled Substances) 5. Pharmacists Authority: Education Law Article 137 (Pharmacy); Public Health Law Article 33 (Controlled Substances) 6. Veterinarians Authority: Education Law Article 135 (veterinary medicine) 7. Emergency Medical Technicians Authority: Public Health Law Article 30 (Emergency Medical Services); 10 NYCRR Part 800 (State Emergency Medical Services Code) 8. Funeral Directors Authority: Public Health Law Article 34 (Funeral Directing) E. COLLECTION OF LABORATORY SPECIMENS: CHAIN OF CUSTODY Physical evidence of an act of bioterrorism may take the form of a biohazard specimen. Whenever such a specimen is to be appropriately collected by members of the health service system or law enforcement agencies and transported to an appropriate laboratory for testing (e.g. Wadsworth Center for Laboratories and Research), material submitted as physical evidence must comply with policies that ensure its integrity and safe handling. Authority: Executive Law 995-b(1) requires the Commission on Forensic Science to develop minimum standards for all forensic laboratories in New York State. See also 9 NYCRR Part 6190 (New York State Accreditation Program for Forensic Laboratories). F. ACCESS TO AND DISCLOSURE OF PROTECTED HEALTH INFORMATION Authority: In addition to State law cited below, recently enacted Federal law must also be considered. See especially the Federal Health Insurance Portability and Accountability Act (HIPAA) and accompanying regulations at 45 CFR Pts. 160 & 162. Hospitals licensed under Public Health Law Article 28 are required to ensure the confidentiality of patient records. Original medical records, information from or copies of records shall be released only to hospital staff involved in treating the patient and individuals as permitted by Federal and State laws. (10 NYCRR 405.10 (a)(5)). Nursing homes must keep confidential all information contained in the residents’ records except when release is required by the resident or by law. (10 NYCRR 415.22 (d)). Confidential HIV related information is defined at Public Health Law 2780(7). No person who obtains such information in the course of providing any health or social February 7, 2006 15
Page 1 and 2: February206 Pandemic Plan NewYorkSt
Page 3 and 4: Introduction Pandemic influenza occ
Page 5 and 6: example, at this time, it is realis
Page 7 and 8: Acronyms (cont.) IND IHANS IRB ISHS
Page 9 and 10: Section 1: Command and Control I. O
Page 11 and 12: Section 1: Command and Control pers
Page 13 and 14: February 7, 2006 Appendix 1-A
Page 15 and 16: Appendix 1-B The Public Health Law
Page 17 and 18: Appendix 1-B communicable diseases
Page 19 and 20: Appendix 1-C Management Office or t
Page 21 and 22: Appendix 1-E Suspension of Public M
Page 23 and 24: Appendix 1-G A Guide to New York St
Page 25 and 26: Appendix 1-G health commissioner. P
Page 27 and 28: Appendix 1-G 8. State Institutions
Page 29 and 30: Appendix 1-G b. Governor May Invoke
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Page 33 and 34: Appendix 1-G c. Commissioner of Gen
Page 35: Appendix 1-G Designation of emergen
Page 39 and 40: Appendix 1-H Summary of Public Offi
Page 41 and 42: Section 2: Surveillance and Laborat
Page 63 and 64: Appendix 2-A • Surveillance Crite
Page 65 and 66: Appendix 2-A • In New York City,
Page 67 and 68: NYSDOH Novel Influenza Case Report
Page 73 and 74: Appendix 2-C to health care provide
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Section 3: Healthcare Planning and
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Section 4: Infection Control I. Ove
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Section 4: Infection Control I. Ove
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Section 4: Infection Control A. Bas
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Section 4: Infection Control Drople
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Section 4: Infection Control • Pe
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Section 4: Infection Control o Noti
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Section 4: Infection Control E. Coh
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Section 4: Infection Control If wid
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Section 4: Infection Control • En
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Section 4: Infection Control should
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Section 4: Infection Control Policy
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Section 4: Infection Control o Staf
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Section 4: Infection Control • De
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Section 4: Infection Control • Pr
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Section 4: Infection Control The ma
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Section 4: Infection Control • Up
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Section 4: Infection Control Health
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Appendix 4-A Soiled linen and laund
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Appendix 4-B Respiratory Hygiene/Co
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Section 5: Clinical Guidelines I. O
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Section 5: Clinical Guidelines incu
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Section 5: Clinical Guidelines 1) N
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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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