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Avian Flu Pandemic Plan
Introduction
Pre-Level 1
Level 1
Level 2
Level 3
Level 4
Recovery
Appendices

Areas of Institutional Response:

Communications
;Academic Programs
Health and Safety
Student Life
Administrative Services
Transportation and Controlled Access
 

Avian Flu Plan > Health and Safety <- You Are Here

Health and Safety

The University Health Center, in conjunction with County and State health authorities, is responsible for coordinating all health care during a disease outbreak. Dr. Sacared Bodison, Director of the University Health Center, will provide leadership to those efforts. As needed, Residential Facilities will provide beds, and Conferences and Visitor Services will provide linen service for an infirmary. The Counseling Service, in conjunction with State mental health authorities (DHMH), following Red Cross approved disaster preparedness training, will suspend traditional counseling/psychotherapy and institute crisis intervention procedures (psychological first-aid) for campus victims of emotional trauma or post traumatic stress. First Responders are often prevalent among such victims. Dr. Vivian Boyd, Director of the Counseling Center, is responsible for coordinating all crisis intervention psychological services. Personal protective equipment (PPE) acquisition and directions for use will be coordinated by Maureen Kotlas, Director of Environmental Safety.

PRE-LEVEL 1

Health and Safety:
•The University Health Center will prepare training programs and materials for staff, establish policies on when sick employees will be sent home from work and allowed to return, and establish cross-training for staff who volunteer to be temporarily re-assigned to meet temporary service needs that may arise from staffing shortages.

•The University Health Center will also promote campus-wide hand washing hygiene and cough and sneeze etiquette, provide healthcare workers with respirators and training on respiratory protection from DES, and increase supply of PPEs, medications, medical goods and food supplies available for Health Center workers.

•The University will serve as a Point of Distribution (POD) for medical supplies and vaccines for the County. During Pre-Level 1, the Health Center staff will finalize the plans to set up the POD. The POD will be located in Ritchie Coliseum and will distribute vaccine or medications to the campus community first and then to the outside community. Fifty campus employees will be needed to run the POD. People who volunteer and their family members will be the first to receive the vaccine once it arrives. Additional information on the POD is in Appendix H.

•With assistance from the Department of Procurement and Supply, bulk quantities of surgical masks, N95 respirators, plastic gloves, and alcohol-based hand hygiene products will be purchased and stored for use during the pandemic. LEVEL 1

First cases of efficient human-to-human transmission internationally—Campus open, business as usual, enhanced planning

Health and Safety:

•Continue to provide appropriate training, certifications and updates for healthcare workers.

•Train non-clinical staff to provide support capacity during crisis.

•Ensure all staff have had opportunity to receive seasonal influenza vaccine.

•Ensure all staff know how and when to use PPE.

•Educate medical staff regarding safe handling of deceased.
Counseling:
•The Counseling Center staff will provide preparedness training in consultation with the Department of Health and Mental Hygiene for all professional staff psychologists to identify and alleviate panic reactions, irrational behavior, debilitating anxiety, clinical depression, rumor mongering, denial and post traumatic stress.
LEVEL 2

First verified case in North America AND one or more other triggering events ( listed below)—Implement social distancing measures; cancel classes and other scheduled activities; prepare for closing; begin liberal leave for non-essential employees, healthy essential employees report

Decision criteria/triggering events:
•World Health Organization declaration of Phase 6�Pandemic period: Increased and sustained transmission in the general U.S. population

•Confirmation of a high rate of infectivity, morbidity (rate of infection) and/or mortality (death rate)

•Rate/speed of disease spreading

•Local public health recommendations to curtail/cancel public activities in county or state

•Falling class attendance, students leaving campus

•Rising employee absenteeism

•Other regional schools/school systems closing

•Transportation systems closing/curtailing interstate travel

•Cases in the local Mid-Atlantic area occurring early versus late in the overall U.S. experience with the unfolding pandemic
Health and Safety:

Health Center staff will:
•Work shifts adjusted for 24 hour coverage.

•Monitor supplies.

•Post notices at all entry doors notifying patients to put on masks.

•Establish fever clinics.

•Conduct influenza testing of patients.

•Separate acute illness services, suspend routine care if needed.

•Classify all staff as essential.

•Activate infirmary (50 emergency beds on lower level of Health Center).
Counseling Services staff will:
•Suspend day-to-day operations.

