Document Detail


Chapter 9. Educational process. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
MedLine Citation:
PMID:  20213424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with focus on education of all stakeholders, specifically the emergency executive control groups, ICU staff and staff co-opted to assist with patient management. METHODS: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics, including staff education. RESULTS: Key recommendations include: (1) define functional roles and responsibilities of the internal personnel and interface agencies or sectors; (2) determine logistic support and requirements necessary for the effective implementation of the SOPs; (3) determine what is required to maintain the SOPs; (4) recommended training and activities include: (a) personal protection techniques; (b) environmental contamination; (c) medical management; (d) laboratory specimens; (e) alert lists; (f) training of recruited staff; (g) ethical issues; (h) psychosocial issues; (i) dealing with the deceased; (j) policies for restricting visitors; (k) mechanisms for enforcing policies; (5) Training should begin as soon as possible with daily demonstrations followed by supervised practice; (6) identify the staff to participate in training programs, verify that they have participated and evaluate their knowledge subsequently. CONCLUSIONS: Judicious planning and adoption of protocols for staff education are necessary to optimize outcomes during a pandemic.
Authors:
Guy A Richards; Charles L Sprung;
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  36 Suppl 1     ISSN:  1432-1238     ISO Abbreviation:  Intensive Care Med     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-09     Completed Date:  2010-06-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S70-9     Citation Subset:  IM    
Affiliation:
Charlotte Maxeke Johannesburg Hospital, University of the Witwatersrand, Johannesburg, South Africa.
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MeSH Terms
Descriptor/Qualifier:
Disaster Planning / methods,  organization & administration*,  standards
Disease Outbreaks*
Disease Transmission, Infectious / prevention & control
Emergency Service, Hospital / manpower*,  organization & administration,  standards
Hospital Administration / methods,  standards
Humans
Infection Control / methods,  standards
Influenza A Virus, H1N1 Subtype
Influenza, Human / epidemiology,  therapy*
Inservice Training / methods,  standards
Intensive Care Units / manpower*,  organization & administration,  standards
Mass Casualty Incidents*
Occupational Health
Personnel, Hospital / education*,  utilization
Safety Management / methods,  organization & administration,  standards
Triage
Investigator
Investigator/Affiliation:
Michael D Christian / ; Ruben Camargo / ; Daniel Ceraso / ; Elie Azoulay / ; Alexandre Duguet / ; Benoit Guery / ; Konrad Reinhart / ; Bruria Adini / ; Yaron Barlavie / ; Odeda Benin-Goren / ; Robert Cohen / ; Motti Klein / ; Yuval Leoniv / ; Gila Margalit / ; Bina Rubinovitch / ; Moshe Sonnenblick / ; Charles L Sprung / ; Avraham Steinberg / ; Charles Weissman / ; Donna Wolff / ; Jozef Kesecioglu / ; Menno de Jong / ; Rui Moreno / ; Youzhong An / ; Bin Du / ; Gavin M Joynt / ; John Colvin / ; Shi Loo / ; Guy Richards / ; Antonio Artigas / ; Jerome Pugin / ; Dennis Amundson / ; Asha Devereaux / ; John Beigel / ; Marion Danis / ; Chris Farmer / ; John L Hick / ; Dennis Maki / ; Henry Masur / ; Lewis Rubinson / ; Christian Sandrock / ; Daniel Talmor / ; Robert Truog / ; Janice Zimmerman / ; Steve Brett / ; Hugh Montgomery / ; Andrew Rhodes / ; Frances Sanderson / ; Bruce Taylor / ; Charles L Sprung / ; Bruria Adini / ; Elie Azoulay / ; Michael D Christian / ; Robert Cohen / ; Menno de Jong / ; Hugh Montgomery / ; Lewis Rubinson / ; Christian Sandrock / ; Moshe Sonnenblick / ; Daniel Talmor /

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