APL Presentation

7/30/2019 APL Presentation

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Influenza PandemicInfluenza Pandemic


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What is Influenza?What is Influenza?

Influenza is a very infectious viral illness. ItInfluenza is a very infectious viral illness. Its muc more ser ous an a common cos muc more ser ous an a common co

and can leave you ill for 10 days or longer.and can leave you ill for 10 days or longer.Symptoms of the flu include: a high fever,Symptoms of the flu include: a high fever,headache, muscle aches and ains,headache, muscle aches and ains,

fatigue, cough, sore throat, and a runnyfatigue, cough, sore throat, and a runnynose.nose.

Anyone can get the flu, it kills 100Anyone can get the flu, it kills 100 NzsNzs aa. ,. ,

protect you from getting this virus.protect you from getting this virus.


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What is pandemic fluWhat is pandemic flu

There are many types of influenza virus,There are many types of influenza virus,some o w c common y n ec r s, p gssome o w c common y n ec r s, p gs

and humans.and humans.


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Why are health authorities concernedWhy are health authorities concerned

about pandemic influenza?about pandemic influenza?

The World Health Organization is worriedThe World Health Organization is worried

that avian swine and human influenzathat avian swine and human influenzaviruses might mix. The new virus couldviruses might mix. The new virus could

,,

many people, causing an influenzamany people, causing an influenza

..

It is certain an influenza andemic willIt is certain an influenza andemic willhappen one day and could occur at anyhappen one day and could occur at any

..


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There are no commercial su lies ofThere are no commercial su lies of

vaccine against the new strain ofvaccine against the new strain of

..

The Ministry of Health is working to makeThe Ministry of Health is working to make

sure ew ea an ge s access as qu c ysure ew ea an ge s access as qu c yas possible to a vaccine once it isas possible to a vaccine once it is

developed and available but this could bedeveloped and available but this could be

27 w k f r h n mi fir27 w k f r h n mi firoccurs.occurs.


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Vaccination with the current influenzaVaccination with the current influenza

vaccinevaccine couldcould be rotective.be rotective.

That is why regular flu vaccinationThat is why regular flu vaccination

..


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What could happen in an influenzaWhat could happen in an influenza

pandemic?pandemic?

A pandemic could mean so many peopleA pandemic could mean so many people

are sick u to 50% that it will affectare sick u to 50% that it will affectworkplaces, schools, hospitals and manyworkplaces, schools, hospitals and many

..

Normal health and other services may notNormal health and other services may not

be available or several weeks. You maybe available or several weeks. You may

be asked to care for ourself and others atbe asked to care for ourself and others athome.home.


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APL has developed an extensive InfluenzaAPL has developed an extensive Influenza

Pandemic Plan in con unction with medicalPandemic Plan in con unction with medicaladvisors and infectious diseaseadvisors and infectious disease

..

The plan covers the safety of staff and theThe plan covers the safety of staff and the

continuation o core business during acontinuation o core business during a

andemic.andemic.


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APL Red Alert PlanAPL Red Alert Plan

Who will be in char e durin the lan?Who will be in char e durin the lan?

Influenza ManagerInfluenza ManagerRachel DavisonRachel Davison

Medical AdvisorsMedical Advisors

Mark JonesMark Jones


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APLAPL Red AlertRed Alert PlanPlan

Covers:Covers:

sicksick

ea t an a ety ucat onea t an a ety ucat onCommunication with staffCommunication with staff

Personal hygienePersonal hygiene

Shortages of suppliesShortages of supplies


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VentilationVentilation

Social distancingSocial distancing

Workplace cleaningWorkplace cleaning


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Front Line packsFront Line packs

MasksMasks

Disposable thermometersDisposable thermometers

Alcohol Hand CleanerAlcohol Hand Cleaner

Masks for all staffMasks for all staff

VaccinationsVaccinations


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Activation APL Plan:Activation APL Plan: Red Alert OneRed Alert One

On notification of MoH Red AlertOn notification of MoH Red Alert

and the next stages in our planand the next stages in our plan

--safety issues.safety issues.

as normalas normal

consumables in stock for all tests. Stock to beconsumables in stock for all tests. Stock to be

..Patients with flu symptoms will be provided withPatients with flu symptoms will be provided with


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Activation APL Plan:Activation APL Plan: Red Alert TwoRed Alert Two

This will occur when there are national cases of pandemicThis will occur when there are national cases of pandemicfluflu

We will notify all staff of the Red Alert TwoWe will notify all staff of the Red Alert Two

Notify GPs that our service level is being evaluated dailyNotify GPs that our service level is being evaluated daily..

