Cl 7247 Investigating Policy Revision Education Slides (2)

7/31/2019 Cl 7247 Investigating Policy Revision Education Slides (2)

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CL 7247 INVESTIGATING AND

CONTROLLING OUTBREAK OF

DISEASES IN THE HOSPITAL FACILITIES

- POLICY REVISION UPDATING

INFORMATION


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Change in title from INVESTIGATING AND

CONTROLLING OUTBREAK OF DISEASES IN

THE HOSPITAL FACILITIES AND COMMUNITY

to

INVESTIGATING AND CONTROLLINGOUTBREAK OF DISEASES IN THE HOSPITAL

FACILITIES


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The major change is that the policy is now

revised to apply to only HMC Facilities i.e.excluding Primary Health care centre

Definition: Remains technically the same

Section RESPONSIBILITIES was removed as

per new policy format.


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The followings were added

3.2 All outbreaks should be reported to the ChairmanCorporate IPC and Head of outbreak team followingwhich a decision would be made whether to managethe outbreak at a corporate or facility level.

3.9.2 Hamad Medical Corporation and Public HealthDepartment Laboratory of Supreme Council of

Health (SCH) should be involved in carrying out thetests required to identify the source of food borneoutbreaks if warranted


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3.10 Notification line of

communication was sorted out:

3.10.1 The Attending Physician and the Assigned HeadNurse or Nursing Supervisor should immediately:

3.10.1.1 Notify the Infection Control Practitioners ofoccurrence of two or more cases of the same

infection in a unit.

3.10.2 The ICPs on acquiring initial information fromMicrobiology, if suspecting a possible

clustering/outbreak, will notify the Chairman of theInfection Control Committee of the Facility involved,who in turn should notify the Head of the OutbreakTeam.


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3.10.3 If outbreak is confirmed the, Head of OutbreakTeam should notify the Corporate Chairman of ICC.The facility chairman of the ICC will notify the Chiefof Staff, and Hospital Executive Director, andAssistant Executive Director of Nursing

3.10.4 ../ Executive Director of Quality Managementdepartment and The Executive Director of Nursing HMC were added to whom Corporate Chairmanof ICC would notify if there is any out break


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When outbreak is limited to one

facility:

3.11.1 The Facility Chairman of the Infection

Control Committee should schedule emergency

meeting from the affected facility to institute

control measures.


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3.11.3 If the outbreak is localized in one

facility the Outbreak committee would

include but not limited to : Facility Chairman of the Infection

Control Committees

Infection Control Practitioners

Facility Administration

Facility Microbiologist

Any other Department as deemed

fit by the facility Chairman. e.g.

Security Department


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3.12 Steps in Outbreak Investigation (was

summarized and written in sequence):

Steps often occur simultaneously, but the elements in anoutbreak investigation include the following:

Prepare for the investigation

Confirm that an outbreak exists

Establish or verify diagnosis of reported cases;identify agent

Search for additional cases; collect critical data;develop line listing; collect specimens if indicated

Characterize the cases by person, place and time

Take immediate control measure, if indicated Formulate tentative hypothesis (making the best

guess to explain the observations)


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Steps in Outbreak Investigation contd

Test hypothesis (hypothesis should explain the

majority of cases)

Plan an additional systematic study (or studies)

Collect specimens (e.g. culture of environment orpersonnel based on data)

Implement and evaluate control and preventive

measure

Initiate surveillance Communicate findings; summarize investigation

for requesting authority; prepare written reports


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3.14 Notification to Department of Public

Health from Emergency Department (ED)

(was added):

Infection Control Practitioner in-charge of

any HMC facility should notify CDC, Dept. ofPublic Health of Supreme Council of Health,

if many patients are coming from

community to Emergency Department

complaining of the same disease.


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3.15 Educate Health Care Workers on

Appropriate isolation precaution to be

employed about Multidrug Resistant

Organisms (MDROs), correct Personal

Protective Equipment (PPE) to wear /

apply

When to discontinue isolation

Flyers, messages shall be sent to

concerned staff /units weekly, on the

progress on controlling the outbreak.


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3.16 Continuous Surveillance

Continuous Surveillance should be carried out

in the Hospital

The patient discharged from Hamad Medical

Corporation should be given a follow-up

appointment to assess his/her progress

The Infectious Disease Physician should reportto the Hamad Medical Corporation Social

Worker about the patients who fail to arrive for

their follow-up appointment in the Out-Patient

Department.


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3.17 Information to Media

The Corporate Chairman of Infection and

Control Committee, through appropriate

channels, may provide information tothe

Public about outbreaks


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3.18 Reporting and Declaring Outbreak

Over

In corporate outbreak:

When the outbreak is contained and no

new cases identified, the Chairman of

Corporate ICC will declare the outbreak to

be over / have stopped.

The Head of Out Break Team should

prepare an official final report about theoutbreak, which should be handed over by

the Corporate Chairman of ICC to the

Medical Director for the further action and

management.


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In outbreak involving only one HMC facility,

the facility chairman of ICC shall declare the

outbreak over / have stopped when the

infection is contained and there are no morenew cases occurring.

The Chairman shall submit the final report

to the Facility Chief of Staff and report the

outbreak in the corporate ICC meeting.

3.18 Reporting and Declaring OutbreakOver


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Questions?


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Summary

CL 7247 POLICY REVISION - changes have beenmade in:

The title

Notification of the outbreak

Reporting of outbreak

Management of outbreak when only one facility isaffected

Steps in Outbreak Investigation (was summarized and

written in sequence) Notification to Department of Public Health from

Emergency Department (ED) was added


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Health Care Workers would be educated on :

Appropriate isolation precaution to be employed

about Multidrug Resistant Organisms (MDROs),

correct Personal Protective Equipment (PPE) to

wear / apply

When to discontinue isolation

Flyers, messages shall be sent to concerned staff

/units weekly, on the progress on controlling the

outbreak.


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Continuous Surveillance should be carried out to ensure the

infection is cleared

If Corporate Outbreak, declaring Outbreak Over is done by

the Chairman of Corporate IPCC when the outbreak is

contained and no new cases identified. The outbreak isdeclared over by facility Chair of IPCC, if only one facility is

affected

In Corporate Outbreak, Reports of the outbreak will bewritten by the Head of out break team, submitted to

Medical Director by Chair of Corporate IPCC. If outbreak in a

facility, Facility Chair of IPCC would write the report and

submit it to the Chief of Staff and the administrators.


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THANK YOU.

Cl 7247 Investigating Policy Revision Education Slides (2)

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