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RN and RPN Decision Support Tool (Clinical Practice Guidelines) for Identification and Early Treatment of Influenza-Like Illness (ILI) Symptoms During an Influenza Pandemic in the Absence of a Medical Practitioner or Nurse Practitioner
From the Purpose: "This document provides registered nurses (RNs) and registered psychiatric nurses (RPNs) with guidance in screening and early intervention for clients who appear to be experiencing influenza-like illness (ILI), under the following circumstances: 1) the local Medical Health Officer or the Provincial Health Officer has determined that pandemic influenza is circulating in or around the client's community (this may be confirmed by the RN or RPN through official surveillance reports, such as from the BC [British Columbia] Centre for Disease Control, or through information on the website of the Office of the Provincial Health Officer); and 2) a medical practitioner (MP) or nurse practitioner (NP) is not available to examine and diagnose the client. The guidelines provide RNs and RPNs with the decision-support tools required to screen and treat symptomatic clients with oseltamivir antiviral medication, and refer clients to a MP or NP when needed. Through these efforts it is expected that RNs and RPNs will assist in reducing the number of clients requiring hospitalization or treatment in an intensive care unit for influenza-related complications during an influenza pandemic."
British Columbia
2017-07
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Scientific Assessment of the Zoonotic Potential of COVID-19
From the Document: "This document summarizes what is currently known about COVID-19 [coronavirus disease 2019] from a zoonotic perspective and provides additional background on coronaviruses to support animal-related assessment of risk. [...] What's new: [1] Other modes of transmission in humans (e.g. fecal-oral, asymptomatic) may be possible; [2] Hong Kong recently reported a pet dog testing weakly positive for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] via RT PCR [reverse transcription polymerase chain reaction]; [3] Further research on pangolins as intermediate hosts has been released but conclusions vary and further research is needed; other research has proposed turtles as a possible intermediate host."
British Columbia
2020-03-06
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Infection Prevention and Control for Coronavirus Disease (COVID-19): Interim Guidance for Acute Healthcare Settings
From the Introduction: "This is the preliminary edition of IPC [infection prevention and control] guidance on the coronavirus disease (COVID-19) that was first identified in Wuhan, China. The intended use of this document, infection prevention and control for coronavirus disease (COVID-19): interim guidance for acute healthcare settings, is to provide interim IPC guidance to healthcare organizations and healthcare workers (HCW) for management of people with fever and/or cough presenting to acute healthcare settings in Canada, who, within 14 days before onset of illness, have: travelled to an affected area; or been in close contact with a probable or confirmed case of COVID-19; or been in close contact with someone who has signs and symptoms of acute respiratory illness and who has travelled to an affected area within 14 days prior to their onset of illness; or had laboratory exposure to biological material known to contain severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)."
British Columbia
2020-02-27
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Respiratory Protection for Health Care Workers Caring for Potential or Confirmed COVID-19 Patients
From the Introduction: "An outbreak of a novel coronavirus (COVID-19) began in Wuhan, China in December 2019 and since then has become widespread in the Hubei province of China with cases being reported throughout mainland China and many other countries. To date all evidence from China and other countries indicate that transmission of this virus is via droplet and contact mode. This is consistent with other coronaviruses that are circulating. The World Health Organization, Public Health Agency of Canada and other expert groups have recommended the use of Droplet and Contact Precautions when caring for individuals with this illness. In addition to Routine Practices, all individuals including family members, visitors and all health care workers (HCWs) are required to use contact and droplet precautions before entering the room where a suspected or confirmed COVID-19 patient has been admitted. The personal protective equipment (PPE) for this level of precautions includes: gloves, gown, surgical mask and eye protection. For some aerosol generating medical procedures (AGMP) an N95 respirator and face shield/goggles are required and it is recommended to perform AGMPs in a negative pressure setting if possible. The exception to this recommendation is for paramedics with BC [British Columbia] Ambulance."
