Public Health Practices

Community reception center exercise tests Florida's radiological screening and decontamination process

Florida held an exercise to test skills related to radiological response, including screening, dosimetry, decontamination, and medical triage.

Framework provides strategies for addressing resource scarcity in hospitals and clinics during a regional response

Minnesota developed color-coded recommendations for hospitals that need to manage resources like oxygen, intravenous equipment, and nutrition during emergencies.

Preparing the way for functional and access needs in general population shelters

An Arizona partnership between public health and independent living advocates helped purchase adaptive and durable medical equipment to support people with functional needs in general population shelters.

Radiological preparedness activities focus on at-risk populations living in proximity to nuclear power plant

An Arizona human services agency developed plans and exercises for emergency evacuations of the elderly, people with disabilities, and children living near a nuclear power plant.

Resource directories and medical management guidelines for response to a chemical emergency

Michigan developed streamlined tools to help responders make quick decisions during chemical emergencies.

Creating a regional pediatric disaster preparedness network

Five southeastern states built a coalition that increased regional capacity for pediatric disaster medical care.

Healthcare, public health partnerships support flood victims

Tennessee worked with pharmacies to ensure that people displaced by flooding had necessary medications.

Regional multidisciplinary group develops H1N1 response policies to bridge the gap between public health and healthcare

An Oregon healthcare coalition developed regional hospital and Strategic National Stockpile policies during H1N1.

Public health planning group develops resources to help schools respond to H1N1

A planning group created tools for school nurses to educate children and parents, while monitoring and reporting respiratory illnesses during H1N1.

Telephone triage and treatment protocol

Decision-making templates and staffing plans for an H1N1 hotline allowed nurses to screen and prescribe antivirals to ill students.

Resident Assistant Checklist for Assessing Students

During the 2009 H1N1 outbreak, ill students living in on-campus housing posed a special concern for the University of Iowa (UI). The Office of Residence Life focused many of their efforts on training Resident Assistants (RAs) to respond appropriately to ill students living in their halls.

Facemask and N95 Respirator Recommendations

This recommendations document was developed to provide education and guidance on the use of personal protective equipment (PPE) for H1N1 pandemic influenza in the face of confusing, and sometimes conflicting, guidance from federal agencies.

State Police Transport Influenza Samples to State Lab

The Louisiana Department of Health and Hospitals Office of Public Health's (DHH OPH) longstanding good relationship with the Louisiana State Police was critically important during the 2009 H1N1 response. For example, State Police transported large volumes of influenza samples from regional locations across the state to the DHH OPH State Laboratory.

Modifying procedure helps pharmacists provide flu vaccinations

The Louisiana Department of Health developed a protocol that allowed pharmacists to administer vaccine in accessible locations and increased vaccination rates.

Building collaborative relationships with tribes

A Nevada liaison worked with tribes to develop mass vaccination and point-of-dispensing plans.

Resource manual ensures smooth clinic operations

South Carolina created resource manuals to ensure that all state regions and schools had access to the same vaccination clinic info.

H1N1 Benefit Program for the Uninsured

In response to the 2009 H1N1 influenza outbreak this spring, the Wisconsin Department of Health Services recruited a state-wide network of health care providers to participate in a limited benefit program to provide flu-related care to the uninsured. The Department chose not to implement the benefit program in the spring. However, due to the resurgence of H1N1 influenza during the fall, the Department implemented the benefit effective Monday, November 2. Establishing the Provider Network:

Healthcare facility inventory of respiratory protection equipment

During the H1N1 pandemic, the Minnesota Department of Health created an assessment tool to help hospitals conserve a short supply of respirators for high-risk procedures, if necessary.

Operational Framework for Partnering with Pharmacies for Administration of 2009 H1N1 Vaccine

The Association of State and Territorial Health Officials (ASTHO) created this guidance in consultation with national pharmacy and pharmacist associations, thought leaders from national and regional chain drug stores, ASTHO members, and key federal officials. The aim of the document is to assist health departments in maximizing the potential of chain and independent pharmacies as a viable resource for vaccination sites as part of an aggressive and comprehensive planning effort.

Minnesota Pandemic Recommended Actions for Healthcare Facilities by Event Stage

This 10-page, color-coded chart provides detailed recommendations and guidelines for healthcare facilities during an influenza pandemic. The initial chart delineates activities in various areas (i.e., administration and planning, communications, operations, and training) by five stages of a pandemic.

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