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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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.
Communication to receiving facility regarding isolation patients
Plans for sterile supplies
Temperature and humidity issues
Transportation of sets and supplies
Labor and Delivery
Facility Expectations of Infection Prevention
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
A team to be present in facility for event
B team to provide immediate relief or
C team for clean up and recovery
Cell phone – numbers, chargers, hand crank charges
Know facility water source
Dependent on electric pump?
Meets potable water standards?
Determine if water will need to be tested
Have contract service on standby
Implications for ice machines
Toileting (fill bathtubs)
EVS additional supplies
Ensure supplies for isolation
Storage in controlled temperature/humidity
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)
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) #
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
30 inches of water in the building after Ike struck ……….Sept. 13.
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
Remove wet tiles within 24-48 hours
Major storms or other natural disasters sometimes cause major outages - affecting a large number of customers over an extended period of time.
Boil water ban
Have testing completed asap
Conflicting statements given to various hospitals
Issues with water
When operating rooms would be opened
Key learning: Infection Preventionists should be part of decision making group
Autoclaves inspected, cleaned and re-commissioned?
Does steam system meet AAMI standards?
Sterile supplies compromised?
Steris I filter replaced?
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?
After – Operating Room
Any damage to sealed flooring and ceilings?
Do sterile supplies need reprocessing?
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?
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?
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?
After- All Patient Care
Porous furniture and mattresses that were wet been discarded?
All patient care surfaces cleaned and disinfected?
Medications and supplies that were damaged or contaminated discarded?
Ice machines flushed, cleaned and disinfected?
Keep Food and Water Safe after a Natural Disaster or Power Outage
INFECTION PREVENTION TIPS FOR FLOOD AND HURRICANE SEASON
Natural Disasters Remediation and Infection Control Considerations for Reopening Healthcare Facilities Closed Due to Extensive Water and Wind Damage