Front line staff (Phlebotomists, Couriers andFront line staff (Phlebotomists, Couriers andRece tionists to wear masksRece tionists to wear masks

Notices placed outside rooms stating that people with fluNotices placed outside rooms stating that people with flusymptoms will not be able enter.symptoms will not be able enter.

House calls must be referred back to GP to see ifHouse calls must be referred back to GP to see ifessentialessential

--issues.issues.

T in ri r n ll i n will n in wi hT in ri r n ll i n will n in wi h

probable lesser numbersprobable lesser numbers


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Activation APL Plan:Activation APL Plan: Red Alert ThreeRed Alert Three

This will occur when there are WellingtonThis will occur when there are Wellington

going to be closed.going to be closed.We will notify all staff of the Red AlertWe will notify all staff of the Red Alert

,,

message.message.


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CommunicationCommunication

Influenza Manager in conjunction with MedicalInfluenza Manager in conjunction with MedicalA vi r will m k h i i n RA vi r will m k h i i n RAlert ThreeAlert Three

Three status and what our procedures and servicesThree status and what our procedures and serviceswill be. This will be done by automatic fax from Labwill be. This will be done by automatic fax from Lab

Solutions by the Influenza ManagerSolutions by the Influenza Manager All staff will be notified of the Red Alert ThreeAll staff will be notified of the Red Alert Three

Phones will be changed to night services andPhones will be changed to night services and

answerable anywhere in the labanswerable anywhere in the lab

Staff will be directed to assist where required insideStaff will be directed to assist where required insidethe lab (manning the phones, cleaning etc)the lab (manning the phones, cleaning etc)


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RoomsRooms

Collection Services Manager/deputy to overseeCollection Services Manager/deputy to oversee

The CMC rooms will be closed to patients toThe CMC rooms will be closed to patients toeep a sta so ate rom t e pu c.eep a sta so ate rom t e pu c.

We will operate patient services from NewtownWe will operate patient services from Newtown

Lower Hutt and Porirua only. All other rooms willLower Hutt and Porirua only. All other rooms willbe closed.be closed.

Phlebotomists will be advised to either return toPhlebotomists will be advised to either return to

the lab or to o home and await furtherthe lab or to o home and await furtherinstructions re roster obligationsinstructions re roster obligations

numbers and wellbeing.numbers and wellbeing.


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CollectionsCollections

Collection Services Manager/ CourierCollection Services Manager/ Courier

changes to courier serviceschanges to courier services

numbers and wellbeing.numbers and wellbeing.

rooms that are closing and return them to therooms that are closing and return them to the

..

A limited collection service will continue for thoseA limited collection service will continue for those

surgeries need to be contacted regarding theirsurgeries need to be contacted regarding theirro osed o en/closure olic durin this sta ero osed o en/closure olic durin this sta e

of the pandemic)of the pandemic)


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Lab TestingLab Testing

HoDs/deputies will ensure testing already inHoDs/deputies will ensure testing already inp pe ne comp e e .p pe ne comp e e .

Keep Influenza Manager up to date with staffKeep Influenza Manager up to date with staffnumbers and wellbeing.numbers and wellbeing.

Testin will then revert to the core testin listedTestin will then revert to the core testin listed

belowbelow

already in progress and then assist elsewherealready in progress and then assist elsewhere

..Ensure enough reagents and consumables toEnsure enough reagents and consumables to

..


