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Transcript
Protecting Healthcare Workers from an Airborne Respiratory Event Implementing a Sentinel Surveillance System for Ongoing and Continuous Monitoring of PPE Usage in the U.S. Healthcare System Mary Yarbrough, MD, MPH, FACOEM; Michele Bruer, RN, MSN, MTS; Paula McGown, RN, CFNP, CPA; Melanie Swift, MD, FACOEM; Debra Novak, RN, PhD; Charles Oke, VMD, MPH, FACE From Metro and State Public Health: • Types of infectious disease in community • Immunization rates in community • Regional stockpiles of masks Community Vaccination Programs and Education PREVENTION Employee Vaccination PPE/PPT Programs From Infection Control through State Reporting System: • Types of infectious disease seen in hospital •Number of patients with infectious disease From electronic medical record: • Number of airborne precautions orders • Time from admission to written precautions order • Time from admission to placement of patient in AIRR Laboratory identification and reporting Medical Provider orders Airborne Precautions HEALTHCARE WORKFLOW Negative pressure room Surveillance of patient to identify disease, protection of visitors HCW implements isolation and dons PPE (N95 resp.) Central Supply manages supply and recall of PPE Signs on doorway INFECTION SURVEILLANCE Investigation of Exposures Identify disease in HCW Hospital Input From Infection control: • Number of exposure events reported to state • Type of infectious disease in hospital From Environmental Health & Safety: • Number fit tested • Brand of mask assigned to HCW • Size of mask assigned to HCW From CDC: • Location of national infectious disease outbreaks From OSHA: • Workplace exposures •Occupational illness From State Emergency Planning Agencies: • Preparation for emergent illnesses •Local stockpiles of PPE Agency Input NIOSH Sentinel PPE Surveillance System Manufacturer Input From Central Supply: • Brands of masks regularly ordered • Sizes of masks regularly ordered • Location of mask use in hospital • Manner of distribution in hospital • Number and sizes of masks in emergency stockpile • Mask recalls with reason and action taken From Occupational Health (Exposures): • Number of HCWs exposed to airborne infection • Post-exposure prophylaxis given • Disease outcomes after exposure From Occupational Health (Workers Comp): • Number of HCWs with infectious disease (eg TB) • Treatment and Medications • Sick Days • Long Term Disability From Manufacturers and Distributors of PPE: • Distribution of mask supply across country • Distribution of mask type • Shortages • Defects To Hospitals: PPE related communications and pandemic guidance To Communities: PPE related communications and pandemic guidance Training From Occupational Health {Prevention): • HCW demographics • Type of immunization • Number immunized • Percent compliant with immunizations • Number of HCWs trained • Method of training • Number of HCWs with medical clearance