1. Influenza Annual Training
The Flu and You
Influenza Annual Training
To every patient, every time, we will provide the care that we would want for our own loved ones.

2. Objectives This module will cover the following content:
What is Influenza?
Signs and Symptoms
Complications of Influenza
Vaccination
Respiratory Etiquette
Treatment
Patient Care

3. The flu is NOT a stomach virus.
What is Influenza?
Influenza is also known as the “flu” is a contagious respiratory illness caused by flu viruses. It can cause mild to severe illness and sometimes lead to death.
The flu is NOT a stomach virus.

4. Symptoms of Influenza
People who have the flu often feel some or all of these symptoms:
Fever, or feeling feverish/chills
Cough
Sore throat
Runny or stuffy nose
Muscle or body aches
Headaches
Fatigue (very tired)
Some people may have vomiting and diarrhea, though this is more common in children than adults.
*It’s important to note that not everyone with flu will have a fever.

5. How Does the Flu Spread? Person to Person
According to the Centers for Disease Control (2014), flu viruses are mainly spread by droplets made when people with the flu cough, sneeze, or talk. People with Influenza can spread it to others for up to 6 feet away. In addition, a person may contract the virus by touching a surface that has been contaminated with the flu. This happens when a person touches a surface that has been contaminated, then touches their nose or mouth.
Coughing and sneezing generates the droplets that carry the virus. Please use a tissue and wash hands frequently.

6. How Long is Someone Contagious?
According to the CDC (2014), most healthy adults may be able to infect others beginning 1 day before symptoms develop and up to 5-7 days after symptoms develop.
Symptoms start 1-4 days after the virus enters the body
Children and people with weakened immune systems, are able to infect others for an even longer time.
You may be able to pass the virus to someone else before you know that you are sick.
You can have the virus before you know that you are sick

7. What are Complications of the Flu?
Most people who get Influenza recover within a few days, but some people will develop complications as a result of Influenza such as:
Pneumonia
Bronchitis
Sinus infection
Ear infection
Influenza can make chronic condition worsen. For example, a person with asthma may experience asthma attacks or someone with congestive heart failure (CHF) may experience worsening of symptoms when getting Influenza

8. How Severe is Influenza Every Year?
Influenza is unpredictable and it’s severity can vary widely from one season to the next depending on:
What viruses are spreading
How much vaccine is available
When the vaccine is available
How many people get vaccinated
How well the vaccine matches the virus that it circulating
Over the Flu season, there were approximately 53,470 positive flu cases worldwide (CDC, 2014).

9. How Do I Prevent Influenza? Take everyday preventative actions
Get vaccinated
The CDC recommends getting an annual flu vaccine as the first and most important step in preventing Influenza
Take everyday preventative actions
Avoid close contact with sick people
Wash your hands often with soap and water
If you are sick, limit contact with others as much as possible as to limit their exposure

10. Who Should Get Vaccinated?
Everyone 6 months and over is recommended for vaccination. All GBMC staff members, contractors, and volunteers are required to receive the vaccination.
There are special groups that are at higher risk for complications of Influenza and should receive the vaccination as soon as it is available:
People with asthma
People with diabetes
People with heart disease or who have had a stroke
Adults 65 years or older
Pregnant women
People with HIV or AIDS
People who have Cancer
Children younger than 5 years old

11. When Should I Be Vaccinated?
Yearly flu vaccination should begin as soon as the vaccine is available.
It should continue throughout the flu season which can last as late as May.
This is because the timing and duration of the flu season varies. While the flu season can begin as early as October, most of the time seasonal flu activity peaks in January or later.

12. What are the Contraindications to Vaccination?
People who have a severe (anaphylactic) allergy to chicken eggs.
People who have had a severe (anaphylactic) reaction to an influenza vaccination in the past.
People who develop Guillian-Barré syndrome (GBS) within six weeks of getting an influenza vaccine previously.
Children younger that 6 months of age (influenza vaccine is not approved for use in this age group).
People who have a moderate or severe illness with a fever should wait to get vaccinated until their symptoms lessen.

13. High Risk Groups that Should Be Vaccinated
Everyone 6 months of age and older should get vaccinated against the flu as soon as the season vaccine is available.
People at high risk of serious flu complications include young children, pregnant women, people with chronic health conditions like asthma, diabetes or heart and lung disease and people 65 years and older.
Vaccination of high risk persons is especially important to decrease their risk of severe flu illness.
Vaccination is also important for health care workers, and other people who live with or care for high risk people to keep from
spreading flu to high risk people.
Children younger than 6 months are at high risk of serious flu illness, but are too young to be vaccinated. People who care for them should be vaccinated instead.

14. Influenza Prevention Respiratory Etiquette
Other ways you can prevent Influenza include good respiratory hygiene.
○Cover your cough/sneeze with your elbow (not your hands).
○Wash your hands frequently.
○Discard your tissues quickly into the appropriate trash
receptacles.
○Keep 3 feet distance between someone coughing and
sneezing.

15. Treatment for Influenza
If you or a family member get the flu, the CDC recommends the following:
○Stay home from work and keep your children home
from school.
○Drink plenty of fluids and get plenty of rest.
○Usually over-the-counter anti-fever medications help
with the symptoms.
○Antiviral medications may sometimes be prescribed to
help lessen the duration of the infection.

16. Emergency Warning Signs
In Children:
Fast breathing or trouble
breathing
Bluish skin color
Not drinking enough fluids
Not waking up or not
interacting
Being so irritable that the
child does not want to be held
Flu-like symptoms improve
but then return with fever and
worse cough
Fever with a rash
In Adults
Difficulty breathing or
shortness of breath
Pain or pressure in the chest
or abdomen
Sudden dizziness
Confusion
Severe or persistent vomiting
Flu-like symptoms that
improve but then return with
fever and worse cough

17. Flu Patients at GBMC
Seasonal Influenza patients are maintained on “droplet precautions.”
Droplet precautions requires wearing a mask/visor when
working within 3 feet of the patient.
A droplet precautions sign will hang on the patient’s door,
notifying you of the need to wear a mask/visor.