Transcript Hospital/District Capabilities

Global Health Threats
A Hospital and District
Perspective/Preparedness
Vickie VanDeventer MPH, BSN, RN, CIC
Infection Control Practitioner
Review
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How Diseases are Spread - Chain of Transmission
Hospital Preparedness
District Hospital Preparedness
Infection Prevention
It’s all about the chain…………
Chain of Transmission
CAUSATIVE
AGENT
PORTAL
OF
ENRY
PORTAL
OF
EXIT
MODE OF
TRANSMISSION
Chain of Infection
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Causative Agent- any bacteria
Reservoir- where bacteria can survive
Portal of Exit- a way out of the carrier
Mode of Transmission- method of travel
Portal of Entry- a way agent enters host
Susceptible Host- anyone
2003 Emerging Infectious Diseases
March 2003
May 2003
• Mad Cow Disease in Canada
(Bovine spongiform encephalopathy)
June 2003
Monkeypox
Indiana- 7 cases
Total- 37 cases
in six states.
July 2003 – West Nile Virus
Hospital Preparedness
Hospital Grants (2002)
• Center for Disease Control and Prevention (CDC)
• Health Resource & Services Administration (HRSA)
Hospital Grant
• Allowed hospitals to purchase items to improve their
emergency preparedness.
• Example of items purchased;
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Personal Protective Equipment
800 MHz Radios
Evacuation Equipment
Ventilators
Conversion of Rooms to Negative Airflow
Powered Air Purifying Respirator (PAPR)
Staff Education
Decontamination Training and Equipment
Bioterrorism Preparedness Districts
La
La Port
Port e
e
Lake
Lake
Elkhar t
Elkhar t
St.
St. Joseph
Joseph
1
M arshall
arshall
M
Steuben
Steuben
N
Noble
oble
De
eK
K alb
alb
D
K osciusko
osciusko
K
2
Star
Starke
ke
W
W hit
hitley
ley
Jasper
Jasper
Pulaski
Pulaski
N
Newton
ewton
District
Involvement
La Grange
Grange
La
Porter
Porter
Allen
Allen
3
Fult
Fulton
on
M
Miami
iami
W
W abash
abash
H
Hunt
untington
ington
W
W ells
ells
C ass
Cass
Adams
Adams
W hit
hitee
W
B enton
enton
B
C arroll
arroll
C
Gr
Grant
ant
Tippecanoe
Tippecanoe
W arr
arr en
en
W
H ow
owar
ar d
d
H
4
C linton
linton
C
M ontgomery
ontgomery
M
B
Boone
oone
Tipt on
on
Tipt
M
M adison
adison
D elaware
elaware
D
6
H
H amilton
amilton
R
Randolph
andolph
H enry
enry
H
Fount ain
ain
Fount
W ay
ayne
ne
W
Parke
VerVerm ililm
lion
lion
H
H endr
endr icks
icks
Putnam
Putnam
M
M arion
arion
H
H ancock
ancock
5
R
Rush
ush
C
Clay
lay
M or
or gan
gan
M
7
Johnson
Johnson
Franklin
Franklin
Owen
Owen
D
Decatur
ecatur
M onroe
onroe
M
B
Brown
rown
B
Bartholomew
artholomew
Sulliv an
an
Sulliv
R
R ipley
ipley
Greene
Greene
Jennings
Jennings
Jackson
Jackson
Lawrence
Lawrence
K
Knox
nox
U
Union
nion
Fayet
te
Fay
et te
Shelby
Shelby
Vigo
Vigo
Jay
Jay
B lackf or d
D av
av iess
iess
D
8
M artin
artin
M
9
Jef
Jefferson
ferson
W
W ashington
ashington
D
Dearborn
earborn
Ohi o
o
Ohi
Swit
Switzerland
zerland
Scott
Scott
Orange
Orange
C
Clar
larkk
Pike
Pike
Gibson
Gibson
Posey
Posey
VanderVanderburgh
burgh
10
W
W arr
arr ick
ick
D ubois
ubois
D
C rawford
rawford
C
H
Harrison
arrison
Floyd
Floy
d
Perr y
Perry
Spencer
Spencer
1.14.2004
Public Health District 8
• Monroe, Orange, Lawrence, Bartholomew,
Washington, Brown, and Jackson
• 8 hospitals
District Involvement
• Participate in District Hospital Planning
• District Hospitals meet monthly
• Develop district plans
• Participate in District Planning
• District meets quarterly
• Includes several disciplines- hospital, health department,
emergency management, fire, police, Indiana state department
of health, and red cross.
Hospital/District Capabilities
• Assessed Individual Hospital Capabilities
• Assessed District Capabilities
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Developed District Hazardous Vulnerability Analysis
Developed District Emergency Operations Plan
Developed CHEMPACK Policy
Developed District Fatality Management Plan
Developed District Evacuation Plan
Developed District Gap Analysis
District Communication Plan – Test radios monthly
District 8
• District Tabletop exercise completed in 2005, 2006,
and 2007.
• District Full Scale exercise in 2008.
Other State Initiatives
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List serve for hospital contacts.
Epidemiologist for each public health district.
Mass prophylaxis plan for each county/hospital.
Syndromic Surveillance.
EWA Phoenix Bed Tracking System.
Indiana Health Alert Network.
• Health departments
• Hospitals
Prevention is key!
Infection Prevention
Infection Prevention
• Frequent Hand washing is important to prevent the spread of
infection.
• Cover your nose and mouth with a tissue when you cough or
sneeze.
• Try to avoid close contact with sick people.
Summary
• It will take all of us working together to care for our
community during any type of event.
• We can all make a difference by following these simple rules;
• Get back to the basics
• Wash your hands
• Cover your cough
• Get immunized!
ANY
QUESTIONS ?