Zero Birth Injury Initiative Committee Meeting Summary
& Action Plan for OB/Neonatal H1N1 System and Local Site Planning
Discussion facilitated by Carol Nassif, ID at FRH and Deb Cathcart, VP Maternal &
Children’s Services, UMMC
Summary of presentation:
There has been a multidisciplinary team meeting over the summer across
Fairveiw for Pandemic Flu planning. They are focusing on broad issues not just
There is also a group planning for H1N1 in the system who has had input from
WHO, CDC, MDH, other metro hospitals. They participate on a metro wide
teleconference focusing on H1N1 to collaborate and understand how the
community is responding to this growing issue. One goal is to coordinate efforts
and decrease variance in the message to the public.
Within Fairview it is imperative that we also do local planning (ie OB/Neonatal
populations) especially for groups identified as high risk like pregnant women and
children. We want our customers to experience the same consistent care,
education and practice throughout the system. Planning will need to include:
o Actions by the Birthplace if staffing shortages occur
o Planning for social spacing
o Planning for surge in volume of patients
o Education and awareness that late 2nd and 3rd trimester pregnant women
have higher risk for compromise
o Capacity and resources if there is a surge of critically ill patients requiring
o Newborns will need to be isolated if the mother is positive for H1N1 and
has not been on Tamiflu for 48 hours.
o It is Ok for the mother to breastfeed the baby. She can pump and have
someone else feed the baby.
o H1N1 patients currently are on droplet precautions, do not need to be in a
negative airflow room and staff do not need to wear N-95 respirator mask
unless doing an at risk procedure. (This may change with current
discussions at state/national level-stay tuned)
o Key symptoms are fever 100-102, malaise and a very sore throat. Right
now we treat high risk group patients, send a culture for hospitalized
patients to MDH for H1N1 but we can do a Influenza A culture within
Guiding Principles for critical thinking patient placement:
o First, all patients will be cared for locally. We need to prepare for that
within our own entities.
o Patients will only be transferred when clinically necessary for the well
being of the patient.
o Local plans need to be consistent with the other entities and not place
undo burden on another entity
o Each entity needs to define their triggers for transfer
Each entity needs to develop an Action Plan including the above information
and send that plan to Carol Nassif and Kristi Miller by end of day
Wednesday, Sept 16, 2009.
The plans will be reviewed by the steering committee Sept 17, 2009 and
consolidated into a system OB/Neonatal H1N1 Action Plan and turned in to
Steve Meisel on Sept 18, 2009.
ACOG Opinion letter
Fairview online workplans: Go to the Fairview Intranet Home Page, Under
System support Click on I-Connect on the left hand list, once that opens click on
“Group” on left side, then “Emergency Management”. That will take you to all
the items that the system group has currently posted. I suggest clicking on
“System vs Site Responsibilities” and “Human Resources Pandemic Plan” for