Background
Methods
Results
Conclusion
Key Words
Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004.
Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007.
Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002.
- Bartley J.
- Stricof R.
- Alexander S.
- Cain T.
- Citarella B.
- Cloughessy M.
- et al.
Methods
Results
Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004.
Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007.
Domain 1: Hospital emergency management plan and biologic annex
Domain 2: Assessing hospital readiness for mass casualty event
Domain 3: Infection prevention policies and procedures
Domain 4: Occupational health policies and procedures
Domain 5: Surveillance and triage
Domain 6: Reporting, communication plan, and information management
Domain 7: Laboratory infection prevention issues
Domain 8: Surge capacity issues
American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004.
American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004.
Domain 9: Anti-infective therapy, chemoprophylaxis, and vaccination
Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007.
Domain 10: Infection prevention education
Education topics |
• Self-screening for illness |
• Screening/triaging of patients for communicable diseases/conditions |
• Internal and external reporting and communication procedures |
• Surveillance during mass casualty events |
• Plan policies and procedures related to infection prevention |
• Disease transmission methods/routes |
• Isolation procedures |
• Respiratory hygiene |
• PPE use and reuse, including use of respiratory protection |
• Hand hygiene protocols |
• Social distancing |
• Handling contaminated linens |
• Obtaining and handling patient specimens safely |
• Environmental cleaning/disinfection |
• Disinfection and sterilization of medical equipment |
• Waste management procedures |
• Patient decontamination procedures |
• Medical management of biologic event victims, including identification and diagnosis of disease, and clinical care procedures (treatment, isolation, and others) |
• Postmortem care |
• Influenza vaccine |
• Impact of influenza |
Domain 11: Physical plant infection prevention issues
Discussion
American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004.
Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002.
American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004.
Trust for America's Health. Ready or not. Protecting the public's health from diseases, disasters, and bioterrorism. 2007. Available from: http://healthyamericans.org/reports/bioterror07/BioTerrorReport2007.pdf. Accessed May 14, 2008.
Supplementary data
Hospital emergency management plan and biological annex |
• Addresses all biologic events, including bioterrorism, emerging infectious diseases, and pandemic influenza 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 6 ,
Reuse of respiratory protection in prevention and control of epidemic- and pandemic-prone acute respiratory diseases (ARD) in healthcare. Association for Professionals in Infection Control and Epidemiology. 2008; (Available from:) (Accessed July 1, 2008) 7 , 9 , 10 , 12 , 14 , 16 , 19 , 20 , 21 , 22 , 23 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 25 , 26 , 27 , 28 , 29 , 30 , 31 |
• Identifies contact names and numbers for local and state health department, state health association, and tribal health association 4 Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. |
• Is coordinated with local, state, and federal emergency management plans 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 9 , 16 , 23 , 26 , 27 , 28 , 29 , 32 , 33 |
• Identifies the person(s) authorized to implement/activate the biologic annex plan and the organizational structure that will be used, including the delegation of authority to carry out the plan 24/7 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 16 |
• Describes the responsibilities of key personnel and departments (and back-ups for key personnel) within the facility related to executing the biologic annex component of the Plan 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 27 |
• Defines how biologic events are different from other types of MCEs 11 , American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. 26 , 27 |
• Has planning committee focusing on biologic events that includes an infection preventionist and/or hospital epidemiologist 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 8 , 14 , 15 , 16 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 27 , 28 , 29 |
• Stratifies implementation of specific actions on the basis of the WHO pandemic phases, US government pandemic stages, and the pandemic severity index level worldwide, in the United States, and at the local level 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Stratifies implementation of specific actions for a bioterrorism attack on the basis of whether the attack is overt or covert and on the basis of high-risk syndromes or suspected routes of disease transmission 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 26 , 27 |
• Describes the epidemiologic signs of a potential bioterrorism attack 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 26 |
• States how often the annex will be updated and by whom, including contact names/information, incorporating lessons learned from exercises/drills, and changes in recommendations related to managing biologic events 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 10 , 16 , 21 , 27 |
Assessing hospital readiness for MCE |
• States how and when a facility assessment will be performed that addresses infection prevention issues, such as location and amounts of hand hygiene products, isolation rooms/areas, and others 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 8 , 26 , 27 |
• Incorporates biologic scenarios, such as pandemic influenza or bioterrorism, into a disaster exercise; whenever possible, this exercise should be community wide 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 10 , 11 , American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. 14 , 15 , 16 , 19 , 20 , 21 , 22 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 27 , 28 , 29 , 30 , 31 , 34 , 35 , 36 |
