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Wiki source code of CY 10 Disease Pandemic

Version 1.1 by Ryan Larkin on 2016/09/29 16:50
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1 **Washington County Sheriff's Office**
2
3 **CORRECTIONS DIVISION**
4
5 Policy Manual
6
7
8 Volume: CY
9
10 Contingency Management
11
12 Chapter: 10
13
14 Disease Pandemic
15
16
17 Replaces and/or Supersedes:
18
19 None.
20
21 Published:
22
23 05/20/2013
24
25 Review Date:
26
27 05/20/2014
28
29
30 Sheriff Cory C. Pulsipher
31
32 Chief Deputy Jake Schultz
33
34
35 **__TABLE OF CONTENTS__**
36
37 CY 10_101 Definitions
38
39 CY 10_102 General
40
41 CY 10_103 Phase One: Precautionary
42
43 CY 10_104 Phase Two: Preventative
44
45 CY 10_103 Phase Three: Isolation
46
47 CY 10_104 Phase Four: Lockdown
48
49
50 **CY 10_101 __DEFINITIONS__**
51
52 1. WCSO: Washington County Sheriff's Office
53 1. PCF: Purgatory Correctional Facility
54 1. CDC: Center for Disease Control
55
56
57 **CY 10_102 __GENERAL__**
58
59 1. Policy:
60 11. The WCSO should maintain an institution-specific disease pandemic plan of action for PCF.
61 11. The established plan of action consists of four phases:
62 111. Phase One: Precautionary;
63 111. Phase Two: Preventative;
64 111. Phase Three: Isolation;
65 111. Phase Four: Lockdown.
66 11. A phase should be activated when the trigger limit for that phase has been met or exceeded by any combination of trigger points. The trigger limits for each phase are as follows:
67 111. Phase One Trigger Limit: 5 points;
68 111. Phase Two Trigger Limit: 15 points;
69 111. Phase Three Trigger Limit: 30 points;
70 111. Phase Four Trigger Limit: 40 points.
71 11. Trigger points should be calculated from a list of pre-determined trigger sources and point values as follows:
72 111. (((
73 (% border="1" style="width:674px;" %)
74 |(% style="width: 422px;" %)Trigger Source|(% style="width: 91px;" %)1 Point|(% style="width: 78px;" %)3 Points|(% style="width: 80px;" %)5 Points
75 |(% style="width: 422px;" %)Confirmed cases of Disease Nationally|(% style="width: 91px;" %)100|(% style="width: 78px;" %)250|(% style="width: 80px;" %)500+
76 |(% style="width: 422px;" %)Confirmed cases of Disease in Utah|(% style="width: 91px;" %)10|(% style="width: 78px;" %)25|(% style="width: 80px;" %)50+
77 |(% style="width: 422px;" %)Confirmed cases of Disease in Washington County|(% style="width: 91px;" %)1|(% style="width: 78px;" %)5|(% style="width: 80px;" %)10+
78 |(% style="width: 422px;" %)Confirmed cases of Disease in PCF|(% style="width: 91px;" %)1|(% style="width: 78px;" %)2|(% style="width: 80px;" %)3+
79 |(% style="width: 422px;" %)Confirmed Deaths from Disease Nationally|(% style="width: 91px;" %)5|(% style="width: 78px;" %)25|(% style="width: 80px;" %)50+
80 |(% style="width: 422px;" %)Confirmed Deaths from Disease in Utah|(% style="width: 91px;" %)1|(% style="width: 78px;" %)5|(% style="width: 80px;" %)10+
81 |(% style="width: 422px;" %)Confirmed Deaths from Disease in Washington County|(% style="width: 91px;" %)1|(% style="width: 78px;" %)2|(% style="width: 80px;" %)3+
82 |(% style="width: 422px;" %)Confirmed Deaths from Disease in PCF|(% style="width: 91px;" %)N/A|(% style="width: 78px;" %)N/A|(% style="width: 80px;" %)1+
83 |(% style="width: 422px;" %)Employee Absentee Rate Exceeds|(% style="width: 91px;" %)20%|(% style="width: 78px;" %)40%|(% style="width: 80px;" %)60%
84 |(% style="width: 422px;" %)World Health Organization Pandemic Alert Scale|(% style="width: 91px;" %)LV-4|(% style="width: 78px;" %)LV-5|(% style="width: 80px;" %)LV-6
85 |(% style="width: 422px;" %)Cessation of Washington County Shool District Operations |(% style="width: 91px;" %)N/A|(% style="width: 78px;" %)N/A|(% style="width: 80px;" %)Yes
86 |(% style="width: 422px;" %)State Recomended Restrictions|(% style="width: 91px;" %)N/A|(% style="width: 78px;" %)N/A|(% style="width: 80px;" %)Yes
87 |(% style="width: 422px;" %)Declaration of National State of Emergency|(% style="width: 91px;" %)N/A|(% style="width: 78px;" %)N/A|(% style="width: 80px;" %)Yes
88 )))
89 11. Trigger sources should be closely monitored by the Corrections Chief Deputy, or designee.
