Emergency Preparedness

Appendix H.5 – HID

Kern Medical Emergency Preparedness

perform hand hygiene  Once isolated, use the Emergency Department Assessment Tool  If the patient screens out, remove the isolation sign as appropriate and complete the patients visit. • Clinics  If the patient presenting to the front desk (or subsequently) reports they have a fever or symptoms and that they have traveled to or been in contact with someone who has traveled to an area of concern, the front desk employee will provide a face mask and ask the patient to perform hand hygiene, the patient will be escorted (without touching, and keeping a safe distance of approximately 3 feet away) to the designated room.  The patient should be seated in the designated room, asked to keep their mask on and told that either a nurse or PCT will be with him/her shortly. At this point the door should be closed and the staff member must immediately perform hand hygiene and alert the charge nurse or area supervisor.  Appropriate signs shall be posted on the isolation room door.  Once isolated, bring the Regulated Medical Waste container (RMW) into the Isolation Room and use the Ambulatory Secondary highly infectious disease Screening Tool and Triage form.  The required PPE is located in an isolation cart _____.  If an interpreter phone is needed for the initial triage, the phone will be set on the speaker phone setting.  If the patient screens in, follow the protocol for activation of Code 300  If the patient screens out, remove the isolation sign as appropriate and complete the patients visit. • Labor and Delivery  If the patient presenting to the front desk (or subsequently) reports they have a fever or any other symptoms and that they have traveled to or been in contact with someone who has traveled to an area of concern, the front desk employee will provide a face mask and ask the patient to perform hand hygiene, the patient will be escorted (without touching, and keeping a safe distance of approximately 3 feet away) to the designated room.  The patient should be seated in an isolation room and told that either a nurse will be with her shortly. At this point the door should be closed and the staff member must immediately perform hand hygiene and alert the charge nurse.  Appropriate signs shall be posted on the isolation room door.  Once isolated, bring the RMW Bio Hazard Waste container into the isolation room and use the Ambulatory Secondary Ebola Screening Tool and Triage Form.  Appropriate PPE is located in Central supply.  If the patient is excreting bodily fluids (incontinent of urine, feces, blood, or vomiting) use the appropriate level of PPE required.  If an interpreter phone is needed for the initial triage, the phone should be set on the speaker setting.

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