British Columbia
2020-03-06
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British Columbia Pandemic Provincial Coordination Plan
From the Purpose: "The British Columbia Pandemic Provincial Coordination Plan describes the provincial government's strategy for cross-ministry coordination, internal and external communications and provincial government business continuity in response to public health events that are pandemic in nature. This plan fosters cooperation and collaboration among provincial government ministries involved in the active management of the consequences and policy needs associated with public health pandemics. [...] This plan is not intended to replace existing Ministry plans, but rather is intended to complement and when applicable, be used in conjunction with the existing suite of plans and protocols currently in use by each Ministry by providing an overarching governance framework that can be used to respond to a spectrum of public health events caused by biological agents."
British Columbia
2020-03-05
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British Columbia's Pandemic Influenza Response Plan: Pandemic Influenza Psychosocial Support Plan for Health Care Workers and Providers
From the Executive Summary: "There is global recognition of the need for comprehensive planning and capacity building in anticipation of a pandemic such as the anticipated influenza or flu pandemic. As a result there has been significant investment of resources into pandemic planning throughout health sectors. The resilience and well-being of health care workers and providers (HCWP) is a critical component of health service delivery, surge capacity and pandemic response capacity. [...] The purpose of this document is to outline the non-medical issues and consequences of an influenza pandemic and provide a planning framework for the development of workforce resiliency programs and support strategies to address the psychological and social (psychosocial) needs of HCWP. It is intended for a broad audience that includes health emergency planners, senior management and concerned frontline HCWP in BC's [British Columbia] health authorities and affiliated institutions, organizations and private contractors."
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): Surveillance Plan
From the Executive Summary: "Influenza surveillance in British Columbia is a multifaceted endeavor that ensures timely, systematic, and ongoing collection, analysis, interpretation and dissemination of information related to influenza disease. General objectives include monitoring the arrival, spread and impact of influenza viruses. The past introduction of the pandemic H1N1 virus prompted the Province to strengthen its existing surveillance systems and add further systems in preparation to answer pressing questions related to a pandemic virus. This document provides an overview of these systems and how they are used to address the myriad information demands during both seasonal and pandemic influenza activity, such as the need to know trends, patterns and impacts for prevention and resource planning and evaluation of influenza control strategies."
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012)
From the Introduction: "Pandemics occur about every ten to forty years with the last one being declared by the World Health Organization (WHO) in June 2009. The novel virus was a new strain of H1N1 influenza, and the pandemic was simply referred to as 'H1N1 (2009)'. Although the overall severity of the H1N1 (2009) influenza pandemic turned out to be 'moderate', with most people recovering from infection without requiring hospitalization or medical care, the next pandemic could be worse. By using the information provided in this booklet, you can safely look after people at home and will know who to contact if you need advice. This publication contains a series of fact sheets and tools to help you and your family through a pandemic."
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): Updated Testing Guidelines: Influenza
From the Document: "Many adults and children with pandemic influenza will have only mild illness and testing for the virus for clinical management is rarely indicated. Testing should be based on clinical judgement, but in general reserved as follows: [1] for cases of suspected influenza requiring hospitalization; [2] for persons with severe illness or at high risk for whom testing will influence treatment decisions; [3] as requested by the medical health officer for outbreak investigation. [4] Patients with mild illness who request testing should be advised that it is generally NOT NECESSARY. [5] As antiviral medications are most effective when started early, treatment decisions should not wait for the results of laboratory testing, but should be made based on the severity of symptoms and the presence of risk factors (see treatment guidelines)."
British Columbia
2012-09
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Recommendations for Environmental Services, Biohazardous Waste Management, and Food and Linen Management for Persons Under Investigation and Confirmed Cases of Ebola Virus Disease: Standard Operating Procedures
From the Introduction: "While the probability of a person with Ebola virus disease (EVD) in British Columbia is low, preparedness to ensure health care workers can safely and effectively care for patients is essential. Preparedness relies on clear clinical processes, appropriate personal protective equipment (PPE) supply and deployment, and appropriate training for staff in the processes and equipment. [...] This document lists the standard operating procedures (SOPs) - steps, principles, responsibility and materials required - for environmental services staff and to follow when performing cleaning and waste removal during/following treatment of persons under investigation (PUI) and confirmed cases of EVD. It has been developed by environmental services and infection control experts and should be read in conjunction with the 'Recommendations for Environmental Services, Biohazardous Waste Management, and Food and Linen Management for Persons under Investigation and Confirmed Cases of Ebola Virus Disease (EVD)' document."
