Influenza Outbreak Management
Outbreak Definition of Influenza: Three or more residents and/or employees with influenza-like illness within the same 48-hour period or four residents and/or employees within seven days in the same wing or area indicates a potential influenza outbreak until proven otherwise.
If an influenza outbreak has been declared, the first 24 hours are critical in minimising the impact of the infection on residents and employees.
Immediate actions need to include
Isolate
Set up PPE station and signage
Cohort healthcare workers, working areas
Provide a single bathroom, bedroom, observation, and care equipment to the affected resident
Implement the management plan for essential visitors (Partners in Care/Named Visitors/compassionate visitors) to continue to connect with residents
PPE Required For Outbreak Management
Gloves N95/P2 respirator mask Disposable long-sleeved gowns Face shield or eye protection PPE and hand hygiene refresher training for employees Use Standard Precautions and Transmission-Based Precautions to minimise influenza transmission |
Communicate
Explain isolation precautions to the resident and why they are necessary
Notify the leadership team to assist
Notify the doctor to provide guidance and treatment
Notify all employees to ensure understanding of tasks required in an outbreak (including kitchen, laundry, and cleaning)
Notify the family, provide reassurance, and make them aware of visiting requirements/restrictions in an outbreak
A thorough handover is required between shifts, including affected residents and those at risk
Assess
Monitor all residents twice daily for symptoms, isolate, test, report, and document any residents with symptoms
Check sufficient PPE, testing equipment, hand hygiene, waste disposal, and cleaning stock are available
Identify vulnerable healthcare workers for alternative duties
Ensure healthcare workers do not attend work if they are sick, although they can return when symptoms have cleared
Screen any visitors to the facility before entering
Ensure visitors entering wear PPE
Documentation
Record all assessments and actions taken in residents' medical records