Title Page
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Site/Client
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Date
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Prepared by
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Location
Identify
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Identify if your facility has an outbreak using the definition in the guideline
Implement Infection Control Measures
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Isolate / cohort ill residents
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Implement contact and droplet precautions
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Provide PPE outside room
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Display sign outside room
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Exclude ill staff until symptom free (or if confirmed cased of COVID-19, until they meet the release from isolation criteria)
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Reinforce standard precautions (hand hygiene, cough etiquette) throughout facility
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Display outbreak signage at entrances to facility
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Increase frequency of environmental cleaning (minimum twice daily)
Collect Respiratory Specimens
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Collect appropriate respiratory specimens from ill residents or staff
Notify
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The state/territory Department of Health and Human Services
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Contact the GPs of ill residents for review
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Provide the outbreak letter to all residents’ GP’s
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Inform families and all staff of outbreak
Restrict
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Restrict movement of staff between areas of facility
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Avoid resident transfers if possible
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Restrict ill visitors where practical
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Cancel non-essential group activities during the outbreak period
Monitor
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Monitor outbreak progress through increased observation of residents for fever and/or acute respiratory illness
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Update the case list daily at the facility and provide to the public health unit daily
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Add positive and negative test results to case list
Declare
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Declare the outbreak over when there are no new cases 14 days from the date of isolation of the most recent case.
Review
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Review and evaluate outbreak management – amend outbreak management plan if needed
Completion
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Additional Notes
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Sign Off
