Seasonal Flu Education 2014

1. Seasonal Flu Education 2014 Mary Jo Kneissel, RN, BSN Lisa Hesse, MLS CIC Employee Occupational Health

2. Target Audience • This lesson is intended for individuals who do not wish to receive seasonal flu vaccination or would like additional information. Contacts • Any Location of Employee Occupational Health Office • Mary Jo Kneissel, RN, BSN; Lisa Hesse, MLS, CIC; Dr. Lisa Ide MD MPH Sources • Center for Disease Control, Minnesota Department of Health Estimated Duration and Viewing Instructions The expected time to complete this learning activity is 10 minutes. If you are unable to complete during scheduled work time it may be completed outside of work with prior approval from your supervisor. Any overtime must be approved.

3. Outline the 3 ways that you can participate in the seasonal flu program. • State 2 myths relating to seasonal influenza vaccination. • Describe the symptoms of influenza.

4. Lesson Relevance Before individuals decline the seasonal flu vaccination, Fairview would like the individual to receive information on why seasonal flu vaccination is so important.

5. If you have already viewed this lesson and only need to complete the survey, click “Survey” to access the link. Survey Flu Vaccine Overview Influenza Prevention Fairview’s Goal

6. Survey Flu Vaccine Overview Seasonal Flu Education 2014 Flu vaccine overview Influenza Prevention Fairview’s Goal

7. What is Influenza? Influenza is a contagious upper respiratory disease that could be prevented by immunization. • https://www.youtube.com/watch?v=5q8RNbeJTmI&list=PLdFdi75U3OnFzl8AGjTtLanB3yr_Ipxqc Flu vaccine 101 by untamed science Fairview injectable and flu mist flu vaccine in 2014-2015 will have 4 components – 2 components of influenza A, 2 components of influenza B

8. What You Should Know Symptoms come on quickly. Symptoms of Influenza (flu): • Fever • Dry cough • Sore throat • Extreme tiredness • Stuffy nose • Body aches • Symptoms can be severe

9. What is the difference between a cold and influenza? Colds are usually milder than the flu. People with colds are more likely to have a runny or stuffy nose. A cold generally stays in the head. Person with a cold can usually maintain normal activities. Someone with flu will often feel too ill to do so.

10. Influenza is a serious illness Influenza occurs globally with an annual attack rate estimated at 5%–10% in adults and 20%–30% in children. Illnesses can result in hospitalization and death mainly among high-risk groups (the very young, elderly or chronically ill). Worldwide, these annual epidemics are estimated to result in about 3 to 5 million cases of severe illness, and about 250 000 to 500 000 deaths. World Health Organization, Fact Sheet N 211, March 2014

11. Flu is a Serious Illness Click below to see the story of Emily LastingerYou will not be able to advance to the next slide until the video is viewed. https://www.youtube.com/watch?v=VdTPziTag4Q The Story of Emily Lastinger

12. Protect others through herd immunity Herd immunity is a form of immunity that occurs when the vaccination of a significant portion of a population (or herd) provides a measure of protection for individuals who have not developed immunity https://www.youtube.com/watch?v=brNscgAG3Nc One minute medical school – Herd immunity

13. Did you know…… A recent research publication suggests that of the unvaccinated individuals who developed flu 75% did not have symptoms you can spread the flu virus 24 hours prior to becoming sick yourself Comparative community burden and severity of seasonal and pandemic influenza: results of the Flu Watch cohort study, The Lancet, Vol 2, June 2014

14. What does this mean….. You do not have to be sick to spread the flu virus but you could share the flu virus with a (Need updated pictures) Child, pregnant woman elder friend patient placing them at risk to develop the flu

15. What You Can Do… When you get your flu shot you begin to create herd immunity to protect those around you Need new pictures: families Flu seasons are unpredictable, therefore it is unknown if the 2014-2015 season will be severe. Seasonal flu-related deaths have ranged from about 3,000 to 49,000 people in the United States.

16. The following slides contain a number of myths surrounding the flu vaccination.

17. Myth #1 The flu shot can make you sick.

18. Myth #1 The flu shot can make you sick. • Truth #1 • The vaccine primarily used contains dead influenza viruses. Dead viruses can not make you sick. • Because the flu vaccine, like other vaccines, is not 100% effective, unfortunately those people got sick despite the flu vaccine, not because of it. sick despite the flu shot, not because of it

19. Myth #2 The influenza vaccination causes severe reactions or side effects.

20. Myth #2 The influenza vaccination causes severe reactions or side effects. • Truth #2 • The influenza vaccine is safe. Most only have redness or soreness where the flu shot was given. • Other reactions following the flu shot are usually mild and can include a low grade fever and aches.

21. Myth #3 The vaccine does not work.

22. Myth #3 The vaccine does not work. • Truth #3 • When there is a good match between the viruses causing disease and those in the vaccine, protection is excellent. • Vaccines are like seat belts: They are not perfect but they are the best protection we have against serious injury and death. • While it is not as effective as many other popular vaccinations, it is not ineffective.

