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Infection Control in Home Care

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Infection Control measures Bed Management Admission ... increasing ICU and HDU beds Identification and separation of patients with Influenza Identify suitable ... – PowerPoint PPT presentation

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Title: Infection Control in Home Care


1

Hot Topic Meeting by Royal College of Physicians of Edinburgh The Scottish Executive Health Department Pandemic Flu Planning Scotlands Health Response 5th June 2007 Queen Mother Conference Centre
2
Pandemic Flu Operational Management The
Hospital Response
  • Dr R G Masterton
  • NHS Ayrshire Arran

3
Pandemic Influenza
WILL HAPPEN! WHEN??
The pandemic influenza clock is ticking. We just
dont know what time it is Ed Marcuse (CDC)
4
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5
Pandemic Influenza
1918 Influenza hospital
6
Planning Assumptions Flu Pandemics
  • They are unpredictable
  • Occur at any time of the year
  • 3 months to spread to UK
  • Disease will spread rapidly
  • gt 25 of population will be affected
  • Higher hospitalisation rate
  • Higher mortality rate
  • May be 2 -3 waves over 1-2 years

7
Planning assumptions Flu Pandemics - Ayrshire
EFFECTS
92,000 people ill in Ayrshire (25 of
pop) CONTINGENCY PLANNING IS THEREFORE ESSENTIAL
  • Increased GP referral -
  • 18,400 during pandemic
  • Increased Hospitalisation
  • 750 additional
  • Increased Death rate
  • 400 deaths
  • Staff Absence gt 25
  • Disruption to NHS care, social services etc
  • Problems with supplies, utilities etc
  • Schools may close
  • MAJOR SOCIETAL DISRUPTION

8
Effects on Workforce
  • Increased workload
  • Schools close g child care?
  • Travel disruption g get to work?
  • Sick family members g exacerbate absenteeism
  • Increase in deaths g anxiety and bereavement
  • Public, political and media concern

9
Effects on Services
  • Depletion of workforce
  • Interruption of supplies (of just in time
    delivery and storage policies of major companies)
    including blood, medicines and other essentials
  • Disruption to utilities and transport
  • Delays in dealing with other medical conditions
  • Pressure on mortuary facilities

10
Pandemic Influenza Contingency Plan
  • Aims to -
  • Provide effective health response
  • Safeguard and maintain health other essential
    services
  • Minimise social economic disruption
  • Allow flexibility whilst ensuring a consistent
    national approach

11
Contingency Planning - Staffing
  • Identify Essential Staff - numbers names
    (vaccination?)
  • Identify Essential NHS work -what routine work
    can be suspended or modified and trigger for
    doing so?
  • What are minimum staffing levels (in a crisis!!)
    ?
  • Allocate to pandemic/non-pandemic areas
  • Possible use of family members or volunteers
  • Staff working outwith normal sphere of practice
    e.g. out-patients staff in wards
  • Education and training
  • Communication

12
Contingency Planning - Staffing
  • How will you deal with Staff sickness/absence?
  • re-deployment, use of volunteers, cessation
    of services
  • Staff Training requirements?
  • treatment, infection control measures,
    adaptability
  • Occupational Health requirements?
  • vaccination, use of anti-virals (PEP?),
    bereavement, etc
  • Arrangements for supplies, pharmaceuticals etc.

13
Contingency Planning - Staffing
  • Occupational Health
  • Assess staff with Respiratory symptoms
  • Monitor staff deployment
  • Document staff sickness absence
  • Psychological support
  • Administer anti-virals as instructed
  • Vaccinate staff as instructed

14
Contingency Planning - Patients
  • Arrangements for care of affected patients
  • Who will be admitted to hospital?
  • Where?
  • Arrangements for care of non-affected patients
  • Who will be admitted to hospital?
  • Where?
  • How will patients be supported in the community?
  • Infection Control measures

15
Contingency Planning - Patients
  • Bed Management
  • Admission criteria - Primary Care arrangements
  • Discharge arrangement - Primary Care arrangements
  • Transportation (Flu vs non-Flu)
  • Tracking bed occupancy - flexible use of beds
  • Cancellations - elective admissions, non-urgent
    procedures
  • Arrangement for re-designating wards e.g.
    surgical to

    Pandemic Flu ward, increasing ICU
    and HDU beds

16
Contingency Planning - Patients
  • Identification and separation of patients with
    Influenza
  • Identify suitable areas for cohorting
    (ventilation!!)
  • Communication - ensure staff are aware of
    procedures
  • Visiting risk management
  • Infection Control - routine measures
  • Mortuary facilities ensure enough and
    transportation

17
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Hot Topic Meeting by Royal College of Physicians of Edinburgh The Scottish Executive Health Department Pandemic Flu Planning Scotlands Health Response 5th June 2007 Queen Mother Conference Centre
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