British Columbia
2015-02-12
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British Columbia's H1N1 Pandemic Influenza Response Plan (2009): Guidelines for Pandemic Influenza-Related Infection Control for Community Pharmacies
From the Document: "This document is meant to be a practical 'how to' guide for community pharmacists who wish to improve their infection control practices for pandemic influenza. First addressed are engineering and administrative approaches, followed by personal protection and traditional disinfection procedures. Office management issues such as sick leave policies and continuing education are also considered. Multiple examples of scripts, messages, signs, checklists and handouts are offered throughout."
British Columbia
Foggin, Timothy; Daniels, Sandra
2009-10-21
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British Columbia's Pandemic Influenza Response Plan (2012): Pandemic Influenza Vaccine Storage, Transfer and Security Plan
From the Executive Summary: "The emergence of a pandemic influenza virus will galvanize efforts of federal, provincial, local and supplier stakeholders. Coordinating and implementing action for the distribution and storage aspects of a pandemic influenza vaccine is the focus of this plan."
British Columbia
Marra, Fawziah; Seto, Joyce; Taylor, Rodney
2012-09
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Ebola Virus Disease Ethical Decision Making Framework
From the Preamble: "Since the fall of 2014, British Columbia (B.C.) has undertaken significant preparedness efforts to ensure it is prepared for any person who may be infected with the Ebola virus in the province. A complete range of evidence-informed guidance for this serious communicable disease has been collaboratively developed with health system partners, from identification of illness, through to treatment and care, to discharge or burial. Provincial policies and guidelines have been developed by inter-disciplinary, expert groups and recommended for approval by the B.C. Ebola Preparedness Task Force. This will ensure the best outcome for the patient, their family and the community, and ensure a safe environment for healthcare workers. [...] The framework identifies a series of core values for decision making, and includes a practical, decision-making tool to support the systematic analysis and articulation of complex decisions and outcomes. The document provides a framework for making ethically justified and transparent decisions concerning policies and guidelines related to Ebola virus disease (EVD) in B.C., both at the provincial level and in the clinical context."
British Columbia
2015-08-24
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B.C. Ebola Virus Disease Transportation Policy
From the Purpose: "The purpose of this policy is to describe the approach to the transportation of a person under investigation for or a confirmed Ebola Virus Disease (EVD) patient within British Columbia. Due to the size and geographic complexity of the province and the inherent challenges associated with planning for the management and transportation of an EVD case, it is necessary to ensure that any transportation plan can safely and effectively manage the movement of EVD patients from anywhere within the province."
British Columbia
2015-02-27
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B.C. Guidance on Environmental Management of Potential Ebola Contamination in Community Settings
From the Introduction: "This document is to provide guidance to public health authorities and contractors for environmental management in the event a person under investigation for, or a confirmed case of, Ebola virus disease (EVD) is symptomatic while in the community (home or public space) or primary health care settings (Public Health Agency of Canada, 2014). This document does not address hospital settings."
British Columbia
2015-02-02
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Recommendations for Isolation Precaution Step Down and Discharge of Persons Under Investigation or Confirmed Ebola Virus Disease Patients
From the Preamble: "After someone who has been under investigation for Ebola Virus Disease (EVD) is determined not to be infectious, or after someone recovering from confirmed EVD is determined to no longer pose a risk to others, significant anxiety (both patient and societal) may occur regarding the patient's ability to infect others in the community. Therefore, the 'standing down' of isolation precautions, as well as preparation for discharge, requires an organized, systematic and evidence-based approach to ensure the patient, family and health care workers are protected at all times. The purpose of this document is to provide recommendations for two situations: a) In the case of a person under investigation - procedure for ruling out EVD and discharging the patient to the community; and b) In the case of a confirmed EVD patient who is recovering in hospital and determined to no longer pose a risk to others - procedures for standing down the strict isolation precautions, transferring the patient to another part of the hospital, or discharging the patient to the community."
