Swine Flu Alg VA 043009
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Local Implementation of CDC Swine Flu Interim Guidelines for VA Hospital, Louisville, KY
Low Alert Level – April 30, 2009
Patient Signs InStep 1:
A sign identifies signs and symptoms of respiratory illness/protective actions (cover cough, mask use)Surgical mask and tissues provided to patientSign identifies designated area in waiting room
Patient continues to wear mask while waiting
Triage by NurseStep 2:Nurse wears surgical mask and eye protectionPatient continues to wear surgical maskNurse sends patient to closed ED bayPatient wears mask during transport
Step 3: Any employee in contact with patient wears surgical mask and eye protectionPatient can remove mask if in enclosed bayObtain epidemiologic history
Suspect Case
Signs and symptoms of respiratory illness plus
travel in past 7 days to area
with confirmed case (see below)
Non-Suspect
CaseNo travel in
past 7 days to States (in USA)
or Countries (other than USA) with confirmed
swine flu cases
Step 4: Airborne Isolation Follow Normal Airborne Precautions
Step 5:Diagnostic Testing
Ordered by Clinician
Nasopharyngeal swab or nasal wash for diagnosisDiagnostic tests will be performed per laboratory protocols. Options are rapid influenza A, PCR and viral culture. Specimen collector wears respiratory protection consistent with type of isolation, plus eye protection
Additional isolation precautions may be necessary depending on other potential etiologies of illness or other patient factors
Droplet Isolation Follow Normal Droplet Precautions
Cases have been confirmed in: USA (California, Nevada, Arizona, Texas, Kansas, Indiana, Michigan, Ohio, New York, Massachusetts), Mexico, Spain, New Zealand, Nova Scotia, British Columbia, Scotland, and Israel
Created by the University of Louisville Swine Flu Working Group