Infection prevention polices and procedures |
• Has a protocol for providing 24/7 infection prevention and control coverage, including coverage for outpatient facilities or alternate care sites owned/operated by the hospital 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 8 , 9 , 11 , American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. 14 , 15 , 16 , 28 |
• Has a protocol for authorizing the hospital epidemiologist or Infection Control Committee or its designee to rapidly implement prevention and control measures in response to a biologic event 5 Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. |
• Has a protocol for personal protective equipment (PPE) use and hand hygiene 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 6 ,
Reuse of respiratory protection in prevention and control of epidemic- and pandemic-prone acute respiratory diseases (ARD) in healthcare. Association for Professionals in Infection Control and Epidemiology. 2008; (Available from:) (Accessed July 1, 2008) 7 , 8 , 9 , 10 , 14 , 15 , 19 , 21 , 22 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 27 , 28 , 29 , 31 , 33 , 34 , 35 , 37 , 38 , 39 , 40 , 41 , 42 |
• Has a policy for physically isolating and managing contaminated vehicles 43 |
• Has a procedure related to more frequent checking of patients' oxygenation and early transfer to an intensive care unit to reduce the risk of infection transmission by allowing for elective, early intubation to be done in a controlled environment by minimal staff 8 |
• Includes policies for modifying admission criteria on the basis of current bed capacity and disease status, including procedures for closing the facility to potentially infectious patients or noninfectious patients 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 11 , American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Has a protocol for limiting or restricting visitors to the facility during a biologic event, including coordination with security or local law enforcement to ensure compliance 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 27 , 28 |
• Has a protocol for monitoring staff compliance with infection prevention procedures, including PPE use, hand hygiene, isolation, and others 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 8 , 9 , 10 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 28 |
• Has protocols for environmental decontamination during an MCE, including cleaning patient rooms, managing “white powder” or other environmental contamination incidents, cleaning/disinfection/sterilization of patient care items, reprocessing of equipment when resources are limited, cleaning/decontaminating patients' valuables and belongings when necessary, and cleaning and inspecting environment before reopening a previously closed area of the hospital 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 9 , 14 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 25 , 26 , 27 , 38 |
• Defines a procedure for conducting and coordinating the epidemiologic outbreak investigation of a biologic event with the local health department and identifies a person (and back-up person) at the hospital who will be the leader/coordinator of the investigation at the hospital 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 7 , 9 , 14 , 25 , 28 |
• Has a protocol for implementing an on-site quarantine that is coordinated with local public health officials, including plans for ensuring compliance and providing necessary supplies to maintain the quarantine 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 7 , 9 , 10 , 19 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 |
• Has a protocol for coordinating with security or local law enforcement entities to enforce isolation and quarantine orders on-site 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 7 , 27 |
• Has a protocol for managing animals or pets in the hospital, including care/management of staffs' pets if employees are confined to work for extended periods of time during an MCE 7 , 11 American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. |
• Has prioritization plans/algorithms for allocating limited PPE, hand hygiene products, ventilators, anti-infective therapy or vaccination, and other supplies/products that affect infection transmission during a biologic event 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 6 ,
Reuse of respiratory protection in prevention and control of epidemic- and pandemic-prone acute respiratory diseases (ARD) in healthcare. Association for Professionals in Infection Control and Epidemiology. 2008; (Available from:) (Accessed July 1, 2008) 7 , 9 , 11 , American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. 14 , 15 , 16 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 25 , 28 , 33 |
• Describes how the hospital Ethics Committee is involved in the development of crisis standards of care for the facility 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 15 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 33 |
Infection prevention policies and procedures related to patient management |
• Has a protocol for identifying when and how to perform patient decontamination related to a biologic event (ie, an overt bioterrorism attack) 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 20 , 22 , 26 , 27 , 29 , 30 , 31 , 36 , 37 , 41 , 43 , 44 , 45 , 46 |
• Has a protocol for internal and external patient transport of potentially contagious patients, including coordination with local emergency medical services and 9-1-1 services for interfacility transfer 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 9 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 27 , 29 , 35 , 39 , 41 , 42 |
• Has a protocol for determining patient placement of potentially contagious patients, including plans for cohorting of patients with known or suspected communicable diseases during a biologic event 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 14 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 25 , 26 , 27 , 28 , 29 , 35 , 42 , 47 |
