Emergency Preparedness

Appendix H.5 – HID

Kern Medical Emergency Preparedness

patient/caretaker (the level of PPE shall be determined by the Kern Medical Infection Prevention Department)  Any Parent, guardian, caretaker permitted into the Isolation Room will have their temperatures monitored twice daily by the Kern County Public Health Department (KCDPH) for symptoms until 30 days after last exposure to the pediatric HID patient. o Considerations for women of child bearing age  For any PUI, for whom there is the possibility of pregnancy (sexually active female of child bearing age), a urine pregnancy test will be completed immediately following isolation. o Considerations for a Pregnant PUI  L&D HID card, will be available from Central Supply  The following Labor and Deliver procedures shall be followed: 1. An OBGYN consult is required to assess status and fetal well- being 2. If the patient is not in labor, Fetal-maternal surveillance/ management will be provided by OB and Maternal Fetal Medicine 3. If the patient is in active labor, or goes into labor during isolation, management will be provided by OB and preparations for delivery will commence. 4. Assessment by OB will be on-going. If a complication develops, the Providers (OB and Anesthesia) will collaborate about the safest mode of delivery. 5. Those patients who identify themselves as pregnant with known gestational age will be triaged according to gestational age and clinical status. These patients will be transported and treated in room 2430.  Those patients who identify themselves as pregnant or who are obviously clinically pregnant but of unknown gestational age: 1. Will be transported and treated in room 2430. 2. Fetal-maternal consult will be provided by OB and Maternal Fetal Medicine. o Other considerations  Immediate access to Blood Bank shall be available as hemorrhage is more common even in NSVD’s  NICU care may be needed for the infant • Surgical and invasive Procedures  If suspected or confirmed EVD patient requires surgery or any other invasive procedure is required, the locations of said procedures shall be determined on a case-by-case basis.  Nutrition Services  Assessment o If nutritional assessment is needed, communication will be coordinated

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