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Test to be performed duringTest to be performed during

BiochemBiochemectro ytesectro ytes

NeonatalNeonatal bilirubinbilirubin

CreatinineCreatinineGlucoseGlucoseTroponinTroponin TTCalcium Phos hate Ma nesiumCalcium Phos hate Ma nesium

AmylaseAmylaseHCGHCG

HaemHaemCBCCBC

DD DimerDimerESR (temporalESR (temporal arteritisarteritis only)only)

Note:Note: Requests for tests outside of this list must be discussed withRequests for tests outside of this list must be discussed withthe Medical Advisor (Dr P Bethwaite, or Dr Mark Jones).the Medical Advisor (Dr P Bethwaite, or Dr Mark Jones).


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uspect n uenzauspect n uenza

Masks Panadol TamifluMasks Panadol TamifluContact Next of KinContact Next of Kin

Wait in Sick BayWait in Sick Bay

Cleaning of work stationCleaning of work station

Daily check on staff members well beingDaily check on staff members well being


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What we need from youWhat we need from you

We need an accurate staff list with details that weWe need an accurate staff list with details that wecan use in a pandemic such as:can use in a pandemic such as:

and cell)and cell)

What departments you are able to help in otherWhat departments you are able to help in otheran w ere you are emp oyean w ere you are emp oye

If you have dependent childrenIf you have dependent childrenIf you have swipe card access to the buildingIf you have swipe card access to the building


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It is of paramount importance that if youIt is of paramount importance that if you

are sick ou let us knoware sick ou let us knowIt is important that you also inform us ifIt is important that you also inform us if

or to care for childrenor to care for children

It is also very important that you inform usIt is also very important that you inform us

reasonreason


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Leave EntitlementsLeave Entitlements

It is impossible to predict exactly what shape theIt is impossible to predict exactly what shape thepandemic might take and therefore what staffingpandemic might take and therefore what staffing

..Our plan has been developed on worse case scenarioOur plan has been developed on worse case scenario

and we hope that it will not reach this status andand we hope that it will not reach this status andt ere ore not great y a ect sta we e ng an t et ere ore not great y a ect sta we e ng an t ebusiness continuity of Aotea Pathology Ltd.business continuity of Aotea Pathology Ltd.

consultation withconsultation with HoDsHoDs with regard to staffing levels.with regard to staffing levels.Where necessary staff maybe advised they are notWhere necessary staff maybe advised they are not

the recommendations of good employment practice inthe recommendations of good employment practice in

giving staff 14 days notice. After the 14 day period staffgiving staff 14 days notice. After the 14 day period staff..This is still dependent on ongoing discussions withThis is still dependent on ongoing discussions withDistrict Health Boards andDistrict Health Boards and MoHMoH and Government withand Government withregard to funding during a pandemic crisis.regard to funding during a pandemic crisis.


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We will be working in close cooperationWe will be working in close cooperation

with Ca ital Coast Health Hutt Vallewith Ca ital Coast Health Hutt ValleHealth during a pandemic crisis.Health during a pandemic crisis.

and equipment)and equipment) will be assisting in thewill be assisting in the

diagnosis odiagnosis o pandemic in luenzapandemic in luenza virus atvirus at

the CCDHB labthe CCDHB lab


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Preparing for an influenza pandemic atPreparing for an influenza pandemic at

homehome

It is important for staff to be prepared atIt is important for staff to be prepared at

home.home.We have prepared a take home pandemicWe have prepared a take home pandemic

and friends based on the MoH guidelinesand friends based on the MoH guidelines

More information can be found on theMore information can be found on the

www.moh.govt.nzwww.moh.govt.nz


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cover every eventuality and planned forcover every eventuality and planned for

We know that some decisions will have toWe know that some decisions will have to

cannot be pre planned.cannot be pre planned.

ur ma n a m s t e ea t an sa ety our ma n a m s t e ea t an sa ety o

our staff and to endeavour to keep the labour staff and to endeavour to keep the labrunning even on a very small scale duringrunning even on a very small scale duringa crisis.a crisis.

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