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Influenza Pandemic Emergency Plan

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Symptoms and danger of infection

Rules of behaviour

Pandemic emergency plan

Pandemic emergency plan
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Rules of behaviour

A few simple rules of behavior are enough to minimize the risk of an infection.

  • Handshakes, welcoming hugs or a hug goodbye should be avoided!
  • Small rooms like elevators should be avoided whenever possible.
  • Also avoid crowds of people at work (elevator, staffrooms and so on).
  • When coughing, sneezing or blowing your nose please only use soft tissues and after every nose blowing you should wash and disinfect your hands.
  • Private events where many people are (cinema, theatres, stadiums, discos and so on) should be avoided.
  • Instead of using public transportation like city trains, busses and so on please use your personal vehicle.
  • Avoid any contact to infected people. That applies especially for children and pets.
  • After any contact to an infected person as well as after any contact to animals or their excrements wash your hands thoroughly with water and soap, afterwards disinfect your hands.
  • After any contact to diseased persons wash your dirty clothes in the washing machine at 95 degree Celsius.

Hygienic hand disinfection

  • before work
  • after every toilette visit
  • before and after every personal contact to other people
  • before and after every break
  • always after shopping
  • always after blowing your nose
  • after every cleaning service
  • after the end of a working day or before leaving the work building

A) In private life

  • Avoid whenever possible any large crowd of people (like big events, cinemas, theatres, discos, stadiums and so on) and any close contact to other persons
  • Avoid coughing or sneezing on other people
  • Do not cough or sneeze into your hand but into your sleeves
  • Only use soft tissues and dispose them immediately into a closed bin
  • Avoid the common handshaking and hugging
  • Wash your hands often and thoroughly, e.g. after every personal contact to other people, after shopping, after the visit of sanitary facilities, toilettes and before eating
  • air rooms often and thoroughly

B) In case of illness

  • In case you got sick, even if you just think you got the disease in accordance with symptoms, stay at home under all circumstances.
  • For the time being contact your doctor telephonically and get yourself informed about any special consulting hours or measurements for influenza diseased people.
  • Restrict your contact to other people as far as possible
  • In case of any contact to other people (family members, doctors appointment and so on) wear a mask over nose and mouth (NIOSH N95/N99)
  • Avoid any contact to children, infants, older people or persons with a chronicle illness as far as possible
  • Stay in bed, drink a lot of fluids (water, tee, juices and so on) and avoid any physical stress.
  • Insofar the diseased has been put under quarantine he is not allowed to leave the domestic area including the garden and should not receive any external visitors.

C) For family member carers

  • If you need to care for diseased family member, secure yourself by wearing a mask for nose and mouth (NIOSH N95)
  • After every contact to the diseased persons it is essential that you wash and disinfect your hands thoroughly
  • dispose of disposable tissues / towels in closed plastic bags
  • Clean your entire household regularly and thoroughly. Especially the contact surfaces (Telephone receiver, sanitary facility and so on) and the environment of the sickroom are extremely important.
  • Persons, which have been put under quarantine are not allowed to leave the domestic area including the garden and should not receive any external visitors.
  • Family member carers can only be allowed to attend to work under certain circumstances – when the treating physician proved and allowed it.
  • Provide separate dining and drinking tableware, cutlery and towels for diseased persons and also reprocess them separately.
  • Periodically and thoroughly air the rooms

D) In care facilities

  • According to the STIKO (a committee at the Robert-Koch-Institute, affiliated to the German Government Health Authorities, which recommends vaccinations) employees and  inhabitants of care senior citizen residence should be vaccinated against the seasonal influenza.
  • In case of a pandemic all big events are to be reduced to the most necessary to restrain the risk of an infection and to interrupt the chains of infection.
  • In case of a pandemic the medical care in facilities should be provided as long as possible – in case of a pandemic the principle “stationary above ambulant" will apply.
  • Nursing staff with influenza related symptoms are to be released from work and are to be confided into medical care/therapy  
  • In case the new influenza virus was proven by diseased staff, they should be released from work at least for 7 days (quarantine) to avoid a further transmission of the disease. They are to follow any medical direction.
  • Diseased inhabitants need to be looked after in separate rooms or stations.
  • To care for diseased inhabitants trained and vaccinated staff is to be preferred.
  • For the attendance and care of the diseased, protective equipment is to be provided for the nursing staff; protective tunics, single-use gloves, protective filter masks for mouth and nose NIOSH N95/N99 or on request even N100 if excretions are to be expected (coughing, vomiting, infusions, catheter and so on) during the care taking.
  • For hand disinfection a disinfectant which is limited virucidal is to be used.
    • before any contact to patients
    • after every contact with patients
    • after contact with materials which contain causative agents
    • after contact with contaminated objects
    • after taking off the protective gloves (in the room)
  • For surface disinfection a disinfectant which is limited virucidal is to be used.
  • The surfaces close to a patient like the bedside cabinet, bed frame, bed rail, frame trapeze, wet area, basin, toilet and sanitary facilities (toilette seat, toilet flushing, dispenser, basin, showers and so on) as well as contact surfaces (door handles, switches, work surface) are to be cleaned through a wiping disinfection every day.
  • Equipment and medical products which are directly coming into contact with causative agents are to be disinfected after using them and again before using them on other patients.  
  • The washing is to be accumulated in the patient rooms (not in the laundry baskets along the hospital ward corridor) and to be cleaned in the appropriate laundry facility.  
  • The disposal of waste which are contaminated by secretions or body excretions must be accomplished by the German refuse code EAK 180104 LGA guideline (B-waste).  
  • Tableware, cutlery and glasses need to be cleaned in the dishwasher by at least 60 degree Celsius.
  • The hospital needs to be informed before any requisite moving of a sick person into the hospital. The diseased needs to wear a protective filter masks for mouth and nose (NIOSH N99/N100) (if the condition of the patient permits this measurement)
  • Nursing staff and ambulance personnel needs to protect themselves with a protective filter mask (NIOSH N99/N100) as well.

