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SOUTHSIDE COMMUNITY SERVICE BOARD PROCEDURES Procedural Area: RISK MANAGEMENT Procedure Title: COMMUNICABLE DISEASES OF A PANDEMIC NATURE Procedure #: 6030.P1 1.0 Procedure: This procedure will be reviewed by each employee during initial assignment and at least annually thereafter. EXPOSURE DETERMINATION/PRECAUTIONS: While pandemics are unpredictable, the Board must make plans to deter the spreading of communicable diseases that could reach pandemic proportions. When it is known that an employee or an individual who attends the Board’s programs has a confirmed case of a communicable disease which could, if spread, reach pandemic proportions, the following will be observed: If you get sick, stay at home and limit contact with others to keep from infecting them. If a consumer should come into Board facilities exhibiting symptoms of influenza, he/she should be kept away from others and advised/assisted to call his/her physician. Issued: If you feel you need medical attention, call ahead first so health care providers can take necessary infection control measures. Cover your nose and mouth when you cough or sneeze. An effective way to do this is to cough/sneeze into your sleeve/elbow. Try to maintain an area of 3 to about 6 feet away from others. The use of a mask approved by the CDC should be utilized to prevent the transmission of the virus to others. Ensure that supplies for hand washing are available where sinks are located; provide alcohol based hand sanitizer in other locations. Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. Try to avoid contact with sick people. Avoid touching your eyes, nose or mouth to prevent the spread of germs. All pandemic illness cases will be reported to the Executive Director by use of the Attachment (1) form. This reporting is required due to the passing of a law in 2008 by the General Assembly (Section 32.1-37) which requires licensed providers to report outbreaks of infectious diseases to local Health Departments or the Commissioner of the Virginia Department of Health. Outbreaks are generally defined as more than one case, but another provision in the bill provided that licensed services could voluntarily Revised: 1/2013 Page 1 of 5 SOUTHSIDE COMMUNITY SERVICE BOARD PROCEDURES Procedural Area: RISK MANAGEMENT Procedure Title: COMMUNICABLE DISEASES OF A PANDEMIC NATURE Procedure #: 6030.P1 report single cases of a communicable disease if the local health department wanted those reports. It is understood that local health departments do want reports of any instance of swine flu. ESSENTIAL SERVICES PROVISIONS DURING A PANDEMIC SITUTATION: The Executive Director will determine when a Pandemic situation is to be declared and who is Essential Staff during a Pandemic situation. Levels of Essential Staff are contained at Attachment (2). The Executive Director will utilize the One-Call System to notify staff of the Pandemic situation if this decision is made during non-work hours and of any agency office/program closings. Once a Pandemic situation is declared, the CSB will: Provide anti-viral medication and vaccine when it is available to CSB Leadership to ensure leadership stability, command, control and communication. Provide anti-viral medication and vaccine when it is available to CSB staff that provides: 1. Essential CSB continuing individual services. 2. Emergency services. 3. Family & Individual Support. Maintain CSB 24/7 on-site residential services for individuals who have no other alternatives (meaning they cannot be discharged to family or relatives). Insure adequate supplies of food, cleaning, sanitary and personal protective equipment supplies on-site for residential services. Maintain access to psychotropic medications for OP clinics and for individuals in 24/7 residential sites maintain access to psychotropic medication and medication ordered for medical/health reasons. Maintain 24/7 emergency services. -3- Issued: Revised: 1/2013 Page 2 of 5 SOUTHSIDE COMMUNITY SERVICE BOARD PROCEDURES Procedural Area: RISK MANAGEMENT Procedure Title: COMMUNICABLE DISEASES OF A PANDEMIC NATURE Procedure #: 6030.P1 In case of illness of essential staff, other qualified staff will be subject to reassignment to provide essential services. Ensure payment of contracted services and utility services to ensure no discontinuation of services. Ensure payroll processing and accounts payable/receivable/purchasing. Plan for quarantine of group homes. Separate suspected or confirmed influenza patients from individuals free from symptoms. Any staff/individuals working in or attending Board programs that have symptoms of a respiratory infection should be evaluated by a healthcare professional as soon as possible. Utilize Universal Precautions when administering care to all individuals. Restrict staff movement from areas of the facility having outbreaks. Notify visitors (e.g., via posted notices) that adults with respiratory symptoms should not visit the facility for 5 days and children with symptoms should not visit for 10 days following the onset of illness. Ensure employees performing essential services requiring face-to-face contact have proper personal protective equipment to sustain essential services. Continue to educate individuals and staff on infectious disease preparedness and response. The Executive Director will utilize the One-Call Service to notify staff when the Pandemic situation ends and when regular agency services/hours will commence. Issued: Revised: 1/2013 Page 3 of 5 SOUTHSIDE COMMUNITY SERVICE BOARD PROCEDURES Procedural Area: RISK MANAGEMENT Procedure Title: COMMUNICABLE DISEASES OF A PANDEMIC NATURE Procedure #: 6030.P1 ESSENTIAL STAFF LEVEL 1: o Management Team o Residential Services o Emergency Services o Nurses LEVEL 2: o Administrative Staff: Accounting Payroll Purchasing Financial Support Services o Program Supervisors o Program Administrative Staff LEVEL 3: o Case Managers o Any other staff deemed essential 2.0 Definitions 3.0 Associated Forms 4.0 Compliance Code of Virginia § 32.1-37 Issued: Revised: 1/2013 Page 4 of 5 SOUTHSIDE COMMUNITY SERVICE BOARD PROCEDURES Procedural Area: RISK MANAGEMENT Procedure Title: COMMUNICABLE DISEASES OF A PANDEMIC NATURE Procedure #: 6030.P1 5.0 Governing Policy Risk Management | Communicable Diseases of a Pandemic Nature (6030) Sign-Off Action/Status Staff review/coordination/approval (PENDING) Issued: Revised: 1/2013 Made by (initials): BJ/TP Approved by (initials): Date: 01/08/2013 Page 5 of 5