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Flu Resource Pack for Care Homes 2019/20 Cheshire and Merseyside

Get prepared for flu season with this comprehensive resource pack. Learn key messages, actions for single cases or outbreaks, and find important contacts. Protect your residents and staff from the serious impacts of flu.

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Flu Resource Pack for Care Homes 2019/20 Cheshire and Merseyside

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  1. Flu Resource Pack for Care Homes 2019/20 Cheshire and Merseyside PHE North West Health Protection Team (Cheshire and Merseyside, Greater Manchester and Cumbria and Lancashire)

  2. Overview • Key messages and impact of flu • Preparing for flu • Actions for a single case of flu • Actions for an outbreak of flu or flu-like illness • Key Contacts • Flu Resources NW SLT event

  3. Key Messages • Flu is not just a bad cold, it can be a serious illness in certain groups of people:

  4. Key Messages • Care home residents are more at risk because they: • Are older • Have underlying medical conditions • Live closely, and spend a lot of time with, other residents and staff • Therefore have multiple risk factors: being over age 65 years, have a long term condition and reside in a long-stay home

  5. Impact of Flu Outbreaks • Elderly care home residents are more likely to suffer severe symptoms, require hospitalisation or die from flu. • Greater resources required for infection control in care home. • Potential closure of care home to new admissions. • Potential impact on reputation of care home from severe cases or deaths.

  6. Key Messages • Each winter different types of the flu virus circulate, so people need to be vaccinated every year. • Frontline staff have a duty of care to protect their residents from flu, particularly those who may have a poor response to their own vaccination. • The flu vaccine is the best way to protect people against flu: eligible residents and ALL STAFF should be vaccinated each year. • Good infection control practice is essential to limit the spread of flu, particularly once a case occurs in a care home. NW SLT event

  7. Preparing for Flu Action Card

  8. Preparing for Flu 1 • Nominated Lead • Nominate a staff member to act as the influenza coordinator for your home and share flu pack with ALL staff. • Flu Vaccination • Ensure care home GP/Pharmacist administers the seasonal flu vaccine to ALL residents aged over 65 and those with a chronic health condition in September to early November BEFORE outbreaks. • Ensure ALL staff involved in patient care (including pregnant women) have received their FREE seasonal flu vaccine in September to early November via their registered GP or local pharmacy. • Staff can show their identification badge or pay slip to prove their eligibility.

  9. Preparing for Flu 2 • Keep Records • Maintain a record of flu vaccination status and latest kidney function tests of ALL residents and share with care home GP practices – template provided in pack. • Infection Control • Ensure ALL staff read and follow care home infection control policies. • Reinforce Catch it, Bin it, Kill it hygiene messages with staff, residents and visitors. • Provide liquid soap/disposable paper towels/alcohol-based hand rub in every room, communal areas, entrances and exits. • Provide Personal Protective Equipment (PPE): disposable gloves, aprons, surgical masks. • Ensure linen management and clinical waste disposal systems are in place. • Maintain adequate stock of cleaning materials (disposal cloths, detergent). • Inform local Community Infection Prevention Control Team (CIPCT) if a resident is transferred back from a hospital/home with a flu outbreak.

  10. When to Suspect Flu • Symptoms of flu or influenza like illness include:

  11. Resident displaying signs and symptoms of flu like illness Suspected Single Case of Flu Protect Case Isolate Case • Single room until recovered or 5 days after onset of symptoms • Tissues • Covered sputum pots • Hygienic disposal Protect Other Residents GP Assessment of Case • May require investigations: • Sputum • Nose and throat swab Isolate Immunocompromised Residents Infection Control Measures • Hand hygiene • Respiratory hygiene • PPE for staff • Environmental cleaning Supportive Management • Rest • Keep warm • Plenty of fluids Treatment Prescribed by GP following medical review

  12. When to suspect a flu outbreak? • Two or more cases which meet the clinical case definition above, arising within the same 48-hour period in people who live or work in the care home NW SLT event

  13. Suspected Flu in Staff Member • Symptomatic staff should be excluded from care home until fully recovered • Symptomatic bank staff should also be excluded from other care homes they work in.

  14. Flu Outbreak Action Card

  15. Enhanced Infection Control • Hand and respiratory hygiene for residents, staff and visitors • Isolate symptomatic cases – single rooms or cohort together • Cohort staff to symptomatic and well residents • Bank staff should not work in other homes/hospitals until 2 days after last contact with the home, or if exposure is continuous, when the home re-opens • Exclude symptomatic staff and visitors until recovered • Discourage visits from elderly, very young or pregnant women • Provide tissues, and alcohol-based hand runs in communal areas, entrances and exits • Provide PPE for staff • Enhanced environmental cleaning • Avoid transfers in and out of home • Limit hospital attendances to urgent cases ;forewarn hospital • Discuss discharges from hospital to care home with CIPCT/ HPT • Discuss partial or whole closure to new admissions with CIPCT/HPT Suspected Flu Outbreak Report Outbreak • CIPCT in hours • PHE Health Protection Team (HPT) out of hours Contact GP • Assess symptomatic residents • Advise on immediate treatment • Liaise with CIPCT Implement • Ensure advice from GP/CIPCT/ HPT in completed • Support collection of swabs from symptomatic residents • Ensure prescribed medications (antivirals) given in a timely manner Document • Influenza outbreak coordinator to: • Monitor residents daily to identify new, symptomatic residents • Complete daily list of residents with suspected/confirmed flu • Share information with CIPCT/HPT/HC provider as required • gggggg

  16. Reporting a Suspected Flu Outbreak NW SLT event

  17. Contact Details

  18. PHE Role in Flu Outbreak • PHE will work with care home, GP and CIPCT to assess if the outbreak is likely to be flu. • Advise on initial infection control measures (out of hours). • Advise if, and how, swabs should be taken. • May set up an Outbreak Control Team to coordinate actions. • Trigger the use of antivirals, if appropriate. • Assist with outbreak communication to NHS, the media and public if required. • An outbreak of flu is usually declared over once no new cases have occurred in the 5 days since the appearance of symptoms in the last case.

  19. Resources • To order leaflets and posters: • https://www.orderline.dh.gov.uk/ecom_dh/public/home.jsf (free to order and deliver) • To download leaflets and resources: • Guidance on outbreaks of influenza (flu) in care homes poster: https://www.gov.uk/government/publications/guidance-on-outbreaks-of-influenza-in-care-homes-poster • The flu vaccination leaflet: https://campaignresources.phe.gov.uk/resources/campaigns/34/resources/2347 • All about flu and how to stop getting it: https://campaignresources.phe.gov.uk/resources/campaigns/34/resources/2345 (EasyRead leaflet for people with learning disabilities)

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