• Has a protocol for designating staff limited to work with potentially infected patients (ie, staff cohorting) 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 6 ,
Reuse of respiratory protection in prevention and control of epidemic- and pandemic-prone acute respiratory diseases (ARD) in healthcare. Association for Professionals in Infection Control and Epidemiology. 2008; (Available from:) (Accessed July 1, 2008) 7 , 15 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 28 |
• Has a protocol for instituting Standard and Transmission-Based Precautions for all biologic events (bioterrorism, outbreaks of emerging infectious diseases, and pandemics), including procedures for implementing respiratory hygiene practices2-5.7.9.14.19.24-28.35.37.38.39.42-43,49 |
• Has a procedure for identifying and managing vulnerable individuals/groups who may be at an increased risk of infection during a biologic event 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 7 , 26 , 37 |
• Has an inventory or list of all available isolation rooms/areas, including AIIRs and negative-pressure rooms/areas 5 Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. |
• Has a protocol for assessing the functionality of all AIIRs before patient admittance for isolation 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Has a protocol for handling, transporting, and laundering soiled linens, including times when routine linen cleaning/washing cannot occur because of the MCE 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 16 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 |
• Has a protocol for patient discharge (where they will be discharged to, decision matrix for deciding/prioritizing who is discharged, discharge instructions to reduce the risk of disease spread, and others) specific to biologic events 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 27 , 29 |
• Has a protocol for postmortem care procedures that limit infection transmission during a biologic event 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 14 , 16 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 39 |
Occupational health policies and procedures |
• Has a program that offers and monitors compliance with the annual influenza vaccine for hospital employees 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 9 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 48 |
• Has a respiratory protection program that fit-tests staff for respirators or provides and trains staff on the use of PAPRs that do not require fit-testing 8 , 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Has a liberal/nonpunitive sick leave policy that addresses the needs of ill and symptomatic personnel during a biologic event, including allowances and encouragement for sick employees to stay home until no longer contagious or furloughing exposed or infected staff 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 7 , 10 , 28 |
• Has a protocol for managing personnel who become ill during a biologic event, including what to do when staff develop symptoms while at work and outlining how long staff must remain off-duty after becoming infected 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 8 , 9 , 14 , 19 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 28 , 35 , 42 , 48 |
• Has a protocol for identifying and managing staff who are at an increased risk for infection during a biologic event (eg, pregnant women, immunocompromised workers, and employees of age 65 years or older), such as administrative leave, furlough, altering work assignment or location, and others 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 7 , 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Has a protocol for tracking staff who have had contact with a potentially contagious patient or contaminated source (ie, an exposure) during a biologic event, including offering PEP when indicated 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 8 , 9 , 14 , 19 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 28 , 35 , 39 , 42 , 43 , 48 , 49 Department of Health and Human Services. Proposed guidance on antiviral drug use during an influenza pandemic. 2008. Available from: http://aspe.hhs.gov/panflu/antiviral-n-masks.shtml. Accessed June 1, 2008. |
• Has a protocol for tracking staff who have recovered from illness during a biologic event, including confirmed and probable cases 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Has a protocol that addresses if, how, and when long-term prophylaxis for employees will be provided during a pandemic and to which staff this policy applies 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 49 Department of Health and Human Services. Proposed guidance on antiviral drug use during an influenza pandemic. 2008. Available from: http://aspe.hhs.gov/panflu/antiviral-n-masks.shtml. Accessed June 1, 2008. |
• Has a protocol for notifying staff's other employers if the staff are exposed or infected during a biologic event 3 |
• Includes a policy for the prevention of occupational injury and exposure to bloodborne pathogens during an MCE, including times when PPE or other resources are limited 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
Surveillance and triage |
• Identifies a process for syndromic surveillance to identify or detect a biologic event, including bioterrorism, outbreaks of emerging infectious diseases, and pandemic influenza; collection indicators (chief complaint, hospital admissions, unusual clusters of pneumonia, rashes, flu-like illness, and others, are identified in plan) 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 9 , 11 , American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. 16 , 19 , 22 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 , 27 , 28 , 29 , 35 , 36 , 42 , 43 , 50 |
• Outlines the hospital's participation in a community-wide syndromic surveillance program to identify or detect a biologic event; collection indicators (chief complaint, hospital admissions, and others) are identified in plan 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 7 , 11 , American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. 19 , 26 , 28 , 29 |
