Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response • Use of non-traditional health care facilities (schools, community centers, etc.) increases the difficulty in adhering to infection control guidelines (e.g., spacing of patients, access to hand hygiene products, and PPE). • Staff may become exposed and transmit infection while incubating or ill. Identification and reporting of an influenza outbreak in a health care setting can be done through the HPN. Hospitals and nursing homes use the Nosocomial Outbreak Reporting Application to report nosocomial outbreaks. B. Volunteers 1. Role in Preparedness and Emergency Response Volunteers play an integral role in preparedness planning and emergency response and provide an organized way for medical and public health volunteers to offer their skills and expertise during local public health crises. Volunteers can assist in various roles during large-scale emergencies, such as an influenza pandemic or an act of terrorism, and can also work to strengthen the overall health and well-being of their communities. They may serve in various roles including all types of healthcare facilities, community PODs and alternate care sites. The recruitment and deployment of volunteers is an important component of emergency preparedness and response. In order to ensure an effective and responsive volunteer program, hospitals, other healthcare facilities/agencies, LHDS and local OEMs must develop partnerships around recruitment, training and credentialing. This coordinated approach will help reduce the occurrence of an individual, whose name appears on multiple volunteer lists, therefore ensuring that deployment is achieved in an effective and efficient manner. 2. Public Health Preparedness Volunteer Practitioner Database The NYSDOH maintains a statewide volunteer practitioner database on a secure, Internet accessible system located on the department’s Health Information Network (HIN). This Public Health Preparedness Volunteer Practitioner Database retains names of licensed professionals who would be willing to volunteer their services in the event of a public health emergency. The purpose of this database is to assure that New York State will have adequate resources to prepare for and respond to any public health emergency, whether it is a declared disaster or other public health emergency. In the event of an emergency, NYSDOH will initiate the activation of volunteer practitioners and the deployment of activated practitioners if there are multiple, simultaneous demands for additional practitioners from different parts of the state. Following activation, participating volunteer practitioners will provide services under the direction of the State, City or local health department or emergency management office or hospital to which they have been deployed by NYSDOH. Local health departments may access the Volunteer Practitioner Database to identify practitioners within their jurisdiction who have indicated they are willing to become a member of a local public health emergency preparedness effort. February 7, 2006 3-21
Section 3: Healthcare Planning and Emergency Response 3. Emergency System for the Advance Registration of Volunteer Health Professionals In 2006, an added feature to this database will be the ability to certify the qualifications of an individual to serve as a health provider. When activated, the system will verify the identity and qualifications, which may include professional credentials and licenses, of those practitioners who, during an emergency, volunteer to serve as health providers. This new state-based system will coordinate with the federal initiative, Emergency System for the Advance Registration of Volunteer Health Professionals (ESAR-VHP). The purpose of ESAR-VHP System is to allow for advanced registration and credentialing of health professionals who would be utilized to augment a hospital or medical facility’s staff during a declared emergency. 4. Medical Reserve Corps There are currently 19 Medical Reserve Corps (MRC) in NYS that supplement local communities as they prepare and respond in the event of a public health emergency. These local MRCs are comprised of local medical and non medical volunteers who are trained to respond to health crises. The MRCs are established, activated and operated by the local community, in concert with established emergency response and public health systems. The MRCs are a valuable resource to local health departments and hospitals in their preparedness planning and emergency response. In responding to a disaster situation, other states and localities will depend upon the complementary capabilities that the MRCs and the NYSDOH Public Health Preparedness Practitioner Program provide. With the added functionality of ESAR- VHP to the volunteer system, hospitals will be able to verify credentials and privileges of volunteers who would typically respond to either a designated healthcare facility or the site of the healthcare emergency. 5. Volunteer Recruitment Identification and recruitment of volunteers is needed to increase staffing capacity during pandemic influenza. Augmentation of existing volunteer lists should be an ongoing effort by LHDS, hospitals, and other health care facilities/agencies. Volunteers who agree to be called on pursuant to a state or county sponsored volunteer program in the event of an emergency should review the protections offered by Public Officers Law §17 or §18, if applicable (see Appendix 1-H) or other county resolutions. C. Mass Fatality Planning for an influenza pandemic must include preparation for a potential mass fatality event. Hospitals must assess their refrigeration capacity and their inventory of body bags and other supplies needed to handle a significant increase of deceased persons. Hospitals must also understand their county’s mass fatality plan and complete mortality reports as required by NYSDOH/DHHS. February 7, 2006 3-22
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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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Section 2: Surveillance and Laborat
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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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Pandemic Influenza Plan - Questar III

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