DJJ Flu Preparations and Procedures
> Seasonal flu vaccines have been ordered for both juveniles and employees.
o A notice will go out to all employees as soon as the vaccine is received and ready for distribution
o Encourage all juveniles to get the flu vaccine
o Encourage all staff to get the flu vaccine
> DJJ has pre-registered and is part of the Disease Surveillance Program through SC DHEC, CDC and NIH for disease reporting and to receive the H1N1 Vaccine when available, as well as access to Tamiflu stockpiles, if available.
> Health Services has purchased additional medical supplies in preparations for the seasonal and potential H1N1 flu.
> Hand sanitizers have been purchased.
o Currently located in the cafeterias at the Evaluation Centers for juvenile and staff use prior meals.
o Will be installed in the cafeterias on BRRC.
> Beginning September 11, 2009 temperatures will be taken on every juvenile entering DJJ at time of entry.
o Health Services has purchased temperature-taking devices for each facility.
o This will be conducted at Intake at the Evaluation Centers.
o This can be done by non-medical personnel.
o Health Services personnel will in-service non-medical staff on proper temperature taking procedure and devices.
o If oral temperature is >100.4 degrees F, medical is to be notified immediately for further instruction.
§ (Evaluation Centers) If this occurs during hours that medical is not staffed, the juvenile should be held overnight at a location designated by Ronny Grate and Medical should be notified first thing the next morning. (If juvenile appears ill, call nurse at Willow lane Infirmary).
§ Wilderness Camps should take temperatures of juveniles upon admission.
· If oral temperature is >100.4 degrees F, the camp’s private medical provider is to be notified immediately for further instruction.
· If after hours, contact private medical provider the following morning.
> Beginning September 11, 2009, a box of BiaxNOW Influenza A & B Rapid Test kits, each containing 22 tests, is being provided to the following locations: WL Infirmary, DTC, CEC, UEC, MEC and the employee health nurse office.
o These kits are expensive and should not be used inappropriately.
o These kits can be very helpful in the early identification of an influenza outbreak.
o The physician on call must be called and authorize the use of the test kit.
> Juveniles with fevers and flu-like symptoms will be placed in the WL Infirmary in order to isolate from other juveniles until infirmary is full, at which time the febrile juveniles will then be placed in isolation in a selected dorm. Juveniles with fevers will wear masks as directed by nursing staff to minimize viral spread.
> Health staff will wear surgical masks when caring for juveniles with a fever and flu-like symptoms.
> JCO’s should wear surgical masks when they are within six (6) feet of a juvenile with a fever and/or flu-like symptoms.
> Treatment with Antivirals (Tamiflu)
o Staff should consider treatment with the onset of symptoms (75mg twice a day for 5 days) – to minimize the duration of the illness.
o Go to personal physician for Tamiflu prescription.
o DJJ is planning on offering to selected staff members (as long as supply lasts) for prophylaxis (75mg once daily for up to six weeks) if H1N1 outbreak occurs among juveniles.
> Providing/encourage the seasonal influenza and H1N1 vaccines for staff and juveniles as soon as available.>
> Place influenza prevention posters from DHEC (to be supplied by Health Services) throughout facilities and offices at DJJ.
> Follow prevention recommendations on the DHEC posters.
Samuel L. Soltis, FACHE
Director, Health Services
South Carolina Department of Juvenile Justice
4900 Broad River Road
Columbia SC, 29212-3552
The South Carolina Department of Juvenile Justice does not discriminate in any programs or activities on the basis of race, color, national origin, sex, disability or age. THE FOLLOWING OFFICES HAVE BEEN DESIGNATED TO HANDLE INQUIRIES REGARDING THE NONDISCRIMINATON POLICIES: Title IX -- Inspector General's Office -- 803-896-9595 Title II & 504 -- Special Education Office -- 803-896-8484.