Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response III. Hospital Planning during the Interpandemic and Pandemic Alert Periods Each hospital must develop a plan for response to an influenza pandemic. This plan should be developed by an interdisciplinary team and should be an outgrowth of the facility’s biological response component of its Comprehensive Emergency Management Plan. It should draw heavily from the facility’s plan to address smallpox and other communicable diseases. A. Communications A well-conceived internal and external communication plan is extremely important during a pandemic. The infrastructure for communication should follow the Incident Command System. External Communications To ensure effective external communication, hospitals must: • Identify key points of contact in their LHD, the NYSDOH Regional Office, the local Office of Emergency Management (OEM), the local media, public officials, other healthcare facilities and community partners to facilitate information sharing during a pandemic. Redundant means of communication (e.g., telephone, FAX, radio, electronic mail, cell phone) should be established with these partners. • Ensure that key staff has active Health Provider Network accounts and an appropriate number of staff on all shifts are assigned to HERDS roles. • Understand what information will be collected via HERDS and establish mechanisms to collect it. • Ensure that information in the Communications Directory is complete and kept current. • Assign a Public Information Officer (PIO), clinical spokesperson and a person responsible for updating the LHD and NYSDOH regarding public health reporting. • Work with LHDs and the NYSDOH regarding expectations/protocols for communication with media and public. • Understand expectations for communications with NYSDOH and local incident command structure. Internal Communications • Develop and drill a staff call-down (phone tree) list. • Develop and drill an internal ICS to ensure effective communication to all levels of staff. • Develop procedures to keep patients and visitors informed of the status/impact of the pandemic. February 7, 2006 3-5
Section 3: Healthcare Planning and Emergency Response B. Education and Training Each hospital should develop an education and training plan that addresses the needs of staff, patients, family members, and visitors. Hospitals should assign responsibility for coordination of the pandemic influenza education and training program and identify training materials—in different languages and at different reading levels, as needed— from HHS agencies, state and local health departments, and professional associations. Hospital regulations require information to be available in languages spoken by greater than 1% of the local population. Staff Education • Identify educational resources for clinicians, including federally sponsored teleconferences, state and local health department programs, web-based training materials, and locally prepared presentations. • Provide education to relevant nursing (e.g., Med-Surg, ICU, Dialysis, etc.) and medical staff (e.g., Dept. of Medicine, Pediatrics, Family Practitioners, etc.) on pandemic influenza (2 hours/year). All staff must be reminded of the importance of hand hygiene and infection control practices. • General topics for staff education should include: • Prevention and control of influenza. • Implications of pandemic influenza. • Benefits of annual influenza vaccination. • Role of antiviral drugs in preventing disease and reducing rates of severe influenza and its complications. • Infection control strategies for the control of influenza, including respiratory hygiene/cough etiquette, hand hygiene, standard precautions, droplet precautions, and, as appropriate, airborne and/or contact precautions (see Section 4: Infection Control). • Hospital-specific topics for staff education should include: • Policies and procedures for the care of pandemic influenza patients, including how and where pandemic influenza patients will be cohorted. • Pandemic staffing contingency plans, including how the facility will deal with illness in personnel. • Policies for restricting visitors and mechanisms for enforcing these policies. • Reporting to the health department suspected cases of infection caused by novel influenza strains during the Interpandemic and Pandemic Alert Periods. • Measures to protect family and other close contacts from secondary occupational exposure. • Establish a schedule for training/education of clinical staff and a mechanism for documenting participation. Consider using annual infection control updates/meetings, medical Grand Rounds, and other educational venues as opportunities for training on pandemic influenza. February 7, 2006 3-6
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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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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 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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Pandemic Influenza Plan - Questar III

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