Appendix G
Seasonal / Pandemic Flu
Action Cards
Version 3
Feb 2017
Index
1. / Staff caring for a patient with clinically presumed influenza in their home / 3
2. / Infection Prevention Precautions when Managing Suspected or Known Flu cases / 5
3. / How to use full personal protective equipment (PPE)
/ 7
4. / How to take a specimen / 9
5. / Specific advise for domestic staff cleaning a hospital isolation room / 11
6. / Anti-viral Collection Point Manager / 12
For advice on treatment and reporting check:
Before leaving, ensure your equipment is cleaned. Wear fresh PPE as above for the cleaning, use usual cleaning agent e.g. Clinell sanitising wipes. Wash hands after
Before leaving ensure your equipment is cleaned. Wear fresh PPE as above for the cleaning, use usual cleaning agent eg clinell sanitising wipe. Wash/clean hands after removing PPE and discard*
Providing you are well you will not require isolation or removal from duty
Card 1f Caring For A Patient h Clinically Presumed Influenza In The Home
Infectious Period
Method of spread
3 main routes namely
1) Droplet transmission- If droplets from an infected person come into contact with the mucous membranes (mouth or nose) or surface of the eye of a recipient, they can transmit infection. These droplets remain in the air for a short period and travel one to two metres, so physical closeness is required for transmission.
2) Aerosol transmission during aerosol generating procedures
3) Contact transmission may be direct or indirect. Infectious agents can be inadvertently passed directly from an infected person (for example after coughing into their hands) to a recipient who, in the absence of correct hand hygiene, may then transfer the organism to the mucous membranes of their mouth, nose or eyes.
Indirect contact transmission takes place when a recipient has contact with a contaminated object, such as furniture or equipment that an infected person may have coughed or sneezed on.
Isolation Precautions
If you are going to do an aerosol generating procedure e.g. Intubation, nasopharyngeal aspiration, trachyostomy care, physio sputum induction, then you will need full PPE including a FFP3 respirator. Only people who have been fit tested can wear a FFP3 mask
Cleaning requirements
Staff Health
For further advice please contact a member of the Infection Control Team
Infection Prevention and Control Team – office 02380 874291
Theresa Lewis (Lead IP&CN) 07500 975960
Jacky Hunt (North) – 07500 975962
Angela Roberts (West) – 07500 975961
Louise Piper (East) 07717 714894
For treatment /reporting please check PHE website for latest advice before taking action
Action Card 3 –
Action Card 3 –
For treatment /reporting please check PHE website for latest advice before taking action
The flu virus can live on a hard surface for up to 24hours and a soft surface for approx 20 minutes. The virus can be transferred to hands where infection can be spread by putting fingers into mouth/nose or touching eyes. Therefore the importance of hand hygiene (i.e. Use of soap and water or alcohol gel) and good personal hygiene is essential.
Cleaning requirements:
Damp rather than dry dusting should be carried out to avoid the generation of dust particles.
Cleaning of surfaces should be carried out using a freshly prepared cleaning solution/detergent and warm water and disposable cloths/paper roll. (HSE 2008)
Cleaning requirements:
Damp rather than dry dusting should be carried out to avoid the generation of dust particles.
Cleaning of surfaces should be carried out using a freshly prepared cleaning solution/detergent and warm water and disposable cloths/paper roll. (HSE 2008).
§ All waste should be placed in an orange bag and disposed of at regular intervals, followed by hand hygiene.
§ All linen should be bagged as infectious and disposed of in a timely manner, followed by hand hygiene.
Pandemic Flu Action Card 5
Anti-viral Collection Point Manager
1. The Anti-viral Collection Point (ACP) manager should be:
· Band 6 or above (no upper band limit)
2. The role of the ACP manager is to:
· Mobilise and manage the ACP
· Provide guidance, support and leadership to ACP staff
· Liaise with the NHS England or SHFT pharmacist to manage the anti viral supply and ensure demand is met
· Ensure that the ACP premises meet health, safety and security requirements
· Ensure that the ACP entry and exit points, opening and closing times, directions and general information is clearly signposted at all times (using signage provided by NHS England)
· Ensure that there is an adequate stock of consumables, stationery, cleaning equipment etc
· Co-ordinate communications and reporting to all relevant stakeholders
· Meet and great those attending the ACP
· Manage the flow of people within the ACP, managing queues and any conflicts or aggressive behaviour, providing support as and when required
· Consider need for a security presence to manage people attending en-masse
· Advise those attending the ACP as appropriate
· Manage any complaints about the ACP
3. The ACP manager will:
· Ensure that the staff register is maintained and attendance is recorded
· Create and manage a staff rota ensuring sufficient staff are available
· Generally manage all resource requirements
· Ensure that new staff are trained and provided with information packs
· Hold a daily briefing meeting to update staff of any changes to policy and procedure
· Ensure that a deputy ACP manager is identified, trained and if appropriate in possession of spare set of keys to the ACP
· Liaise with the premise security manager to ensure that security arrangements are in place (personnel, alarm systems, lockable storage for records and stockpile)
· Notify the SHFT Incident Management Team immediately of any issues or emergencies
· Notify the SHFT Incident Management Team of immediately any changes to the ACP arrangements
· Ensure compliance with standard infection prevention and health and safety procedures
· Complete reporting requirements, including daily stock usage reports and delivery error reports