Emergency Preparedness

Appendix H.5 – HID

Kern Medical Emergency Preparedness

 Observation RN stays in the cold zone of room 2432 o If the Primary RN in Room 2430 needs help, the Observation RN will go into the hot zone as appropriate o The table will be wiped down with hospital approved bleach wipes after each use. o Other HID team members will watch room 2430 from the nurses station  Prior to entering the patient room the Physician: o Will don the required PPE with guidance from the Site Manager and the posters posted in the donning area. o Will be briefed by a member of the Nursing staff on the Lab testing and the patient’s condition  Clinical documentation will be completed at the nurses station (cold Zone) by the third RN. Primary RN will communicate with the Observation RN through the glass door (others will communicate with both nurses via intercom and video)  RN’s, Physicians, and RT’s will doff per policy, following the posters posted in each zone with guidance from the Observation RN and Site Manager.  Other caregivers(e.g. respiratory therapist) will only be permitted access if trained in appropriate PPE and approved by Infection Preventionist along with the HID team  All personnel will be logged into and out of Hot Zone by a site Manager  Carts and equipment that have entered the isolation room should remain in isolation. Should equipment need to be removed it shall be wiped down (including wheels) with a 10% bleach solution before leaving the hot zone (when possible) then covered by plastic and transported to a designated cleaning area.  Unused patient medications will be disposed of in the patients room  Observation and monitoring of activity on the designated unit  The CDC recommends the use of a designated onsite manager, whose sole responsibility is to ensure the safe and effective delivery of HID treatment. This individual is responsible for all aspects of observing the donning and doffing process to ensure there is no breach/exposure. This role is served at Kern Medical by the Site Manager.  Site Manager o Oversee donning and doffing o Observe and record issues with environmental processes o Provide guidance and address issues related to infection control o Ensure that any person entering the “hot” zone is donned appropriately o When not otherwise occupied, record person, time, and activities of the person(s) entering the “hot” or “warm” zones only. o Ensure the designated unit doors are locked upon activation o Ensure staff and hospital security knows to redirect any possible

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