Enteric Outbreak Control Measures Checklist - KFL&A Public Health

OB Number: ____________________
Enteric Outbreak Control Measures Checklist
Facility: __________________________
Date OB Declared: _________________
Date: ______________________________
Date OB Declared Over: ______________
Case Definition: _________________________________________________________
Date of initial Outbreak meeting: _____________________________
Note: diarrhea is defined as two or more unformed or watery stools within a 24 hour
period THAT IS NOT CONSIDERED NORMAL for the resident and is not associated
with any recent bowel treatment, diet change and/or medication.
SURVEILLANCE
Daily phone call to update CD contact
Line listing of residents – fax or email daily to Public Health
Line listing of staff – fax or email daily to Public Health
Monitor residents for symptoms
NOTIFICATION
Notify public – post signs on entrance doors to facility
Notify other facilities – Public Health will do
Notify Compliance Officer – facility to do
ROUTINE PRACTICES AND ADDITIONAL PRECAUTIONS
Hand hygiene – staff, residents, visitors; educate visitors/volunteers; assist residents
with compliance; extra alcohol-based hand rub throughout the facility
Gloves – direct care, discard after use, perform hand hygiene
Gowns – (fluid resistant preferred) for direct resident care when risk of soiling clothes
Mask and eye protection for vomiting or explosive diarrhea
Single room if possible
RESIDENTS
Restrict cases to room – for 48 hrs after last episode of vomiting and/or diarrhea
Urgent medical appointments – well residents, consult PH.
Urgent medical appointments – ill residents, reschedule if able; if unable, contact
Public Health, notify practitioner/transfer service.
STAFF/VOLUNTEERS
Exclude ill staff/volunteers – for 48 hrs after last episode of vomiting and/or diarrhea
Cohort staff – if possible dedicate staff for ill residents (assign staff who have had
illness)
Working at other facilities – not advised
SEE NEXT PAGE

ADMISSIONS/TRANSFERS – Contact Public Health
New admissions – preferably to non-affected unit/floor; inform family, asymptomatic
Re-admission of cases – provide appropriate isolation
Re-admission of non-cases – allowed; refer to Section C, page 47
Transfers to other LTCH - consult ICP at home/advise transfer service
Transfer to hospital – advise hospital, ambulance/transfer service
COMMUNAL RESIDENT ACTIVITIES
Limit all large group activities throughout facility
Small group activities on affected unit – well residents only
Group activities on unaffected units
No communal activities with outside groups on affected unit (may want to re-schedule
when OB over for entire home)
VISITORS
Ill visitors not to visit
Families/visitors notified of outbreak – post signs, family of ill residents called
Visiting Conditions – restrict visitors while residents in isolation; provide hand
hygiene education
ENVIRONMENTAL CONTROLS
Increase cleaning of high touch surfaces
Clean from clean to dirty areas.
Increase cleaning and disinfection of washrooms and commodes
Dedicate resident care equipment to ill resident; if not dedicated, clean and disinfect
between residents
Handle linen and garbage carefully
Other Comments:
Outbreak Resolution:
Investigator:
Date:
23/10/2013