I also have conflicts in that I get up every morning determined
to both change the world and have one hell of a good time.
Sometimes this makes planning my day difficult. -EB White
Slide 5
1. True 2. False
Slide 6
1. True 2. False
Slide 7
1. Influenza is nothing more than a bad cold 2. Influenza
hospitalizes over 200,000 people a year and can kill up to 40,000
people a year 3. More people are killed by AIDS than by influenza
each year 4. The flu is only dangerous to the elderly
Slide 8
1. 40-50% 2. 50-60% 3. 60-70% 4. 70-80% 5. 80-90%
Slide 9
1. Flu seasons are predictable 2. Flu vaccine is the best way
to protect yourself, family and patients from flu 3. Pregnant women
are at higher risk complications related to flu 4. Severely obese
persons are at higher risk for complications from the flu
Slide 10
Which of the following statements is false? A. Flu seasons are
predictable B. Flu vaccine is the best way to protect yourself,
family and patients from flu C. Pregnant women are at higher risk
complications related to flu D. Severely obese persons are at
higher risk for complications from the flu
Slide 11
Those who do not remember the past are condemned to repeat it.
-George Sanayana
Slide 12
http://www.youtube.com/watch?v=J83DZQcDFy8
Slide 13
Contagious respiratory illness caused by influenza virus
Characterized fever (often high), cough, body aches, headache,
malaise, rhinnitis Yearly winter epidemics Peak activity usually in
January and February Sporadic, unpredictable pandemics
Slide 14
Seasonal in U.S. Average 6-7% adults and up to 30% children ill
36,000 deaths, >200,000 hospitalizations 20,000 hospitalizations
in
Influenza vaccination is an evidence based infection prevention
practice Mounting evidence over past 5 years shows the most
consistent method to attain immunization rates of > 95% is to
make annual influenza vaccination a condition of both initial and
continued HCP employment and /or professional privileges, and
volunteers
Slide 58
100% HCP vaccination affords 43% risk reduction in acute and
60% in chronic care HCP vaccination is cost effective strategy to
prevent patient morbidity HCP vaccination reduces patient
mortality
Slide 59
Proven means of reduction of infection and transmission of
influenza virus in healthy adults Even in years of mis-match,
vaccine is partially effective Voluntary absenteeism not completely
reliable since HCP can be contagious the day before onset of
symptoms of influenza
Slide 60
Beneficence acting in best interest of patient Nonmaleficence
not placing patient at risk of harm Placing patient interest first
Safe work environment Educating HCP and patients of best, safe
practices Existing requirement for vaccines or proof of immunity
(MMR, Varicella, Hepatitis B)
Slide 61
Currently >30% of RHS HCPs remain unvaccinated for reasons
not supported in scientific evidence. Declination option has done
virtually nothing to increase vaccination rates. Despite many years
of trying clever ideas, posters, incentives, handouts, education,
etc our rates have only marginally improved.
Slide 62
National Patient Safety Foundation Society for Healthcare
Epidemiology of America Association for Professionals in Infection
Control and Epidemiology American Pharmacists Association National
Foundation for Infectious Disease American College of Physicians
Infectious Diseases Society of America National Quality Forum
Association of Perioperative Registered Nurses American Medical
Association DOD (2008) Department of Defense National Patient
Safety Foundation American Academy of Family Physicians American
Academy of Pediatrics American Hospital Association
Slide 63
University of Pennsylvania Philadelphia CHOP, Philadelphia Aria
Health, Langhorne Bradford Regional Medical Center, Bradford
Abington Memorial, Abington Charles Cole Memorial Hospital,
Coudersport Communities at Indian Haven, Indiana Crozer Chester,
Upland Delaware County Memorial, Drexel Hill DuBois Regional
Medical Center, DuBois Einstein Healthcare Network, Philadelphia
Geisinger Health System, Danville Geisinger Wyoming Valley, Wilkes-
Barre Grand View Hospital, Sellersville Hanover Hospital, Hanover
Jersey Shore Hospital, Jersey Shore Lankenau Medical Center,
Wynnewood Lehigh Valley, Allentown Main Line Health System, Bryn
Mawr Springfield Hospital, Springfield St. Christophers Hospital
for Children, Philadelphia St Joseph Hospital, Reading Taylor
Hospital, Ridley Park Thomas Jefferson University Hospital,
Philadelphia Wellspan Health, York
Slide 64
Approval by MEC winter of 2013 Developed team: ID, IP, IM
resident, chaplain, employee health, pharmacy, nursing, HR, ethics,
pediatrics, and communication services Multiple, multiple meetings
Medical and religious exemption forms developed along with policy
Three person team to evaluate exemptions Two phases of roll out
First year all employees, volunteers, students, etc Second year all
medical personnel on staff and anyone who comes into the hospital
for professional reasons
Slide 65
Medical: egg allergy (no longer, now an egg-free vaccine);
documented severe adverse effect from prior immunization (eg. GBS
within 6 weeks of vaccine); Religious - few religions prevent
vaccination; risk to patient requires mask use to be consistent;
SHEA does not endorse Personal/philosophical - contrary to
fundamental principle of patient safety
Slide 66
Early identification of Influenza infection Isolation of known
or suspected flu cases Mask use by patients and HCPs Private
rooming or cohorting Hand hygiene and cough etiquette Voluntary
absenteeism of ill HCPs Vaccination of HCPs Antiviral medication
Visitor limitations under special circumstances
Slide 67
Influenza season and severity is not predictable Influenza is
serious disease that can lead to hospitalization and sometimes
death Everyone over the age of 6 months should be vaccinated
Mandatory flu vaccination among HCP has been the only successful
way to achieve >90% vaccination rates Nasal vaccine should be
used in children ages 2-8 Influenza vaccination is safe during
pregnancy and should be administered
Slide 68
1. True 2. False
Slide 69
1. True 2. False
Slide 70
1. Influenza is nothing more than a bad cold 2. Influenza
hospitalizes over 200,000 people a year and can kill up to 40,000
people a year 3. More people are killed by AIDS than by influenza
each year 4. The flu is only dangerous to the elderly
Slide 71
1. 40-50% 2. 50-60% 3. 60-70% 4. 70-80% 5. 80-90%
Slide 72
1. Flu seasons are predictable 2. Flu vaccine is the best way
to protect yourself, family and patients from flu 3. Pregnant women
are at higher risk complications related to flu 4. Severely obese
persons are at higher risk for complications from the flu