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H1N1: Guidance for Infection Control for in Health Care Settings (2.4.10)

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This joint document serves to update the California Department of Public Health (CDPH) recommendations of August 20, 2009, for infection control for 2009 H1N1 influenza in health care settings based on the revised Centers for Disease Control and Prevention (CDC) “Interim Guidance on Infection Control Measures for 2009
H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel,” issued October 14, 2009.

            

H1N1: Infection Control Guidance For Hospitalized Patients (2.4.10)

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Revision History: Supersedes “Pandemic (H1N1) 2009 Influenza Infection Control Recommendations For
Hospitalized Patients. (8/20/09)”

Originating programs: Healthcare Associated Infections Program, Center for Health Care Quality, and
Division of Communicable Disease Control, Center for Infectious Diseases

                      

H1N1: Case Definitions for Infection Control (2-4-10)

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CDPH is revising the 2009 H1N1 influenza infection control suspect case definition. This revision reflects the current decreased prevalence of 2009 H1N1 influenza relative to other respiratory pathogens that produce a clinical illness similar to that of both 2009 H1N1 and seasonal influenza

                                               

Mask and Respirator Use and Guidance

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This "Respirator Safety" video shows how to correctly identify and use surgical masks and respirators, such as N95s. The video shows the differences between respirators and surgical masks and explains the particular uses for each. The video also reviews prevention for worker exposure to infectious diseases.

Attention: Infection Preventionists, Laboratory Personnel and Others

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Recently, questions about reporting of seasonal influenza cases have been raised and this document clarifies what is reportable.

This document provides guidance for the reporting of 2009 H1N1 and seasonal influenza cases, vaccine adverse events, and outbreaks to CDPH. Information from previous CDPH documents and updates has been consolidated to provide one document that contains the most recent reporting guidelines and links to the necessary reporting forms.

PLEASE NOTE: Hospitalized and Fatal Seasonal Influenza Reporting requirements in the document. While most of the document addresses reporting for H1N1 cases and vaccine adverse events (expanded list), the State is also requesting reporting on SEASONAL hospital and fatal cases to the local health department.

Recently, questions about reporting of seasonal influenza cases have been raised and this document clarifies what is reportable.

Updated Guidance for Infection Control for 2009 H1N1 Influenza in Health Care Settings (Updated 1-12-10)

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This joint document serves to update the California Department of Public Health (CDPH) recommendations of August 20, 2009, for infection control for 2009 H1N1 influenza in health care settings based on the revised Centers for Disease Control and Prevention (CDC) “Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, Including Protection of Healthcare Personnel,” issued October 14, 2009.
  

Sample Infection Control Plans for Aerosol Transmissible Diseases

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The following Aerosol Transmissible Disease exposure control planning documents are available for download and can be used as references for hospitals who are developing ATD plans for their own facility(ies).

These plans should be used as resources only; they adhere to standards that were in place at the time they were developed and may or may not reflect current standards . Hospitals should ensure that their plans adhere to current ATD standards.

Trinity Hospital, Weaverville, CA:

        

UC San Diego Medical Center:

      

Cal/OSHA Interim Enforcement Policy on H1N1 and Section 5199 Updated 10-22-09

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On October 22, Cal/OSHA updated and released their Interim Enforcement Policy on H1N1 and Section 5199 (Aerosol Transmissible Diseases). Available for download are the updated standards, guidance on the distribution of state and federal stockpiles of of N95 respirators and the CalOSHA Respirator Supply Documentation form
  

H1N1 Hospital Surveillance Tool (L&C)

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CDPH-L&C has announced a pilot project to review current infection-control policies and procedures relating to H1N1 influenza and hospital-acquired infections. The project will consist of three hospital surveys per District Office, for a total of 45 surveys beginning the week of December 7. The surveys are unannounced. After the pilot project is concluded, L&C will conduct reviews at additional hospitals when already on site investigating complaints or adverse events. L&C is projecting 18 surveys a week.

Attached is the survey tool that L&C surveyors will use. It is suggested that hospitals prepare a composite of all policies referred to in Section A of the survey tool and have this readily available for surveyors.

Policies change rapidly based on the availability of new information. In Section B-16, L&C recognizes that the process to revise existing policies takes time. Surveyors will look for a process that ensures hospitals are reviewing new information and are revising policies as necessary. Surveillance tips at the end of the survey tool provide additional insight as to what surveyors will look for when they visit your facility.

It is critical that hospitals adhere to their own policies and procedures, as well as the new Cal/OSHA Aerosol Transmissible Disease Standard. For more information, contact me at (916) 552-7574 or dharms@calhospital.org.

  

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