23. Myth #4 I never get the flu.

24. Truth #4 • Even if you were immune to influenza strains circulating in the past, you may not be immune to new strains that emerge this season. • You may still get the flu but not show symptoms, infecting those around you. • The best way to help protect yourself from new influenza strains is to get vaccinated each fall. • Video from Minnesota Department of Health https://www.youtube.com/watch?v=y0mLj07A_-I Myth #4 I never get the flu.

25. Myth #5 It is too early to get a flu shot.

26. Myth #5 It is too early to get a flu shot. • Truth #5 • CDC recommends that vaccination begin as soon as vaccine becomes available. • While immunity can vary by person, previously published studies suggest that immunity lasts through a full flu season.

27. Survey Flu Vaccine Overview Seasonal Flu Education 2014 Fairview’s Goal Influenza Prevention Fairview’s Goal

28. FAIRVIEW’S TARGET FLU VACCINATION PROGRAM GOALS 100% Participation 90% Vaccination

29. Required Participation Here are the 3 ways to participate: • Get the vaccination by shot or by nasal spray (FluMist) • Indicate it was received elsewhere at the end of this lesson • Complete the declination at the end of this lesson

30. Required Participation Here are the 3 ways to participate: • Get the vaccination by shot or by nasal spray (FluMist) • Indicate it was received elsewhere at the end of this lesson • Complete the declination at the end of this lesson It is mandatory for all employees to participate in the flu program.

31. Vaccinations available Quadravalent (shot and flu mist) -contains 2 strains of influenza A -contains 2 strains of Influenza B -does not contain preservatives or latex FluBlok – a flu vaccination for those that are allergic to eggs and egg products -contains 2 strains of influenza A -contains 1 strain of influenza B -does not contain preservatives or latex

32. Required Participation Non-Compliance with Employment Requirements: • Managers are responsible for ensuring compliance with all employment requirements and addressing non-compliance through corrective action. • Employees not in compliance will be subject to corrective action (which may result in removal from the schedule), up to and including termination.

33. Survey Flu Vaccine Overview Seasonal Flu Education 2014 Influenza prevention Influenza Prevention Fairview’s Goal

34. Influenza Prevention Respiratory Hygiene/Cough Etiquette: • Cover your cough • Clean your hands after coughing/sneezing or using tissues

35. Influenza Prevention The video from the Texas Department of Health shows how you can prevent flu: You will not be able to advance to the next slide until the video is viewed. https://www.youtube.com/watch?v=XzEIoj6lBes

36. Influenza Prevention Droplet precautions: • ALWAYS use mask with eye protection when doing nasal or throat cultures • Provide mask to patients with Influenza-Like illness (fever > 100 with cough or sore throat)

37. Influenza Prevention Patients admitted to the hospital with influenza will be in modified droplet isolation. Follow with protocol listed below when entering the room.

38. Don’t let flu into your workplace Hospital Corporation of America (HCA) interviewed Flu and show how they keep him out of their facilities. At Fairview this would be https://www.youtube.com/watch?v=k2a2iYHxucE

39. Influenza Prevention Stay home if you have symptoms of: • Rapid onset of temp > 100 • Chills • Cough • Sore throat • Muscle aches • Fatigue

40. Influenza Prevention Stay home if you have symptoms of: • Rapid onset of temp > 100 • Chills • Cough • Sore throat • Muscle aches • Fatigue By coming to work you expose your co-workers and our patients to the possibility of getting influenza.

41. Why get vaccinated? Select the best answer. • Protect yourself • Protect your co-workers • Protect your family • Protect our patients • All of the above That is correct! “And finally, to make it personal, if your infant daughter was admitted…… do you want the HCWs caring for her to be unimmunized based on their fears and personal preference?” Dr Gregory Polland – Mayo Clinic Incorrect. Try again.

42. Summary Here are the 3 ways to participate: • Get the vaccination • Indicate it was received elsewhere • Complete the declination in the survey at the end of the lesson Flu vaccine CANNOT cause the flu. The virus in the flu shot is a dead virus. Seasonal flu vaccination protects you from upper respiratory flu; stomach flu is caused by another virus.

43. Questions? Contact your local Employee Occupational Health office.

44. Survey Flu Vaccine Overview Seasonal Flu Education 2014 Survey Influenza Prevention Fairview’s Goal

45. Instructions for taking the Survey Click the link provided after these instructions. This link will take you to a page that looks like this: If you are not taken directly to this page, return to this lesson and follow the instructions given after the link.

46. Instructions for taking the Survey Once you have completed the survey, click the “Done” button. This will take you to a Fairview internet page similar to the one below. If you see this page, you have successfully submitted the survey. Return to this lesson and click the ‘Esc’ key on your keyboard to close this lesson and return to the LMS to take the test.

47. Survey Click on the link below to take the survey: http://www.surveymonkey.com/s/fvflushots2013 If you indicate you will receive a flu shot, you will not be compliant until the flu shot has been given. If you are experiencing issues accessing the survey, click here for trouble shooting instructions.

48. Survey Flu Vaccine Overview Influenza Prevention Fairview’s Goal