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As an organization that houses potentially fragile population, The New Jewish Home wants to ensure that all residents/patients staff, family members, vendors, and volunteers are protected when in or entering the facility. An effective healthcare response to a pandemic event requires an overall awareness of the facilities capabilities to handle the event.
The organization is being proactive in regards to all events including, Natural Hazards, Technological Hazards, Human Hazards and Hazardous Materials will include the four phases of an effective Emergency Plan, Mitigation, Preparedness, Response and Recovery in developing the Pandemic Emergency Plan.
Also included in the preparing of our policies and procedures the facility will conduct a Hazard Vulnerability Analysis to determine which will determine the types of disasters that are likely to affect the organization. The HVA will be prepared annually or as needed.
The Hazard Vulnerability Analysis developed is for both facility and community- based events.
A multidisciplinary team has been created to specifically address pandemic preparedness planning. The team consist s of the following:
The organization conducts on going employee education on the definitions of COVID 19, its symptoms and precautionary measures.
What is Coronavirus?
According to the World Health Organization (WHO), Coronaviruses are a large family of viruses which may cause illness in animals or humans. In humans, several coronaviruses are known to cause respiratory infections ranging from the common cold to more severe diseases.
What is COVID-19?
COVID-19 is the infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019.
What are the common symptoms of COVID-19?
How is COVID-19 spread?
The virus that causes COVID-19 is thought to spread mainly from person to person, mainly through respiratory droplets produced when an infected person coughs or sneezes. The droplets can land in the mouth or noses of people who are nearby or possibly be inhaled into the lungs.
Spread is more likely when people are in close contact with one another (within about six feet). The virus can also be spread via surfaces, in addition to person to person spread.
What to do if a resident is diagnosed with COVID-19 in the facility?
Ideally, a resident/patient with COVID-19 should be in a separate room with a dedicated bathroom. The resident should remain in the room for all activities including meals. If a resident must leave the room for medical service staff must place a face mask and cover the resident/patient with clean sheets.
The facility must conduct contact tracing, to attempt to identify others who did not wear appropriate PPE were in close contact with the patient.
The facility will quarantine the exposed patient for 14 days and monitor for fever and respiratory symptoms.
What to do if a staff member is diagnosed with COVID-19?
As soon as the infected staff person is identified, they should leave work immediately and quarantine themselves. They should be out 14 days from their test date and return after a negative test result.
The facility will take all staff members’ temperature as they enter the facility.
Staff member will wear face masks while in the facility.
The staff member will complete a questionnaire to determine the possibility of symptoms.
List of symptoms to monitor:
If the staff person is experiencing any of the above symptoms, he/she should:
The facility will immediately:
All employees should always complete hand hygiene:
Surgical Masks — this mask should be changed:
KN-95 Mask-A KN-95 mask can be reused.
All medical supplies and equipment are managed by the Materials Management/Central Supply staff. They manage the inventory and work with the Vice President of Materials for ordering supplies and maintaining arrangements with vendors. They will ensure that the facility will maintain a 60-day supply of PPE throughout the facility
Gloves must be worn when handling potentially contaminated laundry.
If COVID-19 is suspected, based on evaluation of the resident or prevalence of COVID-19 in the community:
Although coronaviruses appear to be stable at low and freezing temperatures for a certain period of time, good food safety practices can prevent their spread through food.
Food service workers should:
All medical equipment in the facility will be constantly inspected, tested and maintained according to the manufacturer’s recommendation.
GDC is the contractor used by the organization is responsible for inspecting, testing and maintained of medical equipment.
The Director, Plant Operations oversees the work being done by the contractor.
All medical equipment is cleaned by Environmental and the nursing staff after each patient use
The Safety and Security department will maintain a safe and secure environment in regards to pedestrian movement in and out of the facility. The officer assigned to the entrance will advise all visitors of the restricted communities and remind them to use hand hygiene materials.
The security officer assigned to the main entrance will ensure staff are directed to have their temperatures taken and distribute the daily assessment sheet for staff to complete.
Contractors and outside Vendors should not regularly enter the facility. Designated staff will meet the individual at the door and have all follow CDC, and facility guidelines etc.-temperature taken.
The Director, Plant Operations will be responsible to maintain a comfortable environment to residents/patients, staff, family members, visitors and volunteers.
The Director will also be responsible to maintain all filters and change when necessary.
The Therapeutic Recreation department will attempt to provide normal functions for residents as possible.
The religious staff will provide pastoral counseling as appropriate for residents, staff and family members. They will also lead and/or coordinate religious services when possible. Clergy will be able to visit people at end of life when possible.
During periods of stress, caregivers may fail to request support for many reasons a strong service-orientation, a lack of time, difficulties in acknowledging or recognizing their own needs. Given this, the organization will be proactive in encouraging supportive care. The facility has in place to contact the Employee Assistance Program.
Self-care for health-care workers can be complex and challenging, given that people in these roles may prioritize the needs of others over their own needs.
For instance, during work shifts, workers should engage in the following:
Members of the Environment of Care and Emergency Preparedness Committee will conduct Table Top Exercises to review and make necessary changes prior, during and post pandemic.
The Director, Human Resources will maintain and updated staff roster that includes staff, contact number, emergency contact, and what other facilities they work at.
The facility will utilize its ICS and designate an Incident Command Center and Incident Commander.
Tier 1- Administrator
Tier 2-Assistant Administrator
Off shifts and weekends-Nursing Supervisor
All Job Action Sheets that a located in the Comprehensive Emergency Management Plan will be taken to the Incident Command Center.
The facility will have an incident framework at each site, including a crisis phone tree to help spread information quickly and effectively at the location to reduce anxiety and wrong information.
The facility will review all aspects of the pandemic at the Environment of Care and Emergency Preparedness Committee meetings. Policies and Procedures will be reviewed and changes will be made if necessary.
In the event of a rise in deaths and the facilities morgue cannot handle the overflow
An agreement has been made for a vendor to provide a refrigerated storage unit truck to be delivered. The refrigerated storage unit will be placed in the loading dock.
The storage unit will be maintained and monitored by the security department.
The facility has developed a communication plan to assist authorized family members and guardians.
The facility will do the following:
The New Jewish Home provides these services by either letter, 11am hot line telephone calls, texts. Also, the medical team will be in contact with authorized family members or guardians.
The facility developed an Infection Protection Plan to protect residents/patients, staff, family members and volunteers
Requests for PPE and supplies must be made as follows:
NYSDOH has the responsibility for protecting public health and ensuring the safety of healthcare facilities.
Facility reporting is required to:
The New Jewish Home complies with this by completing the daily HERDS Survey for Nursing Home. The Administrator/Designee is responsible for the reporting.
a. Any outbreaks or significant increase in nosocomial infections
b. A single case of reportable communicable disease or any unusual disease
c. Any outbreaks of increased incidents due to infectious agents
d. Intra-facility outbreaks of influenza, gastroenteritis, pneumonia and respiratory syncytial virus.
e. Food borne outbreaks
f. Infections associated with contaminated medication, replacement fluids or commercial products.
g. Single cases of health-care associated infections (Legionella, Measles virus
h. Single case of active pulmonary or laryngeal tuberculosis in nursing home residents or employees.
i. Closure of unit due to infections
How to safely return home:
If a potential exposure occurred in the workplace:
How to safely go from one job to another:
Ideally, staff should only work at one skilled nursing facility during COVID-19 activity. This will avoid potential introduction of disease from an impacted facility to another.
If working at a second location cannot be avoided:
Essential workers who go from one job to another, should