Transcript Pandemic Preparedness Response Team

Pandemic Preparedness:
It’s not if…. but when
An educational session prepared by the
Pandemic Preparedness Response Team of the
Kidney Community Emergency Response
(KCER) Coalition
The Kidney Community Emergency
Response (KCER) Coalition
Goals
• Continuously improving plans by learning from
past responses
• Building lasting partnerships to advance national
goals
• Keeping up with changing national procedures
• Urging policymakers to integrate the special needs
of the kidney community into disaster planning.
KCER Response Teams
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Patient Assistance
Communication: 888-33-KIDNEY (888-335-4363)
Coordination of Staff & Volunteers
Federal Response
Facility Operations
Facility and Patient Tracking
Physician Placement and Assistance
Pandemic Preparedness
Pandemic Preparedness Resources
There are dozens of resources available on
www.kcercoalition.com, including:
•Find your local health department link
•Information for patients/families
•Information for providers/health care workers
•General pandemic information
•News releases
Resources For
Patients and
Families:
•Checklists
•Travel tips
•Getting care &
prescriptions
•Most important
things to know
Dialysis Provider Pandemic Response
Plans: Questions to Think About
• Do you have a company pandemic response
plan?
• Will you be distributing masks to your dialysis
patients during a pandemic? What type? Who?
• OSHA summary of mask guidelines is at
www.kercoalition.com
Dialysis Provider Pandemic Response
Plans: Questions to Think About
• Masks:
• Will you be distributing anti-viral medication to
dialysis patients during a pandemic?
• Will you be distributing anti-viral medication to
dialysis staff during a pandemic?
• If so, what types of staff will receive anti-viral
medication?
Dialysis Provider Pandemic Response
Plans: Questions to Think About
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Anti-viral medication:
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Are you stockpiling anti-viral medication now, or do
you have a plan for stockpiling in the future?
Are there any other resources who will be
distributing anti-viral medication to your dialysis
patients, such as local public health departments?
Stockpiling Antivirals
Planning Algorithm
Does your facility plan to
stockpile antivirals?
NO
STOP
No need to continue
YES
YES
Will antivirals be
offered to all
employees?
YES
Do you know how
much antiviral to
stock?
YES
Done
Done
NO
Identify
essential
employees for
receiving
antivirals
Will employees
share the cost?
YES
NO
- Do you plan to use
your stock to treat
infected employees?
- Do you plan to use
your stock for
prevention?
- How many waves of
flu will you cover?
YES
Do you have
adequate funding?
YES
- Co-pay?
- Covered by
employee health
plan?
- Other methods
of covering cost?
Do you have
adequate storage?
Do you have the
capacity to provide
prescriptions to
employees?
YES
Do your
employees
understand the
difference between
various colds and
flu?
YES
YES
NO
NO
Done
Done
NO
- Foundations?
- Board of Directors?
- Grants?
- State/county health
departments?
Done
Done
- Distribute to
employees for storage
at home?
- Maintain stockpile at
distributor/specialty
pharmacies
Kidney Community Emergency Response Coalition,
Pandemic Preparedness Response Team, 2007
Done
- Center medical
director?
- Employee health
services/on-site
clinic?
- Local community or
physician group?
- Corporate
healthcare provider?
NO
Educate
employees on
the proper use
of antivirals.
Dialysis Provider Pandemic Response
Plans: Questions to Think About
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Education:
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Has your dialysis staff/patients been educated
regarding the sign and symptoms of the avian flu,
hygiene, cough etiquette and distancing?
Have you, or do you plan to, provide education to
dialysis patients about pandemic preparedness?
Have you received information or assistance from
your ESRD Network office about preparing for a
pandemic?
Dialysis Provider Pandemic Response
Plans: Questions to Think About
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Linking with disaster agencies:
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Link with local, state and/or national public health
entities to examine how you can provide the best up
to date and accurate information
Have your dialysis facilities been in contact with
their local community resources (i.e. health
department, emergency management, transportation
resources, nursing homes, water and electricity
companies, etc)?
What can your dialysis facility do?
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Communication
Education
Prevention of supply shortage
Contingency/Continuity Planning
Identifying Appropriate Distancing Measures
Check with your dialysis company about policies
and procedures to follow specific to pandemic
preparedness.
Communication
A person has been assigned responsibility for:
• Finding up to date, reliable pandemic information
from community public health, emergency
management, & other sources.
• Keeping abreast of newly released information
during a pandemic (e.g. Public Health Alerts).