British Columbia
2015-04-22
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British Columbia Ebola Virus Disease Personal Protective Equipment Guidelines
From the Preamble: "While the probability of Ebola virus disease (EVD) in British Columbia is low, preparedness to ensure health care workers can safely and effectively care for patients is essential. Preparedness relies on clear algorithms and clinical processes, appropriate PPE [personal protective
equipment] supply and deployment, and appropriate awareness and training for staff in both the processes and equipment. This document is one of a suite of policies and communiques that relate to EVD. This specific protocol defines the appropriate use of PPE in the event of possible or confirmed EVD. This guideline is aligned with those released by the Public Health Agency of Canada. Supporting training materials for donning and doffing of the recommended PPE have been developed and form part of this overall PPE package."
British Columbia
2016-06-06
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British Columbia's Pandemic Influenza Response Plan (2012): Community Pandemic Influenza Psychosocial Support Plan
From the Introduction: "This document outlines a suggested planning framework for addressing the psychosocial (i.e., psychological, social, emotional) implications of a pandemic influenza or any large-scale public health emergency. It begins by providing the rationale for applying a psychosocial lens in pandemic influenza planning and goes on to describe the major components of psychosocial health emergency planning assessment, identification of vulnerable individuals/populations, development and delivery of support services, program evaluation and modification. A suggested planning framework is outlined detailing pandemic phase-specific activities. These are based on current research on the psychosocial dimensions of disasters, including lessons learned from the severe acute respiratory syndrome (SARS) outbreak in 2003, the public health response to the anthrax incidents in 2001, and professional consensus regarding best practice in psychosocial disaster response"
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): Introduction and Background
From the Purpose: "The primary purpose of BC's [British Columbia] Pandemic Influenza Response Plan is to describe the BC Health Sector's strategic approach to and preparations for a novel influenza pandemic. It provides information on the likely impacts and sets out some of the key assumptions for use in response planning. The provincial frameworks provided within this plan should assist organizations responsible for planning, delivering or supporting local responses, to integrate operational arrangements that maintain the consistency necessary for an effective, sustainable and equitable provincial approach, while allowing for flexibility to respond to local needs and circumstances."
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): Logistics of Antiviral Distribution
From the Executive Summary: "This document discusses the issues surrounding how antivirals will be moved from the manufacturer to the point from which they will be stored locally in a community and ultimately dispensed to the patient (health care worker, public or emergency service workers). The major issues addressed in this document are: 1. Steps that should be taken during the pandemic alert period (phases 4 and 5); 2. Triggers that lead to further decentralization of the provincial stockpile; and 3. What steps are required to ensure a continuous supply when and where needed throughout the province during an influenza pandemic (phase 6)."
British Columbia
Henry, Bonnie; Marra, Fawziah; Foggin, Timothy
2012-09
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Provincial Ebola Virus Disease Report on the Action Review
From the Executive Summary: "The 2014/2015 Ebola Virus Disease (EVD) epidemic is the largest in history, affecting a number of countries in West Africa. Nosocomial transmissions of the Ebola virus in Western hospitals were a wake-up call for the B.C. [British Columbia] health system. Building on the province's experiences in managing the SARS outbreak in 2003 and the pandemic influenza outbreak in 2009, the B.C. Ministry of Health (MoH) and its partners undertook an extensive Ebola preparedness strategy. In the fall of 2014, the B.C. MoH formed a Provincial Ebola Task Force, which includes a number of working groups to make sure that the provincial health system is prepared in the unlikely event of a case of EVD in B.C. A significant amount of work has gone into the development of a suite of Ebola-specific policies, guidelines and algorithms that provide guidance across the full continuum of patient screening and care. B.C. is fortunate in having a strong foundation for this work."
British Columbia
2015-08-24
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Pandemic Preparedness and Response for Remote First Nations Communities in British Columbia: Action Plan - 2009/2010
From the Purpose: "The purpose of the main body of this document is to define the rationale and provide a managerial-level framework of policies and actions to reduce the impact of Pandemic influenza in remote BC FN communities during the fall and winter of 2009/2010. Specific appendices include technical descriptions of procedures, or reporting forms, to assist local health workers and community leaders in implementing the actions approved by higher-level health managers."
British Columbia
2010
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British Columbia's Pandemic Influenza Response Plan (2012): Human Resource Planning Guideline
From the Introduction and Background: "The purpose of this guideline is to provide an overall approach to health human resources in the BC [British Columbia] health sector in the event of a pandemic influenza. This document is designed to help the BC Ministry of Health, Health Authorities and other health sector organizations providers (e.g. not for profit, affiliates) to deploy the right health human resources at the right time should a pandemic influenza occur."
