<p>Prompt List For Influenza-like Illness Outbreaks IPCN: Outbreak Co-ordinator’s Name and Designation: Date and Time: Name of Community Hospital and Ward Date of Onset: Number of patients affected out of total beds occupied: Staff affected: Affected staff work area: Nursing Domestic Porters Catering Layout – number of wards/bays/ affected: Number of community hospital admissions as result of ILI:</p><p>Actions: Ensure all staff on ward and hospital are GPs and GP Practices informed informed Inform adjacent team/ward of symptoms/ Visiting healthcare professionals outbreak informed Domestic team/staff informed Agency staff/Agencies informed IPC Team informed Inform volunteers/Sit and See Hospital Manager informed: Outbreak monitoring form on yellow clipboard Ward Co-ordinator informed</p><p>Assessment for ILI: ( as appropriate) Symptoms: Pyrexia Cough Malaise Aching Recent admissions (include from an affected area): Specimens – to be at the lab for 11am Path lab informed: Date: Monitoring form for Patients: Date: Outbreak monitoring form for staff: Date: Advise staff of availability of flu vaccine Date: Immediate Actions Outbreak Control: Isolate / Cohort: Doors to be closed, isolate for 5/7 days following onset of symptoms Checklist: Complete Isolation checklists and email to [email protected] Allocate: Staff to be allocated to affected and non-affected areas Consider: if there is a vacant bed, who last occupied it? Where are they now? Are they likely to be infected/exposed and need treatment/prophylaxis? Check: have patients received influenza vaccination? Check: have staff received influenza vaccination? Exclude: Symptomatic staff to be advised to see GP Hydration: Encourage fluids in symptomatic patients and start fluid chart Cleaning: Tristel Fusion/Jet, increase frequency Hand washing: At point of care with water and liquid soap PPE/Linen/Waste: To be available at point of care (gloves/aprons/masks/alginate bags/waste bags) Toilet facilities: En-suite, designated toilet (if en-suite available) or designated commode Macerator: Daily checks, functioning and clean Patient Equipment: Designate to symptomatic patients – commodes/bedpans/hoist slings/glide sheets/ BP cuffs/stethoscopes Patient Lockers: Remove fruit and fruit bowls, open packets of food, change water jugs twice daily ensure lids are used. Kitchen: Wash all patient and staff crockery in dishwashers during outbreak. Volunteers: To be informed not to visit and/or visit affected areas last Visitors: To be advised to wear PPE including facemask if visiting infected bays and undertaking close personal care. Visitors to be advised not to sit on the bed Ensure: that any visitors chairs taken into the isolation room are cleaned before removal Ongoing Actions: Status: Bays/Rooms - Closed Bays/Rooms - Open Staff: Increase staffing ratios for workload of symptomatic patients and terminal cleans Signpost Staff: to Outbreak Pack and IPC information page on SCHT website Inform: GP/visiting health care professionals including agency/bank staff/therapy and volunteers Inform staff: of out of hours contact details and information Ensure: one person co-ordinates the outbreak and is the nominated point of contact Alert: Visitors by way of a notice and information leaflets including signage on bay doors and ward entrance Remind: Staff that patients need to be free of symptoms before being transferred or attend outpatient appointments (N/A in an emergency – although patient should wear a facemask if they need to attend and visiting department should be informed). Staff need to be 5/7 days following onset of symptoms before returning to work. Monitor: All patients and staff for signs and symptoms Audit: Self-audit tools to be sent to IPC Team. Isolation checklist to be undertaken weekly during the duration of the outbreak for each isolated Room or Bay Signpost: SCHT Policies Outbreak Management, Influenza Policy, Isolation Policy Signpost leaflets:  Influenza like illness  Isolation  Patient’s Hand Hygiene  Visitors  Agency  Staff  Volunteers</p><p>Post Outbreak: Date Declared Over: Terminal Clean: Undertake post 48 - 72hrs depending on situation Total Affected: Patients: Staff:</p><p>IPC Team April 2017 </p>