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Pandemic Influenza Plan - Questar III

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Section 3: Healthcare <strong>Plan</strong>ning and Emergency Response<br />

protection of current patients/residents as well as assistance in managing patient surge<br />

where appropriate.<br />

The hospital planning recommendations can serve as a model for planning in other<br />

healthcare settings. All healthcare facilities/agencies should do the following:<br />

• Create a planning team and develop a written plan that builds on the<br />

emergency response plan.<br />

• Ensure that key staff members have active Health Provider Network (HPN)<br />

accounts and information in the Communications Directory is complete and<br />

current.<br />

• Establish a decision-making communications and coordinating structure that<br />

can be tested during the Interpandemic Period and will be activated during an<br />

influenza pandemic. Determine how to conduct surveillance for pandemic<br />

influenza in healthcare personnel and, for nursing homes and homecare, in the<br />

population served.<br />

• Develop policies and procedures for managing pandemic influenza in patients<br />

and staff including proper infection control practices.<br />

• Educate and train healthcare personnel on pandemic influenza and the<br />

healthcare facility’s response plan; reinforce infection control practices.<br />

• Develop an educational package directed toward staff and families focusing<br />

on the disease, its transmission and proper infection control procedures.<br />

• Develop written material for visitors and others entering the facility focusing<br />

on the disease, its transmission and proper infection control procedures.<br />

• Understand the local and state Incident Command System (ICS) structures and<br />

methods of communication and coordination with healthcare and public health<br />

partners.<br />

• Determine how the facility will communicate with<br />

patients/residents/responsible parties and help educate the public regarding<br />

prevention and control measures.<br />

• Develop a plan for procuring the supplies (e.g., PPE) needed to manage<br />

influenza patients.<br />

• Develop a plan for maintaining/expanding operations during the pandemic<br />

period by working with healthcare partners, LHD and the local OEM to<br />

recruit volunteers.<br />

• Determine how the facility will participate in the community plan for<br />

distributing either vaccine or antiviral drugs, including possibly serving as a<br />

point of dispensing and providing staff for alternative community points of<br />

distribution.<br />

Additional considerations for specific provider types are delineated below.<br />

A. Nursing Homes<br />

During a pandemic, hospitals will likely be at maximum capacity and hospital staff will<br />

be overtaxed. Under these circumstances, there will have to be decisions made at the<br />

State level to alter the normal standards of care. Therefore, nursing homes should focus<br />

their pandemic planning on enhancing their ability to accept more fragile, sicker patients<br />

February 7, 2006 3-15

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