90 1. Rationale:
91 11. Without prior planning and coordination, the effectiveness of emergency response efforts will be greatly diminished. To reasonably ensure that PCF receives necessary emergency services and support, prior planning and coordination is required.
92 11. Trigger sources and point values were established according to their potential impact on PCF during a disease pandemic.
93
94
95 **CY 10_103 __PHASE ONE: PRECAUTIONARY__**
96
97 1. Policy:
98 11. Phase One is a heightened state of alertness. This phase involves an accelerated state of preparation and research specific to the disease at hand. It includes the following proactive measures:
99 111. Disease Committee activation:
100 1111. A pre-determined committee should be assembled at PCF to determine actions that should be taken to prevent the spread of the disease among staff, inmates, volunteers, and visitors. The committee should include an Incident Coordinator, a Secretary, the Medical Director of PCF, a Services Coordinator, an Informational Advisor, and two Operational Coordinators. The committee should meet as frequently as necessary to appropriately manage the facility's disease preparations.
101 111. Research and communications:
102 1111. The Informational Advisor should begin open and frequent communications with the Utah Health Department and should begin actively monitoring the postings on the CDC website (www.cdc.gov) about the particular disease to see if the facility should begin preparing for possible closure or changes in operation. The Informational Advisor should use all available resources to research the current disease. The Informational Advisor should brief and advise Administration and the Incident Coordinator as necessary.
103 111. Staff awareness:
104 1111. The Disease Committee should ensure that education and/or training is made available to staff to prevent the spread of the disease (e.g., hand hygiene and sneeze/cough etiquette). Staff should be reminded of the basic readiness activities of the facility and the strategy to provide timely and accurate responses. Staff should be provided with as much information as possible, including but not limited to, the specific disease, the infectious period, the symptoms, the current status of events (confirmed cases, deaths, locations), and what to do if infected.
105 111. Advanced admission screenings:
106 1111. PCF medical staff will screen all individuals at the time of admission for known symptoms of the current disease. Screening data will be documented and reviewed weekly by the Medical Director for identification and analysis of any applicable trends. The medical staff has the authority to restrict the housing of individuals who show symptoms of the disease. A standardized screening form should be provided.
107 111. Inmate sanitation services:
108 1111. A crew of inmate workers should be assigned to thoroughly sanitize the entire facility on a weekly basis. They should be provided with the appropriate materials to complete their assignments.
109 111. Medical surplus:
110 1111. The Medical Director should increase the on-site availability of over-the-counter cold and influenza medications, which should be distributed appropriately to the inmate population.
111 111. Maintenance checks:
112 1111. The Services Coordinator should ensure that maintenance personnel conduct an inspection to ensure that all necessary equipment is in working order: specifically the reverse intake air systems in the facility's medical cells.
113 111. Minimum staffing:
114 1111. During a Phase One response, PCF should adhere to it's normal minimum staffing requirements.
115
116
117 **CY 10_104 __PHASE TWO; PREVENTATIVE__**
118
119 1. Policy:
120 11. Phase Two reflects an increased risk of exposure and disease spread to PCF and it's surrounding community. This phase involves more preventative measures and includes the following proactive steps:
121 111. Communication:
122 1111. The Informational Advisor will expand daily communications to include the Utah Department of Corrections, the Department of Homeland Security, the Federal Bureau of Prisons, the Southwest Utah Public Health Department, and all surrounding emergency and law enforcement agencies.
123 111. Contingency preparation:
124 1111. Using the expanded communications of the Informational Advisor, the Disease Committee will begin laying the structural groundwork for possible advancement to Phases Three and Four.
125 111. Internal symptoms tracking:
126 1111. Medical staff will implement a system to track illness and potential disease symptoms among staff and the inmate population. The system will be simple and easy to maintain, but should record the number of persons with various illnesses and symptoms (e.g. respiratory issues, diarrhea, fever) on a daily basis. This will provide statistical information for early detection of potential disease cases within the facility.
127 111. Sanitary surplus:
128 1111. The Services Coordinator, in conjunction with the Medical Director, will drastically increase the stock of personal protective equipment and environmental infection control supplies and make plans to distribute to employees and inmates as needed. These supplies may include tissues, waste receptacles, single-use disinfection wipes or alcohol-based hand cleaner. Personal protective equipment may include gloves, surgical masks, or eye protection.
129 111. Inmate sanitation services:
130 1111. Inmate sanitation crews would increase their facility-wide cleaning duties from once a week to once every fifth day.
131 111. Self-screening initiative:
132 1111. “Ask for a Mask” signs should be posted at all building entrances and common areas to encourage members of the public and outside agencies entering the facility to screen themselves. Via signs and staff members, persons who have a new cough or have recently traveled to a highly infected area should be asked to wear a surgical mask or use tissues to cover their mouth and nose when coughing and to use good hand hygiene.
