Ventilators ___________________________________________________________ Oxygen _____________________________________________________________ Does the facility have airborne infection isolation rooms (AIIRs)? Yes No * Is there a nurse staffing plan to manage patients on ventilators when 30% to 40% of the nurses may be out ill during an influenza pandemic (e.g., adjusted nurse-to-patient ratios or just-in-time training for volunteer nurses)? Yes No * Is a plan to use family members to provide care for their sick loved ones, if there are limited employees during an influenza pandemic? Yes No * Is a contingency plan for an increased need for post-mortem handling and disposition of bodies? Yes No * Is there a place in the facility that can be used as a temporary morgue, if needed? Yes No * Is there an alternate plan for body transport in the event that patients die at the LTC facility? Yes No
Ventilators ___________________________________________________________ Oxygen _____________________________________________________________ Does the facility have airborne infection isolation rooms (AIIRs)? Yes No * Is there a nurse staffing plan to manage patients on ventilators when 30% to 40% of the nurses may be out ill during an influenza pandemic (e.g., adjusted nurse-to-patient ratios or just-in-time training for volunteer nurses)? Yes No * Is a plan to use family members to provide care for their sick loved ones, if there are limited employees during an influenza pandemic? Yes No * Is a contingency plan for an increased need for post-mortem handling and disposition of bodies? Yes No * Is there a place in the facility that can be used as a temporary morgue, if needed? Yes No * Is there an alternate plan for body transport in the event that patients die at the LTC facility? Yes No
cat_cdc.docx