It’s October 1, which means flu season is officially underway. According
to the CDC, it will most likely spike in January or February before coming to a
close in May, but being prepared now can help you lessen the flu’s effects on
your facility.
The CDC recommends taking the following steps to help prevent flu and
other respiratory infections from spreading throughout your facility1:
Promote and administer the seasonal flu vaccine. The CDC recommends the flu vaccine as the best
defense against the seasonal flu. The vaccine is approved for everyone six
months of age and older. The vaccine will be available as intramuscular,
intradermal and nasal spray formulations.
Take steps to minimize potential exposure. Respiratory hygiene, cough etiquette and proper
hand hygiene should be observed by residents, staff and visitors. (One way to
encourage respiratory hygiene is to download the CDC’s “Cover Your Cough”
poster here.)
Monitor and manage ill staff members. Staff members who develop a fever and
respiratory symptoms should not come to work. If the symptoms develop at work,
they should stop all resident-care activities, don a facemask and notify their
supervisor of their illness before leaving work.
Adhere to standard precautions. Standard precautions assume that every person is
potentially infected or colonized with a pathogen that could spread throughout
the facility. The elements of standard precautions that pertain to individuals
with respiratory infections are performing hand hygiene and wearing gloves and
gowns.
Adhere to droplet precautions. Droplet precautions should be implemented for residents
with suspected or confirmed influenza for seven days after illness onset or
until 24 hours after the resolution of fever and respiratory symptoms,
whichever is longer.
Use caution when performing aerosol-generating
procedures. Some procedures are more likely to generate
higher concentrations of infectious respiratory aerosols than coughing,
sneezing, talking or breathing. Examples include bronchoscopy, sputum
induction, elective intubation and extubation, CPR and open suctioning of
airways. These procedures should only be performed on residents with suspected
or confirmed influenza if they are medically necessary and cannot be postponed.
Manage visitor access and movement within the
facility. If a resident is in isolation for a confirmed
case of influenza, their visitors should be limited to people who are necessary
for their emotional well-being and care.
Monitor influenza activity. The facility should have a plan for alerting
staff about increased influenza activity within the facility. Staff should also
be aware of when collection of clinical specimens for viral culture could help
public health efforts. Close communication and collaboration with local health
authorities is recommended.
Implement environmental infection control. Standard cleaning and disinfection procedures
are adequate for influenza virus environmental control within a healthcare
facility, including patient areas in which aerosol-generating procedures are
performed.
Implement
engineering controls. Consider installing engineering controls that
reduce or eliminate exposure by shielding staff and residents from infected
individuals. Examples include partitions and curtains.
Train and educate healthcare personnel. Ensure that all healthcare providers receive
job- or task-specific education and training on the prevention of influenza
during orientation and on an ongoing basis.
Administer antiviral treatment and
chemoprophylaxis when appropriate. Refer to the CDC’s website for
the most up-to-date information and guidance.
Identify personnel at higher risk for influenza
complications. Staff members who are pregnant, have given birth
within the last two weeks, are 65 or older or have chronic diseases such as
asthma, heart disease, diabetes, immunity-suppressing diseases, some chronic
conditions and morbid obesity are at higher risk of flu complications.
Professional Medical has everything you need to develop a comprehensive
flu prevention and management strategy for your facility! To learn
more, contact your territory manager, visit us online at promedsupply.com or
give us a call at (800) 648-5190. Click here to download our Flu Prevention Strategies & Solutions Guide.
Reference
1 Centers for Disease Control and
Prevention. Prevention Strategies for Seasonal Influenza in Healthcare Settings.
Available at: http://www.cdc.gov/flu/professionals/infectioncontrol/healthcaresettings.htm.
Accessed September 11, 2013.
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