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Hurricane Ike PowerPoint PPT Presentation

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Hurricane Ike. Virginia Kennedy, RN, MS, CIC Infection Prevention & Management Associates. Pre-event. The hospital was successfully evacuated on Friday prior to the hurricane's landfall. There were no patients or staff in the hospital during the hurricane . . Pre-event.

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Hurricane Ike

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Hurricane ike l.jpg

Hurricane Ike

Virginia Kennedy, RN, MS, CIC

Infection Prevention & Management Associates

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The hospital was successfully evacuated on Friday prior to the hurricane's landfall. There were no patients or staff in the hospital during the hurricane.

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  • Communication to receiving facility regarding isolation patients

  • Plans for sterile supplies

    • Temperature and humidity issues

    • Transportation of sets and supplies

      • CSPD

      • OR

      • Cardiac lab

      • Labor and Delivery

  • Facility Expectations of Infection Prevention

  • Communications

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From All Nurses….

Going to the lock down at the hospital I had all my essentials: air mattress & pump, battery operated tv (although after Feb it won't work anymore), toiletries, enough clothes and scrubs for three days

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  • Facility expectations

    • A team to be present in facility for event

    • B team to provide immediate relief or

    • C team for clean up and recovery

  • Communications

    • Cell phone – numbers, chargers, hand crank charges

    • Text messaging

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  • Know facility water source

    • City

      • Dependent on electric pump?

    • Well

      • Meets potable water standards?

      • Pump?

      • Determine if water will need to be tested

        • Have contract service on standby

    • Alternative source

    • Implications for ice machines

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  • Water supplies

    • Drinking/cooking

    • Toileting (fill bathtubs)

    • Hand hygiene

  • EVS additional supplies

    • Linen

    • Sharps containers

  • Ensure supplies for isolation

    • Gowns

    • Gloves

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  • Sterile supplies

    • Storage in controlled temperature/humidity

    • Instrument processing

      • Additional high level disinfectant?

    • Sufficient disposable sterile supplies

  • Contract for dehumidifiers and wet vacs

  • Contract construction workers on hand to build emergency containments

  • Establish childcare and pet care guidelines

  • Vaccine storage (occupational health)

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Flooding over access road 523 to Surfside beach, caused by Hurricane Ike forming in the Gulf of Mexico, is seen near Surfside Beach, Texas September 12, 2008. (REUTERS/Carlos Barria) #

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  • Observe floors for condensation (slippery)

  • Round on bathroom facilities (for families and others) to ensure cleanliness

  • Observe for floods and damage (ceiling/windows etc)

  • Complete all risk assessments for containment

  • Potentially implement alternative high level disinfection

  • Review food preparation

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30 inches of water in the building after Ike struck ……….Sept. 13.

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Water damage

  • Inventory all water damaged areas, building materials and furnishings.

    • Special attention should be given to identify carpet under cabinets, furnishings

  • Use moisture meter to identify extent of water damage to drywall

    • Cut 12 inches above

    • Remove wet walls and insulation within 24 hours

    • If >24 hours, or previous water damage has caused microbial/fungal growth

      • Extensive controls

  • Ceiling tiles

    • Remove wet tiles within 24-48 hours

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Major storms or other natural disasters sometimes cause major outages - affecting a large number of customers over an extended period of time.

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  • Boil water ban

    • Alternative sources

      • Have testing completed asap

    • Ice machines

    • Sterilizers

    • Steris 1

  • Conflicting statements given to various hospitals

    • Issues with water

    • Sterile supplies

    • When operating rooms would be opened

  • Key learning: Infection Preventionists should be part of decision making group

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  • Autoclaves inspected, cleaned and re-commissioned?

  • Does steam system meet AAMI standards?

  • Sterile supplies compromised?

    • Reprocessed

    • Replaced

  • Steris I filter replaced?

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After - Laboratory

  • Emergency power available ?

  • Has essential equipment, including biological safety cabinents, been inspected, cleaned and disinfected?

  • Have damaged or contaminated reagents and supplies been replaced?

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After – Operating Room

  • Any damage to sealed flooring and ceilings?

  • Do sterile supplies need reprocessing?

  • Autoclaves inspected?

  • Have System 1 machines had a couple of loads run (if under boil water order) then filler changed before running BI loads?

  • Evaluation for electrical hazards?

  • Scrub sinks functioning properly?

  • Enough air exchanges per hour?

  • Particle counts or cultures been performed and results acceptable?

  • Air filters changed?

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  • Have damaged or contaminated meds/solutions been replaced?

  • Refrigerators at proper temperature?

    • Clean and disinfected?

  • Had admixture room hood been recertified and filters changed?

  • Has the medication compounding area been thoroughly disinfected?

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After – Food Service

  • Has stored food been inspected for damage and discarded if unsafe?

  • Ice-machines and refrigerators cleaned and sanitized?

  • All food contact surfaces cleaned and sanitized?

  • Pest control systems been restored?

  • Does Health department need to inspect?

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After- All Patient Care

  • Porous furniture and mattresses that were wet been discarded?

  • Linens laundered?

  • All patient care surfaces cleaned and disinfected?

  • Medications and supplies that were damaged or contaminated discarded?

  • Ice machines flushed, cleaned and disinfected?

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Patient Education

Keep Food and Water Safe after a Natural Disaster or Power Outage


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Critical Resources

  • CDC

    • Natural Disasters Remediation and Infection Control Considerations for Reopening Healthcare Facilities Closed Due to Extensive Water and Wind Damage

    • Disaster Safety – Patient Education

  • AAMI ST79

  • University of Minnesota

    • Fungal abatement

    • HVAC System

    • Decontamination

    • Managing Water Infiltration

  • APIC

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Chance favors only the prepared

Louis Pasteur

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