Re: Doing anything special to prevent H5N1?
Our ER (don't know about the other units) is requiring we ask people who present with flu-like symptoms (which is currently amounting to any fever with a cough) to wear a mask. Staff aren't masking themselves...it would be a long shift and tends to freak out the patients. There is talk about having a separate area for flu complaints (kind of a flu clinic), but we haven't figured out where or how to staff it. Families often come in to have the whole crew screened if one is sick, so we're seeing them together in one room.
We've already had numerous flu cases at our ER and the pedi docs are reporting even bigger numbers. Locally, we're only testing if you have type A or B, only looking for H1N1 if you are (a) admitted or (b) immuno compromised. Don't know if any have been confirmed as swine at this point. Either way, it's really early for us to see any positive flu...school just started last week.
I admit that I am probably much more conscious of hand washing/sanitizing. I have been using a separate pen for my patients to sign papers with or otherwise touch (silly, I know, but makes me *feel* better) and trying hard not to let too many of them cough directly on me

We aren't sure yet how long we will allow/require sick staff to stay home, or if they will be required to go be seen by anyone or encouraged to get Tamiflu. We have not received our SEASONAL flu shots yet and NO word on the swine vacs, so since we're already seeing flu cases, my personal prediction is lots of call-ins this winter. I just hope if they let us stay home as needed and get better, but not ridiculously long, and not make us drag our sick butts up to the clinic to spread it around waiting on Tamiflu. If you want me to take it, call it in.
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