___Precautionary measures in rooms of nursing facility

  • The staff already should perform hand disinfection and put on protective filter masks in the entrance area before they enter the facility.
  • At a given time a hand disinfection dispenser therefore is to be installed in the entrance area and a container with protective filter masks is to be provided.
  • A separate toilet for diseased inhabitants or staff which got infected during working time should be provided – it needs to be cleaned and disinfected several times a day.
  • It is most important that diseased inhabitants are physically separated from healthy inhabitants.  
  • In case of hardship (several diseases in the facility) the necessity of a quarantine should be discussed with the company medical officer.
  • Set up the storage capacity for increased need of protective equipment for staff, disinfectants, care and treatment materials as well as other supplies and make them noticeable.

E) In the company

  • In case of a pandemic all big events are to be avoided to restrain the risk of an infection and to interrupt the chains of infection.
  • In case of a pandemic the principle “stationary above ambulant" will apply, which means that diseased employees are generally treated at home.
  • Nursing staff with influenza related symptoms are to be released from work and are to be confided into medical care/therapy
  • In case the new influenza virus was proven by diseased staff, they should be released from work at least for 7 days (quarantine) to minimize the possibility of a further transmission of the disease. They are to follow any medical direction.  
  • During work time diseased staff should immediately be looked after in a separate room (first-aid room), medically provided and after instructions of the doctor be transported home or into a hospital.
  • The workplace of the diseased employee (desk, backrest, computer keyboard, computer mouse, work stations and so on) should immediately be disinfected.
  • For the emergency treatment of the diseased the medical staff needs to wear protective equipment, protective tunics, single-use gloves, protective filter masks for mouth and nose NIOSH N95/N99 or on request even N100 if excretions are to be expected (coughing, vomiting, infusions, catheter and so on).
  • Medical staff need for hand disinfection a disinfectant which is limited virucidal is to be used.
    • before any contact to patients
    • after every contact with patients
    • after contact with materials which contain causative agents
    • after contact with contaminated objects
    • after taking off the protective gloves
  • For surface disinfection a disinfectant which is limited virucidal is to be used.
  • In the surgery (first-aid room) the surface is to be disinfected after the treatment of a diseased person (therapy table). Contact surfaces (door handles, switches, work surface) are to be cleaned through wiping disinfection every day.  
  • Equipment and medical products which are directly coming into contact with causative agents are to be disinfected after using them and again before using them on other patients.  
  • The dirty washing is to be accumulated inin separate containers with cap and to be cleaned in the appropriate laundry facility.
  • The disposal of waste which is contaminated by secretions or body excretions must be accomplished by the German refuse code EAK 180104 LGA guideline (B-waste).  
  • The hospital needs to be informed before any requisite moving of a sick person into the hospital. The diseased needs to wear a protective filter masks for mouth and nose (NIOSH N95/N99) (if the condition of the patient permits this measurement)
  • Nursing staff and ambulance personnel needs to protect themselves with a protective filter mask (NIOSH N99/N100) as well.

___Precautionary measures in company rooms

  • All staff members and preferably all customers should already perform hand disinfection and put on protective filter masks in the entrance area or the staff entrance before they enter the company.
  • At a given time a hand disinfection dispenser therefore is to be installed in the entrance area or the staff entrance and a container with protective filter masks is to be provided.
  • A separate toilet for diseased staff which got infected during working time is to be provided and needs to be cleaned and disinfected several times a day
  • A physical separation of diseased and healthy staff members is highly important.
  • In case of hardship (several simultaneous diseases in the company) the necessity of a quarantine or the providing of emergency beds should be discussed with the company medical officer.
  • Storage capacity for increased need of protective equipment for staff, disinfectants, care and treatment materials, medicaments as well as other supplies must be provided, declared and marked.

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