Volume 15, Number 6—June 2009
Peer Reviewed Report Available Online Only
Stockpiling Supplies for the Next Influenza Pandemic
, Paul D. Magalian, Mary Kay Hollingsworth, and Gio Baracco
Table 4
Estimated personnel contacts and supply requirement assumptions for each patient during a 1918-like influenza pandemic*
| Type of patient | Personnel contacts | Supplies | |||
|---|---|---|---|---|---|
| Type | Quantity | Category | Quantity | ||
| Outpatients in ED, UC, or PC clinic not requiring admission | P or NP | 1 | Disposable medical masks | 1 | |
| N | 2 | Home care kit† | 1 | ||
| SW or MHC | 1 | ||||
| A | 1 | ||||
| Outpatients in ED, UC, or PC clinic requiring admission | P or NP | 3 | Disposable medical masks | 1 | |
| N | 5 | Oxygen, NC | 1 | ||
| RadT | 1 | IVF (1-L bag) | 1 | ||
| A | 2 | IV kit | 1 | ||
| RespT | 3 | Antipyretic drugs, DDD | 1 | ||
| E | 1 | Antimicrobial drugs‡, DDD | 1 | ||
| Antiviral drugs, DDD | 1 | ||||
| Inpatients in general ward (non-ICU) per day | P or NP | 2 | Disposable medical mask | 0§ | |
| N | 6 | Oxygen, NC or FM | 1 | ||
| RespT | 6 | Antipyretic drugs, DDD | 4 | ||
| SW or MHC | 1 | Antimicrobial drugs‡, DDD | 1–3 | ||
| RadT | 1 | Antiviral drugs, DDD | 3 | ||
| Ptech | 1 | IVF (1-L bag) | 3 | ||
| HK | 1 | IV kit | 1 | ||
| Inpatients in ICU not receiving mechanical ventilator per day | P or NP | 4 | Oxygen, NC, or FM | 1 | |
| N | 24 | Albuterol nebulization with masks | 6 | ||
| RespT | 12 | Antipyretic drugs, DDD | 4 | ||
| SW or MHC | 1 | Antimicrobial drugs¶, DDD | 1 | ||
| RadT | 2 | Antiviral drugs, DDD | 3 | ||
| HK | 1 | IVF (1-L bag) | 3 | ||
| IV kit | 1 | ||||
| Blood gas kits | 3 | ||||
| Inpatients in ICU receiving mechanical ventilator per day | P or NP | 4 | Oxygen, FM, or NRB | 1 | |
| N | 24 | IVF (1-L bag) | 3 | ||
| RespT | 6 | IV kit | 1 | ||
| SW or MHC | 1 | Ventilator circuit and filters | 0.2 | ||
| RadT | 2 | Antipyretic drugs, DDD | 4 | ||
| HK | 1 | Antimicrobial drugs¶, DDD | 1 | ||
| Antiviral drugs, DDD | 3 | ||||
| Suction kit | 1 | ||||
| Midazolam plus ropofol, DDD | 1 | ||||
| Vasopressors, DDD | 1 | ||||
| Proton pump inhibitors | 1 | ||||
| Morphine sulfate, DDD | 5 | ||||
| Albuterol nebulization units | 6 | ||||
| Central line kit | 1 | ||||
*ED, emergency department; UC, urgent care; PC, primary care; P, physician; NP, nurse practitioner; N, nurse; SW, social worker; MHC, mental health counselor (or clergy); A, administrative (including clerks); NC, nasal cannula; RadT, radiology technician; IVF, intravenous fluids; IV, intravenous; DDD, defined daily dose; RespT, respiratory therapist; E, escort; ICU, intensive care unit; FM, face mask; Ptech, phlebotomy technician; HK, housekeeper; NRB, nonrebreather mask.
†A home care kit includes (VHA pan flu plan, Appendix D-4) thermometers, nonsteroidal antiinflammatory drugs or acetaminophen, cough suppressants, oral rehydration mix packs, a medical mask, printed home instructions about caring for someone with influenza, a list of contact information, and a list of signs or symptoms that should prompt a call or visit to a healthcare center.
‡Ceftriaxone plus azithromycin, or moxifloxacin.
§Provided in ED (1 per admission).
¶Vancomycin plus piperacillin/tazobactam.