Enteric Outbreak Control Measures Checklist - KFL&A Public Health
Enteric Outbreak Control Measures Checklist - KFL&A Public Health
Enteric Outbreak Control Measures Checklist - KFL&A Public Health
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OB Number: ____________________<br />
<strong>Enteric</strong> <strong>Outbreak</strong> <strong>Control</strong> <strong>Measures</strong> <strong>Checklist</strong><br />
Facility: __________________________<br />
Date OB Declared: _________________<br />
Date: ______________________________<br />
Date OB Declared Over: ______________<br />
Case Definition: _________________________________________________________<br />
Date of initial <strong>Outbreak</strong> meeting: _____________________________<br />
Note: diarrhea is defined as two or more unformed or watery stools within a 24 hour<br />
period THAT IS NOT CONSIDERED NORMAL for the resident and is not associated<br />
with any recent bowel treatment, diet change and/or medication.<br />
SURVEILLANCE<br />
Daily phone call to update CD contact<br />
Line listing of residents – fax or email daily to <strong>Public</strong> <strong>Health</strong><br />
Line listing of staff – fax or email daily to <strong>Public</strong> <strong>Health</strong><br />
Monitor residents for symptoms<br />
NOTIFICATION<br />
Notify public – post signs on entrance doors to facility<br />
Notify other facilities – <strong>Public</strong> <strong>Health</strong> will do<br />
Notify Compliance Officer – facility to do<br />
ROUTINE PRACTICES AND ADDITIONAL PRECAUTIONS<br />
Hand hygiene – staff, residents, visitors; educate visitors/volunteers; assist residents<br />
with compliance; extra alcohol-based hand rub throughout the facility<br />
Gloves – direct care, discard after use, perform hand hygiene<br />
Gowns – (fluid resistant preferred) for direct resident care when risk of soiling clothes<br />
Mask and eye protection for vomiting or explosive diarrhea<br />
Single room if possible<br />
RESIDENTS<br />
Restrict cases to room – for 48 hrs after last episode of vomiting and/or diarrhea<br />
Urgent medical appointments – well residents, consult PH.<br />
Urgent medical appointments – ill residents, reschedule if able; if unable, contact<br />
<strong>Public</strong> <strong>Health</strong>, notify practitioner/transfer service.<br />
STAFF/VOLUNTEERS<br />
Exclude ill staff/volunteers – for 48 hrs after last episode of vomiting and/or diarrhea<br />
Cohort staff – if possible dedicate staff for ill residents (assign staff who have had<br />
illness)<br />
Working at other facilities – not advised<br />
SEE NEXT PAGE
ADMISSIONS/TRANSFERS – Contact <strong>Public</strong> <strong>Health</strong><br />
New admissions – preferably to non-affected unit/floor; inform family, asymptomatic<br />
Re-admission of cases – provide appropriate isolation<br />
Re-admission of non-cases – allowed; refer to Section C, page 47<br />
Transfers to other LTCH - consult ICP at home/advise transfer service<br />
Transfer to hospital – advise hospital, ambulance/transfer service<br />
COMMUNAL RESIDENT ACTIVITIES<br />
Limit all large group activities throughout facility<br />
Small group activities on affected unit – well residents only<br />
Group activities on unaffected units<br />
No communal activities with outside groups on affected unit (may want to re-schedule<br />
when OB over for entire home)<br />
VISITORS<br />
Ill visitors not to visit<br />
Families/visitors notified of outbreak – post signs, family of ill residents called<br />
Visiting Conditions – restrict visitors while residents in isolation; provide hand<br />
hygiene education<br />
ENVIRONMENTAL CONTROLS<br />
Increase cleaning of high touch surfaces<br />
Clean from clean to dirty areas.<br />
Increase cleaning and disinfection of washrooms and commodes<br />
Dedicate resident care equipment to ill resident; if not dedicated, clean and disinfect<br />
between residents<br />
Handle linen and garbage carefully<br />
Other Comments:<br />
<strong>Outbreak</strong> Resolution:<br />
Investigator:<br />
Date:<br />
23/10/2013