•Implement on-call crisis management (psychological first-aid) procedures in response to trauma (24/7).

•Assess need and provide short-term stress counseling for the campus community.

•Attend to first responders (healthcare workers and campus police).

•Designate all professional psychologists and counseling staff as essential (including at least one interpreter for the deaf).
PPE (For complete protocol, see Appendix C):
•Healthcare providers (medical personnel) will follow airborne precautions including utilizing a fit-tested respirator for close contact with suspected/confirmed cases.

•Healthcare workers (non-medical personnel working in Health Center or facility housing sick/symptomatic individuals) will wear gloves and respirator when entering patient-occupied rooms.

•Emergency medical transportation personnel will provide and require use of surgical masks for patients. Vehicle cleaning personnel will be encouraged to use gloves and respirator.

•Evacuating students will be provided surgical masks.

•All essential staff will be provided respirators for use during shut down period.

•See Appendix C, Protocol for Personal Protective Equipment Use by Employees, for additional details.
LEVEL 3

Within 1-5 days of declaring Level 2 and depending on national and local conditions—All University residences will close; thereafter, as soon as practicable, most administrative offices and academic buildings will close

Health and Safety:

Health Center staff will:
•Discontinue all routine care.

•Activate emergency triage to determine level and location of care for new patients.

•Clearly communicate uses, resources and limits of care/services at Health Center.

•Identify and publicize alternate care locations.

•Begin operation of the Point of Distribution (POD) for medication/vaccine and other supplies as available.

•Disburse equipment and supplies as needed.

•Ensure adequate disinfection of equipment after use.

•Monitor healthcare workers for signs of illness.

•Dispense vaccine and anti-viral medication.

•Monitor patients who present to the UHC exhibiting symptoms suggestive of the Avian Flu virus and coordinate transportation to local hospital facilities. Once these facilities are over capacity and unable to absorb additional patients, the Health Center will create a 50-bed infirmary to accommodate those who require medical attention and/or are too ill to travel to their home environment. An additional 20 beds will be used by Health Center staff whose exposure to infection warrants isolation from their own families.

•Coordinate with Residential Facilities to arrange for delivery of cots. Conference and Visitor Services will arrange for the delivery of bed linens. Linens can be washed if needed at the Health Center.
Counseling Services staff will:
•Activate pre-selected campus-based psychologists/counselors to supplement Counseling Center staff in the provision of crisis intervention strategies to aid individuals experiencing emotional reactions to trauma.

•Implement telephone and online counseling to alleviate psychological trauma.
PPE (For specific PPE protocol, see Appendix C):
•Healthcare providers (medical personnel) will follow airborne precautions including fit-tested respirator for close contact with suspected/confirmed cases and will discontinue all aerosol-generating procedures.

•Healthcare workers (non-medical personnel working in Health Center or facility housing sick/symptomatic individuals) will wear gloves and respirator when entering patient-occupied rooms.

•Emergency medical transportation personnel will provide and require use of surgical masks for symptomatic patients. For vehicle cleaning personnel, use of gloves and surgical mask will be encouraged.
LEVEL 4

As soon as practicable following Level 3—Campus closed; declared emergency condition; evacuation of campus; all facilities closed except skeletal services for infirmary, temporary emergency shelter housing for students with extreme hardships, and essential research; access to campus is sealed off; closure is sustained.

Health and Safety:

Health Center staff will:
•Continue emergency triage to determine level and location of care for new patients.

•Dispense vaccine and anti-viral medication, if and when it becomes available.

•Monitor healthcare workers for signs of illness.

•Continue infirmary operation (50 emergency beds on lower level of Health Center).
Counseling Services staff will:
•Continue assessing and serving disoriented students with emergency psychological assistance.
PPE (See Appendix C for full PPE protocol):
•Healthcare providers (medical personnel) will follow airborne precautions including fit-tested respirator for close contact with suspected/confirmed cases and discontinue all aerosol-generating procedures.

•Healthcare workers (non-medical personnel working in Health Center or facility housing sick/symptomatic individuals) will wear gloves and surgical masks when entering patient-occupied rooms.

•Emergency medical transportation personnel will provide and encourage use of surgical masks. For vehicle cleaning personnel, encourage use of gloves and surgical masks.
RECOVERY

Recovery stage once pandemic is under control—Campus poised to re-open

Health and Safety:
•Health Center and Counseling Center services will return to normal operations.






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