• Defines the frequency with which syndromic surveillance reports/data will be sent to infection prevention/hospital epidemiology and local public health agency; frequency of data sharing reflects the pandemic security level 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 9 , 16 |
• Identifies a process for surveillance to monitor for potentially contagious diseases during a MCE after it is identified, including screening of patients, visitors, and staff; frequency of surveillance (upon admittance to hospital, before each shift, and others) is identified 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 7 , 8 , 19 , 26 , 27 , 28 , 47 |
• Has a protocol for surveillance based on the level of disease in the community (such as preevent passive surveillance using signage and midevent active surveillance using temperature/symptom screening for hospital visitors) 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 9 , 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Identifies a process for testing and evaluating the syndromic surveillance program/system being used to detect pandemic influenza (the program/system is evaluated during the seasonal influenza period) 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 7 , 9 |
• Includes a protocol for tracking admissions and discharges of patients with potentially communicable diseases during a MCE 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 9 |
• Has a protocol for tracking all onsite individuals (patients, visitors, and staff) who have had contact with a potentially infectious patient during a MCE 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 9 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 28 |
• Identifies a protocol for monitoring staff absenteeism for health reasons 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Describes a written protocol for monitoring and reporting seasonal influenza-like illness among hospitalized patients, volunteers, and staff 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Has a procedure for identifying, monitoring, and tracking health care-associated infection transmission among hospitalized patients, volunteers, and staff, including nosocomial transmission of SARS 28 and seasonal influenza4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 24 Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. |
• Identifies a process for monitoring individuals who are quarantined on-site for signs/symptoms of contagious diseases 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 9 |
• Includes plans for a designated location that is physically separated from other triage/evaluation areas for triaging patients with possible communicable diseases during a biologic event 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 26 , 27 |
• Has a protocol for creating or has triage signage that addresses language barriers, individuals with disabilities (visual, hearing, or others), and varying reading levels 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 26 |
Reporting, communication plan, and information management |
• Includes a protocol for 24/7 notification of infection prevention or hospital epidemiology of a known or suspected biologic event, including bioterrorism, outbreaks of emerging infectious diseases, and pandemics 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 9 , 19 , 25 , 26 , 27 , 28 , 43 |
• Includes a protocol for notifying local health officials and local law enforcement of a known or suspected biologic event, including bioterrorism, outbreaks of emerging infectious diseases, and pandemics 2 , Centers for Disease Control and Prevention. Smallpox response plan and guidelines version 3.0. 2003. Available from: http://www.bt.cdc.gov/agent/smallpox/response-plan/index.asp. Accessed January 30, 2004. 3 , 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 7 , 9 , 14 , 19 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 25 , 26 , 27 , 28 , 29 , 43 , 47 |
• Identifies the name, title, and contact information of a primary and back-up person assigned to communicate with hospital staff and volunteers regarding activation of the Plan and the status and impact of the biologic event during the incident 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 9 , 16 |
• Identifies the name, title, and contact information of a primary and back-up person assigned to communicate with public health authorities during a biologic event 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 11 American Hospital Association. Hospital preparedness for mass casualties. 2000. Available from: http://www.ncha.org/public/docs/bioterrorism/AHA.pdf. Accessed March 2, 2004. |
• Identifies a person assigned to monitor state and federal public health advisories and update the pandemic response coordinator and members of the hospital emergency management committee when pandemic flu has been reported in the United States and is nearing the geographic area 4 , Centers for Disease Control and Prevention. Hospital pandemic influenza planning checklist. 2007. Available from: http://www.pandemicflu.gov/plan/healthcare/hospitalchecklist.pdf. Accessed July 2, 2007. 5 , Association for Professionals in Infection Control and Epidemiology (APIC). April 2002 Interim bioterrorism readiness planning suggestions. 2002. Available from: http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed April 7, 2002. 9 , 10 , 24 , Occupational Safety and Health Administration. Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. 2007. Available from: http://www.osha.gov/Publications/OSHA_pandemic_health.pdf. Accessed March 14, 2008. 42 |
• Includes a list and contact information of other health care entities and key community response entities (fire safety, law enforcement, EMS, public health, and governmental agencies) within the region with which it will be necessary to maintain real-time communication during a biologic event |