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Guidelines for the Prevention and Control of Influenza Outbreaks in Residential Care Facilities for Public Health Units in Australia

Appendix 3: Checklist for Public Health Unit for Investigation and Management of Outbreaks

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No
Discussion point
Decision/Action to be to be taken
(Tick if completed)
Person responsible
1 Formulate an outbreak name and working case definition    
2 Define population at risk    
3 Active case finding, request linelisting of residents and staff from the RCF    
4 Discuss whether it is a facility-wide outbreak or unit-specific outbreak    
5 Confirm how and when communications will take place between the facility and the PHU.     
6 Review the control measures necessary to prevent the outbreak from spreading. Confirm that the management of the facility is responsible for ensuring that agreed control measures are in place and enforced.    
7 Discuss what specimens have been collected. Notify the laboratory of the investigation.    
8 Confirm the type and number of further laboratory specimens to be taken.   Clarify which residents and staff should be tested.    
9 Confirm that the laboratory will phone or fax results (both positive and negative) directly to the requesting doctor and this person will notify the PHU.  Review the process for discussing laboratory results with the facility’s designated officer.    
10 Liaise with the facility and laboratory regarding specimen collection and transport.    
11 Identify persons/institutions requiring notification of the outbreak:
  • Families of ill or all residents in the facility,
  • Health care providers, e.g., GPs, physiotherapists
  • Infectious disease physicians
  • Infection control practitioners
  • Emergency departments and medical superintendents
  • Coroner’s office
  • Other RCFs
   
12 Discuss whether a media release is appropriate.    
13 Consider preparing a ministerial briefing.    
14 Discuss whether/how to organise vaccination of un-immunised residents and staff.    
15 Discuss the use of antiviral medications for treatment of cases and/or prophylaxis of well residents and un-immunised staff.    
16 Decide how frequently the OIMT will meet and set next meeting.    
17 Prepare and distribute an incident report    

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Table of Contents
Guidelines for the Prevention and Control of Influenza Outbreaks in Residential Care Facilities for Public Health Units in Australia
  Disclaimer
  Acknowledgements
  Preface
  How to use this document
  Summary Flow Chart
  Chapter 1: Introduction
   1.1 Influenza
   1.2 Linkages with other documents and the internet
  Chapter 2: Preventing Outbreaks
   2.1 Vaccination
   2.2 Infection Control Precautions
  Chapter 3: Outbreak and Case Definitions
   3.1 Introduction
   3.2 Respiratory Disease Outbreak Definition
   3.3 Case definition
   3.4 Outcome definitions
  Chapter 4: Investigation and Management of Outbreaks
   4.1 Assess the Suspected Outbreak
   4.2 Outbreak Investigation and Management Team
   4.3 The Investigation
   4.4 Diagnostic tests
   4.5 Documents for communication with the facility
   4.6 Outbreak control measures
   4.7 Monitoring the outbreak
   4.8 Declare that the outbreak is over
   4.9 Debriefing
  Chapter 5: References
  Appendices
   Appendix 1: Environmental Cleaning
   Appendix 2: Respiratory Outbreak Control Measures
   Appendix 3: Checklist for Public Health Unit for Investigation and Management of Outbreaks
   Appendix 4: Respiratory Outbreak Line Listing - Residents ONLY
   Appendix 5: Part A Respiratory Outbreak Line Listing Form - Staff ONLY
   Appendix 6: Influenza & Pneumococcal Immunisation Survey
   Appendix 7: Sample Collection Guide*
   Appendix 8: Guidelines for Taking Nasal and Throat Swabs
   Appendix 9: Respiratory outbreak transfer notification
   Appendix 10: Visitor Restriction Sign - Facility
   Appendix 11: Visitor Restriction Sign - Room
   Appendix 12: Antiviral medications for treatment and prophylaxis of influenza
   Appendix 13: Respiratory illness/Influenza outbreak alert letter to RCF Manager
   Appendix 14: Respiratory illness/Influenza outbreak alert letter to medical practitioner
   Appendix 15: Glossary and List of Abbreviations