Communication
• Identifying community sources for obtaining
counter-measures (e.g. vaccines and antiviral
medications).
• Providing verbal reports to the Facility Administrator
& coordinating release of the information to staff
and patients.
Education
A person has been assigned responsibility for:
• Patient and staff education on infection control
measures to prevent transmission at home and in
the facility.
• Staff and patient’s role in prevention.
• Use of personal protective equipment (e.g. mask),
hand washing, droplet precautions.
Education
• Identify opportunities to teach respiratory
hygiene, coughing and sneezing etiquette, and
importance of hand washing at home and the
facility.
• New policies and procedure related to avian
influenza pandemic planning, transmission
prevention, and management.
Education
• Identifying and obtaining informational
materials for patients and staff on pandemic
influenza that are language and reading-level
appropriate.
• Patient and staff education on home
preparation measures (e.g. arrangement for
alternative transportation, two week supply of
medicines, food, and water).
Prevention of supply shortage
A person has been assigned responsibility for:
• Arranging for back up supplies for use during a
time when the volume of supplies used may
increase (e.g. gloves, mask, hand washing
supplies, paper towels, hand gels, and tissues)
and supply chain possibly disrupted.
*Making key contacts (i.e., hospitals, blood bank,
transportation company) with whom the facility
has an affiliation agreement to understand the
contingency plan or to determine if one is in
place.
Prevention of supply shortage
• Making key contacts with any vendor or supply
provider (local pharmacy, water treatment
vendors) to understand the contingency plan or to
determine if one is in place (i.e. standardized letter
developed and sent – responses tracked).
Prevention of supply shortage
• Frequent monitoring and ordering of supplies
during a pandemic to prevent shortage and
depletion of back up supplies.
• Developing a plan for storage of supplies and the
sharing between facilities if necessary.
Contingency/Continuity Planning
A person has been assigned responsibility for:
• Instructing staff to develop contingency plans (i.e.,
alternate transportation and alternate routes to
work; alternate child care services in the event
schools are closed; back up child care in the event
different work hours are required).
• Confirm credentialing across state lines.
Contingency/Continuity Planning
• Identifying staff that may be cross trained –
Provide training now – Maintain list of cross
trained staff.
Contingency/Continuity Planning
• Coordinating with other ESRD facilities to evaluate
staff availability in relation to local area maps and
formulate a list of teammates; provide orientation
to the facility.
• Assisting patient contact with companies (phone,
electricity, water) to inquire about contingency
plans to prevent uninterrupted services with reemphasis on the health care needs of the patient.
Contingency/Continuity Planning
• Implement policy to have facility Social Worker and
or Dietitian to assist patient contact with companies
or services (i.e.; companies that provide glucometer
strips, nutritional supplements, oxygen tanks) to
inquire about contingency plans to prevent
uninterrupted services (i.e.; standardized letter
developed and distributed to patients or mailed by
facility).
Contingency/Continuity Planning
• Ensure there is at least 3 feet of space between
patients.
• Have a place for immediate screening for
potentially sick patients in the waiting area.
• Have patients call the facility prior to arriving for
treatment if signs and symptoms of influenza are
present.
Identifying Appropriate Distancing
Measures
A person has been assigned responsibility for:
• Collaborating with Medical Director to identify
appropriate distancing measures & determining at
what point (e.g. based on rate on infection in the
surrounding community) to implement measures to
modify the frequency and type of face-to face
contact.
Identifying Appropriate Distancing
Measures
• Staggering treatment times to reduce time and the
number of patients in waiting area.
• Limiting movement and transport (working within
defined, grouped areas).
What do I need to know right now about
Pandemic Influenza?
Patient care providers & patients should be educated
on:
• How influenza is spread, how to prevent getting
influenza and how to control the spread.
• Where to go for accurate information about
pandemic influenza.
What do I need to know right now about
Pandemic Influenza?
Patient care providers & patients should be educated
on:
• The importance of seasonal influenza vaccination.
• Why cough and sneeze etiquette should become
second nature now, prior to a pandemic.
About Personal Responsibility
• Learn all you can now about pandemic flu.
• Have back-up systems in place: transportation,
stock up on supplies, medication.
• Know how to contact your local Department of
Health. Volunteer to be a resource to them.
• Follow instructions given by your local disaster
authorities and dialysis facility.
References/Resources
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www.pandemicflu.gov
www.kcercoalition.com
World Health Organization
Centers for Disease Control
Connecticut Department of Health
Kidney Emergency Response Coalition
ESRD Network of New England