Indication

• Immediate removal of contaminants after contamination
• Minimize the risk of infection and injury
• Diminish spread of contamination
  

Emergency Shower

• When staff get contamination and need immediate flush off (especially corrosive or irritant contaminant)
• Access emergency shower station (near to the rear door exit of each ward), stand under the shower and
  pull the handle for flushing.
• Then go to de-gowning area for thorough cleansing and bathing immediately and change clothing.
• Report the incident to supervisor and seek medical advice

Emergency Eye Flush

• When staff get splashing to eyes
• Access emergency eye flush station (near to the rear door exit of each ward), lean forward and face down
  to water outlet of the eye flush, and then activate the plug valve for flushing.
• Report the incident to supervisor and seek medical advice

Role of staff

• Fever and pneumonia surveillance
• Acute gastroenteritis
• Skin and soft tissue infection
• Staff early sickness alerting system
• All staff should know how to use the emergency shower and eye flush system with documented record at
  each workplace
• Always keep the entrance free of obstacles
• A set of clean towel should be stocked at the station
• Regular function check must be performed to maintain the facilities in good function
• Post decontamination care
• Organize drills annually

Principle

• To contain and control the spread of infection
• To minimize hospital staff and patient from risk of being infected and the impact to community health.

Actions

• When staff get splashing to eyes
• Access emergency eye flush station (near to the rear door exit of each ward), lean forward and face down
  to water outlet of the eye flush, and then activate the plug valve for flushing.
• Report the incident to supervisor and seek medical advice
• The work in contact tracing will be initiated and coordinated by Infection Control Team (ICT)
• To trace the source of the infection, isolate and treat those who have active infection promptly
• To provide further management to persons who are exposed to the infectious agents, such as medical
  surveillance, quarantine, post-exposure chemo- or immuno-prophylaxis treatment if necessary.
• For patient who has been discharged, contact tracing will be carried out by SEB/CHP
• For in- patients, all contacts will be closely monitored by ward staff and report to ICT at daily interval and
  whenever necessary
• Medical surveillance will be mandatory for all staff involved including mobile teams
• Infection control team will liaise with all the involved parties

Role of staff

• Cooperate and comply with advice of infection control team promptly
• Report immunity status if necessary
• To perform blood test or receive immunoglobulin / vaccine if necessary
• Assist in contact tracing work, such as check for patient immunity status, onset date and report
• Communicate with patient or relative.

Activation

• When there is a major infectious disease outbreak in HK and activated by HAHO for data collection,
  information desertions and control management.
• When Serious Response Level (S2) or above is activated due to outbreak of avian influenza.
  

Management Structure

• The ID MICC is under the leadership of the Medical Director of IDC in collaboration with HO MICC.
• Upon activation, the centre will be manned by MICC in-charge, 1 Hospital Administrator and 2 clerical staff
  (from GR). Depending on the scale of the outbreak, 2 additional clerks will be formed.
• All events and meeting minutes are recorded by the secretary of MICC.
  

Functions of ID MICC

• To coordinate with HO MICC, cluster MICCs, ICTs and various departments in data collection according to
  relevant guidelines and contingency plans.
• To compile reports for senior management.
• To provide updated information related to the outbreak for preparation of press release.
• To act as a link for various departments / hospitals.
  

Duties and Responsibilities of staff of ID MICC

• Medical Director – overall management of the centre and budget planning during peace time.
• MICC in-charge – report to MD and act as his deputy on the overall operation of the centre, communicate
  with HO / Cluster MICC when activated; and provide timely accurate information to senior management.
• Hospital Administrator – report to MICC in-charge in all matters related to the operation of the centre,
  verify information and data collected from all sources, compile data collected and generate reports
• Clerical staff – assist the Hospital Administrator and MICC in-charge in the operation of the centre,
  maintain all equipment in the centre, answer phone calls and receive/send information by fax / e-mails
• Secretary – keep record of all events and be responsible for minutes writing.
  

Operating Hours and staffing

• The period of operation depends on the scale of the outbreak.It is expected that one 8-hour shift would
  meet the usual operation requirement. When a long operation period of the centre is expected, the ID
  MICC will operate from 8:00 am to 8:00 pm daily.
• Staff is required to report duty within one hour after notification.

Communication

• IT systems in ID MICC include AEIS, CMS, CDARS, NDORS, eSARS, ePaed & eFLU.
• Communication lists of HO MICC members, Cluster MICCs, PMH HOCT members and ICT are stipulated.
• MICC Communication & logging system is activated via paging system and SMS for key message/alert
  notification to involved members.
• The ID MICC, HO MICC and all cluster MICCs are connected with e-mail system. E-mail addresses and
  fax numbers are corporate into Group fax / e-mail mechanism to expedite the process.
• PMH channel broadcast is available in IDC for message dissemination.
  

Video Conferencing & IP Phones

• Video-conferencing equipment has been set up and connected to HO MICC and Cluster MICCs
• IP phones are also installed to enhance communication with A&E