1. The Role of Infection Prevention in the Aftermath of Super Storm Sandy Faith Skeete, MS RN CIC March 20, 2013

2. Disclosures No disclosures No conflict of interest

3. The Event Loss of power/generator Emergency evacuation Extensive water and wind damage NYUHJD remained open on generator power Offsite areas remained closed

4. Immediate Response Assessment of damage –Supplies –Equipment –HVAC –Potable water Worker safety –Protective clothing/shoes –Fit testing –Education

5. Immediate Response: Supplies

6. Immediate Response: Supplies

8. Immediate Response: Equipment

9. Facilities Engineering Protocols –HVAC system location Replacement if in flooded areas Inspection, disinfection and cleaning in other areas –Air sampling –Potable water sampling for Legionella and coliforms Immediate Response: HVAC & Water

10. Intermediate Response Preparation for Reopening Water safety Cleaning Checklists DOH inspections Pressurization differential checks

11. Ongoing Response Microbiology Syndrome surveillance secondary to inflammation Unusual diagnoses Staff surveillance Staff support

12. Lessons Learned Communication –Intra departmental –Inter departmental IPC Department disaster plan

13. Infection Prevention and Control Department Steven Bock RN, IPC practitioner Tania Bubb RN, IPC practitioner Donald Chen MD, associate hospital epidemiologist, ASP medical director Ranekka Dean RN, IPC practitioner Sandra Hardy RN, IPC practitioner Alycia Foti, IPC project assistant Jennifer Lighter MD, pediatric hospital epidemiologist Michael Phillips MD, hospital epidemiologist, IPC & EHS medical director Gabi Pinto, IPC data assistant Alex Rowan-Hazelrigg RN, IPC practitioner Faith Skeete RN, IPC practitioner Anna Stachel MPH, IPC data analyst Delia Valentin, administrative assistant 13

14. References Center for Disease Control and Prevention, “Remediation and Infection Control Considerations for Reopening Healthcare Facilities Closed due to Extensive Wind and Water Damage” Fact Sheet, May 24, 2007 Center for Disease Control and Prevention, “Check List for Infection Control Concerns when Reopening Healthcare Facilities Closed due to Extensive Water and Wind Damage” Fact Sheet, April 12, 2005