1. What is influenza (also called flu)?
The flu is a contagious respiratory
illness caused by influenza viruses that
infect the nose, throat, and lungs. It can
cause mild to severe illness, and at
times can lead to death. The best way
to prevent the flu is by getting a flu
vaccine each year.

2. Signs and symptoms of flu
People who have the flu often feel some or all of these signs and
symptoms:
Fever* or feeling feverish/chills
Cough
Sore throat
Runny or stuffy nose
Muscle or body aches
Headaches
Fatigue (very tired)
Some people may have vomiting and diarrhea, though this is more common
in children than adults.
*It’s important to note that not everyone with flu will have a fever.

3. How flu spreads
Most experts believe that flu viruses
spread mainly by droplets made when
people with flu cough, sneeze or talk.
These droplets can land in the mouths
or noses of people who are nearby.
Less often, a person might also get flu
by touching a surface or object that
has flu virus on it and then touching
their own mouth, eyes or possibly
their nose.

4. Period of contagiousness
You may be able to pass on the flu to
someone else before you know you are
sick, as well as while you are sick. Most
healthy adults may be able to infect
others beginning 1 day before symptoms
develop and up to 5 to 7 days after
becoming sick. Some people, especially
young children and people with
weakened immune systems, might be
able to infect others for an even longer
time.

5. Complications of flu
Complications of flu can include
bacterial pneumonia, ear
infections, sinus
infections, dehydration, and
worsening of chronic medical
conditions, such as congestive
heart failure, asthma, or
diabetes.

6. Prevent seasonal flu: Get
vaccinated
The single best way to prevent
the flu is to get a flu vaccine
each season.

7. When to get vaccinated
against seasonal flu
Yearly flu vaccination should begin soon after flu
vaccine is available, and ideally by October.
However, getting vaccinated even later can be
protective, as long as flu viruses are circulating. While
seasonal influenza outbreaks can happen as early as
October, most of the time influenza activity peaks in
January or later. Since it takes about two weeks after
vaccination for antibodies to develop in the body that
protect against influenza virus infection, it is best that
people get vaccinated so they are protected before
influenza begins spreading in their community.

8. SCKMC will provide
your Flu vaccination
Contact:
Employee health: Shelley Pinnegar
Or
Infection Control: Joanne Holman
Or
Night or Weekend Shifts: Emergency Department

9. Who Should Get Vaccinated This
Season?
Everyone who is at least 6 months of
age should get a flu vaccine this
season. This recommendation has
been in place since February
24, 2010 when CDC’s Advisory
Committee on Immunization
Practices (ACIP) voted for “universal”
flu vaccination in the United States
to expand protection against the flu
to more people.

10. It’s especially important
for some people to get
vaccinated
• Those people include the following:
• People who are at high risk of developing serious complications
(like pneumonia) if they get sick with the flu.
– People who have certain medical conditions including
asthma, diabetes, and chronic lung disease.
– Pregnant women.
– People younger than 5 years (and especially those younger than
2), and people 65 years and older.
• People who live with or care for others who are at high risk of
developing serious complications (see list above).
– Household contacts and caregivers of people with certain medical
conditions including asthma, diabetes, and chronic lung disease.
– Household contacts and caregivers of infants less than 6 months old.
– Health care personnel.

11. Who should not be
vaccinated against
seasonal flu?
•
•
•
•
•
•
Influenza vaccine is not approved for children younger than 6 months of
age.
People who have had a severe allergic reaction to influenza vaccine should
generally not be vaccinated.
There are some people who should not get a flu vaccine without first
consulting a physician.
These include:
People who have a moderate-to-severe illness with or without a fever
(they should wait until they recover to get vaccinated), and
People with a history of Guillain–Barré Syndrome (a severe paralytic
illness, also called GBS) that occurred after receiving influenza vaccine and
who are not at risk for severe illness from influenza should generally not
receive vaccine. Tell your doctor if you ever had Guillain-Barré Syndrome.
Your doctor will help you decide whether the vaccine is recommended for
you.

12. SCKMC offers Flu Vaccine to
patients
All inpatients are asked if they
desire to have the flu vaccine
with their admission
questions.

13. Patient with Cough
and Flu Symptoms
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•
•
•
Droplet Precautions should be initiated
Single patient room when available or cohort
Avoid placement with high-risk patients
Mask patient when transported out of room

14. Droplet Precautions
• Wear a surgical mask for activities
within 3 feet of the patient.
• Wear protective eyewear for activities
within 3 feet of the patient.
• Use gown & gloves according to
Standard Precautions
• Duration of precautions is 5 days with
appropriate treatment except for
immunocompromised patients, which
is the duration of the infection

15. Appropriate Signage
Signage and
PPE should be
posted at the
door to
communicate
to staff and
visitors.

16. Influenza A & B LAB Testing
• Collect nasal drainage with a sterile
nasopharyngeal foam tipped swab, gently in the
patient’s nares
• Return swab to paper wrapper
• Transport to LAB as soon as possible, within 1 hr
• Results could be ready 20-30 minutes after LAB
receives specimen
• The test uses highly sensitive monoclonal
antibodies to detect influenza A & B
nucleoprotein antigens in respiratory specimens.

17. Help Protect Our Patients!
• Instruct visitors not to visit if
they have a fever or cough.
• If they are ill and must
visit, ask them to wear a mask
and wash their hands on
entering the room and leaving
the room.

18. Instruct All Healthy Visitors Please:
• Clean your hands after arriving
and before leaving.
• Always cover your cough.
• Use a tissue or your sleeve when
you cough or sneeze.
• Clean your hands after coughing
or sneezing.

19. Cough Etiquette
• Cover your mouth and nose with a tissue
when you cough or sneeze.
• Put your used tissue in the waste basket.
• Cough or sneeze into your upper
sleeve, NOT your hands.
• You may be asked to put on a surgical
mask to protect others.
• After exposure to a cough or
sneeze, wash your hands with soap and
water or with alcohol-based hand
cleaner.

20. Cleaning to Prevent FLU
• The flu virus can “live” on some surfaces for up to
24 hours.
• Routine cleaning of surfaces may reduce the
spread of flu.
• Flu viruses are killed by heat above 167 degree F.
• Common household cleaning products can also
kill the flu virus, including products containing:
chlorine, hydrogen peroxide, detergent
(soap), iodophors (iodine-based
antiseptics), alcohols.
• Wash laundry
• Hand hygiene often

21. Resources
• Resources for this training came from the CDC
• More information can be found at cdc.gov