133 111. Minimum staffing:
134 1111. During Phase Two, PCF should adhere to it's normal minimum staffing requirements.
135
136
137 **CY 10_105 __PHASE THREE; ISOLATION__**
138
139 1. Policy:
140 11. Phase Three is the highest level of alert and reflects an imminent or established exposure within PCF. This phase involves restricted facility movement and small scale institutional exposure and medical isolation. It also includes the following proactive measures:
141 111. Emergency operation center:
142 1111. An emergency operation center (EOC) should be prepared in anticipation of a complete facility lockdown (Phase Four). The EOC should be strategically located, stocked, and adequately equipped to handle a Phase Four response.
143 111. Inmate isolation:
144 1111. Medical isolation cells should be utilized in the booking area for infected inmates. All inmates with confirmed exposure to the disease should be isolated from other inmates and staff, including exclusion from all group events. Arrangements should be made to provide the isolated inmates with basic necessities (e.g., hygiene items, meals, water). The isolation unit should be equipped with a visible precautionary sign allowing staff who enter the unit to know what type of protective equipment is needed. Correctional personnel should coordinate with the appropriate courts to facilitate the release (if appropriate) of any infected inmates as an alternative to medical isolation.
145 111. Restricted movement:
146 1111. There should be an immediate suspension of any non-essential programs or group activities identified by the Disease Committee. This should include visiting, programming, inmate re-housing, and any other opportunities for unnecessary inmate cross-contamination. Inmate recreation opportunities are likely to be substantially limited.
147 111. Restricted admissions:
148 1111. Local agencies should be informed that inmate admissions will be significantly restricted. PCF should ask that officers utilize their ability to cite and release as much as possible during this time. In addition, the facility should not accept contract inmates from any outside agency.
149 111. Inmate sanitation services:
150 1111. Inmate sanitation crews should increase their facility-wide cleaning duties from every fifth day to every other day.
151 111. Communication:
152 1111. The Informational Advisor, while continuing to monitor the Center for Disease Control (CDC) website, should begin active communication with the CDC. All suspected and/or confirmed cases of disease infection should be promptly reported to the Utah Health Department (UHD) and, if available, the Medical Director will request the appropriate disease treatment for PCF's confirmed cases.
153 111. Travel restrictions:
154 1111. All out-of-town trainings should be canceled. This with help lower the risk of employees being exposed to the disease in another area and bringing it back to PCF. In addition, all staff should be notified that they are on standby to assist the facility as needed, especially if the incident escalates to a Level Four response. Transport deputies should be on standby to transport any inmates in need of hospitalization.
155 111. Minimum staffing:
156 1111. During Phase Three, PCF will adhere to it's normal minimum staffing requirements. However, additional staff should be required to assist with the preparations for a potential Level Four response.
157
158
159 **CY 10_106 __PHASE FOUR; LOCKDOWN__**
160
161 1. Policy:
162 11. Phase Four is a worst case scenario that would reflect a wide-spread exposure to the PCF and it's surrounding community. This phase involves a complete shutdown of the entire facility and includes the following actions:
163 111. Emergency operations center:
164 1111. The EOC, which should have been prepared during Phase Three, should be staffed and operational. The daily facility operations should now be coordinated from the EOC.
165 111. Inmate isolation:
166 1111. Infected inmates should be relocated to the modular housing units normally reserved for work release inmates. This will place the infected inmates outside the secure facility, but inside the secure perimeter. Arrangements should be made to provide the isolated inmates with basic necessities (e.g., hygiene items, meals, water). The isolation unit should be equipped with a visible precautionary sign allowing staff who enter the unit to know what type of protective equipment is needed.
167 111. Restricted admissions:
168 1111. PCF should no longer accept unscreened inmates. An inmate staging area should be established. Any arrestees that could not be cited and released by outside agencies should be transported to the staging area where a preliminary booking would be completed and they would be screened by medical personnel. When an inmate is deemed safe to admit, staff should be available to transport the inmate to the PCF. If an inmate is deemed to be infected, they should be transported in a specifically designated vehicle and escorted directly to the modular housing units using the outside Work Release entrance. The staging area should be staffed with the assistance of the Patrol Division.
169 111. Facility movement:
170 1111. Inmate movement within the facility should be immediately suspended. This includes inmate workers. The operational needs of the facility (meal preparation, laundry, sanitation, etc.) should be conducted by Sheriff's Office staff members. This would require significant assistance from the Patrol Division. In order to accommodate these staffing needs, all staff (detectives, court personnel, etc.) would be called to duty. All staff on duty may be required to wear protective equipment.
171 111. Facility sanitation:
172 1111. The facility sanitation crew should consist of only staff (not inmates) and should increase the facility sanitation duties from every other day to daily.
173 111. Minimum staffing:
174 1111. Given the lack of inmate movement in the facility, the minimum correctional personnel required should decrease to five during the day and four at night. However, additional staff should be required to perform the operational duties (e.g., laundry, sanitation, food preparation).