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): Communication and Education Framework
From the Executive Summary: "The BC [British Columbia] Pandemic Influenza Communication and Education Framework creates an overarching framework that: 1. Provides further clarity as to the roles and responsibilities of the various stakeholders involved in communications and communications planning during a pandemic. 2. Assists the BC Health Care Sector in the preparation of pandemic communication and education plans and ensure these plans contain timely, transparent, accessible, accurate, and concise information for communication to and from health care workers/professionals in the health sector. 3. Assists the Ministry in the establishment of processes to improve information sharing and availability of data among various groups of health care providers. 4. Identifies tools that will guide the Health Authorities in developing communication and education plans in preparation for a future pandemic event."
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): Guidelines for Pandemic Influenza-Related Office Management and Infection Control for Private Physicians
From the Introduction: "This document is meant to be a practical 'how to' guide for family physicians who wish to improve their infection control practices for pandemic influenza. First addressed are engineering and administrative approaches, followed by personal protection and traditional disinfection procedures. Office management issues such as sick leave policies and continuing education are also considered. Multiple examples of scripts, messages, signs, checklists and handouts are offered throughout."
British Columbia
Foggin, Timothy; Daniels, Sandra
2012-09
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British Columbia's H1N1 Pandemic Influenza Response Plan (2009): Guidelines for Pandemic Influenza-Related Office Management and Infection Control for Private Physicians
From the Introduction: "This document is meant to be a practical 'how to' guide for family physicians who wish to improve their infection control practices for pandemic influenza. First addressed are engineering and administrative approaches, followed by personal protection and traditional disinfection procedures. Office management issues such as sick leave policies and continuing education are also considered. Multiple examples of scripts, messages, signs, checklists and handouts are offered throughout."
British Columbia
Foggin, Timothy; Daniels, Sandra
2009-10-02
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British Columbia's Pandemic Influenza Response Plan (2012): Pandemic Plan for British Columbia Public Health Microbiology & Reference Laboratory & Networks
From the Purpose: "The purpose of this document is: [1] To provide a framework and guidance for planning of a response to pandemic Influenza A for the Public Health Microbiology & Reference Laboratory (BCPHL), Provincial Health Services Authority (PHSA) Laboratories, as well as its public health laboratory partners in all other Health Authorities (HA) in British Columbia (BC). [2] To identify laboratory services required to meet national laboratory standards for a pandemic response."
British Columbia
Isaac-Renton, Judith L.; Petric, Martin
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): An Ethical Framework for Decision Making: Supporting British Columbia's Pandemic Influenza Planning and Response
From the Executive Summary: "With an increased recognition that the volume and complexity of ethically challenging decisions may increase during an influenza pandemic, the Office of the Provincial Health Officer and the Ministries of Health Services and Healthy Living & Sport set out to develop a guiding framework for the health care sector."
British Columbia
2012-09
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British Columbia's Pandemic Influenza Response Plan (2012): Planning Assumptions
From the Purpose: "These planning assumptions reflect a hypothetical moderate influenza pandemic and are meant to provide guidance for planning [purposes]. In the event of a pandemic, dynamic modeling of the real time experience in other jurisdictions will be used to modify plans and preparations. The modeling will provide guidance that will supersede the planning assumptions that are described here. As national pandemic planning assumptions are still being developed at this time, BC planning assumptions have been developed so that British Columbia is able to update its pandemic operational plans used during the H1N1 [Hemagglutinin Type 1 and Neuraminidase Type 1] pandemic of 2009-10. These assumptions can provide a common basis for planning across all public and private sector organizations. Working to this common set of assumptions will reduce confusion and facilitate baseline planning across the BC [British Columbia] Health."
British Columbia
2012-09
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Pandemic Provincial Coordination Plan: COVID-19 Characteristics
This is the March 6, 2020 Pandemic Provincial Coordination Plan detailing the characteristics of COVID-19 [coronavirus disease 2019]. The plan outlines the common characteristics of the virus, how communities can respond to the pandemic, and different ways to protect at-risk populations, including healthcare workers.
British Columbia
2020-03-06
