Sample Question & Report

The tool is designed to assess department of pharmacy preparedness in a specific topic area through a series of assessment questions.  The following is an example of a sample assessment question:

Integration with Institutional Planning

Is the department of pharmacy represented on the institution-wide emergency preparedness/management committee, and has it participated in the development of the institutional plan?

checkbox Yes
checkbox In Progress. Target Completion Date__________ 
checkbox No

Upon completion of the assessment, a report will be generated to identify the areas in which the department of pharmacy responded “in progress” or “no” to an assessment question.  Links to Web-based resources will be provided as a tool for the department of pharmacy to address the specific pandemic influenza planning topic.  The following is an example of information that will be generated in the report:

Public and Professional Education and Training

In the pharmacy plan, has the department of pharmacy included a section that describes how all pharmacy staff will be informed of infection control measures, social distancing practices, personal protective equipment, treatment and prophylaxis?

Check SignNo

CDC Droplet Precautions

CDC Guidance on Personal Protective Equipment (PPE) in Healthcare Settings

CDC Mask and Respirators Fact Sheet

OSHA Guidance on Preparing Workplaces for an Influenza Pandemic

CDC Standard Precautions

CDC Guidance on Stopping the Spread of Germs at Home, Work and School

Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers

Respiratory Hygiene/Cough Etiquette in Healthcare Settings

Public and Professional Education and Training

Has the department of pharmacy participated in institution-wide development of education and training for personnel, and information for patients and visitors, so that the implications of, and basic prevention and control measures for, pandemic influenza are understood?

Check SignIn Progress 

Target Completion Date 12/31/08

American Red Cross Pandemic Influenza Education Information

HHS Pandemic Influenza Education and Training Guidance

NIEHS Kids' Pages