Novel Influenza A H 1 N 1 Outbreak

Novel Influenza A H 1 N 1 Outbreak: The Florida Response Infection Control Considerations: Focus on Personal Protective Equipment 1

Infection Control Considerations: Focus on Personal Protective Equipment n Workplaces may require workers to have contact with people who are known or suspected to be infected with the Influenza A H 1 N 1 virus. n Institute work practices to reduce the risk of infection and to protect your workers. n The diversity among healthcare workers and their workplaces makes preparation and response to a pandemic influenza especially challenging. 2

Infection Control Considerations: Focus on Personal Protective Equipment n n OSHA – General Guidance CDC – Specific Guidance for: q q q Caring for Patients in Healthcare Settings Obstetric Settings Laboratory Workers Post-Mortem Care and Autopsy Procedures Correctional and Detention Facilities Homeless and Emergency Shelters 3

Infection Control Considerations: Focus on Personal Protective Equipment n SHEA Position Statement q q n Interim Guidance on Infection Control Precautions for Novel Swine-Origin Influenza A H 1 N 1 in Healthcare Facilities Endorsed by APIC and IDSA HICPAC Review of Interim Guidance q q Working Group, Stakeholders, IOM expert panel Process complete October 1, 2009 4

Infection Control Considerations: Focus on Personal Protective Equipment n Patient Controls q q n Respiratory etiquette Use of masks Antivirals Vaccination (when available) Environmental Controls q q q Ventilation Sanitation Waste management 5

Infection Control Considerations: Focus on Personal Protective Equipment n Administrative Controls q q q n Staffing considerations Triage, isolation, or cohorting Active surveillance Disposable or dedicated supplies and equipment Infection Control Precautions n Use of Personal Protective Equipment Transmission of H 1 N 1 – Droplet or Airborne? 6

Infection Control Considerations: Focus on Personal Protective Equipment n Infection Control Precautions q q Standard – basic level for care of all patients n Hand Hygiene n Other PPE, if exposure anticipated Contact – diseases easily transmitted by direct patient contact or by indirect contact with items n Standard Precautions n Gloves and Gowns n Eye Protection – if splashes anticipated n Private room – if available 7

Infection Control Considerations: Focus on Personal Protective Equipment n Infection Control Precautions q q Droplet – working within 6 feet of a patient who is coughing or sneezing or during procedures that result in dispelling droplets into the air. n Standard Precautions - plus n Surgical Mask Airborne – protect against airborne droplet nuclei that may remain suspended in the air for a long time. n Standard Precautions - plus n Personal Fit Tested N-95 or PAPR Respirator n Negative Pressure Isolation Room 8

Infection Control Considerations: Focus on Personal Protective Equipment n n Written program in accordance with OSHA Programs and fit test procedures: www. osha. gov/SLTC/etools/respiratory Staff should be medically cleared, fit-tested, and trained for respirator use Florida Guidance – under consideration to move towards use of surgical mask for routine patient care 9