Tag Archives: influenza

Weekly Flu Activity – CDC

Oral and Nasopharyngeal Specimen Collection


This is a brief list of oral and nasopharyngeal specimen collection procedures.

MRSA

  • Location: Anterior nares
  • Swab: Routine cotton culture swab

Top

Influenza

  • Location: Posterior nasopharynx
  • Swab: Routine cotton culture swab
  • Wear a surgical mask, protective eye wear and gloves while collecting the specimen
  • Place the patients head on the bed pillow or against a wall so that they do not move backwards
  • The swab will go straight backwards like placing an NG tube, it should go the distance between the nostril and the ear into the throat.
  • The swab is rotated for a bout 5–10 seconds to get enough epithelial cells on it
  • Remove the swab and place it in the transport media and sent it to lab

Top

Pertussis

The PCR assay reuires a special swab, made of aluminum with a nylon tip. Traditional cotton tip swabs interfere with the test

  • Location: Posterior nasopharynx
  • A special transport media is needed- call the lab for it
  • Wear a surgical mask, protective eye wear and gloves while collecting the specimen
  • Place the patients head on the bed pillow or against a wall so that they do not move backwards
  • The swab will go straight backwards like placing an NG tube, it should go the distance between the nostril and the ear into the throat. This is different from a nasal swab for MRSA or influenza
  • The swab is rotated for a bout 5–10 seconds to get enough epithelial cells on it
  • Remove the swab and place it in the transport media and sent it to lab

Pertussis-2

Here is a video on specimen collection

Top

Mumps

  • Location: Specimen is collected from the parotid duct secretions preferrably within 9 days of symptoms.
  • Swab: Routine cotton swab. Specimen is sent in a viral transport media.
  • Steps
    • Massage the parotid gland for 30 seconds. Note that it is just in front of the ear lobe. CDR742039
    • Specimen should be collected from the parotid duct opening just next to the second molar.
      mumps-cavity

Top

Visitor restriction lifted

As the incidence of influenza has markedly diminished, effective Wednesday, March 19, 2014, we will be lifting our current flu precaution visitor restrictions. This was the second year we implemented additional restrictions to our visitation policy in order to safeguard our patients, Associates, Physicians and visitors. Thank you all for supporting the temporary restriction.

Thank you for your cooperation

-Rachel Sebastian, Vice President and Site Administrator, Centegra Hospital-McHenry
-Sheila Senn, Vice President and Site Administrator, Centegra Woodstock Hospitals
-Dr. Irfan Hafiz, Vice President of Medial Affairs 

Influenza update

On Jan. 9, we instituted a visitor restriction policy for the safety of hospital patients, visitors and Associates during this flu season. I’d like to remind you that the policy includes no visitors under the age of 14 years old on any inpatient unit (including visitors of Associates, physicians and volunteers). It limits visitation to immediate family members over the age of 14 in obstetrics and pediatrics. There also is a limit of two visitors per patient at a time on all units. In addition, the policy pertains to outpatient areas of the hospitals as well. These restrictions help reduce the transmission of influenza within the hospital.

Those who are feeling sick with a runny nose, sore throat, or fever, should not visit friends or loved ones in the hospital. Hospital visiting hours are 8 a.m. to 8 p.m. daily.

 

Visitor Restrictions in effect Jan 9th – Influenza

Visitor Restrictions

Centegra Health System is experiencing increased cases of influenza and flu-related hospitalizations. For the safety of hospital patients, visitors and Associates during this flu season, We are asking for your cooperation once again with the implementation of our visitor restriction policy.

This policy will go in to effect Thursday, Jan. 9, 2014:

  1. No visitors under the age of 18 years old
  2. Limited visitation for significant others in obstetrics and pediatrics.
  3. No visitors who are sick with a runny nose, sore throat, or fever

This is the second year we have implemented additional restrictions to our visitation policy. As an organization we believe it our responsibility to make every effort to reduce the spread of this illness. Please reinforce with your patients, and other with whom you interact in our facilities, our intentions to with these temporary restrictions.

Mandatory Medical Staff Vaccination

Vaccination is mandatory for all Associates and medical staff. To schedule your vaccination, please call Associate Health at 815-759-4372. Verification of vaccination is required and can be faxed to any of the numbers below:

  • CHM Medical Staff Office Fax: 815-759-8098
  • CHW Medical Staff Office Fax: 815-334-3856
  • Associate Health Fax: 815-759-4425

We would like to remind all clinicians of the importance of hand washing, masks and other appropriate measures to prevent the spread of flu. Likewise, for the safety of your other patients, consider expeditious discharge as soon as appropriate to prevent risk of infection to them as well as their families. Your cooperation is greatly appreciated and your patients will appreciate it as well.

 

Influenza update 2013-14 season

Remember

  • Think of influenza in patients presenting with respiratory illness
  • Test those who are admitted with respiratory illness
  • Use droplet precautions for those with respiratory symptoms
  • It is still not too late to get vaccinated
Physician vaccination 2013

Mandatory influenza vaccination for physicians

In our effort to enhance patient and healthcare provider safety, last year Centegra Health System (CHS) made the influenza vaccination mandatory for all Associates.  The program was a huge success in vaccinating over 95% of associates. This season all physicians are expected to participate in this Medical Executive Committee (MEC) approved initiative to increase our patient safety.

Research shows that vaccination is the single most important measure for reducing the impact of influenza not only on ourselves but our community as well. It is therefore our responsibility as healthcare workers to do the right thing for our patients. The Center for Disease Control, IDPH and The Joint Commission both highly recommend flu shots for all health care workers and many progressive healthcare organizations both locally and nationally have seen positive outcomes as a result of mandatory flu shot programs.

CHS requires all associates, physicians, volunteers, students, clinical contract workers, and identified vendors to receive an influenza vaccination in order to protect patients, Associates, family members, and the community from influenza. Exceptions will only be granted for medical conditions and religious beliefs. Both will require written documentation. Associates previously granted exemptions are required to complete a exemption renewal. Please review the updated CHS Influenza Immunization Program policy for details.

In that regard we are offering influenza vaccinations free to all Physicians, Licensed Independent Practitioners, Associates, volunteers, and students. Please review the attached poster detailing the vaccination schedule.

If you will be receiving your vaccination through your practice we will need you to complete the attached form and submit it to the Medical Staff Office.

Reference

Link to US influenza map

As the 2013-14 influenza season approaches. I have added a link to the current US influenza activity to the right sidebar and a link to CDC flu view, an interactive detailed influenza monitoring tool. This helps gauge the local community activity of influenza. This is particularly useful in community preparedness and assessing pretest probability of influenza in cases presenting with influenza like illness (ILI).

Note: As the season has not officially started, the map as of today (09/26/13)  is showing data from last season.