INFECTIOUS DISEASE
PANDEMIC
PromptWays to reduce contagious respiratory viral transmission in hospital (General, not pandemic specific)
ResponseBarrier nursing - gloves/gown. Face shield if resp droplets likely to contaminate face
Frequent hand decontamination with soap/water and gel
Isolate patient in ED and the ward
Wipe equipment and environment with suitable disinfectants
Frequent hand decontamination with soap/water and gel
Isolate patient in ED and the ward
Wipe equipment and environment with suitable disinfectants
PromptDiagnostic criteria of MERS
(Middle eastern respiratory syndrome related coronavirus)
(Middle eastern respiratory syndrome related coronavirus)
ResponseIn summary: resp symptoms + fever + exposure to middle east (travel, case contact, healthcare worker, etc) in past 14 days
Case definition was extensive and boring. Not included in full as 1 full page as its all old and irrelevant after covid anyway
Case definition was extensive and boring. Not included in full as 1 full page as its all old and irrelevant after covid anyway
PromptManagement of multiple patients present with suspected MERS
ResponseActivate disaster code
Isolate from other patients
Prepare hospital for large numbers (dedicated wards, ? separate ED/triage) vs designated MERS hospital
Isolation: Negative pressure room
Resp precautions/PPE
Inform public health/ID/hospital exec
Contact tracing
Isolate from other patients
Prepare hospital for large numbers (dedicated wards, ? separate ED/triage) vs designated MERS hospital
Isolation: Negative pressure room
Resp precautions/PPE
Inform public health/ID/hospital exec
Contact tracing
PromptProtective precautions for MERS
ResponseHand hygiene
gown/gloves/goggles/N95
Single room, barrier nursing
gown/gloves/goggles/N95
Single room, barrier nursing
PromptPandemic patient wants to DAMA - management
ResponsePotentially infected with communicable disease - Patient is a public health risk until diagnosis confirmed
Attempt verbal de-escalation
Assess for competency (hypoxia, hypoglycemia, delirium from sepsis) - If incompetent must retain under Duty of care
Attempt verbal de-escalation
Assess for competency (hypoxia, hypoglycemia, delirium from sepsis) - If incompetent must retain under Duty of care